子宮全切除術後頭暈之中醫診療病例報告

Treatment of Traditional Chinese Medicine for Vertiginous syndromes after Hysterectomy

10.7102/JTCIM.201506_13(1).0007

張益銓(Yi-Chuan Chang)；何宗融(Tsung-Jung Ho)；賴英秀(Ing-Shiow Lay)

頭暈 ； 子宮全切除 ； 中耳炎 ； 氣血虧虛 ； 益氣聰明湯 ； Dizziness ； Hysterectomy ； Tympanitis ； dual deficiency of qi and blood ； Ihchih Tsungming Tang

中醫內科醫學雜誌

13卷1期（2015 / 06 / 01）

56 - 63

繁體中文

本病例為46歲女性，病史複雜，其過去月經週期規律，但有嚴重腹痛與血塊，於103年續斷出現月經周期不規則表現，後發現有子宮肌瘤與子宮腺肌症，並於104年1月6日因子宮肌瘤導致嚴重出血進行子宮全切除，術後傷口緩解可，但出現疲憊與頭暈影響日常生活而求助於中醫。於就診三個月期間，頭暈程度緩解良好，並能重新勝任工作崗位；由於患者過去病史與病因病機複雜，雖不是危重症，確有諸多值得思考與兗析之處，故藉此病例報告提出經驗，供臨床參考與討論。

The case is a 46-year-old female with complicated past history had regular menstrual cycle, but she suffered from severe dysmenorrhea with lots of blood clots; then, uterus myoma and adenomyosis were diagnosed and started with irregular menstruation since 2014. Moreover, she had hysterectomy due to uterus bleeding on 2015-1-6. After the operation, she easily felt tired with dizziness and then she sought for traditional Chinese medicine help. Under the intervention for three months, the chief complaint is relieved well, and she came back to work qualified. Although this case is not under urgency situation, it is worth to be discussed and analyzed in clinical aspect that based on her complicated past history, etiology and pathogenesis.

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