현훈(眩暈), 두통(頭痛)을 동반한 심장성(心臟性) 흉통(胸痛) 환자 1례의 한방치료에 의한 증례보고

A case report of Cardiac chest pain with dizziness and headache treated by Oriental Medicine

  • 고영탁 (부천자생한방병원 한방신경정신과) ;
  • 유영은 (부천자생한방병원 한방신경정신과) ;
  • 심상민 (부천자생한방병원 한방신경정신과) ;
  • 정영훈 (부천자생한방병원 한방재활의학과) ;
  • 이기하 (부천자생한방병원 침구과) ;
  • 김기주 (부천자생한방병원 한방내과) ;
  • 한을주 (서울보훈병원)
  • Koh, Young-Tak (Dept. of Oriental Neuropsychiatry, Bucheon Jaseng Oriental Medicine) ;
  • Yoo, Yeoung-Eun (Dept. of Oriental Neuropsychiatry, Bucheon Jaseng Oriental Medicine) ;
  • Shim, Sang-Min (Dept. of Oriental Neuropsychiatry, Bucheon Jaseng Oriental Medicine) ;
  • Chung, Young-Hoon (Dept. of Oriental Rehabilitation medicine, Bucheon Jaseng Oriental Medicine) ;
  • Lee, Ki-Ha (Dept. of Acupuncture and Moxibustion, Bucheon Jaseng Oriental Medicine) ;
  • Kim, Ki-Joo (Dept. of Oriental Internal medicine, Bucheon Jaseng Oriental Medicine) ;
  • Han, Eul-Joo (Hospital Seoul Veterans Hospital)
  • 발행 : 2007.12.30

초록

Chest pain is classified into two major categories of cardiac chest pain and non-cardiac chest pain. Cardiac chest pain is caused by cardiovascular disease, for example, myocardial infarction, angina pectoris, valvular heart disease, cardiac enlargement or hypertrophy, dissecting aortic aneurysm, pericarditis, myocarditis, etc. When the chest pain is not attributed to heart disease, it is termed non-cardiac chest pain. Non-cardiac chest pain is caused by pulmonary, gastrointestinal, musculoskeletal disease, psychiatric factor, etc. In tills case, we treated a 54-year old female patient who was diagnosed with dilated cardiomyopathy and suspicious sick sinus syndrome. She complained of chest pain, exertional dyspnea, dizziness and headache. For treatment, we made use of Yugultangami(六鬱湯加味) and Daejobwan(大造丸). Before and after treatment, we measured Heart rate variability(HRV). In result, the clinical symptoms were improved and there was a significant increase in assessmeut by Heart rate variability(HRV). Tills result suggests that Yugultaugami aud Daejowhan have a good effect on cardiac chest pain.

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