DOI QR코드

DOI QR Code

A Case Study of Chengsimyeonja-tang-gamibang Treatment of a Patient with a Pontine Hemorrhage, with Quadriparesis, Dysarthria, and Dysphagia

청심연자탕 가감방으로 호전된 교뇌 출혈 이후 발생한 양측 반신부전마비, 연하곤란, 언어장애 치험 1례

  • Yang, Jee-yun (Dept. of Oriental Internal Medicine, Dongsuwon Oriental Hospital) ;
  • Jeong, Taek-su (Dept. of Oriental Internal Medicine, Dongsuwon Oriental Hospital) ;
  • Jeon, Gyeong-ryung (Dept. of Oriental Internal Medicine, Dongsuwon Oriental Hospital) ;
  • Ok, So-yoon (Dept. of Oriental Rehabilitation Medicine, Dongsuwon Oriental Hospital) ;
  • Sun, Jong-joo (Dept. of Oriental Internal Medicine, Dongsuwon Oriental Hospital)
  • 양지연 (동수원한방병원 한방내과) ;
  • 정택수 (동수원한방병원 한방내과) ;
  • 전경륭 (동수원한방병원 한방내과) ;
  • 옥소윤 (동수원한방병원 재활의학과) ;
  • 선종주 (동수원한방병원 한방내과)
  • Received : 2017.03.27
  • Accepted : 2017.05.27
  • Published : 2017.05.30

Abstract

Objectives: This case study evaluated the effectiveness of Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) in a patient with a pontine hemorrhage and quadriparesis, dysarthria, and dysphagia. Methods: A patient diagnosed with a pontine hemorrhage was treated with Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) acupuncture, and moxibustion. The manual muscle test (MMT), modified Barthel index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Mini Mental State Examination-Korea (MMSE-K), and Articulatory Functional Ability of Achievement Scale were administered. Results: Improvements in the MMT, MBI, NIHSS, mRS, and K-MMSE were observed after the treatment. The MMT grade increased from Rt. 3/3- and Lt. 3/3- pretreatment to Rt. 4/4 and Lt. 4+/4+ post-treatment. The MBI increased from 10 to 50 post-treatment. The NIHSS decreased from 24 to 6 post-treatment, and the mRS fell from 5 to 4 post-treatment. Finally, the MMSE-K increased from 0 to 24 post-treatment. The Articulatory Functional Ability of Achievement Scale also improved. Conclusion: This study shows that Chengsimyeonja-tang-gamibang can be used to treat the symptoms of patients with a pontine hemorrhage.

Keywords

References

  1. Park JS, Sun WS, Pyo SY, Kim MS, Jeong YG, Lee SI, et al. Clinical Aspect of Spontaneous Pontine Hemorrhage. Korean J Cerebrovasc Surg 2005;7(1):31-6.
  2. Shin JH, Nam HI, Cho YY, Sun SH, Baek TH, Kim SH. Clinical Study of Hemiplegia, Dizziness, and Hiccupping Caused by Pontine Infarction. J Int Korean Med 2016;37(2):298-304.
  3. Pack BW, Lee SY, Byun SB. A Case Report of Pontine Infarction with Korean traditional medical treatment. J Int Korean Med 2014;256-62.
  4. Lee OB. The Effects of the Articulatory Training Program on the Dysarthric Speech in Subjects with Dysarthria. Graduate School of Regabilitation science of Daegu University 1998;35.
  5. Kim TR, Lim HC, Jeon SY. A Case Report of Broca's Aphasia after Cerebral Infarction by Korean Medical Treatment including Five-Element Acupuncture. J Int Korean Med 2016;37(3)568-77.
  6. The Korean neurological Association. Textbook of Neurology. 2nd version. Seoul: Panmun; 2012, p. 27, 595-8, 575.
  7. Lee HJ. The Comparisons of the Swallowing Functions According to the Indices in Brainstem Stroke Patients. Commun Sci Disord 2012;17: 377-89.
  8. Chung CS, Park CH. Primary pontine hemorrhage: a new CT classification. Neurology 1992;42(4) 830-4. https://doi.org/10.1212/WNL.42.4.830
  9. Choi CH, Park DJ, Woo Y. Clinical Analysis of the Factors Affecting the Prognosis of Spontaneous Pontine Hemorrhage, J korean Neurosung Soc 1997:26;1408-12.
  10. Kim J. Sasang medicine Seongliimsangron. Seoul: Daeseongmunhwasa; 1998, p. 303.
  11. Hong SY, Lee EH. Sasang medicine Wonron. Seoul: haengrim; 1985, p. 344-5, 349-57.
  12. Park SJ. A clinical study of Taeumin Chongsim Yonja Tang. J of Sasang Const Med 1998;10(1): 235-52.
  13. Hwang SY, Lee JH, Kim HS, Bae YC, Kim KY, Won KS. Effects of Cheongsimyeonja-tang water extract on the Cultured Primary Hippocampal Cell Damaged by XO/HX. J of Sasang Const Med 2002;14(3):132-45.
  14. OK YY, Ryu DG, Kim KY. Effects of Taeumin Chungsimyeunjatang on the Cerebral neurons injured by Hydrogen Peroxide. J of Sasang Const. Med 1999;11(2):251-66.
  15. Hong SC, Ko BH, Song IB. An Experimental Study on the Anti-Stress Effect by Taeumin Chongsimyonjatang. J of Sasang Const. Med 1995;7(2):227-42.
  16. Park JH, Kim KY. Effect of Taeumin Chungsimyoinjatang Extract on Blood Pressure and Regional Cerebral Blood Flow in Rats. J of Sasang Const Med 2000;12(1):216-27.
  17. Hong S, Ann JJ, Choi CW, Jeong YD. The Experimental Study of Sunkihwalhyul-Tang against Inhibitive Effects on the Brain Ischemia. HFS 2005;13(1):49-69.
  18. Encyclopedia of Korean Culture. http://encykorea.aks.ac.kr/Contents/Index?contents_id=E0000187
  19. Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke 2005;36(9):e100-43. https://doi.org/10.1161/01.STR.0000180861.54180.FF

Cited by

  1. 기저핵 뇌출혈로 인한 반신부전마비, 감각장애에 대한 한방치험 1례 vol.39, pp.5, 2017, https://doi.org/10.22246/jikm.2018.39.5.1015
  2. 중대뇌동맥 뇌경색 이후 발생된 뇌출혈에 동반된 브로카실어증(Broca aphasia) 환자에 대한 한의치료 증례보고 1례 vol.40, pp.5, 2017, https://doi.org/10.22246/jikm.2019.40.5.832