1

(610075)

201420(1)

1.2

1.3

1.4

1.1

1.5

1.6

2.1

1.7

2.1.1

201420(1)

2.1.2

( )

2.2

2.3

2.3.1

2.3.3

2.3.2

201420(1)

1. [S]
1989773
2. [S]
20118-9
3. [S]2011
255
4. [S]1982
2806
5. [S]
19861549

Exploring the core-learning on Ancient Medical Record

Documentary(I)
Song Xing
Concepts on clinical Information Retrieval
Chengdu University of Traditional Chinese Medicine

Abstract
This article pointed out that the purpose of learning the ancient
medical case, is not to reciting a herb or a formula, but to deeply
understand their thinking process to solve problems. You learn more
medical case, you gain more wisdom.
To deeply analysis the reasons of the insufficiency or missing
pieces of ancient Chinese academic information or medical records, we
know that a compliment can be made by applying modern language,
modern expression and interpretation of these data for information as
much as possible which may fully restore to its original appearances.
It is able to allow readers to be immersive, as reflected in its people, but
also really to make the writers academic soul resurrection. The truth
known in practice is used to be the golden rule to explore the truth in
ancient medical record documentary. Usually even ancients had hidden
their knowledge in their writings which could be recoverd through the
methods in this study.
Keyword:Theoretical discussion; Ancient Medical Record Documentary;
learning methods

201420(1)

970 707
03-8561825 3870
y0606@mail.cgu.edu.tw

10

201420(1)

62

7 67 115

300

526

 11

1.

2.

12

201420(1)

3.

4.

5.

 13

2.0 1.0
1.5 0.5
0.4

14

201420(1)

1.

5.

64 140-

1995 88-90

180
2.
101 47-50
3.
2012(7):469-470
4.
2011(22):82-93

6.
64 249
7.
2013(7):744746
8.
2012(2):6-7

 15

Case report: lowering blood glucose by supplementing

kidney-Yang in a patient diagnosed as type 2 DM
Yee-Guang Chen
Department of Traditional Chinese Medicine
Tzu Chi General Hospital, Taipei
Abstract
In traditional Chinese medicine, the etiology of Dampness-Heat
syndromes may be given by external and internal vicious. Ancient
medical masters of Wen-Bing, Xue Sheng-Bai and
Ye-Tain-Shi, gave the idea that external Dampness-Heat syndromes
can be leveled from mild to severe. Mild clinical syndromes gave rise to
fever and coldness, severe as delirium and coma. This kind of syndromes
can be sub-categorized to acute febrile diseases. Theory of (Offensive,
Impairment, Successive, Suppressive) which arose from divisions of
Heijan gave the concept of Dampness-Heat yielded internally. They
explained the reason of dampness in the summer time as overwhelming
hotness which may emerge to dampness. Traditional Chinese medical
doctors are familiar with treating internal Dampness-Heat syndromes.
Nevertheless, dampness is a kind of Yin-evil if it hurts people who may
be suffered from fatigue, tiresome, chest-tightness, abdominal fullness
and thirsty without drinking desires, for a long period of time. Usually,
patients feel body sickness but can not tell what is wrong with it.
Although it is the winter season now, there is still patient who has been
suffering from Dampness-Heat syndromes since last summer and usually
cured promptly by Chinese herb remedy. Historically, Dampness-Heat
syndromes had been documented since the Tang Dynasty in the Book of
Bei Ji Qian Jin Yao Fang which is over 1500 years.
This kind of disease actually is commonly occurred. In this manuscript ,
the theory from Heijan is introduced to threat the disease and work it out
as a dilemma of treatment.
Keyword:Offensive-Impairment, Successive-Suppressive, DampnessHeat syndromes, Internal damage, reversal transformation

16

201420(1)

 17

1972

132 6
02-2509-6633
ruby032488@yahoo.com.tw

18

201420(1)

(1985

(Dr.Nogier)

(1957 )

(-endorphine)

1950

 19

T1-T2 )

T5-T10

Nogier

Nogier

(T1-T2)

20

201420(1)

