胃脘痛之中醫治療病例報告

A Traditional Chinese Medicine Case Report of Epigastric Pain

胃悶痛是門診中病患常抱怨的問題之一。本案例報告為一位73歲已胃悶痛數年之女性患者，每天都處在這種不舒服的狀態下，雖有求助於西醫治療，但成效有限，影響生活品質甚鉅。此次聽從家人建議，首次就診中醫，開以黃芩湯為君藥加枳實、白芍、黃柏、薏苡仁、蒼朮等單味藥治之，病患於7日後回診時表示，於服用第一包藥後有產生打嗝現象，而多年胃悶脹的不舒服竟從此消除，1個半月後再追蹤，也都未再發生胃相關不舒服的症狀，因此提出個案臨床思路供中醫界參考。

Epigastric discomfort is one of the most common complains in outpatient service and impact patients’ quality of life somehow. A 73-year-old female patient presented with severe epigastic discomfort for several years. She reported that she bothered this intractable discomfort a lot and this poor quality of life did not improve even seeking some usual sort of conventional therapies in the past few years. To her surprise, she noticed one hiccup right after taking one sachet of Jia-Wei-Huang-Qin-Tang, the abdomen was dramatically disappeared and since then she was no longer experience any discomfort. This case emphasizes the importance of symptom differentiation which was based on the theory of traditional Chinese medicine.