中醫藥研究論叢

212.12 傷科手法治療青少年脊椎側彎之病案分析
TJ TCM.21(2) : 125-136, 2018
傷科手法治療青少年脊椎側彎之病案分析
Adolescent Idiopathic Scoliosis Treated with Chinese Traumatology: A Case Report
許雅婷1 黃建榮1,3 陳建霖1,2 黃蕙棻1,2*
1 佛教慈濟醫療財團法人台北慈濟醫院中醫部,台北,台灣
2 慈濟大學學士後中醫學系,花蓮,台灣
3 國立師範大學健康促進與衛生教育研究所博士班,台北,台灣
【摘要】
本病例是位13 歲的國中女學生,因身材矮小至各大醫院小兒科及骨科求診,診斷為胸腰椎脊椎側彎,父母不希望以背架及復健治療,希望以中醫處理脊椎側彎,本病患經處方活血化瘀、強筋健骨中藥及傷科理筋復位手法治療後,3 個月的療程使脊椎側彎曲度從40 度到15 度,長高1 公分,過敏性鼻炎也好轉,經過中醫傷科內服外治手法,療效顯著。
【關鍵詞】青少年脊椎側彎、傷科手法、知柏地黃丸
Ya-Ting Hsu1Chien-Jung Huang1,3Chien-Lin Chen1,2Hui-Fen Huang1,2*
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien Taiwan
3Graduate Institute of health promotion and health education, National Normal University,
Taipei, Taiwan
【Summary】
This case is a 13-year-old middle school female student has short stature, so she went to pediatric and orthopedic clinics and diagnosed with thoracolumbar scoliosis. Her parents refused back brace and rehabilitation in favor of treatment with Chinese medicine. After receiving three months of treatment with Chinese traumatology sinew manipulation methods in combination with blood-quickening stasis-transforming as well as bone and sinew strengthening medicine, the patient achieved an additional 1cm of growth and the Cobb’s Angle was reduced from 40 to 15 degrees. The patient also experienced significant relief from chronic allergic rhinitis. This case demonstrates the positive therapeutic effect of Chinese manipulations in combination with Chinese medicine in the treatment of adolescent scoliosis.
【Keywords】Adolescent Scoliosis, Chinese Traumatology, Zhi Bai Di Huang Wan