中醫治療更年期頭痛病例報告

A case report of Perimenopausal headache with traditional Chinese medicine treatment

10.30030/JTCGM.202106_(27).0006

楊淑媚(Shu-Mei Yang)；李昌翰(Chang-Han Li)；張家豪(Chia-Hao Chang)

更年期 ； 頭痛 ； 中醫 ； perimenopause ； headache ； Traditonal Chinese Medicine

中醫婦科醫學雜誌

27期（2021 / 06 / 01）

50 - 66

繁體中文

患者為52歲女性，於民國109年3月開始停經。患者自述在停經前即開始出現恐慌症狀，自108年11月起，偶爾會突然出現心悸、胸部緊悶、無法呼吸等狀況，故至心臟科檢查，心臟科檢查結果顯示無異常，也無高血壓。之後轉診至身心科，身心科則診斷為恐慌症。除上述症狀外，患者於停經後陸續出現頭暈、頭痛、項緊、胸悶、呼吸不暢、腰痠、口苦、身熱、易出汗、眠差、多夢等更年期症狀，中醫診斷其為陰虛火旺、肝陽上亢，給予滋陰平肝方藥治療。經治療後大部分症狀減輕，頭痛、項緊也獲得緩解。

The patient was a 52-year-old female who began to have menopause in March year 2020. The patient introduced herself that she had panic symptoms before menopause. Since November in 2019, she had occasionally suffered from sudden heart palpitations, tightness in the chest, and inability to breathe. Therefore, both the cardiology examination and blood pressure showed no abnormalities . Afterwards, she was referred to the Department of Psychosomatics, who was diagnosed with panic disorder. In addition to the above symptoms, the patient developed dizziness, headache, tight neck, chest tightness, shortness of breath, backache, bitter mouth , body heat, sweating, poor sleep, lot of dreams of perimenopause symptom. Traditional Chinese medicine diagnosed it as Yin Insufficiency and strong fire , and hyperactivity of liver yang. Prescription of nourishing yin and calming liver traditional Chinese medicine were given. After treatment, most of the symptoms were relieved, and headache and neck tightness were also relieved.

1. Casper, Robert F,Barbieri, Robert L,Crowley, William F,Martin, Kathryn A(2020)。Robert F Casper, MD Robert L Barbieri, MD, William F Crowley, Jr, MD, Kathryn A Martin, MD ：Clinical manifestations and diagnosis of menopause ,Uptodate 2020 年 5 月 20 日。
2. Sacco, Simona,Ricci, Silvia,Degan, Diana(2012).Migraine in women: the role of hormones and their impact on vascular diseases.J Head ache Pain,13,177-189.
3. 江宗謙(2017)。戰勝更年期美魔女就是你。中國醫訊，171，58-62。
4. 吳炎文,游志勤(2008)。婦女更年期綜合徵之中醫觀點與療法。臨床生藥學，24(4)，148-152。
5. 林高章,黃子洲,王博仁,陳滄山,柯炳堂(2012)。偏頭痛的急性及預防性治療準則比較。臺灣醫界，12(55)，12-18。
6. 姚乃禮(2002).中醫證候鑑別診斷學.人民衛生出版社.
7. 胡文龍(2010).更年期障礙中醫典籍研究.行政院衛生署中醫藥委員會.
8. 高雄榮民總醫院：醫病共享決策網站https://org.vghks.gov.tw/sdm/News_Content.aspx?n=CEA978E2996359F9&sms=375CE464065A936E&s=558A2247062BDCAD
9. 陳立德(2003).中醫婦科學.弘祥出版社.
10. 楊佳,沈燕,王舒(2013)。經期偏頭痛中醫藥臨床研究進展。中華中醫藥雜誌，8(28)，2374-2377。
11. 賴芳宇,陳加祥,呂佳蓁(2014)。停經症候群治療新知。家庭醫學與基層醫療，29(11)，290-295。