 21

Introduction of Dr Wens modern acupuncture therapy

Chong-KaiWen
Superintendent of Wenchong Kai Chinese medicine clinics
Graduate Institute of Clinical Medicine, Chang Gung University
Chairman of Taiwan ClinicalChinese Medicine Association

Abstract
Acupuncture theory formed in the two thousand years ago, "Nei Jing", the ancients
observed the connection system of body, so-called "Meridian", has been widely used
in the treatment of various diseases in China. After the 1972 United States President
Richard Nixon's visit to China, set off a wave of acupuncture studies, tens of thousands
of papers published studies on the mechanism of acupuncture. However, while
exploring mechanisms of acupuncture, acupuncture research fail to see the wood for the
trees; researchers use modern scientific methods,cells, animal and even human clinical
studies, although they can prove that acupuncture has a variety of medical effects,
including anti-inflammation, pain control and even regulate the immune and autonomic
nervous systems. There are other scholars advocate that meridians essence is nerves,
blood vessels and lymphatic hybrid structure. But clinicianswant to known what kind
of theory and thinking to impose optional acupuncture acupuncture patients can reach
better clinical efficacy.
I engaged in clinical practice acupuncture work two decades, through continuous
learning and clinical validation study, first proposed Dr Wen's Acupuncture
Medicine; by means of the essence of the various schools of acupuncture, the basis of
modern medicine human anatomy, neuroanatomy, physiology, and basic knowledge of
pharmacology as thinking points of matching criteria.
The author argues that the role of nerve conduction stimulation of acupuncture as
a principle, is reached by nerve conduction pain, inflammation, autonomic nervous
system regulation and immunomodulatory effects. Distribution and use of knowledge
of the human autonomic nervous system pharmacology, the selection of points to be
reached quickly get treatment efficacy and disease of modern medicine is difficult
opportunity. Hoping to start a discussion, and to help student and already engaged in
the work of practitioners of acupuncture,learnquicklywithacupuncture point selection
and essentials application of points, in order to achieve the purpose of improving the
efficacy of acupuncture.
Keyword:acupuncture,nerve,acupuncture point selection

22

201420(1)

 23

29 Cefspan

901
062812811 53784
cmh71001@mail.chimei.org.tw

24

201420(1)

101 11 22

101-11-08

1954xxxx

Cefspan
(+) (-)

29

(-) (-) (-)

158

42.4

(+) (+) (+) (-) (-)

(-)

101-11-22101-11-22

29 101 10
101

101-11-07
(Streptococcus agalacitiae, group B)

11 5

101-11-08Urethrography

11 8

1. Suspect urethral diverticulum or urethrocele

urethrography 11 12

at distal part of urethra.

2. diverticula of urinary bladder.

Amoxcillin 11 14

Cefspan

3-4

Imodine

Amoxicillin Cefspan11

1.

20

2.

3.11 20 (VAS

3 ) (VAS 7 )

PrimperanBuscopanVit.B12 )

4.

5.

 25

6.

7.

8. LMP11/7PMP10/5
G2P2A0

9.
101-11-07~101-11-12: Keflex
(250mg) (Cephalexin) 2CP TID PC
101-11-12~101-11-14: Amoxicillin (250
mg) 2CP TID PC
101-11-14~101-11-20: Cefspan (100mg)
(Cefixmycin) 1CP Q12H PC
101-11-15: Imodine (Imodium)
10.11 8

panadol

Imodium

26

201420(1)

101-11-22(AM 11:00)

(1)101-11-22(PM16:00)PM14:00

50%

(2)101-11-22(PM17:30)

Bowel sounds:

6 g 1.5 g
1.5 g 1.5 g 1.5 g 1.5 g
1.5 g3x3

 27

(3)101-11-22 (

PRN )

RUQ

LUQ

(4)101-11-28

RUQ LUQ

5g

4g 2g 1.5g 1g
1.5g 1g3x7

1.4

Amoxicillin
clarithromycin metronidazole

amono-quinolones

ERCP 5

RUQ

28

201420(1)

/ 6

()

()

1 g

6 g

1 ~ 3 g 7

Amoxicillin

( )

 29

Cefspan

G+

G-

1. Robert H. Seller

Imodium Loperamide

Differential Diagnosis of Common Complaints,

Opiate

5th edition. ELSEVIER TAIWAN LLC 2009

1-10

2.
77
3.
2000318

4.William S. Haubrich, Fenton Schaffner,J. Edward

Berk: Bockus Gastroenterology, 5th edition.

