The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

One Case of Sick Sinus Syndrome Accompanied by 'Abdominal Pulsation' Treated with Yeonggyechulgam-tang (ling-gui-shu-gan-tang)

복부동계를 동반한 동기능부전 증후군에 영계출감탕 투여 1례

  • Kim, Tai-Kyung (Department of Cardiovascular and Neurologic Disease(Stoke Center) College of Oriental Medicine, Kyung Hee University) ;
  • Ryu, Soon-Hyun (Department of Cardiovascular and Neurologic Disease(Stoke Center) College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Jung-Yul (Department of Cardiovascular and Neurologic Disease(Stoke Center) College of Oriental Medicine, Kyung Hee University) ;
  • Go, Chang-Nam (Department of Cardiovascular and Neurologic Disease(Stoke Center) College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Young-Suk (Department of Cardiovascular and Neurologic Disease(Stoke Center) College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Eun-Ju (Department of Cardiovascular and Neurologic Disease(Stoke Center) College of Oriental Medicine, Kyung Hee University)
  • 김태경 (경희대학교 한의과대학 부속 한방병원 심계내과학 교실) ;
  • 류순현 (경희대학교 한의과대학 부속 한방병원 심계내과학 교실) ;
  • 김정열 (경희대학교 한의과대학 부속 한방병원 심계내과학 교실) ;
  • 고창남 (경희대학교 한의과대학 부속 한방병원 심계내과학 교실) ;
  • 김영석 (경희대학교 한의과대학 부속 한방병원 심계내과학 교실) ;
  • 김은주 (경희대학교 한의과대학 부속 한방병원 심계내과학 교실)
  • Published : 2002.06.30
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Abstract

The sick sinus syndrome refers to a combination of symptoms (dizziness, confusion, fatigue, syncope, and congestive heart failure) caused by sinus node dysfunction and marked sinus bradycardia, sinoarterial block, or sinus arrest. 'Abdominal pulsation' means a disagreeable symptom that is defined as sensation of beating at the abdomen. We experienced a 84 year-old female patient who had dizziness, fatigue, abdominal pulsation and frequent voiding. These symptoms were related to previous episodes and presumed sick sinus syndrome by symptoms, ECGs and 24 hrs of holter monitoring. In the point of Differentiation of Syndrome (辨證), this patient was diagnosed as 'Water retention(水氣)' and was administered with Yeonggyechulgam-tang(岺桂朮甘湯). After the treatment, abdominal pulsation (frequency) and dizziness (VAS) were improved. Futhermore, the interval of voiding was longer and each volume of urination increased.

Keywords

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