대한한방내과학회지 (The Journal of Internal Korean Medicine)
- 제25권3호
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- Pages.669-676
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- 2004
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- 1226-9174(pISSN)
성상신경절차단술로 제어되지 않은 대상포진후 신경통환자 치험 1예
A Case Report of Post-herpetic neuralgia uncontroled after Stellate Ganglion Block
- 이정은 (대전대학교 한의과대학 내과학교실) ;
- 배한호 (대전대학교 한의과대학 내과학교실) ;
- 한영주 (대전대학교 한의과대학 내과학교실) ;
- 임도희 (대전대학교 한의과대학 내과학교실) ;
- 채은영 (대전대학교 한의과대학 내과학교실) ;
- 조철준 (광동한방병원) ;
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박양춘
(대전대학교 한의과대학 내과학교실)
- Lee, Jung-Eun (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
- Bae, Han-Ho (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
- Han, Young-Joo (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
- Lim, Do-Hee (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
- Chae, Eun-Young (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
- Jo, Chul-Jun (Department of Internal Medicine, Kwang-Dong Oriental Medicine Hospital) ;
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Park, Yang-Chun
(Department of Internal Medicine, College of Oriental Medicine, Daejeon University)
- 발행 : 2004.09.30
초록
Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care. We treated a 60 year-old female patient who suffered pain and headache after Stellate Ganglion Blocks(SGB). In identifying points for differentiation of syndrom(辨證), this subject was diagnosed as Yangmyeong Merdian wind-heat syndrom(陽明經風熱證) and was administered Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方). To ease pain, Western medication was administered as well. After fourteen days of treatment, pain and other symptoms improved.
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