10
167 서론 (Adenomyosis) , 40 . . 12 , . (dysmenorrhea) (menorrhagia) , , , 1) . . , Clinical Study of Kamitongkyung-tang’s Effects on 3 Cases of Adenomyosis Kyung-Mi Park Dept. of Gynecology, College of Oriental Medicine, Dongshin Univ. Objectives: The purpose of this study was to report the effect of Kamitongkyung-tang on adenomyosis. Methods: Three women who were diagnosed with adenomyosis were enrolled in this study. They were supposed to have blood aggregation, so received oriental treatments to decrease blood aggregation and promote blood flow. They took Kamitongkyung-tang internally 3 times a day and were taken acupuncture therapy 3 times a week during about 3 months. Results: The most common symptoms of adenomyosis were menorrhagia and dysmenorrhea. After the treatment, symptoms of adenomyosis decreased and ultrasonography showed good results. Conclusion: These clinical cases indicated that Kamitongkyung-tang was effective in the treatment of adenomyosis. More clinical data and studies are needed about the treatment of adenomyosis. Key Words : adenomyosis, profuse menstruation, dysmenorrhea, Tongkyung-tang (Tongjing-tang), Kamitongkyung-tang (JiaweiTongjing-tang) 加味通經湯 박경미 동신대학교 한의과대학 여성의학 교실 Case Report Received 30 October 2009 Revised 6 January 2010 Accepted 6 January 2010 박경미 Correspondence to (Kyung-Mi Park) 서울시 양천구 목동 동신목동한방병원 404-256 Tel +82-2-2640-2717, Fax +82-2-2640-2727, E-mail [email protected] 31 2 (2010 3 ) J Korean Oriental Med 2010;31(2):167-176

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Page 1: 31-2 15 167-176 - JKM 15 167-176.pdf · 2013. 6. 11. · 31-2 15 167-176.hwp Author: admin Created Date: 3/31/2010 12:00:00 AM

167

서 론

(Adenomyosis)

,

40 .

.

12

,

. (dysmenorrhea)

(menorrhagia) ,

,

,

1).

.

,

Clinical Study of Kamitongkyung-tang’s Effects on 3 Cases of Adenomyosis

Kyung-Mi Park

Dept. of Gynecology, College of Oriental Medicine, Dongshin Univ.

Objectives: The purpose of this study was to report the effect of Kamitongkyung-tang on adenomyosis.

Methods: Three women who were diagnosed with adenomyosis were enrolled in this study. They were supposed to

have blood aggregation, so received oriental treatments to decrease blood aggregation and promote blood flow. They

took Kamitongkyung-tang internally 3 times a day and were taken acupuncture therapy 3 times a week during about

3 months.Results: The most common symptoms of adenomyosis were menorrhagia and dysmenorrhea. After the treatment,

symptoms of adenomyosis decreased and ultrasonography showed good results.

Conclusion: These clinical cases indicated that Kamitongkyung-tang was effective in the treatment of adenomyosis.

More clinical data and studies are needed about the treatment of adenomyosis.

Key Words : adenomyosis, profuse menstruation, dysmenorrhea, Tongkyung-tang (Tongjing-tang),

Kamitongkyung-tang (JiaweiTongjing-tang)

加味通經湯

박경미

동신대학교 한의과대학 여성의학 교실

Case Report

Received 30 October 2009:⋅ Revised 6 January 2010:⋅ Accepted 6 January 2010:⋅박경미Correspondence to (Kyung-Mi Park):⋅

서울시 양천구 목동 동신목동한방병원404-256

Tel +82-2-2640-2717, Fax +82-2-2640-2727, E-mail: : :[email protected]

31 2 (2010 3 )J Korean Oriental Med 2010;31(2):167-176

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31 2 (2010 3 )

168

, ,2-4)

.5)

,6-10)

.

.

”6), “

”10)

, “

.11)

.

,

.

연구대상 및 치료방법

연구대상1.

3 .

치료방법2.

1)

3 2 3

.

韓 藥 名 生 藥 名 (g)用量當 歸 Angelicae gigantis Radix 6

川 芎 Cnidii Rhizoma 6

白灼藥 Persicae semen 6

熟地黃 Zigiberis Rhizoma 6

大 黃 Glycyrrhizae Radix 4

肉 桂 Leonurus sibirieus Linne 4

厚 朴 Magnoliae Cortex 4

地 殼 Aurantii Fructus 4

枳 實 Ponciri Fructus 4

黃 芩 Scutellariae Radix 4

蘇 木 Dracinis Lignum 4

紅 花 Carthami Flos 4

香附子 Cyperi Rhizoma 4

桃 仁 Persicae Semen 4

弦胡索 Corydalis Tuber 4

牧丹皮 Moutan Cortex Radicis 4

蓬 朮 Zedoariae Rhizoma 3

烏 梅 Mume Fructus 4

生 薑 Zingiberis Rhizoma 8

大 棗 Zizylhy Inermis Fructus 4

Total amount 67

Table 1.

