銀花連翹湯을 투여한 기침 환자에 대한 후향적 연구
Retrospective Study of Patients with Cough Treated with Eunhwayeongyo-tang
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Objectives: This study was designed to analyze the treatment effects of Eunhwayeongyo-tang through retrospective chart reviews. We also checked the correlation between each pair of variables of the symptoms and curative rates of patients with cough. Methods: Thirty-three patients with cough who had satisfied the selection criteria were retrospectively reviewed through their basic medical records, nasal endoscopy, and questionnaires about cough on their first and second visits. The questionnaires used were “The questionnaire on clinical symptoms of cough & sputum”, Leicester Cough Questionnaire Korean Version (LCQ-K), Total Nasal Symptom Scores (TNSS), Visual Analog Scale (VAS), and “Cold-heat patterns”. The improvement rate, calculated by “The questionnaire on clinical symptoms of cough & sputum” was considered to be clinically effective if reduction of symptoms scored more than 30%. The state of nasopharyngeal mucosa was assessed to categorize the cold-heat patterns of the upper respiratory tract and for diagnosis. Results: According to this study, cough and sputum improved by 57.22±37.76%. Most patients (76%) improved significantly after 12.18±6.59 days of taking Eunhwayeongyo-tang. The cure rates of 26 patients among the 33 patients were judged as effective. All the mean scores of the questionnaires and the anterior nasal cavity states were significantly improved on the patients’ second visits. After 18.39±15.68 days, 30 patients were completely cured and ended treatment. The nasopharyngeal mucosa states of all patients were categorized as heat patterns. Conclusions: The conditions of the patients with nasopharyngitis significantly improved after taking Eunhwayeongyo-tang. All of the patients had pharyngitis or rhinitis. The cold-heat pattern of nasopharyngeal mucosa was a significant indicator of upper respiratory inflammation diagnosis.
Abstract
Objectives: This study was designed to analyze the treatment effects of Eunhwayeongyo-tang through retrospective chart reviews. We also checked the correlation between each pair of variables of the symptoms and curative rates of patients with cough. Methods: Thirty-three patients with cough who had satisfied the selection criteria were retrospectively reviewed through their basic medical records, nasal endoscopy, and questionnaires about cough on their first and second visits. The questionnaires used were “The questionnaire on clinical symptoms of cough & sputum”, Leicester Cough Questionnaire Korean Version (LCQ-K), Total Nasal Symptom Scores (TNSS), Visual Analog Scale (VAS), and “Cold-heat patterns”. The improvement rate, calculated by “The questionnaire on clinical symptoms of cough & sputum” was considered to be clinically effective if reduction of symptoms scored more than 30%. The state of nasopharyngeal mucosa was assessed to categorize the cold-heat patterns of the upper respiratory tract and for diagnosis. Results: According to this study, cough and sputum improved by 57.22±37.76%. Most patients (76%) improved significantly after 12.18±6.59 days of taking Eunhwayeongyo-tang. The cure rates of 26 patients among the 33 patients were judged as effective. All the mean scores of the questionnaires and the anterior nasal cavity states were significantly improved on the patients’ second visits. After 18.39±15.68 days, 30 patients were completely cured and ended treatment. The nasopharyngeal mucosa states of all patients were categorized as heat patterns. Conclusions: The conditions of the patients with nasopharyngitis significantly improved after taking Eunhwayeongyo-tang. All of the patients had pharyngitis or rhinitis. The cold-heat pattern of nasopharyngeal mucosa was a significant indicator of upper respiratory inflammation diagnosis.
참고문헌 (37)
- Jeongdam editorial department, "Steps to Internal Medicine, pulmonology 4", pp.24~25 (2013), Jeongdam
- Andersson M, "Objective monitoring of the allergic inflammatory response of the nasal mucosa in patients with hay fever during natural allergen challenge", Am Rev Respir Dis, 139, pp.911~914 (1989)
- Gong TX, "(Enlargement)Man-Byeong-Hoi-Chun (volume two)", pp.12~14 (1994), Iljungsa
- 장보형, "국내 한방병원의 알레르기 비염 환자 현황에 대한 탐색적 연구 - 3개 대학한방병원의 전자의무기록 자료를 중심으로", 한방안이비인후피부과학회지, 27(1), pp.117~129 (2014), 대한한방안이비인후피부과학회
