题名

夜間頻尿的中醫療法病案報告

并列篇名

Treatment of Nocturia by Traditional Chinese Medicine: A Case Report

DOI

10.6516/TJTCM.202003_23(1).0014

作者

黃天姮(Tien-Heng Huang);陳怡真(Yi-Chen Chen)

关键词

夜尿 ; 臟腑別通 ; 羌活勝濕湯 ; nocturia ; Zang-fu extra-ordinary connection ; Qiang Huo Sheng Shi Tang

期刊名称

中醫藥研究論叢

卷期/出版年月

23卷1期(2020 / 03 / 30)

页次

177 - 183

内容语文

繁體中文

中文摘要

夜尿(nocturia),指夜間醒來小便。長期夜間頻繁起床解尿,中斷了正常睡眠,影響生活品質。本篇病案是一位67歲女性患者以夜尿、雙膝關節疼痛為主證。患者至西醫檢查無器質性病變後,建議觀察追蹤。從臟腑別通和臟腑氣化關聯的思路,予以羌活勝濕湯,改善了患者夜尿的困擾。民眾可能會誤以為夜尿是老化現象,而忽略其潛在的危機。惱人的夜尿問題除了影響睡眠品質之外,可能會提高抑鬱症、某些慢性疾病的風險。

英文摘要

Nocturia is defiend to wake up at night and on the regular basis to urinate. Waking up and urinating during the night for long time disrupt the person's normal sleep and influence the quality of life. This case reports demonstrates a 67-year-old female with nocturia and bilateral knee pain for long time. After taking examination and making sure that no organic disease, the doctor recommends observation and tracking. This article is based on the theory of Zang-fu extra-ordinary connection(臟腑別通), in order to explore the relationship of Qi transformation between Zang(臟)and Fu(腑). This case was given the Qiang Huo Sheng Shi Tang(羌活勝濕湯)to improve the patient's long-term nocturia. People may mistakenly believe that nocturia is an aging phenomenon and ignore its potential crisis. The problem of annoying nocturia, in addition to affecting sleep quality, may increase the risk of depression and certain chronic diseases.

主题分类 醫藥衛生 > 中醫藥學
醫藥衛生 > 藥理醫學
参考文献
  1. (明)江瓘(1994).名醫類案.台北:宏業書局.
  2. (明)張景岳(2006).景岳全書.山西:山西科學技術出版社.
  3. (唐)王冰(1992).黃帝內經素問(附靈樞).台北:文光圖書有限公司.
  4. (清)吳瑭(2012).溫病條辨.北京:人民衛生出版社.
  5. (清)唐容川(2011).血證論.北京:中國醫藥科技出版社.
  6. (清)張璐(1995).張氏醫通.北京:中國中醫藥出版社.
  7. (清)顧松園(1982).顧氏醫鏡.台北:啟業書局.
  8. (隋)巢元方(1964).諸病源候論.新北:中國醫藥研究所.
  9. Fitzgerald, MP,Litman, HJ,Link, CL(2007).The association of nocturia with cardiac disease, diabetes, body mass index, age and diuretic use: results from the BACH survey.J Urol,177,1385.
  10. Haylen, BT,de Ridder, D,Freeman, RM(2010).An International Urogynecological Association (IUGA)/ International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction.Int Urogynecol J,21,5.
  11. Huang, MH,Chiu, AF,Wang, CC,Kuo, HC(2012).Prevalence and risk factors for nocturia in middle-aged an elderly people from public health centers in Taiwan.Int Braz J Urol,38(6),818-824.
  12. Obayashi, K,Saeki, K,Negoro, H,Kurumatani, N(2017).Nocturia increases the incidence of depressive symptoms: a longitudinal study of the HEIJO-KYO cohort.BJU Int,120,280.
  13. Tikkinen, KA,Johnson, TM, 2nd,Tammela, TL(2010).Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland.Eur Urol,57,488.
  14. Tikkinen, KA,Tammela, TL,Huhtala, H,Auvinen, A(2006).Is nocturia equally common among men and women? A population based study in Finland.J Urol,175,596.
  15. 王旭,吳愛華,劉雁(2007)。臟腑別通理論的源流和機理及其應用。廣州中醫藥大學學報,5(24),247-249。
  16. 朱曉光,朱玲玲(2011)。金匱腎氣丸加味治療成人夜尿症 90 例臨床觀察。新中醫,43(7),45-46。
  17. 吳玄哲,吳海洲,劉飛(2019)。“臟腑別通”的理論微探。世界最新醫學信息文摘,19(8),256-259。
  18. 湖南省中醫藥研究所(編)(1976).《脾胃論》注釋.北京:人民衛生出版社.
  19. 劉洋(2004).徐靈胎醫學全書.北京:中國中醫藥出版社.