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JKM > Volume 42(1); 2021 > Article
Jeon, Kim, and Son: Recovery of an Elderly Kwashiorkor Patient by Korean Medicine: A Case Report

Abstract

Objectives

The present study reports case of an elderly kwashiorkor patient who was treated with Korean Medicine.

Methods

A 68-year-old female patient with weight loss, general weakness, chills, anorexia, and dizziness after over 100 episodes of diarrhea visited the hospital. Blood tests showed hypoalbuminemia and anemia, and ultrasonography revealed fatty liver disease. The patient was diagnosed with kwashiorkor, and her symptom differentiation was Yang deficiency followed by Both Qi-Blood deficiency. Sayeok-Tang, Soshiho-Tang, Insamyangyeong-Tang, and Gongjin-Dan, herbal drugs, were given to the patient during 40 days of hospitalization.

Results

After 40 days of hospitalization, her symptoms were reduced, and the blood test results improved.

Conclusion

This case presents the therapeutic potential of Korean medicine in the treatment of kwashiorkor.

Fig. 1
Summary of clinical outcome and treatment course.
jkm-42-1-129f1.gif
Table 1
Composition of Drugs
Drug Composition (g*)
Gongjin-Dan Cervi Parvum Cornu (0.8), Angelicae Gigantis Radix (0.8), Corni Fructus (0.8), Moschus berezovskii Flerove (0.08), Apis mellifera Linné (2)
Sayeok-Tang Glycyrrhizae Radix et Rhizoma (6), Zingiberis Rhizoma (5), Aconiti Lateralis Radix Preparata (4)
Insamyanyeong- Tang Paeoniae Radix (24), Zingiberis Rhizoma Recens (24), Angelicae Gigantis Radix (12), Cinnamomi Cortex (12), Citri Unshius Pericarpium (12), Zizyphi Fructus (12), Ginseng Radix (12), Atractylodis Rhizoma Alba (12), Astragali Radix (12), Glycyrrhizae Radix et Rhizoma (12), Anemarrhenae Rhizoma (12), Rehmanniae Radix Preparata (9), Schisandrae Fructus (9), Saposhnikoviae Radix (9), Polygalae Radix (6)

* The indicated dose is weight of each herb for an adult during one day

Table 2
Course of Laboratory Test Results
Parameter Inpatient (week) Outpatient (week) Normal range

0 1 2 3 4 6 7 30
Total protein (g/dL) 5.6 5.7 6.1 6.2 6.7 6.5 - - 6.6–8.7
Albumin (g/dL) 1.9 1.8 2.5 2.7 2.7 2.8 - - 3.5–5.2
ALP (U/L) 149 123 99 78 81 83 - - 40–129
WBC (103/ul) 6.7 8.3 8.2 6.9 7.2 8.3 9.8 6.4 4.5–11.0
Eosinophil (%) 14.0 9.5 12.5 22.9 28.2 33.0 41.2 4.8 <5
Hemoglobin (g/dL) 10.5 9.6 8.7 8.8 9.7 9.9 10.4 11.7 12–16
IgE (IU/mL) 20955 - - - - 19376 - - <1000

ALP: alkaline phosphatase, WBC: white blood cell, IgE: Immunoglobulin E

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