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A Case Report on the Use of Korean Medicine Treatment of a Patient with Post Covid-19 Syndrome of Fatigue and Headache

피로, 두통을 호소하는 COVID-19 감염 후유증 환자에 대한 한의복합치료 1례

  • So-Jung, Park (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Hee-kyung, Kang (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • So-yeon, Kim (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Young-ju, Yun (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • In, Lee (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Chang-woo, Han (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Jin-woo, Hong (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Jung-nam, Kwon (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Jun Yong, Choi (Department of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University)
  • 박소정 (부산대학교 한의학전문대학원) ;
  • 강희경 (부산대학교 한의학전문대학원) ;
  • 김소연 (부산대학교 한의학전문대학원) ;
  • 윤영주 (부산대학교 한의학전문대학원) ;
  • 이 인 (부산대학교 한의학전문대학원) ;
  • 한창우 (부산대학교 한의학전문대학원) ;
  • 홍진우 (부산대학교 한의학전문대학원) ;
  • 권정남 (부산대학교 한의학전문대학원) ;
  • 최준용 (부산대학교 한의학전문대학원)
  • Received : 2022.07.22
  • Accepted : 2022.11.18
  • Published : 2022.12.25

Abstract

The purpose of this study is to report on the clinical improvement of a patient treated with Korean medicine for Post COVID-19 syndrome. A 52-year-old male patient with headache and chronic fatigue was diagnosed with post-acute COVID-19 syndrome. He had clinical symptoms such as headache, sweating, fatigue, and insomnia and was treated with acupuncture and herbal medicines such as Sasammaekmoondong-tang. To assess the treatment outcomes, the authors used the Fatigue Severity Scale (FSS) and the Numeral Rating Scale (NRS). Following treatment, fatigue improved, with the FSS score dropping from 48 at the first visit to 18 at the final visit, and clinical symptoms such as headache and insomnia disappeared. According to the findings of this study, Korean Medicine could be used in the clinic to treat post-COVID-19 complications.

Keywords

Acknowledgement

이 과제는 부산대학교 기본연구지원사업(2년)에 의하여 연구되었음.

