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Research for the Development of an Integrated Medical System for Idiopathic Pulmonary Fibrosis: Based on an Analysis of Questionnaire Survey in Doctor and Patient Groups 特发性肺纤维化综合医疗系统开发研究——基于医患群体问卷调查分析
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.366
Jiwon Park, Beom-joon Lee, J. Shin, Su-Hyun Chin, Jung-min Yang, Soo-Hyun Kim, Kwan-il Kim, H. Choi, H. Jung
Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF).Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis.Results: The most important parts in the treatment of IPF for both doctors and patients were the “improvement of respiratory symptoms,” “improvement of quality of life,” and “prevention of disease progression.” Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, “under 50,000 won (about 38$)” was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to “uncertain evidence for treatment effectiveness.” Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, “lifestyle management,” “diet management,” “herb,” “relaxation therapy,” and “psychotherapy” were ranked high in both doctor and patient groups.Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.
目的:本研究通过对医生和患者进行问卷调查,为开发特发性肺纤维化(IPF)综合医疗系统提供必要的基础数据。方法:通过专家组会议分别对医生和患者进行问卷调查。调查对象通过线上和线下的方式进行招募,最后利用231名医生和59名患者的反馈进行统计分析。结果:对医生和患者来说,IPF治疗中最重要的部分是“呼吸系统症状的改善”、“生活质量的改善”和“疾病进展的预防”。抗纤维化药物处方率高,100%的西医专家和45.8%的患者报告有副作用。在患者认为可以负担的综合医疗费用中,医生和患者群体中最多的是“5万韩元以下”。关于他们不愿推荐综合医疗系统治疗IPF的原因,西医专家对“治疗效果的不确定证据”反应强烈。对于对IPF患者有益的补充和替代医学疗法,“生活方式管理”、“饮食管理”、“草药”、“放松疗法”和“心理治疗”在医生和患者群体中都排名较高。结论:本研究通过对IPF进行问卷调查,回顾IPF的实际治疗状况,分析不足,并找出未来IPF综合医疗系统发展的考虑因素。
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引用次数: 0
A Study on the Anti-Inflammatory Effect and Improvement of Dyslipidemia on Hyangsapyeongwi-san 香沙平味散抗炎及改善血脂异常的研究
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.523
Han-nah Chae, S. Chun, Y. Shin
Objectives: This study aims to investigate the anti-inflammatory effect and improvement of dyslipidemia on Hyangsapyeongwi-san.Methods: In this study, HUVEC cells were cultured and treated with Hyangsapyeongwi-san to measure intracellular KLF2, eNOS, MCP-1, ICAM-1, and VCAM-1 gene expression levels related to anti-inflammation. The weight of experimental animals administered with Hyangsapyeongwi-san was measured, blood samples were biochemically analyzed, and liver tissues were reviewed to research histological changes.Results: Gene expression levels in the cells treated with Hyangsapyeongwi-san generally showed a meaningful anti-inflammatory effect. The body weight of the experimental animals decreased, and total cholesterol, triglyceride, and LDL-cholesterol in the blood generally declined while HDL-cholesterol tended to increase. Fat accumulation between hepatocytes was also reduced after the administration of Hyangsapyeongwi-san.Conclusions: This study confirmed that Hyangsapyeongwi-san has the effect of suppressing vascular inflammatory responses through the regulation of genes involved in the vascular inflammatory process and improving dyslipidemia through the reduction of blood lipids and weight loss.
