針灸輔助西醫治療慢性腎病併發水腫病例報告

Acupuncture combined west medicine on CKD-induced Edema Patient: A case report

廖元敬(Yuan-Ching Liao)；徐大宙(Ta-Chou Hsu)；李育臣(Yu-Chen Lee)

針灸 ； 慢性腎臟 ； 水腫 ； Acupuncture ； chronic kidney disease ； edema

中華針灸醫學會雜誌

18卷2-4期（2015 / 12 / 01）

37 - 43

繁體中文

65歲男性，過去病史包括糖尿病及高血壓，因血糖控制不良進入第五期慢性腎病變合併嚴重水腫。就診當時，出現雙下肢第四級水腫、視力模糊、疲倦、貧血等臨床症狀。服用利尿劑後，全身水腫症狀仍逐漸加重無法穩定控制，嚴重影響患者生活品質。透過針刺陰陵泉、三陰交、水分、水道等穴位合併艾灸，經一個月治療，顯著改善其全身水腫，藉此病例的治療經驗提供慢性腎臟病合併下肢水腫為臨證施治的參考。

This 65 year-old-male who has past history of poor-controlled Type II DM and hypertension diagnosed chronic kidney disease, stage V, with refractory edema. He suffered from bilateral lower limbs pitting edema, grade 4, blurred vision, fatigue and anemia. Diuretics can't relieve his refractory edema lead to poor quality of life. Thus, he came to acupuncture-OPD for help. The acupoints included Yin ling quan (SP9), San yin chiao (SP6), Shuifen (CV 9), Shuidao (ST28). After receiving one-month acupuncture and moxibustion treatment, the patient presented significant improvement in edema. We present this case to provide primary care physicians with reference for treating a CKD patient with lower leg edema. However, this issue is still controversial and the duration of acupuncture treatment is not established.

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