References

  1. https://covid19.who.int/
  2. Yelin D, Moschopoulos CD, Margalit I, Gkrania-Klotsas E, Landi F, Stahl JP, Yahav D. ESCMID rapid guidelines for assessment and management of long COVID. Clin Microbiol Infect Dis. 2022;28(7):955-72. DOI: 10.1016/j.cmi.2022.02.018.
  3. Jang S, Kim D, Yi E, et al. Telemedicine and the Use of Korean Medicine for Patients With COVID-19 in South Korea: Observational Study. JMIR Public Health Surveill 7: e20236,
  4. Raveendran AV, Jayadevan R, Sashidharan S. Long COVID: an overview. Diabetes Metab Syndr. 2021;15(3):869-75. DOI: 10.1016/j.dsx.2021.04.007.
  5. Garrigues E, Janvier P, Kherabi Y, Le Bot A, Hamon A, Gouze H, et al. Post-discharge persistent symptoms and health-related quality of life after hospitalization for COVID-19. J Infect. 2020;81(6):e4-e6. DOI: 10.1016/j.jinf.2020.08.029.
  6. Halpin SJ, McIvor C, Whyatt G, Adams A, Harvey O, McLean L, et al. Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: a cross-sectional evaluation. J Med Virol. 2021;93(2):1013-22. DOI: 10.1002/jmv.26368.
  7. Chopra V, Flanders SA, O'Malley M, Malani AN, Prescott HC. Sixty-day outcomes among patients hospitalized with covid-19. Ann Intern Med. 2021;174(4):576-8. DOI: 10.7326/M20-5661.
  8. Lee HJ, Sung HK, Lee DK, Choi YM, Lee JY, Lee JY, Oh MD. Comparison of complications after coronavirus disease and seasonal influenza, south korea. Emerg Infect Dis. 2022;28(2):347-53. DOI: 10.3201/eid2802.211848.
  9. Kim YJ. COVID-19 and long-term sequelae. Korean J Med. 2022;97(1):23-7. DOI: 10.3904/kjm.2022.97.1.23.
  10. Kim YJ, Ha BN, Kim SW, Chang HH, Kwon KT, Bae SH et al. Post-acute COVID-19 syndrome in patients after 12 months from COVID-19 infection in korea. BMC Infect Dis. 2022;22(93):1-12. DOI: 10.1186/s12879-022-07062-6.
  11. Crook H, Raza S, Nowell J, Young M, Edison P. Long covid-mechanisms, risk factors, and management. BMJ. 2021:374:n1648. DOI: 10.1136/bmj.n1648.
  12. Kim DS, Chu HM, Min BK, Moon YJ, Park SJ, Kim KH, et al. Telemedicine center of korean medicine for treating patients with COVID-19: a retrospective analysis. Integr Med Res. 2020;9(3):1-5. DOI: 10.1016/j.imr.2020.100492.
  13. WHO Expert Meeting on Evaluation of Traditional Chinese Medicine in the Treatment of COVID-19. Meeting report, 28 February-31 March 2022.
  14. Lee BJ, Lee JA, Kim KI, et al. A consensus guideline of herbal medicine for coronavirus disease 2019. Integr Med Res 9: 100470, 2020.
  15. National Health Commission & State Administration of Traditional Chinese Medicine. Diagnosis and Treatment Protocol for Novel Coronavirus neumonia (Trial Version 9). 2022.03.14.
  16. Zhao W, Han G, Wang X, Li Y, Zhang H, Zhang Y, et al. Experience on the traditional chinese medicine treatment of mild and ordinary type of COVID-19 in middle and recovery period. Shanxi Journal of Traditional Chinese Medicine. 2020;36(4):36-7.
  17. Wen L, Wan K, Suai Y, Zhang H. Application of Qingzao Yangrong decoction to convalescent patients with COVID-19. Pharmacology and Clinics of Chinese Materia Medica. 2020;36(2):61-3. DOI: 10.13412/j.cnki.zyyl.2020.02.001.
  18. Lee KE, Jeong SH, Jeong MJ, Choi YM, Song MD, Jang IS. Review on herbal medicine treatment for late complications of COVID-19 patients. Korean J Intern Med. 2021;42(1):53-66. DOI: 10.22246/jikm.2021.42.1.53.
  19. Moreno-Perez, O., Merino, E., Leon-Ramirez, J.-M., Andres, M., Ramos, J. M., Arenas-Jimenez, J., et al. Post-acute covid-19 syndrome. incidence and risk factors: a mediterranean cohort study. J Infect. 2021;82(3):378-83. DOI: 10.1016/j.jinf.2021.01.004.
  20. A clinical case definition of post COVID-19 condition by a Delphi consensus. WHO. '21.10.6
  21. Groff D, Sun A, Ssentongo AE et al. Short-term and long-term rates of postacute sequelae of SARS-CoV-2 infection: a systematic review. JAMA Netw Open. 2021;4(10):e2128568. DOI: 10.1001/jamanetworkopen.2021.28568.
  22. Sandra LL, Talia WO, Carol P, Rosalinda S,Paulina A R, Angelica C, et al. More than 50 Long-term effects of COVID-19: a systematic reviewand meta-analysis. MedRxiv [online] 2021[Posted January 30]. DOI: https://doi.org/10.1101/2021.01.27.21250617
  23. Nalbandian A, Sehgal K, Gupta A, V.Madhavan M, McGroder C, S.Stevens, J, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-15. DOI: 10.1038/s41591-021-01283-z.
  24. Han Z, Zhang Y, Wang P, et al. Is acupuncture effective in the treatment of COVID-19 related symptoms? Based on bioinformatics/network topology strategy. Brief Bioinform. 2021;22(5):1-11. DOI: 10.1093/bib/bbab110
  25. Birch S, Alraek T, Grobe S. Reflections on the potential role of acupuncture and Chinese herbal medicine in the treatment of Covid-19 and subsequent health problems. Integr Med Res 10: 100780, 2021.