대한상한금궤의학회지

Korean Medical Association of Clinical Sanghan-Geumgwe (대한상한금궤의학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report for Adult Acne treated by Daesiho-tang based on Shanghanlun provisions with Extrusion therapy

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 따른 대시호탕(大柴胡湯) 투여와 압출치료를 병행하여 호전된 성인 여드름 증례보고

  • 김형섭 (양감보건지소 한의과 진료실)
  • Received : 2017.11.30
  • Accepted : 2017.12.29
  • Published : 2017.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this case report is to report the effect of Daesiho-tang on adult acne by Shanghanlun provisions with extrusion therapy. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung Gyeolhyung and treated by Daesiho-tang with extrusion therapy. The result of administrations were evaluated by Korean Acne Grading System(KAGS), Korean Skindex-29, and change of clinical symptoms. Results : After administration of Daesiho-tang for 150 days with weelky extrusion therapy, KAGS improved from grade 4 to grade 1, Skindex-29 improved from 67.93 to 15.51, and patient was very satisfied with the treatment. No serius treatment-related adverse events were reported. Limitations : This case is only one case that the level of evidence is weak. Two interventions were used together and the duration of photo was uneven. Conclusions : The patient almost recovered from acne treated by Daesiho-tang according to diagnostic system based on Shanghanlun provisions with extrusion therapy. This is the first case report that suggests '熱結在裏' on the number 136 provision of Shanghanlun means fever that is always present in chronic skin lesions.

Keywords

References

  1. Korean Dermatological Association Text-book Compilation Committee. Textbook of Dermatology. 6th ed. Seoul : Daehaneuihak. 2014:528-535.
  2. YH Lee. A Study on the Degree of the Knowledge of the Acne and the Research upon the Actual Condition in Adults. The Graduate School of Social Development Chung-Ang University. 2001.
  3. JY Jung. Acne. MD world. 2007:15,186,518.
  4. RE Rakel, DP Rakel. Textbook of Family Medicine. 8th ed. Elsevier. 2013:802-803.
  5. HR Park. Clinical Studies of Herbal Treatment for Acne in Korea : A Systematic Review. Graduate School, Daejeon University. 2016.
  6. SW Ju. A Exploratory Study on the Compound Screening and HPLC/TLC analysis of Commercial Extract Granule for Developing Standard of Extract Granules in Korean Market -Daesihotang Extract Granule-. Graduate school of Kyung Hee University. 2017.
  7. HG Lee, YK Jeong, MH Jung, WS Jung, SK Moon, KH Cho. Clinical Report on a Cerebral Infarction Patients with Paralytic Ileus Treated by Bo-ryu Enema and Daeshiho-tang. J. Int. Korean Med. 2016;37(2):225-231.
  8. MH Moon, YK Cho, YJ Gug, JY Park, CH Choi, JC Hur, H Kim, DG Baek, G Moon, JH Won. Clinical Report of an Aspect Soyangyangmyunghabbyung Patient with Acute Pyelonephritis. Korean J. Oriental Physiology & Pathology. 2005;19(6):1706-1709.
  9. HY Kim, SH Hong, IH Park, SH Shin,YM Kwon. Twenty-two Case of Acne Treated by Hwangryunhaedok-tang Pharmacopuncture Therapy Combined with Herbal Medicine and Extrusion. J Korean Med Ophthalmol Otolaryngol Dermatol. 2015;28(3):114-125. https://doi.org/10.6114/jkood.2015.28.3.114
  10. SJ Lee, JE Lim. A diagnostic system and clinical application based on Shanghanlun six meridian patterns and provisions. Seoul:KMediACs publishing house. 2013.
  11. JK Chang. Gangpyeong Shanhanlun. Seoul:KMediACs publishing house. 2013.
  12. KJ Sung, YS Rho, EH Choi, JJ Oh, JH Lee, SW Kim, NI Kim. Korean Acne Grading System. Korean J Dermatol. 2004;42(10):1241-1247.
  13. MM Chren. The Skindex Instruments to Measure the Effects of Skin Disease on Quality of Life. Dermatol Clin. 2012;30(2): 231-236.
  14. BK Ahn, SJ Lee, K Namkoong, YL Chung, SH Lee. The Korean Version of Skindex-29. Korean J Dermatol. 2004;42(1):9-15.
  15. SI Lee. Comparison of Shanghanlun. Seoul:KMediACs publishing house. 2015:31,35,38,95,99,103,208.
  16. Jowett S, Ryan T. Skin disease and handicap: an analysis of the impact of skin conditions. Soc Sci Med. 1985;20(4):425-429. https://doi.org/10.1016/0277-9536(85)90021-8
  17. BK Ahn, SJ Lee, K Namkoong, YL Chung, SH Lee. Quality of Life of Acne Patients. Korean J Dermatol. 2005;43(1):6-14.
  18. YS Ha. Chinese Character Etymology Dictionary. Three. 2015:17,207,559,692.
  19. http://www.chineseetymology.org/