TJ TCM.23(3) : 173-184,2020
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缺氧性脑病变之湿温病案
A Case Report: Chinese Medicine Treated Hypoxic Encephalopathy with Damp Heat Pattern
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许雅婷1 刘佩妤1 戴有志1*
1 佛教慈济医疗财团法人台北慈济医院中医部，台北，台湾
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【摘要】
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一位41 岁已婚的男性，因急性心肌梗塞导致缺氧性脑病变，当时昏迷指数（glasgow coma scale）分数为4 分，经治疗超过一个月仍未见改善，因此会诊中医治疗。此病患中医诊断为神昏，病因病机为素体脾虚，痰湿内盛，外感湿热引动致痹阻心脉、蒙蔽心包，处方以三仁汤合大承气汤加减，宣化湿邪，通腑泻热。经中西医结合治疗一个月後，病患达到昏迷指数10 分（E4VtM6），病情稳定顺利出院。
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【关键词】缺氧性脑病变、急性心肌梗塞、湿温病、三仁汤、大承气汤
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Ya-Ting Hsu1Pei-Yu Liu1Yu-Chih Tai1*
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
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【Summary】
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A 41-year-old married man had acute myocardial infarction induced hypoxic encephalopathy with coma scale 4 (E2VeM2). There was no improvement in the coma scale after Western medical treatment in these month, then asked for Chinese medicine consultation. The diagnosis of Chinese medicine is loss of consciousness with the pattern of constitution with spleen deficiency and full of phlegm,
external contraction of damp and heat blocking the channel of heart and blinding pericardium. We use modified formula with San-Ren-Tang and Da-Cheng-Qi-Tang for diffuse dampness and drain heat to catharsis. After one month of Western and Chinese medicine treatment, coma scale was improved to E4VtM6. Due to stable condition, he was discharged smoothly.
【Keywords】Hypoxic Encephalopathy; Acute Myocardial Infarction; Damp Heat Disease; San-Ren-Tang; Da-Cheng-Qi-Tang
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233.13 缺氧性脑病变之湿温病案
