• Title/Summary/Keyword: Gastrointestinal Symptom Rating Scale

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Drug-Induced Gastrointestinal Dysfunction in Parkinson's Disease: Treatment with Korean Medicine

  • Hwang, Ji Hye;Kim, Deok-Hyun;Kang, Mi Suk;Song, Ho-Seub
    • Journal of Acupuncture Research
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    • v.36 no.2
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    • pp.113-117
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    • 2019
  • Parkinson's disease (PD) is a neurodegenerative disease, where treatment with medication may lead to gastrointestinal (GI) symptoms. The objective of this case study was to investigate the effectiveness of Korean medicine (KM) in treating PD with drug-induced GI dysfunction. A 70-year-old female participant was diagnosed with PD in 2010 and drug-induced gastritis in 2016. Her major symptoms were related to GI, PD, and overall feeling of weakness. She was treated with KM including pharmacopuncture, acupuncture, moxibustion, and herbal medicines, in combination with Western medicines during 46 days of in-patient care. This study showed an improvement in symptoms and scores on the GI symptom scale, Unified Parkinson's disease rating scale, Hoehn and Yahr staging, Berg balance scale, PD quality of life, and stress index at discharge. This case demonstrated that the symptoms of drug-induced GI dysfunctions in PD was improved by treatment with KM.

An investigation of the relationship between cutaneous allodynia and kinesiophobia, gastrointestinal system symptom severity, physical activity and disability in individuals with migraine

  • Hafize Altay;Seyda Toprak Celenay
    • The Korean Journal of Pain
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    • v.36 no.1
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    • pp.137-246
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    • 2023
  • Background: To investigate the relationship between cutaneous allodynia (CA) and kinesiophobia, gastrointestinal system (GIS) symptom severity, physical activity, and disability, and to determine whether CA, pain, and disability were influencing factors for kinesiophobia, GIS symptoms, and physical activity in individuals with migraine. Methods: The study included 144 individuals with migraine. CA, kinesiophobia, GIS symptoms, physical activity level, and migraine-related disability were evaluated with the Allodynia Symptom Checklist, the Tampa Kinesiophobia Scale (TKS), the Gastrointestinal Symptom Rating Scale (GSRS), the International Physical Activity Questionnaire-7, and the Migraine Disability Assessment Scale (MIDAS), respectively. Results: The CA severity was only associated with TKS (r = 0.515; P < 0.001), GSRS-total (r = 0.336; P < 0.001), GSRS-abdominal pain (r = 0.323; P < 0.001), GSRS-indigestion (r = 0.257; P = 0.002), GSRS-constipation (r = 0.371; P < 0.001), and MIDAS scores (r = 0.178; P = 0.033). Attack frequency (P = 0.015), attack duration (P = 0.035) and presence of CA (P < 0.001) were risk factors for kinesiophobia. Attack frequency (P = 0.027) and presence of CA (P = 0.004) were risk factors for GIS symptoms. Conclusions: There was a relationship between the CA and kinesiophobia, GIS symptoms, and disability. CA and attack frequency were found to be risk factors for kinesiophobia and GIS symptoms. Migraine patients with CA should be assessed in terms of kinesiophobia, GIS, and disability. Lifestyle changes such as exercise and dietary changes and/or pharmacological treatment options for CA may increase success in migraine management.

A Case Report on a Fibromyalgia Patient with Gastrointestinal Symptoms Treated with Odu-tang (소화기증상을 동반한 섬유근육통 환자에 대한 오두탕 치험 1례)

  • Jang, Hye-yeon;Yu, Sang-gu;Kim, Do-hyeong;Lee, Young-su
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.863-871
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    • 2021
  • Objective: The purpose of this study was to investigate the effects of Korean medical treatment on a fibromyalgia patient with gastrointestinal symptoms, using herbal medicines selected according to new rather than existing standards. Method: A 52-year-old female patient with fibromyalgia was treated with Odu-tang and acupuncture, cupping, and moxibustion for 22 days. To evaluate the treatment, we used the Numerical Rating Scale (NRS), American College of Rheumatology's Preliminary Diagnostic Criteria (ACR), and Korean Gastrointestinal Symptom Rating Scale (KGSRS). Result: Following treatment, pantalgia diminished, NRS, and ACR scores improved, and the GSRS score decreased from 29 to 11. Conclusion: This study suggests that Korean medical treatment could effectively reduce pain and improve digestive symptoms in patients with fibromyalgia. It also presents a new method that considers individual characteristics when choosing herbal medicine.

