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KMID : 1149220210290040321
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Korean Journal of Oriental Medical Prescription
2021 Volume.29 No. 4 p.321 ~ p.329
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Korean medicine treatment, including Nangan-jeon, of chronic constipation and abdominal pain in Lambert-Eaton myasthenic syndrome : A case report
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Han Ji-Hoon
Woo Sang-Ha
Park Yu-Kyeong
Choi Seong-Hun
Lee Yun-Kyu
Lee Jung-Hee
Kim Jae-Soo
Lee Hyun-Jong
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Abstract
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This case study reports the effects of complex Korean medicine treatment, including Nangan-jeon, on Lambert-Eaton myasthenic syndrome (LEMS) accompanied by chronic constipation and abdominal pain as the main symptoms. A 39-year-old woman diagnosed with LEMS with major symptoms, including chronic constipation and acute abdominal pain, received Western treatment. The treatment efficacy was weak and symptoms recurred, so the patient received outpatient treatment and 13 days of hospitalization for active Korean medicine treatment, including Nangan-jeon. During outpatient treatment and hospitalization, defecation frequency and the numeric rating scale (NRS) for abdominal pain and abdominal cold feeling were measured. The NRS for abdominal pain and cold decreased from 8 at admission to 3 and 0, respectively, at discharge. Defecation frequency increased significantly from once or twice a month to once every 2-3 days during hospitalization. This study results that complex Korean medicine treatment, including Nangan-jeon may be useful for treating patients who mainly complain of autonomic neurological symptoms, among patients diagnosed with LEMS. In addition, it is believed that it could be basic data applicable to more LEMS patient treatment cases.
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KEYWORD
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Nangan-jeon, Lambert-Eaton myasthenic syndrome, chronic constipation, abdominal pain, Korean medicine treatment
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