형방지황탕가미로 치료한 만성 난치성 설사 치험 3례에 대한 임상적 고찰

• Published in: 대한한방내과학회지 Vol. 40; no. 5; pp. 822 - 831
• Main Authors: 이준영, 채한나, 문연주, 이윤승, 곽시라, 문구, 백동기, Lee, Jun-young, Chae, Han-nah, Moon, Yeon-ju, Lee, Yoon-seung, Gwak, Si-ra, Moon, Goo, Baek, Dong-gi
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01.10.2019
• Subjects: 한의학; case report; zang-fu (organ) pattern diagnosis; Sasang constitution; diarrhea; herbal medicine (Hyungbangjihwang-tang)
• ISSN: 1226-9174
• DOI: 10.22246/jikm.2019.40.5.822

Objective: This study reports the effect of Hyungbangjihwang-tang-gami as a treatment for Soyang-in patients with chronic diarrhea. Methods: We treated three male patients with chronic diarrhea who did not improve after taking herbal medicine, as determined by zang-fu (organ) pattern diagnosis. After changing our approach to a Sasang constitution, we prescribed Hyungbangjihwang-tang-gami and assessed the effect by the frequency or form of defecation. Results: The patients' complaints worsened when they were administered a herbal medicine unsuited to their Soyang constitutions, which caused an exuberance of Yang. Changing the herbal medicine to Hyungbangjihwang-tang-gami improved their symptoms. Conclusions: This study suggested that Soyang-in patients may have side effects when administered unsuitable herbs, even if they were diagnosed using zang-fu (organ) pattern diagnosis. When we treat patients, we have to consider their Sasang constitution, as well as the zang-fu (organ) pattern diagnosis.