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Case Report: Lower Extremity Paresthesia and Pain with Diabetic Polyneuropathy Combated with Complex Korean Medical Treatment 病例报告:下肢感觉异常和疼痛与糖尿病多发性神经病变与复杂的韩国医疗对抗
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.231
Seong-Hoon Jeong, Young-Seon Lee, Si-Yun Sung, Han-Gyul Lee, Ki-Ho Cho, S. Moon, W. Jung, Seungwon Kwon
Background: Diabetic polyneuropathy is the most common complication in diabetics, occurring in 50% of all cases. About 10-20% of all diabetics are accompanied by neurological pain, showing a tendency to increase with age. Clinical aspects are very diverse, from mild abnormalities on nerve conduction tests to severe abnormalities in all sensory, motor, and autonomic nerves; however, sensory symptoms usually precede motor symptoms. Patients typically express sensory symptoms, such as positive and negative symptoms, which decrease the quality of life and have marked clinical implications, such as increased morbidity and mortality. Although Western medical drugs, such as tricyclic antidepressants, anticonvulsants, and narcotic analgesics, are used for diabetic polyneuropathy, a standard treatment has not been established.Case report: A 65-year-old male with paresthesia and pain due to diabetic polyneuropathy was treated with Uchashinki-hwan, acupuncture, electroacupuncture, moxibustion, and Jungsongouhyul pharmacopuncture for 10 days. We used the Toronto Clinical Neuropathy Scoring System, EuroQol-5 Dimension, and Visual Analog Scale to evaluate symptoms. Subsequently, the Neuropathy Scoring System, EuroQol-5 Dimension, and subjective discomfort improved.Conclusion: The present case report suggests that combined Korean medicine treatment might be an effective treatment for paresthesia and pain with diabetic polyneuropathy. Several follow-up studies should be conducted to clarify the effectiveness of the treatment.
背景:糖尿病多发神经病变是糖尿病患者最常见的并发症,占所有病例的50%。约10-20%的糖尿病患者伴有神经性疼痛,并有随年龄增长而加重的趋势。临床表现非常多样,从神经传导测试的轻度异常到所有感觉、运动和自主神经的严重异常;然而,感觉症状通常先于运动症状。患者通常表现出感觉症状,如阳性和阴性症状,这些症状会降低生活质量,并具有明显的临床影响,如发病率和死亡率增加。虽然西医药物,如三环抗抑郁药、抗惊厥药和麻醉性镇痛药,用于糖尿病多发性神经病变,但标准治疗尚未建立。病例报告:65岁男性,因糖尿病多发神经病变而致感觉异常疼痛,采用乌查信基焕、针刺、电针、艾灸、中松乌柳针刺治疗10天。我们使用多伦多临床神经病评分系统、EuroQol-5维度和视觉模拟量表来评估症状。随后,神经病变评分系统、EuroQol-5维度和主观不适感均有所改善。结论:韩药联合治疗糖尿病多发神经病变可能是治疗感觉异常和疼痛的有效方法。应该进行几项后续研究以阐明治疗的有效性。
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引用次数: 0
Case Report: Korean Medicine Treatment for Diabetic Peripheral Neuropathy Concurrent with Chemotherapy-Induced Peripheral Neuropathy 韩药治疗糖尿病周围神经病变并发化疗引起的周围神经病变病例报告
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.222
Ji-yoon Park, Ye-Seul Kim, Jung Hwa Hong, Young-ju Rhee, Eun-joo Seok, Lib Ahn
Objectives: This study reports the effectiveness of acupuncture and moxibustion for Diabetic Peripheral Neuropathy concurrent with Chemotherapy-Induced Peripheral Neuropathy.Case presentation: A 58-year-old male was admitted for hand numbness and foot pain after his sixth chemotherapy. He was treated with acupuncture and moxibustion for 18 days. Symptoms were evaluated with a numeric rating scale (NRS). After 18 days of treatment, his foot pain improved from NRS 4 to NRS 2. His hand numbness disappeared.Conclusion: This study suggests that acupuncture and moxibustion can be used for managing diabetic peripheral neuropathy concurrent with chemotherapy-induced peripheral neuropathy.
