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Effect of Modified Hyeongbangjiwhang-tang for essential tremor after total vaginal hysterectomy : Case report

전자궁적출술 후 발생한 본태성 떨림에 대한 형방지황탕 가감 투여: 증례보고

  • Received : 2018.11.12
  • Accepted : 2018.12.07
  • Published : 2018.12.31

Abstract

Objectives This case reports the effect of Modified Hyeongbangjiwhang-tang for essential tremor after total vaginal hysterectomy. Methods The patient was treated with Modified Hyeongbangjiwhang-tang three times a day. To differentiate other diseases, we took her medical history. And, we used the Verbal Numerical Rating Scale (VNRS) and Gastrointestinal Symptom Rating Scale (GSRS) to assess tremor and gastrointestinal symptoms. Results Treatment with modified Hyeongbangjiwhang-tang resulted in a decrease in the patient's complaints of symptoms. Also, VNRS and GSRS scale were improved. Adverse effects were not observed. Conclusions Modified Hyeongbangjiwhang-tang may be effective for essential tremor after total vaginal hysterectomy.

Keywords

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Figure 1. Timeline of the patient. Pt: Patient.

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Figure 2. Comparison of VNRS score before and after treatment

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Figure 3. Comparison of GSRS scores before and after treatment

References

  1. Louis ED, Ferreira JJ. How common is the most common adult movement disorder? Update on the worldwide prevalence of essential tremor. Mov Disord. 2010;25(5):534-541. https://doi.org/10.1002/mds.22838
  2. Bain PG, Findley LJ, Thompson PD, Gresty MA, Rothwell JC, Harding AE, Marsden CD. A study of hereditary essential tremor. Brain. 1994;117:805-824. https://doi.org/10.1093/brain/117.4.805
  3. Louis ED, Barnes L, Albert SM, Cote L, Schneier FR, Pullman SL, Yu Q. Correlates of functional disability in essential tremor. Mov Disord. 2001;16(5):914-920. https://doi.org/10.1002/mds.1184
  4. Lorenz D, Schwieger D, Moises H, Deuschl G. Quality of life and personality in essential tremor patients. Mov Disord. 2006;21(8):1114-1118. https://doi.org/10.1002/mds.20884
  5. Clarke-Pearson DL, Geller EJ. Complications of hysterectomy. Obstet Gynecol. 2013;121(3):654-673. https://doi.org/10.1097/AOG.0b013e3182841594
  6. Ismail AK, Abdul Ghafar MA, Shamsuddin NS, Roslan NA, Kaharuddin H, Nik Muhamad NA. The Assessment of Acute Pain in Pre-Hospital Care Using Verbal Numerical Rating and Visual Analogue Scales. J Emerg Med. 2015;49(3):287-293. https://doi.org/10.1016/j.jemermed.2015.02.043
  7. Svedlund J, Sjodin I, Dotevall G. GSRS--a clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci. 1988;33:129-134. https://doi.org/10.1007/BF01535722
  8. Kulich KR, Madisch A, Pacini F, Pique JM, Regula J, Van Rensburg CJ, et al. Reliability and validity of the Gastrointestinal Symptom Rating Scale (GSRS) and Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaire in dyspepsia: a six-country study. Health Qual Life Outcomes. 2008;31;6:12. https://doi.org/10.1186/1477-7525-6-12
  9. SH Kim, S Lee, JH Lee, EJ Lee. Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution. J Sasang Constitut Med. 2015;27(1):110-124. https://doi.org/10.7730/JSCM.2015.27.1.110
