中医药研究论丛

233.11 中药缓解修格兰氏症合并挢本氏甲状腺炎之病例报告
TJ TCM.23(3) : 141-150,2020
中药缓解修格兰氏症合并挢本氏甲状腺炎之病例报告
Chinese Herbal Medicine for Alleviating the Patient with Sjögren’s Syndrome Combined
with Hashimoto’s Thyroiditis: A Case Report 
陈国丰1,2 曾伟婷1 林虹均1 张清贸1,3,4*
1 台北荣民总医院传统医学部,台北,台湾
2 中国医药大学学士後中医学系,台中,台湾
3 国立阳明大学传统医药研究所,台北,台湾
4 国立阳明大学医学系,台北,台湾
【摘要】
一名患有修格兰氏症候群(Sjögren’s syndrome)合并挢本氏甲状腺炎(Hashimoto’s thyroiditis)的55 岁女性,主要症状有心悸、喘、水肿、指麻、口乾舌燥、手脚指头麻、双脚起红疹,该患者於2019 年08 月23 日至台北荣民总医院传统医学部门诊就诊,中医辨证为阴虚内热、湿热下注、肝肾阴虚,治则为滋阴降火、清热利湿、滋补肝肾。持续追踪治疗7 次後,有效改善心悸、喘、小腿水肿、潮热、盗汗等症状。本病例报告显示合并中药治疗可有效缓解修格兰氏症候群合并挢本氏甲状腺炎患者之复杂症状,可提供中药辅助治疗之叁考。
【关键词】修格兰氏症候群、挢本氏甲状腺炎、滋阴降火、清热利湿
 
Kuo-Feng Chen1,2Wei-Ting Tseng1Hong-Chun Lin1Ching-Mao Chang1,3,4*
1Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2School of Post-baccalaureate Chinese Medicine, China Medical University, Taichung, Taiwan
3Institute of Traditional Medicine, National Yang-Ming University, Taipei, Taiwan
4Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan
【Summary】
A 55-year-old female woman diagnosed as Sjögren’s syndrome with Hashimoto’s thyroiditis. She visited Center for Traditional Medicine of Taipei Veterans General Hospital on August 23, 2019, and her main symptoms were palpitations, wheezing, calf edema, numb fingers, and rash on both feet. Due to the pattern of “Yin Deficiency and Internal Heat”, “Downward Diffusion of Damp-Heat”, “Liver and Kidney Yin Deficiency”, the TCM doctor adopted “Nourish yin to extinguish fire”, “Clean heat and eliminate dampness” plus “Nourish Liver and Kidney“ to treat her. After seven continuous follow-up treatments, the symptoms were effectively improved. This case report showed that the collaboration between Chinese herbal medicine and conventional medicine could effectively alleviate the complex symptoms of patients with Sjögren’s syndrome combined with Hashimoto’s thyroiditis. Moreover, Chinese herbal medicine treatment could be a complementary therapy for conventional medicine.
【Keywords】Sjögren’s Syndrome; Hashimoto’s Thyroiditis; Nourish Yin to Extinguish
Fire; Clean Heat and Eliminate Dampness