The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Korean Medical Treatment for an Adult with Cyclic Vomiting Syndrome Analyzed by Electrogastrography and Subjective Evaluation Scale

위전도 검사와 주관적 평가척도를 통해 분석한 성인 주기성 구토 증후군 환자의 한의 치료 증례보고

  • Dahee Jeong (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Chae-Rim Yoon (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Su-Hyun Choi (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Nahyun Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yoohyun Sim (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Hae-in Jeong (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Na-Yeon Ha (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Jinsung Kim (Division of Digestive Diseases, Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital)
  • 정다희 (경희대학교한방병원 위장소화내과) ;
  • 윤채림 (경희대학교한방병원 위장소화내과) ;
  • 최수현 (경희대학교한방병원 위장소화내과) ;
  • 정나현 (경희대학교 대학원 임상한의학과) ;
  • 심유현 (경희대학교한방병원 위장소화내과) ;
  • 정해인 (경희대학교한방병원 위장소화내과) ;
  • 하나연 (경희대학교한방병원 위장소화내과) ;
  • 김진성 (경희대학교한방병원 위장소화내과)
  • Received : 2024.05.30
  • Accepted : 2024.06.27
  • Published : 2024.06.30
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Abstract

Objectives: This case study reports the effectiveness of Korean medical treatment in a patient with cyclic vomiting syndrome. Methods: A 29-year-old female Korean patient with cyclic vomiting syndrome received acupuncture, electroacupuncture, herbal medicine, and moxibustion for 2 weeks in hospital. Changes in symptoms were evaluated using the Gastrointestinal Symptom Rating Scale (GSRS), Visual Analog Scale (VAS), Index for Nausea, Vomiting, and Retching (INVR), Nausea Severity Scale (NSS), Nepean Dyspepsia Index-Korean version (NDI-K), quality of life using the Functional Dyspepsia Related Quality of Life questionnaire (FD-QoL), and gastric motility using electrogastrography (EGG). Results: Post-treatment, the patient showed high satisfaction and improvement in symptoms of nausea and vomiting. The following changes were observed in scores: GSRS: 23 to 19; VAS of nausea: 88 to 95; VAS of dyspepsia: 95 to 12; INVR: 13 to 1; NSS: 17 to 5; NDI-K: 107 to 78; and FD-QoL 84 to 27. We also found positive results in Channel 3 of EGG parameters, implying the improvement of gastric motility disorder. Conclusion: Korean medical treatment can be a therapeutic option for cyclic vomiting syndrome.

