감비경신음 절식요법을 활용한 한의치료가 과체중 환자의 섬유근육통 증상 및 체성분 변화에 미치는 영향에 대한 증례보고 1례

Effects of Korean Medicine Treatment Incorporating Gambigyeongsin-eum Fasting Therapy on Fibromyalgia Symptoms and Body Composition in an Overweight Patient: A Case Report

Obesity is considered a contributing factor to symptom severity in fibromyalgia syndrome (FMS), and dietary interventions including fasting therapy have been suggested as potential strategy. Gambigyeongsin-eum (GB-GSE), a herbal medication developed to support fasting has been reported to preserve lean body mass during weight reduction. We report the case of a 51 year old overweight woman with FMS who underwent an inpatient multi-modal Korean medicine program incorporating GB-GSE assisted fasting. After the intervention, fibromyalgia impact questionnaire score and functional assessments including Western Ontario and McMaster Universities osteoarthritis index, shoulder pain and disability index, Oswestry disability index, foot and ankle outcome score demonstrated substantial improvements, while body composition analysis showed weight loss primarily attributable to fat reduction with preservation of muscle mass. This case suggests GB-GSE assisted fasting combined with Korean medicine therapy may be a safe and effective approach for managing symptoms in overweight patients with FMS.