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中醫泌尿道保健檔案.pdf
- 9. 泌尿道感染症狀 圖片引用自：Health 2 Sync
- 13. 中醫治療 熱淋 石淋 氣淋 ⾎淋 膏淋 勞淋 主症 小便頻數，灼 熱刺痛，尿⿈ 黃⾚赤，小腹 拘急脹痛，口 苦腰痛拒按， 或有⼤便秘結 。 尿中時夾砂石 ，⼩便艱澀， 或排尿時突然 中斷，尿道窘 迫疼痛，少腹 拘急或腰腹絞 痛難忍，尿中 帶血。 實證表現為小 便澀滯、淋瀝 不暢，⼩腹滿 痛。虛證表現 為少腹墜脹， 尿有餘瀝，⾯ 色咣白。 實證表現為⼩ 便熱澀 刺痛， 尿⾊色深紅;或 夾有⾎血塊， 疼痛滿急 加劇 。 實證小便混濁 不清，呈乳糜 色，置之沉澱 如絮狀，上有 浮油如脂。 小便不甚⾚赤 澀，但淋澀不 ⽌止，時作時 ⽌止，遇勞即 發，腰酸膝軟 ，神疲乏⼒力 。 ⽅藥 八正散 黃連解毒湯 五味消毒飲 ⽯韋散 實：沉⾹散加 味 虛：補中益氣 湯 實：小薊飲⼦ 子 虛：知柏地⿈ 丸 實：萆薢分清 飲 虛：膏淋湯 無⽐山藥丸
- 14. 中醫治療 熱淋 石淋 氣淋 ⾎淋 膏淋 勞淋 主症 灼熱刺痛，尿⿈ 尿中時夾砂石 淋瀝不暢 ⼩便熱澀刺痛， 尿夾有⾎色或血 塊 小便混濁，置之 沉澱浮油 時作時⽌，遇勞 即發 ⽅藥 八正散 黃連解毒湯 五味消毒飲 ⽯韋散 實證用沉⾹散加 味 虛證⽤補中益氣 湯 加味。 小薊飲子 實證程氏萆薢分 清飲 虛證⽤膏淋湯 無⽐山藥丸 組成 瞿麥、萹蓄 ⽊通、⾞前⼦、 滑⽯ ⼤黃、梔⼦ 結⽯：加⾦錢草、 海⾦砂、砂仁或 合豬苓湯 少腹脹急：加烏 藥、川楝⼦ 中氣不⾜：加黨 參、⽩朮、黃耆 ⾎尿：加⼩薊、 ⽣地、旱蓮草、 ⽩茅根 萆薢 茯苓 益智仁 烏藥 ⽯菖蒲 ⽢草
- 16. ● 四神湯 ● 組成：四神 (茯苓30 克、蓮⼦30克、茨實 30克、⼭藥30克) ● 殘尿感、頻尿，排尿 疼痛。 藥膳
- 17. ● 冬瓜蛤蜊豬苓湯 ● 組成：冬瓜半⽄、蛤蜊半⽄、排骨半⽄、薑絲少許、豬苓 10 克、茯苓10克、澤瀉10克 ● 排尿困難、排尿痛，殘尿感、頻尿。 藥膳
- 18. 泌尿道穴道保健
- 20. 泌尿道穴道保健 三陰交 －⾜太陰脾經 ● 穴名： 三陰，指⾜太陰脾經、⾜厥 陰肝經、⾜少陰腎經三條陰經交會 處 ● 取穴： 內踝尖上3⼨(⼿四橫指處) ， 脛骨後緣凹陷處 。 ● 主治：⽉經不調、泌尿⽣殖系疾患、 濕疹。
- 24. 攝護腺肥⼤評估
- 32. 2013國際期刊PLOS One 臨床研究報告顯⽰ 電針治療中髎穴能改善攝護腺肥⼤患者臨床症狀。 Electroacupuncture for Moderate and Severe Benign Prostatic Hyperplasia: A Randomized Controlled Trial Yang Wang1 , Baoyan Liu2 , Jinna Yu1 , Jiani Wu1 , Jing Wang1 , Zhishun Liu1 * 1 Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China, 2 China Academy of Chinese Medical Sciences, Beijing, China Abstract Purpose: To evaluate the effects of electroacupuncture (EA) on the International Prostate Symptom Score (IPSS), postvoid residual urine (PVR), and maximum urinary flow rate (Qmax), and explore the difference between EA at acupoints and non- acupoints in patients with moderate to severe benign prostate hyperplasia (BPH). Subjects and Methods: Men with BPH and IPSS $8 were enrolled. Participants were randomly allocated to receive EA at acupoint (treatment group, n = 50) and EA at non-acupoint (control group, n = 50). The primary outcome measure includes the change of IPSS at the 6th week and the secondary outcome measures include changes of PVR and Qmax at the 6th week and change of IPSS at the 18th week. Results: 100/192 patients were included. At the 6th week, treatment group patients had a 4.51 (p,0.001) and 4.12 (p,0.001) points greater decline in IPSS than the control group in the intention to treat (ITT) and per-protocol (PP) populations. At the 18th week, a 3.2 points (p = 0.001) greater decline was found in IPSS for the treatment. No significant differences were found between the two groups in Qmax at the 6th week (p = 0.819). No significant difference was observed in PVR (P = 0.35). Conclusion: Acupoint EA at BL 33 had better effects on IPSS, but no difference on PVR and Qmax as compared with non- acupoint EA. The results indicate that EA is effective in improving patient’s quality of life and acupoint may have better therapeutic effects than non-acupoints in acupuncture treatments of BPH. Trial Registration: ClinicalTrials.gov NCT01218243. Citation: Wang Y, Liu B, Yu J, Wu J, Wang J, et al. (2013) Electroacupuncture for Moderate and Severe Benign Prostatic Hyperplasia: A Randomized Controlled Trial. PLoS ONE 8(4): e59449. doi:10.1371/journal.pone.0059449 Editor: Praveen Thumbikat, Northwestern University, United States of America Received November 14, 2012; Accepted February 12, 2013; Published April 12, 2013 Copyright: ! 2013 Wang et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Funding: This study is supported by a grant from the ‘‘Twelfth Five-Year Plan’’ of National Science and Technology Support Program (Project Number: 2012BAI24B01) and Guang’anmen Hospital (2009S208). No other potential conflict of interest related to this trial. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing Interests: The authors have declared that no competing interests exist. * E-mail: liuzhishun@yahoo.com.cn
- 34. 膀胱過動 04 Oh
- 36. 膀胱過動症 ● 中醫認為遺尿問題病位在膀胱，多為腎脾氣虛所致。 ● 《內經》:『膀胱者，州都之官，津液藏焉，氣化則能出矣。』 ● 「膀胱者，州都之官，津液藏焉，氣化則能出矣。然腎氣⾜則化， 腎氣不⾜則不化。⼈氣不化，則⽔歸⼤腸⽽為泄瀉。出氣不化， 則閉塞下焦⽽為癃腫。⼩便之利，膀胱主之，實腎氣主之也。」 ● 遺尿多為氣虛固攝無⼒，尿液因⽽不能固守。
- 37. 膀胱過動症 ● 腎氣虛寒： 久病傷陽，命⾨⾨⽕火衰，氣化無權，制約失 職所致 ● 肺脾氣虛： 久咳傷肺，肺氣虛損⽽⽽失治節，加之脾虛氣 陷，膀胱氣化失常所致 ● 膀胱蓄熱： 濕熱外邪⼊入裡，或嗜⻝食⾟辛熱肥⽢⽢釀成 濕熱下注，致膀胱氣化失司，約束不利 ● 肝腎陰虛： 肝腎陰虧，陰虛⽣⽣內熱，虛熱內擾，膀胱失 約
- 40. 中醫治療-雷射針灸 Research Article Laser Acupuncture Alleviates Symptoms and Improves Quality of Life in Women with Overactive Bladder: A Double-Blind, Pilot Randomized Controlled Trial Yu-Wei Chang,1 Tsia-Shu Lo,2,3,4 Hsin-Ning Chang,1,5 Yi-Hsien Shiao,1 and Yuan-Chieh Yeh 1,6 1 Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan 2 Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Linkou, Taoyuan, Taiwan 3 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan 4 Chang Gung University, School of Medicine, Taoyuan, Taiwan 5 Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan 6 Program in Molecular Medicine, School of Life Sciences, National Yang Ming University, Taipei, Taiwan Correspondence should be addressed to Yuan-Chieh Yeh; b9005030@gmail.com Received 21 January 2020; Revised 12 March 2020; Accepted 28 March 2020 Academic Editor: José L. Rios Copyright © 2020 Yu-Wei Chang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. The aim of this study was to investigate the clinical