重症肌無力病例報告

A Case Report of Myasthenia Gravis

本病例為三十一歲女性患者，罹患重症肌無力已五年多，經抽血檢查排除其他自體免疫疾病，且無胸腺增生。目前症狀為晨起及下午肌肉力量較小、眼皮下垂、複視、走路易跌倒，無法梳頭髮。患者長期使用乙醯膽鹼酶抑制劑（anticholinesterase）控制症狀。因患者不想長期服用西藥，故在102年2月26日至本院中醫部尋求協助。經中醫四診後，給予腎著湯加減，患者服藥頻率為1～2包／天，服藥後，肌肉無力、複視與眼皮下垂等症狀均有顯著改善，且全身肌力可維持2天半，故提出報告以供臨床參考。

This is a 31-year-old female who has suffered from myasthenia gravis for more than 5 years. There is no other autoimmune disease after serology tests and no thymus hyperplasia or thymoma. The symptoms of the patient are muscle weakness in the morning and in the afternoon, ptosis, diplopia, fall down easily when walking and can not comb the hair. So she takes anticholinesterase for symptoms control. Because of not willing to take the anticholinesterase, she visited our hospital for help on 102/2/26. We prescribed Shen-Zhuo-Tang after inspection, auscultation, olfaction, inquiry and palpation. She took 1-2 packs a day and the symptoms of muscle weakness, ptosis and diplopia were improved. The effects of Chinese herbs can last 2 and half days, so we presented this case for clinical reference.