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http://dx.doi.org/10.14374/HFS.2021.29.4.321

Korean medicine treatment, including Nangan-jeon, of chronic constipation and abdominal pain in Lambert-Eaton myasthenic syndrome : A case report  

Han, Ji Hoon (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Woo, Sang Ha (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Park, Yu-kyeong (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Choi, Seong-Hun (Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University)
Lee, Yun-kyu (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Lee, Jung Hee (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Kim, Jae Soo (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Lee, Hyun-Jong (Department of Acupuncture &Moxibustion, College of Korean Medicine, Daegu Haany University)
Publication Information
Herbal Formula Science / v.29, no.4, 2021 , pp. 321-329 More about this Journal
Abstract
This case study reports the effects of complex Korean medicine treatment, including Nangan-jeon, on Lambert-Eaton myasthenic syndrome (LEMS) accompanied by chronic constipation and abdominal pain as the main symptoms. A 39-year-old woman diagnosed with LEMS with major symptoms, including chronic constipation and acute abdominal pain, received Western treatment. The treatment efficacy was weak and symptoms recurred, so the patient received outpatient treatment and 13 days of hospitalization for active Korean medicine treatment, including Nangan-jeon. During outpatient treatment and hospitalization, defecation frequency and the numeric rating scale (NRS) for abdominal pain and abdominal cold feeling were measured. The NRS for abdominal pain and cold decreased from 8 at admission to 3 and 0, respectively, at discharge. Defecation frequency increased significantly from once or twice a month to once every 2-3 days during hospitalization. This study results that complex Korean medicine treatment, including Nangan-jeon may be useful for treating patients who mainly complain of autonomic neurological symptoms, among patients diagnosed with LEMS. In addition, it is believed that it could be basic data applicable to more LEMS patient treatment cases.
Keywords
Nangan-jeon; Lambert-Eaton myasthenic syndrome; chronic constipation; abdominal pain; Korean medicine treatment;
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