The Journal of Internal Korean Medicine (대한한방내과학회지)

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

DOI QR Code

A Case Report of Alcoholic Hepatitis with Megaloblastic Anemia Treated with Korean Medicine

거대적혈모구빈혈을 동반한 알코올 간염 환자에 대한 한의치료 치험 1례

  • Chae-eun Kim (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Seung-ho Sun (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Tae-hyun Baek (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Seung-hee Han (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University)
  • 김채은 (상지대학교 한의과대학 내과학교실) ;
  • 선승호 (상지대학교 한의과대학 내과학교실) ;
  • 백태현 (상지대학교 한의과대학 내과학교실) ;
  • 한승희 (상지대학교 한의과대학 내과학교실)
  • Received : 2024.04.24
  • Accepted : 2024.06.28
  • Published : 2024.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aimed to report a case of alcoholic hepatitis with megaloblastic anemia that improved with Korean medicine treatment. Methods: A 27-year-old woman with alcoholic hepatitis and megaloblastic anemia was treated with herbal medicine, acupuncture, and moxibustion. The responses before and after treatment were evaluated using blood tests, ultrasound imaging, the Checklist Individual Strength (CIS), and the numerical rating scale (NRS). Results: Post-treatment, blood tests showed improved liver function test, lipid test, and anemia work-up. Ultrasound imaging showed improvement in the superoinferior diameter of right lobe, from 13.02 to 11.09, and the fatty liver improved. The CIS score decreased from 107 to 55. Fatigue diminished from NRS 10 to NRS 3, and dizziness dropped from NRS 5 to NRS 1. The abdominal distension slightly decreased, from NRS 7 to NRS 5. Conclusion: Korean medicine treatment might be effective for treating alcoholic hepatitis with megaloblastic anemia.

Keywords

References

  1. Chae HB. Alcoholic liver disease. Korean J Gastroenterol 2009;53(5):275-82.
  2. Jang JY, Kim DJ. Epidemiology of alcoholic liver disease in Korea. Clin Mol Hepatol 2018 Jun;24(2):93-9.
  3. Carithers RL, Jr., Herlong HF, Diehl AM, Shaw EW, Combes B, Fallon HJ, et al. Methylprednisolone therapy in patients with severe alcoholic hepatitis. A randomized multicenter trial. Ann Intern Med 1989;110(9):685-90.
  4. Kim EJ, Park SH. Diagnosis and Severity Assessment of Alcohol-Related Liver Disease. Korean J Gastroenterol 2020;76(2):60-4.
  5. Lee HJ. Anemia associated with liver disease. Clinical and Molecular Hepatology 2011;17(2s):86-93.
  6. Kim JE, Park SE, Lee JW, Son HY, Lee BG, Sin CK, et al. A Study of Syndrome Differentiation Types of Alcoholic Liver Disease. J Int Korean Med 2009;30(110):93-9.
  7. Ahn JY, Sim SS, Shin YJ, Kim KS, Moon BS, Yun JM. A Case Report of Alcoholic Liver Disease with Jaundice Treated with Korean Medicine. J Int Korean Med 2021;42(5):949-57.
  8. Kim TR, Lim HC, Lee DE, Jang YJ, Jeon SY. A Case Report of Alcoholic Liver Disease with Lower Limb Weakness. J Int Korean Med 2017;38(6):1068-75.
  9. Nam HS, Han SH, Jung IC, Sun SH, Kim MK, Han IS, et al. A Case Report of Insomnia and Fatigue in Alcoholic Hepatitis Patients Treated with Korean Medicine and Western Medicine. J Int Korean Med 2020;41(2):186-93.
  10. Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G. Dimensional assessment of chronic fatigue syndrome. J Psychosom Res 1994 Jul;38(5):383-92.
  11. Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. The Korean journal of maridian & acupoint 2007;24(2):77-97.
  12. Kim YK, Han DK. Liver Size Measurement Method by Ultrasonography and Reference Range based on Normal Adult Physique Index. J Radiol Sci Technol 2018;41(1):13-24.
  13. Green PH. Alcohol, nutrition, and malabsorption. Clin Gastroenterol 1983;12(2):563-74.
  14. Meridians & Acupoints Compilation Committee of Korean Medical Colleges, Details of Meridians & Acupoints[Volume I]; A Guidebook for College Students. Daejeon: Jonglyeonamu; 2016, p. 24, 246-352.
  15. Kim BW. 慢性肝炎 3,136例에 對한 臨床分析과 生肝健脾湯의 治療效果. J Korean Med 1999;20(2):427-34.
  16. Kim JJ. Dongyangeuihak Jinryoyogam. Seoul: The Institute of Oriental medicine; 2007, p. 176.
  17. 汪認庵. 醫方集解. 臺北: 文光圖書有限公司; 1986, p. 227-31.
  18. Eom YW. Je Saengbang. Beijing: InMinwisaeng publisher; 1980, p. 117.