DOI QR코드

DOI QR Code

A Case Study of an In-Patient with Delirium Treated with Shihogayonggolmoryo-tang-gami

시호가용골모려탕가미로 호전된 입원 환자의 섬망 치험 1례

  • Eun-chai Cho (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Minjun Lee (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Jae-hwan Lew (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University)
  • 조은채 (경희대학교 한의과대학 내과학교실) ;
  • 이민준 (경희대학교 한의과대학 내과학교실) ;
  • 유재환 (경희대학교 한의과대학 내과학교실)
  • Received : 2024.04.11
  • Accepted : 2024.05.31
  • Published : 2024.05.30

Abstract

Objective: In this case study, we describe the use of Shihogayonggolmoryo-tang-gami to treat an in-patient with delirium. Methods: An in-patient with symptoms of delirium was treated with Korean medicine therapies, including the herbal medication Shihogagyonggolmoryo-tang-gami, for 7 days. To evaluate its therapeutic effect, we used the Nursing Delirium Screening Scale (Nu-DESC) and Memorial Delirium Assessment Scale (MDAS). Results: After the treatment, Nu-DESC and MDAS scores improved. Of note, instances of the patient calling out improved, in addition to the patient's sleeping pattern. Although all the symptoms of delirium did not disappear completely, Shihogayonggolmoryo-tang-gami had therapeutic effects. Conclusion: These results suggest that Shihogayonggolmoryo-tang-gami may have a beneficial effect on delirium, without using other antipsychotic medications.

Keywords

References

  1. Caine ED, Lyness JM. Delirium, dementia, and amnestic and other cognitive disorders, in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association; 2000, p. 83-7.
  2. Bae JH, Kang WS, Paik JW, Kim JW. Changing Trends in the Occurence and Managment of Delirium for 5 years in a University Hospital. Korean journal of psychosomatic medicine. 2012;20(2):112-9.
  3. Kim JH, Choi EY, Seok SH, Kim GW, Koo BS. A case with Delirium during Medication for Hallucination and Disorientation. The Journal of Oriental Neuropsychiatry 2006;17(2):227-35.
  4. Lee SJ, Yang JS, Cho EC, Lew JH. A Case Report of Elderly Delirium Treated with Shihogayonggolmoryo-tang. The Journal of Internal Korean Medicine 2022;43(2):144-51. https://doi.org/10.22246/jikm.2022.43.2.144
  5. Kang DH, Kim JY, Jung IC. Application of Giungoroen-Therapy through a Postoperative Delirium Case. J Oriental Neruopsychiatry 2022;33(3):339-49.
  6. Jung JE, Jung WH, Seo SK, Kang JH, Han DN. The Effect of Oriental Medical Treatments on the Patients with Delirium; 4 Cases Report. The Journal of Rehabilitation Medicine 2009;19(2):303-13.
  7. Kim KS, Kim WC, Kim KO. A study about trends of using Shihogayonggolmoryo-tang granule. The Korean Journal of Oriental Medical Prescription 2012;20(1):159-66.
  8. Seo MS, Lee YJ. Delirium Management: Diagnosis, Assessment, and Treatment in Palliative Care. The Korean Journal of Hospice and Palliative Care 2016;19(3):201-10. https://doi.org/10.14475/kjhpc.2016.19.3.201
  9. Stollings JL, Kotfis K, Chanques G, Pun BT, Pandharipande PP, Ely EW. Delirium in critical illness: clnical manifestations, outcomes, and management. Intensive Care Med 2021;47(10):1089-103. https://doi.org/10.1007/s00134-021-06503-1
  10. Kim HS, Chung YC, Lee KJ, Kwon GH, Seo HS, Park YM. Comparison of the Efficacy between Risperidone and Quetiapine in Elderly Patients with Delirium. Journal of Korean Geriatric Psychiatry 2007;11(1):29-34.
  11. Lovell N, Wilcock A, Bajwah S, Etkind SN, Jolley CJ, Maddocks M, et al. Mirtazapine for chronic breathlessness? A review of mechanistic insights and therapeutic potential. Expert review of respiratory medicine 2019;13(2):173-80. https://doi.org/10.1080/17476348.2019.1563486
  12. AbdelFattah MR, Jung SW, Greenspan MA, Padilla M, Enciso R. Efficacy of Antidepressents in the Treatment of Obstructive Sleep Apnea Compared to Placebo. A Systematic Review with Meta-Analysis. Sleep Breathing Physiology and Disorders - Review 2020;24(2):443-53. https://doi.org/10.1007/s11325-019-01954-9
  13. Ankravs MJ, Udy AA, Byrne K, Knowles S, Hammond N, Saxena MK, et al. A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units. Critial Care and Resuscitation 2020;22(4):355-60. https://doi.org/10.51893/2020.4.OA8
  14. Mutschler J, Obermann C, Grosshans M. Quetiapine-Induced Hyperventilation and Dyspnea. Clinical Neuropharmacology 2010;33(4):214.
  15. Kim JS, Leem KH, Kim TY. Sleep-promoting and Anti-anxiety Effects of Shihogayonggolmoryo-tang in Mice. Journal of Physicology and Pathology of Korean Medicine 2021;35(1):8-14. https://doi.org/10.15188/kjopp.2021.02.35.1.8
  16. Shuichi Mizuno, Jo GH, Kim YC, Kim YB, Kim JG, Kim JS, et al. The latest Clinical Oriental Medicine Diagnosis and Prescription. Seoul: Shinheung Medscience; 2009, p. 668, 714.