The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Insomnia and Fatigue in Alcoholic Hepatitis Patients Treated with Korean Medicine and Western Medicine

알코올성 간염 환자의 불면과 피로 개선에 대한 한양방 병용치료 치험 1례

  • Nam, Hyun seo (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Han, Seung-hee (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Jeong, In-chae (Dept. of Rehabilitation Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Sun, Seung-ho (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Kim, Mikyung (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Han, In-sik (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Baek, Tae hyun (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University) ;
  • Jerng, Ui min (Dept. of Internal Medicine of Korean Medicine, Oriental Medicine Hospital of Sang-Ji University)
  • 남현서 (상지대학교부속한방병원 한방내과) ;
  • 한승희 (상지대학교부속한방병원 한방내과) ;
  • 정인채 (상지대학교부속한방병원 한방재활의학과) ;
  • 선승호 (상지대학교부속한방병원 한방내과) ;
  • 김미경 (상지대학교부속한방병원 한방내과) ;
  • 한인식 (상지대학교부속한방병원 한방내과) ;
  • 백태현 (상지대학교부속한방병원 한방내과) ;
  • 정의민 (상지대학교부속한방병원 한방내과)
  • Received : 2020.04.08
  • Accepted : 2020.05.21
  • Published : 2020.05.30
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Abstract

Objectives: This study aimed to report a case that showed improvements in the symptoms of patients with alcoholic hepatitis without any indication of deterioration of the disease. Methods: Western medicine with Urusa tablets and Godex capsules and Korean medicine therapeutic approaches, including Shihogayonggolmoryo-tang, acupuncture, and moxibustion, were administered to a patient during the period of treatment. Blood tests were used to determine levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), AST/ALT ratio, alkaline phosphatase (ALP), gamma glutamyltransferase (GGT), total bilirubin, direct bilirubin, and total cholesterol. Fatigue was measured using the numeric rating scale (NRS), and the patient's total sleeping time was checked, daily. Results: After the combined treatment, the AST/ALT ratio and the AST, ALT, ALP, GGT, total cholesterol, and direct bilirubin levels were decreased. Through Oriental medicine for the purpose of improving symptoms, NRS of fatigue decreased from 10 to 5, and the amount of sleeping time increased from 2 to 5 hours. Conclusions: The herbal medicine had no effect on the hepatoprotective drugs such as Urusa tablets and Godex capsules used to treat alcoholic hepatitis, and no adverse reaction from the combined administration was observed. To reduce fatigue and insomnia in patients with alcoholic hepatitis, it might be helpful to combine Western medications with Korean medicine treatments, including acupuncture, moxibustion, and Shihogayonggolmoryo-tang.

Keywords

References

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