The Journal of Internal Korean Medicine (대한한방내과학회지)

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

DOI QR Code

Case Study of a Cerebral Infarction Patient with Recurring Aspiration Pneumonia Treated with Korean Medicine, Including Shigyungbanha-tang-gami Combined with Antibiotics

시경반하탕가미를 포함한 한방치료를 항생제 치료와 병용하여 호전된 뇌경색 환자의 반복되는 흡인성 폐렴 치험 1례

  • Ji-soo Yang (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Eun-chai Cho (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Jae-hwan Lew (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University)
  • 양지수 (경희대학교 한의과대학 내과학교실) ;
  • 조은채 (경희대학교 한의과대학 내과학교실) ;
  • 유재환 (경희대학교 한의과대학 내과학교실)
  • Received : 2023.03.28
  • Accepted : 2023.06.03
  • Published : 2023.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study addressed the case of a cerebral infarction patient with recurring aspiration pneumonia. Methods: A patient diagnosed with cerebral infarction with recurring aspiration pneumonia was treated with Korean medicine therapies, including herbal medication (Shigyungbanha-tang-gami), acupuncture, electro-acupuncture, and moxibustion combined with antibiotics for 31 days. To evaluate the therapeutic effect, we checked chest X-rays, lab evaluations, the number of night suctions, and body temperature. Results: After treatment, chest X-rays and inflammation markers improved. In addition, the number of night suctions decreased, and the body temperature was normalized. Aspiration pneumonia recurred. However, the intensity of the symptoms gradually weakened, and the recovery speed increased. Conclusion: These results suggest that Korean medicine therapies, including Shigyungbanha-tang-gami combined with antibiotics, have a beneficial effect on recurring aspiration pneumonia, an additional disease related to cerebral infarction.

Keywords

References

  1. Lim CM. Aspiration and Aspiration pneumonia. 47th The Korean Bronchoesophagological Society Conference 2007:32-6.
  2. Seo WH, Oh JH, Nam YH, Sung IY. Clinical Study of Aspiration Pneumonia in Stroke Patients. Journal of Korean Academy of Rehabilitation Medicine 1994;18(1):52-8.
  3. Yoo WK, Yun SB, So EH, Jung SS. The Effect of Nasogastric Tube on Swallowing Function in Stroke Patients with Dysphagia. Journal of Korean Academy of Rehabilitation Medicine 2001;25(5):758-64.
  4. Kim JS, Hong TY. Clinical Characteristics of Ischemic Brain Stroke with Dysphagia. Inje Medical Journal 1993;14(4):561-6.
  5. Im YJ, Jang YJ, Hong HJ, Kim DH. Incidence of Aspiration Pneumonia in Patients with Nasogastric Tubal Feeding. Global Health Nursing 2015;5(1):1-2.
  6. Teramoto SJ. The current definition, epidemiology, animal models and a novel therapeutic strategy for aspiration pneumonia. Respiratory Investigation 2022;60(1):45-55. https://doi.org/10.1016/j.resinv.2021.09.012
  7. Niederman M, Cilloniz C. Aspiration pneumonia. Official journal of the Spanish Society of Chemotherapy 2022;35(1):73-7. https://doi.org/10.37201/req/s01.17.2022
  8. Park JH, Park CS, Shin BY. 肺炎의 洋⋅韓方的考察. The Journal of Jeahan Oriental Medical Academy 1999;4(1):759-72.
  9. Shin WY, Hyun MK, Jeong BM, Choi EY, Yoon CH, Jeong JC. A Clinical Report of One old aged patient with Pneumonia. The Journal of Internal Korean Medicine 2005;26(1):229-35.
  10. Kim KT, Ko H. Effects of Shigyungbanha-Tang on the Lipopolysaccharide-Induced Acute Lung Injury in Mice. Korean Journal Oriental Physiology & Pathology 2009;23(6):1349-57.
  11. Lee SE, Shin JY, Lee SH. Shigyungbanha-tang Exhibits Anti-Inflammatory Effects by Inhibiting IκB-α Degradation in LPS-stimulated Peritoneal Macrophages. The Journal of Internal Korean Medicine 2007;28(3):442-52.
  12. Cho HG, Lee YM, Kang BS, Jeune KH, Park WH. Mori Cortex Decreases the Acute Edematous Lung Injury Induced by Skin Burn. Korean Journal of Herbology 2003;18(3):195-202.
  13. Park SH, Choi YH, Eom HS, Chi GY. Anti-inflammatory Action of Extract of Mori Cortex against Lipopolysaccharide-induced BV2 Microglia. Korean Journal Oriental Physiology & Pathology 2010;24(3):463-9.
  14. Lee ES, Yang SY, Kim MH, Namgung U, Park YC. Effects of Root of Liriope Spicata on LPS-induced Lung Injury. Korean Journal Oriental Physiology & Pathology 2011;25(4):641-9.
  15. Lim BR, Park YH, Cho JH, Kwon DI. A Case Report of Sibak-tang Effectiveness in an Elderly Patient with Sputum and Dysphagia after Conventional Treatment for Pneumonia. The Journal of Internal Korean Medicine 2017;38(5):753-62. https://doi.org/10.22246/jikm.2017.38.5.753
  16. Kim SB, Kim KM, Suh WJ, Mun SK, Jung WS, Kwon SW, et al. The Case of a Patient with Dysphagia and Dysarthria Diagnosed as Pseudobulbal Palsy Caused by Multiple Cerebral Infarction Treated with Banhahoobak-tang. The Journal of Internal Korean Medicine 2018;39(2):139-46. https://doi.org/10.22246/jikm.2018.39.2.139
  17. Park SW, Kim MJ, Seo YJ, Kang DH, Kim YK, Noh HI, et al. Case Report of Aspiration Pneumonia Treated with Yukgunja-tang. The Journal of Internal Korean Medicine 2016;37(2):176-81.
  18. Shinji T, Kosaku K. Aspiration Pneumonia : The Current Clinical Giant for Respiratory Physicians. Singapore: Springer Singapore Pte. Limited; 2020, p. 161.
  19. Kwon H, Jeong SK, Lee HK. Experimental Studies on the Effects of Sikyungchungpaetang and Sikyungbanhatang on Xylene Induced Pulmonary Edema in Rats. K H M 1989;5(3):337-45.
  20. Kim HW, Yang SY, Kim MH, Namgung U, Park YC. Protective Effects of Maekmundongtang on Elastase-induced Lung Injury. Journal of Korean Medicine 2011;32(2):63-78.