經前症候群之經前頭痛病例報告

A Case Report of Premenstrual Headache Treatments

10.6718/TJCM.202403_30(1).0008

李育珊(Yu-Shan Lee)；張凱惟(Kei-Wei Chang)；張揚楷(Yang-Kai Chang)；龔彥穎(Yen-Ying Kung)；陳方佩(Fang-Pey Chen)；楊仁鄰(Jen-Lin Yang)

經前頭痛 ； 疏肝健脾 ； 平肝潛陽 ； 理氣活血 ； premenstrual headache ； dispersing stagnated liver qi and strengthening spleen ； soothing liver and suppressing hyperactive liver ； regulating qi and promoting blood circulation

台北市中醫醫學雜誌

30卷1期（2024 / 03 / 17）

71 - 80

繁體中文;英文

本病例為一位36歲女性，經前劇烈頭抽痛及脹痛，由後腦延伸至頭頂，疼痛指數至8分，且每日服用止痛藥仍無法緩解且疼痛加重難耐，於2022年07月至臺北榮民總醫院傳統醫學部中醫內科門診求診。此患者辨證為肝鬱脾虛、肝陽上亢、氣滯血瘀，本虛標實，治以疏肝健脾、平肝潛陽、理氣活血藥物標本同治，治療後疼痛指數減由8分減為3分，顯示中醫治療對於婦女經期症狀調理及疼痛有良好的療效，減少病症復發及嚴重度。

This case is a 36-year-old woman who has suffered from severe headache and distending pain, extending from the back to the top of the head, with a Visual Analogue Scale (VAS) of 8 points before menstruation. Despite taking painkillers every day, the pain was still unbearable. In July 2022, she came to the Department of Traditional Chinese Medicine, Taipei Veterans General Hospital for medical consultation. From the aspects of traditional Chinese medicine, the syndromes could be classified as stagnation of liver and spleen deficiency, hyperactivity of liver yang, and stagnation of qi and blood stasis, deficiency in origin and excess in superficiality. The medicine treats both symptoms and root causes by dispersing stagnated liver qi and strengthening spleen, soothing liver and suppressing hyperactive liver and regulating qi and promoting blood circulation. After the treatment, the Visual Analogue Scale (VAS) was reduced to 3 points, which shows that traditional Chinese medicine has good effect on relieving women's menstrual symptoms and pain, also can reduce the recurrence and severity of the symptoms.