目的:本研究报道针灸治疗糖尿病周围神经病变合并化疗引起的周围神经病变的疗效。病例介绍:一名58岁男性,因第六次化疗后手部麻木和足部疼痛入院。针灸治疗18天。使用数字评定量表(NRS)对症状进行评估。经过18天的治疗,他的足部疼痛从NRS 4改善到NRS 2。他的手不再麻木了。结论:本研究提示针灸可用于治疗糖尿病周围神经病变并发化疗引起的周围神经病变。
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引用次数: 0
Case Report of Korean Medicine Treatment for Post-COVID-19 Globus Sensation 韩药治疗新冠肺炎后球状感1例报告
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.244
Jung Hwa Hong, Ye-Seul Kim, Ji-yoon Park, Eun-joo Seok, Young-ju Rhee, Lib Ahn, D. Choi
Globus sensation is a continuous, intermittent, non-painful sensation of lumps or foreign substances in the throat. It was reported that 13.7% of patients developed globus sensations after COVID-19 infection. A 73-year-old male patient with a globus sensation after a COVID-19 infection was admitted to the ◯◯ Oriental Medicine Hospital and treated with herbal medicine (Banhahubak-tang, Sosiho-tang). Subjective symptoms of globus sensation were measured with the Numerical Rating Scale (NRS) daily and found to reduce. The effect persisted during his admission. In conclusion, Korean medicine, including Banhahubak-tang, can be effective for patients with globus sensations after COVID-19 infections.
球感是一种持续的、间歇的、无痛的喉部肿块或异物的感觉。据报道,13.7%的患者在感染新冠病毒后出现了球状感觉。1例男性,73岁,新冠病毒感染后出现球状感,住进了中国中医院,接受了中草药治疗(banhahubakk -tang, Sosiho-tang)。每日用数值评定量表(NRS)测量球感主观症状,发现症状有所减轻。这种影响在他入院期间一直存在。因此,对感染新冠病毒后出现球状感觉的患者来说,韩药是有效的。
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引用次数: 0
Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection 病例报告:1例新冠病毒感染后出现潮热症状的韩药治疗
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.207
Hye-min Heo, Kyeong-hw Lee, Kyeong-Hwa Heo, Ye-Chae Hwang, Seung-Yeon Cho, Jung-Mi Park, C. Ko, Seong-Uk Park
This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient’s subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.
本研究报告了一例冠状病毒病-2019 (COVID-19)感染后患者出现潮热的病例。该患者住院8天后,服用了以养羊山花汤为主的韩药,病情有所好转。我们每天评估患者的主观不适,患者每天记录潮热日记。治疗后潮热程度和频率均有明显改善,出院后持续2周。此外,伴随的多汗症从2级改善到0级。这一研究结果表明,韩国药物可能对小阳仁型患者的潮热有疗效。
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引用次数: 0
Case Report of Chronic Diarrhea Treated with Omae-hwan 奥前焕治疗慢性腹泻1例
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.260
Seon-ju Ahn, Eun-seo Kim, Jin-sol Yoon, Young-su Lee
Objectives: This study reported a clinical case of a chronic diarrhea patient who showed improvement with Korean medicine treatment.Methods: A patient with chronic diarrhea was treated with herbal medicine (Omae-hwan and Omae-hwan-ryo), acupuncture, cupping, and moxibustion. Changes in stool form were measured using the Bristol Stool Scale (BSS). The frequency of defecation was checked every day. The Short Form 36-Item (SF-36) was used to compare patients’ quality of life before and after treatment.Results: Korean medicine treatment improved the stool form, frequency of defecation, and quality of life.Conclusion: Korean medicine treatment containing Omae-hwan and Omae-hwan-ryo improves clinical symptoms and quality of life.
