Chronic Pelvic Pain Patients with Gynecological Diseases Treated by Korean Medicine Treatment: Three Case Reports

Hee-Jae Yoon; Hae-Won Kim; Seon-Eun Baek; Jeong-Eun Yoo; Yoon, Hee-Jae; Kim, Hae-Won; Baek, Seon-Eun; Yoo, Jeong-Eun

doi:10.13048/jkm.20035

JKM > Volume 41(3); 2020 > Article

Yoon, Kim, Baek, and Yoo: Chronic Pelvic Pain Patients with Gynecological Diseases Treated by Korean Medicine Treatment: Three Case Reports

Case Report

The Journal of Korean Medicine 2020; 41(3): 191-204.

Published online: September 01, 2020

DOI: https://doi.org/10.13048/jkm.20035

Chronic Pelvic Pain Patients with Gynecological Diseases Treated by Korean Medicine Treatment: Three Case Reports

Hee-Jae Yoon

, Hae-Won Kim

, Seon-Eun Baek

, Jeong-Eun Yoo

Dept. of Obstetrics & Gynecology, College of Korean Medicine, Daejeon University

Correspondence to: Jeung-Eun Yoo Dept. of Obstetrics & Gynecology Daejeon Korean Medicine Hospital of Dae-jeon University 75 Daeduk-daero 176 beon-gil, Seo-gu, Daejeon. 35235, Republic of Korea Tel:+82-42-470-9139, Fax:+82-42-470-9009, E-mail:jeyoo@dju.ac.kr

Received July 31, 2020 Revised August 14, 2020 Accepted August 18, 2020

Abstract

Objectives

The purpose of this study is to report the effect of Korean medicine treatment on chronic pelvic pain with gynecological diseases.

Methods

Three female patients with gynecological diseases who suffered from chronic pelvic pain got Korean medicine treatment such as Boheo-tang-gagambang, acupuncture, Jungsongouhyul pharmacopuncture, moxibustion, fumigation therapy with Hyeonhosaek-tang and Sasangja-tang and physiotherapy during hospitalization. Numerical Rating Scale(NRS) of pains and percentage of other symptoms were measured every morning.

Results

In three cases, after 9, 15, and 22 days of treatment in each case, pelvic pain decreased by more than 50% and other symptoms were also improved.

Conclusions

These cases showed that Korean medicine treatment of chronic pelvic pain with gynecological diseases was effective for alleviating symptoms.

Keywords: Chronic pelvic pain, Gynecological disease, Korean medicine treatment

Fig. 1

Timeline of the patient’s medical history in case 1.

Fig. 2

NRS of chief pain during hospitalization in case 1

Fig. 3

Timeline of the patient’s medical history in case 2.

Fig. 4

NRS of chief pain during hospitalization in case 2

Fig. 5

Timeline of the patient’s medical history in case 3.

Fig. 6

NRS of chief pain during hospitalization in case 3

Table 1

Composition of Boheo-tang-gagambang

	Herbs	Amount (g)
人蔘	Ginseng Radix	6
白朮	Atractylodis Rhizoma Alba	6
當歸	Angelicae Gigantis Radix	6
川芎	Cnidii Rhizoma	6
黃芪	Astragali Radix	6
甘草	Glycyrrhizae Radix et Rhizoma	4
陳皮	CitriUnshius Pericarpium	4
蒲黃	Typhae Pollen	6
五靈脂	Trogopterorum Faeces	6
澤蘭	Lycopi Herba	6
鷄血藤	Spatholobi Caulis	6
牛膝	Achyranthis Radix	4
桃仁	Persicae Semen	4
紅花	Carthami Flos	4
玄胡索	Corydalis Tube	4
金銀花	Lonicerae Flos	6
連翹	Forsythiae Fructus	4
土茯苓	Smilacis Rhizoma	6
杜沖	Eucommiae Cortex	4
狗脊	Cibotii Rhizoma	6
續斷	Dipsaci Radix	4
木瓜	Chaenomelis Fructus	4
神麴	Massa Medicata Fermentata	4
砂仁	Amomi Fructus	4
白茯苓	Poria Sclerotium	4
桂枝	Cinnamomi Ramulus	3
乾薑	Zingiberis Rhizoma	2
麥門冬	Liriopis Tuber	2
黄芩	Scutellariae Radix	1

Table 2

Change in Composition of Boheo-tang-gagambang

		Amount of herbs (g)
Case 1	Day1 ~ Day6	加牡丹皮, 楡根皮各 6, 魚腥草 8, 升麻 2
		去金銀花, 狗脊, 連翹
		增鷄血藤, 陳皮, 黃芪各 2
		减人蔘 4

	Day7 ~ Day9	加白花蛇舌草 8, 檳榔 4
	Day7 ~ Day9	减蒲黃 2

Case 2	Day1 ~ Day5	加丹參, 牡丹皮, 楡根皮, 酸棗仁各 6, 鷄內金, 荊芥各 4, 香附子 8
		去人蔘, 五靈脂
		增陳皮, 玄胡索各 4

	Day6 ~ Day12	去酸棗仁, 香附子
		增黃芪, 麥門冬各 2
		减丹參, 牡丹皮各 2

	Day13 ~ Day15	加白花蛇舌草 6

Case 3	Day1 ~ Day9	加丹參, 牡丹皮, 楡根皮各 6, 白花蛇舌草, 香附子各 8
		去人蔘, 川芎, 狗脊, 五靈脂, 金銀花, 連翹
		增黃芪, 當歸, 玄胡索, 麥門冬各 2

	Day9 ~ Day22	增乾薑 2

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