대한상한금궤의학회지

Korean Medical Association of Clinical Sanghan-Geumgwe (대한상한금궤의학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Contact Dermatitis treated by Mahwang-tang based on Shanghanlun Provisions

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 접촉성피부염 1례

  • Received : 2016.12.12
  • Accepted : 2016.12.27
  • Published : 2016.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this paper is to report the improved contact dermatitis(CD) treated with the herbal medication based on Shanghanlun disease pattern identification diagnostic system. The level V steroid ointments were no use to the patient 3weeks before the treatment. Methods : In this case, the patient was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' and took Mahwang-tang for 36days since the final diagnosis was Taeyang-byung, number 46 provision. The photographs of patient's hands were taken to observe the process of the skin status and the discomfort from CD was measured with DLQI(Dermatologic Life Quality Index) and NRS(Numeric Rating Scale). Results : The DLQI score changed from 24 to 7 and NRS of itching changed form 8 to under 4. Conclusions : This case report shows that the herbal medication through the diagnostic system could be a remedy on CD, dealing with the skin status with no use of the level V steroid ointments. It is needed proving an alternative possibility of Korean Medicine, on other skin diseases, with later studies since there are many reports on the side-effects after some long-term steroid treatments.

Keywords

References

  1. YS Lee, JH Yoon, BA Kim, CI Park, WK Yoo, JW Cho, MR Kim. Effects of Horse oil on the DNCB-induced Contact Hypersensitivity in Balb/c Mice. Kor. J. Herbology 2013;28(4):77-81. https://doi.org/10.6116/kjh.2013.28.4.77
  2. Bae YI, Han JH, Yun SJ, Lee JB, Kim SJ, Lee SC, Won YH. Standard Patch Test Results in Patients with Contact Dermatitis. Kor J Dermatol. 2009;47(11):1227-35.
  3. NamkyeongJungeuiHakwon. Jebyeongwonhuron Kyoseok Ha, 1st ed. Beijing: InMinWi-Saeng Publishing Co. 1982 :987-988.
  4. Oh K. Daesuk Euijongkeumgam. Seoul: JiSan Publishing Co. 2008:650, 996.
  5. Ko SJ. YangEuiDaeJeon. Beijing: InMinWi-Saeng Publishing Co. 1996:475.
  6. Dam SH, Yuk DM. Jungeuioekwahak. Beijing: InMinWiSaeng Publishing Co. 2001:755-756.
  7. SJ Par, SG Lee, JH Baek, SH Byun, SC Kim. Effect of Sopung-san on contact Hypersensitivity induced by Repeat Elicitation of DNCB. Kor. J. Oriental Physiology & Pathology. 2006;20(3):623-628.
  8. Ahn YS, Kim DH, Lee JY, Kim HO. Characteristics of Occupational Skin Diseases Compensated with the Industrial Accident Compensation Insurance from 1999 to 2003. Kor J Dermatol. 2005;43(3):331-341.
  9. Hyungwoo Kim#Effects of Sophorae Radix on skin condition in mice with contact dermatitis induced by Dinitrofluorobenzene. Kor. J. Herbology 2013;28(6):25-29. https://doi.org/10.6116/kjh.2013.28.6.25
  10. Kim Bit Na Rae.Chae Jung Won, Effects of Cicadae Periostracum (CP) in Allergic Contact Dermatitis (ACD) Induced by DNCB in mice. J pediatr korean Med. 2015;29(2):1-15. https://doi.org/10.7778/jpkm.2015.29.2.001
  11. IS Park, HA Jung, IJ Yoon. The Clinical Study on 1 Case of Allergic Contact Dermatitis Treated with Infra-red Therapy and Acupuncture. Korean Journal of Oriental Medicine. 2010;20(2):125-131.
  12. SH Han, JS Kim, BK Jung, SJ Park, HW Kim, H Chae, YK Kwon, BJ Kim. Effects of the Korean Herbal Bathing Candidates on Skin Lesions in Mice Model. Korean Journal of Oriental Medicine.2010;16(3):107-113.
  13. JS Kim, SH Han, BK Jung, SJ Park, HW Kim, H Chae, YK Kwon, BJ Kim. Effects of the Korean Herbal Bathing Candidates on Allergic Contact or Wound Induced Dermatitis Mice Model. Journal of physiology & pathology in Korean Med. 2010;24(3):484-489.
