题名

繼發性閉經之中醫治療病例報告

并列篇名

Case Report of Secondary Amenorrhea Treated with Chinese Medicine

DOI

10.30030/JTCGM.202206_29(1).0008

作者

蔡欣育(Shin-Yuh Tsai)

关键词

閉經 ; 繼發性閉經 ; 中醫 ; 加味逍遙散 ; 天王補心丹 ; Amenorrhea ; Secondary amenorrhea ; Chinese medicine ; Jia-Wei-Xiao-Yao-San ; Tian-Wang-Bu-Xin-Dan

期刊名称

中醫婦科醫學雜誌

卷期/出版年月

29卷1期(2022 / 06 / 01)

页次

83 - 93

内容语文

繁體中文

中文摘要

40歲女性,擔任補習班老師,工作時間長且工作招生壓力大,個性緊張易焦慮擔憂,生產史為G2P1A1,109/08/05後月經未至,直至110/03/24至本院婦產科檢查,結果為E2:18.41mIU/ml、FSH:77.12mIU/ml,診斷為早發性卵巢衰竭。110/04/01-110/06/30期間服用康樂娜(COVINA),並於4/16月經至,其後在5/6、5/27皆有月經,於110/07/20至中醫門診。中醫診斷後認為證型為肝鬱血虛,治則疏肝解鬱,滋陰養血安神,期間服用中藥後,於110/08/01、110/09/02、110/10/05月經至。閉經的造成原因有很多,治療時間也需要一段時間才會看到成效,因此找出可縮短顯效的時間,是將來在繼發性閉經的治療上,繼續努力的方向。

英文摘要

The article is a case report of secondary amenorrhea treated by Chinese medicine. The 40-year-old female, a teacher ofcramschool, worked long hours and feels stressed on enrollment. She always feels nervous, anxiety and worry. The production history is G2P1A1. The menstrual cycle was ceased from 2020/08/05. Nine months later, she went to our GYN and was diagnosed with premature ovarian failure and prescribed COVINA from 2021/04/01 to 2021/06/30. She had menstruation on 2021/04/16, 2021/05/06, 2021/05/27 and the went to our OPD on 2021/07/20 for help.The purpose of Chinese medicine is to soothe the liver, calm the nerves, nourish the blood and the yin of liver and kidney. After 3 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 longtime to get the therapy effect. We can focus on how to shorten the treatment duration in the future.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. Jankowska, K(2017).Premature ovarian failure.Prz Menopauzalny,16(2),51-56.
  2. Klein, DA,Paradise, SL,Reeder, RM(2019).Amenorrhea: A Systematic Approach to Diagnosis and Management.American Family Physician,100(1),39-48.
  3. 王靜(2018)。南京中醫藥大學。
  4. 印會合(2012).中醫基礎理論.台北:知音出版社.
  5. 胡萍(2011)。王輝萍老中醫治療閉經的經驗。國醫論壇,1,8。
  6. 夏娟娟,譚穎穎,黃笛,許生(2019)。從李可老中醫重中氣、元陽理論淺談閉經。時真國醫國藥,30(7),1745-1747。
  7. 陳立德(2010).中醫婦科學.台北:弘祥出版社.
  8. 程士德(2006).內經精編讀本.台北:知音出版社.
  9. 顏正華(2011).中藥學.台北:知音出版社.
  10. 羅元凱(2015).中醫婦科學.台北:知音出版社.