台北市中醫師公會中醫藥研究論叢

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231.14 夜間頻尿的中醫療法病案報告

TJTCM.23(1) : 177-184, 2020

DOI : 10.6516/TJTCM.202003_23(1).0014

夜間頻尿的中醫療法病案報告

Treatment of Nocturia by Traditional Chinese Medicine: A Case Report

黃天姮1　陳怡真1,2,3*

1 佛教慈濟醫療財團法人花蓮慈濟醫院中醫部，花蓮，台灣

2 慈濟大學學士後中醫學系，花蓮，臺灣

3 國立東華大學教育與潛能開發學系教育博士班，花蓮，台灣

【摘要】

夜尿（nocturia），指夜間醒來小便。長期夜間頻繁起床解尿，中斷了正常睡眠，影響生活品質。本篇病案是一位67 歲女性患者以夜尿、雙膝關節疼痛為主證。患者至西醫檢查無器質性病變後，建議觀察追蹤。從臟腑別通和臟腑氣化關聯的思路，予以羌活勝濕湯，改善了患者夜尿的困擾。民眾可能會誤以為夜尿是老化現象，而忽略其潛在的危機。惱人的夜尿問題除了影響睡眠品質之外，可能會提高抑鬱症、某些慢性疾病的風險。

【關鍵詞】夜尿、臟腑別通、羌活勝濕湯

Tien-Heng Huang1Yi-Chen Chen1,2,3*

1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical

Foundation, Hualien, Taiwan

2Tzu Chi University School of Post-Baccalaureate Chinese Medicine, Hualien, Taiwan

3Department of Education and Human Potentials Development, National Dong-Hwa

University, Hualien, Taiwan

【Summary】

Nocturia is defiend to wake up at night and on the regular basis to urinate. Waking up and urinating during the night for long time disrupt the person’s normal sleep and influence the quality of life. This case reports demonstrates a 67-yearold female with nocturia and bilateral knee pain for long time. After taking examination and making sure that no organic disease, the doctor recommends observation and tracking. This article is based on the theory of Zang-fu extraordinary connection（臟腑別通）, in order to explore the relationship of Qi transformation between Zang（臟）and Fu（腑）. This case was given the Qiang Huo Sheng Shi Tang（羌活勝濕湯）to improve the patient’s long-term nocturia.People may mistakenly believe that nocturia is an aging phenomenon and ignore its potential crisis. The problem of annoying nocturia, in addition to affecting sleep quality, may increase the risk of depression and certain chronic diseases.

Keywords： nocturia, Zang-fu extra-ordinary connection, Qiang Huo Sheng Shi Tang

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