• Title/Summary/Keyword: Chronic cough

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Case report of Korean medicine treatment for Idiopathic Chronic cough and Hemoptysis (특발성 만성 기침과 객혈의 한의학적 치료 증례보고)

  • Park, Sang Eun
    • Herbal Formula Science
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    • v.30 no.2
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    • pp.101-108
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    • 2022
  • Objectives : The prevalence of chronic cough in Korea is 2.5 ± 0.2% among people over the age of 40, and the rate of idiopathic chronic cough is high. Hemoptysis is one of the respiratory emergency symptoms, and the cause is unknown in 30% of cases. This case report is to confirm the treatment of korean medicine for Idiopathic chronic cough and hemoptysis. Methods : A 74 year old female patient with idiopathic chronic cough and hemoptysis was treated with korean medicine. The patient was treated from july 21, 2021 to september 24, 2021, using herbal medicine (Chungpyebyeolgab-sangagam) and acupuncture(Sa-Am Acupunture Lung Tonifying, CV22). Idiopathic chronic cough and hemoptysis were assessed by VAS. Results : Idiopathic Chronic cough and hemoptysis improved through Korean medicine treatment. Although taking codeine phosphate and transamin was stopped, the improvement of symptoms was maintained. Conclusions : This study suggests that korean medicine treatment may be an effective therapy for treatment of idiopathic chronic cough and hemoptysis.

A Case Study of Chronic Cough of Taeumin throuth the Change Process of Sweating (한출변화과정(汗出變化過程)을 통(通)한 태음인(太陰人) 만성해수(慢性咳嗽) 치험례(治驗例))

  • Lee, Kyung-Ro;Lee, Sang-Gi;Song, Jung-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.3
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    • pp.139-142
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    • 2004
  • 1. Objectives In this study, it is experienced that the process of sweating is important in chronic cough of Taeumin. In this case report, the patient has been simproved throuth reaction of sweating improvement. In "Dongyi Soose Bowon", The process of sweating change is described in detail. "Hamkeylhae" is similar to chronic cough in "Dongyi Soose Bowon", it is cough that is hard to spit. The chronic cough of Taeumin is related to the pathology of Liver and Lung, sweating condition is also related to condition of Lung in Sasang constitutional medicine. So the study for the process of sweating is needed. 2. Methods One patient diagnosed as chronic cough was practiced with Sasang constitutional medicine. And We observed sweating change process during treatment. 3. Results As sweating condition improved, chronic cough also decreased, but not improved, not decreased. 4. Conclusions So treating of Taeumin's chronic cough is closely connected with sweating change process.

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Three cases of chronic cough treated with Gui-Zhi-Tang(桂枝湯) in Shanghanlun 12th, and 15th text (상한론(傷寒論) 12조(條), 15조(條)에 근거한 계지탕(桂枝湯)의 투여를 통해 호전된 만성 기침 환자 치험 3례)

  • Kim, Su-Jung
    • 대한상한금궤의학회지
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    • v.5 no.1
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    • pp.31-43
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    • 2013
  • Objective : This study evaluated the effect of Gui-Zhi-Tang(桂枝湯) on chronic cough. Methods : Three patients who had a chronic cough were diagnosed by the Shanghanlun(傷寒論) Six meridian patterns diagnostic system (六經診斷體系) and treated with Gui-Zhi-Tang(桂枝湯) based on Shang-han-lun's 12th and 15th text. The treatment lasted more than 4 weeks. The severity of Chronic cough was evaluated by the questionnaire(symptom severity assessment) before and after administration of each treatment term. Results : After the treatments, the patients' symptoms and results of the questionnaire improved. Conclusions : This case study showed an effectiveness of using Gui-Zhi-Tang on chronic cough.

The Effect of Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu ($BL_{13}$) on Chronic cough: Report of Six Cases (만성 해수에 대한 폐유(肺俞)($BL_{13}$) 녹용약침 치험 6례)

  • Shin, Min Geun;Kim, Hyo Sub;Heo, Woo Young;Kim, Byoung Jung;Gang, Il A
    • Journal of Acupuncture Research
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    • v.30 no.5
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    • pp.253-262
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    • 2013
  • Objectives : The purpose of this study is to observe the effect of Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu($BL_{13}$) on Chronic Cough. Methods : 6 patients with the cough treated with Cervi Pantotrichum Cornu Pharmacopuncture at Pyesu($BL_{13}$), then self-conscious complain rates were studied. Results : There are remarkable improvement in self-conscious complain rate about cough, sputum, sore throat, runny nose, chest pain, fatigue which chronic cough patients complained. Conclusions : Cervi Pantotrichum Cornu Pharmacopuncture is effective to chronic cough.

