A Case Report of Korean Medicine Treatment Including <i>Bongnyeong-eum-hap-Banha-hubak-tang</i> for Functional Dyspepsia Accompanied by Globus Sensation
Seongeun Huh, Junwoo Park, Daehan Kim, Sang-Kwan Moon, Woo-Sang Jung, Seungwon Kwon, Han-Gyul LeeBackground: Functional dyspepsia (FD) is a common disorder characterized by chronic upper gastrointestinal symptoms without identifiable structural abnormalities. Globus sensation is a common accompanying symptom in patients with FD. This study reports a case of FD with globus sensation treated with Korean medicine, including <i>Bongnyeong-eum-hap-Banha-hubak-tang</i>.Case Presentation: This case involved a 64-year-old woman with chronic dyspeptic symptoms and globus sensation that were unresponsive to conventional treatment. She was diagnosed with FD based on the Rome IV criteria and was treated with <i>Bongnyeong-eum-hap-Banha-hubak-tang</i> for 30 days. Symptom severity was assessed using the Numerical Rating Scale (NRS), the Gastrointestinal Symptom Rating Scale (GSRS), and the Functional Dyspepsia-Related Quality of Life (FD-QoL) questionnaire. Gastric myoelectrical activity was evaluated using electrogastrography (EGG). After treatment, the NRS scores for dyspeptic symptoms decreased from 9 to 0-2, and globus sensation completely resolved, decreasing from 4-5 to 0. The GSRS score decreased from 62 to 13, and the FD-QoL score improved from 51 to 16. In addition, EGG showed improved gastric contractility, with the power ratio increasing from 0.3 to 2.3.Conclusion: This case suggests that <i>Bongnyeong-eum-hap-Banha-hubak-tang</i> may improve symptoms and gastric function in patients with FD accompanied by globus sensation. Further controlled studies are needed to confirm these findings.