• Title/Summary/Keyword: Dyspepsia

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Comparative Study of Acute Dyspepsia Patients Depending on Stress Factor and Food Factor (과심상(過心傷), 음식상(飮食傷)에 따른 급성 소화불량증 환자간의 비교 연구)

  • Kim, Hyo-Jin;Lee, Soo-Jung;Lee, Ah-Ram;Kang, Kyung-Hwa;Kim, Won-Il
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.3
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    • pp.525-532
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    • 2010
  • Dypepsia is the most common gastrointestinal disease and mainly occurs by stress or food. According to the cause of dyspepsia, the clinical characteristics and the curative process are different in patients. The purpose of this study is to compare acute dyspepsia patients depending on food factor and stress factor. For this study, we analyzed the cause, and the symptoms of 59 acute dyspepsia patients and divided them into two groups: one group is 27 acute dyspepsia patient group caused by stress factor (stress factor group). The other group is 32 acute dyspepsia patient group caused by food factor (food factor group). In addition, we carried out HRV test and compared HRV index between two groups. There was no significant difference in past illness involved in gastrointestinal tract diseases between two groups. There were big differences in the frequency of chest discomfort, thurst, lack of appetite, and exhaustion after meals between two groups. There were many changes of tongue fur in food factor group. But there were many changes of tongue body in stress factor group. The pulse pattern is mostly wiry in stress factor group. But, The pulse pattern is mostly slippery in food factor group. HF, TP were significantly lower than food factor group in stress factor group, it means autonomic nerve system was more suppressd in stress factor group than food factor group. Food factor group improved sooner than stress factor group. This study presented the clinically different characteristics (past medical history, symptoms, tongue diagnosis, pulse pattern, curative process) of acute dyspepsia depending on food factor and stress factor. Thus, it provides the necessity of oriental medical diagnosis and treatment called pattern identification for acute dyspepsia.

A Study of Gastrointestinal Parasympathetic Nerve Activity and Pyloric Valve Function, and Clinical Characteristerics in Patients with Functional Dyspepsia - Analysis of Bowel Sound (기능성 소화불량증 환자의 위장관 부교감 신경, 위 유문부의 기능 및 임상양상에 대한 조사 (한방병원 내원 환자를 중심으로))

  • Hong, In-A;Yoon, Sang-Hyuh
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.666-674
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    • 2008
  • Objectives : The aim of this study was to evaluate gastrointestinal parasympathetic nerve activation and pyloric valve function in patients with functional dyspepsia through analysis of bowel sounds and to investigate clinical characteristics associated with the parameters of bowel sounds. Method : We surveyed clinical characteristics of patients by using a questionnaire about functional dyspepsia. Bowel sounds were recorded for 15 minutes during fasting state and for 40 minutes during postprandial state. We then classified the patients into 3 groups by abnormal states of bowel sounds, specifically by the percentage of B.S. and dominenet frequency, and studied clinical characteristics in each group. Results : Among the 182 subjects, patients who had low activity of parasympathetic nerve were 25.8% and showed a tendency of female-dominant, family history and more frequent abdominal pain. Those who had pyloric valve disturbance were 24.1% and showed no tendency by sex distribution, family history and complained of indigestion sensation. Patients who had both disorders were 10.9%, and their clinical characteristics were non-specific. Conclusion : Analysis of bowel sounds may be useful in evaluating pathophysiological factors of functional dyspepsia.

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Spleen Daoyin Method (脾腸導引法) for Functional Dyspepsia Patients: A Case Report (비장도인법(脾腸導引法)을 적용한 복부 팽만감 주소의 기능성소화불량 증례보고)

