대장 무력증으로 진단된 서행성 변비 : 완하제 의존 환자의 한의치료 증례보고
Case Report: Traditional Korean Medical Treatment for Slow Transit Constipation Diagnosed as Colonic Inertia in a Laxative-Dependent Patient
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Objective: This case study reports on the effectiveness of traditional Korean medicine in treating slow transit constipation (STC) and colonic inertia. Methods: A 68-year-old male patient diagnosed with STC and colonic inertia received inpatient Korean medical treatments, including acupuncture, electroacupuncture, herbal medicine, and moxibustion, for approximately seven weeks. Changes in symptoms were evaluated using the Numeric Rating Scale (NRS) and the Gastrointestinal Symptom Rating Scale (GSRS), while quality of life was evaluated using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) and the EuroQol Visual Analog Scale (EQ-VAS). Results: After treatment, the patient showed significant improvement in constipation-related symptoms and quality of life. The NRS score for constipation-related discomfort decreased from 8 to 1, and the score for dyspepsia decreased from 5 to 0. The GSRS score improved from 23 to 16, indicating a reduction in gastrointestinal symptoms. The EQ-VAS score increased from 50 to 90 and the EQ-5D-5L index improved from 0.722 to 0.886, reflecting an improved quality of life. In addition, bowel movement frequency and stool consistency normalized without the need for laxatives. Conclusion: This study suggests that Korean medical treatment, including acupuncture, electroacupuncture, herbal medicine, and moxibustion, may be an effective therapeutic approach for patients with slow transit constipation and colonic inertia.
Abstract
Objective: This case study reports on the effectiveness of traditional Korean medicine in treating slow transit constipation (STC) and colonic inertia. Methods: A 68-year-old male patient diagnosed with STC and colonic inertia received inpatient Korean medical treatments, including acupuncture, electroacupuncture, herbal medicine, and moxibustion, for approximately seven weeks. Changes in symptoms were evaluated using the Numeric Rating Scale (NRS) and the Gastrointestinal Symptom Rating Scale (GSRS), while quality of life was evaluated using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) and the EuroQol Visual Analog Scale (EQ-VAS). Results: After treatment, the patient showed significant improvement in constipation-related symptoms and quality of life. The NRS score for constipation-related discomfort decreased from 8 to 1, and the score for dyspepsia decreased from 5 to 0. The GSRS score improved from 23 to 16, indicating a reduction in gastrointestinal symptoms. The EQ-VAS score increased from 50 to 90 and the EQ-5D-5L index improved from 0.722 to 0.886, reflecting an improved quality of life. In addition, bowel movement frequency and stool consistency normalized without the need for laxatives. Conclusion: This study suggests that Korean medical treatment, including acupuncture, electroacupuncture, herbal medicine, and moxibustion, may be an effective therapeutic approach for patients with slow transit constipation and colonic inertia.