中藥緩解修格蘭氏症合併橋本氏甲狀腺炎之病例報告

Chinese Herbal Medicine for Alleviating the Patient with Sjögren's Syndrome Combined with Hashimoto's Thyroiditis: A Case Report

一名患有修格蘭氏症候群（Sjögren's syndrome）合併橋本氏甲狀腺炎（Hashimoto's thyroiditis）的55歲女性，主要症狀有心悸、喘、水腫、指麻、口乾舌燥、手腳指頭麻、雙腳起紅疹，該患者於2019年08月23日至臺北榮民總醫院傳統醫學部門診就診，中醫辨證為陰虛內熱、溼熱下注、肝腎陰虛，治則為滋陰降火、清熱利溼、滋補肝腎。持續追蹤治療7次後，有效改善心悸、喘、小腿水腫、潮熱、盜汗等症狀。本病例報告顯示合併中藥治療可有效緩解修格蘭氏症候群合併橋本氏甲狀腺炎患者之複雜症狀，可提供中藥輔助治療之參考。

A 55-year-old female woman diagnosed as Sjögren's syndrome with Hashimoto's thyroiditis. She visited Center for Traditional Medicine of Taipei Veterans General Hospital on August 23, 2019, and her main symptoms were palpitations, wheezing, calf edema, numb fingers, and rash on both feet. Due to the pattern of“Yin Deficiency and Internal Heat”,“Downward Diffusion of Damp- Heat”,“Liver and Kidney Yin Deficiency”, the TCM doctor adopted“Nourish yin to extinguish fire”,“Clean heat and eliminate dampness”plus“Nourish Liver and Kidney“to treat her. After seven continuous follow-up treatments, the symptoms were effectively improved. This case report showed that the collaboration between Chinese herbal medicine and conventional medicine could effectively alleviate the complex symptoms of patients with Sjögren's syndrome combined with Hashimoto's thyroiditis. Moreover, Chinese herbal medicine treatment could be a complementary therapy for conventional medicine.