雷射針灸治療應用於嗅覺減退患者之病例報告

Effect of laser acupuncture therapy in dysosmia: a Case Report

張益銓(Yi-Chuan Chang)

雷射針灸 ； 嗅覺減退 ； 耳穴 ； laser acupuncture ； dysosmia ； auriculotherapy

中華針灸醫學會雜誌

23卷3-4期（2020 / 12 / 01）

35 - 48

繁體中文

患者為一52歲中年女性，合併諸多病症，於107年3月罹患B型流感後，喪失大部分嗅覺，且合併嗅幻覺，曾至西醫耳鼻喉科治療二至三個月，仍無明顯進步，僅稍可在離物品很近且味道濃烈時稍可聞到味道，且能聞到並辨識的品項有限。於雷射針灸介入後，患者出現嗅幻覺的頻次明顯下降，能夠聞到與辨識的味道亦明顯增加，而後續患者又因感冒再度導致嗅覺減退至治療前的水平，後續經過雷射針灸介入並調整雷射參數，嗅覺再度出現更勝以往之進步，自覺嗅覺功能恢復至約八成。嗅覺喪失與嗅覺減退諸症於臨床無良好的評估與介入方式，本案例於治療前期曾接受一般針灸介入，即曾出現短暫之嗅覺，並於後續引入雷射針灸亦有更顯著改善，盼以此案例之臨床介入思路為借鏡，供諸位同道參考，並盼能對罹患嗅覺相關問題之患者有所助益。

Dysosmia is difficult to deal with both in modern medicine and traditional Chinese medicine. This 55 year-old female suffered from dysosmia combined with phantosmia after influenza B infection since February, 2018. After the general acupuncture intervention with trigeminal nerve stimulation, her olfaction performance improved. Moreover, we used laser acupuncture to stimulate not only usual acupoints but also the corresponding ear areas associated with olfactory nerve system, and the improvement of her sense of smell enhanced with traumatic change. After 12 times of laser acupuncture intervention, her phantosmia never happened and the sense of smell almost normal. Hence, we introduce this case and the idea of both the acupuncture and laser acupuncture treatment intervention for olfactory problems like dysosmia.

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