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5 歲3 個月大女性患者患有異位性皮膚炎 (Atopic Dermatitis) ，於2021 年9 月
10 日至桃園長庚紀念醫院就診，主訴膚癢加重2 個月，當下服用類固醇、環孢素、希普
利敏液症狀控制，然而停止類固醇後症狀加劇。中醫辨證為風濕熱夾雜之浸淫瘡，予以
消風散加減以清熱燥濕、祛風養血，經中藥治療4 個月後，症狀改善，並停用西藥。顯
示在中醫的辨證論治下，可以有效治療頑固性異位性皮膚炎，且可以作為調降類固醇的
替代療法。
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Ting-Chi Lin1 Pei-Ying Lin2*
1, 2Division of Internal Chinese Medicine, Center for Traditional Chinese Medicine,
Chang Gung Memorial Hospital, Taoyuan, Taiwan
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A 5 years and 3 months old female toddler, who suffered from atopic dermatitis, came to
Taoyuan Chang Gung Memorial Hospital on September 10, 2021, due to aggravated skin itching for 2 months. Her symptoms were controlled under steroids, cyclosporine, and cyproheptadine, however got worsened after discontinuation of the steroid intake. The traditional Chinese medicine (TCM) pattern was identified as wind, dampness, and heat mixed type. Therefore, Xiao Feng San was given to clear heat, remove dampness, dispell pathogenic wind, and nourish blood.
After 4 months of treating with TCM, the symptoms improved, and medicine was discontinued.
It shows that atopic dermatitis can be well treated under the pattern identification and treatment
of traditional Chinese medicine. And TCM can be used as an alternative therapy for reducing
steroids usage.
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104.4 中醫治療異位性皮膚炎之病例報告
