1Center of Traditional medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2School of Post-Baccalaureate Chinese Medicine, China Medical University, Taichung, Taiwan
3Institute of Traditional Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
4School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
【Summary】
A 54-year-old male with chronic hepatitis B and Hepatocellular carcinoma combined with
covid infection on September 19, 2022 was admitted by Gastroenterology Outpatient Department for regular immunotherapy for hepatocellular carcinoma on October 5, 2022. After admission, the symptoms of nausea, diarrhea, loss of appetite and weight loss were noted and his attending physician consulted Traditional Chinese Medicine for collaborative treatment. During the consultation, the patient’s symptoms were nausea, diarrhea, poor appetite, fatigue, abdominal distension, mild abdominal pain on the right side, cough and chest tightness. Red, crimson and thick tongue coating white and yellow with less fluid, stringy, slippery and strong pulse were also noted. The diagnosis of Traditional Chinese Medicine was accumulation of lumps and the syndrome belongs to external pathogenic injury, liver hyperactivity and spleen deficiency, and turbid damp obstructing in middle with qi stagnation. The formula of Wulingsan and Tong Xie Yao Fang was for painful diarrhea, combined with qi-promoting and aromatic dampnessremoving medicines to invigorate the spleen, relieve the liver, and diuresis. Diarrhea and anorexia symptoms were significantly improved after six days of treatment, and patient’s body weight gained 1.5 kg. The patient was discharged on October 15 to continue outpatient follow-up treatment.
【Keywords】Hepatitis B, liver cancer, covid infection, invigorating the spleen and relieve the liver, diuresis and dampness, widening the middle and qi-promoting
104.5 中醫治療肝癌併新冠後腹瀉納差之病例報告
