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Covid-19 감염 이후 상열감을 호소하는 환자에 대한 한의 치험 1례

Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection

  • 허혜민 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 이경화 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 허경화 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 황예채 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조승연 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박정미 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 고창남 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박성욱 (경희대학교 대학원 한방순환신경내과학교실)
  • Hye-min Heo (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kyeong-hwa Lee (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kyeong-hwa Heo (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ye-chae Hwang (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seung-yeon Cho (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jung-mi Park (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chang-nam Ko (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong-uk Park (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2023.04.07
  • 심사 : 2023.05.23
  • 발행 : 2023.05.30

초록

This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient's subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.

키워드

참고문헌

  1. Lugo T, Tetrokalashvili M. Hot Flashes. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
  2. McGarry K, Geary M, Gopinath V. Beyond Estrogen: Treatment Options for Hot Flashes. Clinical Therapeutics 2018;40(10):1778-86. https://doi.org/10.1016/j.clinthera.2018.08.010
  3. Kim YJ, Yang SB, Lee BY, Lee DH, Cho SY, Park SW, et al. A Case Report of Hot Flushing Treated with Gami Ahnjeonbaekho-tang. The Journal of the Society of Stroke on Korean Medicine 2015;16(1):41-8.
  4. 박성욱. 약침의 정석 - 통증편. 제1판. 서울: 우리의학서적; 2020, p. 93-106.
  5. Guttuso T Jr, DiGrazio WJ, Reddy SY. Review of hot flash diaries. Maturitas 2012;71(3):213-6. https://doi.org/10.1016/j.maturitas.2011.12.003
  6. Liu Y, Weng W, Tu Y, Wang J. Chinese expert consensus on the surgical treatment of primary palmar hyperhidrosis (2021 version). Chin Med J (Engl) 2022;135(11):1264-71. https://doi.org/10.1097/CM9.0000000000002198
  7. Shanafelt TD, Barton DL, Adjei AA, Loprinzi CL. Pathophysiology and treatment of hot flashes. Mayo Clinic Proceedings 2002;77(11):1207-18. https://doi.org/10.4065/77.11.1207
  8. Calica Utku A, Budak G, Karabay O, Guclu E, Okan HD, Vatan A. Main symptoms in patients presenting in the COVID-19 period. Scott Med J 2020 Nov;65(4):127-32. https://doi.org/10.1177/0036933020949253
  9. Lebar V, Lagana AS, Chiantera V, Kunic T, Lukanovic D. The Effect of COVID-19 on the Menstrual Cycle: A Systematic Review. Journal of Clinical Medicine 2022;11(13):3800.
  10. Costeira R, Lee KA, Murray B, Christiansen C, Castillo-Fernandez J, Ni Lochlainn M, et al. Estrogen and COVID-19 symptoms: Associations in women from the COVID Symptom Study. PLoS One 2021;16(9):e0257051.
  11. Somasundaram NP, Gunatilake SSC. Infections in Endocrinology: Viruses. In: Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. Last Update: March 14, 2021.
  12. Kim HI, Yoon JH, Chu HM, Jung SH, Yi JH, Kim CH, et al. Reports of 63 Patients Treated with Herbal Medicine to Relieve Symptoms of COVID-19 at One Korean Medicine Clinic: A Retrospective Chart Review. J Int Korean Med 2022;43(4):779-93. https://doi.org/10.22246/jikm.2022.43.4.779
  13. Lee S, Park JE, Lee YJ, Kim SH, Lee JY. A Case Report of Taeeumin with Post COVID-19 Syndrome. J Sasang Constitut Med 2021;33(4):32-42.
  14. Huh MH, Koh BH, Song IB. The Body Measuring Method to Classify Sasang Constitutions. J of Sasang Const Med 2002;14(1):51-66.
  15. Jung DY, Ha HK, Lee HY, Lee JA, Lee NH, Lee JK, et al. Stimulation of the Immune Response by Yanggyuksanhwa-tang. J of Sasang Constitutional Medicine 2010;22(4):77-84.
  16. Cho SW. Effects of Yangkyuksanhawtang on the allergic contact dermatitis. Korean Journal of Korean Medical Institute of Dermatology & Aesthetics 2005;1(1):16-40.
  17. Kim EJ, Kim YS. Effects of Yanggyuksanhwa-tang on global cerebral ischemia of diabetic rats induced by streptozotocin. Korea J Oriental Physiology & Pathology 2007;21(2):474-8.
  18. Lee SY, Choi AY, Ha JH, Lee JH, Kim PJ, Goo DM. An experimental study on the anti-stress effect by Soyangin Hyeongbangdojeok-san and Yanggyeoksanhwa-tang. J Sasang Constitut Med 2008;20(3):151-63.
  19. Soh YJ. Protective effect of Yangguksanwha-tang metabolized by liver homogenate on hypoxia-reperfusion induced PC12 cell damage. Yakhak Hoeji 2005;49(1):97-102.
  20. Park SW, Joo JH, Kim SW, Byun JS, Yu KC. The Case Report about The Effect of Ahsymondam-tang on the Chest Discomfort Accompany the Insomnia of Hwa-byung's Symptom. The Journal of Internal Korean Medicine 2014;fal:365-75.
  21. Lesi G, Razzini G, Musti MA, Stivanello E, Petrucci C, Benedetti B, et al.: Acupuncture As an Integrative Approach for the Treatment of Hot Flashes in Women With Breast Cancer: A Prospective Multicenter Randomized Controlled Trial (AcCliMaT). J Clin Oncol 2016;34(15):1795-802. https://doi.org/10.1200/JCO.2015.63.2893
  22. Jo HR, Choi SK, Sung WS, Kim EJ, Choi SJ, Kim DI, et al. Efficacy Comparison of Different Acupuncture Treatments for Hot Flashes: A Systematic Review with Network Meta-Analysis. Journal of Acupuncture Research 2021;38(2):110-21. https://doi.org/10.13045/jar.2020.00010
  23. 전국한의과대학, 한의학전문대학원 경락경혈학교재편찬위원회. 대학경락경혈학 각론 (하). 제7판. 대전: 종려나무; 2016, p. 64-79, 98-105, 213-30, 282-92, 347-52, 829-35, 918-27, 1093-9, 1122-3.
  24. Ku JS, Jung C, Hwang JH. Toxicological Study of SU-Eohyeol Pharmacopuncture in an In Vivo Micronucleus Test in Sprague-Dawley Rats. Korean J Acupunct 2022;39:54-62. https://doi.org/10.14406/acu.2022.008