대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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항생제 치료에도 반복되는 기관지확장증 환자의 기관지폐렴에 대한 한양방 복합 치험 1례

Recurrent Bronchopneumonia in Bronchiectasis, Despite Antibiotic Treatment: A Case Report on Combined Treatment with Korean and Western Medicine

  • 신정원 (경희대학교 한방병원 폐장호흡내과) ;
  • 박지원 (경희대학교 대학원 임상한의학과 폐계내과학교실) ;
  • 진수현 (경희대학교 한방병원 폐장호흡내과) ;
  • 정희재 (경희대학교 한방병원 폐장호흡내과) ;
  • 김관일 (경희대학교 한방병원 폐장호흡내과) ;
  • 이범준 (경희대학교 한방병원 폐장호흡내과)
  • Jeong-Won Shin (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Korean Medicine, Kyung Hee Korean Medicine Hospital) ;
  • Jiwon Park (Division of Allergy, Immune & Respiratory System, Dept. of Internal Medicine, Graduate School, Kyung Hee University) ;
  • Su-Hyun Chin (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Korean Medicine, Kyung Hee Korean Medicine Hospital) ;
  • Hee-Jae Jung (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Korean Medicine, Kyung Hee Korean Medicine Hospital) ;
  • Kwan-Il Kim (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Korean Medicine, Kyung Hee Korean Medicine Hospital) ;
  • Beom-Joon Lee (Division of Allergy, Immune and Respiratory System, Department of Internal Medicine, College of Korean Medicine, Kyung Hee Korean Medicine Hospital)
  • 투고 : 2024.04.28
  • 심사 : 2024.05.29
  • 발행 : 2024.05.30
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초록

Background: Bronchiectasis is a chronic respiratory condition leading to recurrent respiratory infections. Despite the use of antibiotics and other standard treatments, managing bronchiectasis remains challenging due to the frequent recurrence of airway infections and concerns about antimicrobial resistance. Given these challenges, traditional Korean medicine (TKM) has gained attention due to its potential to reduce the frequency of respiratory infections, possibly minimizing the need for antibiotics. Case report: A 59-year-old female with bronchiectasis experienced recurrent pneumonia and was treated with antibiotics for over 2 weeks without any significant improvement in clinical symptoms. She received comprehensive Korean medicine treatment, including herbal medicine (Sikyungbanha-tang combined with Bigwabojungikki-tang-gami), acupuncture, and Chuna manual therapy, for pulmonary rehabilitation. Post-treatment, clinically meaningful improvements were observed in symptoms, serum C-reactive protein (CRP) levels, and bronchopneumonic lesions on chest X-rays. Conclusion: This case suggests that complex traditional Korean medicine treatments for recurrent chronic airway inflammation due to bronchiectasis can lead to clinically significant improvements in symptoms and help to prevent recurrence.

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과제정보

이 논문은 2024년도 한국보건산업진흥원 한의기반융합기술개발사업의 다빈도 난치성 천식 협진치료(No. HI20C120501)의 지원을 받아 수행된 과제입니다.

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