대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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계지탕과 소시호탕의 가감방으로 호전된 만성 재발성 다관절 통풍 환자 1례

A Clinical Case of a Recurrent Polyarticular Gout Patient Treated with Gyeji-tang-gami and Soshiho-tang-gami

  • 김보성 (동신대학교 한의과대학 내과학교실) ;
  • 안선주 (동신대학교 한의과대학 내과학교실) ;
  • 이영수 (동신대학교 한의과대학 내과학교실)
  • Kim, Bo-sung (Dept. of Korean Internal Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Ahn, Seon-ju (Dept. of Korean Internal Medicine, College of Korean Medicine, Dong-Shin University) ;
  • Lee, Young-su (Dept. of Korean Internal Medicine, College of Korean Medicine, Dong-Shin University)
  • 투고 : 2022.09.16
  • 심사 : 2022.10.27
  • 발행 : 2022.10.30
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초록

Objectives: This study examined a clinical case of a recurrent polyarticular gout patient treated with Korean medicine. Methods: The patient was treated with Korean medicine (Gyejigagye-tang, Soshiho-tang-gami, Gyejigajakyak-tang, acupuncture, and moxibustion), Western medicine, and rehabilitative therapy. Their effects were evaluated using the Visual Analog Scale. Results: After receiving Korean medical treatment for two admission periods, the Visual Analog Scale score for joint pain improved or disappeared. Moreover, Korean medicine was able to manage the symptoms of the gout patient. Conclusions: Proper Korean medicine treatment could be effective in improving the symptoms of recurrent polyarticular gout pain.

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참고문헌

  1. Song JS. New Classification Criteria and Guidelin for Management of Gout. Korean J Med 2018; 93(4):344-50. https://doi.org/10.3904/kjm.2018.93.4.344
  2. Park JS, Kang M, Song JS, Lim HS, Lee CH. Trends of Gout Prevalence in South Korea Based on Medical Utilization: A National Health Insurance Service Database (2002~2015). J Rheum Dis 2020;27(3):174-81. https://doi.org/10.4078/jrd.2020.27.3.174
  3. So AK, Fabio M. Inflammation in gout: mechanisms and therapeutic targets. Nat Rev Rheumatol 2017 Nov;13(11):639-47. https://doi.org/10.1038/nrrheum.2017.155
  4. Department of Internal Medicine, Seoul National University College of Medicine. SNUH Manual of Medicine. 3e. Seoul: Korea Medical Book Publisher; 2016, p. 788-91.
  5. Harrison's principle of internal medicine compilation committee. Harrison's principles of internal medicine 19e. 3. Seoul: MIP; 2015, p. 3198-203.
  6. Neogi T, Jansen TL, Dalbeth N, Fransen J, Schumacher HR, Berendsen D, et al. 2015 gout classification criteria: an American college of rheumatology/European league against rheumatism collaborative initiative. Arthritis Rheumatol 2015; 67(10):2557-68. https://doi.org/10.1002/art.39254
  7. Park EH, Choi ST, Song JS. Current state and prospects of gout treatment in Korea. Korean J Intern Med 2022;37(4):719-31. https://doi.org/10.3904/kjim.2022.036
  8. Park HJ, Yun J, Kang DY, Park JW, Koh YI, Kim S, et al. Unique clinical characteristics and prognosis of allopurinol-induced severe cutaneous adverse reactions. J Allergy Clin Immunol Pract 2019;7(8):2739-49. https://doi.org/10.1016/j.jaip.2019.05.047
  9. Kim DW, Kim KS. Compare Gout with Tongp'ung. The journal of Korean Acupuncture & Moxibustion Society 2000;17(4):100-12.
  10. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine. 4th ed. Seoul: Hanmi Medicine Publish Company; 2016, p. 591-601.
  11. Jung HJ, Chang YC, Chio DG, Ko ES, Choi YJ, Kim JH, et al. The clinical report on 3 cases of acute gouty arthritis patient. J Int Korean Med 2002;fal:116-22.
  12. Shin HL, Jin KS, Song YI, Hong SY, Yoon IJ, Oh MS. The Clinical Report on 3 Case of Bloodletting of Acute Gouty Arthritis Patient. J Oriental Rehab Med 2005;15(4):157-65.
  13. Choi MK, Jung WK, Yoo JS. A Case Study About Soyangin Yin Exhausted Syndrome Patient Diagnosed as Gout. J Sasang Constitut Med 2007;19(1):203-10.
  14. Lee SJ, Kim YM. A study of 'Ji-Qi-Shang-Chong (其氣上衝)' and Gui-Zhi-Tang(桂枝湯)in Shang-han-lun. Formula Science 2012;20(2):165-76.
  15. 류두저우. 유도주 상한론강의. 경기도 파주시:물고기숲; 2014, p. 198-206.
  16. 대한침구의학회. 통풍 한의표준임상진료지침. 한국한의약진흥원 한의약혁신기술개발사업단 2022.