A Retrospective Review of the Effectiveness of Seonpyejeongcheon-tang on Chronic Cough (만성기침에서 선폐정천탕의 효과에 대한 후향적 분석)

  • Park, Yang-Chun
    • Journal of Haehwa Medicine
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    • v.20 no.2
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    • pp.111-116
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    • 2012
  • Objectives: The aim of this study was to investigate the effects of Seonpyejeongcheon-tang (SJT) for chronic cough. Materials and Methods: Thirty-one patients with chronic cough who had treated with SJT between September 2010 and October 2011 were analyzed. We estimated the effectiveness of the treatment by Borg Cough Scale (BCS). Results: Mean period of cough duration was $15.19{\pm}8.70$ and mean period of treatment was $7.58{\pm}2.55$. SJT treatment significantly decreased the score of BCS from $6.32{\pm}1.30$ to $1.84{\pm}0.97$ (p<0.001). Disappearance rate of cough was 32% after SJT treatment. Conclusion: SJT seems to be effective in the treatment of chronic cough. Further studies are recommended to confirm this effect.

A Case Report of Chronic cough treated by Soshiho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소시호탕(小柴胡湯)투여 후 호전된 만성기침 1례)

  • Ryu, Hee-Chang;Lee, Soong-In
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.99-108
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with chronic cough treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 96 provision, and took Soshiho-tang herb medication 50days. The changing symptom of chronic cough was estimated by LCQ(Leicester Cough Questionnaire) and VAS(Visual Analogue Scale). Results : The LCQ score changed 57 to 111 and VAS changed 10 to 0. Conclusions : On the number 96 provision of Shanghanlun, '或欬' means 'H or K' sound cough. This is the first case report treating the chronic cough with herb medication of shanghanlun in Korea.

Effect of Myofacial Releasing of Abdominal Muscles on Chronic Cough by Oriental Medical Treatment : 2 Cases Report (한방치료를 통한 복근군의 근막이완으로 호전된 만성기침환자 치험 2례)

  • Kim, Eu-Gene;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.3
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    • pp.123-134
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    • 2009
  • Objectives : We supposed that abdominal muscles are related to chronic cough, because abdominal pressure and respiratory muscles are influenced by abdominal muscle function. We have evaluated the effect of myofacial releasing of abdominal muscles with oriental medical treatment by experimenting two patients suffering from chronic cough. Methods : One patient was treated with acupuncture therapy and muscle stretching exercise for myofacial releasing of abdominal muscle. The other patient was treated with hot pack therapy and abdominal respiration training for myofacial releasing of abdominal muscle. Results and Conclusions : After oriental medical treatment of abdominal muscles in two cases, We figured out that the patients were on the mend. These results suggest that myofacial releasing of abdominal muscles using oriental medical treatment was effective in improving chronic cough.

Preliminary Study for Development of Pattern Identification Tool of Chronic Cough (만성기침 변증도구 개발을 위한 기초연구)

  • Kim, Kwan-il;Shin, Seung-won;Lee, Na-la;Lee, Beom-joon;Jung, Hee-jae;Jung, Sung-ki;Lee, Jun-hee
    • The Journal of Internal Korean Medicine
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    • v.36 no.1
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    • pp.22-39
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    • 2015
  • Objectives : The aim of this study was to develop a standard tool of pattern identification for chronic cough, which will be applied to clinical research. Methods : The items and structures of the instrument were based on reviews of textbooks and published literature. The advisor committee on this study consisted of 11 Korean respiratory internal medicine professors, one clinical fellow, and five clinicians with 10 years of experience. The questionnaire, which includes the signs and symptoms of chronic cough, was studied by the delphi method. Delphi examination was carried out via email, through evaluating the importance of symptoms included in each pattern. Results : We divided the pattern identification of chronic cough into five patterns: Wind-Cold, Phlegm-Turbidity, Liver-Fire, Lung Deficiency, and Kidney Yang Deficiency. By the Delphi method and a score evaluation, 38 items were chosen for pattern identification of chronic cough. Conclusions : Through this study, we created a Korean instrument for the pattern identification tool for chronic cough. We expect to apply this tool to subsequent research as its validity and reliability are further confirmed.

