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KMID : 1149220150230010161
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Korean Journal of Oriental Medical Prescription
2015 Volume.23 No. 1 p.161 ~ p.169
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A Case Study of Chronic Anal Fissure Treated With Chijasi-tang and Counseling
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Lee Soong-In
Cho Min-Seok
Lee Sung-Jun
Jeong Jong-Kil
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Abstract
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Objectives : This study is aimed to report the outcomes of the treatment of a patient with chronic anal fissure during a 8-year period.
Methods : Basic patient's data was analyzed as a CARE guideline. And related psychological state was measured with BAI, STAI-X-II test.
Results : The treatment is based on Shanghanlun and the patient reported better outcomes. The main symptoms of the patient were chronic constipation, blood in the stool. The main clinical findings were that the patient’s symptoms got worse during the examination period because of the anxiety of the exam. And loss of appetite and digestive disorders are due to Jue-Yin-Bing(厥陰病) and the clue of bleeding can be found in article 375 in Shanghanlun. The main diagnoses was chronic anal fissure and main interventions were Chijasi-tang according to article 375 in Shanghanlun and counseling on anxiety. As a results bleeding has stopped after taking herbal medicine and constipation has been treated at the same time. After 6 months, the patient performed BAI, STAI-X-II test and scores got lowered indicating decreasing
anxiety level.
Conclusion : Chijasi-tang with counseling achieved valid positive results to the patient with chronic anal fissure.
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KEYWORD
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anal fissure, Shanghanlun, Chijasitang, constipation, anxiety, BAI, STAI-X-Ⅱ
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