KMID : 1146420210130010165
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Korean Medical Association of Clinical Sanghan-Geumgwe 2021 Volume.13 No. 1 p.165 ~ p.178
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Insomnia Treated with Baekho-tang Based on the Shanghanlun Disease Pattern Identification Diagnostic System
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Jeong Yeon-Il
Kim Chang-Sig Lee Soong-In
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Abstract
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Objective: This study aimed to report the improvement of a patient with chronic insomnia who was treated with Baekho-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS).
Methods: The patient¡¯s symptoms were checked on days 19, 37, and 52 after taking Baekho-tang. Chronic insomnia was evaluated by the degree of insomnia, hours spent asleep, and the number of times the patient woke up during the night, which were all assessed by a visual analog scale (VAS) with the Leeds Sleep Evaluation Questionnaire. In addition, new clinical implications for the interpretation of the 350th Shanghanlun provision were reviewed.
Results: After administering Baekho-tang for 52 days, based on the 350th Shanghanlun provision according to the DPIDS, the VAS score decreased from 10 to 1.
Conclusions: The patient recovered from chronic insomnia. This case report suggests that he words ¡°üÁ,¡± ¡°Ïð,¡± and ¡°×ꡱ in the 350th provision of Shanghanlun mean physical and
psychological causes of insomnia. In addition, Baekho-tang had a therapeutic effect in improving the chief complaint of the patient. Therefore, the interpretation of the 350th Shanghanlun provision requires a new definition that includes the patient's lifestyle, family conflict, and past history of the patient as a cause of chronic insomnia.
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KEYWORD
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Insomnia, Baekho-tang (ÛÜûÛ÷·), Shanghanlun, disease pattern identification diagnostic system
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