대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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초음파 영상에서 급성 위점막 병변으로 진단된 환자에 대한 한의치료 치험 1례

A Case Report on Korean Medicine Treatment for a Patient Diagnosed with Acute Gastric Mucosal Lesion on Ultrasound Imaging

  • 김채은 (상지대학교 한의과대학 내과학교실) ;
  • 백태현 (상지대학교 한의과대학 내과학교실)
  • Chae-eun Kim (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University) ;
  • Tae-hyun Baek (Dept. of Korean Internal Medicine, College of Korean Medicine, Sang-Ji University)
  • 투고 : 2023.12.11
  • 심사 : 2024.01.03
  • 발행 : 2023.12.30
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초록

Objectives: This study reports a clinical case that showed improvement in the symptoms of a patient with acute gastric mucosal lesion (AGML) through ultrasound. Methods: A 90-year-old woman with AGML was treated with Korean medicine treatments, including Hyangsapyeongwisan Soft Ext, acupuncture, and moxibustion. The responses before and after treatment were evaluated using ultrasound imaging and the numerical rating scale (NRS). Results: After treatment, ultrasound imaging showed improvement in gastric mucosa thickness, from 1.45 cm to 0.53 cm at the anterior wall and from 1.25 cm to 0.36 cm at the posterior wall. The NRS scores for epigastric pain, nausea, and dizziness all decreased, and the symptoms of diarrhea disappeared. Conclusion: This study suggests that Korean medicine treatment can be a therapeutic option in treating the symptoms of patients with AGML.

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참고문헌

  1. 도서출판 정담 편집부. Steps to internal medicine 6. Gastroenterology. Seoul: 정담; 2013, p. 113-5. 
  2. Chen TA, Lo GH, Lin CK, Lai KH, Wong HY, Yu HC, et al. Acute pancreatitis-associated acute gastrointestinal mucosal lesions: incidence, characteristics, and clinical significance. J Clin Gastroenterol 2007;41(6):630-4.  https://doi.org/10.1097/01.mcg.0000225638.37533.8c
  3. Choi DW, Park SC, Chun HJ. Update on NSAIDs Related Peptic Ulcers. Korean J Intern Med 2014;86(6):665-72.  https://doi.org/10.3904/kjm.2014.86.6.664
  4. Lee HW, Lee JH, Kim KH, Lee J, Oh JI, Cho YK, et al. 급성 위점막 병변의 임상적 고찰. Clin Endosc 2001;23(5):391. 
  5. 전국한의과대학 비계내과학교실. 비계내과학. Paju: Koonja Publishing Inc; 2017, p. 333-7 
  6. Kong KW, Baik TH. The Effects of Hyangsayukgunja-tang Extract on Indomethacin-Induced Gatric Mucosal Lesions. J Int Korean Med 2001;22(4):589-99. 
  7. Park JH, Baek TH. Effects of Pyungjintang on Indomethacin-induced Gastric Mucosal Lesions in Mice. J Int Korean Med 2005;26(3):215-27. 
  8. Lee SH, Baek TH. A Comparison Study on Effects of Jisildoche-hwan Extract and Misoprostol on Indomethacin-induced Gastric Mucosal Lesions in Mice. J Int Korean Med 2008;29(4):939-49. 
  9. Kim BR, Huh K, Lim SW. Effect of Sihogeji-tang Extract on Indomethacin-Induced Gastric Mucosal Lesions in Rats. J Int Korean Med 2010;31(3):477-87. 
  10. Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. The Korean journal of maridian & acupoint 2007;24(2):77-97. 
  11. Kim JY, Kim DH, Ko MK, Byun JN, Kim YS, Kim YC, et al. Increased Mucosal Thickness of the Stomach in Transabdominal Ultrasonogram: Correlation with Gastric Hemorrhage. Ultrasonography. 2000;19(3):177-83. 
  12. Kim EY. Endoscopic Ultrasonography in Locoregional Staging of Gastric Cancer. Korean J Gastroenterol 2008;52(2):124-7. 
  13. Kim JY, Ahn KJ. Basic Physics and Artifact of Ultrasound. J Clin Otolaryngol Head Neck Surg 2007;18(2):135-43.  https://doi.org/10.35420/jcohns.2007.18.2.135
  14. Jung PJ. Basic Knowledge of Ultrasonography and Its Clinical Use. J Endocr Surg 2008;8(1):1-5.  https://doi.org/10.16956/kjes.2008.8.1.1
  15. Huh SJ, Lim CG. Sonogrpahy of the GastroIntestinal Tract Pathology. Ultrasonography 1982;1(1):62-5. 
  16. Park IS. Gastritis. Seoul: The korean society of gastroenterology; 1998, p. 23. 
  17. Kim DH. Ultrasound of the Digestive Tract with Case Review. Seoul: Panmuneducation; 2018, p. 51. 
  18. Choi BI. Ultrasound Diagnosis of the Abdomen. Seoul: Ilchokak; 2008, p. 227. 
  19. Hwang DW. 新增方藥合編. Seoul: 永林社; 2010, p. 271. 
  20. Meridians & Acupoints Compilation Committee of Korean Medical Colleges, Details of Meridians & Acupoints[Volume I]; A Guidebook for College Students. Daejeon: Jonglyeonamu; 2016, p. 24, 246-352.