DOI QR코드

DOI QR Code

한방치료를 통해 호전된 외음부궤양 1례 증례보고

A Case Report of Genital Ulcer Treated by Korean Traditional Medicine

  • 박남경 (경희대학교 대학원 임상한의학과) ;
  • 김규태 (경희대학교 대학원 임상한의학과) ;
  • 최민영 (경희대학교 대학원 임상한의학과) ;
  • 정현재 (경희대학교 대학원 임상한의학과) ;
  • 허진영 (경희대학교 대학원 임상한의학과) ;
  • 박승혁 (경희대학교 대학원 임상한의학과) ;
  • 황덕상 (경희대학교 대학원 임상한의학과) ;
  • 이진무 (경희대학교 대학원 임상한의학과) ;
  • 이창훈 (경희대학교 대학원 임상한의학과) ;
  • 장준복 (경희대학교 대학원 임상한의학과)
  • Park, Nam-Gyeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Gyu-Tae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Choi, Min-Young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jung, Hyun-Jae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Heo, Jin-Young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Seung-Hyeok (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hwang, Deok-Sang (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jin-Moo (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2021.01.15
  • 심사 : 2021.05.28
  • 발행 : 2021.05.28

초록

Objectives: The purpose of this study is to report the improvement of vulvodynia and genital pruritus caused by unidentified genital ulcer after Korean medicine treatment. Methods: The patient who complained vulvodynia and genital pruritus caused by unidentified genital ulcers was treated by acupuncture, moxibustion, fumigation, and herbal medicine as Eunhwasagan-tang, Guibi-tang-gami-bang for 5 days. The effect of treatment was evaluated by Numeral Rating Scale (NRS), The 5 level of EuroQol 5 Dimension scale (EQ-5D-5L), EuroQol-Visual Analog Scale (EQ-VAS). Results: After the treatment, the chief complaint and general conditions were improved. NRS was decreased from 8 to 3 and scores of EQ-5D-5L and EQ-VAS were increased from 0.416, 10 to 0.904, 80 each. Conclusion: This study shows that the skin lesion, vulvodynia, and pruitus caused by genital ulcer was improved after the Korean traditional treatment and it can be effective medical alternatives or options for genital ulcer patients.

키워드

참고문헌

  1. Lee JM. Diagnosis and treatment of genital ulcer. Korean Journal of Obstetrics and Gynecology. 2004:93-7.
  2. Korean Society of Obstetrics and Gynecology, Gynecology. 5th edition. Seoul:Gunju. 2018:432-3.
  3. Kraus SJ. Diagnosis and management of acute genital ulcers in sexually active patients. Seminars in dermatology. 1990;9(2):160-6.
  4. The Society of Korean Medicine Obstetrics and Gynecology. Korean medicine Obstetrics & Gyenecology. Seoul:Euiseongdang. 2012:299-302.
  5. Seo EB, et al. A case report of genital ulcer. J Korean Obstet Gynecol. 2013;26(4):223-30. https://doi.org/10.15204/jkobgy.2013.26.4.223
  6. Im JY, et al. Research Trends of the Acupuncture Treatment for Vulvodynia. J Korean Obstet Gynecol. 2019;32(1):23-36.
  7. Lee E. A Clinical Report on Three Patients with Vulvodynia. J Korean Obstet Gynecol. 2019;32(4):159-69.
  8. Ryu IK, et al. A case report of genital exzema with prutitus. J Korean Obstet Gynecol. 2011;24(2):120-5. https://doi.org/10.15204/JKOBGY.2011.24.2.120
  9. Kim SH, et al. The EQ-5D-5L valuation study in Korea. Qual Life Res. 2016;25(7):1845-52. https://doi.org/10.1007/s11136-015-1205-2
  10. Koh SB, Management of skin lesion of female external genitalia. Korean Journal of Obstetrics and Gynecology. 2010:53(12):1047-51. https://doi.org/10.5468/kjog.2010.53.12.1047
  11. Kim SW, Diagnosis and Clinical Symptoms of Sexually Transmitted Diseases. J Korean Med Assoc. 2008;51(10):875-83. https://doi.org/10.5124/jkma.2008.51.10.875
  12. Shintani F. Steps to internal medicine 6: Gastroenterology. Seoul:Jeongdam. 2008:114-8.
  13. Manuel PS, Genital ulcers caused by herpes simplex virus. Enferm Infecc Microbiol Clin. 2019;37(4):260-4. https://doi.org/10.1016/j.eimc.2018.10.020
  14. Song BK. Anti-inflammatory, Antipyretic. Analgesic, Diuretic and Antibacterial Effects of Yongdamsangan-tang and Eunhwasagan-tang. Journal of Korean Oriental Medicine. 1981;2(2):84-5.
  15. Lee Ek, et al. An Experimental Study on the Anti-inflammatory, Anti-pruritic and Anti-microbial Effects of the Three Herbal Prescription: Eunhwasagan-tang (EST), Sobokchukeo-tang(SCT), Wandae-tang (WDT). J Korean Obstet Gynecol. 2019;32(3):32-56. https://doi.org/10.15204/JKOBGY.2019.32.3.032
  16. Heo J. Donguibogam. Hadong:Donguibogam publisher. 2005:493-95, 626, 823.
  17. Park JH. Hyungsanguihak. Gyeonggi-do:Jisan publisher. 2014:185.
  18. Shin GH. Hanbangoeyongyak. Seoul:Yeollinchaekdeul. 1994:100.
  19. Baek SE, et al. Systematic Review of Fumigation Therapy for Atrophic Vaginitis, J Korean Obstet Gynecol. 2016;29(1):92-101. https://doi.org/10.15204/jkobgy.2016.29.1.092
  20. The compilation committee of Herbology. Herbology. Seoul:Younglimsa. 2008:221-2, 627-8.
  21. Hwang DY, Bangyakhappyun. 2nd ed. Seoul:Yeonglimsa. 2011:264.
  22. Lee SH, Kim SJ, An Intensive Review On Clinical Thesis about Hwangryunhaedok-tang Pharmacopuncture Treatment: Focused on Case Reports and Controlled Studies in Korean Academic Journals, Journal of Korean Medicine Rehabilitation. 2019;29(2):171-88. https://doi.org/10.18325/jkmr.2019.29.2.171
  23. Meridians & Acupoints Compilation Committee of Korean Oriental Medical Colleges. Principles of Meridians & Acupunctures; A Guidebook for College Students. Daejeon:Chongryeonamu. 2015:328-33.