The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case on Combined Korean Medicine of Adult Chronic Urticaria with Papular Form

구진성 만성 두드러기 환자의 한방 단독 치료 보고

  • Kim, Min-Kyeong (College of Korean Medicine, Woosuk University) ;
  • Kim, Ji-Young (College of Korean Medicine, Woosuk University) ;
  • Choi, Hyun-Gu (College of Korean Medicine, Woosuk University) ;
  • Ahn, Joon (Misoro Oriental Clinic) ;
  • Jeong, Hye-In (Dept. of Preventive Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Seo, Hyung-Sik (Dept. of Korean Medicine Ophthalmology, Otolaryngology & Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Choi, Yoo-Min (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Woosuk University)
  • 김민경 (우석대학교 한의과대학) ;
  • 김지영 (우석대학교 한의과대학) ;
  • 최현구 (우석대학교 한의과대학) ;
  • 안준 (미소로 한의원 전주점) ;
  • 정혜인 (경희대학교 한의과대학 예방의학교실) ;
  • 서형식 (부산대학교한방병원 한방안이비인후피부과) ;
  • 최유민 (우석대학교 한의과대학 침구의학교실)
  • Received : 2022.10.17
  • Accepted : 2022.11.17
  • Published : 2022.11.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study is to report the use of Korean medicine on a chronic urticaria patient. Methods : We treated an adult patient had chronic urticaria with herbal medicine, pharmacopuncture, acupuncture, photodynamic therapy. The effects of the treatment were evaluated through urticaria activity score and photo evaluation. Results : The urticaria activity score started at 6 and ended with 0. After 4 months of follow-up, no recurrence was confirmed. Conclusions : This study has demonstrated that Korean medicine could be effective to treat chronic urticaria with papular form.

만성 두드러기 환자에게 조위승기탕(調胃承氣湯) 가감방(加減方) 투여가 증상 호전에 효과를 나타냄을 확인할 수 있었다. 본 환자는 변비 및 상열감과 함께 구진성 두드러기와 중증도 이상의 소양감을 호소하였고, 항히스타민제와 외용 양약 제제에 반응하지 않았지만 한약 복용 후 피부 소양감 및 병변의 개선을 보였다. 조위승기탕(調胃承氣湯)의 완하(緩下)작용이 적열(積熱)을 풀어 피부 질환에 유효한 효과를 갖는 것으로 보이고, 이로써 만성 두드러기에서 치료 효과를 발휘한 것으로 사료된다.

Keywords

Acknowledgement

본 논문은 2022년도 우석대학교의 연구비 지원에 의해서 수행됨

References

  1. Park JG, Kang SH, Kang DW, Kim KS, Kim YB. Analysis of Korean Herbal Medicine Used in Case Studies of Treating Urticaria. J Korean Med Ophthalmol Otolaryngol Dermatol. 2018;31(3):12-25.
  2. Textbook Compilation Committee of National University of Traditional Korean Dermatology & Surgery. Text of Traditional Korean Dermatology & Surgery. 1st ed. Paju:Geullobooks. 2022:73.
  3. Health Insurance Review & Assessment Service. 2022 [cited 2022 Oct 3]. Available from: URL:http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do
  4. Ye YM, Jang GC, Choi SH, Lee JM, Yoo HS, Park KH, et al. KAAACI Work Group report on the management of chronic urticaria. Allergy Asthma Respir Dis. 2015;3(1):3-14. https://doi.org/10.4168/aard.2015.3.1.3
  5. Lee GY, Kim HJ. A Clinical Study of Urticaria and an Assessment Guideline. J Korean Oriental Med. 2005;26(2):25-31.
  6. Jang AS. Acute and Chronic Urticaria: Treatment. Korean J Med. 2011;80(1):36-9.
  7. Zuberbier T, Aberer W, Asero R, Abdul Latiff AH, Baker D, Ballmer-Weber B, et al. The EAACI/GA2LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy. 2018;73(7):1393-414. https://doi.org/10.1111/all.13397
  8. Kim HJ. Clinical study of Chronic Urticaria. J Korean Med Ophthalmol Otolaryngol Dermatol. 2001;15(2):252-60.
  9. Hong EG, Kim BH, Shin JH, Nam HJ, Kim KS. The Effect of Gamisungmagalguntang (加味升麻葛根湯) on Chronic Urticaria Identified as "Wind Heat" Pattern. J Korean Med Ophthalmol Otolaryngol Dermatol. 2013;26(4):60-9. https://doi.org/10.6114/jkood.2013.26.4.060
  10. Tark MR, Kim MB, Byun SM, Ko WS, Yoon HJ. A Clinical Report on 39 Urticaria Patients Treated With The Ko-Bang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22(3):196-207.
  11. Lee AR, Cho AR, Han SR, Seo S, Park G, Han MH. The Effect of Gagamsunbangpaedoktang on Chronic Urticaria. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(4):156-68. https://doi.org/10.6114/jkood.2016.29.4.156
  12. Kim HH, Choi JH, Park SY, Kim JH, Jeong MY, Lim KM, et al. A Clinical Case Report of Chronic Urticaria Treated with Gagamtongcheong-san. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(4):189-98. https://doi.org/10.6114/jkood.2016.29.4.189
  13. Greaves MW. Antihistamine treatment: a patient self-assessment method in chronic urticaria. Br Med J (Clin Res Ed). 1981;283(6304):1435,1436.
  14. Choi YS, Park YM, Rha YH, Choi SH. An overview and considerations in prescribing H1-antihistamine. Journal of the Korean Medical Association. 2013;56(3):231-9. https://doi.org/10.5124/jkma.2013.56.3.231
  15. Park HS. A Case report of It is suspected with the cold-induced cholinergic Urticaria. The Kor J of Oriental Medial Prescription. 2006;14(1):184-91.
  16. Textbook Compilation Committee of National University of Traditional Korean Herbal Formula study. Textbook of Herbal Formula Science in Korean Medicine. 1st ed. Paju:Koonja. 2020:142.
  17. Noh YB. Clinical Herbal Formula Study Lecture. Seoul:Daesung Medical publish. 2000:192-6,337,338,346,347,350-2.
  18. Sin MG. Clinical Traditional Herbalogy. Seoul:Yeongrimsa. 2002:399,400,844.
  19. Jang HH, Lee DY, Lee SH, Kang HW, Lyu YS. Clinical Studies on HWANGRYUNHAEDOKTANG Herbal Acupuncture Therapy on Headache. Journal of Pharmacopuncture. 2003;6(1):52-60. https://doi.org/10.3831/KPI.2003.6.1.052
  20. Maisch T, Szeimies RM, Jori G, Abels C. Antibacterial photodynamic therapy in dermatology. Photochem Photobiol Sci. 2004;3(10):907-17. https://doi.org/10.1039/b407622b