目的:本研究报告一例慢性腹泻患者经韩药治疗后病情好转的临床病例。方法:对1例慢性腹泻患者采用中药(欧梅焕、欧梅焕亮)、针刺、拔罐、艾灸治疗。采用布里斯托大便量表(BSS)测量大便形态的变化。每天检查排便次数。采用短表36-Item (SF-36)比较治疗前后患者的生活质量。结果:韩药治疗改善了患者的大便形态、排便频率和生活质量。结论:韩药加用欧梅焕、欧梅焕亮能改善临床症状,提高生活质量。
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引用次数: 0
Case Study of a Patient in a Thyrotoxic Phase of Painless Thyroiditis Treated with Guibiondam-tang-gamibang 桂碧昂丹汤加咪邦治疗无痛性甲状腺炎甲状腺毒期1例
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.277
Seo-hyun Kim, Chae-Eun Kim, Jun-seok Kim, WooSeok Jang
Objective: This study investigated the effects of Guibiondam-tang-gamibang on patients in the thyrotoxic phase of painless thyroiditis.Methods: A patient in the thyrotoxic phase of painless thyroiditis was treated with Guibiondam-tang-gamibang combined with Western medicine (i.e., beta blockers). The effect of treatment was evaluated according to the pulse rate, NRS, the frequency of subjective symptoms, and sleep time. In addition, the thyroid function was evaluated with TSH, Free T4, and T3 using blood tests.Results: After treatment, the pulse rate decreased, and the NRS and frequency of subjective symptoms disappeared after improvement. Sleep time increased. In the thyroid function test, a significant normalization of each value was observed.Conclusion: This study suggests that Guibiondam-tang-gamibang can be effectively treated in patients with painless thyroiditis in the thyrotoxic phase. However, further studies should be conducted.
目的:探讨桂碧昂丹汤加味邦对无痛性甲状腺炎甲状腺毒期患者的治疗作用。方法:对1例无痛性甲状腺炎甲状腺毒期患者采用桂比昂丹汤加咪邦联合西药(即受体阻滞剂)治疗。根据脉搏率、NRS、主观症状出现频率和睡眠时间评价治疗效果。此外,甲状腺功能评估与TSH,游离T4和T3的血液检查。结果:治疗后脉搏率下降,主观症状的NRS和频次改善后消失。睡眠时间增加。在甲状腺功能测试中,观察到每个值的显著归一化。结论:桂比昂丹汤加味邦可有效治疗甲状腺毒性期无痛性甲状腺炎。然而,应该进行进一步的研究。
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引用次数: 0
Case Study of Korean Medical Treatment for Major Aphthous Oral Ulcers 韩国医学治疗口腔严重溃疡个案研究
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.107
Su-Hyun Choi, Chang-yul Keum, A. Han, C. Yoon, Nahyun Jeong, Dahee Jeong, Na-Yeon Ha, Jinsung Kim
Objective: This case study reports on the results of the Korean medical treatment of a major aphthous oral ulcer patient.Methods: A 19-year-old male Korean patient with a major aphthous oral ulcer received acupuncture, herbal medicine, and moxibustion for three weeks in a hospital.Results: After treatment, changes were observed in the numeric rating scale (NRS) from 8 to 5, World Health Organization oral toxicity scale (WHO OTS) from grades 3 to 2, oral perception guide from 11 to 15, and Oral Health Impact Profile-14 (OHIP-14) from 19 to 34.Conclusion: It is worth examining the progress of Korean medical treatment for a major aphthous oral ulcer patient.
目的:报告一例口腔溃疡患者的韩国医学治疗结果。方法:一名19岁的韩国男性口腔溃疡患者在某医院接受针灸、草药和艾灸治疗3周。结果:治疗后,数值评定量表(NRS)从8级变为5级,世界卫生组织口腔毒性量表(WHO OTS)从3级变为2级,口腔感知指南从11级变为15级,口腔健康影响量表-14 (OHIP-14)从19级变为34级。结论:韩国医学治疗某口腔严重溃疡的进展值得探讨。
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引用次数: 0
Case Report: The Complex Korean Medicine Treatment of Abdominal and Lower Back Pain after Laparoscopic Hysterectomy 病例报告:韩药综合治疗腹腔镜子宫切除术后腹部及下背部疼痛
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.197
Yu-jin Lee, M. Kwon, Na-youn Kim, Yu-Ra Im
Objectives: This study reports the effect of Korean medicine treatment on a patient with abdominal and lower back pain after a laparoscopic hysterectomy.Methods: The patient received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment for six days. We measured the numeric rating scale (NRS), Oswestry Disability Index (ODI), Range of Motion (ROM), and Life-5 Dimensions scale (EQ-5D) to assess symptom changes.Results: After treatment, the patient showed decreased numeric rating scale (NRS) and Oswestry Disability Index (ODI), as well as augmented Range of Motion (ROM) and European Quality of Life 5 Dimensions scale (EQ-5D).Conclusion: The results indicate that Korean medicine treatment is effective management for patients with abdominal and lower back pain after a laparoscopic hysterectomy.
