The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Central Nervous System Disorder Induced Intractable Hiccups Treated with Korean Medicine

중추신경계 질환자에게 이환된 난치성 딸꾹질의 한방치험1례

  • Moon, Jiseong (Dept. of Oriental Internal Medicine, Dongguk University Il-san Oriental Medicine Hospital) ;
  • Min, Seonwoo (Dept. of Oriental Internal Medicine, Dongguk University Il-san Oriental Medicine Hospital) ;
  • Kim, Yeseul (Dept. of Oriental Internal Medicine, Dongguk University Il-san Oriental Medicine Hospital) ;
  • Park, Jiyoon (Dept. of Oriental Internal Medicine, Dongguk University Il-san Oriental Medicine Hospital) ;
  • Hong, Junghwa (Dept. of Oriental Internal Medicine, Dongguk University Il-san Oriental Medicine Hospital) ;
  • Choi, Dong-jun (Dept. of Oriental Internal Medicine, Dongguk University Il-san Oriental Medicine Hospital)
  • 문지성 (동국대학교 일산불교한방병원 한방내과) ;
  • 민선우 (동국대학교 일산불교한방병원 한방내과) ;
  • 김예슬 (동국대학교 일산불교한방병원 한방내과) ;
  • 박지윤 (동국대학교 일산불교한방병원 한방내과) ;
  • 홍정화 (동국대학교 일산불교한방병원 한방내과) ;
  • 최동준 (동국대학교 일산불교한방병원 한방내과)
  • Received : 2022.04.08
  • Accepted : 2022.05.18
  • Published : 2022.05.30
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Abstract

Intractable hiccups are those which persist for more than one month and can often occur in patients with disorders of the central nervous system, such as stroke, epilepsy, or brain tumor. An 80-year-old male patient undergoing conservative hemodialysis for diabetic nephropathy, recently developed paralysis and dysphagia due to central nervous system complications including stroke and epilepsy. He was admitted to the ◯◯ Oriental Medicine Hospital, and treated with herbal medicine (Gyulpijugyeo-tang, Jeonssiigong-san, and Ijin-tang) and electrical acupuncture for 30 days. No side effects were observed during hospitalization. The frequency and duration of hiccups were measured daily and found to reduce, and the effect persisted during his admission. The patient took no other nervous system drugs. In conclusion, Korean medicine like gyulpijugyeo-tang and acupuncture can be effective for patients with intractable hiccups who cannot use alternative drugs or treatment, because of other complications.

Keywords

References

  1. Lee AR, Cho YW, Lee JM, Shin YJ, Han IS, Lee HK. Treatment of persistent postoperative hiccups with stellate ganglion block: Three case reports. Medicine (Baltimore) 2018 Nov;97(48):e13370-e13370. https://doi.org/10.1097/md.0000000000013370
  2. Park KW, Cheon SM, Hong SK, Choi SH, Cha JK. A Case of Intractable Hiccups as Presenting Symptom of Multiple Sclerosis. J Korean Neurol Assoc 2002;20(2):195-8.
  3. 전국한의과대학 심계내과학교실. 한방순환신경내과학. 파주: 군자출판사; 2016, p. 252.
  4. Polito NB, Fellows SE. Pharmacologic Interventions for Intractable and Persistent Hiccups: A Systematic Review. J Emerg Med 2017 Oct 1;53(4):540-9. https://doi.org/10.1016/j.jemermed.2017.05.033
  5. The National College of Korean Medicine Spleen System International Medicine classroom. Spleen System International Medicine. Seoul: Koonja; 2008.
  6. Kang EJ, Ryu HR, Kim YK, Kim KM. Review of Clinical Research about the Treatment of Hiccup After Stroke with Herbal Medicine - Bas ed on Traditional Chinese Medicine Journals. J Int Korean Med 2018 Jun 30;39(3):323-37. https://doi.org/10.22246/jikm.2018.39.3.323
  7. Cho SK, Bae HS. Clinical Study of Hiccup in Tae-umin. Korean J Orient Physiol Pathol 2008;22(2):481-6.
  8. Lee HY, Kim SY, Choi SH, Song HS. A Scoping Review of Acupuncture Points for Post-Stroke Sequelae: Focusing on the Electroacupuncture. Korean J Acupunct 2021 Dec;38(4):197-208. https://doi.org/10.14406/acu.2021.025
  9. Marsot-Dupuch K, Bousson V, Cabane J, Tubiana JM. Intractable hiccups: the role of cerebral MR in cases without systemic cause. AJNR Am J Neuroradiol 1995 Dec;16(10):2093-100.
  10. Kim YS, Yu HJ, Kim JY, Lee M, Lee J. Successful Treatment of Intractable Hiccups with Benztropine. J Korean Child Neurol Soc 2014 Sep 30;22(3):165-8. https://doi.org/10.26815/jkcns.2014.22.3.165
  11. Alix JJP, Ponnusamy A, Bhattacharyya D, Hoggard N, Grunewald RA. Complex partial seizures: Going out with a hiccup. Seizure - Eur J Epilepsy 2012 Dec 1;21(10):820-2. https://doi.org/10.1016/j.seizure.2012.09.001
  12. Chang FY, Lu CL. Hiccup: mystery, nature and treatment. J Neurogastroenterol Motil 2012 Apr;18(2):123-30. https://doi.org/10.5056/jnm.2012.18.2.123
  13. The Whole Korean medicine Bangjaehak professor Coedition. Bangjaehak. Seoul: Young-Lim Press; 2014.
  14. Na BJ, Kim TH, Rhee JW, Lee CR, Kim EJ, Lee SH. Case Studies of Electroacupuncture Therapy for Chronic Hiccup. J Int Korean Med 2003 Nov 30;24(111):135-43.