대한상한금궤의학회지

Korean Medical Association of Clinical Sanghan-Geumgwe (대한상한금궤의학회)
권호 표지
DOI QR코드

DOI QR Code

Nummular Eczema Treated by Danggwihweyeok-tang Based on Shanghanlun Disease Pattern Identification Diagnostic System

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 당귀회역탕(當歸回逆湯) 투여 후 호전된 화폐상 습진 증례 1례

  • Received : 2021.12.06
  • Accepted : 2021.12.26
  • Published : 2021.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study aimed to report the improvement of a patient with nummular eczema treated by herbal medication based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: According to the Shanghanlun DPIDS, the patient was diagnosed with Reverting yin disease (provision 351), and was administered Danggwihweyeok-tang for 30 days. The result of administration was evaluated by the Dermatology Life Quality Index (DLQI) and a visual analog scale (VAS). Results: After administration of Danggwihweyeok-tang for 30 days, the DLQI decreased from 18 to 0 and the VAS decreased from 10 to 1. Conclusions: The affected skin region recovered. This case report suggests that the words "厥" and "細" in the 351st Shanghanlun provision refer to physical and internal causes of nummular eczema.

화폐상 습진(Nummular eczema) 병변으로 내원한 환자에게 고문자적 해석을 바탕으로 당귀회역탕(當歸回逆湯)을 진단하여 다음 결론을 얻었다. 1. 화폐상 습진(Nummular eczema) 환자에게 당귀회역탕(當歸回逆湯)을 30일 투약 후 DLQI 18점에서 0점, VAS 10에서 1로 개선되었다. 2. 『상한론(傷寒論)』 351조(條)에서 궐(厥), 세(細)를 피부병변부 발생의 원인과 관계된 병리적인 단어로 추론하고 고문자적으로 해석하여 당귀회역탕(當歸回逆湯)을 투여하고 치료함으로써 한의학적 임상 진단 방법을 구체화할 수 있는 가능성을 제시하였다.

Keywords

References

  1. Textbook Compilation Committee of Korean Dermatological Association. 『Textbook of Dermatology』6th ed., Medbook(2014), 228-29.
  2. Choe YS, Lee SJ, Na GY, Kim DW. Clinical Study on Nummular Eczema. Korean J Dermatol. 2005 ; 43(8) : 1060-8.
  3. Kim HG, Kim JY, Kim SA, Lee JW, Lim SH. Review of Korean Medicine Treatments for Nummular Eczema in Korean Journals. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019 ; 32(4) : 116-12. https://doi.org/10.6114/JKOOD.2019.32.4.116
  4. Lim JE, Lee SJ. A diagnostic system and clinical application based on sixmeridian patterns and provisions. Seoul : KMediACs publishing house. 2013 ; 5(1) : 1-17.
  5. Rho YB, Lee JH, Ha HI. The fundamental meaning of Mai and Shanghanlun provisions based on paleography. Seoul : KMediACs publishing house. 2015 ; 7(1) : 1-14.
  6. Kim JH, KIm H, Park CW, Lee CH. Quality of Life in Adults with Atopic Dermatitis. Korean J Dermatol. 2011 ; 49(11) : 983-92.
  7. Finlay AY, Khan GK. Dermatology life quality index (DLQI) : a simple practical measure for routine clinical use. Clinical Experimental Dermatol. 1994 ; 19 : 210-6. https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
  8. Lee SI, Cho HR. The comparison of the Shanghanlun. Seoul:KMediACS publisihing house. 2015 : 206.
  9. Lee GH, Kim JW. 『Atopic Dermatitis』, Koonja(2017), 8-9.
  10. Wang P, Zhang C. 『The actual Dermatology 500問』, Omniherb(2012), 8-9.
  11. Jang IW, Han JM, Yoon HJ, Ko WS. A Case of Acute Multiple Nummular Eczema with Exudation. J Korean Med Ophthalmol Otolaryngol Dermatol. 2013 ; 26(3) : 95-104. https://doi.org/10.6114/JKOOD.2013.26.3.095
  12. Cho JM, Park SJ, Lee HT, Han SR. Five Cases of the Patients with the Nummular Eczema Treated with Sihochunggan-tang gagambang and Sunbangpaedok-tang gagambang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016 ; 29(3) : 274-87. https://doi.org/10.6114/JKOOD.2016.29.3.274
  13. Jin HS, Yoon HJ, Ko WS. A case of Nummular Eczema Treatment Improved through Korean Medicine : Focus on Hwangryeonagyo-tang and Mahwangbujasesin-tang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2021 ; 34(1) : 89-100. https://doi.org/10.6114/JKOOD.2021.34.1.089
  14. Jeong JK, Lee SI. A Case of Nummular Eczema Treated with Bokryeongkamcho-tang and Yeongkyechulkam-tang. Herbal Formula Science(HFS). 2013 ; 21(1) : 200-5. https://doi.org/10.14374/HFS.2013.21.1.200
  15. Jea HK, Ahn JH, Hwang ML, Kim SY, Jung HA. Three Cases of Nummular Eczema Patients Treated with Cheongshimyeonja-eum Gagambang and Soyeom Pharmacopuncture. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019 ; 32(2) : 107-19. https://doi.org/10.6114/JKOOD.2019.32.2.107
  16. Jin HS, Yoon HJ. A Case of Nummular Eczema Treated by Chijageongang-tang and Korean Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020 ; 33(1) : 89-97. https://doi.org/10.6114/JKOOD.2020.33.1.089
  17. Tak MR, Kang NR, Ko WS, Yoon HJ. A Case of Nummular Eczema. J Korean Med Ophthalmol Otolaryngol Dermatol. 2011 ; 24(2) : 96-103. https://doi.org/10.6114/JKOOD.2011.24.2.096
  18. Lim EK, Jeong JW. A Case of Nummular Eczema treated by Osuyu-tang based on Shanghanlun Provisions. Journal of Korean Medical Association of Clinical Sanghan-Geumgwe. 2020 ; 12(1) : 147-57.