中醫治療繼發性痛經之病例報告

Traditional Chinese Medicine Treatment For Secondary Dysmenorrhea Caused By Pelvic Inflammatory Disease : A case report

10.30030/JTCGM.202006_(25).0006

陳姵婷(Chen Pei-Ting)；廖麗蘭(Liao Li-Lan)

繼發性痛經 ； 經行腹痛 ； 骨盆腔發炎 ； 子宮肌腺症 ； 子宮平滑肌瘤 ； 中醫藥治療 ； Dysmenorrhea ； Pelvic inflammatory disease ； Uterine myoma ； Adenomyosis ； Traditional chinese medicine

中醫婦科醫學雜誌

25期（2020 / 06 / 01）

53 - 77

繁體中文

本例病案報告為46歲女性，於民國105年自發性流產後，發生骨盆腔發炎，此後經前兩天至月經結束時皆有痛經現象，於108年09月痛經時間延長至經前兩天至排卵期結束，本例因上述症狀於108年12月06日來本院中醫門診診治。治療原則以調整病患的繼發性痛經及改善子宮環境為主。藉由辨證論治調整病患脾肝臟腑及氣血運行，來治療痛經與其餘伴隨症狀。經過三個月中醫藥物治療後，病患痛經及伴隨症狀如頭痛、噁心、嘔吐皆改善。希望其治療成果可作為日後續發性痛經的患者治療參考。

This case is a 46-year-old female came to Dr. Liao's OPD for Chinese medicine treatment on December 6, 2019. Suffered from pelvic inflammatory disease caused by spontaneous abortion in 2016, she has experienced dysmenorrhea from two days before menstrual period to the end of menstruation since then. The symptoms of dysmenorrhea last until the end of the ovulation period in September, 2019. By analyzing the problems of this patient, Spleen, Liver zang fu and the circulation of Qi-blood are taken into account. Qi Zhi(Qi stagnation), Xue Yu(blood stasis), dampness-heat are adjusted and the environment of uterus is improved. After two months of traditional Chinese medicine remedy the patient felt pain improved (VAS: 9-10 reduced to VAS: 2) and other associated symptoms such as headache, nausea are also improved. We demonstrated the experience in this case report for clinical reference and application.

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