目的:研究香沙平味散的抗炎作用及对血脂异常的改善作用。方法:采用香沙平味散培养HUVEC细胞,检测细胞内抗炎相关基因KLF2、eNOS、MCP-1、ICAM-1、VCAM-1的表达水平。用香沙平味山对实验动物进行体重测量,对血液样本进行生化分析,并对肝脏组织进行组织学检查。结果:香沙平味散处理后细胞的基因表达水平普遍表现出明显的抗炎作用。实验动物体重下降,血液中总胆固醇、甘油三酯、低密度脂蛋白胆固醇普遍下降,高密度脂蛋白胆固醇有升高的趋势。肝细胞间的脂肪堆积在服用香沙平味山后也有所减少。结论:本研究证实香沙平味散通过调节血管炎症过程相关基因抑制血管炎症反应,并通过降低血脂和减轻体重改善血脂异常。
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引用次数: 0
A Case Report of Chronic Prostatitis/Chronic Pelvic Pain Syndrome Treated with Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment 蜂毒疗法联合八律针刺治疗慢性前列腺炎/慢性盆腔痛综合征1例报告
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.536
Do-yeon Park, Hyangra Moon, Hui-jeong Noh, Sang-yoon Jeon
Objectives: The purpose of this study was to report the effectiveness of Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment in the management of chronic prostatitis/chronic pelvic pain syndrome.Methods: A patient with chronic prostatitis/chronic pelvic pain syndrome underwent Korean medical treatment, including Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment. The severity of symptoms was assessed with a daily visual analog scale (VAS) for orchialgia and lower abdominal pain. In addition, we measured the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) on the first and last days of visit.Results: The patient’s symptoms were improved after treatment. The severity of orchialgia was reduced from VAS7 to VAS2, and lower abdominal pain was improved from VAS6 to VAS1. NIH-CPSI decreased from 21 to 5.Conclusion: Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment are effective in treating chronic prostatitis /chronic pelvic pain syndrome.
目的:本研究的目的是报道胡蜂蜂毒疗法和巴利欧针刺治疗慢性前列腺炎/慢性盆腔疼痛综合征的疗效。方法:对1例慢性前列腺炎/慢性盆腔疼痛综合征患者进行韩国医学治疗,包括会阴蜂毒疗法和八里欧针灸疗法。用每日视觉模拟量表(VAS)评估睾丸痛和下腹痛的症状严重程度。此外,我们在就诊的第一天和最后一天测量了美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)。结果:经治疗后患者症状明显好转。睾丸痛的严重程度从VAS7减轻到VAS2,下腹痛从VAS6减轻到VAS1。NIH-CPSI由21降至5。结论:蜂毒疗法联合八髎针刺法治疗慢性前列腺炎/慢性盆腔痛综合征疗效显著。
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引用次数: 0
A Retrospective Study of the Safety and Effect of Co-administration of Glucose-lowering Medication and Bojungikgi-tang on Blood Glucose Level in Patients with Type 2 Diabetes Mellitus 降糖药与保正益汤合用对2型糖尿病患者血糖水平影响及安全性的回顾性研究
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.354
S. Oh, Woo-nyoung Jung, Mee-ryoung Song, Ji-Won Noh, Young-min Ahn, Se-young Ahn, Byung-Cheol Lee
Objective: This study aimed to assess the safety and effect on glucose level of Bojungikgi-tang in patients with type 2 diabetes mellitus.Methods: To review patients’ clinical characteristics and laboratory tests retrospectively, we investigated 15 hospitalized patients with type 2 diabetes mellitus who took Bojungikgi-tang at Kyung Hee University Korean Medical Hospital for at least one day between January 2012 and December 2022. The blood glucose levels, including fasting blood sugar (FBS), 2-hour postprandial glucose (PP2) levels, and glycated hemoglobin level, were collected to determine the effect of the Bojungikgi-tang on blood sugar changes. Furthermore, to evaluate the safety of Bojungikgi-tang, hepatic function and renal function tests were implemented, including aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, γ-glutamyltransferase, blood urea nitrogen, creatinine, and Modification of Diet in Renal Disease estimated glomerular filtration rate.Results: When Bojungikgi-tang and a standard treatment for diabetes were administered for patients with type 2 diabetes, it was confirmed that there were no statistically significant changes in FBS and PP2 levels in the analysis of each medication taken. There was no significant difference in the safety profile after taking Bojungikgi-tang.Conclusions: The combined administration of Bojungikgi-tang with standard hypoglycemic medication for patients with type 2 diabetes may not affect blood glucose levels and safety.