Etiologic Study in Children with Chronic Cough (만성(慢性)기침 환아(患兒)의 원인질환(原因疾患)에 관(關)한 임상적(臨床的) 고찰(考察))

  • Yoon Sang-Hyub;Choi In-Hwa
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.77-94
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    • 1998
  • Chronic cough is one of the most common respiratory symptoms, especially in children. And it can be the sale presenting manifestation of bronchial asthma. Although most coughs are self limiting, chronic cough often proves to be a frustrating problem. It is commonly defined as a persistent or recurrent cough exceeding 3weeks duration. The post nasal syndrome has been determined to be the most common cause of chronic cough, followed by asthma, chronic bronchitis, gastroesophageal reflux and bronchiectasis. This study was performed at both City-Oriental Medicine Hospital and Pundang Cha Oriental Medicine Hospital from January,1,1998 to November 31,1998, and 114 children with chronic cough persisting for longer than 3 weeks were evaluated. We investigated the clinical findings and evaluated the etiology in children with chronic cough syndrome including: type of cough (with or with out sputum and daily onset) and associated signs & symptoms. The results were as follows: The most common cause of chronic cough was asthma with sinusitis (27.2%); The second and third were post nasal drip syndrome(22.8%) and bronchial hypereactivitic cough(14.9%). The other causes included asthma, paranasal sinusitis, bronchitis and rhinitis. Therefore, in the diagnostic and therapeutic approach to this symptom, it should be considered that the cause of this type of cough is either bronchus and pulmonary disease or that associated with another problem, especially sinusitis, gastroesophageal reflux and allergic disease. Also, in infants and toddlers, congenital abnormaly should be considered.

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Clinical Significance of Nasal Peak Inspiratory Flow Rate in Patients with Chronic Cough (만성기침환자에서 비강최대흡기유속 측정의 의의)

  • An, Chang-Hyeok;Lee, Byung-Hun;Park, Yong-Bum;Choi, Jae-Chul;Jee, Hyun-Suk;Park, Sung-Jin;Kang, Sun-Bok;Kim, Jae-Yeol;Park, In-Won;Choi, Byung-Whi;Hue, Sung-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.5
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    • pp.654-661
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    • 1999
  • Background : The upper respiratory tract is the primary target organ of various airborne pollutants and is easily accessible part of the respiratory tract, and also is the predominant structure where chronic cough originates. The nasal peak inspiratory flow(PIFn), which is the peak inspiratory flow via nose with nasal mask and spirometry, could be a reliable parameter of nasal obstruction. The validity of PIFn has been evaluated in several studies by assessing the correlation between PIFn measurements and other parameters of nasal air flow. This study was designed to show the reproducibility of PIFn, the difference of PIFn between patients with chronic cough and normal subjects, and the usefulness of PIFn in the evaluation of nasal obstruction in patients with chronic cough. Methods : PIFn was measured by spirometry with nasal mask, twice a day for 3 consecutive days in 7 young normal subjects to evaluate validity of the test. In 32 patients with chronic cough and 25 age-matched normal subjects, PIFn and pulmonary function test($FEV_1$, $FEV_1%$ pred, FVC, and FVC% pred) were measured at first visiting. Results : Values of PIFn, $FEV_1$, and FVC were nearly constant in 7 young normal adults. Patients with chronic cough were 32 (14 males and 18 females) and the mean age was $41.4{\pm}15.9$ years. Normal subjects were 32(22 males and 10 females) and the mean age was $39.8{\pm}18.6$ years. There was no significant difference of age and pulmonary function test between patients with chronic cough and normal subjects(p<0.05). The PIFn values in patients with chronic cough was significantly lower than those of normal subjects($2.25{\pm}0.68\;L/sec$ vs. $2.75{\pm}1.00\;L/sec$ ; p=0.02). The postnasal drip syndrome(PNDS) comprised the majority of patients with chronic cough(27). The PIFn in patients with PNDS was significantly lower than that of normal subjects (mean$\pm$SD ; $2.18{\pm}0.66$ vs. $2.75{\pm}1.00\;L/sec$, p=0.006). Conclusion : There was a significant difference of PIFn between patients with chronic cough and normal subjects. Among the patients with chronic cough, patients with PNDS showed the most significant difference with normal subjects in PIFn. The PIFn could be a useful parameter of nasal obstruction in patients with chronic cough, especially in patients with PNDS.

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