The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of a Patient with Insomnia Related To Fibromyalgia Treated with Korean Medicine, including Bunshimgi-eum

분심기음을 포함한 한방치료로 호전된 섬유근육통 환자의 불면 치험 1례

  • Joo-hee Oh (Dept. of Korean Internal Medicine, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Seung-hee Lee (Dept. of Korean Internal Medicine, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Hyun-jin Lee (Dept. of Korean Internal Medicine, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Dong-jin Jang (Dept. of Korean Rehabilitation Medicine, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Yoon-jung Lee (Dept. of Acupuncture and Moxibustion, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Jeong-hee Noh (Dept. of Korean Rehabilitation Medicine, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Ju-yeon Shin (Dept. of Acupuncture and Moxibustion, Bundang Ja-Seng Hospital of Korean Medicine) ;
  • Mu-jin Park (Seosan health center) ;
  • Woo-sub Song (Dept. of Korean Internal Medicine, Bundang Ja-Seng Hospital of Korean Medicine)
  • 오주희 (분당자생한방병원 한방내과) ;
  • 이승희 (분당자생한방병원 한방내과) ;
  • 이현진 (분당자생한방병원 한방내과) ;
  • 장동진 (분당자생한방병원 한방재활의학과) ;
  • 이윤정 (분당자생한방병원 침구과) ;
  • 노정희 (분당자생한방병원 한방재활의학과) ;
  • 신주연 (분당자생한방병원 침구과) ;
  • 박무진 (서산시 보건소) ;
  • 송우섭 (분당자생한방병원 한방내과)
  • Received : 2024.04.09
  • Accepted : 2024.05.31
  • Published : 2024.05.30
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Abstract

In this case report, we describe the effects of Korean Medicine therapies, including Bunshimgi-eum, on a patient hospitalized with insomnia due to fibromyalgia in a Korean Medicine Hospital. We treated the patient with Bunshimgi-eum for 21 of 27 hospital days. Post-treatment, we used the Insomnia Severity Index (ISI) to measure the severity of insomnia. To determine the severity of multiple pain, including neck, low back, Lt. shoulder, Lt. elbow, Rt. knee, and hand, we used the Numerical Rating Scale (NRS). For evaluation of generic health status, we used the European Quality of Life-5 Dimensions (EQ-5D) scale. After the treatment, the patient's clinical symptoms improved, according to the ISI, NRS, and EQ-5D. The results of this case study suggest that Korean Medicine therapies, including Bunshimgi-eum, may have positive effects as a treatment for insomnia related to fibromyalgia.

Keywords

References

  1. Jun JB. Fibromyalgia Sydrome. Journal of The Korean Association of Pain Medicine 2003;2(1):1-6.
  2. Roizenblatt S, Neto NSR, Tufik S. Sleep Disorders and Fibromyalgia. Current Pain Headache Reports 2011;15(5):347-57. https://doi.org/10.1007/s11916-011-0213-3
  3. Park W. Fibromyalgia. The Journal of Korean Medicine 1998;55(4):812-25.
  4. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldedberg DL, et al. The american college of rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis & Rheumatism 1990;33(2):160-72. https://doi.org/10.1002/art.1780330203
  5. Oh GS, Jang SH. Fibromyalgia Syndrome. Journal of the Korean Neurological Association 2013;31(1):1-7.
  6. Kim ES, Shin MK, Kim TR, Oh JS, Ma YH, Lee YS. Fibromyalgia syndrome combined with insomnia and depression disorder managed with Korean Medical treatment; a case report. J Int Korean Med 2015;36(3):400-9.
  7. Yang JS, Lee SJ, Cho EC, Lew JH. A Case Study of Fibromyalgia with Insomnia and Dry Mouth Treated with Korean Medicine including Guibiondam-tang-gagam. J Int Korean Med 2022;43(2):152-15.
  8. Choi AR, Jung YJ, Kang AH, Han DK, Sung JY, Seo HJ, et al. A Case of Traditional Korean Medicine for a Patient with Fibromyalgia Experiencing Whole Body Pain and Sleep and Digestive Disorders. J Int Korean Med 2017;38(5):797-805. https://doi.org/10.22246/jikm.2017.38.5.797
  9. Cho YW, Song ML, Morin CM. Validation of a Korean Version of the Insomnia Severity Index. J of Clinical Neurology 2014;10(3):210-5. https://doi.org/10.3988/jcn.2014.10.3.210
  10. Brooks R, Group E. EuroQol: the current state of play. Health policy 1996;37(1):53-72. https://doi.org/10.1016/0168-8510(96)00822-6
  11. Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 1995;38(1):19-28. https://doi.org/10.1002/art.1780380104
  12. Kim SH, Bae GR, Lim HS. Prevalence and Risk Factors of Fibromyalgia Syndrome and Chronic Widespread Pain in Two Communities in Korea -First Report in Korean. Journal of Rheumatic Diseases 2006;13(1):18-25.
  13. Han SS. The long-term effects after self-help program for fibromyalgia. Korean Society of Muscle and Joint Health 2002;9(2):154-65.
  14. Lee CH, Kim SH, Lee JS, Cho KH, Kim JS, Cho SH, et al. Evaluation of the Antinociceptive Properties of GCSB-5, a Herbal Formulation. Korean Journal of Pharmacognosy 2005;36(4):299-304.
  15. Zautra AJ, Fasman R, Reich JW, Harakas P, Johnson LM, Olmsted ME, et al. Fibromyalgia: evidence for deficits in positive affect regulation. Psychosom Med 2005;67(1):147-55. https://doi.org/10.1097/01.psy.0000146328.52009.23
  16. 劉景源點校. 太平惠民和劑局方. 北京: 人民衛生出版社; 1985, p. 1114.
  17. Kim JO, Kim JH, Whang WW. An experimental study on the Anti-Stress Effect by Bunsimkieum. Journal of Korean Medicine 1989;10(1):42-52.
  18. Jhee SY, Jeong DG. An Experimental Study on the Change of Stress - related hormone Contents by Prescription of Bunsimgieum. Journal of Oriental Neuropsychiatry 1992;3(2):49-63.
  19. Lee SY, Kwon HK, Lee SM. SHINBARO, a New Herbal Medicine with Multifunctional Mechanism for Joint Disease: First Therapeutic Application for the Treatment of Osteoarthritis. Arch Pharm Res 2011;34(11):1773-7. https://doi.org/10.1007/s12272-011-1121-0