A Case of Korean Medicine Treatment for Chronic Anemia with Chronic Kidney Disease and Acute Pancreatitis

Objective: To report the effects of Korean medicine on macrocytic anemia in a patient with chronic kidney disease (CKD) and acute pancreatitis.Methods: A 78-year-old female with CKD on hemodialysis and persistent macrocytic anemia received Palmul-tang (八物湯) and Oryeong-san (五令散) with acupuncture for two months. Hematologic, pancreatic enzyme, renal, and hepatic function tests were monitored.Results: Hemoglobin increased from 9.1 to 11.0 g/dL and hematocrit increased from 26.9% to 33.9%, while mean corpuscular volume remained 103-115 fL. Amylase and lipase levels decreased from 73 and 282 U/L to 47 and 97 U/L, respectively. No renal or hepatic function deterioration occurred, and no additional transfusions or new anemia medications were administered.Conclusion: Korean medicine, particularly Palmul-tang (八物湯), may improve hematologic indices in CKD-related macrocytic anemia without adverse effects.