대한상한금궤의학회지

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

DOI QR Code

Chronic Rhinitis Treated by Dangguisayeokgaosuyusaengang-tang Based on Shanghanlun Provisions

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 당귀사역가오수유생강탕(當歸四逆加吳茱萸生薑湯) 투여 후 호전된 만성 비염 증례 1례

  • Received : 2021.12.11
  • Accepted : 2021.12.30
  • Published : 2021.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : This study aimed to report the improvement of a patient with chronic rhinitis treated with herbal medication using the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods : According to the Shanghanlun DPIDS and an etymological interpretation of Chinese characters, the patient was diagnosed with Reverting yin disease (provision 352) and took Dangguisayeokgaosuyusaengang-tang herbal medication for 50 days. The change in symptoms of chronic rhinitis were estimated using the Total Nasal Symptom Score (TNSS), the Rhinitis Control Assessment Test (RCAT), and a visual analog scale (VAS). Results : The TNSS score decreased from 8 to 3, the RCAT score decreased from 14 to 24, and the VAS decreased from 10 to 2. Conclusions : The main causes of the disease were 厥 and 內. This is the first case report of describing the treatment of chronic rhinitis with Dangguisayeokgaosuyusaengang-tang.

Keywords

References

  1. Mark S Dykewicz, Dana V Wallace, David J Amrol, Fuad M Baroody, Jonathan A Bernstein. Rhinitis 2020: A practice parameter update. J Allergy Clin Immunol. 2020 ; 146(4) : 721-67. https://doi.org/10.1016/j.jaci.2020.07.007
  2. Kim YH, Yang HJ, Choi JH, Kim DK, Yoo Y. Clinical diagnostic guidelines for allergic rhinitis : diagnosis. J Korean Med Assoc. 2017 ; 60(1) : 81-8. https://doi.org/10.5124/jkma.2017.60.1.81
  3. Dykewicz MS, Fineman S, Skoner DP, Nicklas R, Lee R, Blessing Moore J, et al. Diagnosis and management of rhinitis: complete guidelines of the Joint Task Force on Practice Parameters in allergy, asthma and immunology. American Academy of Allergy, Asthma, and Immunology. Ann Allergy Asthma Immunol 1998 ; 81(5) : 478-518.
  4. The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology Textbook Compilation Committee. Korean Medicine Otorhinolaryngology. 1st ed. Busan: Sunwoopublishing company. 2015 : 223.
  5. Lee SJ, Lim JE. A diagnostic system and clinical application based on six meridian patterns and provisions. Seoul : KMediACs publishing house. 2013.
  6. JK Chang. Gangpyeong Shanhanlun. Seoul:KMediACs publishing house. 2013.
  7. Downie SR, Andersson M, Rimmer J, Leuppi JD, Xuan W, Akerlund A, et al. Symptoms of persistent allergic rhinitis during a full calendar year in house dust mite-sensitive subjects. Allergy. 2004 ; 59(4) : 406-14. https://doi.org/10.1111/j.1398-9995.2003.00420.x
  8. Kim MA, Ye YM, Ban GY, Shin YS, Nahm DH et al. Linguistic adaptation of the rhinitis control assessment test in Korean. Allergy Asthma Respir Dis. 2017 ; 5(4) : 205-10. https://doi.org/10.4168/aard.2017.5.4.205
  9. Koh YI. Clinical Practice Guideline for Physicians on Allergic Rhinitis. Korean J Med. 2017 ; 92(5) : 429-36. https://doi.org/10.3904/kjm.2017.92.5.429
  10. Kim JH, Ryu JI, Kang CY, Hwang JS, Lee DH et al. Analysis of the Use of Insured Herbal Extracts and Korean Medicinal Treatments in Patients with Allergic Rhinitis :Data from Health Insurance Review and Assessment Service. J Korean Med Ophthalmol Otolaryngol Dermatol 2021 ; 34(2) : 38-52. https://doi.org/10.6114/JKOOD.2021.34.2.038
  11. Kang JI, Lee DH. Suggestions for developing Korean Medicine Clinical Practice Guideline for Allergic Rhinitis - Based on 2018 Chinese Clinical Practice Guideline. J Korean Med Ophthalmol Otolaryngol Dermatol 2019 ; 32(4) : 130-40. https://doi.org/10.6114/JKOOD.2019.32.4.130
  12. Park KM, Choi SH. The comparative study of Sanghanron and Hwangjenaegyeong through historical study on Gangpyung Sanghanron. J. Korean Medical Classics. 1995 ; 9 : 263-300.
  13. Ha YS. The etymological dictionary of chinese characters. Doseochulpan 3. 2085 : 172,260,279,280,312,444.