DOI QR코드

DOI QR Code

아스피린과 NSAIDs 과민성 풍열형(風熱型) 두드러기에 대한 방풍통성산가미방(防風通聖散加味方)의 치험례

A Case Report on a Patient with Wind-Heat Type Urticaria Sensitive to Aspirin and NSAIDs Using Bangpoongtongsung-san Gamibang

  • 김경준 (가천대학교 한의과대학 안이비인후피부과학교실)
  • Kyung-Jun Kim (Dept. of Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Gachon University)
  • 투고 : 2023.04.12
  • 심사 : 2023.05.05
  • 발행 : 2023.05.25

초록

Objectives : The purpose of this case study is to report the effectiveness of Bangpoongtongsung-san gamibang on a patient with wind-heat type urticaria sensitive to aspirin and NSAIDs. Methods : We treated a 48-year-old man who had aspirin and NSAIDs sensitive wind-heat type urticaria with Bangpoongtongsung-san gamibang, pharmacopuncture(Hwangnyunhaedok-tang), acupuncture(needle remaining time : 20 min) and photodynamic therapy. Results : The Urticaria Activity Score(UAS) started at 5 and ended with 0, and the Visual Analog Scale(VAS) of heating sensation on whole body started at 10 and ended with 1-3. Conclusions : This study has demonstrated that Bangpoongtongsung-san gamibang could be effective to treat aspirin and NSAIDs sensitive wind-heat type urticaria.

