DOI QR코드

DOI QR Code

신기능 장애를 동반한 급성 알코올성 간염 환자 치험 1예

A Case Report of Patient with Acute Alcoholic Hepatitis and Renal Dysfunction

  • 정영은 (대구한의대학교 부속 대구한방병원 한방내과) ;
  • 김종대 (대구한의대학교 부속 대구한방병원 한방내과) ;
  • 강석봉 (대구한의대학교 부속 대구한방병원 한방내과) ;
  • 김승모 (대구한의대학교 부속 대구한방병원 한방내과)
  • Jeong, Yeong-Eun (Department of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University) ;
  • Kim, Jong-Dea (Department of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University) ;
  • Kang, Seok-Bong (Department of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University) ;
  • Kim, Seong-Mo (Department of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University)
  • 투고 : 2016.11.15
  • 심사 : 2016.12.08
  • 발행 : 2016.12.30

초록

신기능 장애를 동반한 급성 알코올성 간염 환자를 간담습열(肝膽濕熱), 비위습열(脾胃濕熱)로 변증하고 침 뜸 부항 치료와 갈화해정탕, 가미이진탕의 한약 치료를 통해 주증상을 호전시켰다.

The purpose of this study is to report the clinical effectiveness of Korean medicine, especially Galhwahajung-tang and Yijintang-gamibang on patient with acute alcoholic hepatitis and renal dysfunction. The patient in this case had suffered from pantalgia and dizziness with nausea. He was diagnosed as acute alcoholic hepatitis. Based on related symptoms and blood-test, we could diagnose acute alcoholic hepatitis. We treated him with Korean medicine, involving herbal decoction, acupuncture, moxibustion and cupping. We used visual analogue scale and blood-test for assessment. After 31 days of treatment, the pantalgia and dizziness with nausea were disappeared and liver function test was in the normal range. According to this study, Korean medicine, including Galhwahajung-tang and Yijintang-gamibang are an effective treatment for the cure of acute alcoholic hepatitis with renal dysfunction which occurs on crapulence.

