台北中医医学杂志

92.6 水肿的中医治疗病例
水肿的中医治疗病例
A Case of Edema Treated with Traditional Chinese Medicine
陈建宏* 李上知
台北市立联合医院林森中医院区,台北,台湾
【摘要】
本案例为一男性患者,即有频尿及夜尿问题,并诊断为良性摄护腺肥大。至肾脏科验尿检查,发现有蛋白尿的问题,发生下肢水肿症状,因而来中医门诊中心就诊治疗。中医辨证治疗依《辨证录·淋证门》:“肾虚而感湿热”之证,“治法急宜逐膀胱之湿热,以清其化源。⋯⋯故於利湿、利热之中,更须益肾中之气也。”是故,主治医师在处方中有真武汤,以附子以益肾中之气改善症状。
【关键词】
水肿、中医
 
Jian Hong Chen*Shang Zhi Lee   
Department of Chinese Medicine, Taipei City Hospital, Lin-sen Branch,Taipei, Taiwan
Summary
The male patient presented with frequent urination and nocturia and was diagnosed as benign prostate hypertrophy. He came to nephrology clinic with lower limbs edema and routine urine analysis showed proteinuria. Therefore he visited traditional Chinese medicine clinic center for further treatment. Traditional Chinese medicine treated patient with syndrome differentiation as the book Dialectical record’ : ‘the syndrome that kidney deficiency progression to damp heat’, “the treatment should clear heat and expel damp of bladder quickly, to improve the root cause.Besides clearing the heat and expelling the damp, the more important thing is to enhance the qi of kidney.” As above mentioned, the attending physician prescribed the Zhen Wu Tang and used aconite to enhance the qi of kidney to improve the condition.
Keywords
edema, traditional Chinese medicine