Saunders, 199521-26

5. Graham P. Butcher

200522-29

6.

2004(35): 79-10

7.

2010(33): 10713-715

8.

2007(23): 1732-33

30

201420(1)

A Case Report of Treating Acute stomach ache with FuZi-Li-Zhong Decoction .

Wang Yu-Ting, Hsu Yao-Chin
Chinese Department of ChiMei Medical Center

Abstract
This is a 29-year-old female patient who often visits our out-patient
department due to diarrhea. This time, she suffered from diarrhea and
side effect of antibiotic agents cannot be rule out. The diarrhea was relief
but stomach ache and vomit were noted after taking Imodine without
prescript. The symptoms were: stomach ache, vomit, pale complexion,
pulse were felt deep, thready and weak, and tenderness in epigastric
region of abdomen. The holistic differential diagnosis was Spleen Yang
deficiency, combine with Stomach Qi adverse rising. The prescription
are Fu-Zi-Li-Zhong decoction with Xiao-Xian-Xiong decoction and
was given immediately. We followed-up the changes of symptoms and
found that the stomach ache and vomit were relieve right after taking the
prescription.
Keyword:stomach ache, Spleen Qi deficiency, Stomach Qi adverse
rising, Fu-Zi-Li-Zhong decoction, Xiao-Xian-Xiong decoction.

 31

1,2 1
1.
2.

B G2P2 19
33+4
3~4
Yutopar20ml/1hr 35+4
2.5
2510 38.1

38

24 10

:
: 359 8-3 4
: 0972-612-010
: gainsong1024@gmail.com

32

201420(1)

3~4

: CRP

Yutopar20ml/1hr

35+4

2.5

2510

38.1

DM( ) H/T( )B (+) (+)

G2P2A0

( )

1.
19

2.

3.

xx30

100.9.1683983**

4.

163cm63 kg

5.

6. ,

G2P2

2x5

14 33+4

, , ,

 33

7.
8. ~
9.

1WBC

10.
4x4
G2P2 C/S

100.9.16

100.9.23

100.10.2

WBC count(3.5~9.1103xl) 13 103xl 9.0 103xl 7.0 103xl

Neutrophil-Seg(39~72%)

78.8

72.6

57.3

Lymphocyte(21~51%)

34.3

22.0

14.7

Monocyte(4.6~11%)

4.7

5.9

6.3

Eosinophil(0.4~7.6%)

0.4

0.4

1.8

Platelet count(157~377)

185

186

210

CRP

0.23

0.24

10.0

Hb

2Neutrophil-Seg

10.3

1.WBC 1
2.Neutrophil-Seg 2
3.Lymphocyte 3
4. (-)
5. : (-)
6. :

3Lymphocyte

34

201420(1)

1.
2.

33
14

 35

1.

2.

: CRP

8 1

3-4

1 1 1 1

100.9.21

TID*3

1 1 (37.2 )

gm

1 1

0.7

gm

0.7

100.9.24

TID*7

0.7

gm

0.7
4

100.10.1

36

201420(1)

( )

1000ml

 37

38

201420(1)

30

(37.2

 39

1. Hamadeh G, Dedmon C, Mozley PD.

Postpartum fever. Am Fam Physician. 1995
Aug;52(2):531-8.
2. QLD Diabetes Centre, Mater Hospital, Raymond
Tce, South Brisbane, Australia 4101. adam.
morton@mater.org.auPostpartum fever and
shortness of breath.BMJ 2013;346:f391 doi:
10.1136/bmj.f39124 January 2013
3. Merchavy S, Levy A, Holcberg G, Freedman EN,
Sheiner E.Method of placental removal during
cesarean delivery and postpartum complications.
Int J Gynaecol Obstet. 2007 Sep;98(3):232-6.
Epub 2007 May 9.