  10. YH Baek, ES Jang, KH Park, JH Yoo, HJ Jin, SW Lee. Development and Validation of Brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) Based on Body Shape, Temperament and Symptoms. J Sasang Constitut Med. 2015;27(2):211-221. https://doi.org/10.7730/JSCM.2015.27.2.211
  11. Sears MR. Adverse effects of beta-agonists. J Allergy Clin Immunol. 2002;110:S322-328. https://doi.org/10.1067/mai.2002.129966
  12. Lopez MB. Postanaesthetic shivering - from pathophysiology to prevention. Rom J Anaesth Intensive Care. 2018;25(1):73-81. https://doi.org/10.21454/rjaic.7518.251.xum
  13. Helmich RC, Toni I, Deuschl G, Bloem BR. The pathophysiology of essentialtremor and Parkinson's tremor. Curr Neurol Neurosci Rep. 2013;13(9):378. https://doi.org/10.1007/s11910-013-0378-8
  14. Kwon KY, Ryu HS, Lee HM, Kim MJ, Shin HW, Park HK, You S, Sung YH, Chung SJ, Koh SB. Hand Tremor Questionnaire: A Useful Screening Tool for Differentiating Patients with Hand Tremor between Parkinson's Disease and Essential Tremor. J Clin Neurol. 2018;14(3):381-386. https://doi.org/10.3988/jcn.2018.14.3.381
  15. JH Lee, EJ Lee. Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm. J Sasang Constitut Med. 2014;26(3):224-240. https://doi.org/10.7730/JSCM.2014.26.3.224
  16. MR Shin, JC Joo, EJ Lee. Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Yin-Depletion (Mangeum) Symptomatology. J Sasang Constitut Med. 2014;26(3):251-261. https://doi.org/10.7730/JSCM.2014.26.3.251
  17. GY Go, MH Jang, KY Kim, TK Ahn. A Case Study about Soyangin Cerebellar Atrophy Patient suffering from Dizziness improved by Hyeungbangjihwang-tang. J Sasang Constitut Med. 2013;25(3):233-242. https://doi.org/10.7730/JSCM.2013.25.3.233
  18. HJ Ok, CH Bang, YH Park, SH Park, SW Lee, JJ Sun. A Case Report of Axonal Type Guillain-Barre Syndrome Patient Treated by Soyang-in Hyungbangjihwang-tang. J Int Korean Med. 2015;58-64.
  19. GM Bae, HS Cho, SH Lee, IS Lee. A Clinical Report on Treatment of Two Soyangin Cases of Complications of Post-hysterectomy. J Korean Med. 2009;30(3):111-118.
  20. Xiong Y, Wang J, Wu F, Li J, Zhou L, Kong L. Effects of (${\pm}$)-praeruptorin A on airway inflammation, airway hyperresponsiveness and NF-${\kappa}B$ signaling pathway in a mouse model of allergic airway disease. Eur J Pharmacol. 2012;15;683(1-3):316-324. https://doi.org/10.1016/j.ejphar.2012.03.004
  21. Sheu SY, Hong YW, Sun JS, Liu MH, Chen CY, Ke CJ. Radix Scrophulariae extracts (harpagoside) suppresses hypoxia-induced microglial activation and neurotoxicity. BMC Complement Altern Med. 2015;14;15:324. https://doi.org/10.1186/s12906-015-0842-x
  22. Tatsumi S, Mabuchi T, Abe T, Xu L, Minami T, Ito S. Analgesic effect of extracts of Chinese medicinal herbs Moutan cortex and Coicis semen on neuropathic pain in mice. Neurosci Lett. 2004;11;370(2-3):130-134. https://doi.org/10.1016/j.neulet.2004.08.043
  23. Chamsy DJ, Louie MY, Lum DA, Phelps AL, Mansuria SM. Clinical utility of postoperative hemoglobin level testing following total laparoscopic hysterectomy. Am J Obstet Gynecol. 2014;211(3):224.e1-7. https://doi.org/10.1016/j.ajog.2014.04.003
  24. Wallis JP, Wells AW, Whitehead S, Brewster N. Recovery from post-operative anaemia. Transfus Med. 2005;15(5):413-418. https://doi.org/10.1111/j.1365-3148.2005.00607.x