대한한방내과학회지 (The Journal of Internal Korean Medicine)
- 제26권1호
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- Pages.244-251
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- 2005
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- 1226-9174(pISSN)
식도열공탈장을 동반한 위식도 역류성 질환 환자 치험 1례
A Case Report of Gastroesophageal Reflux Disease(GERD) with Hiatal Hernia
- 박정한 (상지대학교 부속한방병원 내과학교실) ;
- 조현석 (상지대학교 부속한방병원 내과학교실) ;
- 김정철 (상지대학교 부속한방병원 내과학교실) ;
- 오성원 (상지대학교 부속한방병원 내과학교실) ;
- 이상훈 (상지대학교 부속한방병원 내과학교실) ;
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김병우
(상지대학교 부속한방병원 내과학교실) ;
- 이재은 (상지대학교 부속한방병원 내과학교실)
- Park, Jung-Han (Department of Internal Medicine, Oriental Hospital of Sangji University) ;
- Cho, Hyun-Seok (Department of Internal Medicine, Oriental Hospital of Sangji University) ;
- Kim, Jung-Chul (Department of Internal Medicine, Oriental Hospital of Sangji University) ;
- Oh, Sung-Won (Department of Internal Medicine, Oriental Hospital of Sangji University) ;
- Lee, Sang-Hoon (Department of Internal Medicine, Oriental Hospital of Sangji University) ;
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Kim, Byoung-Woo
(Department of Internal Medicine, Oriental Hospital of Sangji University) ;
- Lee, Jae-Eun (Department of Internal Medicine, Oriental Hospital of Sangji University)
- 발행 : 2005.03.30
초록
Hiatal hernia occurs when the upper part of the stomach moves up into the chest through a small opening in the diaphragm. It causes various symptoms(heart bum, chest pain, dysphagia, vomiting etc.) when it is associated with a condition called gastroesophageal reflux disease(GERD). In this occasion, complications included bleeding because of the erosion, ulceration and inflammation of the mucosa. For treatment, there are $H_2$ blockers and proton pump inhibitors, but they have many side effects. In Oriental Medicine effectively treated cases are rare. Therefore, it is essential to seek radical agents and effective treatments for these disorders. In this case report, these disorders are approached by focusing on the deficit of 'yin(陰)'especially 'pi-yin(脾陰)'. Desired results were seen with herbal medications which enhance the 'yin(陰)', especially through 'wuyin-jian(五陰煎)' which enhances the 'pi-yin(脾陰)'. This is reported to contribute to development of future treatments.