Keywords

References

  1. Cheon JM, Um MR, Lee MH, Beck NS. Clinical Evaluation of Cyclic Vomiting Syndrome. J Korean Pediatr Soc 2000;43(9):1223-31.
  2. Bhandari S, Jha P, Thakur A, Kar A, Gerdes H, Venkatesan T. Cyclic vomiting syndrome: epidemiology, diagnosis, and treatment. Clinical autonomic research 2018;28(2):203-9.
  3. Heckroth M, Luckett RT, Moser C, Parajuli D, Abell TL. Nausea and vomiting in 2021: a comprehensive update. Journal of clinical gastroenterology 2021;55(4):279-99.
  4. Takahashi T. Mechanism of acupuncture on neuromodulation in the gut-a review. Neuromodulation. Technology at the Neural Interface 2011;14(1):8-12.
  5. Stanghellini V, Chan FK, Hasler WL, Malagelada JR, Suzuki H, Tack J, et al. Gastroduodenal disorders. Gastroenterology 2016;150(6):1380-92.
  6. Hejazi RA, McCallum RW. Review article: cyclic vomiting syndrome in adults-rediscovering and redefining an old entity. Aliment Pharmacol Ther 2011;34(3):263-73.
  7. Russell AC, Stone AL, Wang A, Walker LS. Development and validation of a nausea severity scale for assessment of nausea in children with abdominal pain-related functional gastrointestinal disorders. Children 2018;5(6):68.
  8. Lee SY, Chi SC, Cho YK, Choi MG. Validation of the Nepean Dyspepsia Index-Korean version. Kor J Neurogastroenterol Motil 2003;9(suppl):48.
  9. Lee EH, Hahm KB, Lee JH, Park JJ, Lee DH, Kim SK, et al. Development and validation of a functional dyspepsia-related quality of life (FD-QOL) scale in South Korea. J Gastroenterol Hepatol 2006;21(1Pt 2):268-74.
  10. Sha W, Pasricha PJ, Chen JD. Rhythmic and spatial abnormalities of gastric slow waves in patients with functional dyspepsia. J Clin Gastroenterol 2009;43(2):123-9.
  11. Abell TL, Adams KA, Boles RG, Bousvaros A, Chong SK, Fleisher DR, et al. Cyclic vomiting syndrome in adults. Neurogastroenterology & Motility 2008;20(4):269-84.
  12. Venkatesan T, Tarbell S, Adams K, McKanry J, Barribeau T, Beckmann K, et al. A survey of emergency department use in patients with cyclic vomiting syndrome. BMC emergency medicine 2010;10:4.
  13. Lee LY, Abbott L, Mahlangu B, Moodie SJ, Anderson S. The management of cyclic vomiting syndrome: a systematic review. European journal of gastroenterology & hepatology 2012;24(9):1001-6.
  14. Hejazi RA, Reddymasu SC, Namin F, Lavenbarg T, Foran P, McCallum RW, et al. Efficacy of tricyclic antidepressant therapy in adults with cyclic vomiting syndrome: a two-year follow-up study. Journal of clinical gastroenterology 2010;44(1):18-21.
  15. 전국한의과대학 비계내과교실. 비계내과학. Seoul: 군자출판사; 1991, p. 114-20
  16. 龔廷賢. 萬病回春. 臺北: 大方出版社; 1975, p. 103-7.
  17. 허준. 동의보감. 서울: 남산당; 1976, p. 428-31, 436-9.
  18. Cho JH. Review on Effects of Hyangsapyeongwi-san in Gastrointestinal Diseases. Korean J Oriental Physiology & Patholog 2010;24(1):22-5.
  19. 韓醫科大學 方劑學敎授 共編著. 方劑學. 서울: 영림사; 2006, p. 162-3.
  20. Hanawa T. Oriental medicine tratment LESSON. Seoul: Korea Medical Book Publisher; 2001, p. 113.
  21. Ryu BH, Park DW, Chang IK, Ryu KW. The experimental comparative studies on the effects of Banhasasimtang, Saengkangsasimtang, Gamchosasimtang and Banhasasimtang insurance medicine. Kyung Hee Univ Oriental Med J 1989;12:1-17.
  22. Park SH, No SH, Ok HJ, Kwon DI, Park JH, Choi JE. A Case Report of Functional Gastrointestinal Disorders (FGIDs) Improved with Banhabakchulchunma-tang. The Journal of Internal Korean Medicine 2014;fal:285-90.
  23. 허민, 김윤식, 설인찬. 반하백출천마탕가미방(半夏白朮天麻湯加味方)을 투여한 두통환자(頭痛 患者) 1예(例)에 대(對)한 임상보고(臨床報告). 논문집: 대전대학교 한의학연구소 한의학편 2005;14(2):127-31.
  24. Ha NY, Park JW, Kim JS. Effects of Electroacupuncture at Zusanli (ST36) on Ultrasonographic Gastric Emptying: A Pilot Study in Healthy Adults. The Journal of Internal Korean Medicine 2018;39(3):426-42.
  25. Deng H, Xueyong S. The mechanism of moxibustion: ancient theory and modern research. Evidence-Based Complementary and Alternative Medicine 2013;2013:379291.
  26. Yin J, Chen JD. Electrogastrography: methodology, validation and applications. Journal of neurogastroenterology and motility 2013;19(1):5-17.
  27. Chen JD, McCallum RW. Electrogastrographic parameters and their clinical significance. In: Chen JD, McCallum RW, editors. Electrogastrography: principles and applications. New York: Raven; 1994, p. 45-73.
  28. Ryu JM, Yoon SH, Jang SY, Kim HK, Lee JS, Lee SY, et al. Effects of Traditional Korean Medical Therapy on Gastric Myoelectrical Activity in Patient with Functional Dyspepsia. The J Oriental Int Med 2005;26(2):360-8.
  29. You CH, Chey WY, Lee KY, Menguy R, Bortoff A. Gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting. Ann Intern Med 1981;95(4):449-51.