?? ?? ?? ??? ??? ???? ?? 1? (A Case of Urticaria occurred to a Breastfeeding Patient in Postpartum Period Treated with Korean Medicine)

Objectives : The aim of this study is to report the effect of herbal medicine and acupuncture on a breastfeeding woman¡¯s postpartum urticaria which was unresponsive to a 1st generation antihistamine and a topical steroid.
Methods : Wheals and pruritus occurred to a 36-year-old breastfeeding woman 2 days after the parturition. Symptoms were unresponsive to about a week of systemic antihistamine and topical steroid treatments. GamiSamul-tang herbal decoction was administered three times a day for the first 21 days and twice a day for the next 10 days of the treatment. Acupuncture treatment was applied to 12 acupoints (both sides of LI04, LR03, ST36, LI11, SP10, SP6) for 15 minutes once a week, 5 times in total. The patient¡¯s symptom was evaluated with Weekly Urticaria Activity Scale (UAS7) and Visual Analogue Scale for Worst Pruritus within 24 hours (VASPruritus) each time the patient visited out-patient department.
Results : The scores of UAS7 and VASPruritus at the baseline were 38 and 8.2 respectively. 10 days after the herbal medicine and acupuncture treatment began, both decreased to 0 and wheal, pruritus, erythema didn¡¯t appeared again for the rest of the follow up periods.
Conclusions : This study shows the possibility of using GamiSamul-tang and acupuncture to treat postpartum urticaria.

Objectives : The aim of this study is to report the effect of herbal medicine and acupuncture on a breastfeeding woman¡¯s postpartum urticaria which was unresponsive to a 1st generation antihistamine and a topical steroid.
Methods : Wheals and pruritus occurred to a 36-year-old breastfeeding woman 2 days after the parturition. Symptoms were unresponsive to about a week of systemic antihistamine and topical steroid treatments. GamiSamul-tang herbal decoction was administered three times a day for the first 21 days and twice a day for the next 10 days of the treatment. Acupuncture treatment was applied to 12 acupoints (both sides of LI04, LR03, ST36, LI11, SP10, SP6) for 15 minutes once a week, 5 times in total. The patient¡¯s symptom was evaluated with Weekly Urticaria Activity Scale (UAS7) and Visual Analogue Scale for Worst Pruritus within 24 hours (VASPruritus) each time the patient visited out-patient department.
Results : The scores of UAS7 and VASPruritus at the baseline were 38 and 8.2 respectively. 10 days after the herbal medicine and acupuncture treatment began, both decreased to 0 and wheal, pruritus, erythema didn¡¯t appeared again for the rest of the follow up periods.
Conclusions : This study shows the possibility of using GamiSamul-tang and acupuncture to treat postpartum urticaria.