4. Witlin AG, Mercer BM, Sibai BM.Septic pelvic

thrombophlebitis or refractory postpartum fever
of undetermined etiology.J Matern Fetal Med.
1996 Nov-Dec;5(6):355-8.
5.
2009443-451
6. 2006
331-354
7.
200438-40
8.
2002353-364

40

201420(1)

Traditional Chinese Medicine Treatment of Postpartum

fever, a case study
Jia-Ing Song
1.Traditional Chinese Medicine Department,Changhua Christian Hospital,
Changhua,Taiwan
2.Schol of Chinese Medicine,College of Chinese Medicine,China Medical
University,Taichung,TAIWAN
Abstract
The patient is a 30-year-old Taiwanese woman, a teacher with
past history of arrhythmia ; hepatitis B and without known adverse
drug reaction, G2P1, has pregnancy at 33+4 weeks of gestation, who
presented with increasing amount of vaginal bleeding. she complained
increasing amount of vaginal bleeding, accompanied by lower abdominal
pain.The patient was full ambulatory when admitted from the Emergency
Department to department of obstetrics and gynecology service. Yutopar
was perscribed for tocolysis but at 35+4 days, there were irregular uterine
contraction and occasional vaginal bleeding noted. Regular uterine
contraction w as noted on and cervical os was close at that time and
Pervaginal exam reveale d os dilated about 2.5cm . Sh e was arranged
Cesarean section and Her baby, a boy with a birth weight of 2510g, was
well. However, she gradually became more unwell with fever up to 38.1
degree, sweating and cold foot. She also found milk-secretion clogging
and soft mass withoutabscess formation( ). On the
five day postpartum, while still an inpatient, she was unwell. Chinese
Medicine doctors diagnosed the patients syndrome liver qi stagnation,
blood stasis with heat( ). Jia-wei-xiao-yao-san
withWan Bu Liu Xin Lu Lu Ton
Ton Cao shi hu xu duan niu xi and Siu
hua Tan ( )is applied to sooth the liver and regulating the
circulation of qi( ) and then invigorating kidney qi( )
. Three days after Chinese medicine treatment, no fever was noted with
milk secreation well. The blood amount of lochia was also decreased.
The patient was discharged after overall condition become stable.
Keyword:postpartwm fever, sheng-hua-tang, jia-wei-xiao-yao-san

 41

1 5
HbA1C 10.9 % 9.1 %

islet autoantibodies1
5 to 10 percent

99 100

beta cells

25

25
1 75 to 90 percent 3, 4

1
23

701 670 ( )
0923186176
u9330009@cmu.edu.tw

42

201420(1)

(PM12:00-

AM01:00 )

type 2 DM

2011/07/23

28

346XX6 180 cm

4g 4g 2g

108 Kg

1.5g 1.2g 1.5g 1g

2011/07/23

1.5g 1gTIDAC 28

2011/08/20

28 5

121 mg/dl

5g 1.5g 1.5g

fatty liver

1.5g 1g 1.5g 0.5g

2.5g 1.5gTIDAC 28

2011/09/17

2011/08/20

(acanthosis

GLU-AC374 mg/dlHbA1C10.9 %

nigricans)

Microalbumin2.47 mg/dl

 43

ACR(albumin creatinine ratio)60 mg/g.Cr

GOT33 U/ LGPT55 U/ L

1gTIDAC 28
3 3 3

3 3 2

1.5 3 4

2011/12/10

5g 5g 2g

1.5g 0.5g 1g 1g

1g 1gTIDAC 28

2011/10/15

2011/09/17

GLU-AC237 mg/dl

5g 2g 1g 0.5g

GOT24 U/ LGPT43U/ L

1.5g 1.5g 1.5g

1.5gTIDAC 28

3 3 3

3 3 2 5

2011/09/17TIDAC 28

1.5 3 4

2011/11/12

2012/01/07

2011/10/15

2011/12/10

GLU-AC218 mg/dlHbA1C10.4 %

GLU-AC195 mg/dl

GOT25 U/ LGPT41 U/ L

HbA1C9.9 %Microalbumin8.75 mg/dl

Creatinine0.8 mg/dl

ACR(albumin creatinine ratio)55 mg/g.Cr

5g 2g 2g 0.5g

1.5g 1.5g 1.5g

1.5gTIDAC 28

5g 5g 2g
1.5g 0.5g 1g 1g

3 3 3
3 3 2

44

201420(1)

