中醫治療慢性腹膜炎的病例報告

Traditional Chinese medicine treatment of chronic peritonitis: A case report

10.7102/JTCIM.202212_20(2).0003

曾建霖(Tseng Chien Lin)；吳瀚德(Wu Han-Der)

腹膜炎 ； 腹部疼痛 ； 中醫 ； peritonitis ； stomach ache ； Traditional Chinese medicine

中醫內科醫學雜誌

20卷2期（2022 / 12 / 01）

19 - 30

繁體中文

腹膜是位在人體腹腔中的一層黏膜，包覆在腹腔大部分的器官外，主要負責減輕內臟間彼此的摩擦，也能在內臟受到撞擊時提供緩衝。腹膜炎就是腹膜出現發炎，這是臨床上的急症，需要立即就醫加以治療。本例為一位86歲女性，反覆因為腹膜炎及其相關症狀住院，抗生素持續控制感染但嘔吐與腹部疼痛等症狀頻發，最後一次住院已被安寧收案。出院後患者持續上腹部悶痛伴隨嘔逆兩個月，依據患者的病症分析，屬於脾陽不振，脾氣虛，胃失和降，夾濕阻，以四君子湯主方，藥簡力專、藥量輕靈的方式治療後，症狀改善甚多，可提供臨床中醫師參考。

This case is an 86-year-old woman who was repeatedly hospitalized because of peritonitis and related symptoms. The infection was controlled by antibiotics continuously, but symptoms such as vomiting and abdominal pain were frequent. The last hospitalization was accepted by hospice ward. After being discharged from the hospital, the patient continued to have upper abdominal pain and nausea and vomiting for two months. According to the patient's disease analysis, it belongs to the deficiency of spleen and stomach. After treatment with Sijunzi Decoction, the patient's symptoms improved a lot, which can be referred to traditional Chinese medicine practitioners.

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