[논문]천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고

김민주; 권태하

doi:10.22246/jikm.2022.43.5.864

천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고
A Case Report of Korean Medicine Treatment for A Patient with Variant Angina and Asthma Symptoms 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.43 no.5, 2022년, pp.864 - 873

김민주 (광주자생한방병원 한방내과) , 권태하 (광주자생한방병원 한방내과)

Abstract ▼ AI-Helper

Objective: The purpose of this case study was to report the symptom improvement effect of integrative Korean medicine treatment based on Pyongsim Solution: Cheonwangbosim-dan in a patient with variant angina and asthma symptoms. Methods: This 68-year-old male patient was treated with Pyongsim Solution, Gamihyangsayukgunja-tang, Gwakhyangjunggi-san, acupuncture, pharmacopuncture, and cupping therapy for 24 days. The European Quality of Life-5 Dimensions-5 Levels profile, Numerical Rating Scale score, and pulse rate per minute were measured on admission, at two weeks of hospitalization, and upon discharge to assess the clinical outcomes. Results: After treatment, the "mobility" dimension profile of the European Quality of Life-5 Dimensions-5 Levels changed from 1 to 1, "self-care" changed from 1 to 1, "usual activity" changed from 3 to 2, "pain/discomfort" changed from 4 to 3, and "anxiety/depression" changed from 3 to 2. The Numerical Rating Scale score for chest pain decreased from 7 to 5, chest tightness decreased from 6 to 4, sleep disturbance decreased from 6 to 3, polydipsia decreased from 5 to 3, and stomach discomfort decreased from 5 to 3. All the profiles of these five dimensions were unchanged for 11 days in the period between the two weeks of hospitalization and discharge. There were also no changes in the profiles of either "mobility" or "self-care" throughout the entire 24-day hospitalization period. Conclusion: This case report shows that integrative Korean medicine treatment based on Pyongsim Solution can improve the symptoms of patients with variant angina and mild intermittent asthma, suggesting that Pyongsim Solution could be an important herbal medication for treatment.

주제어

표/그림 (4)

표 Table 1. The Composition of Pyongsim Solution: Cheonwangbosim-dan
표 Table 2. 24 Day-long Treatment in Detail
그림 Fig. 1. EQ-5D-5L profile change
그림 Fig. 2. Change of NRS for each symptom

참고문헌 (16)

Angina Pectoris. Korea Disease Control and Prevention Agency. Available from:https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do?cntnts_sn5438
Kwak JE. A special edition-Heart diseases unexpectedly come without warning and threaten our life!-the masked killer, Angina pectoris, Myocardial infarction_If you feel chest pain, shortness of your breath and also a bit of palpitation during excercise. 256. The Monthly Diabetes: The Diabetic Association of Korea; 2011, p. 18-21.
Choe JH. 관상동맥질환(협심증과 심근경색). Korea Environmental Preservation Association. Bulletin of Korea Environmental Preservation Association 2007;29(369):36-7.
Jeong HJ, Jeon SY. A Case Report of the Treatment of an Unstable Angina Pectoris Patient with Chest Pain, Insomnia, and Dyspnea. The Journal of Internal Korean Medicine. The Society of Internal Korean Medicine 2019;40(3):525-33.
Min SW, Kim HK, Moon JS, Kim YS, Park JY, Jeong JC. Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention. The Journal of Internal Korean Medicine. The Society of Internal Korean Medicine 2021;42(2):184-96.
Lee DK, Hwang SH, Koh JW, Son AH, Shin HS. A Case Report of Two Nongastroesophageal Idiopathic Atypical Chest Pain Patients Treated by Gwaruhaebackbackju-tang and Gwaruhaebackbanha -tang. The journal of internal Korean medicine 2017;38(3):383-91.
Seo HN, Song HS, Yang SB. A Case of Jaeumganghwa-tang and Gyeongok-go Korean Medicine Treatment for Asthma Patients. The journal of Internal Korean Medicine 2022;43(3):493-501.
Jo MW, Lee SI, Gil SR, Lee JH, Kang WC, Son HS, et al. Measuring Health Related Quality of Life of General Adult Population in One Metropolitan City using EQ-5D. Health Policy and Management 2008;18(3):18-40.
Kang JA, Lee YS, Jung SH, Lee JW, Kim BY, Lim DS, et al. Clinical characteristics of patients with variant angina. The Korean Journal of Medicine 2002;63(2):195-202.
Noh DH. Sudden cardiac death in high risk patients with variant angina. Faculty of Medical Science, Graduate School of Wonkwang University 2011:1-16.
Reeh J, Therming CB, Heitmann MH, Hojberg S, Sorum C, Bech J, et al. Prediction of obstructive coronary artery disease and prognosis in patients with suspected stable angina. Eur Heart J 2019;40(18):1426-35.

상세보기
Cheng VY, Berman DS, Rozanski A, Dunning AM, Achenbach S, Al-Mallah M, et al. Performance of the traditional age, sex, and angina typicality-based approach for estimating pretest probability of angiographically significant coronary artery disease in patients undergoing coronary computed tomographic angiography: results from the multinational coronary CT angiography evaluation for clinical outcomes: an international multicenter registry (CONFIRM). Circulation 2011;124(22):2423-32, 1-8.
Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine. 18호. Seoul: Woori Medical Books; 2018, p. 117-34, 143-50, 159-67.
천심액(천왕보심단). Ministry of Food and Drug Safety. [cited 1998 Oct 21]. Available from: http://ezdrug.mfds.go.kr/kfda2.
대한침구의학회 교재편찬위원회. Acupuncture Medicine. 제22-1586호. Seoul: 도서출판 한미의학; 2016, p. 657-69.
Ryu SW. A Study for Chief Virtue oi-gwan and jog-im-eup of Eight Confluent Acupoints. Korean Thought and Culture 2015;77:519-46.

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고
A Case Report of Korean Medicine Treatment for A Patient with Variant Angina and Asthma Symptoms 원문보기

Abstract ▼ AI-Helper

주제어

표/그림 (4)

표/그림 (4)

참고문헌 (16)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고 A Case Report of Korean Medicine Treatment for A Patient with Variant Angina and Asthma Symptoms 원문보기

Abstract ▼ AI-Helper

주제어

표/그림 (4) 모든 표/그림 보기

표/그림 (4) 슬라이드로 보기

참고문헌 (16)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고
A Case Report of Korean Medicine Treatment for A Patient with Variant Angina and Asthma Symptoms 원문보기

표/그림 (4)

표/그림 (4)