腸躁症的中醫治療病例報告

A Case Report of Irritable Bowel Syndrome Treated with Traditional Chinese Medicine

一位 58 歲女性排便困難、反覆便秘已三年以上，伴有腹痛、腹脹，西 醫診斷為激躁性結腸症（腸躁症），多次就醫求治，服軟便劑、益生菌、膳 食纖維等均未明顯改善，一年前開始服用日本成藥，症狀雖有改善，然所需 劑量越來越大，且一個多月四肢開始有癢疹。故至本院中醫求診，給予行氣 健脾，養血潤燥，導滯泄熱之科學中藥，並根據腸腦軸的交互作用加強衛教， 治療六週後症狀完全改善，已不須服用日本成藥。

A 58-year-old female patient suffered from difficult bowel movement and recurrent constipation, accompanied abdominal pain and distension three years ago. Under the diagnosis of irritable bowel syndrome, she consulted different doctors, took stool softeners, probiotics, dietary fiber and so on; however, no obvious change showed. She started to take a specific Japanese over-the-counter medicine from one year ago, and felt improvement with worryingly increasing dosage. Itchy rash on extremities appeared one month ago also. Therefore, she visited our Chinese Medical department for treatment. After taking herbal medicine that move qi and tonify spleen, nourish blood and moisten dryness, discharge heat and remove stagnation, her symptoms were gradually soothed. Moreover, health and self-care instructions based on gut-brain axis theory was given. She had regular bowel movement without the Japanese over-the-counter medicine in six weeks.