대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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뇌내출혈로 입원치료 받던 중 만성B형간염 면역관용기에서 면역활동기로 전환된 환자에 대한 생간탕가감 치험 1례

A Case Report of the Efficacy of Saenggan-tang-gagam in the Treatment of a Patient with Chronic Hepatitis B Who Showed Conversion of the Immune-Tolerant Phase to Immune-Clearance Phase during Hospitalization for Intracerebral Hemorrhage

  • 배정한 (경희대학교 대학원 임상한의학과) ;
  • 김하연 (경희대학교 대학원 임상한의학과) ;
  • 주성희 (경희대학교 대학원 임상한의학과) ;
  • 장은경 (경희대학교 대학원 임상한의학과) ;
  • 이장훈 (경희대학교 대학원 임상한의학과) ;
  • 김영철 (경희대학교 대학원 임상한의학과)
  • Bae, Jung-han (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Ha-yeon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Joo, Seong-hee (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jang, Eun-gyeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jang-hoon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Young-chul (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2017.03.24
  • 심사 : 2017.05.26
  • 발행 : 2017.05.30
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초록

Objectives: The purpose of this case report is to describe the efficacy of Saenggan-tang-gagam treatment in a patient with immune-tolerant chronic hepatitis B who converted to the immune active phase during hospitalization for Intracerebral hemorrhage. Methods: A 61-year-old male patient with chronic hepatitis B was hospitalized from July 21, 2016 to October 24, 2016. On September 5, the patient showed fatigue and dyspepsia, and his urine was dark. These symptoms were accompanied by a dramatic elevation of aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and gamma-glutamyl transferase (GGT) levels. Saenggan-tang-gagam was administered three times a day until the patient was discharged from the hospital. Results: After the Saenggan-tang-gagam treatment, AST and ALP levels decreased significantly, below the upper limit level. In addition, the levels of ALT and GG were significantly decreased. In addition, the fatigue, dyspepsia, and dark urine induced by hepatitis improved after the Saenggan-tang-gagam treatment. Conclusion: This case report suggests that traditional Korean medicine has a beneficial effect on the immune active phase of chronic hepatitis B.

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참고문헌

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