Herbal Formula Science (대한한의학방제학회지)

The Korean Medicine Society for the Herbal Formula Study (대한한의학방제학회)
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A case report of urinary incontinence improved by Gyejigabuja-tang.

계지가부자탕(桂枝加附子湯)을 이용하여 호전된 요실금 치험 1례

  • Yun, Hyo-Joong (Health center of Yeonggwang) ;
  • Lee, Soong-In (Department of Herbal Formula Science, College of Korean Medicine, Dongshin University)
  • 윤효중 (영광군 보건소) ;
  • 이숭인 (동신대학교 한의과대학 방제학교실)
  • Received : 2018.10.16
  • Accepted : 2018.11.22
  • Published : 2018.11.30
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Abstract

Objective : The purpose of this case report is to offer an unprecedented target for Gyejigabuja-tang by analyzing a case in which the symptoms were improved by the herbal decoction therapy, and to accumulate a fundamental knowledge in herbal medicine therapy for urinary incontinence. Method : We studied a patient's chart with the patient's consent and displayed patient's timeline and adherence in a figure according to the CARE guideline. The progress of urination symptoms were assessed with the frequency of urination and how long the patient can stand urine. The accompanied lower limb pain was estimated with Numerical Rating Scale(NRS) Results : The patient's adherence was good during the medication period and symptoms related with urination and accompanied lower limb pain were improved with no specific side effects. NRS of the lower limb pain decreased from 7 to 2, the frequency of urination also improved from over 10 times to 6~8 times per day, and the patient can stand urine from less than 1 second to 2~3 minutes. Conclusions : Gyejigabuja-tang was effective for an urinary incontinence patient which corresponds to the provision No.20 in Shanghanlun.

Keywords

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Figure 1. Timeline analysis of this case. This figure's categories such as Therapeutic intervention, Timeline, Disease status(NRS), Patient adherence, Outcome, Patient perspective follow the CARE guideline.

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Figure 2. The progress of urination

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Figure 3. The progress of lower limb pain (NRS)

Table 1. The main diagnostic points of this case

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Table 2. Composition and administration of Gyejigabuja-tang

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