1.5 3 4

1.5g 1.5g 1.5g

2012/02/04

1.5g 2g 1gTIDAC 28

3 3 3

3 3 2 5

5g 2g 2g 0.5g

1.5 3 4

1.5g 1.5g 1.5g

1.5g 1.5gTIDAC 28

3 3 3

3 3 2 5

HbA1C 10.9 % 9.1 % 2 %

1.5 3 4

Metformin Sulfonylurea 7

2012/03/10

5g 1.5g 2g 0.5g

1.5g 1.5g 1.5g

1.5g 2g 1gTIDAC 28

3 3 3
3 3 2

1.5 3 4

2012/04/14

2012/03/10

GLU-AC173 mg/dlHbA1C9.1 %

Microalbumin0.01 mg/dl

ACR(albumin creatinine ratio)0.5 mg/g.Cr

GOT13 U/ LGPT21 U/ L

Creatinine0.9 mg/dl

5g 1.5g 2g 0.5g

 45

(6) 1.
2. 3.
9

10

1. American Diabetes Association. Diagnosis and

classification of diabetes mellitus. Diabetes
Care201134 Suppl 1S62.
2. Harris MI, Robbins DC.Prevalence of adultonset IDDM in the U.S. population. Diabetes
Care1994171337.
3. Pinhas-Hamiel O, Zeitler P.The global spread
of type 2 diabetes mellitus in children and
adolescents. J Pediatr 2005146693
4. De Ferranti SD, Osganian SK.Epidemiology
of paediatric metabolic syndrome and type 2
diabetes mellitus. Diab Vasc Dis Res 20074
285.
5.
( )
201314(3)456-457
6.
2002352-355
7. A consensus statement of the American Diabetes
Association and the European Association for
the Study of Diabetes. Diabetes Care 2009;
32:193-203.
8. --

200826(3)532-534
9.
2006(6)349-352
10. --

200624(1)96-97

46

201420(1)

Case report: lowering blood glucose by supplementing

kidney-Yang in a patient diagnosed as type 2 DM
Wang Chih Chung
Department of Chinese medicine, Tainan Municipal Hospital

Abstract
Diabetes mellitus is a diseases of abnormal carbohydrate
metabolism. It causes hyperglycemia and many diabetic complications
associated with vascular and neural diseases. Other than modern western
medical treatment, traditional chinese medicine have been used to treat
DM for a long time. The pathological mechanism of DM in traditional
chinese medicine isyin deficiency in root, and dryness heat in
symptoms, while nourishing yin and moistening dryness therapy
is usually used. In this article, we present a case who has been diagnosed
as type 2 DM for 5 years. We use supplementing kidney-yan therapy
accompanied with nourishing yin and moistening dryness therapy to treat
this patient without modern western medical treatment at the same time.
After 9 months of treatment course, the HbA1C value of this patient
lowers from 10.9 % to 9.1 %
Keyword:diabetes mellitus , blood glucose value , Kidney-Yang
deficiency

 47

1,2,* 2 2 1,2
1
2

17

(life time prevalence rate) 1~4%

(Panic disorder)
(Anxiety disorder) 1

2~3 2

(Phobic Avoidance) 70~90%

1
07-6150011 251572
lonsuo@isu.edu.tw

48

201420(1)

1. 2. 3.

4. 5. 6.

30~40%

7. 8.

(Agroaphobia)

9.

10.

11.

12. 13.

DSM-IV-TR

1.

3~5 4

2.

