篇名 | Treatment of neuralgia from the spinal cord injury by integration of traditional and western medicine: a case report |
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卷期 | 18:4 |
作者 | Jia-Ying Chuan 、 Jung-Chun Huang 、 Ren-Shu Wang |
頁次 | 025-025 |
關鍵字 | spinal cord injury 、 neuralgia 、 the wilting disease |
出刊日期 | 201612 |
Most of patients (70-80%) with the spinal cord injury suffer from excruciating, chronic pain and the pathophysiological mechanisms of pain remain unknown. This condition affects 20-30% of these patients on the quality of life and physical therapy. Current treatment with antidepressants, anti-epileptics, central analgesics, and antipyretics are not satisfying. Neuralgia following the spinal cord injury and sensory-motor syndrome belongs to the wilting disease of Chinese medicine. This regards as Du meridian injury, kidney yang deficiency, and blood distention and obstruction and treat by caring yang Qi, enhancing blood circulation and removing blood stasis. Here we report a case of a 39-years old male with the neck spinal cord injury after car accident. He was suffered from the limb numbness, soreness, sensory alteration, muscle weakness, stiffness, twitching for more than a year after the spinal surgery. He came to Tzuchi hospital for the combined therapy of Chinese and Western medicine. The diagnosis was neck wilting and the syndrome differentiation was identified as yang deficiency, cold stagnant, and blood stasis with dampness. The treatment also combined with two antirheumatic herbs (Flemingia macrophylla and Murraya euchrestifolia) and jar suction therapy. One month later, his symptom was improved significantly, opiate dosage was reduced and he was discharged from the hospital. Follow-up examination found that patient had stopped all medicines and his neuralgic symptom disappeared.