대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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구강건조증 환자에 대한 척추 약침 및 한약 치료 1례

A Case Report of Spinal Pharmacopuncture and Herb Medicine for Dry Mouth

  • 진준수 (국립중앙의료원 한방내과) ;
  • 민백기 (국립중앙의료원 침구과) ;
  • 이도은 (국립중앙의료원 한방신경정신과) ;
  • 서호석 (국립중앙의료원 한방내과) ;
  • 김진원 (국립중앙의료원 한방내과)
  • Jin, Joon-soo (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Min, Baek-ki (Acupuncture & Moxibustion, National Medical Center) ;
  • Lee, Do-eun (Neuropsychiatry, National Medical Center) ;
  • Seo, Ho-seok (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Kim, Jin-won (Dept. of Internal Medicine of Korean Medicine, National Medical Center)
  • 투고 : 2019.03.25
  • 심사 : 2019.05.31
  • 발행 : 2019.05.30
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초록

Xerostomia is a symptom of subjective complaints due to decreased salivary secretion or various other causes, which is common in about 30% of elderly people. Parasympathetic stimulants or artificial saliva are used as remedies, but this has side effects, and there are limitations in completely resolving symptoms. In this study, an 88-year-old woman with subjective dry mouth syndrome for the previous two to three years was treated with spinal pharmacopuncture and herbal medicine (Yookmigihwang-tang). The patient received pharmacopuncture at the thoracic 3rd, 6th, and 10th level twice a day and took herbal medicine three times daily for seven days. Both the degree of oral dryness and behavior were improved after treatment of Korean medicine, especially in the case of pharmacopuncture for inner core muscles.

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참고문헌

  1. Orellana MF, Lagravere MO, Boychuk DG, Major PW, Flores-Mir C. Prevalence of xerostomia in population-based samples: a systematic review. J Public Health Dent 2006;66(2):152-8. https://doi.org/10.1111/j.1752-7325.2006.tb02572.x
  2. Ship JA, Pillemer SR, Baum BJ. Xerostomia and the geriatric patient. J Am Geriatr Soc 2002;50(3):535-43. https://doi.org/10.1046/j.1532-5415.2002.50123.x
  3. Napeñas JJ, Brennan MT, Fox PC. Diagnosis and treatment of xerostomia(dry mouth). Odontology 2009;97(2):76-83. https://doi.org/10.1007/s10266-008-0099-7
  4. Hopcraft MS, Tan C. Xerostomia: an update for clinicians. Aust Dent J 2010;55(3):238-44. https://doi.org/10.1111/j.1834-7819.2010.01229.x
  5. Cohen-Brown G, Ship JA. Diagnosis and treatment of salivary gland disorders. Quintessence Int 2004;35(2):108-23.
  6. Jeong YE, Park CA, Kim JD. A Case Reports of a Patient with Sjogren's Syndrome Treated with Gami-onchung-eum. The Journal of Korean Oriental Internal Medicine2017;38(5):763-8. https://doi.org/10.22246/jikm.2017.38.5.763
  7. Lee JY, Lee YO, Kho HS. Reliability of a Questionnaire for Evaluation of Dry Mouth Symptoms. Journal of Oral Medicine and Pain 2005;30(4):383-90.
  8. Wang SL, Zhao ZT, Li J, Zhu XZ, Dong H, Zhang YG. Investigation of the clinical value of total saliva flow rates. Arch Oral Biol 1998;43(1):39-43. https://doi.org/10.1016/S0003-9969(97)00092-7
  9. Oh JK, Kim YJ, Ko HS. clinical characteristics of patients with dry mouth. Journal of Oral Medicine and Pain2001;26(4):331-43.
  10. Guggenheimer J, Moore PA. Xerostomia: etiology, recognition and treatment. J Am Dent Assoc 2003;134(1):61-9. https://doi.org/10.14219/jada.archive.2003.0018
  11. Screebny LM. Xerostomia(Dry Mouth). In The Salivary System, Screebny, L.M. Ed., Boca Raton: CRC Press, Inc; 1988, p. 179-202.
  12. Ben-Aryeh H, Miron D, Szargel R, Gutman D. Whole saliva secreted by old and young healthy subjects. J Dent Res 1984;63(9):1147-8. https://doi.org/10.1177/00220345840630091001
  13. Dawes C. Psychological factors affecting salivary flow rate, oral sugar clearance and the sensation of dry mouth in man. J Dent Res 1987;66:648-53. https://doi.org/10.1177/00220345870660S107
  14. Osterberg T, Landahl S, Hedegard B. Salivary flow, saliva pH and buffering capacity in 70-year-old man and woman. J Oral Rehabil 1984 Mar;11(2):157-70. https://doi.org/10.1111/j.1365-2842.1984.tb00565.x
  15. Garrett, J.R. : Innervation of Salivary Glands : Neurohistological and Functional Aspects. In The Salivary System, Sreebny, L.M., Ed., Boca Raton: CRC press, Inc; 1988, p. 69-93.
  16. Meridians & acupoints compilation committee of Korean Oriental Medical colleges. Principles of meridians &acupoints;a guidebook for college students. Daejeon: JongRyeoNaMu Publishing; 2012, p. 321.
  17. Xing L, Qu L, Chen H, Gao S. A clinical observation of irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation. Complementary Therapies in Medicine2013;21(6):613-7. https://doi.org/10.1016/j.ctim.2013.09.005
  18. Yin LM, Wang Y, Fan L, Xu YD, Wang WQ, Liu YY, et al. Efficacy of acupuncture for chronic asthma: study protocol for a randomized controlled trial. Trials 2015;16:424. https://doi.org/10.1186/s13063-015-0947-z
  19. Hwang MS. Study on the Treatment Mechanism of Back-Shu Points for Organ Dysfunction. Korean J Acupunct 2016;33(3):95-101. https://doi.org/10.14406/acu.2016.019
  20. Moore Keith L, Agur AMR. Essential Clinical Anatomy. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2002, p. 38-47.
  21. Chae BY. Donguianibiinhugwahak. Seoul: Jipmoondang; 2011, p. 444, 461-2.
  22. Kim JY, Kim JS, Park JW, Ryu BH. Availability of Diagnosis of Yin-deficiency in Elderly People with Xerostomia and Factors Influencing Subjective Oral Dryness: A Prospective Cross-sectional Study. J Korean Med 2013;34(3):13-24. https://doi.org/10.13048/jkm.13009
  23. Jung YJ, Kim MS, Hong SH. Case Report of Unspecified Tremor with Xerostomia Resulting from Psychometric Drug Intake Treated by Traditional Korean Medicine. The Journal of Internal Korean Medicine 2018;39(5):914-28. https://doi.org/10.22246/jikm.2018.39.5.914