The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Hyperhidrosis with Sympathicotonia Detected by Iris Diagnosis

홍채로 진단한 교감항진 국소다한증 치험례

  • Wang, Kyeong-seok (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Chae, In-cheol (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Park, Mi-so (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Son, Su-a (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Park, Seong-il (Park Seung-Il Korean Medicine Clinic) ;
  • Yoo, Ho-ryong (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
  • 왕경석 (대전대학교 한의과대학 심계내과학교실) ;
  • 채인철 (대전대학교 한의과대학 심계내과학교실) ;
  • 박미소 (대전대학교 한의과대학 심계내과학교실) ;
  • 손수아 (대전대학교 한의과대학 심계내과학교실) ;
  • 박성일 (박성일한의원) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실)
  • Received : 2021.09.17
  • Accepted : 2021.11.04
  • Published : 2021.10.30
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Abstract

Objective: The aim of this case study was to describe a case of iris diagnosis of primary hyperhidrosis and the use of Korean medicine. Methods: A patient with symptoms of hyperhidrosis was diagnosed as having Taeeumin after assessment using the four basic Korean diagnostic methods. Iris diagnosis was used for further examination. The images obtained showed a remarkably defined collarette and increased nerve rings, which suggested an overactive sympathetic nerve system. Under the diagnosis of Taeeum, a Korean herbal medicine was prescribed with additional herbs to help alleviate the hyperactivity of the sympathetic nervous system. Results: The patient had been receiving treatment for hyperhidrosis for >30 years, with various medical attempts to relieve her symptoms, which were ineffective. She showed signs of improvement from day 4 into the treatment, and 80% of her symptoms were improved after completing a 6-week treatment course. Conclusion: The herbal medicine prescribed to the patient proved effective for reducing her chronic symptoms that had been unresponsive to previous medical treatments.

목적: 국소다한증 환자의 홍채진단을 사용한 변증 및 한의 치료에 대한 연구 방법: 국소다한증을 호소하여 내원한 환자에게 한의학 기본 진단법인 사진법을 사용하여 태음인임을 진단하였다. 그리고 카메라를 사용하여 홍채를 촬영하였고, 얻어진 이미지에서 교감신경항진과 관련된 표지인 권축륜의 선명하고 굵은 모습과 다수의 신경긴장선이 존재하는 모습을 통해 교감신경이 항진되어 있음을 확인하였다. 태음인 체질방을 기본으로 교감신경 항진을 조절하는 약재를 가미한 한약처방을 1개월간 복용하도록 하였다. 결과: 다양한 치료에도 호전되지 않던 30년 가까이 된 수족 다한증이 한약치료를 통해 복약 4일차부터 감소하기 시작하여 6주 만에 치료 시작 전과 비교하여 80% 호전되었다. 결론: 만성적이고 다양한 치료에도 반응하지 않던 수족 다한증에 한약 치료가 효과적일 수 있음을 이번 연구를 통해 보고한다.

Keywords

References

  1. National Korean Medicine University Textbook of Dermatology. 6th Edition. Seoul: Koreauihak; 2015, p. 543-54.
  2. Fujimoto T, Kawahara K, Yokozeki H. Epidemiological study and considerations of primary focal hyperhidrosis in Japan: From questionnaire analysis. Journal of Dermatology 2013;40(11):886-90. https://doi.org/10.1111/1346-8138.12258
  3. Park EJ, Han KR, Choi H, Kim DW, Kim C. An epidemiological study of hyperhidrosis patients visiting the Ajou university hospital hyperhidrosis center in Korea. J of Korean Med Sci 2010;25(5):772-5. https://doi.org/10.3346/jkms.2010.25.5.772
  4. "Health Care Bigdata Hub", Disease subdivision statistics(4th disease name) (Search term 'local hyperhidrosis, R610'), accessed on August 23, 2021, http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do
  5. Wecher T, Feldman SR, Taylor SL. The treatment of primary focal hyperhidrosis. Skin Therapy Lett 2019;24(1):1-7.
  6. Atkins JL, Butler PE. Hyperhidrosis: a review of current management. Plast Reconstr Surg 2002;110(1):222-8. https://doi.org/10.1097/00006534-200207000-00039
  7. Choi BC, Sim SB, Kim YH, Sa YJ, Park JK, Lee SH. Long Term Outcome of Endoscopically Clipping the Upper Part of R4 Sympathetic Block and R4 Sympathetic Block for the Treatment of Palmar Hyperhidrosis. Korean J Thorac Cardiovasc Surg 2007;40(11):752-8.
  8. Lee SH, Baek JH. A Review of Korean Medicine Treatment for Hyperhidrosis. J Pediatr Korean Med 2019;33(3):42-55.
  9. Her J. Dongeuibogam. Seoul: Namsandang; 2001, p. 123-5.
  10. National College of Korean Traditional Medicine Neuropsychiatry Textbook Compilation Committee. Korean Traditional Medicine Neuropsychiatry. Paju: Jipmundang; 2007, p. 393.
  11. Moore and Persaud. Ko JS, Ko JS, Kim KY translation. Human Embryology. Seoul: Jeongmungak 1998, p. 461-6.
  12. Ernst E. Iridology: A Systematic Review. Forsch Komplementarmed 1999;6(1):7-9.
  13. Park SI, Lim YW. Iris diagnosis and genetic constitution medicine. Daejeon: IGCM; 2017, p. 33-59, 120-4.
  14. Park SI, Lim YW. Iris diagnosis and genetic constitution medicine. Daejeon: IGCM; 2017, p. 70.
  15. Pharmacognosy Compilation Committee. Pharmacognosy. Paju: Dongmyeongsa; 2018, p. 171, 234, 322.
  16. Shin YJ, Kim YH, Yang HJ, Lee JW. Review of the Clinical Evaluation of Hyperhidrosis. Journal Internal Korean Medicine 2015;spr:143-56.
  17. Glaser DA, Hebert AA, Nast A, Werschler WP, Green L, Mamelok R, et al. Topical glycopyrronium tosylate for the treatment of primary axillary hyperhidrosis: Results from the ATMOS-1 and ATMOS-2 phase 3 randomized controlled trials. Journal of the American Academy of Dermatology 2019;80(1):128-38.e2. https://doi.org/10.1016/j.jaad.2018.07.002
  18. Park SI, Lim YW. Iris diagnosis and genetic constitution medicine. Daejeon: IGCM; 2017, p. 43.
  19. Kim YS, Park YB translation. Autonomic nerve diagnosis. Seoul: Gunjachulpansa; 2007, p. 330-5.
  20. Li YH, Aslam MS, Yang KL, Kao CA, Teng SY. Classification of Body Constitution Based on TCM Philosophy and Deep Learning. Symmetry 2020;12(5):803. https://doi.org/10.3390/sym12050803
  21. Park SI, Lim YW. Iris diagnosis and genetic constitution medicine. Daejeon: IGCM; 2017, p. 43.
  22. Larsson M, Pedersen NL, Stattin H. Associations between iris characteristics and personality in adulthood. Biological Psychology 2007;75(2):165-75. https://doi.org/10.1016/j.biopsycho.2007.01.007
  23. Choi SH, Park MS, Park SI, Yoo HR. The Case report of a Chronic Candida Vaginatis Patients with Nerve ring and Pigment Spot in the Iris Diagnosis. Journal of Haehwa Medicine 2021; 30(1):42-9.