The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case of Asthma-Chronic Obstructive Pulmonary Disease Syndrome Exacerbated After COVID-19 Infection

코로나19 감염으로 악화된 천식-만성폐쇄성폐질환 중복증후군 환자 치험 1례

  • Mariah, Kim (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Hee-kyung, Kang (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • So-jung, Park (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • So-yeon, Kim (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Young-ju, Yun (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • In, Lee (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Chang-woo, Han (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Jin-woo, Hong (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Jung-nam, Kwon (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Jun-yong, Choi (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University)
  • 김마리아 (부산대학교 한방병원 한방내과) ;
  • 강희경 (부산대학교 한방병원 한방내과) ;
  • 박소정 (부산대학교 한방병원 한방내과) ;
  • 김소연 (부산대학교 한방병원 한방내과) ;
  • 윤영주 (부산대학교 한방병원 한방내과) ;
  • 이인 (부산대학교 한방병원 한방내과) ;
  • 한창우 (부산대학교 한방병원 한방내과) ;
  • 홍진우 (부산대학교 한방병원 한방내과) ;
  • 권정남 (부산대학교 한방병원 한방내과) ;
  • 최준용 (부산대학교 한방병원 한방내과)
  • Received : 2022.11.03
  • Accepted : 2022.12.27
  • Published : 2022.12.30
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Abstract

Background: We present a case of asthma-chronic obstructive pulmonary disease syndrome (ACOS), which has features of both asthma and chronic obstructive pulmonary disease, in a 63-year-old man treated with Korean medicine. Methods: For four weeks of hospitalization, the patient received acupuncture, Guarujisil-tang decoction, and herbal steam therapy. The main symptoms of ACOS, which are dyspnea, chest discomfort, and throat discomfort, were treated with acupuncture. Guarujisil-tang decoction and herbal steam therapy were administered to relieve cough and smooth the expectoration of mucus. Results: By the end of hospitalization, no significant change was observed in lung function. However, the patient's subjective symptoms, including dyspnea, chest discomfort, sore throat, and sweating, were improved. The patient's objective sign of opaque yellow mucus changed to clear mucus after the treatment. His scores for the quality of life questionnaire for adult Korean asthmatics and the modified Borg scale also showed improvement from 42 to 62 and from 3 to 1, respectively. Conclusions: Although we reported only one ACOS case, this study is significant in that case reports of ACOS treated with Korean medicine are rare. Further study is needed to confirm the effectiveness of Korean medicine in patients with ACOS.

Keywords

Acknowledgement

본 연구는 2021년도 부산대학교병원 임상연구비 지원으로 이루어졌음.

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