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간비불화증(肝脾不和證)으로 변증된 체중감소 환자 치험례

A Case Report of a Patient with Weight Loss Diagnosed with Pattern of Liver-Spleen Disharmony

  • 사공종원 (동의대학교 부속한방병원 한방신경정신과) ;
  • 김동희 (동의대학교 부속한방병원 한방신경정신과) ;
  • 김보경 (동의대학교 부속한방병원 한방신경정신과)
  • Sakong, Jong-Won (Department of Oriental Neuropsychiatry, Dong-Eui University Korean Medical Hospital) ;
  • Kim, Dong-Hee (Department of Oriental Neuropsychiatry, Dong-Eui University Korean Medical Hospital) ;
  • Kim, Bo-Kyung (Department of Oriental Neuropsychiatry, Dong-Eui University Korean Medical Hospital)
  • 투고 : 2018.03.06
  • 심사 : 2018.03.19
  • 발행 : 2018.03.30

초록

Objectives: The aim of this report is to suggest that severe weight loss diagnosed with a pattern of liver-spleen disharmony can be effectively treated with Korean Medicine (acupuncture and herbal medication). Methods: This is a clinical case report of a patient with severe weight loss diagnosed with a pattern of liver-spleen disharmony. The patient was treated with Samryungbeakchul-san (Canlingbaizhu-san), Hyangsayangyi-tang (Xiangshayangwei-tang), and Haewoolhwajoong-tang (Jieyuhezhong-tang) two to three times a day and with acupuncture and moxibustion two to three times a week. Results: After the short-term treatments described above, the patient was gradually recovering from severe weight loss and many accompanying symptoms, such as diarrhea, insomnia, insufficient food intake, and others. Conclusions: The results show the possibility that severe weight loss diagnosed with a pattern of liver-spleen disharmony could be effectively treated with Korean Medicine (acupuncture and herbal medication).

키워드

참고문헌

  1. Huffman GB. Evaluating and treating unintentional weight loss in the elderly. Am Fam Physician. 2002;65(4):640-50.
  2. Evans AT, Gupta R. Approach to the patient with weight loss. UpToDate, Basow, DS (Ed). 2013:1-16.
  3. Wong CJ. Involuntary weight loss. Medical Clinics of North America. 2014;98(3):625-43. https://doi.org/10.1016/j.mcna.2014.01.012
  4. Heo J. Interpreted treasured mirror of eastern medicine. Seoul :Bubin Publishers Co. 1999:523.
  5. Yoo JH, Kim JH, Kim GW, Koo BS. A Case of Psychogenic vomiting (七情吐) patient who showed loss of the weight due to Maladjustment in a Military life. Journal of oriental neuropsychiatry. 2006;17(3):131-41.
  6. Bouras EP, Lange SM, Scolapio JS. Rational approach to patients with unintentional weight loss. Mayo Clin Proc. 2001;76:923-29. https://doi.org/10.1016/S0025-6196(11)62113-7
  7. Lee YH, Heo SY. The Benefits and Adverse Efeects of Weight Loss. Korean Journal of Family Medicine. 2004;25(10):721-39.
  8. Kim MJ. Strategic weight gain in the elderly. Korean journal of clinical geriatrics. 2007;8(3):377-81.
  9. Jung DH, Shin WS, Park WH, Cha YY, Choi WJ. A Case Report for an Eating Disorders with Banhabaeckchulchunma-tang and Acupuncture Treatment. Journal of Society of Korean Medicine for Obesity Research. 2015;15(1):45-50. https://doi.org/10.15429/jkomor.2015.15.1.45
  10. Barrett-Connor E, Edelstein SL, Corey-Bloom J, Wiederholt WC. Weight loss precedes dementia in community-dwelling older adults. Journal of the American Geriatrics Society. 1996;44(10):1147-52. https://doi.org/10.1111/j.1532-5415.1996.tb01362.x
  11. Jung SY, Kim SH, Park KH, Jaekal EJ, Lee WH, Choi YY, Lee SH, Choi KH. A systemic Review of Validation Studies on Depression Rating Scales in Korea, with a Focus on Diagnostic Validity Information : Preliminary Study for Development of Korean Screening Tool for Depression. Anxiety and Mood. 2017;13(2):53-9.
  12. Jung HK, Hong SJ, Jo YJ, Jeon SW, Cho YK, Lee KJ, Lee JS, Park HJ, Shin ES, Lee SH, Han SU. Updated Guidelines 2012 for Gastroesophageal Reflux Disease. Korean J Gastroenterol. 2012;60(4):195-218. https://doi.org/10.4166/kjg.2012.60.4.195
  13. Allen Frances. Essentials of psychiatric diagnosis, responding to the challenge of DSM-5. 2. Sigmapress. 2014:216-22.
  14. Lee BJ, Yoon CY. Pathology of Five Dynamics & Viscera, and Pathology of Five Dynamics & Miscellaneous Disease of Jin Si-tak. The journal of korean medical classics. 2005;18(2):121-36.
  15. Hong SE, Kim KS, Kang BK. The study of the influences that Chiljung exerts upon the Liver system, and Spleen-Stomach functions. J. Int. Korean Med. 1994;15(2):52.
  16. Min BB, Oh HS, Lee JY. Temperament and Character Inventory-Family Manual. Seoul. Maumsarang. 2007:6-14.
  17. Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993;50(12):975-90. https://doi.org/10.1001/archpsyc.1993.01820240059008
  18. Kim YN. A Study on Classification of Obesity for Koreans based on the Articles in the Korean Journal of Community Nutrition - Articles Enlisted from 1996 to 2011 -. Korean J Community Nutrition. 2013;18(5):525-38. https://doi.org/10.5720/kjcn.2013.18.5.525
  19. Youn SS, Jung HY, Park SW, Kim JM, Cho CS, Kim CJ. A Case Series Report on 8 Patients of Chronic Renal Disease Treated by Samryungbaekchul-san gami. Journal of korean oriental internal medicine. 2011;32(3):465-72.
  20. Kim DH, Park SC, Cho MK, Kweon KT, Lee I, Hong JW, Park SH, Han CW, Choi JY, Kim SY, Kwon JN. Four Cases of Haewoolhwajoong-tang's Effect on Chest Pain and Chest Discomfort. Korean J. Oriental Physiology & Pathology. 2012;26(2):259-63.