『傷寒論』 小建中湯 투여 후 호전된 만성피로증후군 1례
A Case Report of Chronic Fatigue Syndrome Treated by Sogunjung-tang based on Shanghanlun
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Abstract
Objective: The purpose of this case study is to report the effect of Sogunjung-tang (SGJT) on Chronic Fatigue Syndrome (CFS) based on Shanghanlun diagnostic system. Methods: According to the diagnostic system based on the Shanghanlun provisions, the patient was interpreted as having the “Xinzhong Ji Er Fan (心中悸而煩)” pattern of provisions 102 and was treated with SGJT for 30 days. The treatment outcomes were evaluated using the Numeral Rating Scale (NRS) for palpitation, the Chalder Fatigue Scale (QOL-CFS), and changes in clinical symptoms. Blood tests including liver function were performed before the treatment to ensure safety. Results: After 30 days of SGJT administration, NRS for palpitation decreased from 9 at baseline to 0. The QOL-CFS score also improved from 28 at baseline to 5 after treatment. The patient reported marked improvement in fatigue, sleep quality, and daily functional capacity. No treatment-related adverse events or abnormal laboratory findings were observed during the treatment period. Conclusions: This study shows the effective treatment of Chronic Fatigue Syndrome using SGJT based on Shanghanlun provisions.