Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Korean Medicine Treatment for Dyspepsia and Constipation in a Patient with HIV: A Case Report

  • Ji-Su Ha (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Han-Song Park (Department of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Hyun-Seo Park (Department of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Ka-Hyun Kim (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Hae-Won Hong (Department of Acupuncture and Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • In-Ae Youn (Department of Acupuncture and Moxibustion Medicine, National Medical Center)
  • Received : 2022.12.07
  • Accepted : 2023.02.23
  • Published : 2023.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Functional dyspepsia (FD) is a chronic and recurrent upper gastrointestinal symptom that has no organic cause. A 49-year-old male patient positive for human immunodeficiency virus (HIV) visited the clinic because of FD and constipation. He received complex Korean medicine treatment, including acupuncture and herbal medicines, from April 14 to July 18, 2022 (27 times) in the outpatient department. Gastrointestinal Symptom Rating Scale (GSRS), Nepean Dyspepsia Index (NDI), FD-related quality of life (FD-QoL), Euro QoL visual analog scale (EQ-VAS), and Numerical Rating Scale (NRS) were used as evaluation tools in this study. Symptoms were relieved after 3 months of treatment, and his QoL improved (GSRS, 15-3; NDI, 110-21; FD-QoL, 52-20 [eating status, 10-3; liveliness status, 12-8; psychological, 1-0; role-functioning status, 18-9]; EQ-VAS, 40-65; NRS, 8-4). The results revealed that complex Korean medicine treatment could alleviate FD and constipation in patients with HIV.

Keywords

Acknowledgement

This work was supported by a grant of National Medical Center, Republic of Korea (Grant number: NMC 2020-PR-07).

