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KMID : 1146420210130010045
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Korean Medical Association of Clinical Sanghan-Geumgwe
2021 Volume.13 No. 1 p.45 ~ p.59
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Case Series Reporting 7 Somatic Symptom Disorder Cases Diagnosed as Greater Yin Disease by Shanghanlun Provisions
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Yun Hyo-Joong
Ha Hyun-Yee
Doo In-Sun
Lee Sung-In
Lee Sung-Jun
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Abstract
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Objectives: This study was conducted to confirm the reproducibility of the diagnosis of greater yin disease (太陰病) and the efficacy of herbal treatment using Gyejigajakyak-tang or Gyejigadaehwang-tang in somatic symptom disorder (SSD). We also further refined the characteristics of greater yin disease in SSD.
Methods: We analyzed the demographic and treatment data of seven patients with SSD from four Korean medical clinics. The reliability of diagnosis and the efficacy of the treatments were evaluated by the Beck Anxiety Inventory (BAI), a numerical rating scale (NRS), and the patients’ statements. Finally, we analyzed patients according to the diagnostic points of Shanghanlun provision 273.
Results: Seven SSD patients took Gyejigajakyak-tang or Gyejigadaehwang-tang. The mean age of the patients was 52.1±15.8 years old, and the herbal medication period was 82.2±38.2 days. At the first visit, the patients showed hypochondriasis, obvious stress, and a severe BAI score (40.4±10.9). The NRS significantly decreased from 8.9±1.6 to 0.7±0.7 after the treatments. There were no side effects reported. As a result of analyzing these 7 cases, hypochondriasis,
obvious stress, and anxiety were identified, which had been previously suggested as 自痛, 因爾, and 結硬.
Conclusions: We confirmed the reproducibility of greater yin disease in 7 SSD cases from 4 medical institutions. These results imply that there could be a considerable relation between SSD and greater yin disease as defined by the Shanghanlun provisions.
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KEYWORD
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Somatic symptom disorder (SSD), greater yin disease (太陰病), Gyejigajakyak-tang, Gyejigadaehwang-tang, Shanghanlun
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