  14. DH Kang, JH Kim, HW Lim, JY Kim, G Kwon. A Case Study of Chronic Plantar Pompholyx Including Steroids Side Effects. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2011;24(1):181-191.
  15. BNR Kim, JW Chae. Effects of Cicadae Periostracum (CP) in Allergic Contact Dermatitis (ACD) Induced by DNCB in Mice. The Journal of Pediatrics of Korean Medicine. 2015;29(2):1-15. https://doi.org/10.7778/jpkm.2015.29.2.001
  16. YC Jung, CY Yun, JH Ryu, SZ Jo, WJ Cheon, HW Kim, SI Cho. Effects of Angelicae Dahuricae Radix on 1-fluoro-2,4 -dinitro fluorobenzene (DNFB)-induced contact dermatitis in mice. J Physiol & Pathol Korean Med. 2014;28(6):636-642. https://doi.org/10.17208/kjopp.2014.12.28.6.636
  17. JC Lee, SY Par, JH Choi, JH Kim. Effects of Portulacae Herba (PH) on Allergic Contact Dermatitis (ACD) Induced by DNCB in Mice. J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27(3):115-132. https://doi.org/10.6114/jkood.2014.27.3.115
  18. JS Song, JC Lee, JW Choi, JH Kim, SY Park. Effects of Scrophulariae Radix (SR) on Allergic Contact Dermatitis (ACD) induced by DNCB in mice. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology 2011;24(3):1-16.
  19. KY Lee, DH Kang, HT Kim. The Effects of Syzygium aromaticum extract Spread on the Allergic Contact Dermatitis induced by DNCB. The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology 2013;26(4):1-14.
  20. YA Jang, JT Lee. Effects of mixture extract on allergic contact dermatitis and anti-infla mmatory. Kor. J. Herbology 2014;29(2):55-60. https://doi.org/10.6116/kjh.2014.29.2.55
  21. BA Kim, JC Yang, CI Park. Effect of Hwangryunhaedok-tang Extracts on DNCBinduced Allergic Contact Dermatitis. Kor. J. Herbology 2009;24(2):1-5.
  22. TH Lim, HS Park. The Effects of GalGunSeunggi-tang (GST) on Mice Induced Allergic Contact Dermatitis (ACD) by DNCB. J Sasang Constitut Med 2015;27(2):240-253. https://doi.org/10.7730/JSCM.2015.27.2.240
  23. GH Park, TH Lim, HS Park. Effects of Hyeongbangpaedok-san (HBPDS) on Allergic Contact Dermatitis(ACD) induced by DNFB in Mice. J Sasang Constitut Med 2014;26(2):180-193. https://doi.org/10.7730/JSCM.2014.26.2.180
  24. SB Ko. Research of Clinical Use of Herbal Medications based on Mahwang-tang. Korean Journal of Oriental Medicine. 1999;7(2):361-384.
  25. JY Bae, EH Jo, HY Kim, MC Park. Inhibitory Effect of Ten Kinds of Herbal Medicine Including Ephedrae Herba on Nitric Oxide in LPS-induced Murine Peritoneal Macrophage. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2009;22(2):19-38.
  26. JA Kim, SJ Lee. Shanghanlun Diagnostic System : Exploring Value as Narrative Medicine by Analyzing Cases. J of KMediACS. 2014;6(1):1-25.
  27. YB Rho, KI Kim. Shanghanlun-Paleographic translation and interpretation. Bada Publishing company. 2015:81.
  28. Lee HJ, Park CO, Lee JH, Lee KH. Life Quality Assessment among Adult Patients with Atopic Dermatitis Korean J Dermatol 2007;45(2): 159-164.
  29. Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clinical and Experimental Dermatology 1994;19:210-216. https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
  30. SI Lee. Comparison of Shanghanlun. Seoul: KMediACs publishing house. 2015:197.
  31. https://www.psoriasis.org/about-psoriasis/treatments/topicals/steroids/potency-chart
  32. YB Rho, JH Lee, HY Ha. The Fundamental Meaning of Mai and Shanghanlun Provisions Based on Paleography. J of KMediACS 2014;6(1):1-25.
  33. SI Lee. Comparison of Shanghanlun. Seoul:KMediACs publishing house. 2015:25.
  34. SI Lee. Comparison of Shanghanlun. Seoul:KMediACs publishing house. 2015:47.