DOI QR코드

DOI QR Code

뇌경색 발병 후 오식증(惡食症)을 보인 태음인(太陰人) 환자 1례

A Case Study of Taeeumin Patient Who Experienced Refusing Food Intake after Stroke

  • 김민지 (동국대학교 한의과대학 사상체질과) ;
  • 배효상 (동국대학교 한의과대학 사상체질과) ;
  • 박성식 (동국대학교 한의과대학 사상체질과)
  • Kim, Min-Ji (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Dongguk Univ.) ;
  • Bae, Hyo-Sang (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Dongguk Univ.) ;
  • Park, Seong-Sik (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Dongguk Univ.)
  • 투고 : 2013.02.07
  • 심사 : 2013.03.06
  • 발행 : 2013.03.31

초록

Objectives The purpose of this case thesis paper is to report the improvement of symptoms for a 58-year-old male patient who experienced refusing food intake 1 month after onset of stroke by treating the patient with Chungpyesagan-tang. Methods We have determined the patient to have the Taeeumin type physique with Dry Heat Syndrome and provided Chungpyesagan-tang to alleviate the patient's symptoms. The level of improvement was measured based on changes of food intake amount. Results The patient was hospitalized to receive treatment for roughly 2 weeks. The symptom of refusing food intake as well as other symptoms that simultaneously appeared including insomnia, headache, dizziness, and general weakness have improved. Conclusions In this case, the symptom of refusing food intake appeared one month after experiencing stroke, and the patient refused not only meals, but the intake of all other forms of food including water and medicine. The cause of such symptoms were deemed to be emotional rather than the types of food which generally provide the causes for Oh Shik Jeung. As the patient was deemed to have the Taeeumin type physique with Dry Heat Syndrome. Chungpyesagan-tang was provided for treatment. Acupuncture and oriental cupping therapy were also provided concurrently, and the main symptom and other accompanying conditions have largely improved after 2 weeks of hospitalized treatment.

키워드

참고문헌

  1. Traditional medical science Institute. Oriental medicine unabridged dictionary. Seoul:Seongbosa. 2000:1572. (Korean)
  2. Oh G. Uijonggeumgam. Vol 2. Beijing:People health press. 1982:1506.
  3. Lee C, Uihakipmun. Seoul:Beopinmunhwasa. 2009:1199-1200.
  4. Jang GB. Gyeongakjeonseo. Seoul:Iljungsa. 1993:271.
  5. Lee YS. Jeungchihwibo. Hongkong:Manyeop press. 1975:99.
  6. Korean stroke society. Text of Stroke. Seoul:E public. 2010:419-420. (Korean)
  7. Kim KS, Suo KS, Kim DW, Shin SH, Han MA, Jung YJ, et al. Clinical study on the complication after stroke. J Korean Oriental Med. 2000;21(2):227-235. (Korean)
  8. Ji JG. Medical terms unabridged dictionary. Seoul: Academia press. 2004:114. (Korean)
  9. Shin HG, Ryu BH, Park DW, Ryu KW, Jang IK. A philological study on the anorexia. J Korean Oriental Med. 1987;8(1):82-87. (Korean)
  10. Heo J. Donguibogam. Seoul:Beopinmunhwasa. 2007:1215.
  11. Chinese medical science institue. Chinese medicine symptoms Differential diagnosis. Beijing:People health press. 1987:254.
  12. Yu BC, Kim JW, Shim JC, Kim MS, Oh BY, Lee JY, et al. A clinical study of one patient suffering anorexia nervosa-like symptoms. Korean J Orient. Int. Med 2004;25(3):655-661. (Korean)
  13. Tierney. Current medical diagnosis & treatment. Seoul: Hanuri Publisher. 1999:1324-1325.
  14. Lee SH, Chung HY. Brain neurologic disorder and depression in eldery. Korean Association for Geriatric Psychiatry. 2003;7(2):132-142. (Korean)
  15. Lee JM. Donguisusebowon. Seoul:Yeogang press. 2003:68-69,230,259.
  16. Won DP. Donguisasangsinpyeon. Seoul:Haedonguihaksa. 1999:80-178, 194-195.
  17. Choi DJ, Jung WS, Moon SK, Cho KH, Kim YS, Bae HS. The Clinical Effecacy on Chupyesagang-tang on Acute Stroke. J Korean Oriental Med. 2002;23(4):9-14. (Korean)
  18. Ban DJ, Lee HS, Kang TG, Han KS, Bae HS, Park SS. The Case Reports of Two Taeumin Delirium Patients. J Sasang Constitut Med. 2007;19(3):257-269.(Korean)
  19. Kim MG, Choi JR, Bae HS, Park SS. A case study of multiple myositis. J Sasang Constitut Med. 2003; 15(2):117-123. (Korean)