『傷寒論』 桂枝加大黃湯을 처방하여 호전된 불면장애 환자 1례 보고
A Case Report of a Patient with Insomnia disorder who Improved after prescribing Shanghanlun Geijigadaehwang-tang
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Purpose: This case report discusses an 86-year-old female patient who visited a Korean medicine clinic due to insomnia disorder. It aims to provide clinical insights on the therapeutic application of Geijigadaehwang-tang, as described in the Shanghanlun. Methods: The therapeutic effect of Geijigadaehwang-tang was evaluated by the visual analogue scale and the patient's statement. The correlation between Provision 279 '爾' and this case was examined. Results: The patient was treated with Geijigadaehwang-tang over two periods (45 days + 15 days) totaling 60 days. During this treatment, her insomnia symptoms improved, including increased total sleep time, reduced awakenings, and a decrease in nonrestorative sleep. Additionally, the frequency of nocturia was significantly reduced. No notable side effects were reported during the treatment period. The ‘爾’ of Provision 279 in the Shanghanlun was interpreted in this case as being associated with strained interpersonal relationships, which appeared to influence and exacerbate neuropsychiatric symptoms. Conclusion: Geijigadaehwang-tang proved to be effective and safe in the treatment of insomnia disorder in this case.
Abstract
Purpose: This case report discusses an 86-year-old female patient who visited a Korean medicine clinic due to insomnia disorder. It aims to provide clinical insights on the therapeutic application of Geijigadaehwang-tang, as described in the Shanghanlun. Methods: The therapeutic effect of Geijigadaehwang-tang was evaluated by the visual analogue scale and the patient's statement. The correlation between Provision 279 '爾' and this case was examined. Results: The patient was treated with Geijigadaehwang-tang over two periods (45 days + 15 days) totaling 60 days. During this treatment, her insomnia symptoms improved, including increased total sleep time, reduced awakenings, and a decrease in nonrestorative sleep. Additionally, the frequency of nocturia was significantly reduced. No notable side effects were reported during the treatment period. The ‘爾’ of Provision 279 in the Shanghanlun was interpreted in this case as being associated with strained interpersonal relationships, which appeared to influence and exacerbate neuropsychiatric symptoms. Conclusion: Geijigadaehwang-tang proved to be effective and safe in the treatment of insomnia disorder in this case.
참고문헌 (26)
- American psychiatric association, "Diagnostic and statistical manual of mental disorders", pp.445~524 (2023), Hakjisa
- Kim SJ, "Recent advances in diagnosis and treatment of insomnia disorder", J Korean Neuropsychiatr Assoc, 59(1), pp.2~12 (2020)[DOI]
- Ahn DH, "Insomnia : causes and diagnosis", Hanyang Med Rev, 33, pp.203~209 (2013)[DOI]
- Kim L, "Recent changes in the concept of treatment of insomnia", J Korean Med Assoc, 58(4), pp.321~329 (2015)[DOI]
- "Insomnia"[URL]
- The Text Compilation Committee of National Oriental Medicine University of Oriental Neuropsychiatry, "Oriental Neuropsychiatry", pp.243~ (2005), Jipmoondang
- Kim DH, "Herbal medicine(Hyeolbuchukeo-tang, Xuefu Zhuyu Decoction)for insomnia disorder : a systematic review and meta-analysis of randomized controlled trials", J of Oriental Neuropsychiatry, 28(4), pp.319~332 (2017)[DOI]
- Sakong JW, "Herbal medicine(Cheonwangbosim-dan, Tianwangbuxin-pellet)for insomnia disorder : a systematic review and meta-analysis of randomized controlled trials", J of Oriental Neuropsychiatry, 29(4), pp.267~280 (2018)[DOI]
- Kim DH, "A study on homogeneity analysis of the Guipi decoction for treatment of insomnia disorder-focusing on randomized controlled clinical trials in CNKI", J of Oriental Neuropsychiatry, 29(3), pp.145~163 (2018)[DOI]
- Moon JJ, "Shanghanlunjeonghae", pp.536~539 (2014), Haneuimunhwasa
- Lee SI, "The comparison of Shanghanlun", pp.51~ (2020), KMediACs Press
- Otsuka K., "The practice of herbal medicine treatment according to symptoms", pp.44~466 (2013), Euibang publication
- Lee S, "Neuroprotective effect of Geijigadaehwang-tang against trimethyltin-induced hippocampal neurodegeneration : An in vitro and in vivo study", Journal of Ethnopharmacology, 296, pp.115451~ (2022)[DOI]
- Heo J, "Two cases of hyperhidrosis treated by Gyejigajagyak-tang based on Shanghanlun provisions", Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, 12(1), pp.111~123 (2020)
- Ha HY, "A study on Greater yin disease in Gangpyeong-shanghanlun by analyzing four mental illness cases", Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, 12(1), pp.23~50 (2020)
- Yun HJ, "Case series reporting 7 somatic symptom disorder cases diagnosed as Greater yin disease by Shanghanlun provisions", Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, 13(1), pp.45~59 (2021)
- Cho SH, "5 Neuropsychiatric disorder cases diagnosed and treated as Greater yin disease based on Disease Pattern Identification Diagnostic System by Shanghanlun provisions", Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, 15(1), pp.53~84 (2023)
- Lim JE, "A case report form based on Shanghanlun six clinical patterns and provisions", Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, 5(1), pp.1~17 (2013)
- Lee SI, "The comparison of Shanghanlun", pp.51~ (2020), KMediACs Press
- "G47.0 Disorders of initiating and maintaining sleep"[URL]
- "Chinese Etymology"[URL]
- Ha YS, "Hanjaeowonsajeon", pp.517~ (2014), Publication 3
- Roth T, "Insomnia: definition, prevalence, etiology, and consequences", J Clin Sleep Med, 3(5 Suppl), pp.S7~S10 (2007)
- The textbook committee of Herbal Formula Science, "Herbal Formula Science in Korean Medicine", pp.279~281 (2020), Koonja Publishinc company
- Leng S, "Self-reported insomnia symptoms are associated with urinary incontinence among older Indian adults : evidence from the Longitudinal Ageing Study in India(LASI)", BMC Public Health, 23(1), pp.552~ (2023)[DOI]
- Heo J, "Donguibogam", pp.241~ (1999), Bubin Publishers