針灸及中藥輔助治療日本腦炎病例報告一例

Complementary Acupuncture Combined with Chinese Medicine to Treat Japanese Encephalitis: A Case Report

51歲男性患者工作時突然雙腳軟弱無力跌坐在地，就醫後開始出現發燒、畏寒、意識昏沉、肢體震顫、語言不清等症狀，經治療後，疾病管制署確診為2017年首例日本腦炎(Japanese Encephalitis，JE)病例，後續轉診至南部某區域醫院。入院後，中醫會診輔以中藥及針灸治療約3週，以大柴胡湯及溫膽湯為基本方做治療，針刺使用百會、四神聰、合谷、太衝、水溝、承漿等穴。患者從四肢無力至可坐輪椅，昏迷指數GCS由E4V2M5進步到E4V4M5，本案例可提供中醫輔助治療日本腦炎之臨床參考。

A 51-year-old male patient suddenly lost strength and fell to the ground while he was working. At the hospital, he presented fever, chills, faintness, limb tremors, and unclear language. After treatment in medical center, Centers for Disease Control, he was diagnosed as having the first case of Japanese Encephalitis (JE) in 2017. He was subsequently referred to regional hospital. After admission, he received Traditional Chinese Medicine (TCM) consultation and treatment for about three weeks. During that time, he received acupuncture treatment, Da-Chai-Hu-Tang and Wen-Dan-Tang. The acupoints used in the treatment included DU20, EX-HN1, LI4, LR3, DU26, and RN24. After treatment, the patient was able to regain enough leg strength to reach his wheelchair and sit upright. His GCS from E4V2M5 progressed to E4V4M5. This case report might be used for reference when treating patients with Japanese Encephalitis admitted to hospitals with Traditional Chinese Medicine clinics.