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A Review of Korean Medical Pathogenesis, Pattern Identification, Treatment Principle and Herbal Medicines for Allergic Conjunctivitis in Pediatric Patients

소아 알레르기 결막염의 한의학적 병인, 변증, 치법 및 한약재 선택에 대한 문헌적 고찰

  • Kim, Ye Ji (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Seo, Hae Sun (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Park, Yong Seok (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Park, Sul Gi (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Sun Haeng (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Jin Yong (Korea Institute of Oriental Medicine)
  • 김예지 (경희대학교 대학원 소아과학교실) ;
  • 서혜선 (경희대학교 대학원 소아과학교실) ;
  • 박용석 (경희대학교 대학원 소아과학교실) ;
  • 박슬기 (경희대학교한방병원 한방소아청소년센터) ;
  • 이선행 (경희대학교 대학원 소아과학교실) ;
  • 이진용 (한국한의학연구원)
  • Received : 2021.04.20
  • Accepted : 2021.05.25
  • Published : 2021.05.31

Abstract

Objectives We aimed to understand etiology, pattern differentiation, treatment principle, and the role of selected herbs in the treatment of Korean herbal medicine for allergic conjunctivitis (AC) in children. Methods We searched relevant literature published up to February 20, 2021 through CNKI, using search formula of (SU= '結膜炎'+'conjunctivitis') AND (SU='儿童'+'小儿'+'少儿'+'幼年') AND (SU='治療'+'中医治療'+'中藥'+'中医藥'+'顆粒'+'胶囊'+'自擬'+'湯'+'丸'+'散'+'方'). Results Among 81 searched studies, 9 randomized controlled trials and 1 case report were selected and analyzed. In all studies included, the efficacy of herbal treatment for AC was confirmed, and there was no evidence that herbal medicine treatment has higher risk of developing side effects compared to conventional eye drop treatment. As an etiology, wind (風邪) was observed the most frequently, and Saposhnikoviae Radix (防風) and Schizonepetae Spica (荊芥) were in frequent use to dispel wind (祛風). As visceral pattern identification, spleen (脾) and lung (肺) were two important keywords, and spleen deficiency (脾虛), dampness-heat in the spleen and stomach (脾胃濕熱), lung qi deficiency (肺氣虛) were main pathologic mechanisms. Else, treatments related to liver (肝) and removing dampness-heat (濕熱) were mentioned next. Conclusions This study is significant in that AC in children, which has a lack of research compared to other allergic diseases, has been studied in the contents of Korean medicine and laid foundation that can be used as basic data in the actual clinical field. Based on this study, it is hoped that clinical data of Korean herbal medicine treatment for childhood AC will be further accumulated.

Keywords

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