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中医药研究论丛
 262.7 滋阴降火及清热利湿治疗菊地氏病
TJ TCM.26(2) : 69-80, 2023
DOI : 10.6516/TJTCM.202306_26(2).0007
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滋阴降火及清热利湿治疗菊地氏病
Enrich Yin and Reduce Fire plus Clean heat and prospell dampness for Kikuchi-
Fujimoto disease: A Case Report
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洪慈莹1,2 陈国丰1 林虹均1 颜见明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 慈济大学学士後中医学系，花莲，台湾
3 国立阳明交通大学传统医药研究所，台北，台湾
4 国立阳明交通大学医学系，台北，台湾
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【摘要】
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病例为一名23 岁女性罹患菊地氏病（Kikuchi-Fujimoto disease），主诉自2020 年9 月出现右侧颈部肿痛、痛连肩部酸痛、伴随发烧，服西药Dexchlorpheniramine 2mg、Acetaminophen 500mg、Acyclovir 400mg 後已缓解，但双小腿至脚背皮肤发红紫不热，自2020 年10 月发病起将近一年仍未消退，该患者於2021 年9 月至台北荣民总医院传统医学部中医内科门诊就诊，中医辨证为阴虚血热、下焦湿热，治则以滋阴降火、清热利湿为主。中药治疗一个月後，双小腿至脚背皮肤发红紫逐渐减退，且同时改善便溏、白带多⋯⋯等下焦湿热的症状。本病例报告显示合并中药治疗菊地氏病，可有效缓解患者之不适症状，可提供中医同道中药辅助治疗之叁考。
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【关键词】菊地氏病、菊池病、滋阴降火、清热利湿、中医药
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Tzu-Ying Hong1,2Kuo-Feng Chen1Hong-Chun Lin1Chien-Ming Yen1
Ching-Mao Chang1,3,4,*
1Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
3Institute of Traditional Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
4Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
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【Summary】
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A 23-year-old female woman was diagnosed as Kikuchi-Fujimoto disease, and her main symptoms were that right neck was swollen and painful, shoulder pain, and fever since September 2020. These symptoms had been relieved after taking Dexchlorpheniramine 2mg, Acetaminophen 500mg, and Acyclovir 400mg.
The skin on both calves and insteps was red and purple without hot sensation, and the situation did not diminished during nearly one year since the onset in October 2020. Then she visited Center for Traditional Medicine of Taipei Veterans General Hospital on September 10, 2021. Due to the pattern of “Yin Deficiency and Blood Heat”, “Damp-Heat in Lowe-Jiao”, the Traditional Chinese Medicine (TCM) doctor adopted “Nourish Yin and Extinguish Fire” plus “Clean Heat and Dispels Dampness” to treat. After one-month treatment, the red and purple symptoms of both calves and insteps were effectively improved. At the same time, the symptom of “Damp-Heat in Lowe-Jiao” as loose stool, and white vaginal discharge were also improved. This case report showed that the integrated Chinese herbal medicine (CHM) and conventional medicine could effectively alleviate the complex symptoms of patients with Kikuchi-Fujimoto disease. Moreover, CHM
could be an alternative therapy for Kikuchi-Fujimoto disease.
【Keywords】Kikuchi-Fujimoto disease, Kikuchi’s disease, Chinese herbal
medicine, Enrich Yin and Reduce Fire, Clean heat and Prospell
Dampness
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