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中西整合醫學雜誌

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篇名 中西醫結合治療鼻咽癌慢性腹瀉病例
卷期 12:4
並列篇名 One NPC with Chronic Diarrhea Treatment by Integrated Chinese and Western Medicine
作者 林巧梅陳珮茹趙翰林劉鳳
頁次 021-030
關鍵字 鼻咽癌慢性腹瀉訶子益氣養血健脾藥Nasopharyngeal CarcinomaChronic DiarrheaHeziFormulas of Splenic FortificationSupplementing Qi and Nourishing the Blood
出刊日期 201012

中文摘要

本病例爲一名50歲男性鼻咽癌多處轉移之癌末病患,住院三週後,開始出現反覆腹瀉之情形,經肛管排泄,一日量最多達3400mL,西藥Kaopectin治療但腹瀉仍持續,故會診中醫,中醫四診辨證爲脾陽不振,氣血兩虛,診治過程中持續應用訶子及益氣養血健脾等藥物治療,在中醫介入治療後,病患腹瀉明顯減輕,未再出現超過600mL之嚴重腹瀉,整體排便量明顯下降,過程中病患鼻胃管餵食量無特別改變,並於中藥使用五週後移除肛管,由此病例可看到中醫治療慢性腹瀉有其獨到之處,中西合併彰顯止瀉療效,爲西醫腫瘤住院患者中西醫結合治療之成功案例。

英文摘要

This is a case of 50-year-old male patient with nasopharyngeal carcinoma of terminal stage with multiple metastases. He presented repetitive diarrhea after 3 weeks hospitalization. The maximum daily stool amount via anal tube was 3400 mL. By administrated Kaopectin, severe diarrhea still continued so the patient's family decided to consult Chinese Medicine Department. The diagnosis of Chinese Medicine is dual vacuity of qi-blood and devitalization of spleen yang. In the period of Chinese Medicine treatment (Hezi combined Formulas of splenic Fortification, supplementing qi and nourishing the blood), the above mentioned symptoms had apparently alleviated. Stool amount was not exceeding above 600 mL/day yet. Daily amount of defecation obviously decreased, during this period of time, the amount of nasogastric feeding had no specific difference. Anal tube was removed after administrated Chinese medicinally for 5 weeks. This case demonstrated that Hezi played au important role to relieve diarrhea.

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