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KMID : 1123920070210051346
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Korean Journal of Oriental Physiology and Pathology
2007 Volume.21 No. 5 p.1346 ~ p.1351
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Clinical Study on 1 Case of Soyangyin Patient Diagnosed as Crohn¡¯s Disease
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Park Darn-Seo
Lee Seung-Hyun
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Abstract
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Crohn¡¯ disease is an auto-immune disease characterized by intermittent chronic diarrhea, high fever, weight loss, abdominal spastic pain or abdominal discomfort which is followed by granulomatous necrosis and cicatrical inflammation. It is also called segmental enteritis or granulomatous enteritis. In western medicine the exact cause is undefined, however it is presumed as an immunological unbalance in alimentary tract commoonly occured in ileum portion of small intestitine or ascending colon and therefore immuno suppressive agents(usually steroids) and anti-inflammatory drugs are prescribed. In case of emergency such as ileus, perforation of intestinal wall surgical methods are considered. In oriental medicine this falls under the category of diarrhea(àÜÞá), dysentery(ì¸òð), splenic diarrhea(Þ¡àÜ). As to the pathological mechanism the abnormal ascending and descending circulation of stomach and splenic energy(Þ¡Üôã®ôè, êÖÜôù»Ë½) the hepatic stagnation(ÊÜê¦Ñ¨ôò) and dysfunction of small intestine in expelling urine and feces(á³åÕôèÔ¼Üô××) all together causes such condition. Main treatments are inducing diuresis(××á³øµ), warming kindey to reinforce yang(è®úçð¾åÕ), nourishing the middle energy to invigorate spleen(ÜÍñéËíÞ¡), elimination of the dampness by cooling(ôèæððÏã¥). In this case the patient was diagnosed as soyangyin(á´åÕìÑ) constitution and herb medicine soyangyin Hyongbangjihwan-tang(á´åÕìÑ ûªÛÁò¢üÜ÷·), Sa-am acupuncture Sojangjeonggyeok(á³íóïÙÌ«) was applied. There was an significant improve in chief complaints and general conditions.
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KEYWORD
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Crohn¡¯s disease, dysentery(ì¸òð), splenic diarrhea(Þ¡àÜ), soyangyin Hyongbangjihwan-tang(á´åÕìÑ ûªÛÁò¢üÜ÷·), Sa-am acupuncture Sojangjeonggyeok(á³íóïÙÌ«)
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