中醫治療繼發性閉經病例報告

A Case Report of Secondary Amenorrhea Treated with Chinese Medicine

10.30030/JTCGM.202112_(28).0008

曾千芸(Chien-Yun Tseng)；張烱宏(Chiung-Hung Chang)

無月經症 ； 繼發性無月經症 ； 中醫 ； 中藥治療 ； amenorrhea ； secondary amenorrhea ； Chinese medicine ； Chinese herbal medicine treatment

中醫婦科醫學雜誌

28期（2021 / 12 / 01）

73 - 82

繁體中文

本文為一則運用中醫治療繼發性無月經症的病例報告。患者為35歲的女性，因為卵巢畸胎瘤，而分別於2011年與2012年動過兩次卵巢切除手術，現剩餘單側三分之一的卵巢，而從手術後便開始出現月經不規則的症狀，後漸進成無月經，最長時間曾2年都無月經來潮，患者就診時主訴近期已約半年左右無月經來潮，經診斷後開立中藥給予患者服用，處方主要的方向為滋補腎陰及疏肝補脾，患者經中藥治療9個月後，月經現可正常來潮且無明顯的不適症狀。許多因素都可能造成繼發性無月經症，而治療上也常需要一段長時間的療程才有機會看見成效，因此如何找出疾病的主因及縮短治療顯效的時間，也許是未來在治療繼發性無月經症的領域上，可持續努力的方向。

The article is a case report of secondary amenorrhea treated with Chinese medicine. The 35-year-old female has undergone twice oophorectomy surgeries in 2011 and 2012 due to ovary teratomas and remains one third of one side ovary. The menstrual cycle was from irregular to absent after the surgeries and the longest period was up to 2 years. In this time, the menstrual cycles had ceased six months. She came to our OPD for help and was treated by Chinese herbal medicine. The purpose of the prescription was to nourish kidney-yin, promote flow of liver-qi, and supplement spleen. After 9 months treatment, the patient's period became normal and did not have any obvious discomfort symptoms. Secondary amenorrhea may be resulted from different reasons and need long time to get the therapy effect. How to find the cause of the disease and shorten the treatment duration may be the focuses to effort in the future.

1. 王憲正,李成衛,沈寧(2019)。沈紹功辨治繼發性閉經經驗。遼寧中醫雜誌，46(2)，248-251。
2. 印會合(2012).中醫基礎理論.台灣:知音出版社.
3. 李克光(2012).金匱要略精注讀本.台灣:知音出版社.
4. 許育維,吳立偉,江昇達,陳韋良,王鐘慶,周稚傑(2011)。無月經症。家庭醫學與基層醫療，26(8)，326-333。
5. 陳立德(2010).中醫婦科學.台灣:弘祥出版社.
6. 程士德(2006).內經精編讀本.台灣:知音出版社.
7. 黃瑛,達美君(2002).專科專病名醫臨證經驗叢書婦科病.中國:北京人民衛生出版社.
8. 盧佳歆,黃偉城(2020)。無月經症。家庭醫學與基層醫療，35(12)，365-372。
9. 羅元凱(2015).中醫婦科學.台灣:知音出版社.