- 박정훈, "알레르기 비염 유발 생쥐에 대한 荊芥連翹湯의 iNOS 생성 억제 효과", 한방안이비인후피부과학회지, 25(1), pp.12~21 (2012), 대한한방안이비인후피부과학회
- Shin SY, "Effects of Hyunggyeyungyotang and Kamihyunggyeyungyotang administration on the anti-inflammation, analgesia and anti-allergic reaction in mice", WJ Pediatr Korean Med, 11(1), pp.249~273 (1997)
- Kyung Hee University Korean Medicine Hospital, "Kyung Hee Korean Medicine Prescription", pp.491~ (1997), Twin planning
- 김용, "금은화에 대한 최근 10년의 연구 동향", 한의학연구소 논문집, 19(1), pp.17~23 (2010), 한의학연구소
- 이희범, "기침에 대한 비내시경을 이용한 寒熱辨證의 임상적 가치평가", 대한한방내과학회지, 35(3), pp.274~287 (2014), 대한한방내과학회
- Ministry of Food and Drug Safety, "Herbal medicine Evaluation Department. Guidelines for Crude Drugs(Korean Medicine) Clinical Trial :Antitussive, Mucolytic Agents", pp.3~ (2008), Ministry of Food and Drug Safety;
- Ministry of Food and Drug Safety, "Research on outcome indicators for clinical trials of herbal medicinal products", pp.84~88 (2006), Ministry of Food and Drug Safety
- Miyamoto T, "Effect of TSUMURA Sho-seiryu-to (TJ-19) on bronchitis in a double-blind placebo-controlled study", J Clin Ther Med, 17, pp.1189~1214 (2001)
- Jeong DJ, "Korean medicinal Endoscopy", pp.6~ (2008), Joomin
- 윤영희, "비내시경을 활용한 알레르기 비염 환자의 전비경 소견 평가 척도 개발", 대한예방한의학회지, 17(1), pp.199~207 (2013), 대한예방한의학회
- Han JM, "Reliability and validity of Leicester Cough Questionnaire Korean version", Chron Respir Dis, 11(3), pp.147~152 (2014)
- French CL, "Impact of chronic cough on quality of life", Arch Intern Med, 158(15), pp.1657~1661 (1998)
- Spinou A, "An update on measurement and monitoring of cough: what are the important study endpoints?", J Thorac Dis, 6(S7), pp.S728~S734 (2014)
- Adamopoulos G, "A comparison of the efficacy and patient acceptability of budesonide and beclomethasone dipropionate aqueous nasal sprays in patients with perennial rhinitis", Clin Otolaryngol, 20(4), pp.340~344 (1995)
- Ryu HH, "Reliability and validity of a cold heat pattern questionnaire for traditional chinese medicine", J Altern Complement Med, 16(6), pp.663~667 (2010)
- Kim SK, "Development of Questionnarire for Cold-Heat Patternization", The Journal of the Society of Korean Medicine Diagnostics, 7(1), pp.64~75 (2003)
- An JE, "Medical⋅Public Health Statistical Analysis", pp.261~423 (2000), KoRyeo Information Industry
- Chung KF, "Approach to chronic cough : the neuropathic basis for cough hypersensitivity syndrome", J Thorac Dis, 6(Suppl 7), pp.S699~S707 (2014)
- 김호중, "겨울철 감기의 감별 진단 및 처방례", 대한내과학회지, 76(1), pp.30~32 (2009), 대한내과학회
- KAPHD, "KAPHD’s manual for public health doctor", pp.159~ (2011), Wendseday
- 김철우, "만성기침을 일으키는 흔한 기도질환", 대한내과학회지, 78(6), pp.665~669 (2010), 대한내과학회
- Polosa R, "Bronchial hyperresponsiveness and airwayinflammation markers in nonasthmatics with allergic rhinitis", Eur Respir J, 15, pp.30~35 (2000)
- Slavin RG, "The upper and lower airways: the epidemiological and pathophysiological connection", Allergy Asthma Proc, 29, pp.553~ (2008)
- Boulet LP, "Physiopathology of Airway Hyperresponsiveness", Current Allergy and Asthma Reports, 3(2), pp.166~171 (2003)
- Shin JY, "Bang-Yak-Hap-Pyun Explanation", pp.169~ (1989), Sin Gwang Mun Hwa Sa
- Blom HM, "Mast cells, eosinophils and IgE-positive cells in the nasal mucosa of patients with vasomotor rhinitis", Eur Arch Otorhinolaryngol, 252(1), pp.33~39 (1995)
- Powe DG, "Evidence for an inflammatory pathophysiology in idiopathic rhinitis", Clin Exp Allergy, 31, pp.864~ (2001)
- Srivastava K, "Anti-asthma simplified herbal medicine intervention induced long-lasting tolerance to allergen exposure in an asthma model is interferon-gamma, but not transforming growth factor-beta dependent", Clin Exp Allergy, 40(11), pp.1678~1688 (2010)
- Jian WY, "Therapeutic wisdom in traditional chinese medicine: a perspective from modern science", Discov Med, 5(29), pp.455~461 (2005)
- Bae NS, "Preceding Studies for Questionnaires on Han-Yol Patternization", J Korean Orient Med Diagn, 9(1), pp.98~111 (2005)
- Kim DH, "Yellow Emperor’s Inner Canon(volume one)", pp.726~ (2001), Eui Seong Dang
- Byun YS, "Effects of So-cheong -ryong-tang and Yeon-gyo-pae-dok-san on the common cold: Randomized, double blind, placebo controlled trial", J Ethnopharmacol, 133(2), pp.642~646 (2011)
- Wong W, "Treatment effectiveness of two Chinese herbal medicine formulae in upper respiratory tract infections-a randomized double-blind placebo-controlled trial", Fam Pract, 29(6), pp.643~652 (2012)
