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발병과 재발에 한약으로 관해가 유도된 크론병 증례 보고

Remissions of Crohn’s Disease at Onset and Relapse Using Herbal Medicine: A Case Report

경락경혈학회지 2020년 37권 3호 p.183 ~ 190
이병희, 원지윤, 박재랑, 이향숙,
소속 상세정보
이병희 ( Lee Byung-Hee ) - Hanstep Korean Medicine Clinic
원지윤 ( Won Ji-Yoon ) - Kyung Hee University Graduate School Department of Korean Medical Science
박재랑 ( Park Jae-Rang ) - Kyung Hee University Acupuncture and Meridian Science Research Center
이향숙 ( Lee Hyang-Sook ) - Kyung Hee University Acupuncture and Meridian Science Research Center

Abstract


This case report details two remissions at onset and relapse after 4 years each with Korean herbal medicine treatment in a 33-year-old male patient diagnosed as Crohn’s disease (CD) by clinical and colonoscopic examination. He presented bloody diarrhea and severe abdominal pain, and his symptoms were persistent even with usual Western medications, so he was offered surgery and biologics. He was then given Sayeok-Tang for 8 months and remission was induced. Four years later he had a relapse and this time he was given Banha-Sasim-Tang, and Baekduong-Ga-Gamcho-Agyo-Tang, based on pattern changes with intense symptom monitoring. Clinical and endoscopic remission was confirmed after 4 months of herbal medicine treatment and no adverse events were reported. This case report shows that individualized Korean herbal medicine treatment has the potential for induction of remission of CD and further research is warranted.

키워드

Crohn’s disease; pattern identification; herbal medicine; remission

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