(tryptophan

3.

hydroxylase)

(serotonin) (norepinephrine)-

(-aminobutyric acid , GABA)

(tricyclic anti-depressants, TCA)

(selective serotonin reuptake inhibitors,

SSRI) (benzodiazepines,

BZD) -

(selective serotonin-norepinephrine reuptake

inhibitors, SNRI) (monoamine

(American Psychiatric Association)

oxidase inhibitors, MAOI)

(The

SSRI TCA 6

diagnostic and statistical manual of mental disorders,

DSM-IV-TR)[1]

 49

1.

2.

3.

59

4.

047**** 163 cm55 kg

2011-3-16

(spondylolisthesis)
(osteoarthrosis)

(
)

9.5g, 2g,
2011/3/16
3g, 1.5g
( )
TID x 7

50

201420(1)

2011/4/6

2011/4/20

2011/4/27

2011/5/25

2011/6/8

2011/8/10

2011/10/19

2012/1/4

2012/3/12

2012/3/28

2012/5/23

2012/7/4

2012/7/25

10g,
2g, 2g,
2g TID x14
10g,

1.5g, 1.5g,

1.5g, 1.5g TID

x7

10g,

1.5g, 2g,

1.5g, 2g TID x7

9g,
2g, 2g, 1.5g,

1.5g TID x14

8.5g,

2g, 2g, 2g,

1.5g TID x28

9g,

1.5g, 2g,

2g, 1.5g. TID x28

8g,

1.5g, 2g,

1.5g, 1.5g,

1.5g TID x28

10g,
2g, 2g,
2g TIDx28

6g,
6g, 2g,
2gTIDx14

6g,

2g, 2g, 2g,

2g, 2g

TIDx14

9g,

1.5g, 2g, 2g,

2gTIDx21

8g,

2g, 2g, 1.5g,

2gTIDx21

8g,
2g, 2g, 2g,
2gTIDx21

( )

( )

( )

( )

 51

52

201420(1)

1. Diagnostic and Statistical Manual of Mental

serotonin-related gene polymorphisms and panic

Disorder, 4th ed, text revision (DSM-IV-TR).

disorder. Journal of Anxiety Disorders. 2008;

2. Sadock BJ, Sadock VA: Panic disorders and

22(8): 1529-34.

agoraphobia. ln Synopsis of Psychiatry, 10th ed.,

6. Peter P Roy-Byrne, Michelle G Craske, Murray

Lippincott Wiliams & Wilkins, Philadelphia,

B Stein: Panic Disorder. The Lancet. 2006;

2007: 587-97.

368(9540): 1023-32.

3. Raymond R. Crowe, Russell Noyes, David L.

7. Esler, Murray, Eikelis, Nina, Schlaich, Markus,

Pauls, Don Slymen: A family study of panic

et al: Human sympathetic nerve biology: parallel

disorder. Arch Gen Psychiatry. 1983; 40(10):

influences of stress and epigenetics in essential

1065-69.

hypertension and panic disorder. Annals of the

4. Merikangas K, Swendsen J. Contributions of

epidemiology to the neurobiology of mental

New York Academy of Sciences. 2008; 1148:

338-48.

illness. In Charney D, Nestler E, Bunney S,

8. Barlow DH, Gorman JM, Shear MK, Woods

eds. Neurobiology of mental illness. New York:

SW: Cognitive-behavioral therapy, imipramine,

Oxford, 1999:100107.

or their combination for panic disorder: A

5. Ho-kyoung Yoon, Jong-Chul Yang, Heon-Jeong

Lee, Yong-Ku Kim.: The association between

randomized controlled trial. JAMA. 2000;

283(19): 2529-36.

