항생제 치료에도 반복되는 기관지확장증 환자의 기관지폐렴에 대한 한양방 복합 치험 1례

• Published in: 대한한방내과학회지 Vol. 45; no. 2; pp. 287 - 302
• Main Authors: 신정원, 박지원, 진수현, 정희재, 김관일, 이범준, Jeong-Won Shin, Jiwon Park, Su-Hyun Chin, Hee-Jae Jung, Kwan-Il Kim, Beom-Joon Lee
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01.05.2024
• Subjects: 한의학; Korean medicine; immunoregulation; Chuna manual therapy; bronchiectasis; recurrent pneumonia
• ISSN: 1226-9174
• DOI: 10.22246/jikm.2024.45.2.287

Background: Bronchiectasis is a chronic respiratory condition leading to recurrent respiratory infections. Despite the use of antibiotics and other standard treatments, managing bronchiectasis remains challenging due to the frequent recurrence of airway infections and concerns about antimicrobial resistance. Given these challenges, traditional Korean medicine (TKM) has gained attention due to its potential to reduce the frequency of respiratory infections, possibly minimizing the need for antibiotics. Case report: A 59-year-old female with bronchiectasis experienced recurrent pneumonia and was treated with antibiotics for over 2 weeks without any significant improvement in clinical symptoms. She received comprehensive Korean medicine treatment, including herbal medicine (Sikyungbanha-tang combined with Bigwabojungikki-tang-gami), acupuncture, and Chuna manual therapy, for pulmonary rehabilitation. Post-treatment, clinically meaningful improvements were observed in symptoms, serum C-reactive protein (CRP) levels, and bronchopneumonic lesions on chest X-rays. Conclusion: This case suggests that complex traditional Korean medicine treatments for recurrent chronic airway inflammation due to bronchiectasis can lead to clinically significant improvements in symptoms and help to prevent recurrence.