DOI QR코드

DOI QR Code

Application of Korean Medicine Therapy to a Patient with Insomnia from Severe Hot Flashes: Case Report

심한 상열감으로 인한 불면을 호소하는 환자의 한의 치료 1례: 증례보고

  • Bae, Jin-soo (Department of Neuropsychiatry, Dongshin University Korean Medicine Hospital) ;
  • Jang, Esther (Department of Neuropsychiatry, Dongshin University Korean Medicine Hospital) ;
  • Kim, Bo-sung (Department of Korean Internal Medicine, Dongshin University Korean Medicine Hospital) ;
  • Ahn, Seon-ju (Department of Korean Internal Medicine, Dongshin University Korean Medicine Hospital) ;
  • Kim, Kyeong-ok (Department of Neuropsychiatry, Dongshin University Korean Medicine Hospital)
  • 배진수 (동신대학교 광주한방병원 한방신경정신과) ;
  • 장에스더 (동신대학교 광주한방병원 한방신경정신과) ;
  • 김보성 (동신대학교 광주한방병원 한방내과) ;
  • 안선주 (동신대학교 광주한방병원 한방내과) ;
  • 김경옥 (동신대학교 광주한방병원 한방신경정신과)
  • Received : 2022.02.25
  • Accepted : 2022.03.23
  • Published : 2022.03.30

Abstract

Objectives: To report the effect of Korean medicine on a patient with insomnia from severe hot flashes. Methods: The patient suffered from extreme hot flashes for months. Symptoms were so severe that the patient attempted suicide. After starting psychiatric medication, symptoms persisted and hospitalization began. During hospitalization, herbal medicine, acupuncture, and psychotherapy were conducted. For evaluating therapeutical effect, Digital Infrared Thermal Imaging was performed twice during the treatment process. It was divided into major facial area and back area. The facial area was divided into two small units to measure the difference in temperature between two points. The back area was measured in the same way. Results: The temperature difference between the two points decreased over time and the patient's subjective symptoms reduced. Conclusions: Korean medicine therapy can improve symptoms of patients with insomnia accompanied by hot flashes.

