中医药研究论丛

291-8 中医针灸居家照护颅脑损伤合并下肢水肿病例报告

TJ TCM.29(1) : 105-118, 2026

DOI : 10.6516/TJTCM.202603_29(1).0008

中医针灸居家照护颅脑损伤合并下肢水肿病例报告

A Case Report on Home-Based Acupuncture Care for Lower Limb Edema Secondary to Traumatic Brain Injury

王军3,4,*蔡金川2,3,4林新杰3,4陈祯5林原禾3李长殷1,3,4陈冠佐3,4,*

【摘要】
本病患为53岁男患者,在2023年04月为闪避公车不慎与违规车辆发生车祸当场昏迷,病况稳定後返家进行复健治疗,治疗後左下肢伤力大及下肢水肿症状持续,情志抑郁寡欢,於2024/07/31开始进行接受居家医疗照护整合计画之中医访视。期间以针灸及伤科手法治疗持续8次,患者左下肢张力及下肢水肿症状改善,行走功能进步,可使用助行器在室内活动,说明了中医叁与居家医疗照护整合计画不仅使患者加速改善下肢张力、下肢水肿、促进患者行动能力及生活品质,更彰显中医在居家照护的可行性。
【关键词】中医 ;下肢水肿 ; 针灸;居家医疗整合照护; 颅脑损伤
【Summary】
This case report describes a 53-year-old male patient who sustained a traumatic brain injury (TBI) in April 2023 after being struck by an illegally parked vehicle while avoiding a bus, resulting in an immediate loss of consciousness. Following stabilization, the patient returned home to undergo rehabilitation. Despite conventional therapy, he experienced persistent left lower limb hypertonia, edema, and emotional depression. On July 31, 2024, the patient initiated a Traditional Chinese Medicine (TCM)-based home care program under an integrated medical care plan. Over the course of eight sessions, acupuncture and TCM manual therapy were applied, resulting in improved left lower limb tone, reduced edema, and enhanced mobility. The patient progressed to using a walker for indoor activities. This case highlights the potential of TCM in home-based care for improving limb tone, edema, mobility, and overall quality of life in patients with TBI, demonstrating the feasibility and benefits of incorporating TCM into integrated home care programs.
【Keywords】
Traditional Chinese Medicine ; Lower Limb Edema ; Acupuncture ; Integrated Home Medical Care ; Traumatic Brain Injury