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JKM > Volume 45(1); 2024 > Article
Kwang: Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report

Abstract

Objectives

The purpose of this study is to report a case of Korean medicine treatment accompaning myofascial trigger-point accupuncture for severe & persistent lower urinary tract symptoms after radical prostatectomy.

Materials and Methods

A prostate cancer patient with severe & persistent lower urinary tract symptoms after radical prostatectomy conducted 26 months ago, was treated with Korean medicine accompaning myofascial trigger-point accupuncture. The International Prostate Symptom Score(IPSS), the IPSS Quality of Life(IPSS-QoL) and the Overactive Bladder Symptom Score(OABSS) questionaires were administered to evaluate the effect of treatment for lower urinary tract symptoms.

Results

After 5 month treatment with Korean medicine accompaning myofascial trigger-point accupuncture, IPSS, IPSS-QoL and OABSS progressed from 28 to 8, from 5 to 2 and from 12 to 4 respectively.

Conclusion

This case study suggests that Korean medicine accompaning myofascial trigger-point accupuncture may contribute to treat severe & persistent lower urinary tract symptoms after radical prostatectomy.

Fig. 1
IPSS progression
jkm-45-1-238f1.gif
Fig. 2
IPSS-QoL progression
jkm-45-1-238f2.gif
Fig. 3
OABSS progression
jkm-45-1-238f3.gif
Table 1
Prescription of Paljin-tang gagambang
Herb Scientific name Amount (g/pack)
熟地黃 Rehmanniae Radix Preparata 3
當歸 Angelicae Acutilobae Radix 3
川芎 Ligustici Officinalis Rhizoma 1.5
芍藥 Paeonia lactiflora Pallas 1.5
人蔘 Ginseng Radix 1
黃耆 Astragali Radix 3
白朮 Atractylodis Macrocephalae Rhizoma 1.5
紅花 Carthami Flos 1.5
桃仁 Persicae Semen 1
黃柏 Phellodendron amurense Rup 1
Table 2
Progression of Lower Urinary Tract Symptoms from 2023. 7. 5 to 12. 21
IPSS* IPSS-QoL OABSS
2023. 7. 5 (1st tx§) 28 5 12[Q3** 4]
8. 5 (9th tx) 11 3 4 [Q3 1]
9. 2 (12th tx) 12 4 6 [Q3 3]
10. 10 (14th tx) 10 4 5 [Q3 2]
11. 23 (16th tx) 8 2 4 [Q3 1]
12. 21 (17th tx) 8 2 4 [Q3 1]

* IPSS : International Prostate Symptom Score

† IPSS-QoL : International Prostate Symptom Score-Quality of Life

‡ OABSS : OverActive Bladder Symptom Score

§ tx : treatment

** Q3 : Question3

Table 3
Progression of 3 major Symptoms from 2023. 7. 5 to 12. 21
frequency nocturia urge incontinence
2023. 7. 5 (1st tx††) 8~14(usally 12) more than 3 2~4/day
8. 5 (9th tx) less than 7 2 less than 1/week
9. 2 (12th tx) less than 7 2 1/day
10. 10 (14th tx) less than 7 2 more than 1/week
11. 23 (16th tx) less than 7 2 less than 1/week
12. 21 (17th tx) less than 7 2 less than 1/week

†† tx : treatment

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