中医药研究论丛

201.19火针疗法治疗外伤导致压迫性骨折之病例报告
火针疗法治疗外伤导致压迫性骨折之病例报告
A Case Report of Severe Pain due to Compression Fracture Treated by Caloripuncture
陈韦任1 李欣桦2 叶家舟1,2*
1 佛教慈济医疗财团法人大林慈济医院中医部,嘉义,台湾
2 慈济大学学士後中医系,花莲,台湾
【摘要】
本案病例报告之患者於门诊治疗前7 个多月因为外力撞击导致跌坐损伤,造成胸椎压迫性骨折,出现急性且剧烈的背痛,并且难以站直及活动,其剧烈疼痛感甚至严重影响睡眠,虽经中、西医医院及诊所多次治疗後依旧无法缓解,亦无法工作。经中医四诊及分析後,归咎其发於外伤所致,且本於年老体衰、肝肾不足等因素。《灵枢· 邪气脏腑病形》:「肾脉贯脊,缓甚为折脊」,由此可见灵枢即有记载本类疾病与肾相关,其病名「折脊」更是贴切。《灵枢· 经脉篇》:「骨为干,脉为营,筋为刚,肉为墻」,身体的重量及稳定有赖於骨骼以及肌肉的支撑,因为外伤导致的压迫性骨折,其位置起始虽然是在脊柱,但因为支持躯干平衡及重心的两侧肌肉不但在事发当下一样受到重击力量的冲击,日久之後也会因为疼痛,或是支持力的不平衡而导致不适。本病患者事发距离初次於门诊就医已有七个月之久,期间接受过中、西医,甚至是各种按摩及民俗调理介入,然而效果不彰,患处的疼痛更是从开始之後就没有缓解,严重影响患者生活品质,甚至让患者萌生放弃之意。经义诊活动所接触到的患者在初次门诊之後,持续在门诊使用火针疗法治疗1 个半月,并且使用VAS 及Oswestry Disability Index(ODI)评估方式进行改善效果评估,疼痛大幅下降,最後甚至不感疼痛,生活品质提升,也能继续工作而不受影响。
【关键词】
压迫性骨折、火针、Oswestry Disability Index
 
Wei-Jen Chen1 Chia-Chou Yeh1,2* Hsin-Hua Li2
1Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Chia-Yi, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
【Summary】
The case of the report had suffered from pain due to Compression fracture after accident for seven months. After analyzing and diagnosing by the theory of traditional Chinese medicine, we found out that the causes of his severe pain were damage fell ,deficiency of liver and kidney , and his aged.This acute and severe pain not only makes him have difficult to stand up straight and act,but also interrupt his sleep .After Western medicine treatment such as external fixation and pain control, his pain still can not be alleviated. Compression fracture and its accompanying symptoms have already recorded in LingShu Jing. Body weight and stability depends on the skeletal and muscle support. Both of the damaged vertebral column area and bilateral erector spinae will lead to uncomfortable feeling ,and this discomfort due to imbalance supportive. Since the accident happened, this patient received Western medicine treatments, and even a variety of massage and folk conditioning intervention.His pain was still not eased and seriously affect the quality of his life.
Due to suffering from compression fracture and the unsuccessful common Western medicine and Chinese medicine treatment for seven months, the patient visited our outpatient services and received Caloripuncture treatment. After continued in the outpatient treatment one and a half months by Caloripuncture, the pain due to compression fracture was released, and finally does not feel the pain at all.Furthermore, we also evaluated the treatment outcomes by Visual Analogue Score(VAS)and Oswestry Disability Index(ODI). In the end, not only his life quality was raised, according with the pain relief of compression fracture,he can also go back to work smoothly.
Keywords: Compression fracture, Caloripuncture, Oswestry, Disability Index