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Abstract AI-Helper 아이콘AI-Helper

Objectives: A previous study showed that bee venom (BV) could cause anaphylaxis or other hypersensitivity reactions. Although hypersensitivity reactions due to sweet bee venom (SBV) have been reported, SBV has been reported to be associated with significantly reduced sensitization compared to BV. Al...

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제안 방법

  • 8. Because the patient continued to complain of severe abdominal pain, nausea, and coldness, a hot bad was applied (3:15 pm), followed 15 minutes later by infrared treatment (3:30 pm). About one-half hour later (4:00 pm), she continued to complain of abdominal pain, coldness and nausea, but the abdominal pain was slightly relieved.
  • The patient was unable to straighten her legs while lying on her side because of abdominal pain. She continued to complain of nausea, chest discomfort and dyspnea. Dexamethasone, 5 mg/mL, was injected intramuscularly.
  • In the morning two days later, April 28, a decision was made to use SBV. That afternoon (1:25 pm) SBV treatment was started, with 0.05 cc of SBV being injected at each of the following 8 acupoints, for a total dose of 0.40 cc: Jichang (ST4), Daeyeong (ST5), Hyeopgeo (ST6), Hagwan (ST7), Yepung (TE17), Imun (TE21), Cheonghoe (GB2), and Gwallyeo (SI18). Almost immediately after the SBV treatment (2:25 pm), the patient complained of hot flashes in her palms and face.
  • Dexamethasone, 5 mg/mL, was injected intramuscularly. The patient remained mentally alert, with vital signs of 40/-, 54, 24, 36.3 and oxygen saturation (SPO2) of 98%. The patient still complained of abdominal pain, nausea, chest discomfort and dyspnea, and she was perspiring profusely over her entire body.
  • About one-half hour later (4:00 pm), she continued to complain of abdominal pain, coldness and nausea, but the abdominal pain was slightly relieved. The patient then complained of palpitations, so an electrocardiography (EKG) was done and showed sinus arrhythmia, varied rate 49 ─ 76, borderline st elevation, and inferior leads. After another one-half hour (4:30 pm), the abdominal pain was reduced, the nasal prong was removed, and the supine position was possible; however, she still complained of coldness, so the infrared treatment was continued.

대상 데이터

  • The patient’s medical history and other pertinent information were obtained (Table 1), and after an examination, the patient was admitted to acupuncture & moxibustion department at Semyung university hospital of Oriental medicine (Je-cheon, Korea).
  • The patient, a 43-year-old female, visited out hospital on April 23, 2014. The patient’s medical history and other pertinent information were obtained (Table 1), and after an examination, the patient was admitted to acupuncture & moxibustion department at Semyung university hospital of Oriental medicine (Je-cheon, Korea).
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참고문헌 (19)

  1. 1 Korean Pharmacopuncture Institute [Pharmacopuncturology: principles and clinical application] ElsevierKorea LLC Seoul 2012 148 Korean 

  2. 2 Kwon KR Koh HK Kim CH [The study of the introduction of bee venom acupuncture, biochemistry and pharmachology have been obtained the following results] The Acupuncture 1994 11 1 159 171 Korean 

  3. 3 Kim JY Koh HK Kim YS Park YB Kim CH Kang SK [Reviews of recent research on bee venom therapy] The Acupuncture 1997 14 2 47 71 Korean 

  4. 4 Korean Pharmacopuncture Institute [Pharmacopuncturology] ElsevierKorea LLC Seoul 2012 165 Korean 

  5. 5 Kim SJ [Immunology assistant] Korea Medical Publisher Seoul 2000 1 4 Korean 

  6. 6 Seoul National University College of Medicine [Immunology] Seoul National University Publisher Seoul 1997 165, 167-169 Korean 

  7. 7 Galera C Soohun N Zankar N Caimmi S Gallen C Demoly P Severe anaphylaxis to bee venom immunotherapy J Investig Allergol Clin Immunol 2009 19 3 225 229 

  8. 8 Hwang YJ Lee BC [Clinical study of anaphylaxis on bee-venom acupuncture] The Acupuncture 2000 17 4 149 159 Korean 

  9. 9 Choi YC Kwon KR Choi SH [Purification of peptide components including melittin from bee venom using gel filtration chromatography and propionic acid/urea polyacrylamide gel electrophoresis] J Pharmacopuncture 2006 9 2 105 111 Korean 

  10. 10 Kwon KR Choi SH Cha BC [Component analysis of sweet BV and clinical trial on antibody titer and allergic reactions] J Pharmacopuncture 2006 9 2 79 86 Korean 

  11. 11 Lee JS Lee JY Kwon KR Lee HC [A study on allergic response between bee venom and sweet bee venom pharmacopunture] J Pharmacopuncture 2006 9 3 61 77 Korean 

  12. 12 Youn HM [The clinical observation of anaphylaxis on bee venom acupuncture] The Acupuncture 2005 22 4 179 188 Korean 

  13. 13 Lee JS An CS Kwon GR [A clinical study on the cases of he pain shock patients after Korean bee venom therapy] J Pharmacopuncture 2001 4 3 109 117 Korean 

  14. 14 Kwon GR Kang KS Lee KH Lim CS Jeong HS Kwon HY [Clinical observation of anaphylaxis after treated with sweet BV] J Pharmacopuncture 2009 12 2 85 90 Korean 10.3831/KPI.2009.12.2.085 

  15. 15 Kim CW Lee YH Lee KH [The case report an anaphylaxis occurred when using sweet bee venom and common bee venom at the same time] J Pharmacopuncture 2011 14 4 59 61 Korean 10.3831/KPI.2011.14.4.059 

  16. 16 Parham P The immune system Life Science Publishing Lehi 2011 366 

  17. 17 Abul KA Andrw HL Basic immunology updated edition Elsevier Inc San Diego 2010 206, 246 

  18. 18 Lim CS Park WP Jang SB Choi YC Park DI Kwon KR et al [Clinical studies of sweet bee venom to the effect of abdominal fat accumulation] J Pharmacopuncture 2008 11 2 55 62 Korean 

  19. 19 Song GY Kim MK Ji JK Core pathology Korea Medical Publisher Seoul 155 156 Korean 

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