TJ TCM.25(3) : 1-12, 2022
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肝内胆管癌之中医会诊病例报告
Chinese Medicine Consultation of Intrahepatic
Cholangiocarcinoma: A Case Report
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张简媜鶧1 林经伟1 王健豪1*
1 佛教慈济医疗财团法人花莲慈济医院中医部，花莲，台湾
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【摘要】
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本病例患者为62 岁女性，约2019 年11 月开始自觉右上腹痛，并於2020 年10 月发现小便颜色深，茶色，无小便疼痛，西医诊断为肝内胆管癌（Intrahepatic cholangiocarcinoma）。2020 年12 月底接受化疗，患者希望会诊中医减缓副作用。中医诊断为肝郁血瘀。故采用疏肝解郁，活血化瘀之法治疗，以四逆散加膈下逐瘀汤加减处方。追踪半年馀，患者持续门诊追踪及化疗住院会诊中医，病况维持，生活可自理。经由此病例探讨肝内胆管癌的西医诊断与治疗，并论述膈下逐瘀汤在《医林改错》的记载与现代文献应用。
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【关键词】肝内胆管癌、肝郁血瘀、膈下逐瘀汤
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Chen-Ying, Chang Chien1Ching-Wei Lin1Chien-Hao Wang1*
1Chinese Medicine of Hualien Tzu Chi Hospital, Hualien, Taiwan
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【Summary】
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The patient in this case is a 62-year-old female who began to consciously experience upper right abdominal pain around November 2019. In October 2020,the urine was dark and brown, and there was no pain when urinating. Western medicine was diagnosed as intrahepatic cholangiocarcinoma. Chemotherapy in late December 2020, and she hoped to consult Traditional Chinese Medicine to reduce her side effects. TCM diagnosis was liver Qi stagnation and blood stasis,so the method of treatment relieved the liver Qi stagnation, and promoting blood circulation. The prescription of treatment was Sini Powder and Gexia Zhuyu Decoction. After more than half a year, her condition was maintained, and her life could be taken care of by herself. Through this case studied the diagnosis and treatment of intrahepatic cholangiocarcinoma, and discussed the literature of Gexia Zhuyu Decoction.
【Keywords】Intrahepatic cholangiocarcinoma; Liver Qi Stagnation and blood stasis;
Gexia Zhuyu Decoction
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253.6 肝内胆管癌之中医会诊病例报告
