[논문]Therapeutic Effect of Nangan-geon for an Elderly Patient with Refractory Abdominal Pain: a Case Report

Son, Chang-Gue

doi:10.13048/jkm.22023

[국내논문] Therapeutic Effect of Nangan-geon for an Elderly Patient with Refractory Abdominal Pain: a Case Report 원문보기

Journal of Korean Medicine = 대한한의학회지, v.43 no.2, 2022년, pp.110 - 116

Son, Chang-Gue (Liver and Immunology Research Center, Oriental Medical College in Daejeon University)

Abstract ▼ AI-Helper

Objectve: To inform a clinical usefulness of Nangan-geon (暖肝煎) decoction to treat a refractory abdominal pain especially in eldery. Methods: This case report presents an 85-year old male patient who had been suffered with a refractory abdominal pain without any abnormality in laboratory test and radiological examination for 5-years. The clinical outcome was observed by numerical rating scale (NRS) of self-reporting method. Results: Based on his previous multiple normal examination results from Western hospitals and clinical features including thin body (19.6 BMI), nocturnal pain around lower abdomen and cold-sensitivity, author diagnosed him as "deficiency and cold of liver-Qi (肝氣虛寒)" similar to intestinal spasm. After prescription with Nangan-geon (暖肝煎) for one month, all symptoms became improved notably (NRS 5), and almost completely recovered as a level of normal condition in 3 months (NRS 1). Conclusion: This study would show the potential of traditional Korean medicine (TKM) therapies for a refractory functional abdominal pain, and especially efficacy of Nangan-geon against cold-pattern of nonspecific abdominal pain in elderly patients.

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표/그림 (3)

그림 Fig. 1. Radiological findings and body temperature imaging. No specific abnormality was found in simple abdominal X-ray, supine (A) and erect position (B). The cold-pattern was appeared around lower extremity and lower abdomen from digital infrared thermal imaging (C).
그림 Fig. 2. Summary of clinical outcome and treatment course
표 Table 1. Composition of Nangan-jeon

참고문헌 (21)

Leuthauser, A & McVane, B. (2016). Abdominal Pain in the Geriatric Patient. Emerg Med Clin North Am. 34(2), 363-375. https://doi:10.1016/j.emc.2016.04.008.

상세보기
Martinez, J. P. & Mattu, A. (2006). Abdominal pain in the elderly. Emerg Med Clin North Am. 24(2), 371-388. https://doi:10.1016/j.emc.2006.01.010.

상세보기
Henden, Cam. P., Baydin, A., Yuruker, S., Erenler, A. K. & Senguldur, E. Investigation of Geriatric Patients with Abdominal Pain Admitted to Emergency Department. (2018). Curr Gerontol Geriatr Res. 2018, 9109326. https://doi:10.1155/2018/9109326.

상세보기
Lacey, J. I., Hughes, R. M. & Noble, V. (2019). Abdominal Pain in the Elderly: An Unusual Case of Chronic Mesenteric Ischemia in the Emergency Department. Clin Pract Cases Emerg Med. 3(3), 275-277. https://doi:10.5811/cpcem.2019.5.41886.

상세보기
Hustey, F. M., Meldon, S. W., Banet, G. A., Gerson, L. W., Blanda, M. & Lewis, L. M. (2005). The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med. 23(3), 259-265. https://doi:10.1016/j.ajem.2005.02.021.

상세보기
Laurell, H., Hansson, L. E. & Gunnarsson, U. (2006). Acute abdominal pain among elderly patients. Gerontology. 52(6), 339-344. https://doi:10.1159/000094982.

상세보기
Bharucha, A. E. & Camilleri, M. (2001). Functional abdominal pain in the elderly. Gastroenterol Clin North Am. 30(2), 517-529. https://doi:10.1016/s0889-8553(05)70193-x.

상세보기
Chang, C. C. & Wang, S. S. (2007). Acute abdominal pain in the elderly. Int J Gerontology. 1(2), 77-82. https://doi:10.1016/S1873-9598(08)70026-7.

