DOI QR코드

DOI QR Code

An Improved Case Report of Interstitial Cystitis/Bladder Pain Syndrome Treated by Korean Medicine Treatment

한의 복합 치료로 호전된 간질성 방광염/방광통증증후군 1례 : 증례보고

  • Hwang, Su-In (Dept. of Korean Medicine OB & GY, Pusan National University Korean Medicine Hospital) ;
  • Yoon, Young-Jin (Dept. of Korean Medicine OB & GY, Pusan National University Korean Medicine Hospital) ;
  • Park, Jang-Kyung (Dept. of Korean Medicine OB & GY, Pusan National University Korean Medicine Hospital)
  • 황수인 (부산대학교 한방병원 한방부인과) ;
  • 윤영진 (부산대학교 한방병원 한방부인과) ;
  • 박장경 (부산대학교 한방병원 한방부인과)
  • Received : 2021.01.12
  • Accepted : 2021.02.26
  • Published : 2021.02.26

Abstract

Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine treatment on interstitial cystitis. Methods: The patient diagnosed with Interstitial cystitis/Bladder pain syndrome (IC/BPS) was treated with Korean medicine treatment during 22 days of hospitalization. The patient received Korean medicine treatment including herbal medicine, acupuncture, pharmacopuncture, moxibustion, cupping and extracorporeal magnetic stimulation therapy. The effect of treatment on IC/BPS was evaluated through the Numeric Rating Scale (NRS), voiding diary, and Interstitial Cystitis Symptom Index/Problem Index (ICSI/ICPI). Results: After the treatment, the clinical symptoms of IC/BPS such as pelvic pain, pelvic pressure, frequent urination and urinary urgency were improved. Also, the patient had better scores in ICSI/ICPI. Conclusions: This case report proved that the Korean medicine treatment may be effective for improving clinical symptoms of IC/BPS. However, a large-scale clinical study is needed in the future to prove the effectiveness of Korean medicine treatment for IC/BPS.

