대한중풍순환신경학회지 (The Journal of the Society of Stroke on Korean Medicine)

  • 제20권1호
  • /
  • Pages.17-24
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  • 2019
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  • 2466-0248(pISSN)
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  • 2466-0272(eISSN)
대한중풍순환신경학회 (The Society of Stroke on Korean Medicine)
권호 표지

뇌졸중 환자에서 항생제 투여에도 반응이 없는 반복적 요로감염과 동반되는 무뇨 및 배뇨통에 대한 보중익기탕 치험 1례

A case of stroke patient complaining dysuria and urination pain caused by repeated urinary tract infection that do not respond to antibiotics treated with Bojungiki-tang

  • 서유나 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 김세원 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 김경묵 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 조기호 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 문상관 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 정우상 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 권승원 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 진철 (경희대학교 대학원 임상한의학과 순환.신경내과학교실)
  • Seo, Yuna (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Kim, Se-won (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Kim, Gyung-muk (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Cho, Ki-Ho (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Moon, Sang-Kwan (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Jung, Woo-Sang (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Kwon, Seungwon (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Jin, Chul (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University)
  • 발행 : 2019.12.15
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초록

■ Objectives The purpose of this case report is to show the effect of Bojungiki-tang on a patient complaining dysuria and urinary pain caused by repeated urinary tract infection(UTI) occurred after onset of cerebral infarction. ■ Methods A cerebral infarction patient with repeated UTI was treated with herbal medication, Bojungiki-tang. Then we evaluated the improvement with amount of total urine output, nelaton catheterization urine output and self voiding urine output. ■ Results Increase in amount of total and self voiding urine output and decrease in amount of nelaton urine output were observed after taking Bojungiki-tang. ■ Conclusion This case showed the effect of Bojungiki-tang on dysuria and urinary pain caused by repeated UTI.

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참고문헌

  1. Langhorne P, Stott DJ, Robertson L, MacDonald J, Jones L, McAlpine C, Dick F, Taylor GS, Murray G. Medical complications after stroke: a multicenter study. Stroke. 2000;31(6):1223-32. https://doi.org/10.1161/01.STR.31.6.1223
  2. Poisson SN, Johnston SC, Josephson SA. Urinary tract infections complicating stroke: mechanisms, consequences, and possible solutions. Stroke. 2010;41(4):180-4.
  3. Rho KH, Choi DJ, Jo KH. The Clinical Effect of Gummopaljungsan on Urinary Tract Inffection of Stroke Patient. The journal of Korean chronic disease. 1995;5(1):286-95.
  4. Han JW, Lim YN, Ko HY, et al. Two Cases of Oriental Diagnosis and Treatment at the Patients with Urinary Tract Infection. The journal of the Korean internal medicine. 2004;25(4):373-82.
  5. Heo TY, Byun MK, Kim JK, et al. Clinical Study about the CVA Patients with Urinary Tract Infection. Korean Journal of Oriental Physiology and Pathology. 2007;21(6):1641-5.
  6. Yim JM, Lee AR, Kam CW, et al. A Case Of Treatment with Mahwanggachul-tang on Fever and Acute pyelonephritisEdema Due to Urinary Tract Infection Combined with Stroke. The journal of Korean. Herbal formula science. 2011;19(1):263-72.
  7. 황윤경, 김원일. 뇌졸중 환자의 요로감염에 대한 방기복령탕 치험 1례. 대한한의학방제학회지. 2015;23(1):141-150. https://doi.org/10.14374/HFS.2015.23.1.141
  8. 정우상, 문상관, 고창남 등. 뇌졸중환자의 요로감염 합병증에 대한 금목팔정산의 임상효과. 경희의학. 1998;14(2):184-90.
  9. Ingeman A, Andersen G, Hundborg HH, et al. In-hospital medical complications, length of stay, and mortality among stroke unit patients. Stroke. 2011 ;42(11):3214-8. https://doi.org/10.1161/STROKEAHA.110.610881
  10. Kurt J Isselbacher, Eugene Braunwald, Jean D Wilson, et al. Harrison's Medicine. Seoul: Jungdam publishing company. 1997:586-8.
  11. Sedor J, Mulholland SG. Hospital-acquired urinary tract infections associated with the indwelling catheter. Urol Clin North Am. 1999;26(4):821. https://doi.org/10.1016/S0094-0143(05)70222-6
  12. 두호경. 동의신계학. 서울: 동양의학연구원.1993:85-97, 123-32.
  13. 박송기, 송광규, 전귀옥 등. 보중익기탕가미방(補中益氣湯加味方)으로 호전된 만성 방광염 환자처험1례 -IPSS 변화를 중심으로-. 대한한방내과학회지.
  14. 한지완, 임영남, 고호연 등. 요로감염에 대한 한의학적 변증치료 2례에 대한 임상보고. 대한한방내과학회지. 2004;25(4):373-82.
  15. Naoki F, Hitomi Y, Masakazu K, et al. Hochuekkito reduced the incidence of inflammatory complications in patients with sequelae of cerebrovascular diseae in convalescent rehabilitation wards : A randomized multicenter study. The Japanese journal of rehabilitation medicine. 2017;54(4):303-14. https://doi.org/10.2490/jjrmc.54.303
  16. 정희창, 오태희. 인삼 사포닌이 하부요로와 음경해면체 평활근의 이완작용에 미치는 효과. 영남의대학술지. 2006;23(1):52-61.
  17. Kaneko M, Kawakita T, Kumazawa Y, et al. Accelerated recovery from cyclophosphamide-induced leukopenia in mice administered a Japanese ethical herbal drug, Hochu-ekki-to. Immunopharmacology. 1999;44(3):223-31 https://doi.org/10.1016/S0162-3109(99)00050-8
  18. Ataru K, Shin'yu L, Hong Y et al. Effect of a traditional Japanese herbal medicine, hochuekki-to(Bu-Zhong-Yi-Qi Tang), on immunity in elderly perons. Int Immunopharmacol. 2004;4(2):317-24. https://doi.org/10.1016/j.intimp.2003.12.004
  19. 장개빈. 경악전서. 서울:대성문화사;1993, 39-41.