The Journal of Internal Korean Medicine (대한한방내과학회지)

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

DOI QR Code

A Case Report of Korean Medicine Treatment of a Decompensated Liver Cirrhosis Patient with Jaundice

황달을 동반한 비대상성 간경변 환자의 한방 치험 1례

  • Seon-ju, Ahn (Dept. of Korean Internal Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Bo-sung, Kim (Dept. of Korean Internal Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Joon-yong, Noh (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Young-su, Lee (Dept. of Korean Internal Medicine, College of Korean Medicine, Dong-Shin University)
  • 안선주 (동신대학교 한의과대학 내과학교실) ;
  • 김보성 (동신대학교 한의과대학 내과학교실) ;
  • 노준용 (동신대학교 한의과대학 침구학교실) ;
  • 이영수 (동신대학교 한의과대학 내과학교실)
  • Received : 2022.09.16
  • Accepted : 2022.11.15
  • Published : 2022.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study was to report a clinical case of decompensated liver cirrhosis in a patient with jaundice who showed improvement with Korean medicine treatment. Methods: A patient with decompensated liver cirrhosis with jaundice was treated with herbal medicine (Injinoryung-tang, Galgeunjowi-tang), acupuncture, cupping, and moxibustion. Changes in jaundice, fatigue, and dysuria were measured with subjective parameters. Liver function was checked by performing a blood test 8 times. The levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl transpeptidase (GGT), total bilirubin (TB), albumin, and platelets (Plt), prothrombin time (PT), and international normalized ratio (INR) were recorded. Results: The Korean medicine treatment improved jaundice, fatigue, and dysuria and lowered the AST, ALT, ALP, GGT, and TB levels. Conclusions: Korean medicine treatment containing Galgeunjowi-tang positively improves clinical symptoms and liver function.

Keywords

References

  1. Harrison's principle of internal medicine compilation committee. Harrison's principles of internal medicine. 19e. volume 3. New York: MIP; 2015, p. 2860-9, 2940-5.
  2. Korean Association for the Study of the Liver. White Paper on Liver Disease in Korea. 2e. Seoul: Korean Association for the Study of the Liver; 2021, p. 31-6, 220-1.
  3. Dept. of Hepatology & Hematology, All colleges of oriental med. in Korea(compilation). Hepatology & Hematology. Seoul: Nado; 2016, p. 327-8.
  4. Shin YS, Kim JS, Choi KS, Han YH. A Clinical Report of Ascites Induced by Alcholic Liver Cirrhosis with Saenggangeonbi-tang. J Int Korean Med 2008;spr:140-6.
  5. Kim ES, Bae IS, Shin GC. A Case Report of Dyspepsia in a Patient with Liver Cirrhosis and Pancytopenia. J Int Korean Med 2017;38(5): 592-9. https://doi.org/10.22246/jikm.2017.38.5.592
  6. Statistics Korea. 2020 An analysis of cause-of-death. Daejeon: Statistics Korea; 2021.
  7. Choi JG, Han SB, Kim NK, Lim YS. Increasing burden of liver cancer despite extensive use of antiviral agents in a hepatitis B virus-endemic population. Hepatology 2017;66(5):1454-63. https://doi.org/10.1002/hep.29321
  8. Ahn JY, Sim SS, Jeong S, Shin YJ, Kim KS, Moon BS, et al. A Case Report of Alcoholic Liver Disease with Jaundice Treated with Korean Medicine. J Int Korean Med 2021;42(5):949-57. https://doi.org/10.22246/jikm.2021.42.5.949
  9. Department of Sasang Constitutional Medicine. All colleges of oriental med. in Korea(compilation). The Revised and Enlarged Sasang Constitutional Medicine. 2nd ed. Seoul: Jipmoondang; 2016, p. 153-4.
  10. Lee GG. Geumgweyoryak. Beijing: People's Medical Publishing House; 1989, p. 449-50.
  11. Heo J. Dongeuibogam(Various Disease). Seoul: Daeseongmunhwasa; 1992, p. 344.
  12. Hwang DY. Bangyakhappyeon. Seoul: Yeogang; 1993, p. 293-4.
  13. Kang KW, Lee JH. A Case of Alcoholic Liver Cirrhosis Treated with Injinoryeong-san. J Int Korean Med 2016;37(1):135-42.
  14. Ryu HC, Kim IG, Seo CH, Choi CW, Lee YS, Kim HC. Two Clinical Report of Jaundice from Damp-Heat Treated with Injinolyungsangami. Korean J Oriental Physiology & Pathology 2005;19(3):815-20.
  15. Ryu JY. Dong-ui Sasang Constitutional Medicine Lecture. Seoul: Daesung Pub; 1998, p. 715-6.
  16. Lim KM, Choi JH, Park SY, Kim JH, Kim SJ, Shin JC, et al. A Case of Contact Dermatitis by Pain Relieving Patch Deteriorated after Taking Lotus Root. J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28(3):126-34. https://doi.org/10.6114/jkood.2015.28.3.126
  17. Dept. of Herbology, All colleges of oriental med. in Korea. Herbology. Seoul: Yeongnimsa; 2016, p. 189, 346, 349.
  18. Dept. of Acupuncture & Moxibustion Medicine. Details of Meridians & Acupoints(Volume I, II); A Guidebook for College Students. 7th ed. Daejeon: Jongnyeonamu; 2016, p. I111, 281, 353, II148-9, 421-4.
  19. Lee JP. Hepatorenal Syndrome. Korean J Med 2016;90(5):384-8.