Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
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A Case Study of Taeumin Patient with Gastro-esophageal reflux disease(GERD) who Treated Successfully with Yeoldahanso-tang(Reduohanshao-tang)

열다한소탕(熱多寒少湯)으로 호전된 역류성 식도염 환자 1례

  • Kim, Yun-Hee (Korean Medicine Hospital, Pusan National University) ;
  • Kim, So-Yeon (School of Korean Medicine, Pusan National University) ;
  • Hwang, Min-Woo (School of Korean Medicine, Pusan National University)
  • 김윤희 (부산대학교 한방병원) ;
  • 김소연 (부산대학교 한의학전문대학원 임상의학부) ;
  • 황민우 (부산대학교 한의학전문대학원 임상의학부)
  • Received : 2010.12.23
  • Accepted : 2011.02.25
  • Published : 2011.03.31
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Abstract

1. Objectives: This case study reports a Taeumin patient with Gastro-esophageal reflux disease who had suffered from chest pain, heartburn, acid regurgitation and dyspepsia who improved after Yeoldahanso-tang(Reduohanshao-tang) medication. 2. Methods: This patient had started treatment with Yeoldahanso-tang(Reduohanshao-tang), three times per day for three months and assessed the changes of the main symptoms such as chest pain, heartburn and acid regurgitation from baseline to post-treatment using a questionnaire with visual analogue scale(VAS). Electrogastrography(EGG) was also performed for assessment of gastric function from baseline to post-treatment. 3. Results: After the treatment, symptoms of GERD such as chest pain, heartburn, and acid regurgitation are almost disappeared. The patient don't need to take the proton pump inhibitor therapy. There was significant increase of % bradygastria parameters in fed EEG after treatment with Yeoldahansotang(Reduohanshao-tang). And significant increase of the power ratio after treatment was shown (20.5), compared with initial EGG(0.0). 4. Conclusions: This results show Yeoldahanso-tang(Reduohanshao-tang) can be used to treat GERD with Dry-heat symptom of Taeumin. This results suggest that Sasang Constitutional treatment for GERD patients who has a chronic condition with highly recurrence rate, might be a candidate for a therapeutic agent. Also effects of Yeoldahanso-tang(Reduohanshaotang) on GERD need further studies such as clinical trials.

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References

  1. Yoo SS, et al. The prevalence of esophageal disorders in the subjects examined for health screening. Korean J Gastroenterology. 2007;50:306-312. (Korean)
  2. Cho YK, Kim GH, Kim JH, Jung HY, et al. Diagnosis of Gastroesophageal Reflux Disease:a systematic review. Korean J Gastroenterology. 2010;55:279-295. (Korean) https://doi.org/10.4166/kjg.2010.55.5.279
  3. Jeong YJ , Lee DH, Choi TH, et al. Clinical Analysis of Recurrence Rate and Symptom Improvement in Gastro-esophageal Reflux Disease Patients. Korean Journal of Gastroenterology. 2010;55:100-108. (Korean) https://doi.org/10.4166/kjg.2010.55.2.100
  4. Tytgat GN. Review article: management of mild and severe gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 2003;17:52-56. https://doi.org/10.1046/j.1365-2036.17.s2.5.x
  5. Kim JW, Kim HS, Lee DK, et al. Therapeutic effect of low-dose omeprazole vs. standard-dose ranitidine in mild to moderate reflux esophagitis. Korean J Gastroenterol. 2004;43:153-159. (Korean)
  6. Noh YW, Jung HK, Kim SE, Sung-Ae Jung. Overlap of Erosive and Non-erosive RefluxDiseases With Functional Gastrointestinal Disorders According to Rome III Criteria. J Neurogastroenterol Motil. 2010; 16(2). (Korean)
  7. Toru Hiyama, Masaharu Yoshihara, Shinji Tanaka, Ken Haruma, Kazuaki Chayama. Strategy for treatment of nonerosive reflux disease in Asia. World J Gastroenterol 2008;14(20):3123-3128 https://doi.org/10.3748/wjg.14.3123
  8. 류기원, 장인규, 박동원, 류봉하, 윤상협. 呑酸, 嘈囃에 응용되는 丹蔘補血湯의 임상적 고찰. 경희의학. 1986;2(4):89-95.
  9. Han JH. The effect of Sosik-Cheongwool-Tang on the distress in the stomach and acid regurgitation. 동서의학. 1992;17(1):56-69.
  10. Kim BS, Lim HY, Oh JH, Kim DW, Choi BH, et al. Seven Cases of Non-Erosive Gastroesophageal Reflux Disease Who were Treated by Ljintang-Gamibang and Acupuncture. Korean J.Orient.Int. Med. 2005;26(4): 926-934. (Korean)
  11. Kim YH, Kim SH, Jang HS, Lee JH, Lee EJ, Koh BH. The Study on Clinical Characteristics of Taeeumin Dry-Heat Symptomatic Patten. J Sasang Constitut Med. 2009;21(1):85-98. (Korean)