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Endometriosis, one of the common gynecologic diseases in women of
reproductive age, may cause dysmenorrhea and infertility. Serum CA-125 is
a valuable tumor biomarker in the evaluation of treatment and follow-up of
recurrence in patients with endometriosis and initially elevated CA-125 level. This
case is a 31 y/o female who was diagnosed as? endometriosis with dysmenorrhea,
yellowish vaginal discharge, and elevated CA-125 level. According to TCM’s
theory, the patient was diagnosed with Qi Stagnancy in Liver and the blockade of
damp-heat and static blood. After the prescription of Longdan Xiegan Tang and
Guizhi Fuling Wan, which was aimed to relieving Qi stagnancy in Liver, clearing
damp-heat, and promoting blood circulation, the patient’s symptoms and CA-
125 level has improved. However, when the dosage of Longdan Xiegan Tang
decreased, the patient’s dysmenorrhea became severe, and CA-125 level elevated
again. Therefore, we deduced that the symptoms of blockade of damp-heat and
static blood could not be improved, so the CA-125 level elevated again when the
dosage of Longdan Xiegan Tang being reduced to 3g/day. But it is still necessary
to observe more cases and studies for actual conclusion.
【Keywords】Endometriosis; chocolate cyst; CA-125; Longdan Xiegan Tang; dosage
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254.6 由子宮內膜異位症病案一例探討龍膽瀉肝湯對血清CA-125指數之影響