Keywords

References

  1. Park KI, Kim JW, Park KS, lee JM. A Case Study on Short Term Hospitalization Program of Korean Medicine Treatment for Postmenopausal Hot Flush and Sweating. J Korean Obstet Gynecol. 2013;26(3):114-24. https://doi.org/10.15204/JKOBGY.2013.26.3.114
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders Fifth edition. Seoul. Hakjisa. 2015:391.
  3. Korean Neuropsychiatric Association. Textbook of Neuropsychiatry Third edition. Seoul. iMis company. 2016:445.
  4. Pearson NJ, Johnson LL, Nahin RL. Insomnia, Trouble Sleeping, and Complementary and Alternative Medicine: Analysis of the 2002 National Health Interview Survey Data. Arch Intern Med. 2006;166(16):1775-82. https://doi.org/10.1001/archinte.166.16.1775
  5. Yeung WF, Chung KF, Poon MM, Ho FY, Zhang SP, Zhang ZJ, Ziea ET, Wong VT. Chinese herbal medicine for insomnia: a systematic review of randomized controlled trials. Sleep Med Rev. 2012 Dec;16(6):497-507. https://doi.org/10.1016/j.smrv.2011.12.005
  6. Yin X, Gou M, Xu J, Dong B, Yin P, Masquelin F, Wu J, Lao L, Xu S. Efficacy and safety of acupuncture treatment on primary insomnia: a randomized controlled trial. Sleep Med. 2017 Sep;37:193-200. https://doi.org/10.1016/j.sleep.2017.02.012
  7. Im JY, Hwang DS, Lee JM, Lee CH, Jang JB. A Reveiw of the Domestic Study Trends on Obstetrics & Gynecological Diseases by Using Digital Infrared Thermal Imaging as A Diagnosis Instrument. J Korean Obstet Gynecol. 2020;33(3):136-48. https://doi.org/10.15204/JKOBGY.2020.33.3.136
  8. Shaffer F, Ginsberg JP. An Overview of Heart Rate Variability Metrics and Norms. Front Public Health. 2017;5:258. https://doi.org/10.3389/fpubh.2017.00258
  9. Jeong SH, Im IH, Um EJ, Lee BJ, Na BJ. Investigation on evaluation of functional dyspepsia by using Digital Infrared Thermal Images. J of Oriental Medical Thermology. 2008;6(1):56-62.
  10. Jung IC, Lee SR, Park YC, Hong KE, LEE YK, Kang WC, Choi SM, Kim JW, Choi KW, Oh DS, Park JE. The Effect of Sa-am Acupuncture Simjeongkyeok Treatment for Major Symptom of Hwa-Byung. J of Oriental Neuropsychiatry. 2008;19(1):1-18.
  11. Kim JM. Clinical Application of Infrared Thermography. J Korea Instit Orient Med Diagn. 2000;4(1):32-42.
  12. Chien TJ, Hsu CH, Liu CY, Fang CJ. Effect of acupuncture on hot flush and menopause symptoms in breast cancer - A systematic review and meta-analysis. PLOS ONE. 2017;12(8): e0180918. https://doi.org/10.1371/journal.pone.0180918
  13. Dong B, Chen Z, Yin X, Li D, Ma J, Yin P, Cao Y, Lao L, Xu S. The Efficacy of Acupuncture for Treating DepressionRelated Insomnia Compared with a Control Group: A Systematic Review and Meta-Analysis. Biomed Res Int. 2017;2017:9614810. doi: 10.1155/2017/9614810.
  14. Kang BH, Choi YK, Jeon CY, Yang SB. The Effects of Qingfei Paidu Decoction on Coronavirus Disease-19: A Narrative Review. J Int Korean Med. 2020;41(3):424-33. https://doi.org/10.22246/jikm.2020.41.3.424
  15. Li R, Ji JH, Zhao LX. Clinical research on the influence of gastric emptying rate and serum 5-HT, GAS, NO levels for treating functional dyspepsia patients with Huoxiang Zhengqi powder and Weiling decoction. Shaanxi Journal of Traditional Chinese Medicine. 2018(01):68-70.
  16. Lee JH, Kim BS. Review On Concept and Clinical Application OfYin-Deficiency.Blood-Deficiency in Donguibogam. J Physiol & Pathol Korean Med. 2018;32(5):299-304. https://doi.org/10.15188/kjopp.2018.10.32.5.299
  17. Zheng HM, Lee YW, Yoo HS, Cho CK. Case Study of a Breast Cancer Patient Accompanying with Hot Flush by Tamoxifen Whose Condition Was Improved by Jayeum - ganghwa-tang. Korean J. Orient. Int. Med. 2010;31(2):395-400.
  18. Baek DG. The Clinical Study of Two Severe Menopausal Disorder Patients Treated by Gamisoyo-san. The Journal of Herbal Formula Scence. 2012;20(2):199-211.
  19. You JY, Jang CY, Jeong HR, Shin YJ, Kim SJ, Lee UJ. Three Cases Report of Anxiety and Depression Disorder in the Traffic Accident Patients Treated with Prescription of Kami-shoyo-san. J. Int. Korean Med. 2014;35(4):556-72.
  20. Seok SH, Kim JH, Kim GW, Koo BS. A case of insomnia incurable by neryopsychiatric medication alone, but made possible with Sam-Hwang-Sa-Sim-Tang. J. of Oriental Neuropsychiatry. 2006;17(3):117-29.
  21. Shen J, Liang MY, Li ZQ. Clinical Effect of Warm Acupuncture Combined with Sanhuang Xiexin Decoction in the Treatment of Peptic Ulcer. Chinese and Foreign Medical Research. 2021;19(13):47-50.