中醫內科用藥治療水腫病案報告

TREATMENT OF EDEMA:A CASE REPORT

10.7102/JTCIM.201606_14(1).0004

陳煒達(Wei-Da Chen)；許中華

水腫 ； 水氣 ； 真武湯 ； 濟生腎氣丸 ； Edema ； water qi ； Zhen Wu Tang ； Chi Sheng Shen Chih Wan

中醫內科醫學雜誌

14卷1期（2016 / 06 / 01）

23 - 32

繁體中文

水腫古代又稱為「水氣」，泛指體內有水濕停留的一種狀態；近代大多是分陽水、陰水來診斷以及治療。本文病例討論是一名70歲的男性患者，是屬於心腎功能的衰退所導致的水腫，其表現症狀雙下肢水腫，伴隨小便不利，膀胱脹甚、心悸、喘、心跳加速、畏寒肢冷。經中醫診斷後其證為心腎陽虛，水濕內停。治療以溫心腎陽，利水消腫為方向。方主要以真武湯和濟生腎氣丸來補腎助陽。經由4個月的門診治療病患症狀獲得明顯改善。

Edema was known as ＂Water Qi＂ in the ancient time. That means a body is under a damp state. Nowadays we try to distinguish edema between yang-edema and yin-edema for clinical diagnosis and treatment. This case is a 70-year-old male patient with edema caused by heart and kidney function failure. The symptoms both lower extremity edema, accompanied by urination, obvious bladder swelling sensation, palpitations, asthma, rapid heartbeat, chills. He was diagnosed as heart yang deficiency, kidney yang deficiency and internal retention of water. The purpose of treatment is warming heart yang and kidney yang, and inducing diuresis to alleviate edema. He was treated as concentrated herbal extracts mainly composed of Zhen Wu Tang and Chi Sheng Shen Chih Wan to supply his kidney yang. After 4 months outpatient treatment, the symptoms of patients was subsided significantly.