Case Report J Sasang Constitut Med 2014;26(4):379-388 http://dx.doi.org/10.7730/jscm.2014.26.4.379 Abstract A Case Study of Soyangin Patient with Hyperhidrosis Treated Successfully with Hyungbangsabaek-san( ) Seung-Min Hong, Seon-Young Lee, Min-Woo Hwang * Dept. of Sasang Constitutional Medicine, Graduate school of Korean Medicine, Kyunghee University * Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyunghee University, Seoul Korea Objectives The aim of this study was to report significant improvement of hyperhidrosis after treatment with Hyungbangsabaek-san ( ), in a Soyangin Mangeum Symptomatic pattern Patient. Methods The patients were diagnosed with Soyang Sin-Yeol Du-Tong Mang-Eum Symptomatology( ) and treated with Hyungbangsabaek-san( ). The primary outcome measure for this study were sweat using a questionnaire with visual analogue scale(vas). Secondary outcome assessment included change of odinary symptoms such as patient's sleep, feces and digestion. Results The symptoms of hyperhidrosis disappeared by the end of the accure period without side effect. Original symptoms were also changed. Conclusions This result show Hyungbangsabaek-san( ) can be used to treat hyperhidrosis in a Soyangin Heat-related diarrhea accompanied by headache Mangeum( ) symptomatic pattern patient. Meaning and process of hyperhidrosis are different according to Sasang Constitutions. Key Words : Hyperhidrosis, Hyungbangsabaek-san, Soyangin, Original Symptoms Received September 12, 2014 Revised September 20, 2014 Accepted September 29, 2014 Corresponding Author Min-Woo Hwang Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyunghee University, Dongdaemoon-gu, Seou,l Korea Tel: +82-10-8532-9484 Fax: +82-2-440-7143 E-mail: azure@khu.ac.kr The Society of Sasang Constitutional Medicine. All rights reserved. This is an open acess article distributed under the terms of the Creative Commons attribution Non-commercial License (http:// creativecommons.org/licenses/by-nc/3.0/)
380 Case Study of Soyangin Patient with Hyperhidrosis Ⅰ. 緖論 1.,. Strutton 2 2.8% (780 ) 0.6 ~ 1.0% 3.,,,,., 4.,, 5. 6, 7. ( ), 1). 1) 10-24. 2). 8,. 3. 1. 연구대상 Ⅱ. 硏究對象및方法 ( ),,, QSCC +(Questionnaire of Sasang Constitution Classification +) ( ) 100, 5 ( ) 80% 3. 2. 호전정도판정및치료방법,. 0, 10 visual analogue scale(vas) 3) 3 3 2. 2) 9-10. 3) : 3 2 1
SM Hong et al. 381 Ⅲ. 證例 1. 증례 1 1) 환자 : OO F/26 2) 발병일 : 2008. 2013 2. 3) 치료기간 : 2013 5 21 2013 9 5 (114 ) 4) 진단명 : localized hyperhidrosis 5) 주소증 : 6) 부증상 :,,,, 7) 과거력 : (6~7 ) 8) 사회력 : ( ), ( ) 9) 가족력 : 10) 현병력 2008 2013 2 3 2,. 11) 진단 (1) 외형 : 160.7cm, 50kg,.. : (Figure 1) (2) 素證과現證 : 8, :,. :. Figure 1. Anterior view and lateral view of face scanned by 3D Facial Scanner (RFS-S100) (May-21-2013)
382 Case Study of Soyangin Patient with Hyperhidrosis Figure 2. Time line of healing process : 2-3 1,. : 1 /3-4,. :. :,. :,,,,,,,,. 12) 치료경과 2013 5 21 VAS9 2 2 VAS7. (2 ) 3 VAS5. (3 ) 2 VAS2. 2, (2 ). 2-3 2 1 1 (2 ).. 2 2 2 3 3 2 2 (Figure 2). 2. 증례 2 1) 환자 : OO M/16 2) 발병일 : 3 6
SM Hong et al. 383 3) 치료기간 : 2013 11 14-2014 2 18 (117 ) 4) 진단명 : localized hyperhidrosis 5) 주소증 : 6) 부증상 :,, 7) 과거력 :, 8) 사회력 : ( ), ( ) 9) 가족력 : 10) 현병력 3 local 3, 6 11) 진단 (1) 외형 : 167.7cm, 61.1kg : (Figure 3) (2) 素證과現證 : 10 7. :. :. : 1 1 15.. : 1 /4-6,. :. :. :,, Figure 3. Anterior view and lateral view of face scanned by 3D Facial Scanner (RFS-S100) (Nov-14-2013)
