[논문]계지탕과 소시호탕의 가감방으로 호전된 만성 재발성 다관절 통풍 환자 1례

김보성; 안선주; 이영수

doi:10.22246/jikm.2022.43.5.1006

계지탕과 소시호탕의 가감방으로 호전된 만성 재발성 다관절 통풍 환자 1례
A Clinical Case of a Recurrent Polyarticular Gout Patient Treated with Gyeji-tang-gami and Soshiho-tang-gami 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.43 no.5, 2022년, pp.1006 - 1017

김보성 (동신대학교 한의과대학 내과학교실) , 안선주 (동신대학교 한의과대학 내과학교실) , 이영수 (동신대학교 한의과대학 내과학교실)

Abstract ▼ AI-Helper

Objectives: This study examined a clinical case of a recurrent polyarticular gout patient treated with Korean medicine. Methods: The patient was treated with Korean medicine (Gyejigagye-tang, Soshiho-tang-gami, Gyejigajakyak-tang, acupuncture, and moxibustion), Western medicine, and rehabilitative therapy. Their effects were evaluated using the Visual Analog Scale. Results: After receiving Korean medical treatment for two admission periods, the Visual Analog Scale score for joint pain improved or disappeared. Moreover, Korean medicine was able to manage the symptoms of the gout patient. Conclusions: Proper Korean medicine treatment could be effective in improving the symptoms of recurrent polyarticular gout pain.

주제어

표/그림 (7)

표 Table 1. Self Medication of Western Medicine Intake History
그림 Fig. 1. X-ray of painful joints on admission. ① 22.01.05 X-ray left knee : K-L grade 2-3. Formation of osteophyte on lateral tibial condyle. a) Anterior Posterior view b) Lateral view ② 22.04.16 X-ray left elbow : Erosion of lateral epicondyle. c) Anterior Posterior view d) Lateral view
표 Table 2. Laboratory Findings
표 Table 3. The Composition of Herbal Medicine
그림 Fig. 2. Timeline of progress. L/C OS : local orthopedics, opd. : outpatient department, tx. : treatment, IMR : internal medicine rheumatology, VAS : visual analog scale
그림 Fig. 3. Patient's symptoms of joint pain over time. Blue color bar, green color bar : 1st admission, orange color bar, yellow color bar, red color bar : 2nd admission VAS : visual analog scale
표 Table 4. 2015 The ACR/EULAR Gout Classification Criteria

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