중등도의 불면환자를 六味地黃湯(Liuwei Dihuang decoction)과 黃連解毒湯(Huanglian Jiedu Decoction) 병용 투여 및 배수혈 전침치료로 호전시킨 1례 : 증례보고
A Patient with Moderate Insomnia Improved after Treatment with Yukmijihwang-tang (Liuwei Dihuang tang), Hwangryunhaedok-tang (Huanglian Jiedu tang), and Electroacupuncture: A Case Report
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives: Insomnia is a common condition that causes deterioration of cognitive function and physical function and has a negative impact on quality of life. Insomnia is experienced by more than one-third of the population of the world. Although sleeping pills are currently used as therapeutic agents, they have side effects, so safer treatment methods are needed. Therefore, we report a case of an outpatient who sleeps only one hour a day due to insomnia. Methods: The patient visited Korean Medicine Hospital 10 times for four weeks and was treated with Korean medicine therapies, including electroacupuncture on the back-Shu points and herbal medicine (Yukmijihwang-tang and Hwangnyeonhaedok-tang). Treatment progress was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI). Results: After 29 days of treatment, the PSQI score decreased from 20 points and 14 points. The ISI score also decreased to decreased to 22 points from 26 points. The average daily sleeping time increased from 60 minutes to 197.1 minutes after treatment. No significant side effects were observed. Conclusions: Yukmijihwang-tang and Hwangnyeonhaedok-tang with electroacupuncture might be a recommended therapeutic option for insomnia patients.
Abstract
Objectives: Insomnia is a common condition that causes deterioration of cognitive function and physical function and has a negative impact on quality of life. Insomnia is experienced by more than one-third of the population of the world. Although sleeping pills are currently used as therapeutic agents, they have side effects, so safer treatment methods are needed. Therefore, we report a case of an outpatient who sleeps only one hour a day due to insomnia. Methods: The patient visited Korean Medicine Hospital 10 times for four weeks and was treated with Korean medicine therapies, including electroacupuncture on the back-Shu points and herbal medicine (Yukmijihwang-tang and Hwangnyeonhaedok-tang). Treatment progress was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI). Results: After 29 days of treatment, the PSQI score decreased from 20 points and 14 points. The ISI score also decreased to decreased to 22 points from 26 points. The average daily sleeping time increased from 60 minutes to 197.1 minutes after treatment. No significant side effects were observed. Conclusions: Yukmijihwang-tang and Hwangnyeonhaedok-tang with electroacupuncture might be a recommended therapeutic option for insomnia patients.
참고문헌 (19)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders (DSM-5®)" (2013), American Psychiatric Pub
- 손종석, "한방치료로 졸피뎀(Zolpidem) 복용을 중단한 불면증 환자 치료 1례", 대한한방내과학회지, 37(5), pp.750~754 (2016), 대한한방내과학회
- 김근엽, "加味歸脾湯으로 호전된 불면 환자 치험 1례", 대한한방내과학회지, 37(5), pp.822~830 (2016), 대한한방내과학회
- 김석주, "불면장애 진단과 치료의 최신 지견", 신경정신의학, 59(1), pp.2~12 (2020), 대한신경정신의학회[DOI]
- Fan X, "Efficacy and safety of Chinese herbal medicine Long Dan Xie Gan Tang in insomnia:A systematic review and meta-analysis", Medicine (Baltimore), 99(11), pp.e19410~ (2020)[DOI]
- Chen F, "Guizhi Gancao Longgu Muli decoction for insomnia:A protocol for a systematic review", Medicine (Baltimore), 99(9), pp.e19198~ (2020)[DOI]
- Hayhoe S, "Insomnia:can acupuncture help?", Pain Manag, 7(1), pp.49~57 (2017)[DOI]
- Lee MS, "Retrospective Survey on Therapeutic Efficacy of Qigong in Korea", Am J Chin Med, 31(05), pp.809~815 (2003)[DOI]
- 홍승민, "身寒腹痛 亡陰證 원발성 불면증 환자 3례 보고", 사상체질의학회지, 28(4), pp.350~360 (2016), 사상체질의학회[DOI]
- 김동희, "어혈로 변증된 불면증 환자의 치험례", 동의신경정신과학회지, 28(2), pp.137~143 (2017), 대한한방신경정신과학회
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- 주민경, "한국어판 두통영향 검사(Headache Impact Test-6)의 타당도 및 신뢰도 조사", 대한신경과학회지, 27(1), pp.1~6 (2009), 대한신경과학회
- Smelt AF, "What is a clinically relevant change on the HIT-6 questionnaire?An estimation in a primary-care population of migraine patients", Cephalalgia, 34(1), pp.29~36 (2014)
- Yoon JC, "The treatment of insomnia through stability of the autonomic nervous system", Journal of Haehwa Medicine, 18(2), pp.141~145 (2009)
- Huang ST, "Increase in the vagal modulation by acupuncture at neiguan point in the healthy subjects", The American journal of Chinese medicine, 33(01), pp.157~164 (2005)
- Hsu CC, "Effects of electrical acupuncture on acupoint BL15 evaluated in terms of heart rate variability, pulse rate variability and skin conductance response", The American journal of Chinese medicine, 34(01), pp.23~36 (2006)
- Hsu CC, "Evaluation of scalp and auricular acupuncture on EEG, HRV, and PRV", The American journal of Chinese medicine, 35(02), pp.219~230 (2007)
- Chang HH, "Biphasic effects of baicalin, an active constituent of Scutellaria baicalensis Georgi, in the spontaneous sleep–wake regulation", Journal of ethnopharmacology, 135(2), pp.359~368 (2011)
- Kuratsune H, "Effect of crocetin from Gardenia jasminoides Ellis on sleep:a pilot study", Phytomedicine, 17(11), pp.840~843 (2010)