384 Case Study of Soyangin Patient with Hyperhidrosis Figure 4. Time line of healing process. 12) 치료경과,, 2013 11 14 VAS9 1 3 2 VAS8 1 5 4 VAS3. 2 VAS3. 5 VAS2. 3. 1 1. 1 (Figure 4). 3. 증례 3 1) 환자 : OO F/21 2) 발병일 : 10 3 1 3) 치료기간 : 2012 9 15-2013 2 19 (164 ) 4) 진단명 : localized hyperhidrosis 5) 주소증 : 6) 부증상 :, 7) 과거력 : 8) 사회력 : ( ), ( ) 9) 가족력 : 10) 현병력 10,
SM Hong et al. 385 3 1 11) 진단 (1) 외형 : 162.8cm, 49kg : (Figure 5) (2) 素證과現證 : 30 6. :. :. : 2 1 10.. : 1 /3-4,. :. :. :,, 12) 치료경과,,, 2013.9.15. VAS8 10 VAS7 3 VAS7. 3 VAS5. 2 2 VAS4 3 VAS3. 3 VAS2. 3 Figure 5. Anterior view and lateral view of face scanned by 3D Facial Scanner (RFS-S100) (Oct-15-2012)
386 Case Study of Soyangin Patient with Hyperhidrosis Figure 6. Time line of healing process. 30 10 6. 2 2. 2, 1 2. 6, (Figure 6). Ⅳ. 考察. Ln LF/HF ratio 9.,, 10.... 5.
SM Hong et al. 387... 5.,, QSCC +... 3. 11., 2-3.,, 11. 1 10 VAS 9 2 3. 8 VAS 2 (Figure 2). 2 3, VAS 9 1 3 2 1. VAS 3. 2, 5 VAS2 (Figure 4). 3 15,, VAS 8 10 VAS 7 1 2. 3 1 1. 3 VAS 5. 2 5 VAS 3. 3 VAS 2. 3 (Figure 6)...
388 Case Study of Soyangin Patient with Hyperhidrosis Ⅴ. 結論,,.,,,., 10 50% 5. Ⅵ. References 1. Lee SH, Noh YL, Hwang JH, Jeong SY, Jeong SK, Jeong HJ. Assessment of Quality of life in 26 Patients with Primary Hyperhidrosis before and after Oriental Medicine Treatment. J Oriental int med. 2007;28(3): 597-607. (Korean) 2. Strutton DR Kowalski JW, Glaser DA, Stang PE. US prevalence of hyperhidrosis and impact on individual with axillary hyperhidrosis: result from a national survey. J Am Acad Dermatol. 2004;51(2):241-8. 3. Jeong HJ, Joeng SG, Lee HG. Clinical observation on Hyperhidrosis. J Oriental Chr Dis. 1997;3(1):231-240. (Korean) 4. Kim GI, Lee BH, Choi GH, Jeong SG. A Case Series Report on 11 Patients of Primary Palmar/Plantar Hyperhidrosis in Children and Adolescents Treated with Hospitalization Program of a Hyperhidrosis Clinic. J Oriental int med. 2012;33(3):327-337. (Korean) 5. Hwang MW. Lecture of Sasang Constitutional Medicine.1st ed. Seoul:Koonja Publishing. 2012:37,52,266. (Korean) 6. Choi JY, Lee YS, Park SS. The Characteristics of Perspiration According to Sasang Constitution. J Oriental Med. 2002;23(4):186-195. (Korean) 7. Kim MG, Park SS. Comparison the Constitutional Symptoms of Soyangin s with Taeumin s about Sweating and Pissing in the ShinChukbon Dongyi Suse Bowon. J Sasang Constitute Med. 2004;16(1): 37-43. (Korean) 8. Lee JH, Shin MR. The Study of The Hyperhidrosis Patient Treated with Yanggyuksanhwa-tang. J Sasang Constitute Med. 2011;23(4);526-532. (Korean) 9. Lee GH, Choi JY, Joeng SY, Hwang JH, Lee HG, Joeng SG, et al. Evaluation of Autonomic Function in Patients with Hyperhidrosis by Power Spectral Analysis of Heart Rate Variability J Oriental int med. 2008;29(1):1-11. (Korean) 10. Aamir Haider Nowell Solish Focal hyperhidrosis:diagnosis and management. CMAJ. 2005;172(1):69-75. 11. Shin SW, Lee EJ, Koh BH, Lee JH. Study on the Development of Diagnosis Algorithm of Soyangin Symptomatology. J Sasang Constitute Med. 2011;23 (3):294-303. (Korean)