A Case Report of Panic Disorder with Functional Gastrointestinal Disturbance (기능성 위장장애를 동반한 공황장애 환자 치험 1례)

  • Ryu, Ki-Jun;Kim, Ji-Hyung;Han, Chang;Park, Jong-Hun;Kwon, Seung-Ro
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.187-196
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    • 2009
  • Objectives : This study was performed to report the effect of oriental treatments for panic disorder with functional gastrointestinal disturbance. Methods : In this case, a 30 year-old female patient has been suffered by panic disorder with functional gastrointestinal disturbance for 10 years. This case can be caused by KanKiUlKyul(肝氣鬱結), KanKiBeomYi(肝氣犯胃) and KanKiSeungBi(肝氣乘脾). We treated the patient with Herbal medication, Cognitive-behavioral therapy and Relaxation therapy. The effects of treatment were measured by GSRS(Gastrointestinal Symptom Rating Scale), BPI(Brief Pain Inventory) and VAS(Visual Analog Scale) Results : As a result of oriental treatments, the symptoms of Panic Disorder with Functional Gastrointestinal Disturbance was improved. Conclusions : These results suggest that oriental treatments have an effect on Panic Disorder with Functional Gastrointestinal Disturbance.

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Improvement of Functional Dyspepsia with a Herniated Intervertebral Disk through Korean Medical Treatment: A Case Report (추간판탈출증 환자에서 발생한 기능성 소화불량에 대한 한방통합치료 호전사례)

  • Oh, Eun-je;Park, Mu-jin;Song, Woo-sub;Oh, Joo-hee;Bae, Gun-hee;Lee, Soo-kyeong;Jang, Dong-jin
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.809-816
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    • 2022
  • Objective: This study investigated the efficacy of using Korean medical treatments on a patient with functional dyspepsia. Methods: A 61-year-old female patient with functional dyspepsia and C/L-spine HIVD was treated with herbal medicine (Gamihyangsayukgunja-tang), acupuncture, pharmacopuncture, chuna manual therapy, and cupping therapy for 18 days. The treatment effects on the functional dyspepsia were evaluated using the Numerical Rating Scale score, Gastrointestinal Symptom Score, and Bristol Stool Scale results. Results: Following treatment, the patient showed decreases on the Numerical Rating Scale and Gastrointestinal Symptom Score and improvement on the Bristol Stool Scale. Conclusions: Korean medical treatment improved the condition of a patient with functional dyspepsia.

Clinical Case Report of Functional Dyspepsia with Gyejibanhasaenggang-tang, Acupuncture, and Moxibustion (계지반하생강탕 및 침구치료로 호전된 기능성 소화불량 환자의 치험 1례)

  • Kim, Sang-jin;Lee, Jae-hong;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.406-411
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    • 2016
  • Objective: This case presents the effects of Gyejibanhasaenggang-tang, acupuncture, and moxibustion on functional dyspepsia.Method: A patient was treated with herbal medicine, acupuncture, and moxibustion. Functional dyspepsia-related quality of life (FD-QoL), the gastrointestinal symptom rating scale (GSRS), and the gastrointestinal scale (GIS) were assessed for evaluation.Results: Symptoms of functional dyspepsia improved after the 22 days of Gyejibanhasaenggang-tang treatment.Conclusion: This case suggests that the combination of Gyejibanhasaenggang-tang, acupuncture, and moxibustion could be effective in treating functional dyspepsia.

A Case Report on Functional Dyspepsia Treated with Korean Medicine in a Patient with Panic Disorder and Lower Back Pain (공황장애와 요통을 동반한 기능성 소화불량 환자에 대한 한방치료 1례)

  • Kwon, Minjin;Kim, Tae-Ju;Lee, Yu-jin;Kim, Na Young;Kwon, Oh bin;Lee, Do Hoon;Jang, Seon Woo
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.918-928
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    • 2022
  • Objectives: This study reports on the efficacy of Korean medical treatments for a functional dyspepsia patient with panic disorder and lower back pain. Methods: A 51-year-old male patient with functional dyspepsia was treated with herbal medicines and acupuncture for 17 days. The treatment effect was evaluated by measurements drawn from the Numerical Rating Scale, range of motion, Oswestry Disability Index, European Quality of Life 5 Dimensions Scale, and Gastrointestinal Symptom Score. Results: Following the treatment, the patient showed a decrease on the Numerical Rating Scale and Oswestry Disability Index and in Gastrointestinal Symptom Score, as well as an improvement in range of motion and European Quality of Life 5 Dimensions score. Conclusions: Korean medical treatments appear to be effective in reducing functional dyspepsia. Further clinical research on patients with functional dyspepsia is needed.

