청소년궤양성 대장염 환자의 사상체질요법에 대한 증례보고

• Published in: 대한한방내과학회지 Vol. 38; no. 4; pp. 531 - 540
• Main Authors: 박세기, 김근엽, 신선미, 고흥, Park, Se-gi, Kim, Geun-yeob, Shin, Seon-mi, Ko, Heung
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01.09.2017
• Subjects: 한의학; Yeuldahanso-tang; constitution therapy; ulcerative colitis
• ISSN: 1226-9174

Objectives: This study discusses the effects of constitution therapy on adolescent ulcerative colitis. Methods: A 12-year-old male patient was treated with western medication for six months and herbal medicine for one year and six years; however, his abdominal pain, mucousy stool, bloody stool, and diarrhea persisted. He was diagnosed as having Taeumin according to Sasang constitution classification and treated with Sasang constitutional medicine (i.e., Yeuldahanso-tang and food restrictions based on constitutional medicine theory). Before the first treatment, his Pediatric Ulcerative Colitis Activity Index (PUCAI) score was 35, but this score decreased to 15 within six months and was maintained at 10 by 18 months of treatment. He took the herbal medication for 38 months, and his PUCAI score was 0 at the end of treatment. His liver functioned normally despite long-term drug use, and a follow-up colonoscopy showed no ulcerative colitis except melanosis, which was presumed to be caused by the herbal medicine. Ulcerative colitis in pediatric adolescents requires treatment with pharmacotherapy and dietary control based on constitutional medicine to maintain disease remission. Conclusions: Constitutional therapy is effective for treating adolescent ulcerative colitis. More clinical data are needed for patients with ulcerative colitis.