一位 46 歲女性病患因經痛、經量過多與經後淋瀝已4 個月而來院診治，就診前曾到婦產科診所檢查，發現貧血及超音波檢查發現5 個子宮肌瘤，最大直徑約3-4 cm。中醫診斷為氣滯血瘀合併氣虛。治則以活血化瘀的少腹逐瘀湯為主，酌加破血消癥藥，在行經後稍輔補氣，以補中益氣湯加入收歛止血藥治療經後淋瀝。患者在服藥1 個月後經痛與經量過多的情形皆減輕，3 個月後經期可在7 天內結束，且血紅素已在正常範圍，持續服藥8 個月後停藥，停藥後一年半追蹤超音波發現子宮肌瘤仍然存在，但是經痛、經量過多與經後淋瀝的症狀並未復發。

A 46 year-old female patient visited our out-patient department due to dysmenorrhea, menorrhagia and prolonged menstruation for 4 months. Prior to visiting our OPD, she visited a local clinic where anemia and 5 myomas, up to 4cm in diameter under sonography were noted. The diagnosis was blood stasis due to qi stagnation and qi deficiency. The treatment principle was
activating blood and resolving stasis and tonifying qi. Our prescription contained ShaoFuZhuYuTang (少腹逐瘀湯) with blood-breaking mass-eliminating herbs (破血消癥藥), and BuZhongYiQiTang (補中益氣湯) with astringent hemostatic herbs (收歛止血藥). Symptoms of dysmenorrhea and menorrhagia were subsided after one month of treatment. Normal hemoglobin status and normal menstruation were noted three months later. She continuously took Chinese medicine for 8 months. Dysmenorrhea, menorrhagia and prolonged menstruation did not occur one and half a year after she stopped treatment, even though myomas still exist.