Browse > Article
http://dx.doi.org/10.22246/jikm.2020.41.6.1223

A Case Report of Non-cardiac Chest Pain in a Non-erosive Reflux Disease Patient Treated with Beewha-eum  

Jun, Hye-jin (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong)
Kim, Keum-ji (Dept. of Clinical Korean Medicine, Graduate School of Kyung Hee University)
Cho, Min-ji (Dept. of Clinical Korean Medicine, Graduate School of Kyung Hee University)
Ko, Seok-jae (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong)
Park, Jae-woo (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong)
Publication Information
The Journal of Internal Korean Medicine / v.41, no.6, 2020 , pp. 1223-1230 More about this Journal
Abstract
Objective: The purpose of this study was to report the effectiveness of Korean medicine (Beewha-eum) on the treatment of non-cardiac chest pain (NCCP) in a patient with non-erosive reflux disease (NERD). Methods: The patient was diagnosed with a spleen-stomach weakness pattern identified by Korean medicine and was treated with herbal medicine (Beewha-eum). The severity of symptoms was assessed with a numerical rating scale (NRS) for chest pain, self-reported dyspepsia degree (%), Korean gastrointestinal symptom rating scale (KGSRS), gastrointestinal symptom score (GIS), and Functional Dyspepsia-Quality of Life(FD-QOL) score. Results: After Beewha-eum treatment, the severity of chest pain was decreased from NRS 8 to NRS 0 and the self-reported dyspepsia degree also decreased from 100% to 65%. The KGSRS score was decreased from 49 to 35, the GIS score was also decreased from 16 to 9, and the FD-QOL score was increased from 20 to 25. Conclusions: The study findings suggested that Korean medical treatment with Beewha-eum could be an effective option for treating NCCP in patients with NERD.
Keywords
non-erosive reflux disease; non-cardiac chest pain; spleen-stomach weakness pattern identification; Beewha-eum;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Dent J, Brun J, Fendrick AM, Fennerty MB, Janssens J, Kahrilas PJ, et al. An evidence-based appraisal of reflux disease management: the Genval workshop report. Gut 1999;44(Suppl 2):S1-16.   DOI
2 Yoon SH. A Clinical Case Report of Endoscopic Reflux Esophagitis with Gastric Dysmotility Treated with Korean Traditional Medical Therapy. Korean J Orient Int Med 2016;37(4):669-7.   DOI
3 Lim TH, Park HS. 2 Case Reports of Gastroesophageal Reflux Disease Diagnosed as Soyangin Mangeum. J Sasnag Consitut Med 2015;27(2):297-306.
4 Kim YH, Kim SY, Hwang MW. A Case Study of Taeumin Patient with Gastro-esophageal reflux disease(GERD) who Treated Successfully with Yeoldahanso-tang(Reduohanshao-tang). J Sasnag Consitut Med 2011;23(1):132-8.
5 Kwon SS, Kwon HK, Hong JH, Park HS. Diagnostic Validity of the Korean Gastrointestinal Symptom Rating Scale (KGSRS) in the Assessment of Gastro-Esophageal Reflux Disease. Ewha Med J 2008;31(2):73-80.   DOI
6 Adam B, Liebregts T, Saadat-Gilani K, Vinson B, Holtmann G. Validation of the gastrointestinal symptom score for the assessment of symptoms in patients with functional dyspepsia. Aliment Pharmacol Ther 2005;22(4):357-63.   DOI
7 Savarino E, Tutuian R, Zentilin P, Dulbecco P, Pohl D, Marabotto E, et al. Characteristics of reflux episodes and symptom association in patients with erosive esophagitis and nonerosive reflux disease: study using combined impedance-pH off therapy. Am J Gastroenterol 2010;105(5):1053-61.   DOI
8 Kim TS, Park SC, Lee SJ. Nonerosive Reflux Disease. The Korean Journal of Medicine 2015;88(1):27-34.   DOI
9 Fass R, Achem SR. Noncardiac chest pain: epidemiology, natural course and pathogenesis. J Neurogastroenterol Motil 2011;17(2):110-23   DOI
10 Kang SH. Efficacy of Proton Pump Inhibitor in Patients with Non-cardiac Chest Pain. Korean J Gastroenterol 2020;75(6):311-3.   DOI
11 Burgstaller JM, Jenni BF, Steurer J, Held U, Wertli MM. Treatment Efficacy for Non-Cardiovascular Chest Pain: A Systematic Review and Meta-Analysis. PLoS One 2014;9(8):e104722.   DOI
12 Eslick GD, Talley NJ. Non-cardiac chest pain: predictors of health care seeking, the types of health care professional consulted, work absenteeism and interruption of daily activities. Aliment Pharmacol Ther 2004;20(8):909-15.   DOI
13 Hershcovici T, Fass R. Nonerosive Reflux Disease (NERD) - An Update. J Neurogastroenterol Motil 2010;16(1):8-21.   DOI
14 Ha NY, Han GJ, Kim DJ, Ko SJ, Park JW, Kim JS. Case Series of Refractory Gastroesophageal Reflux Disease Treated with Lijin-tang-gamibang. J Int Korean Med 2017;38(6):1085-95.   DOI
15 Tominaga K, Kato M, Takeda H, Shimoyama Y, Umegaki E, Iwakiri R, et al. A randomized, placebo-controlled, double-blind clinical trial of rikkunshito for patients with non-erosive reflux disease refractory to proton-pump inhibitor: the G-PRIDE study. J Gastroenterol 2014;49(10):1392-405.   DOI
16 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(1):268-74.   DOI
17 Han GJ, Leem JT, Lee NL, Kim JS, Park JW, Lee JH. Development of a Standard Tool for Pattern Identification of Gastroesophageal Reflux Disease (GERD). J Int Korean Med 2015;36(2):122-52.   DOI
18 Lim JW, Ryu BH, Park DW, Ryu KW. Experimental Studies on the Efficacy of BEEWHAEUM. Journal of Korean Oriental Medicine 1975;12(2):141-53.
19 Ko BP, Kim SJ, Ko TH, Kim JA, Lee YJ. A Case of Prescribing Beewha-eum(Bihe-yin) for the Patient with Polyneuropathy Diagnosed as Deficiency Syndrome of Spleen and Stomach. J Oriental Rehab Med 2006;16(3):159-67.
20 Seo HS, Joung JY, Son CG, Lee NH, Cho JH. A case study of third-generation quinolone antibiotics-induced-dyspepsia treated with Beewha-eum and acupuncture. Journal of Haehwa Medicine 2017;26(1):68-72.
21 Han SS, Yoo JY, Yoon YK, Koo BS, Chou LS. Two Cases on Vomiting, Nausea Patients Recovered by BeeWhaEum. J Int Korean Med 2002;23(4):708-15.