使用溫補腎陽法治療夜間頻尿病例報告

Using the treatment of warming kidney to cure one male patient who suffer from nocturia

10.7102/JTCIM.201606_14(1).0006

游棛珺(Yu-Chun Yu)；吳瀚德(Han-Der Wu)

中醫 ； 中藥 ； 夜間頻尿 ； 夜尿 ； Traditional Chinese Medicine ； Nocturia

中醫內科醫學雜誌

14卷1期（2016 / 06 / 01）

45 - 52

繁體中文

夜尿的定義如何，莫衷一是，世界衛生組織採晚上小便≧2次稱之，普遍較為大眾接受，亦有學者以晚上尿量超過整天尿量的1/3，稱作夜尿。夜尿的發生機率，在19至39歲為9％左右，但隨著年齡的增加，到80歲時達51％。夜尿的影響，包括睡眠中斷，隔日精神欠佳，影響生活品質甚大，同時因為晚上睡眠不足，代謝物便不易清除，易堆積在肌肉上，容易產生腰酸背痛和肌肉痙攣。根據統計，高齡者在夜尿如廁時，容易跌倒產生骨折，比正常高２倍，可能因晚上視線昏暗，且剛從床上起來，注意力較差，故容易跌倒。本文為一位66歲男性，夜間頻尿5次，經由中醫藥治療後緩解至2次，且持續穩定不再復發，可供中醫藥同道參考。

There is no specific definition for nocturia. The World Health Organization defined it as urination with frequency of being equal to or more than 2 times at night, which is generally accepted by the public. Some scholars called it nocturia when one's volume of urine at night surpasses 1/3 of that of a day. The impact of nocturia includes sleep disruption, and less energy the next day, which badly affect the quality of life. Meanwhile, due to the lack of sleep at night, metaolites are not easy to be removed and easy to be accumulated in the muscles, which is prone to cause back pain and muscle spasms. This article is about a 66-year-old male, whose nighttime urinary frequency is five times and after the treatment of Chinese Medicine, the frequency went down to 2 times a night and the condition sustains with no recurrence. This case can provide reference for fellows of Chinese Medicine.

1. http://yibian.hopto.org/http://www.tcs.org.tw/profession/article/index_info.asp?med_id=49
2. 姚乃禮(2000)。中醫症狀鑑別診斷學。人民衛生出版社。
3. 陳榮洲(2009)。中醫內科學。弘祥出版社。