DOI QR코드

DOI QR Code

A Case Study of a Soyangin Patient with Crohn's Disease who Reported Symptomatic Improvement after Being Treated with Dojeokgangki-tang

도적강기탕(導赤降氣湯)으로 호전된 크론병 환자 1례

  • Lee, Mi-Suk (Dept. of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital) ;
  • Hwang, Mim-Woo (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Yun-Hee (Dept. of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital)
  • 이미숙 (부산대학교 한방병원 사상체질과) ;
  • 황민우 (경희대학교 한의과대학 사상체질과) ;
  • 김윤희 (부산대학교 한방병원 사상체질과)
  • Received : 2012.05.23
  • Accepted : 2012.06.05
  • Published : 2012.06.30

Abstract

1. Objectives : The aim of this study was to report significant improvement of chronic diarrhea and hematochezia after treatment with Dojeokgangki-tang in a Soyangin Patient with Crohn's Disease. 2. Methods : The patient's subjective and objective symptoms were observed daily throughout the hospitalization period, and the Crohn's disease activity index(CDAI) was calculated to gauge the progress or lack of progress. 3. Results : The symptoms of diarrhea and hematochezia disappeared by the end of the hospitalization period without recurrence, and the CDAI score dropped from 92.5 to 47. 4. Conclusions : A patient with Crohn's disease, who was in the state of repetitive relapse and remission after long term clinical courses was treated with Dojeokgangki-tang in a short period and the the symptoms of diarrhea and hematochezia disappeared without recurrence. Then the patient could stop taking corticosteriods and taper off immune-suppressing drugs.

Keywords

References

  1. Ye BD, Jang BI, Jeen YT, Lee KM, Kim JS, Yang SK, et al. Diagnostic Guideline of Crohn's Disease. Korean J Gastroenterol. 2009;53:161-176. (Korean)
  2. Yang SK. Current status and clinical characteristics of inflammatory bowel disease in Korea. Korean J Gastroenterol. 2002;40:1-14. (Korean)
  3. Yang SK, Yun S, Kim JH, et al. Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: a KASID study. Inflamm Bowel Dis 2008;14:542-549. https://doi.org/10.1002/ibd.20310
  4. Kim CG, Kim JW, Kim HD, Kim SG, Kim JS, Jung HC, et al. Clinical Features of Crohn's Disease in Korea. Korean J Gastroenterol. 2002;40:173-180. (Korean)
  5. Park JB, Yang SK, Myung SJ, Byeon JS, Lee YJ, Lee GH, et al. Clinical Characteristics at Diagnosis and Course of Korean Patients with Crohn's Disease. Korean J Gastroenterol. 2004;43:8-17. (Korean)
  6. Choi CW, Son CG, Cho CK. The Oriental-western literal study of Crohn's disease. 대전대학교한의학연구소논문집. 2001;9(2):251-268. (Korean)
  7. Seo SH, Jeong JO, Lee EH, Chol IS, Park SE, Kim WI, et al. A Case Study of Suspected Crohn's Disease Treated with Bojanggunbi-tang. Korean J.Orient.Int. Med. 2004;25(3):648-654. (Korean)
  8. Na WG, Yang MR, Lee HJ, Park EJ. A case report of Crohn's disease. J Korean Oriental Pediatrics. 2002;16(2):51-58. (Korean)
  9. Lee SH, Park DS. Clinical Study on 1 Case of Soyangyin Patient Diagnosed as Crohn's Disease. Korean J. Oriental Physiology & Pathology. 2007;21(5):1346- 1351. (Korean)
  10. Lee WH, Seo UK. One Case of Crohn's Disease with Malnutrition. One Case of Crohn's Disease with Malnutrition. J. of. Oriental. Chr. Dis. 2000;6(1):86-91. (Korean)
  11. Park JM, Kim HJ, Keum DH, Park YH, Lee MJ. The Effect of Oriental Medical Treatment on Crohn's disease; 1 Case Report. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(1):57-66. (Korean)
  12. Kim B, Park SD, Choi SI, Lee SH, Lee KY. The Characteristics of Crohn's Disease in Korea According to the Montreal Classification. J Korean Soc Coloproctol. 2009;25(5):300-305 https://doi.org/10.3393/jksc.2009.25.5.300
  13. Park JB, Yang SK, Kim YN, Lee MH, Chang HS, Choe JW, et al. Usefulness of Laboratory Parameters in the Screening of Crohn's Disease. Korean J Gastroenterol. 2002;39:186-191. (Korean)
  14. Shin SW, Lee EJ, Koh BH, Lee JH. Study on the Development of Diagnosis Algorithm of Soyangin Symptomatology. J Sasang Constitut Med. 2011;23(3):294-303. (Korean)
  15. Hwang MW, Koh BH. The Study on the Pathology of Soyangin in Sasang Constitutional Medicine. J Sasang Constitut Med. 2009;21(3):1-16. (Korean)
  16. Kim YH, Hwang MW. A Stdy on the Soyangin Pathologies that originate from a Common Root Pathologic Cotegory. J Sasang Constitut Med. 2011;23(3):285-293. (Korean)
  17. Boirivant M, Leoni M, Tariciotti D, Fais S, Squarcia O, Pallone F. The clinical significance of serum C reactive protein levels in Crohn's disease. Results of a prospective longitudinal study. J Clin Gastroenterol 1988; 10:401-5. https://doi.org/10.1097/00004836-198808000-00011
  18. Kim DH. Response rate to oral steroid therapy in patients with Crohn's disease and its clinical predictive factors. 연세대학교대학원. 2009.

Cited by

  1. A Case Study of a Soyangin Patient with Palpitation and Epistaxis that Occurred after Taking Panax Ginseng vol.25, pp.4, 2013, https://doi.org/10.7730/JSCM.2013.25.4.406
  2. A Case Study of a Crohn's Disease Patient Treated with Oriental Medical Treatment vol.31, pp.4, 2014, https://doi.org/10.14406/acu.2014.035