 53

A Case Report of Panic Disorder Treated by Traditional

Chinese Medicine with New Clinical Method
Lung-Shuo Wang 1, 2 Kuan-Tso Chen2 Ming-Hui Xiao 2 Chien-Hang Ni 1, 2
1.Department of Chinese medicine of E-DA Hospital, Kaohsiung, Taiwan,
2.The School of Chinese medicine for Post-Baccalaureate of I-Shou University,
Kaohsiung, Taiwan

Abstract
Panic disorder is categorized as psychiatric disorder in which
the patient stimulated by particular situation has a sudden attack of
extreme fear. In this case report, a male aged 59 years old with phobia
experiences which occurred when driving on the highway, crossing
through the tunnel, and entering the bank, had been treated before but
failed to relieve, therefore he sought for therapy with traditional Chinese
medicine in our hospital. According to the therapy principal that fear
causes qi to precipitate down, summarized from The Yellow Emperors
Inner Canon, we consider that the cause of this disease is due to falling
of qi that induce insufficient heart energy, which result in fright and
fear. Therefore, the principal of treatment is to uplift yang qi, and the
treatment method are composed of activating the spleen, adjusting the
liver, and energizing the kidney, thus leading qi to go upward to the
heart. After treatment of herbs, phobic syndromes were significantly
alleviated, so the patient stopped taking western medicines later. Panic
disorder in this patient was pacified and rarely relapsed for 17 months
with herbs administration. After ending his treatment, routine follow-up
is continued, and the patient didnt relapse.
Keyword:panic disorder, phobic syndrome, Chinese medicine, herb.

54

201420(1)

 55

a,b a b,c*
a,c
b

31
8

4-5

123
0578379010939-928588
kd2624@yahoo.com.tw

56

201420(1)

: 101/12/18

102/01/08

31
2982X

31

( ) (102/01/08)
35.6 122/79mmHG
84/min 158cm48kg
General appearance: alert

Consciousness: clear, well orientated

HEENTgrossly normal

EyeNo icteric sclera, no exopthalmos,

conjunctiva: no pale

101

Throatno inject,

3 6 EKG

Tongue and oral mucosa : no ulcer

101 4

Earno discharge

Necksupple

101/07/24

No neck lymphadenopathy or mass

No jugular vein engorgement

101 9 10

4-5

96 100

96

ChestSymmetric expansion
Symmetric and clear breathing sound, no
wheezing or crackles
HeartRegular heart beat without audible
murmur
AbdomenSoft and flat, no tenderness, no
muscle guarding,

no rebounding pain, normoactive bowel

sound
BackNo tender point, no CP ankle

 57

knocking pain

7.

ExtremitiesWell movable, limbs warm

8. 2

no lower legs pitting edema

9.

( )

10.

1. 101/03/23 EKG:1.Normal Sinus Rhythm-

11. 96

NSR2.Nonspecific ST-T change

2. 101/09/21 serum TSH :0.931 uIU/ml 0.255.0

1.

Serum Free T4: 12.21 pmol/l 9-20

2.

1. 8

2. 4-5
101 4

3. 10
101/03/23 EKG
EKG:1.Normal Sinus Rhythm-NSR

1.

2.Nonspecific ST-T change101/10/01

Autonomic function test
Sympathetic dysfunction

2.

4. 1-2

5. LMP: :102/1/03I/D:31/7
G2P2A0
96 100
6.

8

2

58

201420(1)

1. 8

4-5

2.

3.

4g 4g 2.0g

0.8g 1g ( ) 0.8g 1.5g

0.8g

4.

TID x 7

45

1.

2.

3.

31

 59

4.

1. 1

5.

6.

7.

4g

4g 2.5g
102.01.01

1.0g 1g

( ) 0.8g 1.5g

2. 1
:

4g

4g 2g
102.01.08

0.8g 1g ( )

0.8g 1.5g 0.8g

4g
4g 2g
102.01.29
0.8g 1g ( )
0.8g 1.5g 0.8g

4g
4g 2.5g
102.02.14
0.8g 1g
( ) 1g 1.5g

4g
4g 2.0g

102.03.23 0.8g 1g

( ) 1g 1.5g

0.8g

3. 1
1 :

:
2 :

3 :

60

201420(1)

1.
2.
3.
1.

2.

3.
4. :

5 :

5.

6 :

1 46

Lishizhen Medicine and Materia Medica

Research20122392367-2368

7 :

2002273-297

2005292-294

4 -- http://

yibian.hopto.org/

4. 2

4 :

1.
2.
3.

4.
5.
6.
1.

2.

