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The Journal of Internal Korean Medicine > Volume 34(3); 2013 > Article
The Journal of Internal Korean Medicine 2013;34(3): 329-337.
기관절개술을 시행한 중풍 환자의 객담에 대한 痰飮 처방 투여 1例
권태욱, 안립, 김명호, 이상아, 장명웅, 최동준
동국대학교 일산한방병원 한방내과
A Case Report of a Tracheostomized Patient with Stroke Suffering from Sputum Secretion Treated with Herbal Prescriptions for dispelling Dam-eum
Tae-wook Kwon, Lib Ahn, Myung-ho Kim, Sang-ah Lee, Myung-woong Jang, Dong-jun Choi
Dept. of Oriental Internal Medicine, Dong-Guk University Il-san Oriental Medicine Hospital
Correspondence  Dong-jun Choi ,Tel: 031-961-9044, Fax: 031-961-9049, Email: juni@dumc.or.kr
  Published online: September 30, 2013.
ABSTRACT
This is a case report of a tracheostomized 80-year-old man suffering from sputum after stroke. His symptoms were watery sputum production requiring frequent sputum suction. The subject was diagnosed as having a deficiency of spleen qi and was treated with Gami-ijung-tang, Yukgunja-tang, Soeumin Bojungikgi-tang, and extract in the herbal prescription known to dispell Dam-eum (phlegm-retained fluid). Frequency of ssputum suction and condition of sputum were checked everyday. Gamiijung-tang, Soeumin Bojungikgi-tang with Ijin-tang extract led to improvement by reducing sputum secretion. There were limitations on frequency of suction and condition of sputum which were thought to be derived from tracheostomy, however. Consequently, pathology and treatment of sputum will be different whether tracheostomy was performed or not.
Key words: tracheostomy, sputum, stroke, Dam-eum (phlegm-retained fluid)
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