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J Acupunct Res > Volume 30(4); 2013 > Article
Lee, Jung, Lee, Seo, Sin, Jang, Yoon, Kim, Jeong, and Jang: A Clinical Case Study of Patient that Not Improved Thrombocytopenia after Intravenous Immunoglobulin Treatment at Idiopathic Thrombocytopenic Purpura as a Complication of Deep Vein Thrombosis
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Abstract

Objectives :

The purpose of this study is to report clinical effect of oriental medical for a not improved ITP patient, who developed complication from DVT, after intravenous immunoglobulin treatment.

Methods :

The patient was treated using Saam acupuncture, herbal medication, moxibustion and physical treatment. And we measured of systemic symptoms and platelet counts.

Results :

After treatment, systemic symptoms and platelet counts were improved in case.

Conclusions :

Oriental medical treatment showed significant effect on ITP patient that not improved platelet counts after intravenous immunoglobulin treatment.

Fig. 1.
The changes of platelet counts after oriental medical treatment
acupunct-30-4-203-22-f1.gif
Table 1.
Main Treatment
Date Acupuncture Herb medication Moxibustion Medication change
2011. 3. 21 (The first stage) Bee-jeonggyeok (SP10, SP6, KI3, KI10, LR8, GB39) Bojungikki Decoction Saengjihwang 8 g,
Jeokjakyak Ukag 6 g, Mokdanpi 4 g,
Chija Hwanglyun 3 g Add.(2 Chup 3 pack/day)
CV6, CV4 Nisolone tab
5 mg 4 T
Danazol 100 mg 3 c
2011. 3. 23 Blood transfusion
6 pack
2011. 3. 28 Bojungikki Decoction-Gami(2 Chup 3 pack/day)
Samul Decoction(1 Chup 2 pack/day)
2011. 3. 30 Nisolone tab
5 mg 2 T
Danazol remove
2011. 4. 6 (The middle stage) Bee-jeonggyeok
Add
Sojang-jeonggyeok
(KI10, KI3, LR8, GB39)
Bojungikki Decoction,
Saengjihwang 8g,
Jeokjakyak Ukag 6 g, Mokdanpi 4g,
Chija Hwanglyun 3 g,
Sunhakcho Baekhasuo 6 g,
Kukija 4 g
Add(2 Chup 3 pack/day)
Samul Decoction
(1 Chup 2 pack/day)
CV6, CV4, SP6, ST36 Nisolone tab
5 mg 1 T
2011. 4. 11 Nisolone tab 5 mg
remove
2011. 4. 19∼5. 15 (The last stage) Bee-jeonggyeok
Add
Sojang-jeonggyeok
(KI10, KI3, LR8, GB39, BL18, BL23)
Samul Decoction(2 Chup 3 pack/day)
Bojungikki Decoction Saengjihwang 8 g,
Jeokjakyak Ukag 6 g, Mokdanpi 4 g,
Chija Hwanglyun 3 g,
Sunhakcho Baekhasuo 6 g, Kukija 4 g
Add(1 Chup 2 pack/day)

Bojungikki Decoction : Daejo 7 g, Hwangki Saenggang 6 g, Baekchul Insam Gamcho 4 g, Jinpi Danggi 2 g, Sungma Siho 1.2 g(g/Chup).

Samul Decoction : Danggi 6 g, Baekjaktak Chengung 4 g, Sukjihwang 2 g(g/Chup).

Table 2.
The changes of severities of each symptoms after oriental medical treatment.
Date Lt* calf swelling (cm) Petec-hia Nose bleeding (/Week, bleeding amount) Pulse rate (/min) Palpit-ation Face acne
2011. 3. 23 48 ++++ 1∼2, ++ 110∼130 +++++ ++++
3. 23∼3. 28 48 ++++ 1∼2, ++ 90∼110 ++++ +++
3. 28∼4. 11 47 ++++ 1, ++ 90 +++ +++
4. 11∼4. 18 48 +++ 1, + 80∼90 +++ ++
4. 18∼4. 21 48 +++ 1, + 70∼85 +++ ++
4. 21∼4. 26 48.5 +++ 1, + 80∼90 +++ ++
4. 26∼5. 1 48 +++ 1, + 80∼90 +++ ++
5. 1∼5. 9 49 ++ 1, + 70∼80 +++ ++
5. 9∼5. 15 47.5 ++ 1, + 70∼80 ++ ++

Lt : left

Lt. calf swelling(cm) : measure around 5 cm under the inferior of patella.

It is a measurement instrument for clinical characteristics.

+++++: the most severe clinical symptom that patient is experienced.

+: 20 % clinical symptom is reduced.

−: 10 % clinical symptom is reduced.

VI. References

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16. Department of Acupuncture & Moxibustion of Oriental Medical College. Acupuncture & Moxibustion. Seoul: Jipmoondang. 1994:184–92, 1164–5.

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19. Kim HK. Hwaltu Saamchimbub. Sinnongbaekcho. 2001;67.

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