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中医药研究论丛
 264.6 中西医结合治疗小脑中风後眩晕之病例报告
TJ TCM.26(4) : 73-81, 2023
DOI : 10.6516/TJTCM.202309_26(4).0006
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中西医结合治疗小脑中风後眩晕之病例报告
Combined Therapy of Traditional Chinese Medicine and Western Medicine in Dizziness after Cerebellar Stroke: A Case Report
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林坤纬 1 郑群耀 1,* 谢绍安 1
1 佛教慈济医疗财团法人台中慈济医院中医部，台中，台湾
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【摘要】
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中风等脑血管疾病是我国国人十大死因之一，在其中小脑中风属於较罕见之疾病，表现亦与一般中风会出现之肢体无力、麻木等不同，而是以眩晕、共济失调为主要症状，治疗与一般中风相同以复健为主。回顾中医历代文献，对於一般中风出现之半侧瘫痪、感觉异常论述详细且资料丰富，然而在小脑中风这部分却少有文献论治，只能从眩晕等症状进行搜寻，且较难找到关於眩晕与其他共济失调症状关联之论述。本例患者是小脑缺血性中风病患，发病後有严重眩晕、步态不稳、共济失调等症状，基於现代医学对於解剖与中风病理机转之认识，我们以外风、痰瘀论治此患者，开立小续命汤加减方合并大黄蟅虫丸组合之科学中药。并搭配基於解剖学投射之头皮针，对於小脑投射区域进行针刺治疗，首次针灸治疗後，对於患者进行神经学检查，患者共济失调之状况（ 辨距失调等）立刻可见显着改善。患者在持续接受中医住院会诊治疗期间，眩晕、步态不稳等症状得到显着改善，以共济失调障碍评估量表（SARA）进行 神经学检查评估，量表指标也有提升。故分享此案例与医师同道分享。
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【关键词】小脑中风、共济失调、眩晕、头皮针、中西医结合治疗
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Kuen-wei Lin1 Chun-yao Cheng1,* Shao-an, Hsieh1
1 Department of Chinese Medicine, Taichung Tzu Chi Hospital , Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan
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【Summary】
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Strokes are one of the top ten causes of death in Taiwan, and among them, cerebellar stroke is a relatively rare disease. Typical symptoms of common strokes are weakness and numbness of limbs. On the other hand, symptoms of cerebellar strokes, which are dizziness and ataxia, are different from those of common strokes. However, their main treatments are both rehabilitations. So far, there has been extensive literature on treatments for common strokes, yet little on cerebellar strokes. Therefore, Chinese Medicine doctors can only search for studies on cerebellar stroke with few keywords, such as dizziness, let alone the association of dizziness with other ataxia symptoms. In this case, our team treated the cerebellar stroke patient from the perspective of Chinese Medicine, modern anatomy, and pathology. The patient’s symptoms, such as dizziness and ataxia, improved significantly after the treatment. The detailed history of this case is as follows.
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【Keywords】
dizziness, ataxia, cerebellar stroke, Chinese Medicine, acupuncture
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