한의 복합치료로 호전된 불응성 위식도역류질환 (PPI-refractory GERD) 환자 1례 - 복진소견 평가를 중심으로

• Published in: 대한한방내과학회지 Vol. 38; no. 5; pp. 727 - 735
• Main Authors: 이재홍, 조수호, 고석재, 박재우, Lee, Jae-hong, Cho, Soo-ho, Ko, Seok-jae, Park, Jae-woo
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01.10.2017
• Subjects: 한의학; abdominal examination; GERD; traditional Korean medicine; PPI-refractory
• ISSN: 1226-9174

This case report describes a 60-year-old man who had reflux symptoms despite treatment with proton pump inhibitors (PPIs). Korean traditional medicine, including a herbal prescription, acupuncture, and moxibustion was administered to the patient during his 19 days of hospitalization. The visual analogue scale (VAS), gastrointestinal scale (GIS), and gastrointestinal symptom rating scale (GSRS) scores were assessed on the dates of admission and discharge. An abdominal examination, which is one of the Korean medicine diagnostic tools, was performed every day to evaluate the treatment progress. During the treatment, the improvement of symptoms was clinically correlated with abdominal examination outcomes. We suggest that administration of traditional Korean Medicine on PPI-refractory GERD patients could be effective and we recommend utilization of the abdominal examination as an assessment tool for Korean Medicine treatment.