中醫治療小兒夜間遺尿之病例報告

A Case Report of Nocturnal Enuresis in Children with Chinese Medicine Treatment

10.7102/JTCIM.201412_12(2).0005

吳俊昌(Chun-Chang Wu)；賴英秀(Ing-Shiow Lay)；羅煥奎(Huan-Kuei Lo)

夜間遺尿 ； 尿床 ； 小兒夜尿 ； 中醫 ； Nocturnal enuresis ； Bedwetting ； Nocturnal enuresis in children ； Chinese Medicine

中醫內科醫學雜誌

12卷2期（2014 / 12 / 01）

38 - 49

繁體中文

小兒夜間遺尿是兒科常見疾病之一，是指大於五歲的兒童，連續三個月，每周仍至少有兩次尿床的現象發生。根據西方研究報導此疾病每年會有百分之十五的自癒機率，但當此症狀持續越久，自癒機就越低。西醫常用的治療方式有教育、動機療法和藥物治療，但患者順應性過低及藥物副作用的疑慮，故常自行終止治療而致症狀反覆。本病例為15歲男性患者，就診前每週仍發二晚夜間遺尿的症狀，就診時診斷為腎陽虛證，遣方用藥以溫補腎陽為基礎再加入一氣周流的概念，療效持續兩週未再發夜間遺尿。我們藉此病例報告以提出治療經驗，供臨床上參考和運用。

Nocturnal enuresis is a common problem in children. Western medicine defines nocturnal enuresis as repeated urination into bed or clothes, occurring twice per week for at least three consecutive months in a child of at least 5 years of age. According to the report, nocturnal enuresis in children resolves spontaneously at a rate of approximately 15 percent per year. The longer the enuresis persists, the lower the probability that it will spontaneously resolve. There are several managements to treat the nocturnal enuresis, which are education, motivation therapy and drugs. Because of poor compliance and drug side effects, patients always drop out of medication and symptoms are on and off. In this case, a fifteen year-old male suffered from Nocturnal enuresis of which frequency was two nights per week. During visiting our chinese medicine department, the patient was diagnosed as kidney yang vacuity. Based on TCM syndrome and circle theory which was proposed by Yuan-Yu Huang (黃元御), we supplemented kidney yang. After treatment, the patient did not get bedwetting in recent two weeks. We demonstrated the experience in this case report for clinical reference and application.

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