References

  1. Stanghellini V. Functional dyspepsia and irritable bowel syndrome: beyond Rome IV. Dig Dis 2017;35 Suppl 1:14-17. doi: 10.1159/000485408
  2. Han SY, Lim JH, Ryu JM, Jang SY, Kim HK, Lee JS, et al. Analysis of symptom pattern through comprehensive diagnosis of Qui Xui Shui in patients with functional dyspepsia. Korean J Orient Intern Med 2004;25:224-237.
  3. Corley DA, Cello JP, Koch J. Evaluation of upper gastrointestinal tract symptoms in patients infected with HIV. Am J Gastroenterol 1999;94:2890-2896. doi: 10.1111/j.1572-0241.1999.01433.x
  4. Park Y, Cho J, Choi S, Son C. Analytic study of 68 patients with functional dyspepsia according to syndrome differentiation. Korean J Orient Intern Med 2008;29:574-581.
  5. Deutsch JK, Levitt J, Hass DJ. Complementary and alternative medicine for functional gastrointestinal disorders. Am J Gastroenterol 2020;115:350-364. doi: 10.14309/ajg.0000000000000539
  6. Ryu KH, Kim YH, Son HJ, Rhee PL, Koh KC, Kim JJ, et al. Various causes of dyspepsia: to determine organic and functional cause of dyspepsia. Korean J Gastrointest Motil 1998;4:112-117.
  7. Oh JH, Kim BS, Lim HY, Kim DW, Choi BH, Hur JI, et al. Three cases report of functional dyspepsia patients who were administered by LJTG(Ljintang-Gamibang). Korean J Orient Intern Med 2005;26:641-651.
  8. Yoon SH, Ryu BH, Ryu KW, Kim JS. Evaluation for therapeutic effectiveness of Banwhasashim-tang in functional dyspepsia. Korean J Orient Intern Med 2003;24:329-336.
  9. Yoon SH. Normalization effect of both ST36 and CV11, 12, 13 meridian points on the abnormal gastric myoelectrical activity in two cases of functional dyspeptic patients. J Intern Korean Med 2021;42:707-717. doi: 10.22246/jikm.2021.42.4.707
  10. Xu S, Hou X, Zha H, Gao Z, Zhang Y, Chen JD. Electroacupuncture accelerates solid gastric emptying and improves dyspeptic symptoms in patients with functional dyspepsia. Dig Dis Sci 2006;51:2154-2159. doi: 10.1007/s10620-006-9412-x
  11. Hur WY, Yoon SH, Park YS, Jung YJ, Kim YS, Hong IA, et al. Change of gastric motility assessed with eletrogastrography and phonoenterography after traditional Korean medical treatment in 2 patients with functional dyspepsia. Korean J Orient Intern Med 2008;29:88-101.
  12. Kim KN, Chung SY, Cho SH. Efficacy of acupuncture treatment for functional dyspepsia: a systematic review and meta-analysis. Complement Ther Med 2015;23:759-766. doi: 10.1016/j.ctim.2015.07.007
  13. Lee JS, Jeong SY, Lee KY, Choi JY, Jung HJ, Rhee HG, et al. GSRS (gastrointestinal symptom rating scale)-based investigation about gastrointestinal symptoms and histories in patients with asthmatic symptoms. J Korean Orient Med 2004;25:198-204.
  14. Baek S, Kim J. Correlation analysis between gastric emptying measured by ultrasonography and spleen qi deficiency pattern in patients with functional dyspepsia. J Intern Korean Med 2015:36:527-546.
  15. Cihlar T, Fordyce M. Current status and prospects of HIV treatment. Curr Opin Virol 2016;18:50-56. doi: 10.1016/j.coviro.2016.03.004
  16. Edelman EJ, Rentsch CT, Justice AC. Polypharmacy in HIV: recent insights and future directions. Curr Opin HIV AIDS 2020;15:126-133. doi: 10.1097/COH.0000000000000608
  17. Crum-Cianflone NF. HIV and the gastrointestinal tract. Infect Dis Clin Pract (Baltim Md) 2010;18:283-285. doi: 10.1097/IPC.0b013e3181f1038b
  18. Mosadeghi S, Almario CV, Chey W, Spiegel B. Prevalence and severity of gastrointestinal symptoms in HIV/AIDS: 955. Am J Gastroenterol 2016;111 Suppl 1:S414-S415. https://doi.org/10.14309/00000434-201610001-00955
  19. Lee B, Kwon OJ, Kim JH, Kang JW, Kim TH, Lee S, et al. Saam acupuncture for treating functional dyspepsia: a feasibility randomized controlled trial. Evid Based Complement Alternat Med 2022;2022:2581041. doi: 10.1155/2022/2581041
  20. Guo Y, Wei W, Chen JD. Effects and mechanisms of acupuncture and electroacupuncture for functional dyspepsia: a systematic review. World J Gastroenterol 2020;26:2440-2457. doi: 10.3748/wjg.v26.i19.2440
  21. Choi J, Song I, Lee Y, Jeong S, Gwang K. A case study of bladder and bowel disorders on the cauda equina syndrome. J Orient Chr Dis 2019;9:85-91.
  22. Lee H, Hwang WJ. The clinical study on the efficiency of the saam acupuncture treatment. J Korean Acupunct Moxibustion Soc 1999;16:1-16.
  23. Cho H. EEG shows differential responses to acupuncture according to the palpation at alarm point [thesis]. Seoul: Kyung Hee University; 2010.
  24. Han A, Lee HJ, Cho Y, Keum CY, Yoon C, Choi S, et al. A case study of Korean medical treatment for indigestion and abdominal pain after gastrectomy. J Intern Korean Med 2022;43:201-211. doi: 10.22246/jikm.2022.43.2.201
  25. Oikawa T, Ito G, Hoshino T, Koyama H, Hanawa T. Hangekobokuto (Banxia-houpo-tang), a Kampo medicine that treats functional dyspepsia. Evid Based Complement Alternat Med 2009;6:375-378. doi: 10.1093/ecam/nem101
  26. Yoon JH, Park SB, Kim EH, Lee JY, Yoon SW. A case report on opioid-induced constipation in a patient with cancer treated by Jowiseunggi-tang. J Intern Korean Med 2022;43:229-236. doi: 10.22246/jikm.2022.43.2.229
  27. Woo JH, Kang JM. Editorial ; the epidemiological characteristics of Korean people with HIV/AIDS. Korean J Med 2001;61:347-349.