키워드

참고문헌

  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 Complication Committee of National University of Traditional Korean Dermatology & Surgery. Text of Traditional Korean Dermatology & Surgery. 1st ed. Paju:Geullobooks. 2002:73. 
  3. Korean Dermatology Society Textbook Compilation Committee. Dermatology. Seoul:Ryeo Moon Gak. 1994;175,176. 
  4. Jang AS. Acute and Chronic Urticaria: Treatment. Korean J Med. 2011;80(1):36-9. 
  5. Ye YM. Urticaria: Classification and Diagnosis. Korean Journal of Medicine. 2019;94(4):353-7.  https://doi.org/10.3904/kjm.2019.94.4.353
  6. Saini SS. Chronic spontaneous urticaria etiology and pathogenesis. Immunol Allergy Clin North Am. 2014;34:33-52.  https://doi.org/10.1016/j.iac.2013.09.012
  7. Jenneck C, Juergens U, Buecheler M, Novak N. Pathogenesis, diagnosis, and treatment of aspirin intolerance. J Allergy Asthma Immunol. 2007;99:13-21.  https://doi.org/10.1016/S1081-1206(10)60615-1
  8. Powell RJ, Leech SC, Till S, Huber PAJ, Nasser SM, Clark AT. BSACI guidelines for the management of chronic urticaria and angioedema. Clin Exp Allergy. 2007;37:631-50.  https://doi.org/10.1111/j.1365-2222.2007.02678.x
  9. Vlot AC, Dempsey DA, Klessing DF. Salicylic Acid, a Multifaceted Hormone to Combat Disease. Annu Rev Phytopathol. 2009;47:177-206.  https://doi.org/10.1146/annurev.phyto.050908.135202
  10. Seyfferth C, Tsuda K. Salicylic acid signal transduction: the initiation of the biosynthesis, perception and transcriptional reprogramming. Front Plant Sci. 2014;15:23. 
  11. Yoon SW, Kim MH, Yoon HJ, Ko WS. A Clinical Study about the effect of Seungmagalguntang on Urticaria. J Korean Med Ophthalmol Otolaryngol Dermatol. 2004;17(3):61-79. 
  12. Go BH. Practical Chinese Surgery. Shanghai: Shanghai Scientific Technology Publishing. 1985:469-71. 
  13. Jeong HY, Ji SY. Western and Korean Study on Urticaria. Oriental and Western Medicine. 1997;22(1):68-82. 
  14. Son JM, Hong SW. The Effects of Bangpoong tongsungsan Extract to the Skin Damage on Mice Model after Atopic Dermatitis Elicitation. J Korean Med Ophthalmol Otolaryngol Dermatol. 2007;20(1):99-114. 
  15. Yoon JC, Kim HJ, Kim YK, Cheong SS, Baek BK, Kim JM, et al. Four Cased Reports of Chronic Urticaria. Korean J Oriental Physiology & Pathology. 2003;17(6):1564-7. 
  16. Greaves MW. Antihistamine treatment: a patient self-assessment method in chronic urticaria. Br Med J(Clin Res Ed). 1981;283(6304):1435,1436. 
  17. Park JW. Current Clinical Practice: Standardized Treatment of Urticaria. Korean Journal of Medicine. 2004;66(1):102-4.  https://doi.org/10.1016/j.diabres.2003.12.009
  18. Yoon JW, Woon SW, Yoon HJ, Ko WS. The Clinical Study of urticaria. J Korean Med Ophthalmol Otolaryngol Dermatol. 2003;16(2):152-76. 
  19. Jang AS. Acute and Chronic Urticaria: Treatment. Korean J Med. 2011;80(1):36-9. 
  20. Gaig P, Olona M, Munoz-Lejarazu D, Caballero MT, Dominquez FJ, Echechipia S, et al. Epidemiology of Urticaria in Spain. J Investing Allergol Clin Immunol. 2004;14:214-20. 
  21. Meade EA, Smith WL, DeWitt DL. Differential inhibition of prostaglandin endoperozide synthase(cycloxygenase) isozymes by aspirin and other non-steroidal anti-inflammatory drugs. J Biol Chem. 1993;268:6610-4.  https://doi.org/10.1016/S0021-9258(18)53294-4
  22. Moncada S, Ferreira SH, Vane JR. Inhibition of prostaglandin biosynthesis as the mechanism of aspirin-like drugs in the dog knee joint. Eur J Pharmacol. 1975;31:250-60.  https://doi.org/10.1016/0014-2999(75)90047-3
  23. Liu HG. LiuHeJian Shanghan Sanshiliu Shu. Seoul:SeongBo Publishing. 1985:35. 
  24. Lee CW, Kim SC, Kwak TW, Lee JR, Jo MJ, A hn YT, et al. Anti-Inflammatory Effects of Bangpungtongsung-San, a Traditional Herbal Prescription. Evidence-Based Complementary and Alternative Medicine. 2012;2012:12. 
  25. Yang SH, Lin YH, Lin JR, Chen HY, Hu S, Yang YH, et al. The Efficacy and Safety of a Fixed Combination of Chinese Herbal Medicine in Chronic Urticaria: A Randomized, Double-Blind, Placebo-Controlled Pilot Study. Frontiers in Pharmacology. 2018;9:1474. 
  26. Prescription Science Textbook Compilation Committee. Prescription Science. Seoul:Gillim Publishing. 2003:263,264. 
  27. Han YJ, Lee SH, Lee JY. Recent Clinical Research on Effect of Acupuncture for Urticaria. J Pediatr Korean Med. 2016;30(1):22-31.  https://doi.org/10.7778/jpkm.2016.30.1.022
  28. The Journal of Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture and Moxibustion. Seoul: Jymmoondang Publishing Co. 2008:204. 
  29. Cho GI, Kim JU, Lee YJ, Rhim BK, Shin SH, Kim DW, et al. Two Cases Chest Heating Sensation treated by Hwangyunhaedok-tang Herbal Acupuncture. Journal of Pharmacopuncture. 2003;6(2):127-35.  https://doi.org/10.3831/KPI.2003.6.2.127
  30. Choi YT, Lee YH, Kang SG, Kim CH, Park DS, Park YB, et al. The Acupuncture & Moxibustion. Seoul:Jymmoondang Publishing Co. 1994:478-81,1457.