DOI QR코드

DOI QR Code

A Case Report on Heat Sensation in Both Feet Caused by Restless Leg Syndrome Using Conservative Korean Medical Treatment

양 족부 열감을 호소하는 하지불안증후군 환자 치험 1례

  • Kim, Gyeong-muk (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Suh, Won-joo (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Kim, Su-bin (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Jung, Woo-sang (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Mun, Sang-kwan (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Kwon, Seung-won (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Cho, Ki-ho (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
  • 김경묵 (경희대학교 한방병원 순환신경내과) ;
  • 서원주 (경희대학교 한방병원 순환신경내과) ;
  • 김수빈 (경희대학교 한방병원 순환신경내과) ;
  • 정우상 (경희대학교 한방병원 순환신경내과) ;
  • 문상관 (경희대학교 한방병원 순환신경내과) ;
  • 권승원 (경희대학교 한방병원 순환신경내과) ;
  • 조기호 (경희대학교 한방병원 순환신경내과)
  • Received : 2018.03.16
  • Accepted : 2018.05.28
  • Published : 2018.05.30

Abstract

Objectives: The purpose of this study is to evaluate the effectiveness of electroacupuncture on heat sensation of the feet of a 61-year-old female patient with restless leg syndrome. Methods: Electroacupuncture was performed at four acupoints (KI3 (太谿), KI6 (照海), LR3 (太衝), LR2 (行間)) selected to reduce heat sensation in both feet. The patient's symptoms were assessed using the VAS (Visual Analogue Scale), the SF-MPQ (short-form McGill Pain Questionnaire), and the IRLS (International Restless Legs Scale). The treatment was performed from April 20, 2010 to April 24, 2010. Results: During five sessions of electroacupuncture treatments, the VAS, SF-MPQ, and IRLS scores improved throughout the treatment period and afterwards. Conclusions: The results suggest that electroacupuncture at KI3(太谿), KI6(照海), LR3(太衝), LR2(行間) can be effective for reducing hot flush in both feet.

