中醫內科用藥及針灸治療腦幹中風病案報告

Internal Medicine Treatment and Acupuncture for Brain-stem Stroke

10.7102/JTCIM.201606_14(1).0003

黃聖富(Sheng-Fu Huang)；黃裕昌

中醫 ； 中藥 ； 夜間頻尿 ； 夜尿 ； stroke ； Chinese medicine ； acupuncture

中醫內科醫學雜誌

14卷1期（2016 / 06 / 01）

13 - 22

繁體中文

腦血管疾病除會遺留下不同程度且永久性的失能，更會造成醫療費用的損耗，對個人及社會都是龐大的健康照護問題。而腦中風後的醫療花費對於家庭與社會均為沉重的負擔。過去對中風的處理會採完全安靜主義，必須病情完全的穩定才能進行復健工作，這可能已是2、3個星期後了。現在則強調早期介入、早期治療，以提高預後的效果，所以阻塞型中風約3-5天，出血型中風約5-7天，蜘蛛膜下腔出血則須3-4週，即可由中醫師介入，以床邊治療的方法，預防中風的次發性併發症。本病例以中藥及針灸治療患者之腦血管後遺症，改善病人半側偏癱、言語不利、排便不暢等症狀，經治療後獲得進步。

Cerebrovascular disease, a huge health care issue for individuals and society, in addition to the formation of varying degrees of permanent disability, will result in loss of medical expenses. The medical costs after stroke are for family and social burden. Past treatment of stroke was be taken as completely passive doctrine. Patients can't carry out rehabilitation work until they are in the stable condition, which may have been two, three weeks after the stroke. The new concept in nowadays emphasize that the early intervention and treatment should be taken in order to improve the prognosis of the effect, so the timing to treat occlusion stroke is about 3-5 days after occurring, hemorrhagic stroke about 5-7 days, and subarachnoid hemorrhage shall be 3-4 weeks, and then the Chinese medicine practitioners mediate with bedside treatment methods, preventing secondary complications after stroke. In this case, we use traditional Chinese medicine and acupuncture to remedy cerebral vascular sequelae of patient, improve patient hemi-paralysis, speech disadvantage, poor bowel peristalsis and other symptoms, so that we can ameliorate their quality of life by traditional Chinese medical science.

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