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A Case Report on Functional Dyspepsia in a Fibromyalgia Patient with a History of Long-Term Nonsteroidal Anti-inflammatory Drugs (NSAIDs) Use

장기간 NSAIDs를 복용한 섬유근육통 환자의 기능성 소화불량 치험 1례

  • Kim, Keum-ji (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Cho, Soo-ho (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Park, Ji-seon (Dept. of Clinical Korean Medicine, Graduate School of Kyung Hee University) ;
  • Ko, Seok-jae (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Park, Jae-woo (Dept. of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong)
  • 김금지 (강동경희대학교 한방병원 한방내과) ;
  • 조수호 (강동경희대학교 한방병원 한방내과) ;
  • 박지선 (경희대학교 대학원 임상한의학과) ;
  • 고석재 (강동경희대학교 한방병원 한방내과) ;
  • 박재우 (강동경희대학교 한방병원 한방내과)
  • Received : 2019.11.16
  • Accepted : 2019.12.12
  • Published : 2019.12.30

Abstract

Objective: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of functional dyspepsia in a fibromyalgia patient with a history of long-term NSAIDs use. Methods: The patient was diagnosed as a Soeumin, one of the four constitution types in Korean medicine, and treated with herbal medicines such as Seungyangikgibuja-tang and Pyeongjinsunjeom-san. Acupuncture and moxibustion treatment were also performed. The severity of symptoms was assessed using the Numerical Rating Scale (NRS) of epigastric pain, daily oral intake changes, the Korean Gastrointestinal Symptom Rating Scale (KGSRS), the Gastrointestinal Symptom Score (GIS), and the Functional Dyspepsia-Quality of Life (FD-QOL) score. Results: After treatment for 48 days, the severity of epigastric pain decreased from NRS 8 to NRS 0, and daily oral intake was increased. The KGSRS score decreased from 55 to 43, the GIS score was reduced from 18 to 10, and the FD-QOL score also decreased from 69 to 55. Conclusions: This study suggests that Korean medical treatment could be an effective option for treating functional dyspepsia in fibromyalgia patients with a history of long-term NSAIDs use.

Keywords

References

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  1. 소화기증상을 동반한 섬유근육통 환자에 대한 오두탕 치험 1례 vol.42, pp.5, 2019, https://doi.org/10.22246/jikm.2021.42.5.863