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中醫藥研究論叢
 221.11 少陰病外感中醫療法病例報告
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TJ TCM.22(1) : 129-134, 2019
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少陰病外感中醫療法病例報告
A Case Report on Treating Shao-Yin type Epidemic
Myalgia with Traditional Chinese Medicine
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葉信甫1,2 賴榮年3,4,5*
1 天主教中華聖母修女會醫療財團法人天主教聖馬爾定醫院家庭醫學科，嘉義，台灣
2 國立陽明大學傳統醫藥研究所，台北，台灣
3 中國醫藥大學附設醫院中醫部，台中，台灣
4 中國醫藥大學中醫學系，台中，台灣
5 台灣中醫家庭醫學醫學會，台北，台灣
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【摘要】
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本篇病例報告將以一位疑似流行性肌痛症(epidemic myalgia) 的38 歲女性求診中醫之病例，由於惡寒、怕冷、頭痛、肌肉酸痛的症狀為主，診斷為少陰病，在麻黃附子細辛湯為主方搭配散腫潰堅湯、一次針刺療法的治療下，二日痊癒，其治療方式在不同階段的診斷及思路，可以作為日後對於這類疾病治療的參考。
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【關鍵詞】少陰病、外感、流行性肌痛症、中醫藥
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Hsin-Fu Yeh1,2 Jung-Nien Lai3,4,5*
1Department of Family Medicine, St. Martin De Porres Hospital, Chiayi, Taiwan
2Institute of Traditional Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
3Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan
4The School of Chinese Medicine, China Medical University, Taichung, Taiwan
5Taiwan Association Traditional Chinese Medicine of Family, Taipei, Taiwan
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【Summary】
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Background: Epidemic myalgia is a disease that presents with fever and myalgia of the trunk due to an acute enterovirus infection. In western medicine, this disease is seldom reported in Southeast Asia and Taiwan. However, patients with epidemic myalgia tend to seek traditional Chinese medicine for acupuncture and Chinese herbal therapy. This article aims to highlight a case of suspected epidemic myalgia
which differentiated as the Shao-Yin type exogenous febrile disease according to traditional Chinese medicine symptoms.
Case presentation: A 38-year-old woman presented with fever, sweating, chills, and acute episodes of headache, chest tightness and back pain for three days. Following treatment with acupuncture at GV24 and BL3, the fever subsided and the symptoms of headache and back pain relieved immediately. Furthermore, the disease was totally cured barely two days later using traditional Chinese medicine treatment.
Conclusions: Based on this case report, epidemic myalgia differentiated as the Shao-Yin type according to traditional Chinese medicine symptoms could be rapidly relieved via acupuncture and traditional Chinese medicine therapy.
Keywords：Shao-Yin Disease, Exogenous Febrile Disease, Epidemic Myalgia, Traditional Chinese Medicin
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