대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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청심연자탕 가감방으로 호전된 교뇌 출혈 이후 발생한 양측 반신부전마비, 연하곤란, 언어장애 치험 1례

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

  • 양지연 (동수원한방병원 한방내과) ;
  • 정택수 (동수원한방병원 한방내과) ;
  • 전경륭 (동수원한방병원 한방내과) ;
  • 옥소윤 (동수원한방병원 재활의학과) ;
  • 선종주 (동수원한방병원 한방내과)
  • 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)
  • 투고 : 2017.03.27
  • 심사 : 2017.05.27
  • 발행 : 2017.05.30
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초록

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.

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참고문헌

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