目的:探讨保正益基汤对2型糖尿病患者血糖水平的影响及安全性。方法:回顾性分析2012年1月至2022年12月在庆熙大学高丽医院住院的15例2型糖尿病患者的临床特征和实验室检查结果。血糖水平包括空腹血糖(FBS)、餐后2小时血糖(PP2)和糖化血红蛋白水平,以确定保正益基汤对血糖变化的影响。此外,为了评价保养鸡鸡汤的安全性,进行了肝功能和肾功能测试,包括天冬氨酸转氨酶、丙氨酸转氨酶、碱性磷酸酶、γ-谷氨酰转移酶、血尿素氮、肌酐和肾病患者饮食改变的肾小球滤过率。结果:在对2型糖尿病患者进行保正基汤和糖尿病标准治疗时,在对每一种药物的分析中,FBS和PP2水平没有统计学意义的变化。两组间安全性无显著性差异。结论:保正益基汤与标准降糖药联合应用对2型糖尿病患者血糖水平无影响,且安全性良好。
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引用次数: 0
Network Analysis Using the Established Database (K-herb Network) on Herbal Medicines Used in Clinical Research on Heart Failure 心衰临床研究中草药数据库(K-herb Network)的网络分析
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.313
Subin Park, Y. Kim, Gi-Sang Bae, Cheol-hyun Kim, Inae Youn, Jungtae Leem, H. Chu
Objectives: Heart failure is a chronic disease with increasing prevalence rates despite advancements in medical technology. Korean medicine utilizes herbal prescriptions to treat heart failure, but little is known about the specific herbal medicines comprising the network of herbal prescriptions for heart failure. This study proposes a novel methodology that can efficiently develop prescriptions and facilitate experimental research on heart failure by utilizing existing databases.Methods: Herbal medicine prescriptions for heart failure were identified through a PubMed search and compiled into a Google Sheet database. NetMiner 4 was used for network analysis, and the individual networks were classified according to the herbal medicine classification system to identify trends. K-HERB NETWORK was utilized to derive related prescriptions.Results: Network analysis of heart failure prescriptions and herbal medicines using NetMiner 4 produced 16 individual networks. Uhwangcheongsim-won (牛黃淸心元), Gamiondam-tang (加味溫膽湯), Bangpungtongseong-san (防風通聖散), and Bunsimgi-eum (分心氣飮) were identified as prescriptions with high similarity in the entire network. A total of 16 individual networks utilized K-HERB NETWORK to present prescriptions that were most similar to existing prescriptions. The results provide 1) an indication of existing prescriptions with potential for use to treat heart failure and 2) a basis for developing new prescriptions for heart failure treatment.Conclusion: The proposed methodology presents an efficient approach to developing new heart failure prescriptions and facilitating experimental research. This study highlights the potential of network pharmacology methodology and its possible applications in other diseases. Further studies on network pharmacology methodology are recommended.
目的:心力衰竭是一种慢性疾病,尽管医疗技术不断进步,但其患病率仍在上升。韩国医学利用草药处方来治疗心力衰竭,但对构成心力衰竭草药处方网络的具体草药知之甚少。本研究提出了一种新的方法,可以有效地利用现有数据库开发处方并促进心力衰竭的实验研究。方法:通过PubMed检索确定治疗心力衰竭的草药处方,并将其编入Google Sheet数据库。使用NetMiner 4进行网络分析,并根据草药分类系统对各个网络进行分类,识别趋势。利用K-HERB NETWORK推导相关处方。结果:使用NetMiner 4对心衰处方和中草药进行网络分析,产生16个个体网络。Uhwangcheongsim-won()、gamionam -tang()、Bangpungtongseong-san()和Bunsimgi-eum()在整个网络中具有较高的相似性。共有16个个体网络利用K-HERB NETWORK提供与现有处方最相似的处方。该结果提供了1)现有处方治疗心力衰竭的潜在适应症,2)开发心力衰竭治疗新处方的基础。结论:提出的方法为开发新的心力衰竭处方和促进实验研究提供了有效的途径。本研究突出了网络药理学方法的潜力及其在其他疾病中的应用前景。建议进一步研究网络药理学方法学。
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引用次数: 0
Hepatic/Renal Safety Evaluation of Cheongsimyeonja-tang (Qīngxīn Liánzǎo Tāng), Dodam-tang (Táodàn Tāng), Hyeolbuchukso-tang (Xuè Fǔ Zhú Yū Tāng), and Boshiniknai-tang (Bǔ Shèn Yì Nǎo Tāng) for Cerebrovascular Diseases: A Retrospective Study
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.439
Min-hwa Kim, Im-hak Cho, Inju Nam, Maria Kim, Ki-beom Ku, Se-yeon Lee, J. Kwon, In Lee, Jin-woo Hong, Y. Yun, So-Yeon Kim, Chang-woo Han, So-jung Park, Jun-Yong Choi, Hyeun-kyoo Shin
