病例報告──以針刺治療橈骨莖突腱鞘炎

A Case Study - Acupuncture Treatment in Patients with Radial Styloid Process Tenosynovitis (De Quervain Syndrome)

橈骨莖突腱鞘炎是臨床常見的疾病，俗稱媽媽手，臨床症狀主要出現手腕橈側及大姆指伸展的疼痛。本篇病例是一診斷為媽媽手的病患，是筋傷結果導致瘀血氣滯、經氣不通而痛，針刺配合行氣、瀉法的運針手法處理，並衛教在家自行復健，獲得明顯的療效。

Radial styloid process tenosynovitis, also known as De Quervain syndrome, is a common clinical disease. It is a tendinosis of the sheath or tunnel that surrounds two tendons that control movement of the thumb. The object of this case study was a patient with the syndromes of 'mother's wrist (De Quervain syndrome)'. The symptoms such as pain and tenderness are caused by blood stasis, qi stagnation and obstruction of meridian-qi. In combination with home-based rehabilitation, acupuncture with the manipulation of reduction and qi-regulation brought obvious improvement to radial styloid process tenosynovitis.