目的:本研究报告韩药治疗腹腔镜子宫切除术后腹部和下背部疼痛的效果。方法:采用中药、药物穿刺、针刺治疗6 d。我们测量了数值评定量表(NRS)、Oswestry残疾指数(ODI)、活动范围(ROM)和生活-5维度量表(EQ-5D)来评估症状变化。结果:治疗后患者数值评定量表(NRS)和Oswestry残疾指数(ODI)下降,活动度(ROM)和欧洲生活质量5维度量表(EQ-5D)增强。结论:韩药治疗是腹腔镜子宫切除术后腹痛和腰痛的有效治疗方法。
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引用次数: 0
Case of a Hemorrhagic Cystitis Patient Taking Antiplatelets Treated with Jeoryeong-tang-hap-Samul-tang 出血性膀胱炎患者服用降凝汤合三木汤抗血小板治疗1例
Pub Date : 2023-05-31 DOI: 10.22246/jikm.2023.44.2.178
Dabin Lee, G. Kim, Seon Uk Jeon, Han-Gyul Lee, Ki-Ho Cho, S. Moon, W. Jung, Seungwon Kwon
Hemorrhagic cystitis refers to massive inflammation and the diffuse vesical bleeding of the bladder. In patients with hematuria complaining of dysuria and pain, it is necessary to differentiate various causes, including cystitis, nephritis, and prostatitis. After the diagnosis of hemorrhagic cystitis, antibiotics usually treat and prevent further urinary tract infections. In the present case, a 78-year-old female patient with hemorrhagic cystitis presenting with hematuria underwent Korean medical treatment with Jeoryeong-tang-hap-Samul-tang for 29 days. The effect of the treatment was assessed with the hematuria grading scale (HGS) per week, urinalysis per two weeks, and the NRS (numeric rating scale) of dysuria per day. After treatment, both HGS and NRS scores decreased, and protein, blood, and red blood cells (RBCs) in urinalysis improved. This case report suggests that Jeoryeong-tang-hap-Samul-tang might be an effective option for hemorrhagic cystitis patients who continuously take antiplatelets.
出血性膀胱炎是指膀胱的大量炎症和弥漫性膀胱出血。对于主诉排尿困难、疼痛的血尿患者,需辨证各种病因,包括膀胱炎、肾炎、前列腺炎等。诊断出血性膀胱炎后,抗生素通常用于治疗和预防进一步的尿路感染。以血尿为主要症状的出血性膀胱炎患者(78岁),在韩国接受了29天的“全灵汤合三木汤”治疗。采用每周血尿分级量表(HGS)、每两周尿液分析和每天排尿困难NRS(数值评定量表)评估治疗效果。治疗后,HGS和NRS评分均下降,尿液分析中的蛋白质、血液和红细胞(rbc)均改善。本病例报告提示,对于持续服用抗血小板药物的出血性膀胱炎患者,“七灵汤合三木汤”可能是一种有效的选择。
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引用次数: 0
The Effect of Combination Therapy of Yukmijihwang-tang and Western Medicine on Primary Glomerulonephritis: Systemic Review and Meta-analysis yukmijihuangtang与西药联合治疗原发性肾小球肾炎的疗效:系统评价与meta分析
Pub Date : 2023-03-31 DOI: 10.22246/jikm.2023.44.1.12
Tae-young Huh, Ye-Seul Kim, Kyoung-min Kim
Objective: This study was conducted to evaluate the effectiveness of the combination therapy of Yukmijihwang-tang and Western medicine on primary glomerulonephritis.Methods: We conducted a search using keywords, such as Yukmijihwang-tang and Liuwei Dihuang, in eight databases (CNKI, CiNii, Pubmed, Embase, Cochrane, Science On, OASIS, RISS). There was no limit to the publication period of the papers. A meta-analysis was conducted and classified according to the outcome measurements, such as the total effective rate (TER), serum creatinine (SCr), and blood urea nitrogen (BUN). Data analysis was performed using the RevMan 5.4.1 software, and Cochrane’s risk of bias (ROB) was used to assess the quality of the papers.Results: A total of 12 randomized control trials were selected. The meta-analysis showed that the treatment group combining Yumijihwang-tang and Western medicine was more efficient than the control group using Western medicine alone (RR: 1.29, CI: 1.20 to 1.39 p=<0.00001). The treatment group also reduced the BUN (MD: -2.40, CI: -2.90 to -1.89, p<0.00001) and Scr (MD: -33.34, CI: -40.85 to -25.82, P<0.00001) more than the control group.Conclusion: This study suggests that the combination therapy of Yukmijihwang-tang with Western medicine is effective in treating primary glomerulonephritis. However, these findings should be interpreted cautiously due to the unknown or high risk of bias in the included trials.
