A Case Study of Fibromyalgia with Insomnia and Dry Mouth Treated with Korean Medicine including <italic>Guibiondam-tang-gagam</italic>

Abstract

Objective: This study addresses a case of fibromyalgia with insomnia and dry mouth.Methods: A patient diagnosed with fibromyalgia was treated with Korean medicine including herbal therapy with &lt;i&gt;Guibiondam-tang-gagam&lt;/i&gt;, acupuncture, pharmacopuncture, moxibustion, and chuna for 16 days. To evaluate the therapeutic effects, sleeping hours, time taken to fall asleep, and surprise on waking were assessed, and a numeric rating scale (NRS) was used to monitor dry mouth.Results: After treatment, the patient’s sleeping hours increased, time taken to fall asleep decreased, and the patient woke up surprised less often. The NRS score for dry mouth also decreased.Conclusion: These results suggest that Korean medicine therapies with &lt;i&gt;Guibiondam-tang-gagam&lt;/i&gt; have a beneficial effect on insomnia and dry mouth as additional symptoms of fibromyalgia.

A Case Report of a Patient with Insomnia Related To Fibromyalgia Treated with Korean Medicine, including Bunshimgi-eum

“…한의학에서도 섬유근육통은 정신적 증상을 동반 한다는 점에서 痰飮, 스트레스에 의해 증상의 경감 이 관련된 점에서 氣鬱과 관련하여 접근할 수 있 다 6 . 섬유근육통의 증상 중 불면을 호소하는 환자 의 한의학적 치험례로는 陰虛 및 血虛로 변증하여 歸脾溫膽湯加減을 처방 7 , 心神의 不足으로 변증하 여 養心湯을 처방 8 , 氣鬱로 변증하여 胸痛解鬱湯을 처방 6 2) 환자의 Numeric Rating Scale(NRS) 변화 (Fig. 3) 환자의 European Quality of Life-5 Dimensions scale(EQ-5D) 변화(Fig.…”