中医药研究论丛

231.16 丹栀逍遥散加味治疗瘾疹之病例报告
TJ TCM.23(1) : 197-208, 2020
DOI : 10.6516/TJTCM.202003_23(1).0016
丹栀逍遥散加味治疗瘾疹之病例报告
A Case Report of Chronic Urticaria Treated with Dan-Zhi-Xiao-Yao-San
黄才珊1 陈萍和1 吴善弘1 戴承杰1*
1 台北医学大学附设医院传统医学科,台北,台湾
【摘要】
慢性荨麻疹是六周以上、反覆且持续出现红肿痒的皮肤疾病,主要有三个症状,症状会依严重程度而定。一为膨疹,在身体各处起膨疹,膨疹数量会依严重程度而定。二为痒感,膨疹通常会有痒的感觉,特别是在夜晚更明显。三为血管性水肿,在皮肤较薄处如眼睛、嘴巴容易肿起,并有痒、肿胀的不适感。本病例为一59 岁女性,在车祸後服用西药一段时间,及工作心理压力之下,出现风疹块,病灶表现边缘泛红、边界容易界定,凸起,大小不一,并伴有极度搔痒感。患者就诊时已发作两个月,中医诊断为瘾疹,辨证为风客腠理,津气不利,而以肝郁脾虚为本,处方以丹栀逍遥散搭配祛风解痉的单味药治疗。本例为一无西药介入的慢性荨麻疹治疗之案例,提供给临床中医师作为叁考。
【关键词】慢性荨麻疹、风疹块、丹栀逍遥散
Tsai-Shan Huang1Ping-Ho Chen1Shan-Hong Wu1Chen-Jei Tai1*
1Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan
【Summary】
Chronic urticaria is defined by the presence of recurrent urticaria (also called hives or wheals), angioedema, or both, for a period of six weeks or longer.Urticarial lesions have three typical features: (1)An area of central swelling of various size, usually with surrounding erythema (2)An itching sensation (3)A fleeting time course for an individual lesion (usually 30 minutes to 24 hours) with the skin returning to normal without ecchymoses.
This case report describes a 59-year-old female who suffered from chronic urticaria for two months. Under stress at work and taking medicine for a period of time after a car accident, wheals appeared. The lesions are central swelling of various size with surrounding erythema and itching sensation. The traditional Chinese medicine (TCM) syndrome was wind attacking subcutaneous tissue (风客腠理), and thus stagnation of Qi and Jin(津气不利). Based on liver depression and spleen deficiency, the prescription was Dan-Zhi-Xiao-Yao-San combined with some wind-extinguishing and spasms-stopping single herbs. This case is a case of chronic urticaria treated with TCM without other intervention,which can provide clinical Chinese Medicine doctors an acceptable treatment option for patients who suffer from certain disease.
Keywords chronic urticaria, wheal, Dan-Zhi-Xiao-Yao-San