目的:观察郁米栀黄汤联合西药治疗原发性肾小球肾炎的疗效。方法:以Yukmijihwang-tang、Liuwei Dihuang等关键词在CNKI、CiNii、Pubmed、Embase、Cochrane、Science On、OASIS、RISS等8个数据库中进行检索。论文的发表期限没有限制。根据总有效率(TER)、血清肌酐(SCr)、血尿素氮(BUN)等结局指标进行meta分析并分类。采用RevMan 5.4.1软件进行数据分析,采用Cochrane偏倚风险(ROB)评价论文质量。结果:共选择12项随机对照试验。荟萃分析显示,郁味集黄汤联合西药治疗组疗效优于单用西药治疗组(RR: 1.29, CI: 1.20 ~ 1.39, p=<0.00001)。治疗组BUN (MD: -2.40, CI: -2.90 ~ -1.89, p<0.00001)、Scr (MD: -33.34, CI: -40.85 ~ -25.82, p<0.00001)均明显低于对照组。结论:益米栀黄汤联合西药治疗原发性肾小球肾炎疗效确切。然而,由于纳入试验的未知或高偏倚风险,这些发现应谨慎解释。
{"title":"The Effect of Combination Therapy of Yukmijihwang-tang and Western Medicine on Primary Glomerulonephritis: Systemic Review and Meta-analysis","authors":"Tae-young Huh, Ye-Seul Kim, Kyoung-min Kim","doi":"10.22246/jikm.2023.44.1.12","DOIUrl":"https://doi.org/10.22246/jikm.2023.44.1.12","url":null,"abstract":"Objective: This study was conducted to evaluate the effectiveness of the combination therapy of Yukmijihwang-tang and Western medicine on primary glomerulonephritis.Methods: We conducted a search using keywords, such as Yukmijihwang-tang and Liuwei Dihuang, in eight databases (CNKI, CiNii, Pubmed, Embase, Cochrane, Science On, OASIS, RISS). There was no limit to the publication period of the papers. A meta-analysis was conducted and classified according to the outcome measurements, such as the total effective rate (TER), serum creatinine (SCr), and blood urea nitrogen (BUN). Data analysis was performed using the RevMan 5.4.1 software, and Cochrane’s risk of bias (ROB) was used to assess the quality of the papers.Results: A total of 12 randomized control trials were selected. The meta-analysis showed that the treatment group combining Yumijihwang-tang and Western medicine was more efficient than the control group using Western medicine alone (RR: 1.29, CI: 1.20 to 1.39 p=<0.00001). The treatment group also reduced the BUN (MD: -2.40, CI: -2.90 to -1.89, p<0.00001) and Scr (MD: -33.34, CI: -40.85 to -25.82, P<0.00001) more than the control group.Conclusion: This study suggests that the combination therapy of Yukmijihwang-tang with Western medicine is effective in treating primary glomerulonephritis. However, these findings should be interpreted cautiously due to the unknown or high risk of bias in the included trials.","PeriodicalId":22826,"journal":{"name":"The Journal of Internal Korean Medicine","volume":"183 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85618474","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
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The Journal of Internal Korean Medicine
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