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한약 단독 치료로 호전된 소양인 환자의 도한 : 후향적 증례보고 6례한약 단독 치료로 호전된 소양인 환자의 도한 : 후향적 증례보고 6례

Herbal Medicine Treatment for Persistent Night Sweats in Soyangin Patients: A Retrospective Case Series

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Introduction This study is the first to report a significant improvement of Soyangin patients with persistent night sweats through herbal medicine treatment. Methods We reviewed the total of 6 Soyangin patients with moderate to severe persistent night sweats who visited the outpatient clinic. The patients received herbal medicine treatment alone for 4 to 9 weeks. We evaluated the treatment outcome using Night Sweats Degree criteria, developed by Lea and Aber(1985), every other 2 to 4 weeks. In addition, we recorded the treatment period from the first visit to symptom alleviation. Results Persistent night sweats improved significantly in all 6 Soyangin patients, and 4 out of 6 patients had better sleep quality after the treatment. It took 1 to 3 weeks until the symptom alleviated from moderate or severe to mild, and 3 to 7 weeks until the patients have no sign of night sweating. The progression of persistent night sweats and treatment period until no sign of symptom varied according to the Soyangin External and Internal disease diagnosis. Discussion The Soyangin patients having persistent night sweats treated with herbal medicines showed a significant improvement in their symptoms. This result proposes the possibility of using herbal medicine in primary care patients experiencing persistent night sweats.

Abstract

Introduction This study is the first to report a significant improvement of Soyangin patients with persistent night sweats through herbal medicine treatment. Methods We reviewed the total of 6 Soyangin patients with moderate to severe persistent night sweats who visited the outpatient clinic. The patients received herbal medicine treatment alone for 4 to 9 weeks. We evaluated the treatment outcome using Night Sweats Degree criteria, developed by Lea and Aber(1985), every other 2 to 4 weeks. In addition, we recorded the treatment period from the first visit to symptom alleviation. Results Persistent night sweats improved significantly in all 6 Soyangin patients, and 4 out of 6 patients had better sleep quality after the treatment. It took 1 to 3 weeks until the symptom alleviated from moderate or severe to mild, and 3 to 7 weeks until the patients have no sign of night sweating. The progression of persistent night sweats and treatment period until no sign of symptom varied according to the Soyangin External and Internal disease diagnosis. Discussion The Soyangin patients having persistent night sweats treated with herbal medicines showed a significant improvement in their symptoms. This result proposes the possibility of using herbal medicine in primary care patients experiencing persistent night sweats.

참고문헌 (12)

  1. J. W. Mold, "Night Sweats: A Systematic Review of the Literature", The Journal of the American Board of Family Medicine, 25(6), pp.878~893 (2012), American Board of Family Medicine (ABFM)[DOI]
  2. MICHELE J. LEA, "Descriptive Epidemiology of Night Sweats Upon Admission to a University Hospital", Southern Medical Journal, 78(9), pp.1065~1067 (1985), Southern Medical Association[DOI]
  3. The epidemiology of night sweats in a South Korean primary care population: a Chunan Network study, "Cheong YS", ~ (2002)
  4. Mold JW, "Prevalence of night sweats in primary care patients", The Journal of Family Practice, 51(5), pp.152~456 (2002)
  5. Bryce C, "Persistent Night Sweats : Diagnostic Evaluation", American Family Physician, 102(7), pp.427~433 (2020)
  6. 서웅, "發汗에 對한 四象醫學的 考察", 사상체질의학회지, 12(2), pp.56~66 (2000), 사상체질의학회
  7. 장현수, "身體形障碍을 호소하는 陰虛午熱證 소양인 治險 一例", 사상체질의학회지, 20(2), pp.119~128 (2008), 사상체질의학회
  8. 홍승민, "身熱頭痛 亡陰證으로 진단하여 荊防瀉白散으로 호전된 국소多汗症 환자 3례 보고", 사상체질의학회지, 26(4), pp.379~388 (2014), 사상체질의학회[DOI]
  9. 홍승민, "身寒腹痛 亡陰證 원발성 불면증 환자 3례 보고", 사상체질의학회지, 28(4), pp.350~360 (2016), 사상체질의학회[DOI]
  10. Viera AJ, "Diagnosing Night Sweats", American Family Physician, 67(5), pp.1019~1024 (2003)
  11. Mold JW, "Association Between Night Sweats and Other Sleep Disturbances : An OKPRN Study", Annals of Family Medicine, 4(5), pp.423~426 (2006)[DOI]
  12. J. W. Mold, "Associations Between Subjective Night Sweats and Sleep Study Findings", The Journal of the American Board of Family Medicine, 21(2), pp.96~100 (2008), American Board of Family Medicine (ABFM)[DOI]

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