十四經絡穴位搭配董氏奇穴治療痛經醫案報告

A Case Report of Menorrhea by Acupuncture with Tung’ s Extraordinary Points

中醫常見的治療方式，可簡單分為內治法與外治法。內治法透過服用科學中藥或湯劑，在人體內產生化學作用；外治法透過體外的針、灸、傷科手法等物理性刺激，兩者都是藉由調整人體失衡的功能或結構，達到治療的效果。一般治療婦科痛經等疾患，多半以內服中藥為主，但有些患者服藥的順從性不佳、或者對於長期服藥有些疑慮及厭倦感、抑或不喜中藥味道，若因此無法幫助治療婦女痛經，實在相當可惜。此時，對於婦科疾病，選擇使用針灸介入就是一個相當好的治療方式。此一案例38歲女性，由於長期受痛經所困擾，來尋求診治，未服任何藥品。在診斷後利用董氏奇穴（婦科穴、還巢、鳳巢）以及正經穴位（任脈以及脾經、膀胱經穴為主）治療，取得良好預後。以十四經絡穴位搭配董氏奇穴，對於痛經，可起一定的治療效果。

There are two treatment methods in traditional Chinese medicine（TCM） clinic: one is internal method（like taking decoctions）, and the other one is external method（including acupuncture and traumatology）. These two types can be used for one illness at the same time or not. Many women came for TCM clinic for treating dysmenorrhea by taking medicine. Due to afraid of the toxicity from TCM or western medicine drugs, some patients might choose trying acupuncture for gynecological diseases. In this case, we take dysmenorrhea as an example to demonstrate how TCM acupuncture in work. In this case, a 38-year-old woman who complained about ache feelings during menstrual period for a long time. She took medicine for months but in vain. After medical history taking, physical examination and conducting other diagnosis on her, we used acupuncture with Tung's extraordinary points, and plus BL23, BL25, BL32, CV4, CV9, GB34, KI3, LR3, SP3, SP10 for releasing her pain. After acupuncture for several times, she showed a good final outcome, which is no more complication appeared after the follow-up treatment. Using acupuncture only for treating dysmenorrhea is an alternative way for clinical use.