  • Jeong, Hae-in;Ha, Na-yeon;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1331-1340
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    • 2021
  • A 42-year-old patient with functional dyspepsia had suffered from early satiation and postprandial fullness for 1 year despite Western medicine treatment. We treated her with the Spleen Daoyin method, along with acupuncture, moxibustion, and herbal medicine and scored her symptoms using a 4-point Functional Dyspepsia-related Quality of Life (4p-FD-QoL) questionnaire, the Gastrointestinal Symptom Rating Scale (GSRS), and a visual analogue scale (VAS). A 7-day Spleen Daoyin treatment decreased her 4p-FD-QoL score from 61 to 51, with a marked decrease in the emotional part (18 to 10). Her GSRS score did not change, but her bloating score decreased from 3 to 1. Her VAS score decreased from 6.6 to 4.3 for upper abdomen discomfort, but lower abdomen discomfort was unchanged. The patient showed high compliance and satisfaction with exercise therapy and reported no adverse events. Spleen Dayoin may be a useful therapy for functional dyspepsia, especially when accompanied by psychological problems.

A Case Report on a Patient Treated with Combined Korean Medicine for Functional Dyspepsia after Cholecystectomy (담낭절제술 후 발생한 기능성 소화불량 환자에 대한 한방복합치료 치험 1례)

  • Jun-kyu Lim;Jae-won Park;Ja-hyun Min
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.1062-1070
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    • 2023
  • Objectives: The purpose of this study is to report the case of a patient with functional dyspepsia after cholecystectomy whose discomfort after eating and upper abdominal pain improved with a combined Korean medicine treatment. Methods: A combination of treatments, including acupuncture, cupping, Chuna, and herbal medicine, was provided for 48 days to a patient with functional dyspepsia. Her progress was assessed with NRS, EQ5D, and GIS every 2 weeks, including before and after treatment. Results: The patient made significant improvements in NRS, EQ-5D, and GIS after treatment. No adverse events were observed in the patient. Conclusions: The findings indicate that combined Korean medicine treatment can be a safe and effective alternative to treating functional dyspepsia after cholecystectomy.

A Case Report on Improvement of Urolithiasis and Chronic Dyspepsia Using Ortho-Cellular Nutrition Therapy (OCNT) (세포교정영양요법(OCNT)을 이용한 요로결석 및 만성 소화불랑 개선 사례)

  • Min-Soo Son
    • CELLMED
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    • v.14 no.1
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    • pp.66.1-66.3
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    • 2024
  • Objective: To improve the symptoms of patients with urolithiasis and chronic dyspepsia using OCNT. Methods: A 60-year-old Korean male who had undergone extracorporeal shock wave lithotripsy six times without natural stone removal was treated with OCNT for two weeks. Results: The stones were removed through adequate hydration and light exercise while undergoing OCNT. Conclusion: The application of OCNT in patients with urolithiasis can be beneficial in alleviating symptoms.

Analysis for clinical feature of 130 patients with dyspepsia in a Korean Medicine hospital (소화불량증을 호소하여 1개 한방병원에 내원한 환자 130례에 대한 임상특성 분석)

  • Lee, Yeonweol
    • Journal of Haehwa Medicine
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    • v.24 no.1
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    • pp.37-46
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    • 2015
  • Objective : This study aimed to explore the clinical feature of patients with dyspepsia who were treated by an Oriental internal medicine. Methods : We analyzed 130 patients who visited an Korean Medicine Hospital for their dyspepsia-related symptoms, from March 1, 2014 until to February 28, 2015 Results : The sex composition was consisted of 31.5% man and 68.5% woman, and 85.6% of outpatient and 14.4% of inpatient. The 39.2% of patients showed chronic complain (>6 months), and the main causes included stress and fatigue for 46.2% and 31.5% respectively. The accompanied symptoms were mainly fatigue (40.0%), insomnia (36.9%), abnormal stool (34.6%), upper back pain (31.5%), and headache (28.5%). The improvement rate was 68.5% while other (31.5%) showed no change of dysplasia. Conclusion : This study created an important information of patients with dysplasia, which will be critically helpful for development of Korean Medicine-based therapeutics in the future.

