DOI QR코드

DOI QR Code

귀비온담탕가감(歸脾溫膽湯加減)을 포함한 한방치료로 호전된 섬유근육통 환자의 불면 및 구강건조 치험 1례

A Case Study of Fibromyalgia with Insomnia and Dry Mouth Treated with Korean Medicine including Guibiondam-tang-gagam

  • 양지수 (경희대학교 한의과대학 내과학교실) ;
  • 이수정 (경희대학교 한의과대학 내과학교실) ;
  • 조은채 (경희대학교 한의과대학 내과학교실) ;
  • 유재환 (경희대학교 한의과대학 내과학교실)
  • Yang, Ji-soo (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Su-jung (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Cho, Eun-chai (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Lew, Jae-hwan (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University)
  • 투고 : 2022.03.21
  • 심사 : 2022.05.23
  • 발행 : 2022.05.30

초록

Objective: This study addresses a case of fibromyalgia with insomnia and dry mouth. Methods: A patient diagnosed with fibromyalgia was treated with Korean medicine including herbal therapy with Guibiondam-tang-gagam, acupuncture, pharmacopuncture, moxibustion, and chuna for 16 days. To evaluate the therapeutic effects, sleeping hours, time taken to fall asleep, and surprise on waking were assessed, and a numeric rating scale (NRS) was used to monitor dry mouth. Results: After treatment, the patient's sleeping hours increased, time taken to fall asleep decreased, and the patient woke up surprised less often. The NRS score for dry mouth also decreased. Conclusion: These results suggest that Korean medicine therapies with Guibiondam-tang-gagam have a beneficial effect on insomnia and dry mouth as additional symptoms of fibromyalgia.

키워드

참고문헌

  1. Jun JB. Fibromyalgia Sydrome. Journal of The Korean Association of Pain Medicine 2003;2(1):1-6.
  2. Lee DK. Fibromyalgia. Journal of the K.S.C.N. 2000;2(2):63-9.
  3. Welsch P, uceyler N, Klose P, Walitt B, Hauser W. Serotonin and noradrenaline reuptake inhibitors (SNRIs) for fibromyalgia. Cochrane Database Syst Rev 2018;2(2):CD010292.
  4. Chung KF, Kan K, Yeung WF. Assessing insomnia in adlescents: Comparison of Insomnia Severity Index, Athens Insomnia Scale and Sleep Quality Index. Sleep medicine 2011;12(5):463-70. https://doi.org/10.1016/j.sleep.2010.09.019
  5. Choi ES. Update in Fibromyalgia. The Korean Journal of Clinical pain 2010;9(2):72-6.
  6. Santarsieri D, Schwartz TL. Antidepressant efficacy and side-effect burden: a quick guide for clinicians. Drugs in Context 2015;4:212290. https://doi.org/10.7573/dic.212290
  7. Lee JJ, Choi JH, Kyung SY, Lim HH. The Study on Literature Review of Chinese Medical Treatment for Fibromyalgia. The Journal of Korea CHUNA Manual Medicine 2004;5(1):169-81.
  8. Yang SB, Kim YJ, Lee HM, Lee HJ, Cho SY, Park SW, et al. Case Report of Generalized Anxiety Disorder Treated with Guibiondamtang -gami. Journal of Korean Oriental Internal Medicine 2016;37(2):361-7.
  9. Cha YJ, Kim JW, Whang WW, Kim HT, Kwak SY, Kim MJ. The Effect of Guibiondamtang in an Animal Model of Depression using Chronic Mild Stress. J of Oriental Neuropsychiatry 2001;12(2):53-68.
  10. Park SK, Kim YK, Oh MS. 處方劑型學. 도서출판 영림사; 2016, p. 395-6.
  11. Kim KH, Kim SY, Kim EJ, Lee DW. A Clinical Report of Insomnia due to deficiency of Yang. J of Oriental Neuropsychiatry 2004;15(1):121-6.
  12. Kang SB, Kim YJ, Woo CH. The Effect of Gamiondam-tang on Sleep Disorder after Traffic Accident: a Clinical Case Report. The Journal of East-West Medicine 2020;45(2):13-20.
  13. Lee JE, Park YC. Effects of CheongGeumGangHwa-Tang, GwaRuJiSil-Tang on mucin secretion from airway goblet cells. Korean J Orient Int Med 2004;25(2):238-44.
  14. Seo SH, Jung IC, Lee SR. The Literature Study of Ondamtang, Guibitang, Soyosan & Their Gagambang Recording in Dong-Eui-Bo-Gam. Journal of Hawhwa Medicine 2005;14(1):129-40.