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篇名
中醫治療主動脈瓣狹窄病例之理論與病例報告
並列篇名
Traditional Chinese Medicine (TCM) Treatment of Aortic Stenosis : TCM Theory and Case Report
作者 張凱惟 (Kai-Wei Chang)張清貿陳方佩龔彥穎
英文摘要
Aortic stenosis is not a disease classification in TCM, but according to theclinical symptoms of aortic stenosis, it shares the same attributes as the TCMdisease classified as “heart impediment ”(心痹), “chest impediment ”(胸痹)or “palpitations”(心悸). Based on TCM theory, the cause of disease is relatedto congenital deficiency, invasion of exogenous pathogens and feeble body due toold age. These factors led to the weakness of qi, blood, yin and yang, which in turncaused phlegm blockage and blood stasis, resulted in the lack of nutrients for heartsupport, loss of flowing rhythm of the heart and pulse, and thus, the emergence ofthe clinical symptoms.A 64-year-old woman, presented with the intermittent chest tightness, chestpain and breathing difficulties was admitted into the hospital in 2009. The patientwas diagnosed with severe aortic valve stenosis and surgery was recommendedby the cardiologist. However, patient refused surgery treatment and she seek forTraditional Chinese medicine (TCM) outpatient clinic.The TCM treatment planfor this case was to nourish the qi and blood which promoted the blood circulationto achieve the balance of yin and yang. The main TCM formula during the coursewere “Mu-Fang-Ji-Tang”, “Zhi-Gan-Cao-Tang” and “Sheng-Mo-Yin”, while theTCM single herbs were “Dan-Shan”, “San-Qi”, “Yu-Jin”, and “Xiang-Fu”. Since the patient has received six years of TCM treatment, the clinical symptoms ofchest tightness and breathing difficulties has improved well and her condition iscurrently stabilized. At present, the patient is still undergoing outpatient TCMtreatment. This case report could be presented as an effective clinical case study ofaortic stenosis using TCM treatment.
起訖頁 171-189
關鍵詞 主動脈瓣狹窄心痹木防己湯炙甘草湯丹參三七Aortic stenosisHeart impedimentMu-Fang-Ji-TangZhi-Gan-Cao- TangDan-ShanSan-Qi
刊名 中醫藥研究論叢  
期數 201803 (21:1期)
出版單位 臺北市中醫師公會
該期刊-上一篇 流感併肺炎急性呼吸衰竭之中醫會診病例報告
該期刊-下一篇 慢性腎臟病中醫藥治療病例報告
 

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