Objectives: As Korea transitions into an aging society, the incidence of cerebrovascular disease is expected to increase. Herbal medicine is commonly used in Oriental medicine to treat cerebrovascular disease. However, there is insufficient clinical evidence to actively support the safety of herbal medicine in clinical practice. Therefore, the aim of this study was to determine the toxicity and safety of four herbal medicines (Cheongsimyeonja-tang, Dodam-tang, Hyeolbuchukso-tang, and Boshiniknai-tang) in patients with cerebrovascular disease.Methods: This study used electronic medical records to analyze patients admitted to an oriental medicine hospital from April 1, 2017, to December 31, 2020. Liver and renal function values at the time of admission and discharge were compared.Results: A total of 25 patients were included in this study. We found no significant differences in various variables, such as complete blood count, liver-renal function test, and urine, before and after the administration of the four herbal medicines. Additionally, no significant adverse events related to herbal medicine were observed.Conclusions: This study confirmed the safety of the four herbal medicines in patients with cerebrovascular disease who were hospitalized in a single Oriental medicine hospital.
目的:随着韩国进入老龄化社会,脑血管疾病的发病率预计会增加。中草药在东方医学中常用来治疗脑血管疾病。然而,在临床实践中,没有足够的临床证据来积极支持草药的安全性。因此,本研究的目的是确定四种中药(清心延子汤、多丹汤、血补骨素汤和波仙可耐汤)对脑血管疾病患者的毒性和安全性。方法:采用电子病历对某中医院2017年4月1日至2020年12月31日住院的患者进行分析。比较两组患者入院和出院时的肝肾功能。结果:本研究共纳入25例患者。我们发现,在服用四种草药前后,全血细胞计数、肝肾功能检查和尿液等各项指标均无显著差异。此外,未观察到与草药相关的显著不良事件。结论:本研究证实了四种中药对某一中医院脑血管病患者的安全性。
{"title":"Hepatic/Renal Safety Evaluation of Cheongsimyeonja-tang (Qīngxīn Liánzǎo Tāng), Dodam-tang (Táodàn Tāng), Hyeolbuchukso-tang (Xuè Fǔ Zhú Yū Tāng), and Boshiniknai-tang (Bǔ Shèn Yì Nǎo Tāng) for Cerebrovascular Diseases: A Retrospective Study","authors":"Min-hwa Kim, Im-hak Cho, Inju Nam, Maria Kim, Ki-beom Ku, Se-yeon Lee, J. Kwon, In Lee, Jin-woo Hong, Y. Yun, So-Yeon Kim, Chang-woo Han, So-jung Park, Jun-Yong Choi, Hyeun-kyoo Shin","doi":"10.22246/jikm.2023.44.3.439","DOIUrl":"https://doi.org/10.22246/jikm.2023.44.3.439","url":null,"abstract":"Objectives: As Korea transitions into an aging society, the incidence of cerebrovascular disease is expected to increase. Herbal medicine is commonly used in Oriental medicine to treat cerebrovascular disease. However, there is insufficient clinical evidence to actively support the safety of herbal medicine in clinical practice. Therefore, the aim of this study was to determine the toxicity and safety of four herbal medicines (Cheongsimyeonja-tang, Dodam-tang, Hyeolbuchukso-tang, and Boshiniknai-tang) in patients with cerebrovascular disease.Methods: This study used electronic medical records to analyze patients admitted to an oriental medicine hospital from April 1, 2017, to December 31, 2020. Liver and renal function values at the time of admission and discharge were compared.Results: A total of 25 patients were included in this study. We found no significant differences in various variables, such as complete blood count, liver-renal function test, and urine, before and after the administration of the four herbal medicines. Additionally, no significant adverse events related to herbal medicine were observed.Conclusions: This study confirmed the safety of the four herbal medicines in patients with cerebrovascular disease who were hospitalized in a single Oriental medicine hospital.","PeriodicalId":22826,"journal":{"name":"The Journal of Internal Korean Medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75535601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Herbal Medicine in the Clinical Guidelines of Korea and China for COVID-19 中韩两国新冠肺炎临床指南中草药分析
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.506
Seungbo Yang, A. Jeong
