대한한방내과학회지 (The Journal of Internal Korean Medicine)
- 제25권4호
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- Pages.464-472
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- 2004
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- 1226-9174(pISSN)
대동맥판(大動脈瓣) 폐쇄불전증(閉鎖不全症)으로 흉통(胸痛)을 호소하는 태음인(太陰人)환자의 가미조리폐원탕(加味調理肺元湯) 치험례
A Case of Chest Pain in Taeumin Caused by Aortic Regurgitation Treated with Gamijoripewontang
- 김동우 (자생한방병원 내과) ;
- 김수용 (자생한방병원 내과) ;
- 한창호 (자생한방병원 내과) ;
- 이성환 (자생한방병원 내과) ;
- 이동민 (동인당한방병원 내과) ;
- 하상규 (자생한방병원 내과)
- Kim, Dong-Woo (Department of Internal Medicine, Hospital of Jaseng Oriental Medicine) ;
- Kim, Soo-Yong (Department of Internal Medicine, Hospital of Jaseng Oriental Medicine) ;
- Han, Chang-Ho (Department of Internal Medicine, Hospital of Jaseng Oriental Medicine) ;
- Rhee, Sung-Hwan (Department of Internal Medicine, Hospital of Jaseng Oriental Medicine) ;
- Lee, Dong-Min (Department of Internal Medicine, Hospital of Dongindang Oriental Medicine) ;
- Ha, Sang-Kyu (Department of Internal Medicine, Hospital of Jaseng Oriental Medicine)
- 발행 : 2004.12.30
초록
Aortic regurgitation occurs when there is a leakage of the valve backward into the left ventricle during diastole. Chronic aortic regurgitation may be present for decades before any symptoms occur. The left ventricle is able to compensate for the large volume of blood that flows backward by enlarging the cavity and increasing the thickness of the muscle. This mechanism allows the heart to pump out both the amount of blood required by the body and the blood that has gone backward into the left ventricle. One patient who had chest pain from exercise was treated. He was diagnosed with aortic regurgitation LVH by echocardiography. Signs showed him to be of Taeumin-type within Sasang Constitutional Medicine. He was prescribed Gamijoripewontang for 75 days, and improvement of clinical symptoms were observed. Results support prescription of Gamijoripewontang as an effective treatment for Taeumin-type patients suffering chest pain caused by aortic regurgitation.