Systemic Sclerosis Sine Scleroderma 환자의 위운동성장애에 대한 한의학적 치험 1예

A Case Report of Korean Traditional Medical Therapy on Gastric Dysmotility Involved in Patient with Systemic Sclerosis Sine Scleroderma

  • 윤상협 (경희대학교 한의과대학 비계내과교실) ;
  • 류종민 (경희대학교 한의과대학 비계내과교실) ;
  • 임중화 (경희대학교 한의과대학 비계내과교실) ;
  • 한숙영 (경희대학교 한의과대학 비계내과교실) ;
  • 김현경 (경희대학교 한의과대학 비계내과교실) ;
  • 이준석 (경희대학교 한의과대학 비계내과교실) ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • ;
  • 장선영 (경희대학교 한의과대학 비계내과교실)
  • Yoon, Sang-Hyub (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Rhu, Jong-Min (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Lim, Jung-Hwa (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Han, Sook-Young (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Hyun-Kyung (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Joon-Suk (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Shim, Yun-Seub (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Guk-Bum (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Han, Jong-Hyun (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Sun-Hong (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Eun-Gon (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Sang-Uk (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Seong, Ki-Won (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Jang, Sun-Young (Dept. of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University)
  • 발행 : 2004.06.30

초록

Systemic sclerosis Sine scleroderma(ssSSc) is an uncommon subtype of Systemic sclerosis(SSc), which is believed to attack internal organs without causing changes in the skin. Electrogastrography has been known to be a simple, non-invasive, and effective method in assessing gastric motility. In this new study, a case of Systemic sclerosis Sine Scleroderma exhibiting gastric symptoms was observed. For this, we applied herbal medicine. manual acupucture, electro-acupucture, and lumbar skin wanning. After applying these therapies, both systemic and dyspeptic symptoms of the patient improved. Electrogastrography suggests a relation between gastric myoelectrical activity and the patient's improvement in dyspeptic symptoms. Therefore, based on study of Oriental medical classics and recent medical articles, clinically emperical success in treating gastric dysmotility was seen in a patient with Systemic sclerosis Sine Scleroderma.

키워드

참고문헌

  1. Arch Intern Med. v.94 Alimentary tract in disseminated scleroderma with emphasis on small bowel Abrams, H.L.;Carnes, W.H.;Eaton, J.
  2. Harrison's principles of internal medicine Isselbacher, K.J.;Martin, J.B.;Braunwald, E.;Fauci, A.S.;Wilson, J.D.;Kasper, D.L.
  3. Am J Gastroenterol. v.92 no.5 Gastrointestinal manifestatins of progressive systemic sclerosis Lock, G.;Holstege, A.;Lang, B.;Scholmerich, J.
  4. J Clin Gastroenterol. v.32 no.1 Management of the patient with gastroparesis Rabine, J.C.;Barnett, J.L.
  5. Am J Gastroenterol. v.96 no.1 Gastric involvement in systemic sclerosis: a prospective study Marie, I.;Levesque, H.;Ducrotte, P.;Denis, P.;Hellot, M.F.;Benichou, J.;Cailleux, N.;Courtois, H.
  6. Med Biol Eng Compert. v.28 adaptive spectral analysis average modeling Chen, J.;Vandewalle, J.;Sansen, W.(et al.)
  7. Electrogastrograhic parameters and the clinical significance in Electrogastrography: principles and applicatins Chen, J.D.Z.;McCallum, R.W.
  8. Am J Gastroenterology v.84 no.9 Gastric Emptying and Gastric Myoelectrical Activity in Patients with Diabetic Gastroparesis: Effect of Long-Term Domperidone Treatment Koch, K.L.;Stern, R.M.;Stewart, W.R.;Vasey, M.W.
  9. Korean J Gastroenterology v.33 Reproducibility of the Parameters Measured by Electrogastrography Lee, K.J.;Kim, J.H.;Hahm, K.B.;Kim, Y.S.;Cho, S.W.
  10. Dig Dis Sci. v.31 no.1 Hamilton, J.W.;Bellahsene, B.E.;Reichelderfer, M.;Webster, J.G.;Bass, P.
  11. JAMA v.26 no.180 Progressive systemic sclerosis sine scleroderma Rodnan, G.P.;Fennell, R.H. Jr.
  12. Int J Artif Organs v.15 no.7 Lung involvement in systemic sclerosis sine scleroderma treated by plasma exchange Ferri, C.;Bernini, L.;Gremignai, G.;Latorraca, A.;Fazzi, P.;Tavon, A.;Solfanelli, S.;Bombardieri, S.
  13. Arthritis Rheum. v.43 no.2 Systemic sclerosis sine scleroderma: demographic, clinical, and serologic features and survival in forty-eight patients Poormoghim, H.;Lucas, M.;Fertig, N.;Medsger, T.A. Jr.
  14. 대한내과학회지 v.57 no.6 전신성 경화증의 임상상에 관한 연구 이은봉;한창완;백한주;강성욱;이윤종;차훈석(등)
  15. J of Koren Oriental Med. v.24 no.4 Incomplete Relationship between Dominant Power of Electrogastroscopy and Gastric Myoelectrical activity in Patients with Functinal Dyspepesia Han, S.Y.;Yoon, S.H.;Kim, J.S.;Rhyu, B.H.;Rhyu, K.W.
  16. 대한한방내과학회지 v.23 no.2 위마비 환자에 대해 위전도 검사로 한방치료효과를 확인한 치험 1예 홍상선;윤상협;임중화;김진성;류봉하;류기원(등)
  17. 대한한방내과학회 춘계학술대회 지속적 반하백출천마탕 투여 및 침치료가 위마비 환자의 위전기적 활성변화에 미치는 영향 홍상선;윤상협;류종민;장선영;임중화;한숙영(등)
  18. Dig Dis Sci. v.47 no.4 Characterization of gastric myoelectrical rhythms in patients with systemic sclerosis using multichannel surface electrogastrography McNearney, T.;Lin, X.;Shrestha, J.;Lisse, J.;Chen, J.D.
  19. Eur J Intern Med. v.12 no.4 Ambulatory electrogastrography in patients with sclerodermia, delayed gastric emptying, dyspepsia, and irritable bowel syndrome. Is there any clinical relevance? Hocke, M.;Seidel, T.;Sprott, H.;Oelzner, P.;Eitner, K.;Bosseckert, H.
  20. 방제학 김상찬;김선희;논승현;박선동;변성희;서부일(등)
  21. Dig Dis Sci. v.44 no.1 Effects of Electroacupuncture on Gastric Migrating Myoelectrical Complex in Dogs Qian, L.;Peters, L.J.;Chen, J.D.Z.
  22. Japanese Journal of Physiology v.53 Effects of Lumbar Skin Warming on Gastric Motility and Blood Pressure in Humans Nagai, M.;Wada, M.;Kobayashi, Y.;Togawa, S.
  23. Aliment Pharmacol Ther. v.14 Cisapride provides symptomatic relief in functional dyspepsia associated with gastric myoelectrical abnormality Chen, J.D.Z.;Ke, M.Y.;Lin, X.M.;Wang, Z.;Zhang, M.
  24. Clin Exp Dermatol. v.17 no.2 Systemic sclerosis sine scleroderma presenting with vitiligo-like depigmentation and interstitial pulmonary fibrosis De Villiers, W.J.;Jordaan, H.F.;Bates, W.