한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제24권2호
  • /
  • Pages.141-153
  • /
  • 2014
  • /
  • 1229-1854(pISSN)
  • /
  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
권호 표지

급성 파종성 뇌척수염에 대한 한방적 치료 치험 1예

A Clinical Case Report on a Patient of Acute Disseminated Encephalomyelitis Using Korean Medicine

  • 박정하 (나사렛한방병원 한방재활의학과) ;
  • 오득주 (나사렛한방병원 한방내과) ;
  • 장수희 (나사렛한방병원 침구의학과) ;
  • 허희수 (동의의료원 한방내과)
  • Park, Jeong-Ha (Department of Korean Medicine Rehabilitation, Nasaret Korean Medicine Hospital) ;
  • Oh, Deuk-Ju (Department of Oriental Internal Medicine, Nasaret Korean Medicine Hospital) ;
  • Jang, Su-Hee (Department of Acupuncture & Moxibustion, Nasaret Korean Medicine Hospital) ;
  • Hur, Hee-Soo (Department of Oriental Internal Medicine, Dong-eui University Oriental Medicine Hospital)
  • 투고 : 2014.03.18
  • 심사 : 2014.04.07
  • 발행 : 2014.04.30
⟨ 이전 논문 다음 논문 ⟩

초록

The objective of this study is to report the improvement of the patient with Acute Disseminated Encephalomyelitis (ADEM) with Korean Medical intervention. The patient, diagnosed as ADEM, was treated by acupuncture, moxibustion and herb medicine and wild ginseng distilled herbal acupuncture. We evaluated the consequences by checking Manual Muscle Test (MMT), Korean Version of Barthel Index (K-MBI). As a result, the patient improved significantly MMT and K-MBI inclined. In ADEM, the initial diagnosis is important, and through a Korean medicine, we were able to achieve meaningful treatment result. There is a limit on this study due to sufficient number of case, thus, further studies will be needed.

키워드

참고문헌

  1. 新谷太. 연세대학교 의과대학 최일생 역. Steps to Internal Medicine. 10권. 신경질환. 서울: 도서출판 정담. 2002:245-6.
  2. 이진수, 이준수, 고창준. 급성 파종성 뇌척수염(Acute Disseminated Encephalomyelitis) 1례. 대한소아신경학회지. 1994;2(1):191-9.
  3. Hartung HP, Grossman RI. Neurology. ADEM: distinct disease or part of the MS spectrum? 2001;56(10):1257-60.
  4. Singh S, Alexander M, Korah IP. Acute disseminated encephalomyelitis; MR imaging features. Am J Roentgenol 1999;173(4):1101-7. https://doi.org/10.2214/ajr.173.4.10511187
  5. Epperson L.W, Whitaker J.N, Kapila A. Cranial MRI in acute disseminated encephalomyelitis. Neurology. 1988;38(2):332-3.
  6. Raymond Delacy Adams, Maurice Victor. Principles of Neurology. 5th rev. ed. New York: McGraw Hill. 1993:792-4.
  7. 전국한의과대학 심계내과학교실편. 心系內科學. 서울 : 서원당. 1999:451-8.
  8. 구범모, 이경윤, 양동호, 김성근, 임창선, 박영철, 이주일, 김주영. 급성 파종성 뇌척수염 환자의 치험 2례. 대한침구학회지. 2008;25(3):189-96.
  9. 대한침구학회 교재편찬위원회. 鍼灸學 中. 2(1). 파주: 集文堂. 2008:510.
  10. 王淸任. 國譯 醫林改錯. 益山: 圓光大學敎 出版局. 1998:112, 113, 126, 135.
  11. 黃度淵 著. 辛民敎, 永林社編輯部 공동편저. 新增 方藥合編. 1(2). 서울: 永林社. 2007:186.
  12. 許浚 著. 동의문헌연구실 譯. 신대역 東醫寶鑑. 서울:법인문화사. 2007:554, 645, 854-855, 1017, 1756-7.
  13. 김대수, 박영배, 강성길. 삼종의 제법에 따른 인삼수침이 Methotrexate 를 투여한 생쥐의 면역반응에 미치는 영향. 경희의학. 1989;5(1):97-105.
  14. 한방재활의학과학회. 한방재활의학. 2(4). 서울: 군자출판사. 2008:180.
  15. 정한영, 박병규, 신희석, 강윤규, 편성범, 백남종, 김세현, 김태현, 한태륜. 한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구. 대한재활의학회지. 2007;31(3):283-97.
  16. Menge T, Hemmer B, Nessler S, Wiendl H, Neuhaus O, Hartung HP, Kieseier BC, Stuve O. Acute Disseminated Encephalomyelitis: an update. Arch Neurol. 2005;62(11):1673-80. https://doi.org/10.1001/archneur.62.11.1673
  17. 고경봉, 김영수. 감염후 뇌척수염의 진행중 관찰된 정신병. 최신의학. 1985; 28(4):89-92.
  18. Kesselring J, Miller DH, Robb SA, Kendall BE, Moseley IF, Kingsley D, du Boulay EP, McDonald WI. Acute disseminated encephalomyelitis. MRI findings and the distinction from multiple sclerosis. Brain. 1990;113(2):291-302. https://doi.org/10.1093/brain/113.2.291
  19. Miller DH, Kay R, Schon F, McDonald WI, Haas LF, Hughes RA. Optic neuritis following chicken pox in adults. J Neurol. 1986;233(3):182-4. https://doi.org/10.1007/BF00314431
  20. Parkin PJ, Hierons R, McDonald WI. Bilateral optic neuritis : a long term follow up. Brain. 1984;107(3):951-64. https://doi.org/10.1093/brain/107.3.951
  21. Menge T, Kieseier BC, Nessler S, Hemmer B, Hartung HP, Stuve O. Acute disseminated encephalomyelitis: an acute hit against the brain. Curr Opin Neurol. 2007;20(3):247-54. https://doi.org/10.1097/WCO.0b013e3280f31b45
  22. Lin CH, Jeng JS, Hsieh ST, Yip PK, Wu RM. Acute disseminated encephalomyelitis: a follow-up study in Taiwan. J Neurol Neurosurg Psychiatry. 2007;78(2):162-7. https://doi.org/10.1136/jnnp.2005.084194
  23. Tenembaum S, Chitnis T, Ness J, Hahn JS. Acute disseminated encephalomyelitis. Neurology. 2007;68(16):23-36.
  24. 대한약침학회 학술위원회 약침의학연구소. 약침학. 서울:엘스비어코리아. 2011:28-9.