Management of Perennial Allergic Rhinitis Complicated by Rhinosinusitis Using Ultrasound-Guided Sphenopalatine Ganglion Acupuncture and Modified Socheongryong-tang: two CARE-compliant case reports.
Jihyun Moon, Juhwan Song, Jiwoo Kim, Youngjo So, Hyeon-Gyu Cho, Sangho Ji, Myungjin Oh, Sangkwan Lee, Taeseok Ahn, Cheol-Hyun Kim
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引用次数: 0
Abstract
Allergic rhinitis (AR) and chronic rhinosinusitis (CRS) are common upper respiratory tract diseases that frequently coexist. While not life-threatening, these conditions significantly diminish quality of life, impose substantial socioeconomic burdens due to their chronic and recurrent nature, and negatively impact mental health. In some cases, AR and CRS have been associated with severe outcomes, including suicidal tendencies. This report presents two cases of women aged 42 and 37 years who experienced recurrent AR and CRS symptoms, such as persistent nasal congestion, rhinorrhea, which led to difficulties in conversation during meals and sleep disturbances, for over 20 years, despite undergoing conventional treatments. Both patients received an 8-12 week treatment regimen consisting of Socheongryong-tang (SCRT) and ultrasound-guided acupuncture targeting the sphenopalatine ganglion (SPG). Treatment efficacy was assessed using nasal endoscopic findings, Rhinoconjunctivitis Quality of Life Questionnaire scores, and Total Nasal Symptom Scores. Significant post-treatment improvements were observed, and these effects persisted for 3 months after treatment cessation, with no significant adverse events reported. While Intranasal corticosteroids are the standard treatment for AR and CRS, approximately 30% of patients either experience insufficient symptom relief or discontinue their use due to adverse effects, often leading to symptom relapse. In contrast, the combination of SCRT and SPG-targeted ultrasound-guided acupuncture may offer a promising alternative treatment option, demonstrating sustained symptom improvement without significant adverse effects.
期刊介绍:
The Journal of Pharmacopuncture covers a wide range of basic and clinical science research relevant to all aspects of the biotechnology of integrated approaches using both pharmacology and acupuncture therapeutics, including research involving pharmacology, acupuncture studies and pharmacopuncture studies. The subjects are mainly divided into three categories: pharmacology (applied phytomedicine, plant sciences, pharmacology, toxicology, medicinal plants, traditional medicines, herbal medicine, Sasang constitutional medicine, herbal formulae, foods, agricultural technologies, naturopathy, etc.), acupuncture (acupressure, electroacupuncture, laser acupuncture, moxibustion, cupping, etc.), and pharmacopuncture (aqua-acupuncture, meridian pharmacopuncture, eight-principles pharmacopuncture, animal-based pharmacopuncture, mountain ginseng pharmacopuncture, bee venom therapy, needle embedding therapy, implant therapy, etc.). Other categories include chuna treatment, veterinary acupuncture and related animal studies, alternative medicines for treating cancer and cancer-related symptoms, etc. Broader topical coverage on the effects of acupuncture, the medical plants used in traditional and alternative medicine, pharmacological action and other related modalities, such as anthroposophy, homeopathy, ayurveda, bioelectromagnetic therapy, chiropractic, neural therapy and meditation, can be considered to be within the journal’s scope if based on acupoints and meridians. Submissions of original articles, review articles, systematic reviews, case reports, brief reports, opinions, commentaries, medical lectures, letters to the editor, photo-essays, technical notes, and book reviews are encouraged. Providing free access to the full text of all current and archived articles on its website (www.journal.ac), also searchable through a Google Scholar search.