A Case Report on Functional Dyspepsia in a Fibromyalgia Patient with a History of Long-Term Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Use (장기간 NSAIDs를 복용한 섬유근육통 환자의 기능성 소화불량 치험 1례)

  • Kim, Keum-ji;Cho, Soo-ho;Park, Ji-seon;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1268-1277
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    • 2019
  • Objective: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of functional dyspepsia in a fibromyalgia patient with a history of long-term NSAIDs use. Methods: The patient was diagnosed as a Soeumin, one of the four constitution types in Korean medicine, and treated with herbal medicines such as Seungyangikgibuja-tang and Pyeongjinsunjeom-san. Acupuncture and moxibustion treatment were also performed. The severity of symptoms was assessed using the Numerical Rating Scale (NRS) of epigastric pain, daily oral intake changes, the Korean Gastrointestinal Symptom Rating Scale (KGSRS), the Gastrointestinal Symptom Score (GIS), and the Functional Dyspepsia-Quality of Life (FD-QOL) score. Results: After treatment for 48 days, the severity of epigastric pain decreased from NRS 8 to NRS 0, and daily oral intake was increased. The KGSRS score decreased from 55 to 43, the GIS score was reduced from 18 to 10, and the FD-QOL score also decreased from 69 to 55. Conclusions: This study suggests that Korean medical treatment could be an effective option for treating functional dyspepsia in fibromyalgia patients with a history of long-term NSAIDs use.

A Case Report of Non-cardiac Chest Pain in a Non-erosive Reflux Disease Patient Treated with Beewha-eum (비화음으로 호전된 비미란성 역류질환(Non-erosive Reflux Disease) 환자의 비심인성 흉통(Non-cardiac chest pain) 치험 1례)

  • Jun, Hye-jin;Kim, Keum-ji;Cho, Min-ji;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1223-1230
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    • 2020
  • Objective: The purpose of this study was to report the effectiveness of Korean medicine (Beewha-eum) on the treatment of non-cardiac chest pain (NCCP) in a patient with non-erosive reflux disease (NERD). Methods: The patient was diagnosed with a spleen-stomach weakness pattern identified by Korean medicine and was treated with herbal medicine (Beewha-eum). The severity of symptoms was assessed with a numerical rating scale (NRS) for chest pain, self-reported dyspepsia degree (%), Korean gastrointestinal symptom rating scale (KGSRS), gastrointestinal symptom score (GIS), and Functional Dyspepsia-Quality of Life(FD-QOL) score. Results: After Beewha-eum treatment, the severity of chest pain was decreased from NRS 8 to NRS 0 and the self-reported dyspepsia degree also decreased from 100% to 65%. The KGSRS score was decreased from 49 to 35, the GIS score was also decreased from 16 to 9, and the FD-QOL score was increased from 20 to 25. Conclusions: The study findings suggested that Korean medical treatment with Beewha-eum could be an effective option for treating NCCP in patients with NERD.

A Case Report of Chronic Gastritis in a Patient with Spinal Stenosis Hospitalized at a Korean Medicine Hospital and Treated with Korean Medicine (한방병원에 입원한 요추관협착증을 동반한 만성 위염 환자에 대한 한방 치료 1례)

  • Kim, So-won;Park, Jin-hun;Wang, Yen-Min;Kim, Sang-yoon;Baek, Gil-geun;Yun, Sang-hun;Lee, Hyung-chul;Kang, Man-ho;Park, Sung-hwan;Lee, Jee-young
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.854-863
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    • 2022
  • Objectives: The purpose of this study is to report the efficacy of applying Korean medical treatment to chronic gastritis. Methods: We treated a chronic gastritis patient with Korean medical treatments (herbal medicines, acupuncture, and herbal acupuncture therapy). To evaluate the results of this treatment, we took measurements using the Gastrointestinal Symptom Rating Scale and Visual Analogue Scale for abdominal pain, heartburn, nausea, and abdominal distension. The patient's generic health status was evaluated using the European Quality of Life 5 Dimensions Scale. Results: Improvements in gastrointestinal symptom ratings and the European Quality of Life 5 Dimensions Scale were observed after the treatments. Relief of symptoms was observed in abdominal pain, heartburn, nausea, vomiting, and abdominal distension using the Visual Analogue Scale. Conclusions: This study suggests that Korean medicine may be effective in the treatment of chronic gastritis.