식도열공탈장을 동반한 위식도 역류성 질환 환자 치험 1례

Abstract

Hiatal hernia occurs when the upper part of the stomach moves up into the chest through a small opening in the diaphragm. It causes various symptoms(heart burn, chest pain, dysphagia, vomiting etc.) when it is associated with a condition called gastroesophageal reflux disease(GERD). In this occasion, complications included bleeding because of the erosion, ulceration and inflammation of the mucosa. For treatment, there are H2 blockers and proton pump inhibitors, but they have many side effects. In Oriental Medicine effectively treated cases are rare. Therefore, it is essential to seek radical agents and effective treatments for these disorders. In this case report, these disorders are approached by focusing on the deficit of“yin(陰)”especially "pi-yin(脾陰)". Desired results were seen with herbal medications which enhance the "yin(陰)", especially through "wuyin-jian(五陰煎)”which enhances the "pi-yin(脾陰)". This is reported to contribute to development of future treatments.