The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of a Mitral Stenosis Patient Treated with Korean Medicine

승모판 협착증 환자에 대한 한방치험 1례

  • Shin, Hye-ryung (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Cheol-hyun (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Chu, Hong-min (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Young-ung (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Kwang-ho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Won, Jin-hee (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Song, Bong-keun (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center)
  • 신혜령 (원광대학교 광주한방병원 한방내과) ;
  • 김철현 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 추홍민 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이영웅 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김광호 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 원진희 (원광대학교 광주한방병원 한방내과) ;
  • 송봉근 (원광대학교 광주한방병원 한방내과)
  • Received : 2020.03.20
  • Accepted : 2020.05.30
  • Published : 2020.06.30
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Abstract

Introduction: This study aimed to report on the effectiveness of using Korean medicine to improve symptoms of mitral stenosis. While some patients that do not require surgery due to mild mitral stenosis are treated with medication, the medication does not always alleviate the symptoms. Thus, we administered Korean medicine treatments to those patients because there are not many case reports on using this approach to treat symptoms of mitral stenosis. Case Presentation: A 48-year-old male patient with mitral stenosis complained of symptoms, such as palpitation, dyspnea, chest pain, fatigue, and swelling in both legs. To reduce the patient's symptoms, we administered Korean medical treatments, including herbal medicine (Samulanshin-tang-gamibang) and acupuncture. To evaluate the results, we used the numeric rating scale (NRS) and the New York Heart Association (NYHA) functional classification. After 17 days of treatment, the NRS score decreased for palpitation (8→2), dyspnea (8→1), chest pain (5→0), fatigue (96→2), and swelling in both legs (6→2). The NYHA class also changed from Class II to Class I. No adverse reaction was noted. Conclusion: According to the results, Korean medicine treatments can be considered to be effective for mitral stenosis patients. To confirm this finding, a prospective study is needed in the future.

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