Browse > Article
http://dx.doi.org/10.22246/jikm.2019.40.5.865

A Case Report of Improvement in Abdominal Distension in a Patient with Functional Dyspepsia Using Hyeolgusamhwa-tang  

Hong, Seungcheol (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Kim, Hakkyeom (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Kim, Youngji (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Song, Juyeon (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Park, Song-won (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Ahn, Lib (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Jeong, Ji-Cheon (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
Publication Information
The Journal of Internal Korean Medicine / v.40, no.5, 2019 , pp. 865-872 More about this Journal
Abstract
Objective: The aim of this case report was to describe the effect of Hyeolgusamhwa-tang (絜矩三和湯 ) on abdominal distension caused by Qi (氣脹) in a patient with functional dyspepsia. Methods: A female Korean patient was treated with Hyeolgusamhwa-tang and acupuncture for 14 days. We observed objective symptoms, such as bloating, nausea, belching, loss of appetite, and heartburn, and we also measured her abdominal circumference. Results: After treatment, her abdominal circumference was decreased from 87 cm to 83.5 cm, and her food intake was improved from the baseline. The other objective symptoms, like general weakness, loss of appetite, abdominal discomfort, and heartburn, were improved or disappeared without any adverse events reported. However, we could not find any significant differences for some symptoms, such as nausea. Conclusions: This case suggests that Hyeolgusamhwa-tang and acupuncture therapy could be effective in reducing functional distension in patients diagnosed with distension caused by Qi (氣脹).
Keywords
abdominal distension; Hyeolgusamhwa-tang; case report;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Committee of spleen internal medicine of whole Korean medicine university. Spleen internal medicine. Seoul: Koonja publisher; 2009, p. 169-76.
2 Mearin F, Lacy BE, Chang L, Chey WD, Lembo AJ, Simren M, et al. Rome IV functional gastrointestinal disorders. Raleigh, NC: The Rome Foundation; 2016, p. 967-1057.
3 Ryu HS, Choi SC. Understanding the Rome IV: Background to the Rome IV Revision. The Korean Journal of Medicine 2017;92(4):349-53.   DOI
4 Heo J. Dongeuibogam. Seoul: Beobin Munhwasa; 2012, p. 1387-98.
5 Lee HJ, Park KS. Bloating. The Korean journal of gastroenterology 2017;70(6):288-95.   DOI
6 Yang N, Kim M, Choi D, Han C. Two cases of abdominal distension treated with oriental medical treatment. The Korean Journal of Joongpoong 2009;10(1):81-8.
7 Statistics Korea. 7th Korean Standard Classification of Disease (KCD-7). Available from http://kostat.go.kr/ portal/korea/kor_nw/1/15/index.board?bmode=read&aSeq=346904
8 Jiang X, Locke GR, Choung RS, Zinsmeister AR, Schleck CD, Talley NJ. Prevalence and risk factors for abdominal bloating and visible distention: a population-based study. Gut 2008 Jun;57(6):756-63.   DOI
9 Yoon KC, Kim NY, Lee JY, Oh DH, Seo AY, Yun CY, et al. Clinical Response of Rifaximin Treatment in Patients with Abdominal Bloating. The Korean journal of gastroenterology 2018;72(3):121-7.   DOI
10 Kwon JM, Jung YC, Park YS, Kim DC. Case study of paralytic ileus with Baegieum. The Journal of East-West Medicines 2018;72(3):121-7.
11 Song CH, Cho HS, Kim JC, Lee JE, Ha J, Baik TH, et al. A Case Report of Oriental Medical Treatment for a Patient with Acute Paralytic Ileus. The Journal of Korean Oriental Internal Medicine 2005;26(4):946-53.