The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

Case Report of 62 Cases of Dyspepsia Classified by Symptom Types

증상 유형별로 분류한 소화불량 환자 62개 증례 관찰 보고

  • Ha, Yu-bin (Dept. of Internal Korean Medicine, Dong-Guk University Bun-dang Oriental Medicine Hospital) ;
  • Shin, Gil-cho (Dept. of Internal Korean Medicine, Dong-Guk University Bun-dang Oriental Medicine Hospital)
  • 하유빈 (동국대학교 분당한방병원 한방내과) ;
  • 신길조 (동국대학교 분당한방병원 한방내과)
  • Received : 2020.09.02
  • Accepted : 2020.10.20
  • Published : 2020.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to propose a diagnostic method for classifying patients with dyspepsia by symptom type. The correlation between symptom types and X-ray findings was studied in 62 patients with indigestion. Methods: In this study, the complaints and abdominal X-ray findings were collected for 62 patients who visited the outpatient Korean medicine clinic. The medical information related to dyspepsia was grouped for similar patients and classified by symptom type. Results: The patients with dyspepsia were classified into three types according to their medical symptoms: Distention type (N=43, 68.3%), Abdominal Pain type (N=16, 25.5%), and Constipation type (N=12, 19.0%). Intestinal fecal findings (80.6%) on x-rays were noted in most of the cases, followed by intestinal gas pattern findings (14.5%). Conclusion: Classifying patients with dyspepsia by symptom types is an appropriate diagnostic method due to the unclear pathophysiology of indigestion and the difficulty in applying a Korean medical dialectic. Irrespective of the symptom types, the large number of fecal material findings (80.6%) on x-rays means an effect on the interior environment of the body where intestinal feces accumulate easily and decreased gastrointestinal motility in patients with indigestion. This can be correlated with "food accumulation (食積)" as intestinal feces are tangible substances. In addition, gas in the intestine increases visceral sensitivity, causing abdominal distention or pain. The gas pattern findings (14.5%) on x-ray were observed in the "Distention type" and "Abdominal pain type," but not in the "Constipation type."

Keywords

References

  1. Stanghellini V, Chan FK, Hasler WL, Malagelada JR, Suzuki H, Tack J. Gastroduodenal Disorders. Gastroenterology 2016;150(6):1380-92. https://doi.org/10.1053/j.gastro.2016.02.011
  2. Choi HS, Kim JK, Choi SH. Recent Advances in Diagnosis of Gastrointestinal Disease. J Korean Institute of Oriental Medical Diagnostics 2009;13(1):1-9.
  3. Kim SJ, Lee JH, Ko SJ, Park JW. Clinical Case Report of Functional Dyspepsia with Gyejibanhasaenggang-tang, Acupuncture, and Moxibustion. J Int Korean Med 2016;36(3):406-11.
  4. Schmulson MJ, Drossman DA. What Is New in Rome IV. Journal of Neurogastroenterology and Motility 2017;23(2):151-63. https://doi.org/10.5056/jnm16214
  5. KOSIS. Health insurance statistical database. [cited 2019 Sep 26]. Available from: http://kosis.kr/index/index.do
  6. Kim BS, Lim HY, Kim DW, Choi BH, Hur JI, Kim DJ, et al. Three Cases Report of Functional Dyspepsia Patients Who were Administered by Ljin-tang-Gamibang. J Int Korean Med 2005;26(3):641-51.
  7. Kang RY, Kim HJ, Han HJ, Park EY, Jang JA, Kim JW, et al. Two cases of the Gastric Dysmotility-like Dyspepsia in functional dyspepsia that were improved by Bojungiki-Tang. Herbal formula science 2009;17(2):203-13.
  8. Kim YS, Yoon SH. Combination Effects of Zusanli(ST36) Electroacupuncture and Manual Acupuncture of other Acupoints on Gastric Vagal Nerve Activity and Pyloric Valve Function in Patients with Functional Dyspepsia. J Int Korean Med 2008;29(2):621-8.
  9. Park JY, Kim MS, Jeon JC, Hwang HS, Jung KH, Lee TH, et al. Comparative Study of Sosang (LU11)-Eunbaek(SP1) Bloodletting and Sa-Kwan (LI4 and LR3) Acupuncture on Acute Dyspepsia. The Journal of Korean Acupuncture & Moxibustion Society 2010;27(1):129-35.
  10. Lim JH, Ryu JM, Jang SY, Kim HK, Lee JS, Yoon SH, et al. Analysis of symptom pattern through comprehensive diagnosis of Qui Xui Shui in patients with functional dyspepsia. J Int Korean Med 2004;25(2):224-37.
  11. Hong HJ, Park YG, Kim YH, Hwang MW. A Study about the Distributional Characteristics of Dyspepsia according to Sasang Constitution at a Korean Medical Clinic. J Sasang constitutional medicine 2011;23(2):230-9. https://doi.org/10.7730/JSCM.2011.23.2.230
  12. Na BJ, Choi SH. Clinical Analysis of the 991 Outpatients with Gastrointe stinal Symptoms and Extra-gastrointestinal Symptoms. J Korean Oriental Med 2012;33(1):107-20.
  13. Hwang MN, Ha NY, Ko SJ, Park JW, Kim JS. Development of a Food Retention Questionnaire for Functional Dyspepsia and the Analysis of Its Reliability and Validity. J Int Korean Med 2019;40(3):390-408. https://doi.org/10.22246/jikm.2019.40.3.390
  14. Noh SY. Delphi technique: Predict the Future with Professional Insights. Planning and Policy 2006;299:53-62.
  15. Jeon HH, Park HJ. Diagnosis and Treatment of Constipation. Korean Journal of Medicine 2012;83(5):568-79. https://doi.org/10.3904/kjm.2012.83.5.568
  16. Thomas AZ, Afrin NK, Leila N, George T, John OC, Monica N, et al. High Prevalence of Slow Transit Constipation in Patients With Gastroparesis. J Neurogastroenterol Motil 2019;25(2):267-75. https://doi.org/10.5056/jnm18206
  17. Lee QJ, Shin TM, Lee YH. The Development and Response Characteristic Analysis of Dam Jerk Diagnosis System Using Ultrasonic Sensor. The Korean Institute of Electrical Engineers 2006;55(4):189-94.
  18. Lee HJ, Park KS. Bloating. Korean J Gastroenterol 2017;70(6);288-95. https://doi.org/10.4166/kjg.2017.70.6.288
  19. Harder H, Serra J, Azpiroz F, Passos MC, Aguade S, Malagelada JR. Intestinal gas distribution determines abdominal symptoms. Gut 2003;52(12):1708-13. https://doi.org/10.1136/gut.52.12.1708
  20. Jung IS. The effect of gases produced by enteric bacteria, on small bowel motility. Department of Medicine, The Graduate School, Yonsei University 2009:1-24.