COVID-19 is an acute infectious disease caused by SARS-CoV-2 that has infected more than 700 million people around the world and left many deaths. In Korea and China, Korean medicine and Traditional Chinese Medicine were used to treat COVID-19, and the key element between them was herbal medicine. Clinical guidelines for herbal medicine have been published in Korea and China. In this review, the Korean and Chinese guidelines were compared and analyzed. This review was based on the latest revised clinical guidelines. The Korean guidelines covered all three guidelines published by The Association of Korean Medicine and The KM Professor Council of Internal Medicine of the Respiratory System. The Chinese guideline was published by the China National Health Commission. Based on research trends, a comprehensive comparison was made of the suggested prescriptions for each severity of COVID-19. It is expected that this review will be used as a reference for the treatment of COVID-19 or new infectious diseases in the future.
COVID-19是由SARS-CoV-2引起的急性传染病,全球已有7亿多人感染,并造成许多人死亡。在韩中两国,新冠肺炎的治疗方法是韩国医学和中国医学,两者之间的关键是草药。韩国和中国已经出版了草药临床指南。在本综述中,对韩国和中国的指南进行了比较和分析。本综述基于最新修订的临床指南。大韩医师协会和呼吸内科教授协议会发表的3种诊疗方法全部被纳入了韩国版诊疗方法。该指南由中国国家卫生健康委员会发布。根据研究趋势,对不同严重程度的建议处方进行了全面比较。希望对今后新冠肺炎或新型传染病的治疗有一定的参考价值。
{"title":"Analysis of Herbal Medicine in the Clinical Guidelines of Korea and China for COVID-19","authors":"Seungbo Yang, A. Jeong","doi":"10.22246/jikm.2023.44.3.506","DOIUrl":"https://doi.org/10.22246/jikm.2023.44.3.506","url":null,"abstract":"COVID-19 is an acute infectious disease caused by SARS-CoV-2 that has infected more than 700 million people around the world and left many deaths. In Korea and China, Korean medicine and Traditional Chinese Medicine were used to treat COVID-19, and the key element between them was herbal medicine. Clinical guidelines for herbal medicine have been published in Korea and China. In this review, the Korean and Chinese guidelines were compared and analyzed. This review was based on the latest revised clinical guidelines. The Korean guidelines covered all three guidelines published by The Association of Korean Medicine and The KM Professor Council of Internal Medicine of the Respiratory System. The Chinese guideline was published by the China National Health Commission. Based on research trends, a comprehensive comparison was made of the suggested prescriptions for each severity of COVID-19. It is expected that this review will be used as a reference for the treatment of COVID-19 or new infectious diseases in the future.","PeriodicalId":22826,"journal":{"name":"The Journal of Internal Korean Medicine","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77485080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case Report on the Complete Response of a Patient with Recurrent Follicular Lymphoma Treated with Integrative Medicine 中西医结合治疗复发性滤泡性淋巴瘤1例疗效报告
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.585
Kyung-dug Park, Jisoo Kim, Yoona Oh, B. Jeong, Y. Jung, Sunhwi Bang
Objective: The purpose of this study is to report the effect of integrative medicine on recurrent follicular lymphoma, thus providing a clinical basis for integrative medicine.Methods: The medical report of a patient with follicular lymphoma who had undergone several chemotherapies but continuously relapsed before treated with integrative medicine was analyzed. Radiologic outcome was assessed by several imaging tests based on Response Evaluation Criteria in Solid Tumors. Clinical outcome and safety were assessed by laboratory tests.Results: After five years of integrative treatment, there was a complete response in imaging tests such as computed tomography (CT), positron-emission tomography/CT, and endoscopy. There were no toxicity in the laboratory test and no serious side effect of integrative medicine.Conclusion: This study suggested that integrative medicine has few side effects but significant effects on treating recurrent follicular lymphoma. However, the results should be taken cautiously as further clinical studies are needed.
