水腫的中醫治療病例

A Case of Edema Treated with Traditional Chinese Medicine

10.6718/TJCM.201806_24(2).0006

陳建宏(Jian Hong Chen)；李上知(Shang Zhi Lee)

水腫 ； 中醫 ； edema ； traditional Chinese medicine

台北市中醫醫學雜誌

24卷2期（2018 / 06 / 30）

35 - 39

繁體中文

本案例為一男性患者，即有頻尿及夜尿問題，並診斷為良性攝護腺肥大。至腎臟科驗尿檢查，發現有蛋白尿的問題，發生下肢水腫症狀，因而來中醫門診中心就診治療。中醫辨證治療依《辨證錄．淋証門》：“腎虛而感濕熱”之證，“治法急宜逐膀胱之濕熱，以清其化源。……故於利濕、利熱之中，更須益腎中之氣也。”是故，主治醫師在處方中有真武湯，以附子以益腎中之氣改善症狀。

The male patient presented with frequent urination and nocturia and was diagnosed as benign prostate hypertrophy. He came to nephrology clinic with lower limbs edema and routine urine analysis showed proteinuria. Therefore he visited traditional Chinese medicine clinic center for further treatment. Traditional Chinese medicine treated patient with syndrome differentiation as the book 'Dialectical record': 'the syndrome that kidney deficiency progression to damp heat', ＂the treatment should clear heat and expel damp of bladder quickly, to improve the root cause. Besides clearing the heat and expelling the damp, the more important thing is to enhance the qi of kidney.＂ As above mentioned, the attending physician prescribed the Zhen Wu Tang and used aconite to enhance the qi of kidney to improve the condition.

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