中医药研究论丛

232.11 肠躁症的中医治疗病例报告
TJ TCM.23(2) : 149-158, 2020
肠躁症的中医治疗病例报告
A Case Report of Irritable Bowel Syndrome Treated with Traditional Chinese Medicine 
林姿君1 赖奇吟1 何宗融1,2,3*
1 佛教慈济医疗财团法人花莲慈济医院中医部,花莲,台湾
2 佛教慈济医疗财团法人花莲慈济医院中西医合疗创新研发中心,花莲,台湾
3 慈济大学学士後中医学系,花莲,台湾
【摘要】
一位58 岁女性排便困难、反覆便秘已三年以上,伴有腹痛、腹胀,西医诊断为激躁性结肠症(肠躁症),多次就医求治,服软便剂、益生菌、膳食纤维等均未明显改善,一年前开始服用日本成药,症状虽有改善,然所需剂量越来越大,且一个多月四肢开始有痒疹。故至本院中医求诊,给予行气健脾,养血润燥,导滞泄热之科学中药,并根据肠脑轴的交互作用加强卫教,治疗六周後症状完全改善,已不须服用日本成药。
【关键词】肠躁症、便秘、肠脑轴、中药、日本成药
 
Tzu-Chun Lin1Chi-Yin Lai1Tsung-Jung Ho1,2,3*
1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
2Innovation and Research Center of Integrative Chinese and Western Medicine, Hualien Tzu
Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
3The School of Post Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
【Summary】
 A 58-year-old female patient suffered from difficult bowel movement and recurrent constipation, accompanied abdominal pain and distension three years ago. Under the diagnosis of irritable bowel syndrome, she consulted different doctors, took stool softeners, probiotics, dietary fiber and so on; however, no obvious change showed. She started to take a specific Japanese over-the-er medicine from one year ago, and felt improvement with worryingly increasing dosage. Itchy rash on extremities appeared one month ago also. Therefore, she visited our Chinese Medical department for treatment. After taking herbal medicine that move qi and tonify spleen, nourish blood and moisten dryness, discharge heat and remove stagnation, her symptoms were gradually soothed. Moreover, health and self-care instructions based on gut-brain axis theory was given. She had regular bowel movement without the Japanese over-the-er medicine in six weeks.
【Keywords】irritable bowel syndrome, constipation, gut-brain axis, herbal medicine, Japanese over-the-er medicine