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A Case Study of a Patient Who Discontinued Diuretics due to Hyponatremia and Was Treated with Korean Medicine for Ascites

저나트륨혈증으로 이뇨제를 중단한 간경변 환자 복수에 대한 한방치료 1례

  • In-hu, Bae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Geun Young, Kim (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong Hoon, Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ki-Ho, Cho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Sang-Kwan, Moon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Woo-Sang, Jung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seungwon, Kwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 배인후 (경희대학교 대학원 임상한의학과) ;
  • 김근영 (경희대학교 대학원 임상한의학과) ;
  • 정성훈 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과)
  • Received : 2022.09.14
  • Accepted : 2022.11.22
  • Published : 2022.12.30

Abstract

Objectives: This study examined a case of an 80-year-old woman with extensive ascites and hypervolemic hyponatremia due to decompensated liver cirrhosis. Methods: The patient was first treated with a diuretic to treat her ascites. However, during hospitalization, she developed hypervolemic hyponatremia due to liver cirrhosis. Therefore, we discontinued the diuretic and treated her with Korean herbal medicine (Insamyangyoung-tang with Oryeong-san). We measured her abdominal circumference, followed by radiography, to evaluate the effect of Korean herbal medicine. Result: We treated the patient only with Korean medicine and without diuretics, and her ascites was successfully reduced. No recurrence was observed. Conclusion: Korean herbal medicine can be used as an adjuvant therapy for patients with ascites and hyponatremia.

Keywords

References

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