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KMID : 0363320200410030457
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Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 3 p.457 ~ p.466
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A Case Report of a Mitral Stenosis Patient Treated with Korean Medicine
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Shin Hye-Ryung
Kim Cheol-Hyun
Chu Hong-Min
Lee Young-Ung
Kim Kwang-Ho
Won Jin-Hee
Song Bong-Keun
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Abstract
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Introduction: This study aimed to report on the effectiveness of using Korean medicine to improve symptoms of mitral stenosis. While some patients that do not require surgery due to mild mitral stenosis are treated with medication, the medication does not always alleviate the symptoms. Thus, we administered Korean medicine treatments to those patients because there are not many case reports on using this approach to treat symptoms of mitral stenosis.
Case Presentation: A 48-year-old male patient with mitral stenosis complained of symptoms, such as palpitation, dyspnea, chest pain, fatigue, and swelling in both legs. To reduce the patient's symptoms, we administered Korean medical treatments, including herbal medicine (Samulanshin-tang-gamibang) and acupuncture. To evaluate the results, we used the numeric rating scale (NRS) and the New York Heart Association (NYHA) functional classification. After 17 days of treatment, the NRS score decreased for palpitation (8→2), dyspnea (8→1), chest pain (5→0), fatigue (96→2), and swelling in both legs (6→2). The NYHA class also changed from Class Ⅱ to Class I. No adverse reaction was noted.
Conclusion: According to the results, Korean medicine treatments can be considered to be effective for mitral stenosis patients. To confirm this finding, a prospective study is needed in the future.
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KEYWORD
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case report, mitral stenosis, Samulanshin-tang-gamibang, Korean traditional medicine, herbal medicine
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