상세보기
Poulin, M. F. & Yegneswaran, B. (2011). Acute abdominal pain in an elderly patient. J Fam Pract. 60(12), 755-756. https://pubmed.ncbi.nlm.nih.gov/22163359/.

상세보기
Gun, B., Yolcu, S., Degerli, V., Elcin, G., Tomruk, O., Erdur, B., et al. (2014). Multi-detector angio-CT and the use of D-dimer for the diagnosis of acute mesenteric ischemia in geriatric patients. Ulus Travma Acil Cerrahi Derg. 20(5):376-81. https://doi:10.5505/tjtes.2014.57639.

상세보기
Eom, H. D., Oh, S. S., Park, S. H., Yoo, S. I., Jung, J. H. & Won, H. S. (2009). Clinical Analysis of Elderly Patients with Acute Abdominal Pain in Emergency Department. J Korean Geriatr Soc. 13(2), 89-94. https://doi.org/10.4235/jkgs.2009.13.2.89.

상세보기
Zhu, C. P., Jiang, F., Wang, R.Q., Guo, X. Z., Hou, X. H., Xu, H., et al. (2017). Comparison of efficacy and safety of hyoscine butylbromide versus anisodamine for acute gastric or intestinal spasm-like pain: A randomized, double-blinded, multicenter Phase III trial. J Dig Dis. 18(8), 453-460. https://doi:10.1111/1751-2980.12504.

상세보기
MedicalNewsToday, What to know about colon spasms. Available from: https://www.medicalnewstoday.com/articles/colon-spasm.
Ge, Z., Yuan, Y., Zhang, S., Hou, X., Wang, J., Cai, J., et al. (2011). Schaefer E. Efficacy and tolerability of two oral hyoscine butylbromide formulations in Chinese patients with recurrent episodes of self-reported gastric or intestinal spasm-like pain. Int J Clin Pharmacol Ther. 49(3), 198-205. https://doi:10.5414/cp201485.

상세보기
He, J., Huang, M., Zhang, Q., Liao, W., Wang, L. & Zhang, Y. (2004). Treatment of unstable angina pectoris with modified nuan gan jian--a report of 33 cases. J Tradit Chin Med. 24(4), 263-265. https://pubmed.ncbi.nlm.nih.gov/15688691/.

상세보기
Han, J. H., Woo, S. H., Park, Y. K. & Lee, H. J. (2021). Korean medicine treatment, including Nangan-jeon, of chronic constipation and abdominal pain in Lambert-Eaton myasthenic syndrome: A case report. J of Herbal Formula Sci. 29(4):321-329. https://doi.org/10.14374/HFS.2021.29.4.321.

원문보기 상세보기
Lee, S. H. & Lee, Y. H. (2013). Case Reports of Treatment of Nangan-jeon for Female Infertility. J Naturopathy. 2(1), 83-88.
Bosque, J. J., Calvo, G. F., Perez-Garcia, V. M. & Navarro, M. C. (2021). The interplay of blood flow and temperature in regional hyperthermia: a mathematical approach. R Soc Open Sci. 8(1), 201234. https://doi:10.1098/rsos.201234.

상세보기
Krauchi, K. & Wirz-Justice, A. (2001). Circadian clues to sleep onset mechanisms. Neuropsy-chopharmacology. 25, S92-96. https://doi:10.1016/S0893-133X(01)00315-3.

상세보기
Korean Statistical Information Service. Population. Available from: https://kosis.kr/statisticsList/statisticsListIndex.do?vwcdMT_ZTITLE&menuIdM_01_01.
Kang, S. B. & Park, Y. S. (2009). The Approach to Geriatric Disease in Traditional Korean Medicine. J Jea-han Ori Med Acad. 7(1):13-22. https://kiss16.kstudy.com/kiss6/download_viewer.asp

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[국내논문] Therapeutic Effect of Nangan-geon for an Elderly Patient with Refractory Abdominal Pain: a Case Report 원문보기

Abstract ▼ AI-Helper

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표/그림 (3)

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참고문헌 (21)

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