DOI QR코드

DOI QR Code

The Effect of Complex Korean Medical Treatment with Acupotomy on Irritable Bowel Syndrome: A Case Report

  • Min, Baek Ki (Department of Acupuncture and Moxibustion Medicine, National Medical Center) ;
  • Jin, Joon Soo (Department of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Lee, Do Eun (Department of Oriental Neuropsychiatry, National Medical Center) ;
  • Shin, Won Bin (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Shin, Jin Hyeon (Department of Acupuncture and Moxibustion Medicine, Korean Medicine Hospital of Woosuk University) ;
  • Youn, In Ae (Department of Acupuncture and Moxibustion Medicine, National Medical Center)
  • Received : 2019.10.24
  • Accepted : 2020.01.31
  • Published : 2020.02.28

Abstract

The effects of complex Korean medicine treatment including acupotomy, on irritable bowel syndrome (IBS) are reported in this case study. A 54-year-old woman with diarrheal symptoms that alternatively improved and worsened for many years and worsening abdominal pain visited the emergency room and was diagnosed with IBS; she was admitted for approximately 2 weeks at the Acupuncture and Moxibustion Department of National Medical Center (NMC). Numerical rating scale (NRS), irritable bowel syndrome-quality of life (IBS-QOL), and gastrointestinal symptom rating scale (GSRS) scores were evaluated on the day of hospitalization, midway through the hospitalization period, and on the day of discharge. Abdominal pain was measured daily using NRS, and the score decreased from 8 at admission to 0 at discharge. The IBS-QOL percentile score improved from 42 points to 100 points. The total GSRS score also improved, from 30 points to 2 points. These results suggest that complex Korean medicine treatment with acupotomy, is useful for treating internal diseases, such as IBS, as well as musculoskeletal disorders.

Keywords

References

  1. Kim JH, Jee SR. Irritable bowel syndrome. Korean J Gastroenterol 2019;73:84-91. [in Korean]. https://doi.org/10.4166/kjg.2019.73.2.84
  2. Lee SY, Lee KJ, Kim SJ, Cho SW. Prevalence and risk factors for overlaps between gastroesophageal reflux disease, dyspepsia, and irritable bowel syndrome: A population-based study. Digestion 2009;79:196-201. https://doi.org/10.1159/000211715
  3. Park DW, Lee OY, Shim SG, Jun DW, Lee KN, Kim HY et al. The Differences in prevalence and sociodemographic characteristics of irritable bowel syndrome according to Rome II and Rome III. J Neurogastroenterol Motil 2010;16:186-193. https://doi.org/10.5056/jnm.2010.16.2.186
  4. Buono JL, Mathur K, Averitt AJ, Andrae DA. Economic burden of inadequate symptom control among US commercially insured patients with irritable bowel syndrome with diarrhea. J Med Econ 2017;20:353-362. https://doi.org/10.1080/13696998.2016.1269016
  5. Rey E, Garcia-Alonso MO, Moreno-Ortega M, Alvarez-Sanchez A, Diaz-Rubio M. Determinants of quality of life in irritable bowel syndrome. J Clin Gastroenterol 2008;42:1003-1009. https://doi.org/10.1097/MCG.0b013e31815af9f1
  6. Lee YW, Yoo HS, Cho CK. Analysis of case reports for Korean medical treatment of irritable bowel syndrome. J Haehwa Med 2016;25:87-97. [in Korean].
  7. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 173-180. [in Korean].
  8. Hwang MS. Study on the treatment mechanism of Back-Shu points for organ dysfunction. Korean J Acupunct 2016;33:95-101. [in Korean]. https://doi.org/10.14406/acu.2016.019
  9. Jung HK. Review of the Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition. Korean J Gastroenterol 2018;72:252-257. https://doi.org/10.4166/kjg.2018.72.5.252
  10. Patrick DL, Drossman DA, Frederick IO, Dicesare J, Puder KL. Quality of Life in Persons with Irritable Bowel Syndrome (Development and Validation of a New Measure). Dig Dis Sci 1998;43:400-411. https://doi.org/10.1023/A:1018831127942
  11. Svedlund J, Sjodin I, Dotevall G. GSRS: A clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci 1988;33:129-134. https://doi.org/10.1007/BF01535722
  12. Kang HW, Jung HK. Pathophysiology and diagnosis of irritable bowel syndrome. Korean J Med 2011;80:491-498.
  13. Jung KH, Cha RR, Kim HJ. Understanding the Rome IV: Irritable Bowel Syndrome and Functional Diarrhea. Korean J Med 2017;92:366-371. https://doi.org/10.3904/kjm.2017.92.4.366
  14. Jin KH. What is the FODMAP? Korean J Med 2015;89:179-185. https://doi.org/10.3904/kjm.2015.89.2.179
  15. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. 364 p. [in Korean].
  16. Furness JB. The organisation of the autonomic nervous system: Peripheral connections. Auton Neurosci 2006;130:1-5. https://doi.org/10.1016/j.autneu.2006.05.003
  17. da Silva MAH. A neurosegmental perspective of the classical Back Shu Points. Med Acupunct 2010;22:257-264. https://doi.org/10.1089/acu.2010.0762
  18. Jeong HY, Kang SK, Koh HK. Review on the XiaZhenDao Therapy. J Acupunct Res 2002;19:224-261.
  19. Kang CS, Yang HM. Clinical Miniscalpel Acupuncture Medicine. Seoul (Korea): Dawoo; 2003. p. 413-441. [in Korean].
  20. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A Review of Trends for Acupotomy. J Acupunct Res 2014;31:35-43.

Cited by

  1. Quality Assessment and Implications for Further Study of Acupotomy: Case Reports Using the Case Report Guidelines and the Joanna Briggs Institute Critical Appraisal Checklist vol.38, pp.2, 2020, https://doi.org/10.13045/jar.2021.00024