異位性皮膚炎簡介與傷寒論治療病例報告

Introduction and the Case Report Treated with Shang Han Lun of Atopic Dermatitis

10.6516/TJTCM.2015.18(1)77

戴子穠(Tzu-Nung Tai)；鄭宏足(Hung-Tsu Cheng)

異位性皮膚炎 ； 濕疹 ； 過敏性三合症 ； 傷寒論 ； 大青龍湯 ； 五苓散 ； 小承氣湯 ； 柴胡加龍骨牡蠣湯 ； atopic dermatits ； eczema ； allergic triad ； Shang Han Lun ； Da Qing Long Tang ； Wu Ling San ； Xiao Cheng Qi Tang ； Chai Hu Jia Long Gu Mu Li Tang

中醫藥研究論叢

18卷1期（2015 / 03 / 30）

77 - 86

繁體中文

患者為29歲男性，自出生開始皮膚即表現異位性皮膚炎的症狀，合併患有氣喘與過敏性鼻炎，即西醫所謂異位性三合症（atopic triad）。隨著年歲的增長，氣喘已不復見，然而異位性皮膚炎的症狀卻是日見加重。9歲時移民紐西蘭，想以改變環境方式來改善異位性皮膚炎的症狀；卻對週遭環境羊毛過敏，適得其反而返回台灣。1歲至27歲以塗抹固醇藥物緩解症狀。27-29歲拒再用西藥治療。29歲時開始接受中醫治療，以期能減輕異位性皮膚炎帶來的不適，進而希望能脫離異位性皮膚炎的困擾。父母無氣喘、異位性皮膚炎、過敏性鼻炎；舅舅有氣喘病史；弟弟也有異位性皮膚炎，但症狀較輕微。

Male patient, 29 age-year-old, was born with mild atopic dermatitis. Later after, patient has asthma and allergic rhinitis, accompying atopic dermatits which are so-called allergic triad. As patient grow older, asthma rarely happens. However, the skin condition of atopic dermatits is getting worse. According to the paper' environment has great effect on atopic dermatits. When patient was 9 years old, his parents decide to move to Australia to improve his dermatitis. Nothing comes out as planned but even getting deteriorated Due to being allergic to lamb wool. patient was treated with Corticosteroids ointment from his childhood to adulthood(age1 to 27). when he was 29, he was disappointed at western treatment and he turn to traditional chinese medicine for help. Patient's family history is described as followed. (His parents do not have any sympton of allergic triad. His uncle on mother side has history of asthma. His little brother has atopic dermatitis with less severe skin condition)

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