261.6 青蒿鱉甲湯合牡蠣散加減治療淋巴癌睡眠嚴重盜汗之醫案報告
TJ TCM.26(1) : 69-80, 2023
DOI : 10.6516/TJTCM.202303_26(1).0006
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青蒿鱉甲湯合牡蠣散加減治療淋巴癌睡眠嚴重盜汗之醫案報告
Modified Qing Hao Bie Jia Tang and Mu Li San in the Treatment of Malignant Lymphoma
with Severe Night Sweats: A Case Report
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呂秉勳1,2 楊淑君1 林宜信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
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【摘要】
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淋巴瘤的發生率逐年提升，死亡率已上升至第九位。西醫針對淋巴癌主要以化學治療為主，針對B 細胞淋巴瘤的病人還可選用標靶藥物Rituximab治療，當淋巴癌大於10 公分或有某些局部侵犯時可考慮合併局部放射治療。B 症候群如夜間盜汗、發燒與體重減輕為淋巴瘤患者常見之症狀，然而西醫對於此症狀之緩解較無著墨，但是淋巴癌B 症狀的嚴重度著實影響了病患的生活品質與預後。此篇案例報告一位因淋巴癌發燒及睡眠嚴重盜汗，一晚需更換八套衣服與床單，眠差影響體力與生活品質的病人，在服用青蒿鱉甲湯合牡蠣散加減一周後發燒與盜汗症狀完全改善並得以繼續進行化療的顯效案例。
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【關鍵詞】淋巴癌、淋巴癌B 症狀、睡眠盜汗、青蒿鱉甲湯、牡蠣散
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Ping-Hsun Lu1,2Shu-Chun Yang1I Hsin Lin2*
1Department of Chinese Medicine, Taipei Tzu Chi Hospital, The Buddhist Tzu Chi Medical
Foundation, New Taipei City, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
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【Summary】
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The incidence of lymphoma is gradually increasing year by year, and the mortality rate has risen to the ninth place. Western medicine mainly focuses on chemotherapy for lymphoma. Patients with B-cell lymphoma can also choose the targeted drug Rituximab for treatment. When the lymphoma is larger than 10 cm or has some local invasion, local radiotherapy can be considered. However, Western medicine has little to do with the relief of common B symptoms of lymphoma, such as fever, night sweats, and weight loss, but the severity of lymphoma B symptoms does affect the quality of life and prognosis of patients. This case reports a patient who had a fever and severe night sweats during sleep due to lymphoma cancer. He had to change 8 sets of clothes and sheets in one night. Poor sleep affected his stamina and quality of life. After taking modified Qing Hao Bie Jia Tang and Mu Li San for a week, the symptoms of fever and night sweats completely improved, and chemotherapy can be continued.
【Keywords】Lymphoma; lymphoma B symptoms; night sweats; Qing Hao Bie Jia
Tang; Mu Li San
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