Keywords

References

  1. Trenkwalder C, Paulus W. Restless legs syndrome: pathophysiology, clinical presentation and management. Nat Rev Neurol 2010;6(6):337-46. https://doi.org/10.1038/nrneurol.2010.55
  2. Cho YW, Shin WC, Yun CH, Hong SB, Kim JH, Allen RP, et al. Epidemiology of restless legs syndrome in Korean adults. Sleep 2008; 31(2):219-23. https://doi.org/10.1093/sleep/31.2.219
  3. Do JY, Yoon CH, Kim WJ, Yang KI, Park SH, Chu MK. Prevalence of restless legs syndrome in Korean adult population: comparison between international restless legs syndrome study group criteria and Cambridge-Hopkins diagnostic questionnaire. J Korean Sleep Res Soc 2013;10(1):7-14. https://doi.org/10.13078/jksrs.13002
  4. Allen R. Dopamine and iron in the pathophysiology of restless legs syndrome(RLS). Sleep Med 2004; 5(4):385-91. https://doi.org/10.1016/j.sleep.2004.01.012
  5. Pittock SJ, Parrett T, Adler CH, Parisi JE, Dickson DW, Ahlskog JE. Neuropathology of primary restless leg syndrome: absence of specific tau- and alpha-synuclein pathology. Mov Disord 2004;19(6):695-9. https://doi.org/10.1002/mds.20042
  6. Park SM, Kang BG, Han DJ, Lee JU, Na RH, Bang CH, et al, Clinical Case Report of Restless Leg Syndrome in Ischemic Stroke Patients. Korean Journal of Oriental Physiology & Pathology 2008;22(4):975-81.
  7. Dudgeon D, Raubertas RF, Rosenthal SN. The shortform McGill Pain Questionnaire in chronic cancer pain. Journal of pain and symptom management 1993;8(4):191-5. https://doi.org/10.1016/0885-3924(93)90126-G
  8. Melzack R. The short-form McGill Pain Questionnaire. Pain 1987;30(2):191-7. https://doi.org/10.1016/0304-3959(87)91074-8
  9. Park GS. Validation of the Korean versions of the short-form McGill pain questionnaire (SF-MPQ) and neuropathic pain scale (NPS) in neuropathic pain patients. The Department of Clinical Medical Science, Seoul National University, College of Medicine 2015.
  10. Yang JG. The Reliability and Validity of the Korean Versions of the International Restless Legs Scale and the Restless Legs Syndrome Quality of Life Questionnaire. Journal of the Korean Neurological Association 2010;28(4):263-9.
  11. Ondo W, Jankovic J. Restless legs syndrome: clinicoetiologic correlates. Neurology 1996;47(6):1435-41. https://doi.org/10.1212/WNL.47.6.1435
  12. Allen RP, Picchietti DL, Garcia-Borreguero D, Ondo WG, Walters AS, Winkelman JW, et al. Restless legs syndrome/Willis-Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria-history, rationale, description, and significance. Sleep Med 2014;15(8):860-73. https://doi.org/10.1016/j.sleep.2014.03.025
  13. Gamaldo CE, Earley CJ. Restless legs syndrome: a clinical update. Chest 2006;130(5):1596-604. https://doi.org/10.1378/chest.130.5.1596
  14. Aukerman MM, Aukerman D, Bayard M, Tudiver F, Thorp L, Bailey B. Exercise and restless legs syndrome: a randomized controlled trial. J Am Board Fam Med 2006;19(5):487-93. https://doi.org/10.3122/jabfm.19.5.487
  15. Silber MH, Ehrenberg BL, Allen RP, Buchfuhrer MJ, Earley CJ, Hening WA, et al. An algorithm for the management of restless legs syndrome. Mayo Clin Proc 2004;79(7):916-22. https://doi.org/10.4065/79.7.916
  16. Aurora RN, Kristo DA, Bista SR, Rowley JA, Zak RS, Casey KR, et al. The treatment of restless legs syndrome and periodic limb movement disorder in adults-an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses: an American Academy of Sleep Medicine Clinical Practice Guideline. Sleep 2012;35(8):1039-62.
  17. Garcia-Borreguero D, Ferini-Strambi L, Kohnen R, O'Keeffe S, Trenkwalder C, Hogl B, et al. European guidelines on management of restless legs syndrome: report of a joint task force by the European Federation of Neurological Societies, the European Neurological Society and the European Sleep Research Society. Eur J Neurol 2012; 19(11):1385-96. https://doi.org/10.1111/j.1468-1331.2012.03853.x
  18. Zhang ZJ. The book of Zhong Jing. Seoul: Daesung Publishing Company; 1984, p. 369.
  19. Cheon SM, Han SK, Yeo SW, Lee YC, So YS, Ro SJ, et al. Study on the "Pluse Syndrome Complex and Treatment of Blood Paralysis and Weakness Fatigue" in The Synposis of Goldon Chamber(金櫃要略). Journal of physiology & pathology in Korean Medicine 2006;20(2):333-44.
  20. Xue J. Home Medical scribe two kinds. Acient Chinese Medicine Press. 1993:10.
  21. Yan X, Wang WD, Walters AS, Wang Q, Liu YJ, Chu FY. Traditional Chinese medicine herbal preparations in Restless Legs Syndrome (RLS) treatment: A review and probable first description of RLS in 1529. Sleep Medicine Reviews 2012;16(6):509-18. https://doi.org/10.1016/j.smrv.2012.01.003
  22. Park YH, Cha YY. Effect of Acupuncture and Massage on Iliopsoas Muscle in Patients with Restless Leg Syndrome : Case Report. Journal of Oriental Rehabilitation Medicine 2013;23(2) :163-74.
  23. Kim JY, Lee JW, Oh HY, Lee JH, Lee EJ, Koh BH. A Case Study of Soyangin Patient with Restless Legs Syndrome Treated with Hyeongbangsabaeksan. Journal of Sasang constitutional medicine 2015; 27(4):419-28. https://doi.org/10.7730/JSCM.2015.27.4.419
  24. Kwon YJ, Lee DH, Lee UI, Park KM, Lee SH. Effects of fixed-intensity and varied-intensity electroacupuncture in pain and thermal threshold in patients with chronic tension headache. The Journal of Korean Acupuncture & Moxibustion Medicine Society 2012;29(4):25-34.
  25. Shin HK, Lee SE, Park DS. Study on Peripheral Meechanism and Opioid Receptors Implicated in Electroacupuncture-induced Inhibition of Chronic Pain. Journal of Korean Oriental Medicine 2003; 24(3):108-17.
  26. Han JS. Acupuncture and endorphins. Neurosci Lett 2004;361(1-3):258-61. https://doi.org/10.1016/j.neulet.2003.12.019

Cited by

  1. 하지불안증후군으로 인한 양 발바닥 저림에 대한 한의 치험 1례 vol.40, pp.2, 2019, https://doi.org/10.22246/jikm.2019.40.2.270
  2. 양 하지 불편감을 호소하는 교뇌 경색 환자에 대한 한의 치험 1례 vol.42, pp.5, 2018, https://doi.org/10.22246/jikm.2021.42.5.991