대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지
DOI QR코드

DOI QR Code

천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고

A Case Report of Korean Medicine Treatment for A Patient with Variant Angina and Asthma Symptoms

  • 김민주 (광주자생한방병원 한방내과) ;
  • 권태하 (광주자생한방병원 한방내과)
  • Kim, Min-joo (Dept. of Korean Internal Medicine, Gwangju Ja-Seng Hospital of Korean Medicine) ;
  • Kwo, Tae-ha (Dept. of Korean Internal Medicine, Gwangju Ja-Seng Hospital of Korean Medicine)
  • 투고 : 2022.09.10
  • 심사 : 2022.11.04
  • 발행 : 2022.10.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this case study was to report the symptom improvement effect of integrative Korean medicine treatment based on Pyongsim Solution: Cheonwangbosim-dan in a patient with variant angina and asthma symptoms. Methods: This 68-year-old male patient was treated with Pyongsim Solution, Gamihyangsayukgunja-tang, Gwakhyangjunggi-san, acupuncture, pharmacopuncture, and cupping therapy for 24 days. The European Quality of Life-5 Dimensions-5 Levels profile, Numerical Rating Scale score, and pulse rate per minute were measured on admission, at two weeks of hospitalization, and upon discharge to assess the clinical outcomes. Results: After treatment, the "mobility" dimension profile of the European Quality of Life-5 Dimensions-5 Levels changed from 1 to 1, "self-care" changed from 1 to 1, "usual activity" changed from 3 to 2, "pain/discomfort" changed from 4 to 3, and "anxiety/depression" changed from 3 to 2. The Numerical Rating Scale score for chest pain decreased from 7 to 5, chest tightness decreased from 6 to 4, sleep disturbance decreased from 6 to 3, polydipsia decreased from 5 to 3, and stomach discomfort decreased from 5 to 3. All the profiles of these five dimensions were unchanged for 11 days in the period between the two weeks of hospitalization and discharge. There were also no changes in the profiles of either "mobility" or "self-care" throughout the entire 24-day hospitalization period. Conclusion: This case report shows that integrative Korean medicine treatment based on Pyongsim Solution can improve the symptoms of patients with variant angina and mild intermittent asthma, suggesting that Pyongsim Solution could be an important herbal medication for treatment.

키워드

참고문헌

  1. Angina Pectoris. Korea Disease Control and Prevention Agency. Available from:https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do?cntnts_sn=5438
  2. Kwak JE. A special edition-Heart diseases unexpectedly come without warning and threaten our life!-the masked killer, Angina pectoris, Myocardial infarction_If you feel chest pain, shortness of your breath and also a bit of palpitation during excercise. 256. The Monthly Diabetes: The Diabetic Association of Korea; 2011, p. 18-21.
  3. Choe JH. 관상동맥질환(협심증과 심근경색). Korea Environmental Preservation Association. Bulletin of Korea Environmental Preservation Association 2007;29(369):36-7.
  4. Jeong HJ, Jeon SY. A Case Report of the Treatment of an Unstable Angina Pectoris Patient with Chest Pain, Insomnia, and Dyspnea. The Journal of Internal Korean Medicine. The Society of Internal Korean Medicine 2019;40(3):525-33. https://doi.org/10.22246/jikm.2019.40.3.525
  5. Min SW, Kim HK, Moon JS, Kim YS, Park JY, Jeong JC. Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention. The Journal of Internal Korean Medicine. The Society of Internal Korean Medicine 2021;42(2):184-96. https://doi.org/10.22246/jikm.2021.42.2.184
  6. Lee DK, Hwang SH, Koh JW, Son AH, Shin HS. A Case Report of Two Nongastroesophageal Idiopathic Atypical Chest Pain Patients Treated by Gwaruhaebackbackju-tang and Gwaruhaebackbanha -tang. The journal of internal Korean medicine 2017;38(3):383-91. https://doi.org/10.22246/jikm.2017.38.3.383
  7. Seo HN, Song HS, Yang SB. A Case of Jaeumganghwa-tang and Gyeongok-go Korean Medicine Treatment for Asthma Patients. The journal of Internal Korean Medicine 2022;43(3):493-501. https://doi.org/10.22246/jikm.2022.43.3.493
  8. Jo MW, Lee SI, Gil SR, Lee JH, Kang WC, Son HS, et al. Measuring Health Related Quality of Life of General Adult Population in One Metropolitan City using EQ-5D. Health Policy and Management 2008;18(3):18-40. https://doi.org/10.4332/KJHPA.2008.18.3.018
  9. Kang JA, Lee YS, Jung SH, Lee JW, Kim BY, Lim DS, et al. Clinical characteristics of patients with variant angina. The Korean Journal of Medicine 2002;63(2):195-202.
  10. Noh DH. Sudden cardiac death in high risk patients with variant angina. Faculty of Medical Science, Graduate School of Wonkwang University 2011:1-16.
  11. Reeh J, Therming CB, Heitmann MH, Hojberg S, Sorum C, Bech J, et al. Prediction of obstructive coronary artery disease and prognosis in patients with suspected stable angina. Eur Heart J 2019;40(18):1426-35. https://doi.org/10.1093/eurheartj/ehy806
  12. Cheng VY, Berman DS, Rozanski A, Dunning AM, Achenbach S, Al-Mallah M, et al. Performance of the traditional age, sex, and angina typicality-based approach for estimating pretest probability of angiographically significant coronary artery disease in patients undergoing coronary computed tomographic angiography: results from the multinational coronary CT angiography evaluation for clinical outcomes: an international multicenter registry (CONFIRM). Circulation 2011;124(22):2423-32, 1-8. https://doi.org/10.1161/CIRCULATIONAHA.111.039255
  13. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine. 18호. Seoul: Woori Medical Books; 2018, p. 117-34, 143-50, 159-67.
  14. 천심액(천왕보심단). Ministry of Food and Drug Safety. [cited 1998 Oct 21]. Available from: http://ezdrug.mfds.go.kr/kfda2.
  15. 대한침구의학회 교재편찬위원회. Acupuncture Medicine. 제22-1586호. Seoul: 도서출판 한미의학; 2016, p. 657-69.
  16. Ryu SW. A Study for Chief Virtue oi-gwan and jog-im-eup of Eight Confluent Acupoints. Korean Thought and Culture 2015;77:519-46.