Keywords

References

  1. Dell JR. Interstitial cystitis/painful bladder syndrome: appropriate diagnosis and management. J Womens Health (Larchmt). 2007;16(8):1181-7. https://doi.org/10.1089/jwh.2006.0182
  2. Yu SM, et al. Discussion on TCM Differentiation and Treatment of Interstitial Cystitis. Jiangsu J of Traditional Chinese Medicine. 2018; 50(5):12-3.
  3. Cox A, et al. CUA guideline: Diagnosis and treatment of interstitial cystitis/bladder pain syndrome. Can Urol Assoc J. 2016;10(5-6):-136-55.
  4. Hanno P, Dmochowski R. Status of international consensus on interstitial cystitis/bladder pain syndrome/painful bladder syndrome: 2008 snapshot. Neurourol Urodyn. 2009;28(4):274-86. https://doi.org/10.1002/nau.20687
  5. Whitmore KE, et al. Hunner lesion versus non-Hunner lesion interstitial cystitis/bladder pain syndrome. Int J Urol. 2019;26(Suppl 1):26-34. https://doi.org/10.1111/iju.13971
  6. Cho HH. Recent Clinical Review : Diagnosis and treatment of interstitial cystitis and painful bladder syndrome. Obstet Gynecol Sci. 2009;52(10):987-93.
  7. Davis NF, Brady CM, Creagh T. Interstitial cystitis/painful bladder syndrome: epidemiology, pathophysiology and evidence-based treatment options. Eur J Obstet Gynecol Reprod Biol. 2014;175:30-7. https://doi.org/10.1016/j.ejogrb.2013.12.041
  8. Statistics Korea, National Health Insurance CorporationHealthcare Bigdata Hub, Health Insurance Review & Assessment Service. Statistics of Interstitial Cystitis_code by N301. [Internet] Available from http://opendata.hira.or.kr/op/opc/olap4thD sInfo.do Accessed October 16, 2020.
  9. Homma Y, et al. Clinical guidelines for interstitial cystitis/bladder pain syndrome. Int J Urol. 2020;27(7):578-89. https://doi.org/10.1111/iju.14234
  10. Hanno PM, et al. Diagnosis and treatment of interstitial cystitis/bladder pain syndrome: AUA guideline amendment. J Urol. 2015;193(5):1545-53. https://doi.org/10.1016/j.juro.2015.01.086
  11. Marcu I, Campian EC, Tu FF. Interstitial Cystitis/Bladder Pain Syndrome. Semin Reprod Med. 2018;36(2):123-35. https://doi.org/10.1055/s-0038-1676089
  12. Ku SJ, et al. Review of Recent Researches on the Acupuncture Treatment for Interstitial Cystitis. J Korean Obstet Gynecol. 2019;32(3):86-101. https://doi.org/10.15204/JKOBGY.2019.32.3.086
  13. Song BG, Ryu JY. Comparative Study on the Symptom of Linbing. JKM. 1992;13(2):212-23.
  14. Choi YH, Lee SD, Kim GS. Effects of acupuncture on symptoms in a patient with interstitial cystitis. J Acupunct Res. 2001;18(4):212-20.
  15. Choi WS, et al. The clinical observations of 4 case of interstitial cystitis patient treated with Hapgokja(合谷刺) and electroacupuncture. J Acupunct Res. 2002;19(6):193-204.
  16. Kim SA. A case report of interstitial cystitis treated with Herb-med and Electroacupuncture. J Int Korean Med. 2005;26(111):128-34.
  17. Son GJ, et al. Clinical Study of 25 Interstitial Cystitis Patients. J Int Korean Med. 2012;33(2):222-30.
  18. Im YG, Hwang WD. A case report of interstitial cystitis treated with Sa-am acupuncture treatments. J Acupunct Res. 2012;29(2):107-11.
  19. Kim KY, Kim CJ, Cho CS. A Case Report of Interstitial Cystitis Treated with Korean Medicine. J Int Korean Med. 2013;34(109):261-7.
  20. Shim SY, et al. An Overview of Pain Measurements. Korean J Acupunct. 2007;24(2):77-97.
  21. Hong HM, et al. The Reliability of 1-Day Frequency-Volume Charts in Assessing Lower Urinary Tract Symptoms in Patients with Benign Prostate Hyperplasia. J Korean Continence Soc. 2009;13(1):61-6. https://doi.org/10.5213/jkcs.2009.13.1.61
  22. Son HM, Kim JI. Evaluation of the Interstitial Cystitis Symptom Index and Problem Index-Korean Version. Korean J Women Health Nurs. 2008;14(4):290-6. https://doi.org/10.4069/kjwhn.2008.14.4.290
  23. Park YC, et al. Pharmacological and Toxicological review of Yukmijihwang-tang(Hwan). Herbal Formula Science. 2012;20(1):13-24. https://doi.org/10.14374/HFS.2012.20.1.013
  24. Kim SY, Lee IS. A Literary Study on the Effectiveness of Yukmiji Hwangtang and Buick Jihuanghwan in Oriental Medicine and Gynecology Area. J Korean Obstet Gynecol. 1997;10(1):133-50.
  25. Lee JW. Experimental Study of YookMijihwangtanggami(YM) on Interstitial Cystitis. Department of Oriental Medicine, Graduate School, Dongguk University. 2010.
  26. Herbology editorial committee of Korean medicine schools. Herbology. Seoul: Yeonglimsa. 2020:1-333.
  27. Kang TH. The Effect of Ailanthus Altissima Swingle on Mast Cell-mediated Allergic Inflammatory Disease. Department of Oriental Pharmacy, Graduate School, Wonkwang University. 2007.
  28. Ryu HK, et al. Research of the Anti-inflammatory Effects of Forsythiae Fructus and Lonicerae Flos Ethanol Extracts. J Korean Obstet Gynecol. 2020;33(3):40-59. https://doi.org/10.15204/JKOBGY.2020.33.3.040
  29. Nam EY, et al. Efficacy and Safety of Electroacupuncture and Acupuncture in Postmenopausal Women with Overactive Bladder;a Pilot Study of Randomized Clinical Controlled Trial. J Korean Obstet Gynecol. 2018;31(1):84-98. https://doi.org/10.15204/jkobgy.2018.31.1.084
  30. Chang GT, Kim JH, Oh JY. Three cases report about enuritic children treated with electro-acupuncture on Zhongji(CV3), Guanyuan(CV4). JKPM. 2005;19(1):103-15.
  31. Ha SJ, et al. Electroacupuncture for Women with Overactive Bladder: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Korean Obstet Gynecol. 2020;33(3):1-19. https://doi.org/10.15204/JKOBGY.2020.33.3.001
  32. Wang J, et al. Sacral Neuromodulation for Refractory Bladder Pain Syndrome/Interstitial Cystitis: a Global Systematic Review and Meta-analysis. Sci Rep. 2017;7(1):11031. https://doi.org/10.1038/s41598-017-11062-x
  33. Kim SM, et al. Effect of Hominis placenta Pharmacopuncture on the Dysmenorrhea (A Pilot study, Single blind, Randomized, Controlled Clinical Trial). J of pharmacopuncture. 2008;11(3):123-31. https://doi.org/10.3831/KPI.2008.11.3.123