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KMID : 0363320020230020274
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Journal of Korean Oriental Internal Medicine
2002 Volume.23 No. 2 p.274 ~ p.279
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One Case of Sick Sinus Syndrome Accompanied by ’Abdominal Pulsation’ Treated with Yeonggyechulgam-tang (ling-gui-shu-gan-tang)
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Kim Eun-Ju
Kim Tai-Kyung
Ruy Soon-Hyun
Kim Jung-Yul
Ko Chang-Nam
Kim Young-Suk
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Abstract
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The sick sinus syndrome refers to a combination of symptoms (dizziness, confusion, fatigue, syncope, and congestive heart failure) caused by sinus node dysfunction and marked sinus bradycardia, sinoarterial block, or sinus arrest. ’Abdominal pulsation’ means a disagreeable symptom that is defined as sensation of beating at the abdomen.
We experienced a 84 year-old female patient who had dizziness, fatigue, abdominal pulsation and frequent voiding. These symptoms were related to previous episodes and presumed sick sinus syndrome by symptoms, ECGs and 24 hrs of holter monitoring.
In the point of Differentiation of Syndrome (辨證), this patient was diagnosed as ’Water retention(水氣)’ and was administered with Yeonggyechulgam-tang(岺桂朮甘湯). After the treatment, abdominal pulsation (frequency) and dizziness (VAS) were improved. Futhermore, the interval of voiding was longer and each volume of urination increased.
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KEYWORD
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sick sinus syndrome, abdominal pulsation, Water retention, Yeonggyechulgam-tang
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