A Case Report of Hot Flush-Type Rosacea Improved by Baekho-tang

Article information

J Korean Med. 2020;41(3):173-179
Publication date (electronic) : 2020 September 01
doi : https://doi.org/10.13048/jkm.20033
1Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University
2Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University
3Research Center of Traditional Korean Medicine, Wonkwang University
Correspondence to: Eun-Heui Jo, Department of Acupuncture & Moxibustion Medicine, Wonkwang University Korean Medicine Hospital 99, Garyeonsan-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54887, Republic of Korea, Tel: +82-63-270-1022, E-mail: freezo@wonkwang.ac.kr
Received 2020 August 03; Revised 2020 August 10; Accepted 2020 August 12.

Abstract

Objectives

This study aims to report a case of hot flush-type rosacea improved by oral administration of Baekho-tang.

Methods

The patient visited our clinic due to hot flash symptom on April 16, 2020. Based on the symptoms of hating heat, bloating, sweating, and thirst, traditional medicine Baekho-tang was prescribed.

Results

After 5 days of taking Baekho-tang, the symptom score of hot flush improved significantly from 8 to 3. About a week later, most of the symptoms, including hot flush, edema, and burning sensation almost disappeared. After treatment, the follow-up process was conducted for about a month, and it was confirmed that the flushing of the face did not recur and remained improved.

Conclusions

After a week of Baekho-tang administration, hot flush, burning sensation, edema and other symptoms associated with rosacea improved overall.

Fig. 1

Treatment Timeline

Fig. 2

Clinical Progress of Rosacea

Prescription of Baekho-tang

Rosacea Symptom Evaluation Index

Clinical Symptoms Evaluation Progress of Rosacea

References

1. Cho JG, Seo S, Park SJ, Han SR. 3 Cases of emotional facial flush treated with Gagamhwanggeum-tang. J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28(1):160–168.
2. Kim TH, Hwang SM, Lee WS, Ahn SK, Choi EH. A clinical study of rosace. Korean J Dermatol 2000;38(5):583–588.
3. Kang EJ, Lee HC, Kam EY, Choi JW, Kim JH, Park SY, Jung MY. A case report of erythemato-telangiectatic rosacea patient treated with Yangdokbaekho-tang and Hwangryunhaedok-Tang wet dressing. J Korean Med Ophthalmol Otolaryngol Dermatol 2019;32(3):235–243.
4. Spoendlin J, Voegel JJ, Jick SS, Meier CR. A study on the epidemiology of rosacea in the U.K. Br J Dermatol 2012;167:598–605.
5. Han JM, Kang NR, Ko WS, Yoon HJ. The study on Korean and western medical Literatures for skin aging: Wrinkle, hyperpigmentation, dry skin, facial flush. J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27(2):1–13.
6. Kim KJ, Kim NK, Kim YB, Kim JH, Park MC, Park SY, et al. Text of traditional Korean Dermatology & Surgery Busan: Seonu; 2007. p. 129–133. p. 491–493.
7. Hong JE, Park MC, Kang SJ, Yang GJ, Jo EH. New interpretation on ‘MyeonGu’ of Baekho-tang text of Shanghanlun through case reports. J Physiol & Pathol Korean Med 2020;34(1):45–52.
8. Park HJ, Kim JH, Yoo HR, Kim YS, Seol IC, JO HK. A case of patient with epigastralgia which appeared after stroke treated with Baekho-tang. Journal of Haehwa Medicine 2013;21:133–138.
9. Kim J, Yoo WJ, Kim NI. Medical historical observations about Baekhotang Kyung-Hee Univ; 2015.
10. Kim WH. Studies on the effects of Baikho-tang in the alloxan-diabetic rats. The Journal of East-West Medicine 1979;3:2–31.
11. Lee HW, Hong SU. The Effect of Bakhotang-gamibang on 3 Cases of hyperhidrosis of the palms and soles. J Korean Med Ophthalmol Otolaryngol Dermatol 2006;19:256–262.
12. Yun HY, LEE SE, Sim YH, Shin HS, Choi KH. A case report of Herpes zoster in children improved by Bekhotang. The Journal of Internal Korean Medicine 2010;:293–298.
13. Wilkin J, Dahl M, Detmar M, Drake L, Feinstein A, Odom R. Standard classification of rosacea: report of the National Rosacea Society Expert Committee on the classification and staging of rasacea. J Am Acad Dermatol 2002;46:584–87.
14. Culp B, Scheinfeld N. Rosacea: A review. P T 2009;34(1):38–45.
15. Wilki J, Dahl M, Detmar M, Drake L, Feinstein A, Odom R, Powell F. Standard classification of rosacea: Report of the National Rosacea Society Expert Committee on the classification and staging of rosacea. J Am Acad Dermatol 2002;46:584–587.
16. Starr PAJ, McDonald A. Oculocutaneous aspects of rosacea. Proc Roy Soc Med 1969;62:9–11.
17. Min JW, Han JH. Hot flush patients treated with Seungmahwangryeontang-gami and facial venesection: A case-series study. J Physiol & Pathol Korean Med 2015;29(6):523–529.

Article information Continued

Fig. 1

Treatment Timeline

Fig. 2

Clinical Progress of Rosacea

Table 1

Prescription of Baekho-tang

Name of natural medicine (herbal medicine) Weight(g)
Gypsum Fibrosum 16
Anemarrhena asphodeloides Bunge 12.5
Oryza sativa 6
Glycyrrhiza uralensis Fisch 2

Total Amount 36.5

Table 2

Rosacea Symptom Evaluation Index

Flushing Edema Burning Sensation
Symptom severity None(0) None(0) None(0)
Mild(1) Mild(1) Mild(1)
Moderate(2) Moderate(2) Moderate(2)
Severe(3) Severe(3) Severe(3)

Table 3

Clinical Symptoms Evaluation Progress of Rosacea

2020.04.16 2020.04.21 2020.04.23
Flushing 3 1 0
Edema 2 1 0
Burning Sensation 3 1 0

Total 8 3 0