中醫輔助治療新冠肺炎合併格林－－巴利症候群之病例報告

Supplementary Treatment for Guillain-Barre Syndrome following COVID-19 with Traditional Chinese Medicine: A Case Report

本案例是一位33歲男性有高血脂和糖尿病的病史，確診新冠肺炎合併了格林－巴利症候群。在入院後因下肢無力和呼吸困難等症狀需要接受插管治療和重症加護病房治療。他在住院初期接受免疫球蛋白治療，但下肢無力狀況仍未改善。因此在結束免疫球蛋白治療後會診中醫治療，中醫診斷為痿證，治療方針為健脾去濕，益腎填精。這位患者在接受針灸治療後下肢肌力恢復良好，希望能提供給類似病患中西醫結合治療醫療參考。

This case report describes a 33-year-old male patient with a medical history of hyperlipidemia and diabetes mellitus who was diagnosed with COVID-19 complicated with Guillain-Barre Syndrome. Upon admission, the patient presented with symptoms of lower limb weakness and respiratory distress, requiring intubation and treatment in the intensive care unit. Despite receiving immunoglobulin therapy in the early stages of hospitalization, the patient's limb weakness persisted. As a result, traditional Chinese medicine (TCM) was consulted after the completion of immunoglobulin therapy, and a TCM diagnosis of flaccidity syndrome was made. The treatment plan focused on strengthening the spleen, eliminating dampness, nourishing the kidneys, and replenishing vital energy. Following acupuncture treatment, the patient showed significant improvement in lower limb muscle strength. This case report provides valuable reference for a combined approach to treatment for patients with similar conditions, utilizing both Western medicine and TCM.