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KMID : 1189420190320030116
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Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
2019 Volume.32 No. 3 p.116 ~ p.135
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Review of Korean Medicine Treatments for Purpura and Vasculitis in Korean Journals
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Kang Dong-Won
Park Jung-Gun
Han Chang-Yi
Kim Kyu-Seok
Kim Yoon-Bum
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Abstract
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Objectives : The purpose of this study is to analyze how purpura and vasculitis have been treated with Korean medicine and potentially to present with future direction of research and treatment.
Methods : We searched clinical studies from the Korean databases including Oriental medicine Advanced Searching Integrated System(OASIS), Korean Traditional Knowledge Portal(KTKP), National Discovery for Science Leader(NDSL), Research Information Sharing Service(RISS), using keywords related to "Purpura" and "Vasculitis" from January 2000 to May 2019.
Results : A total of 20 studies were selected for analysis. More than half of the patients provided with detailed information were under 19 year-olds, and upper respiratory infection, stress and fatigue, seasonal factor were among the most frequently stated as predisposing factors. Among many treatment modalities, herbal medicine was the most frequently used, followed by acupuncture and herbal acupuncture. 23 basic herbal medicine formulas were retrieved from 20 articles, most frequently used being Guibi-tang(ÏýÞ¡÷·Ê¥Ú«), Samul-tang(ÞÌÚª÷·Ê¥Ú«) and Yukmijihwang-tang(ë»Ú«ò¢üÜ÷·Ê¥Ú«). In total, 122 Korean medicine herbs were used, most frequently used herbs being Glycyrrhizae Radix et Rhizoma(Êöõ®), Angelicae Gigantis Radix(Ó×Ïý), Poria Sclerotium(ÜÚ?) and Paeoniae Radix(íËå·). By its category, herbs were mostly classified into Tonyfying and replenishing medicinal(ÜÍìÌå·), Heat-clearing medicinal(ôèæðå·) and Exterior-releasing medicinal(ú°øúå·). Patients with total treatment period of 3 months or under were 2/3 of all cases provided with detailed information. Follow up periods were short in general with only 6 cases of over 6 months. The primary motive of patients to receive Korean medicine treatments was unresponsiveness or adverse effects of western medication.
Conclusion : Through this literature review, we could find out tendencies of Korean medicine treatments of purpura and vasculitis up to date and some points that may have clinical significance.
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KEYWORD
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Purpura, Vasculitis, Korean Medicine, Herbal Medicine, Literature review
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