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荊防地黃湯으로 증상 호전을 보인성인형 스틸병 후유증 少陽人 환자 1例

A Case Study of 1 Soyangin patient with sequence of Adult type Still's disease who reported symptomatic improvement after being treated with Hyeongbangjihwang-tang

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초록

1. Objective This study aims to report symptomatic improvement of a Soyangin patient reporting general weakness, dizziness, gait disturbance, cold sensitivity, nocturnal sweating, and anorexia after treatment with Hyeongbangjihwang-tang. 2. Method The patient's subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout the hospitalization period. 3. Result The general condition of the patient improved by the end of the hospitalization period, where the VAS score dropped from VAS 10 to VAS 5 and the symptoms of dizziness, general weakness, cold sensitivity, and nocturnal sweating disappeared by day 4 of admission without recurrence. 4. Conclusion Although the patient did not report diarrhea, one of the main Mangeum symptoms, the general symptoms improved with Hyeongbangjihwang-tang medication. This indicates that Hyeongbangjihwang-tang can be used to treat chief and subsidiary symptoms related to Mangeum symptomatic pattern when applied to the appropriate base and manifesting symptomology.

Abstract

1. Objective This study aims to report symptomatic improvement of a Soyangin patient reporting general weakness, dizziness, gait disturbance, cold sensitivity, nocturnal sweating, and anorexia after treatment with Hyeongbangjihwang-tang. 2. Method The patient's subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout the hospitalization period. 3. Result The general condition of the patient improved by the end of the hospitalization period, where the VAS score dropped from VAS 10 to VAS 5 and the symptoms of dizziness, general weakness, cold sensitivity, and nocturnal sweating disappeared by day 4 of admission without recurrence. 4. Conclusion Although the patient did not report diarrhea, one of the main Mangeum symptoms, the general symptoms improved with Hyeongbangjihwang-tang medication. This indicates that Hyeongbangjihwang-tang can be used to treat chief and subsidiary symptoms related to Mangeum symptomatic pattern when applied to the appropriate base and manifesting symptomology.

참고문헌 (11)

  1. 이동환, "성인형 스틸병", 가정의학회지, 28(3), pp.210~213 (2007), 대한가정의학회
  2. Yoo DH, "Adult Onset Still's Disease : Clinical Features and Prognostic Factors in Korea", Journal of the Korean Rheumatism Association, 5(1), pp.64~75 (1998)
  3. Hona AR, "Clinical Study on Adult Onset Still`s Disease: Analysis in 15 Cases", Journal of the Korean Rheumatism Association, 4(1), pp.60~69 (1997)
  4. Fautrel,B, "Adult onset Still`s disease" (2004), Orphanet encylcopedia
  5. Heo Jun, "Donguibogam", pp.81~ (1994), Namsnandang
  6. Lee Je-ma, "Dongeuisusebo -won Sasang Chobonkwon", pp.175~176 (2005), Jimoondang
  7. The National University Union of Sasang Constiutional Medicine Department, "Sasang Constitutional Medicine Revised Edition", pp.394~395 (2004), Jimoondang
  8. 박은아, "少陽人 亡陰證 환자의 治驗 2례", 사상체질의학회지, 18(3), pp.210~215 (2006), 사상체질의학회
  9. 이한얼, "荊防地黃湯 전탕액이 노화쥐의 신장, 비장, 방광 세포의 항산화능에 미치는 영향", 사상체질의학회지, 20(2), pp.85~97 (2008), 사상체질의학회
  10. 황지호, "荊防地黃湯의 임상적 활용", 사상체질의학회지, 20(3), pp.142~150 (2008), 사상체질의학회
  11. 한경석, "少陽人 藥理의 形成過程에 관한 硏究-『甲午本』과 『辛丑本』을 중심으로-", 사상체질의학회지, 18(3), pp.38~48 (2006), 사상체질의학회

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