中醫治療原發性痛經病例報告

The Therapeutic Effect of Traditional Chinese Medicine to Treat Primary Dysmenorrhea in Women: A Case Report

10.30030/JTCGM.202312_30(2).0007

王淑秋(Shu-Chiu Wang)；鍾奕璇(Yi-Hsuan Chung)；楊茲甯(Zi-Ning Yang)；張烱宏(Chiung-Hung Chang)

原發性痛經 ； 中醫 ； Primary dysmenorrhea ； Chinese medicine

中醫婦科醫學雜誌

30卷2期（2023 / 12 / 01）

60 - 67

繁體中文;英文

原發性痛經為臨床上常見於青少年和年輕成年女性，發作起來常常造成患者生活、讀書和工作的困惱。個案15歲國三學生，自述經痛至今已2年多，曾就診西醫婦產科診斷為原發性痛經，月經時都得服用止痛藥來止痛。因使用止痛藥會出現胃脹氣副作用，因此前來中醫門診尋求治療，中醫辨證為寒凝血瘀，治則為溫經散寒、化瘀止痛，治療後痛經明顯改善。藉此案例可知中醫可以做為原發性痛經另一種很好治療方式。

Primary dysmenorrhea is clinically common in adolescents and young adult women, and its onset often causes distress in patients' life, study and work. The case is a 15-year-old junior high school student who has reported dysmenorrhea for more than 2 years. He was diagnosed with primary dysmenorrhea by the obstetrician and gynecologist. He had to take analgesic drug to relieve dysmenorrhea. Due to the side effects of flatulence caused by the use of analgesic drug, she sought Chinese medical advice. The syndrome of Chinese medicine iscold congelation and blood stasis. The principle of treatment is warming channel for dispelling cold and promoting blood circulation for removing blood stasis. After TCM treatment, dysmenorrhea was greatly relieved. This case shows that traditional Chinese medicine can be used as alternative medicine for primary dysmenorrhea.