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中医药研究论丛
 263.8 中药治疗僵直性脊椎炎之病例报告
TJ TCM.26(3) : 103-114, 2023
DOI : 10.6516/TJTCM.202309_26(3).0008
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中药治疗僵直性脊椎炎之病例报告
Chinese herbal medicine for alleviating the
patient with Ankylosing Spondylitis: A case report
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吴育瑜 1,2 颜见明 1 林虹均 1 陈国丰 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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36 岁男性患有僵直性脊椎炎（Ankylosing spondylitis），患者於2020 年 02 月 10 日至台北荣民总医院传统医学部门诊就诊，主要症状为腰背酸痛、俯仰 不利、晨僵。中医辨证为痰湿热瘀阻筋脉、胃失和降、肝郁化火、肝肾亏虚，治则为清热除湿、活血通络、和胃降逆、疏肝清热、滋养肝肾。持续追踪治疗 11 次後，患者腰部酸痛、俯仰不利、晨僵、全身麻木、善太息等症状均显着改善。患者於就诊传统医学部门诊後未服用西药治疗，本病例报告显示使用中药治疗可有效缓解僵直性脊椎炎之复杂症状，可提供中药治疗相关疾病之叁考。
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【关键词】僵直性脊椎炎、清热除湿、活血通络
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Yu-Yu Wu1,2 Chien-Ming Yen1 Hong-Chun Lin1 Kuo-Feng Chen1 Ching-Mao Chang1,3,4,*
1 Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2 School of Post-baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
3 Institute of Traditional Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
4 Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
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【Summary】
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This 36-year-old male diagnosed as Ankylosing spondylitis, and his chief symptoms of back pain, pitching, and morning stiffness bothered him. Due to these discomforts, he came to Taipei Veterans General Hospital on Feb 10, 2020 for Chinese herbal medicine therapy. The Tradition Chinese Medicine (TCM) pattern included “Phlegm, dampness, heat and blood stasis blocking tendons and veins” , “stomach disharmony”, “Liver depression transforms fire” and “Liver and kidney deficiency”, while its treatment is “Clearing heat for removing dampness” , “Promoting blood circulation for removing obstruction in collaterals”, “Harmonizing stomach and lowering adverse qi”, “Soothing the liver and clearing heat” and “Nourishing the liver and kidney”. After following up about 11 times, the patient effectively improved the symptoms of waist soreness, pitching, morning stiffness, general numbness and other symptoms. The patient did not take conventional medicine after TCM therapy, and this Case report showed that TCM therapy could relieve the symptoms of Ankylosing spondylitis without conventional medicine. It could provide another new concept for TCM therapy.
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【Keywords】Ankylosing Spondylitis, Clearing heat for removing dampness, Promoting blood circulation for removing obstruction in collaterals
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