(342)

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: 3

169

(1)11)

(Table 1.)

2)

1 3 , .

, , , , ,

.

치료효과의 측정3.

(VAS

) ,

.

증 례

증례1. 1

1) : , 1978 12 12 ,

2)

(1)

(2)

(3)

3) : 2008 12

.

4)

2008 12 00

( 5 ,

3 ,

.)

5) : 0-0-0-0

6)

: , : 10

, .

7) :

8)

2008 12

2009 5 .

2009 6 14

. 11 2 .

9) : 2009 7 3 .

10)

(1) , : ,

. 163cm, 75kg.

(2) :

Fig. 1. Fig. 2.

(343)

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31 2 (2010 3 )

170

(3) : 1 / ,

(4) : 6~7 /

(5) : .

(6) : ,

(7) :

.

.

.

(8) :

(9)

1 3 , .

.(Fig. 1, 2)

증례2. 2

1) : 00, 1973 6 12 ,

2)

(1)

(2) ( , “ .”, VAS 10)

(3) ,

3) : 2008 10

.( 2006 5 )

4)

2008 10 .

(4~4.5 cm .)

5) : 0-0-0-0

6)

: , : 6~7 ,

.

7) :

8)

2008 10

2008 11 0000

.(

3

,

. .

9) : 2008 11 2009 2

4 .

10)

(1) , : ,

. 158cm, 50kg.

(2) :

Fig. 3. Fig. 4.

(344)

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: 3

171

(3) : 1 /

(4) : 6~7 /

(5) : .

(6) :

(7) :

.

.

(8) :

(9)

1 3 , .

.(Fig. 3, 4)

증례3. 3

1) : 00, 1974 2 15 ,

2)

(1) .

(2) ( , , VAS 10)

(3)

3) : 2007 .

4)

2007 00 (1cm).

2008 11 00 . 2009 4

00 (3cm, 2cm)

.

5) : 0-0-0-0

6) : 1 . :

6~7 , .

7) :

8)

2007 00 (1cm)

. 2008 11 00

. 2009 4 00 (3cm,

2cm)

. .

9) : 2009 4 2009 6

3 .

10)

(1) , : ,

. 165cm, 50kg.

(2) :

(3) : 1 /

(4) : 6~7 /

(5) : .

Fig. 5. Fig. 6.

(345)

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31 2 (2010 3 )

172

(6) : ,

(7) : .

(8) :

(9)

1 3 , .

.(Fig. 5, 6)

고 찰

12).

25.5% , 40 51.8%

, 93.5%

.

12 ,

.

1).

Meyer , ,

estrogen

, Meyer

.

13).

150~300mg

3

.

,

, 80% ,

, ,13)

.

(dysmenorrhea)

(menorrhagia) ,

.

. ,

,

4).

.

48% .

.

.

. NSAIDS,

oral contraceptive, progestin .12-14)

,

,

,

, .2-4)

.

” , “

, , , , ”

, ,2).

, ,

(346)

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: 3

173

.

,

,

,

.

,2).

. ,

.

, , ,

, , ,

. , ,

,

,

“ ”

.

,

, ,

, ,

, ,15)

.

,

,

16,17).

,18)

.5)

,6-10)

.

.

”6), “

”10)

, “

.

,

, , ,

, ,

, ,

.”19)

.11)

.

,

, ,

, ,

, ,

, ,

.

,

,20)

.

(347)

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31 2 (2010 3 )

174

.

, , ,

, , .

,

,

” .

, ,

. ,21)

.

1 2008 12

5

2009

.

.

.

7.8g/

.

.

.

,

.

1 3 , , , ,

, , .

2009 6

.

1: 3

.

.

, .

2009 11 2

.

11

3.27cm,

4.21cm

1: 3

.

2 29

4cm

.

(VAS 10)

.

.

.

2008 11 2009 2 4

, 1

3 , , , , , ,

.

( VAS 10

VAS 3 ) , 2 4

. 2009 2

(348)

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: 3

175

.

. 2009 4

.

3 2007

(1cm) 2008

11

2009 4

(3cm, 2cm)

.

(VAS 10)

.

. ,

2009 4 2009 6

3 ,

1 3 , , , ,

, , .

.

3

. 2009 7

.

VAS 4 28

.

.

.

.

.

.

결 론

,

(dysmenorrhea) (menorrhagia)

. ,

,

.

.

.

.

참고문헌

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