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Treatment of Refractory Edema with Herbs

Refractory edema is characterized by persistent swelling which does not react to diuretic use and sodium restriction. This case report shows a traditional herbal medicine, Gwack Rhyung Tang and Chunggan extract effectively treated refractory lower limb edema caused by cirrhosis and improved liver function (1). A 64-year-old male patient with a history of hypertension, diabetes mellitus, hepatic encephalopathy, and cellulitis presented lower limb edema which did not react to diuretics for more than 7 months. The patient was treated for 25 days using Gwack Rhyung Tang and Chunggan extract. The results showed a loss of body weight, decrease in circumferences of both lower limb and improvement of liver function biochemistry results are checked. There was no recurrence or aggravation of the condition up to 3 weeks of follow-up periods. The authors conclude that traditional herbal medicine can be an effective alternative for refractory edema due to cirrhosis with improving liver function.