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황달을 동반한 급성 A형 간염 환자 3예의 변증 분형과 茵蔯의 응용 치료

Disease Pattern Identification in Oriental Medicine and Herb Medicine treatment for Acute Hepatitis A with Jaundice : Case Series of 3 Patients

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Hepatitis A is acute hepatitis caused by the hepatitis A virus (HAV), HAV is a non-enveloped 27nm, heat-, acid, and ether-resistant RNA virus in the Picornavirus family. HAV is transmitted primarily through fecal-oral route and the incidence rate of hepatitis A is closely related to environmental hygiene and socioeconomic condition. Recent improvements in sanitation, public health policies, and socioeconomic development in South Korea have had great impact on the incidence of hepatitis A, which natural production of antibodies against HAV and the prevalence of HAV antibody has decreased. However, during the past ten years, symptomatic HAV infection substantially increased among juveniles and young adults in their twenties and thirties, and hepatitis A has become one of the most common acute hepatitis. Though there has been no report on treatment of hepatitis A with jaundice by oriental medicine in South Korea, many studies and case reports on treatment of icteric hepatitis of which main symptom is jaundice have been published in other countries. To treat patients diagnosed with hepatitis or suspected cases in oriental medicine hospitals, we need to have concerned about hepatitis A. This report is disease pattern identification in oriental medicine and treatments of 3 patients who were diagnosed with acute hepatitis A and treated in oriental medicine hospital.

Abstract

Hepatitis A is acute hepatitis caused by the hepatitis A virus (HAV), HAV is a non-enveloped 27nm, heat-, acid, and ether-resistant RNA virus in the Picornavirus family. HAV is transmitted primarily through fecal-oral route and the incidence rate of hepatitis A is closely related to environmental hygiene and socioeconomic condition. Recent improvements in sanitation, public health policies, and socioeconomic development in South Korea have had great impact on the incidence of hepatitis A, which natural production of antibodies against HAV and the prevalence of HAV antibody has decreased. However, during the past ten years, symptomatic HAV infection substantially increased among juveniles and young adults in their twenties and thirties, and hepatitis A has become one of the most common acute hepatitis. Though there has been no report on treatment of hepatitis A with jaundice by oriental medicine in South Korea, many studies and case reports on treatment of icteric hepatitis of which main symptom is jaundice have been published in other countries. To treat patients diagnosed with hepatitis or suspected cases in oriental medicine hospitals, we need to have concerned about hepatitis A. This report is disease pattern identification in oriental medicine and treatments of 3 patients who were diagnosed with acute hepatitis A and treated in oriental medicine hospital.

참고문헌 (26)

  1. Brundage, S.C, "Hepatitis A", Am Fam Physician, 73, pp.2162~2168 (2006)
  2. 강형민, "단일 병원에서 경험한 최근 급성 바이러스간염의 원인 및 임상 양상", The Korean Journal of Hepatology, 13(4), pp.495~502 (2007), 대한간학회
  3. 송문희, "최근 3년간 급성 바이러스성 간염의 원인 분석", 대한내과학회지, 68(3), pp.256~260 (2005), 대한내과학회
  4. Le filliatre, P, "Fulminant hepatitis A in patients with chronic liver disease", Can J Public Heath, 91, pp.168~170 (2000)
  5. 이응준, "최근 2년간 발생한 급성 A형간염의 임상 특성에 관한 연구", 대한소화기학회지, 52(5), pp.298~303 (2008), 대한소화기학회
  6. Anthony, E, "Fiore, Heapatitis A transmitted by food", Food safty CID, 38(1), pp.705~715 (2004)
  7. Lednar, W.M, "Frequency of illness associated with epidemic hepatitis A virus infection in adults", Am J Epidemiol, 122, pp.226~233 (1985)
  8. Schiff, E.R, "Atypical clinical manifestations of hepatitis A", Vaccine, 20, pp.S18~S20 (1992)
  9. Mourani, S, "Hepatitis A virus-associated cholecystitis", Ann Intern Med, 120, pp.398~400 (1994)
  10. 郭修明, "中西醫結合治療 急性黃疸型 甲型肝炎 58例", 四川中醫, 22(5), pp.55~56 (2004)
  11. 段蓬勃, "中西醫結合治療 甲型肝炎 療效觀察", 中西醫結合與祖國醫學, 12(10), pp.922~923 (2008)
  12. 黃緖平, "自擬茵陳加味湯治療甲型肝炎 36例", 實用中西內科雜誌, 21(10), pp.34~35 (2007)
  13. 김좌민, "전격성 A형간염의 임상양상 및 자발생존에 관한 예측인자", The Korean Journal of Hepatology, 14(4), pp.474~482 (2008), 대한간학회
  14. S.G. Lee, "Clinical features of hepatitis A in Korean adults", Korean J Med, 56(6), pp.685~690 (1999)
  15. Ciocca, M, "Clinical course and consequences of hepatitis A infection", Vaccine, 18(1), pp.S71~74 (2000)
  16. Vento, S, "Fulminant hepatitis associated with hepatitis A virus superinfection in patients with chronic hepatitis C", N Engl J Med, 338, pp.286~290 (1998)
  17. Koff, R.S, "Clinical manifestations and diagnosis of hepatitis A virus infection", Vaccine, pp.S15~17 (1992)
  18. 陳貴廷, "實用中西醫結合診斷治療學", pp.163~173 (1991), 中國醫藥科技出版社
  19. 黃文東, "實用中醫內科學", pp.384~390 (1986), 上海科學技術出版社
  20. 王顯明, "中醫內科辨證學", pp.320~324 (1984), 人民衛生出版社
  21. 馬元臺, "黃帝內經素問靈樞合註", pp.543~557 (1978), 台聯國風出版社
  22. 楊維傑, "黃帝內經素問靈樞譯解", pp.522~552 (1980), 樂郡出版公司
  23. 張仲景, "仲景全書", pp.74~ (1973), 東方圖書公司
  24. 巢元方, "諸病源候論", pp.125~ (1982), 集文書局
  25. 楊醫亞, "中醫學問答", pp.320~ (1985), 人民衛生出版社
  26. 李培生, "傷寒論", pp.327~339 (1987), 人民衛生出版社

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