대한한방내과학회지 (The Journal of Internal Korean Medicine)

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

DOI QR Code

식도이완불능증 환자의 연하장애에 대한 분심기음과 전침의 복합 한의치료 1례 : 증례보고

A Case Report of Dysphagia of Achalasia Patient Treated with Korean Medicine, Including Bunsimgieum-gami and Electroacupuncture

  • 조임학 (부산대학교 한방병원 한방내과) ;
  • 이찬 (부산대학교 한방병원 한방내과) ;
  • 강희경 (부산대학교 한방병원 한방내과) ;
  • 허기윤 (부산대학교 한방병원 한방내과) ;
  • 김민화 (부산대학교 한방병원 한방내과) ;
  • 권정남 (부산대학교 한방병원 한방내과) ;
  • 박성하 (부산대학교 한방병원 한방내과) ;
  • 윤영주 (부산대학교 한방병원 한방내과) ;
  • 이인 (부산대학교 한방병원 한방내과) ;
  • 최준용 (부산대학교 한방병원 한방내과) ;
  • 한창우 (부산대학교 한방병원 한방내과) ;
  • 홍진우 (부산대학교 한방병원 한방내과) ;
  • 김소연 (부산대학교 한방병원 한방내과)
  • Cho, Im-hak (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Lee, Chan (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kang, Hee-kyung (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Heo, Gi-yoon (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kim, Min-hwa (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kwon, Jung-nam (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Park, Seong-ha (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Yun, Young-ju (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Lee, In (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Choi, Jun-yong (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Han, Chang-woo (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Hong, Jin-woo (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Kim, So-yeon (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University)
  • 투고 : 2021.03.26
  • 심사 : 2021.07.02
  • 발행 : 2021.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study presents the case of a 73-year-old Korean male with dysphagia caused by achalasia and aimed to assess the effectiveness of Korean medical treatment. The outpatient was treated with acupuncture, electroacupuncture, and herbal medicine (Bunsimgieum-gami, Gyejigayonggolmolyeo-tang, Bangpungtongsung-san) for about 6 months. We evaluated the patient's symptoms whenever he visited the clinic. The patient improved significantly after Korean medical treatment. In particular, dysphagia disappeared after herbal medicine treatment. This case report suggests that Korean medical treatment could be effective in treating achalasia. Further studies are needed.

키워드

과제정보

본 연구는 2021년도 부산대학교병원 임상연구비 지원으로 이루어졌음.

참고문헌

  1. Choe AR, Jung HK. Management of Achalasia: Expert Consensus Statements. Korean J Gastroenterol 2019;73(5):294-8. https://doi.org/10.4166/kjg.2019.73.5.294
  2. Vaezi MF, Pandolfino JE, Yadlapati RH, Greer KB, Kavitt RT. ACG Clinical Guidelines: Diagnosis and Management of Achalasia. The American College of Gastroenterology 2020;115(9):1393-411. https://doi.org/10.14309/ajg.0000000000000731
  3. Sadowski DC, Ackah F, Jiang B, Svenson LW. Achalasia: incidence, prevalence and survival. A population-based study. Neurogastroenterol Motil 2010;22(9):e256-61. https://doi.org/10.1111/j.1365-2982.2010.01511.x
  4. Lee JS. Endoscopic Treatment of Primary Esophageal Motility Disorders. Korean J Gastrointestinal Endoscopy 2011;42(6):341-8.
  5. Jung HK, Hong SJ, Lee OY, Pandolfino J, Park HJ, Miwa H, et al. 2019 Seoul Consensus on Esophageal Achalasia Guidelines. Journal of Neurogastroenterology and Motility 2010;26(2):180-203. https://doi.org/10.5056/jnm20014
  6. O'Neill OM, Johnston BT, Coleman HG. Achalasia: A Review of Clinical Diagnosis, Epidemiology, Treatment and Outcomes. World J Gastroenterol 2013;19(35):5806-12. https://doi.org/10.3748/wjg.v19.i35.5806
  7. Kim JB, Kim WH. A study on the Concept of Ulkyuk and Banui. Journal of Life Science 1997; 7(3):241-52.
  8. 박순달, 김은하, 한현희. 噎膈.反胃에 對한 文獻 考察. 濟韓東醫學術院 論文集 1999;4(1):238-49.
  9. Kim DY, Hwang MN, Ko WH, Baek SY, Lee HN, Jeong HI, et al. Case Study of Korean Medicine Treatment of Diffuese Esophageal Spasm. Journal of Internal Korean Medicine 2019;40(5):814-21. https://doi.org/10.22246/jikm.2019.40.5.814
  10. Bang SK, Chang SC, Kim HY. A short review concerning the effects of TENS or electroacupuncture treatment at Nei guan (PC-6) on blood pressure. The Journal of East-West Medicine 2014;39(2):1-9.
  11. 전국한의과대학.한의학전문대학원 경락경혈학 교재편찬위원회. 대한경락경혈학각론 하. 제7개정판. 대전: 종려나무; 2016, p. 621-33.
  12. Kim SY, Yoon SH. A Selective Effect of Combined Treatment of Electroacupuncture at Zusanli(ST36), Manual Acupuncture, and Pyengwi-san in Function Dyspepsia Patients with Pyloric Valve Disturbance and Hypoactivity of Gastric Vagus Nerve. Journal of Internal Korean Medicine 2009;30(1):191-9.
  13. Chandrasekhara V, Desilets D, Falk GW, Inoue H, Romanelli JR, Savides TS, et al. The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on peroral endoscopic myotomy. Gastrointest Endosc 2015;81(5):1087-100. https://doi.org/10.1016/j.gie.2014.12.007
  14. Urbach DR, Tomlinson GA, Harnish JL, Martino R, Diamant NE. A Measure of Disease-Specific Health-Related Quality of Life for Achalasia. Am J Gastroenterol 2005;100(8):1668-76. https://doi.org/10.1111/j.1572-0241.2005.50141.x
  15. Eckardt VF, Hoischen T, Bernhard G. Life expectancy, complications, and causes of death in patients with achalasia: results of a 33-year follow-up investigation. Eur J Gastroenterol Hepatol 2008;20(10):956-60. https://doi.org/10.1097/MEG.0b013e3282fbf5e5