運用中醫藥緩解子宮肌腺症服用西藥後副作用病例報告

An Adenomyosis Report: Using Traditional Chinese Medicine to Relieve the Side Effects of Gestrinone

10.30030/JTCGM.202212_29(2).0004

楊茲甯(Zi-Ning Yang)；張烱宏(Chiung-Hung Chang)

中醫藥 ； 子宮肌腺症 ； 子宮內膜異位症 ； Gestrinone ； 副作用 ； Traditional Chinese Medicine ； Adenomyosis ； Endometriosis ； Gestrinone ； Side effects

中醫婦科醫學雜誌

29卷2期（2022 / 12 / 01）

38 - 47

繁體中文

本例為一位39歲女性，月經來潮時，經量過多，某次大出血急診後，確診為子宮肌腺症，隨後服用Gestrinone治療。服用藥物後，出現一系列類似更年期的不適症狀：停經、臉部潮紅、全身燥熱、盜汗、掉髮、皮膚粗糙等，因而求助中醫。經四診合參，病機推演後，以疏肝理氣，滋陰清熱為主要方針。用中藥治療半年後，患者除了自覺面潮紅、身燥熱等症大幅減輕外，CA125指數從看診前的21.4 U/ml降至11.0 U/ml。子宮肌腺症患者，通常會先吃西藥治療，但藥物副作用會產生新的問題，中醫藥介入可幫助患者緩解治療過程中的不適。

This article discusses a case of 39-year-old woman who had suffered from menorrhagia. During once serious bleeding, she was sent to emergency room and diagnosed with adenomyosis. Subsequently, Gestrinone was prescribed. After taking the drug, a series of menopause-like symptoms appeared, such as menopause, facial flushing, whole body heat, night sweats, hair loss, rough skin, etc. Due to the above uncomfortable symptoms, she sought TCM for help. Through comprehensive analysis by the four examination methods and pathogenesis deducting, soothing liver and regulating qi, nourishing yin and clearing heat was taken as the main policy. After half a year of treatment with TCM, the patient's conscious facial flushing, body heat and other symptoms were greatly improved, and the CA125 index dropped from 21.4U/ml before the consultation to 11.0U/ml. Patients with adenomyosis usually take western medicine for treatment first, but the side effects of drugs will cause new problems. The intervention of TCM can help patients relieve discomfort during the treatment process.

1. （明）張景岳(2021).景岳全書.中醫古籍出版社.
2. （清）吳謙(2017).新編醫宗金鑑.世一出版社.
3. Shafrir, AL,Farland, LV,Shah, DK(2018).Risk for and consequences of endometriosis: A critical epidemiologic review.Best Pract Res Clin Obstet Gynaecol,51,1-15.
4. 邱貴美(2005)。淺談子宮內膜異位症和子宮肌腺病。中醫婦科醫學雜誌，6，23-24。
5. 陳建霖(2008)。子宮內膜異位症體質證型診斷指標之研究。中藥藥年報，26(5)，353-376。
6. 陳郁菁(2021)。子宮腺肌症。彰基醫療健康防治季刊，43，29-32。

1. (2023)。不孕併內膜異位症術後患者經中醫治療成功自然受孕案例。中醫婦科醫學雜誌，30(2)，19-29。