目的:报告中西医结合治疗复发性滤泡性淋巴瘤的疗效,为中西医结合治疗提供临床依据。方法:对1例经多次化疗后持续复发的滤泡性淋巴瘤患者的病历进行分析。放射学结果根据实体瘤反应评价标准通过几项影像学检查进行评估。通过实验室检查评估临床结果和安全性。结果:经过5年的综合治疗,在计算机断层扫描(CT)、正电子发射断层扫描/CT和内窥镜检查等影像学检查中有完全缓解。实验室试验无毒副作用,中西医结合治疗无严重副作用。结论:中西医结合治疗复发性滤泡性淋巴瘤副作用少,疗效显著。然而,结果应谨慎对待,因为需要进一步的临床研究。
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引用次数: 0
Case Report on the Five-year Survival and Complete Response of a Patient with Pancreatic Cancer Treated with Integrative Medicine 1例胰腺癌中西医结合治疗5年生存率及完全缓解的病例报告
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.562
Yu-jin Jung, Jisoo Kim, Kyung-dug Park, Yoona Oh, B. Jeong, Sunhwi Bang
Objectives: This is a five-year survival and complete response (CR) report on pancreatic cancer treated with western medicine and Korean traditional medicine.Method: A 59-year-old woman diagnosed with pancreatic cancer visited ⃝⃝ Korean traditional medicine hospital after neoadjuvant chemotherapy and pylorus-preserving pancreaticoduodenectomy. She was treated with Korean traditional medicine, including acupuncture, abdominal moxibustion, wild ginseng pharmacopuncture, and herbal medicine, which was based on integrated medicine therapy (IMT), from March 2018 to September 2022. The tumor size was measured by scanning with computed tomography (CT), magnetic resonance imaging, and positron-emission tomography/CT. Adverse events were evaluated using laboratory conclusion and National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0.Result: During four years and three months of treatment, IMT maintained safety. The patient finally reached five-year survival without any recurrence or complication (CR) on October 26, 2022.Conclusion: We suggest that an integrative approach including Korean traditional medicine can be a meaningful treatment option for pancreatic cancer. Further studies should be performed to establish the proper treatment protocol of integrative medicine for pancreatic cancer.