efficacy of laser acupuncture for the treatment of women with overactive bladder (OAB) in Taiwan. Methods. A double-blind randomized controlled trial was conducted on female patients with OAB symptoms referred from gynecologists, and subjects were divided into two groups using blocked randomization. LaserPan (RJ-Laser, Germany) was applied to seven selected acupuncture points. The subjects received laser acupuncture 3 times per week for 3 weeks, 9 sessions in total. Basic patient data, Overactive Bladder Symptom Score (OABSS), Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores were recorded prior to first treatment and at the end of 3rd , 6th , and 9th treatments. Results. Thirty patients were enrolled, and twenty-seven patients completed all treatments in this study. The OABSS total score of the experimental group decreased significantly by 3.13 (p ≤ 0.001), 4.60 (p ≤ 0.001), and 3.79 (p ≤ 0.001) after 3rd , 6th , and 9th treatments, respectively, compared with that of the control group. The IIQ-7 score declined significantly from baseline by 4.57 (p ! 0.003) and 3.63 (p ! 0.023) after 3rd and 6th treatments, respectively, compared with that of the control group. Similarly, the UDI-6 score of the experimental group exhibited a significant decrease from baseline by 1.90 (p ! 0.042) and 2.25 (p ! 0.025) after 6th and 9th in- terventions, respectively, compared with that of the control group. Conclusions. This study demonstrates that laser acupuncture can alleviate OAB symptoms and improve quality of life. This noninvasive device could be an effective therapy for women with OAB. 1. Introduction According to International Continence Society, the overactive ranges from 6.0 to 17.4% [2, 3] and increases with age [4]. OAB has become a major women health issue worldwide. In Taiwan, the age-adjusted prevalence of OAB is 16% in men 基隆長庚 研究成果
- 44. 凱格爾運動—步驟 1. 確認膀胱中的尿液已全部排出、清空 2. 縮緊骨盆底肌，維持收縮狀態約3~5秒。 3. 放鬆骨盆底肌，數3~5秒。 4. 練習同時應深呼吸、並保持⾝體放鬆，注意 胸部、腹部、⼤腿與臀部不可⽤⼒。 5. 重複10-15次，建議每天早、晚各練習⼀次。
- 45. 凱格爾運動-1 圖片引用自：Yoga For Pelvic Floor | Yoga With Adriene
- 47. 凱格爾運動-2 圖片引用自：Yoga For Pelvic Floor | Yoga With Adriene
- 48. 凱格爾運動-2 圖片引用自：Yoga For Pelvic Floor | Yoga With Adriene
- 49. 凱格爾運動-2 圖片引用自：Yoga For Pelvic Floor | Yoga With Adriene 維持收縮狀態約3~5秒
- 51. 凱格爾運動-3 圖片引用自：Yoga For Pelvic Floor | Yoga With Adriene
- 52. 凱格爾運動-3 圖片引用自：Yoga For Pelvic Floor | Yoga With Adriene
- 54. Credits: This presentation template was created by Slidesgo, including icons by Flaticon, and infographics & images by Freepik. Thanks! Do you have any questions? lovesunshine@cgmh.org.tw 長庚中醫內兒科主治醫師 郭純伶
- 55. Thank you