3.
4. :

2006123-126

 61

Case Report: TCM treatment of epigastric fullness

Yang Shu-Mei ( a,b), Chang Moon-Jung (a) Tsai Kuen-Daw (b,c*)

a,c Department of Chinese Medicine and Thoracic Medicine, China Medical University
Peikang Hospital, Yun-Lin, Taiwan.
b School of Chinese Medicine, China Medical University, Taichung, Taiwan.

Abstract
This is a 31-year-old female patient with asthma and allergic rhinitis
history. According to the patient, because of repeated episodes of
epigastric discomfort about eight months, epigastric fullness, nausea, no
epigastric tenderness, heartburn, acid reflux, belching , phlegm in throat
, the endoscopy showed no abnormalities.She come to the hospital for
medical treatment of traditional Chinese medicine. She is nervous, hottempered, epigastric discomfort usually occurred at 4-5 pm, no particular
aggravating or mitigating factors. She also complianed chest tightness,
palpitations, dry mouth, poor sleep, breast swelling and dizziness duirng
menstruation. She had string ,thin and rapid pulse. the white fur and pale
red tongue. TCM diagnosis is liver qi invading stomach. The symptoms
relieve after TCM treatment,that prove the therapeutic effect of TCM in
epigastric fullness and other stomach symptoms
Keyword:epigastric fullness, liver qi invading stomach

62

201420(1)

 63

1 1 2 3
1

580 / 280

Astragalus membranaceus Bge.

Astragalus membranaceus Bge. var. mongholicus

320 /

(Bge.) Hsiao

Hydesarum polybotrys Hand.-Mazz.

25 4
0979110278
yrongchi@gmail.com

64

201420(1)

1.

4.

5.

2.

3.

1.
2

 65

2.

2
3.
T B

4.
TNF-
INF- IL-2
2,4
5.
2,4
6.

4
7.
2
8.
4
9.

10~15g
30~120g1

1.
2006
2.2000
3.
2010
4.
2012 33
5

66

201420(1)

The clinical applications and pharmacological effects of

Astragalus mongholicus
Julie C M Chen1, Chien-Lin Chen1, Ming-Chieh Wang2, Rong-Chi Yang3
1 Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi
Medical Foundation, Taiwan
2 Department of Pharmacy, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taiwan
3 Department of Pharmacy, Chang Gung Memorial Hospital Traditional Chinese
medicine, Taiwan

Abstract
Astragalus mongholicus, which the Shennongs Herbal Classic
firstly recorded it, is one of the most important Chinese herbs. In this
article, there is a summary of Astragalus mongholicus includes the
origins, important classics, clinical applications, and pharmacological
effects. It may give some good ideas when a clinician uses it.
Keyword:Astragalus mongholicus, clinical applications, harmacological
effects.

 67

1
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61 (
)

104
(02) 2231 0066
yeh1965@ms11.hinet.net

103
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68

201420(1)

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 69

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72

201420(1)

1 *

2010, Vol .53, No.3 37

 73

The Act and Regulations about Chinese medical

advertising.
Yu-shao Yeh
Bachelor of Chinese Medicine, China Medical University after graduation
National Taiwan University Law graduate placement
Wan Fang Hospital Oncology TCM Clinic
New era of Chinese medicine clinic, Yonghe

Abstract
Where will leave traces through the purpose of advertising is to spread
and to attract a particular person is not nearly into consumer regulations
in Taiwan is a part of "medical advertising" is not a commercial
advertising requirements, the difference was that "health care operations"
as execution. The "medical services" including "medical act" and
"medical institutions", this paper is to discuss (personnel, advertising
content includes institutions) of the Act for the protection and restraint
Chinese medical advertising.
Keyword: medical advertising, Act, Regulations

74

201420(1)

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et al
(Units of measure)
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1994167-72
2000295-302

20028(4)74-9
Tierney LM, Mcphee SJ, Papadakis MA: Current Medical Diagnosis & Treatment
2000, McGraw-Hill Companies, USA, 2000: 381-2.
2000 6000
A4 132
Email tccma100@ms81.hinet.net(02)2503-2877
(02)250706030988606486

 75

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