目的:这是一份西药和韩药治疗胰腺癌的5年生存和完全缓解(CR)报告。方法:一名确诊为胰腺癌的59岁女性患者在接受新辅助化疗和保幽门胰十二指肠切除术后到⃝⃝韩国中医院就诊。从2018年3月到2022年9月,她接受了针灸、腹灸、野生人参药物穿刺、以综合医学治疗(IMT)为基础的草药等韩国传统医学的治疗。通过计算机断层扫描(CT)、磁共振成像和正电子发射断层扫描/CT测量肿瘤大小。不良事件采用实验室结论和美国国家癌症研究所不良事件通用术语标准5.0版进行评估。结果:在4年零3个月的治疗中,IMT保持了安全性。患者最终于2022年10月26日达到5年生存期,无复发或并发症(CR)。结论:我们认为结合韩国传统医学治疗胰腺癌是一种有意义的治疗选择。胰腺癌的中西医结合治疗方案有待进一步研究。
{"title":"Case Report on the Five-year Survival and Complete Response of a Patient with Pancreatic Cancer Treated with Integrative Medicine","authors":"Yu-jin Jung, Jisoo Kim, Kyung-dug Park, Yoona Oh, B. Jeong, Sunhwi Bang","doi":"10.22246/jikm.2023.44.3.562","DOIUrl":"https://doi.org/10.22246/jikm.2023.44.3.562","url":null,"abstract":"Objectives: This is a five-year survival and complete response (CR) report on pancreatic cancer treated with western medicine and Korean traditional medicine.Method: A 59-year-old woman diagnosed with pancreatic cancer visited ⃝⃝ Korean traditional medicine hospital after neoadjuvant chemotherapy and pylorus-preserving pancreaticoduodenectomy. She was treated with Korean traditional medicine, including acupuncture, abdominal moxibustion, wild ginseng pharmacopuncture, and herbal medicine, which was based on integrated medicine therapy (IMT), from March 2018 to September 2022. The tumor size was measured by scanning with computed tomography (CT), magnetic resonance imaging, and positron-emission tomography/CT. Adverse events were evaluated using laboratory conclusion and National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0.Result: During four years and three months of treatment, IMT maintained safety. The patient finally reached five-year survival without any recurrence or complication (CR) on October 26, 2022.Conclusion: We suggest that an integrative approach including Korean traditional medicine can be a meaningful treatment option for pancreatic cancer. Further studies should be performed to establish the proper treatment protocol of integrative medicine for pancreatic cancer.","PeriodicalId":22826,"journal":{"name":"The Journal of Internal Korean Medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77074123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review on the Effects of Herbal Medicine on Respiratory Diseases in In Vivo Particulate Matter Models 体内颗粒物模型中草药对呼吸系统疾病作用的研究进展
Pub Date : 2023-06-30 DOI: 10.22246/jikm.2023.44.3.418
Seong-Cheon Woo, Su-Won Lee, Yang-Chun Park
Objective: This study was conducted to review the effects of herbal medicine on respiratory diseases induced by the treatment of particulate matter in in vivo animal models.Methods: Literature searches were performed in seven databases (Pubmed, Embase, Cochrane Library, KISS, KTKP, OASIS, and ScienceON). After the searched studies were screened based on the inclusion/exclusion criteria, the publication date, origin, used animals, induction of particulate matter models, herbal medicine used for intervention, study design, outcome measure, and results of studies were analyzed.Results: Among a total of 972 studies primarily searched, 34 studies were finally included in our study. Of this number, 29 studies induced animal models by using only particulate matter, and 5 studies induced animal models with respiratory diseases, such as asthma and chronic obstructive pulmonary disease, by using particulate matter and other materials. In the selected studies, the treatments of herbal medicine in particulate matter models suppressed oxidative stress and inflammation in lung tissue, bronchoalveolar lavage fluid, and blood as well as lung injury in histological analysis.Conclusion: The results of this study suggest that herbal medicine is effective in treating respiratory diseases induced by particulate matter. These results are also expected to be useful data for designing further studies. However, more systematically designed in vivo studies related to particulate matter are needed.
目的:通过动物体内模型研究中药对颗粒物所致呼吸系统疾病的治疗作用。方法:在Pubmed、Embase、Cochrane Library、KISS、KTKP、OASIS、ScienceON等7个数据库中进行文献检索。根据纳入/排除标准对检索到的研究进行筛选后,对发表日期、来源、使用的动物、颗粒物模型的诱导、用于干预的草药、研究设计、结局测量和研究结果进行分析。结果:在初步检索的972项研究中,最终纳入34项研究。其中,29项研究仅使用颗粒物诱导动物模型,5项研究使用颗粒物和其他材料诱导哮喘、慢性阻塞性肺疾病等呼吸系统疾病动物模型。在选定的研究中,在颗粒物模型中,草药治疗可以抑制肺组织、支气管肺泡灌洗液和血液中的氧化应激和炎症,以及组织学分析中的肺损伤。结论:中药对颗粒物所致呼吸系统疾病有较好的治疗效果。这些结果也有望成为设计进一步研究的有用数据。然而,需要更系统地设计与颗粒物质相关的体内研究。
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引用次数: 0
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The Journal of Internal Korean Medicine
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