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KMID : 0363320220430061198
Journal of Korean Oriental Internal Medicine
2022 Volume.43 No. 6 p.1198 ~ p.1207
A Case Study of a Patient Who Discontinued Diuretics due to Hyponatremia and Was Treated with Korean Medicine for Ascites
Bae In-Hu

Kim Geun-Young
Jeon Seong-Hoon
Cho Ki-Ho
Mun Sang-Kwan
Jung Woo-Sang
Kwon Seung-Won
Abstract
Objectives:This study examined a case of an 80-year-old woman with extensive ascites and hypervolemic hyponatremia due to decompensated liver cirrhosis.

Methods:The patient was first treated with a diuretic to treat her ascites. However, during hospitalization, she developed hypervolemic hyponatremia due to liver cirrhosis. Therefore, we discontinued the diuretic and treated her with Korean herbal medicine (Insamyangyoung-tang with Oryeong-san). We measured her abdominal circumference, followed by radiography, to evaluate the effect of Korean herbal medicine.

Result:We treated the patient only with Korean medicine and without diuretics, and her ascites was successfully reduced. No recurrence was observed.

Conclusion:Korean herbal medicine can be used as an adjuvant therapy for patients with ascites and hyponatremia.
KEYWORD
ascites, liver cirrhosis, hyponatremia, Insamyangyoung-tang, Oryeong-san
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