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KMID : 0363320130340030329
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Journal of Korean Oriental Internal Medicine
2013 Volume.34 No. 3 p.329 ~ p.337
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A Case Report of a Tracheostomized Patient with Stroke Suffering from Sputum Secretion Treated with Herbal Prescriptions for dispelling Dam-eum
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Kwon Tae-Wook
Ahn Lib
Kim Myung-Ho
Lee Sang-Ah
Jang Myung-Woong
Choi Dong-Jun
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Abstract
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This is a case report of a tracheostomized 80-year-old man suffering from sputum after stroke. His symptoms were watery sputum production requiring frequent sputum suction. The subject was diagnosed as having a deficiency of spleen qi and was treated with Gami-ijung-tang, Yukgunja-tang, Soeumin Bojungikgi-tang, and Ijin-tang extract in the herbal prescription known to dispell Dam-eum (phlegm-retained fluid). Frequency of ssputum suction and condition of sputum were checked everyday. Gamiijung-tang, Soeumin Bojungikgi-tang with Ijin-tang extract led to improvement by reducing sputum secretion. There were limitations on frequency of suction and condition of sputum which were thought to be derived from tracheostomy, however. Consequently, pathology and treatment of sputum will be different whether tracheostomy was performed or not.
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KEYWORD
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tracheostomy, sputum, stroke, Dam-eum (phlegm-retained fluid)
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