TJ TCM.25(1) : 61-72, 2022
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中醫治療侖謝亨特氏症候群之病例報告
Combination Therapy with Acupuncture
and Traditional Chinese Medicine for Ramsay Hunt Syndrome: A Case Report
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林萱1 吳文泓2 鄭秝丞1*
1 高雄榮民總醫院傳統醫學科，高雄，台灣
2 橋頭馬光中醫診所，高雄，台灣
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【摘要】
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侖謝亨特氏症候群（Ramsay Hunt Syndrome）為第二常見造成周邊型顏面神經麻痺的原因，僅次於貝爾氏麻痺（Bell’s palsy）。以耳痛、耳廓周圍皮膚病灶、患側顏面神經麻痺為典型臨床表現，有些患者會伴隨味覺異常、聽力受損、耳鳴、眩暈、患側流淚等症狀。其發病機制為曾感染過的水痘帶狀皰疹病毒（varicella zoster virus, VZV）潛伏於膝狀神經節（geniculate ganglion），在免疫力較弱的時候再度活化而發病。和貝爾氏麻痺相比，侖謝亨特氏症候群的顏面神經麻痺症狀常是較為嚴重的，其自動緩解的可能性偏低，若未接受適當治療，大約只有20% 的患者能達到完全康復。
本病例為一名52 歲女性，突發右臉麻木疼痛，診斷為帶狀皰疹病毒感染造成之右側周邊型顏面神經麻痺，伴隨耳痛及聽力損傷，經西醫常規治療3 週未改善，轉介接受中醫治療。以通絡熄風、補氣化濕為治則，針灸療程為主，中藥服用為輔，規律回診3 個多月，患側面癱、耳痛及聽力損傷症狀改善許多，整理中醫的治療歷程及思路與相關文獻，供中醫治療侖謝亨特氏症候群之參考。
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【關鍵詞】侖謝亨特氏症候群、顏面神經麻痺、聽力損傷、中醫藥、針灸
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Hsuan Lin1Wen-Hong Wu2Li-Cheng Zheng1*
1Department of Traditional Chinese Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
2Qiaotou Ma-Kuang Traditional Chinese Medicine clinic, Kaohsiung, Taiwan
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【Summary】
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Ramsay Hunt Syndrome is one of the most common causes of peripheral paralysis of facial nerve, preceded only by Bell’s palsy. The characteristic symptoms involve otalgia, skin lesions over the affected ear and facial palsy. Other accompanying symptoms include deception of taste, hearing loss, tinnitus and vertigo. The reactivation of varicella zoster virus in the geniculate ganglion is the main cause of Ramsay Hunt Syndrome. The symptoms of facial palsy are usually more severe than those of Bell’s palsy. Without proper treatments, merely 20% of patients can reach full recovery.
In this case report, we present a 52-year-old female with sudden onset of right side facial pain, who later diagnosed with peripheral facial palsy caused by varicella zoster virus. After conventional treatment for three weeks without significant progress, she was referred to the department of Traditional Chinese Medicine. After continuing treatment over three months of acupuncture combined with oral herbal medicine, the symptoms have been improved, including facial palsy, otalgia and hearing loss.
【Keywords】Ramsay Hunt Syndrome; facial palsy; hearing loss; Traditional Chinese Medicine; Acupuncture
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251.5 中醫治療侖謝亨特氏症候群之病例報告
