Two Cases of Insomnia in Stroke Patients, Treated with Enhanced Blood Circulation

활혈거어법(活血祛瘀法)으로 호전된 중풍환자(中風患者)의 불면(不眠) 2례

  • Chung, Ki-Hyun (Department of Cardiovascular & Neurologic Disease(Stroke Center), College of Traditional Korean Medicine, Kyunghee University) ;
  • Kim, Young-Suk (Department of Cardiovascular & Neurologic Disease(Stroke Center), College of Traditional Korean Medicine, Kyunghee University) ;
  • Kang, Kyung-Suk (Department of Cardiovascular & Neurologic Disease(Stroke Center), College of Traditional Korean Medicine, Kyunghee University)
  • 정기현 (경희대학교 한의과대학 2내과학 교실) ;
  • 김영석 (경희대학교 한의과대학 2내과학 교실) ;
  • 강경숙 (경희대학교 한의과대학 2내과학 교실)
  • Published : 2002.06.30

Abstract

Insomnia is defined as an experience of inadequate or poor-quality sleeping habit, coupled with more than one of the following symptoms : having difficulty sleeping, waking up too early in the morning or not having sound sleep. Insomnia is one of the most common complications that stroke patients experience, which interfere the patients' recovery. The authors observed two improved cases of insomnia in stroke patients by administrating traditional Korean medicine. The patients suffered from insomnia with nocturnal irritation, constipation, petechia of the tongue, thready or weak pulse. These symptoms, were diagnosed as blood stasis and we administered Hyulboochucke-tang three times a day, to improve blood circulation to remove blood stasis. After the administration, nocturnal irritation disappeared and the insomnia improved. Based on this experience, it is considered that enhancing blood circulation to remove blood stasis can be applied to the treatment of insomnia that stroke patients suffer.

Keywords

References

  1. Acta Psychiatr. Scand. v.81 Prevalence of reported sleeplessness in northern Norway in relation to sex, age, and season Husby, R.;Lingjaerdo, O.
  2. JAMA v.262 Epidemiology study of sleep disturbances and psychiatric disorders Ford, D.E.;Kamerow, D.B.
  3. 신경정신의학 v.30 no.1 종합병원 입원 환자에서의 불면증의 임상적 특징 이종국;한창환;유태혁
  4. 수면정신생리 v.6 no.2 외상성 뇌손상과 수면장애 김영철
  5. 수면정신생리 v.6 no.1 불면증의 약물치료 : 진정 수면제 박두흠
  6. 수면정신생리 v.2 no.2 까다로운 만성불면증의 원인과 치료 이성훈
  7. Sleep v.22 no.2 Incidence and remission of insomnia among elderly adults : an epidemiologic study of 6,800 pesons over three years Foley, D.J.;Monjan, A.;Simonsick, E.M.;Wallace, R.B.;Blazer, D.G.
  8. 대한재활의학회지 v.24 no.3 재활병동 환자의 불면증 오수연;전민호
  9. J. Neurol. Neurosurg Psychiatry v.55 Temporally related changes of sleep complaints in traumatic brain injured patients Cohen, M.;Oksenberg, A.;Snir, D.;Stern, M.J.;Groswasser, Z.
  10. Am. J. Phys. Med. Rehabil. v.77 Difining sleep disturbance after brain injury Clinchot, Daniel M.;Bogner, Jennifer;Mysiw, Jerry W.;Fugate, Lisa;Corrigan, John
  11. Neuroscience and Behavioral Physiology v.28 no.3 Structure of nocturnal sleep in patients with cerebral insult Gasanov, R.L.;Gitlevich, T.R.;Yal, Lesnyak;Yal, Levin
  12. 수면정신생리 v.7 no.1 불면증의 비약물학적 치료 윤인영
  13. 대한한방진단학회지 v.1 no.1 불면에 대한 동서의학적 고찰 계해정;박창국
  14. 浙江中醫雜誌 v.23 中風後遺症治之我見 陳進
  15. 대한한의학회지 v.9 no.2 中風의 腦出血 崔賢
  16. 혜화의학 v.5 no.1 中風治法에 있어서 活血化瘀法에 대한 문헌적 고찰 임준식;이진섭
  17. 대한한의학회지 v.11 no.1 중풍의 혈어론적 고찰 및 활혈거어법에 의한 치료 근황 최현;문구;문석재
  18. 서양의학자의 한방진료학 寺澤捷年;조기호(역);신길조(역)
  19. 대한한의학회지 v.21 no.4 뇌졸중으로 한방병원에 입원치료 하였던 환자들의 합병증에 관한 임상적 고찰 김관식;서관수;김동웅;신선호;한명아;정용준;장통영;양재훈
  20. Stroke v.29 Medical and Neurological Complications of Ischemic Stroke, Experience From the RANTTAS Trial Johnston, K.C.;Li, J.Y.;Lyden, P.D.;Hanson, S.K.;Feasby, T.E.;Adams, R.J.;Edward, F.R.;Clarke, H.E.