키워드

참고문헌

  1. Park MS, Sohn SJ, Park JE, Kim SH, Yu IK, Sohn JH. Alcohol craving in subjects with alcohol use disorders in response to alcohol cues. Sci Emot Sensibil. 2007 ; 10(4) : 603-11.
  2. Beckett AG, Livingstone AV, Hill KR. Acute alcoholic hepatitis. Br Med J. 1961 ; 2(5260) : 1113-9. https://doi.org/10.1136/bmj.2.5260.1113
  3. Chae HB. Alcoholic liver disease. Korean J Gastroenterol. 2009 ; 53(1) : 275-82. https://doi.org/10.4166/kjg.2009.53.5.275
  4. Kim JU, Jeon UG, Yun JW, Park DI, Jo YG, Seong IG, et al. Intestinal permeability in patients with viral and alcoholic liver disease. Korean J Gastroenterol. 2004 ; 43(1) : 104-11.
  5. Shin WS, Kim YO, Han CM, Hong SH, Lim KH, Sung YJ, et al. The clinical features of acute renal failure caused by alcohol induced rhabdomyolysis. Kidney Res Clin Pract. 1999 ; 18(1) : 105-11.
  6. Heo J. Donguibogam. Seoul : Bubin Publishers. 2005 : 801, 811-2.
  7. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain. Arthritis Care Res. 2011 ; 63(S11) : S240-52. https://doi.org/10.1002/acr.20543
  8. Kim KA. Understanding and application of liver function tests. Korean J Med. 2009 ; 76(2) : 163-8.
  9. Yu JH, Shin YS, Jung HJ, Yun YS, Kim HG, Kim YS, et al. Clinical characteristics and risk factors of acute kidney injury in patients with acute alcohol Intoxication. Kidney Res Clin Pract. 2011 ; 30(1) : 26-34.
  10. Sibai K, Eggimann P. Alcoholic ketoacidosis: not rare cause of metabolic acidosis. Rev Med Suisse. 2005 ; 1(1) : 2106, 2108-10, 2112-5.
  11. Cho EY. Extrahepatic manifestations of alcoholic liver disease. Postgrad Courses. 2015 ; 2015(1) : 63-72.
  12. Pathology in Korean Medicine Textbook Compilation Committee. Pathology in Korean medicine. 7th ed. Seoul : Hanny Publishers. 2001 : 389-90, 455-7, 509-20.
  13. Shin HJ, Kim YS, Youn DH, Lee SH, Oh GH, Jeong SH, et al. The effects of manual acupuncture, invasive laser acupuncture and laser skin irradiation at liver Seunggyeok (肝勝格) on the repair of D-galN-induced liver injury in rats. Korean J Acupunct. 2010 ; 27(1) : 49-62.
  14. Kim SH. Factors influencing symptom experience in patients with liver cirrhosis. Korean J Adult Nurs. 2005 ; 17(2) : 248-58.
  15. Konikiff F, Theodor E. Painful muscle cramps: a symptom of liver cirrhosis. J Clin Gastroenterol. 1986 ; 8(1) : 669-72. https://doi.org/10.1097/00004836-198612000-00017
  16. Kim GI, Kang SH, Kim JI, Chae GH, Heo WS, Jeong JH, et al. The clinical feature of the muscle cramps and the effects of eperisone hydrochloride in treatment for the muscle cramps of the patients with liver cirrhosis. J Korean Med Sci. 2006 ; 70(6) : 643-9.
  17. Kim EJ, Kim GY. Effects of hominis placenta pharmacopuncture and electroacupuncture neuroprotection in contused spinal cord of rats. Korean J Orient Physiol Pathol. 2011 ; 25(2) : 257-63.
  18. Cho TH, Park SS, Park KM. Efficacy of human placental extract pharmacopuncture into Kwanwon on fatigue in students. J Korean Oriental Med. 2013 ; 34(1) : 29-34. https://doi.org/10.13048/jkm.13004
  19. Jeong IJ, Hahm DH, Jung WB, Han JH, Chae YB, Lim HS, et al. Comparative study of therapeutic effect of needle-free Bee Venom Aqua-acupuncture (BVA) into Zusanli (ST36) in the rat formalin test. Korean J Orient Physiol Pathol. 2006 ; 20(2) : 365-71.
  20. Jeon TW, Lee ES, Lee YS, Han OK, Kim HY, Kim KJ, et al. Effect of mixed extract for elimination of hangover on ethanol pharmacokinetics in Rats. Korean J Orient Physiol Pathol. 2002 ; 16(3) : 547-52.

피인용 문헌

  1. CARE (CAse REport) 지침에 의한 한방비만학회지 증례 논문에 대한 보고의 질 평가: 2013년~2018년 증례보고를 중심으로 vol.18, pp.2, 2018, https://doi.org/10.15429/jkomor.2018.18.2.144
  2. 알코올성 간질환에 대한 한의학 연구 경향 분석 : 국내논문을 중심으로 vol.40, pp.3, 2019, https://doi.org/10.22246/jikm.2019.40.3.458
  3. 알코올성 간염 환자의 불면과 피로 개선에 대한 한양방 병용치료 치험 1례 vol.41, pp.2, 2016, https://doi.org/10.22246/jikm.2020.41.2.186
  4. 최근 10년간 한방비만학회지의 연구동향 분석: 2010-2019년 한방비만학회지 게재논문을 중심으로 vol.20, pp.2, 2016, https://doi.org/10.15429/jkomor.2020.20.2.149
  5. 최근 10년간 한방비만학회지의 연구동향 분석: 2010-2019년 한방비만학회지 게재논문을 중심으로 vol.20, pp.2, 2016, https://doi.org/10.15429/jkomor.2020.20.2.149
  6. 황달을 동반한 알코올성 간질환 환자의 한방치료 치험 1례 vol.42, pp.5, 2021, https://doi.org/10.22246/jikm.2021.42.5.949