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Functional Dyspepsia (기능성 소화불량증)

  • Lee, Sang-In
    • Journal of Korea Association of Health Promotion
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    • v.3 no.1
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    • pp.46-54
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    • 2005
  • The functional dyspepsia is a complex disease reaction that ocurs due to the presence of various factors and its pathophysiology has not been clearly verified until now. This disease is diagnosed after the organic diseases are ruled out. Therefore, the main treatments are limited down to compensating for revealed symptoms through exercising the supportive care. The international prevalence of the functional dyspepsia under the Rome I criterior is approximately 25%. For the cases of Koreans, there are very omnifarious symptoms in gastrointestinal disorders and the medical vocabularies which describe the diagnostic standard are not closely associated with the daily vocabularies, thus there would be a lot of restrictions to directly apply the Rome II criterior. However, the Korean Society of Gastrointestinal motility had decided to promote the use of the international standardized Rome II criterior in order for Korea to be comparable to the clinical studies from the other nations. There should be more extensive studies to differentiate the definitions of symptom descriptions from Korea to foreign countries. The extended researches concerning the pathophysiology are highly recommended which in return, would help enabling the reliable treatment techniques for this disease.

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Case Report of Five Patients with Dyspepsia Improved after Korean Medicine Treatment, Including GeonChil Pharmacopuncture (건칠약침을 포함한 한방치료 후 호전된 소화불량 환자 5례에 대한 증례보고)

  • Hwang, Yun-kyeong;Jung, Taek-geun;Kim, Won-ill
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.842-852
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    • 2017
  • Objectives: This study reports the effects of GeonChil (Rhus verniciflua stokes) pharmacopuncture in patients with dyspepsia. Method: We treated all five patients with GeonChil pharmacopuncture, acupuncture, and moxibustion and evaluated them using the Korean Gastrointestinal Symptom Rating Scale (KGSRS), which is used to assess overall gastrointestinal symptoms. Result: After treatment, the KGSRS showed improvement in all five patients. Marked improvement was seen especially in abdominal pain, heartburn, eructation, and increased flatus symptoms. Conclusion: GeonChil pharmacopuncture may represent a new treatment for the improvement of dyspepsia.

2 Case Reports of Gastroesophageal Reflux Disease Diagnosed as Soyangin Mangeum (소양인 망음증으로 진단한 역류성식도염 치험 2례)

  • Lim, Tae-Hyung;Park, Hye-Sun
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.2
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    • pp.297-306
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    • 2015
  • Objectives This study was designed to report treatment of Soyangin Mangeum with gastroesophageal reflux disease. Methods We treated two patients suffering from dyspepsia and chest discomfort. A female patient was treated with Hyeongbangjiwhang-tang. A male patient was treated with Hyungbangsabaek-san. The progress was evaluated with the visual analogue scale for dyspepsia, chest discomfort, and other symptoms. Results A female patient's symptoms such as dyspepsia, chest discomfort were almost cured. but they increased with patient's emotional state repeatedly. A male patient' symptoms such as abdominal pain, dyspepsia, nausea, heart burn was successfully disappeared. Conclusions Hyeongbangjiwhang-tang and Hyungbangsabaek-san can be considered as a treatment for patient with Soyangin Mangyin diagnosed as gastroesophageal reflux disease.

Headache with Dyspepsia Treated by Sihogyejigungang-tang Based on Disease Pattern Identification Diagnostic System by Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 시호계지건강탕(柴胡桂枝乾薑湯) 투여 후 호전된 소화불량을 동반한 두통 1례)

  • Kim, Hyeong-seop
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.111-119
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    • 2021
  • Objectives: This case study aimed to report the effect of Sihogyejigungang-tang (SGGT) on headache with dyspepsia based on the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods: According to the DPIDS based on the Shanghanlun provisions, the patient was diagnosed with Greater Yang Disease Chest Bind and treated with SGGT. The results of treatment were evaluated by a numerical rating scale (NRS), the Korean Headache Impact Test (KHIT-6), and change in clinical symptoms. Results: After administering SGGT for 160 days, the NRS improved from 9 to 1 and the KHIT-6 improved from 70 to 44. No serious treatment-related adverse events were reported. Conclusions: This study shows the effective treatment of headache with dyspepsia using SGGT based on the DPIDS based on the Shanghanlun provisions.