The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of a Patient with Subarachnoid Hemorrhage and Deep Vein Thrombosis Treated with a Combination of East-West Medicine

지주막하 출혈 후 발생한 심부정맥 혈전증 환자에 대한 한양방 병용치료 증례 보고 1례

  • Bae, Go-eun (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Jin-yong (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Shim, So-hyun (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Seo, Hee-jeong (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Seo, Hyung-bum (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Hong, Jin-woo (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Lee, In (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kim, So-yeon (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Jun-Yong (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Han, Chang-woo (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yun, Young-ju (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Park, Seong-ha (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kwon, Jung-nam (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital)
  • 배고은 (부산대학교한방병원 한방내과) ;
  • 최진용 (부산대학교한방병원 한방내과) ;
  • 심소현 (부산대학교한방병원 한방내과) ;
  • 서희정 (부산대학교한방병원 한방내과) ;
  • 서형범 (부산대학교한방병원 한방내과) ;
  • 홍진우 (부산대학교한방병원 한방내과) ;
  • 이인 (부산대학교한방병원 한방내과) ;
  • 김소연 (부산대학교한방병원 한방내과) ;
  • 최준용 (부산대학교한방병원 한방내과) ;
  • 한창우 (부산대학교한방병원 한방내과) ;
  • 윤영주 (부산대학교한방병원 한방내과) ;
  • 박성하 (부산대학교한방병원 한방내과) ;
  • 권정남 (부산대학교한방병원 한방내과)
  • Received : 2018.03.16
  • Accepted : 2018.05.27
  • Published : 2018.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To report on a patient with subarachnoid hemorrhage and deep vein thrombosis treated with a combination of Korean and Western medicine. Methods: A patient diagnosed with subarachnoid hemorrhage and deep vein thrombosis was treated with herbal medicine (加減淸熱瀉濕湯 (Gagam-cheongyeolsaseub-tang)), acupuncture (GV2, GB20, LI11, LI4, TE5, GB34, ST36, SP9, ST38, GB39, SP6, LR3), moxibustion (CV6, CV9), and Western medicine for deep vein thrombosis and subarachnoid hemorrhage. To evaluate edema, one of the classic symptoms of deep vein thrombosis, we measured leg circumference at a specified time. Results: After taking Gagam-cheongyeolsaseub-tang and being treated with acupuncture, moxibustion, and Western medicine, the patient showed improvement in leg edema. The left calf circumference decreased from 37.5 cm to 34.5 cm. Conclusions: Korean medicine, acupuncture, moxibustion, and Western medicine may provide effective treatment for deep vein thrombosis in patients with subarachnoid hemorrhage, but further study is needed.

Keywords

References

  1. Kim YH, Min SK, Kang JM, Kim HK, Bae JI, Choi SY, et al. Diagnosis and Treatment of Lower Extremity Deep Vein Thrombosis : Korean Practice Guidlines. J Korean Soc Radiol 2016; 75(4):233-62. https://doi.org/10.3348/jksr.2016.75.4.233
  2. Jang MJ, Bang SM, Oh D. Incidence of venous thromboembolism in Korea: from the Health Insurance Review and Assessment Service database. Journal of Thrombosis and Haemostasis 2011; 9(1):85-91. https://doi.org/10.1111/j.1538-7836.2010.04108.x
  3. Kim DI. Phlebology. Seoul: Uihakmunhwasa; 2007, p. 91-114.
  4. Oriental Medicine University So. Oriental Medicine Circulation phlebology. Seoul: Gunja; 2010, p. 235.
  5. Brandstater ME, Roth EJ, Siebens HC. Venous thromboembolism in stroke: literature review and implications for clinical practice. Archives of physical medicine and rehabilitation 1992; 73(5-s):S379-91.
  6. Kang JS, Park SH, Song MK, Ahn YM, Ahn SY, Lee BC. The Effect of Hyulbuchuko-tang on a Case with Deep Vein Thrombosis(DVT) and Intracranial Hemorrhage(ICH). J Int Korean Med 2009;30(2):438-49.
  7. Oh JW, Kang MS, Yang SP, Kim JY, Lee EJ. A Case Report on Underlying Edema and Weakness by Deep Vein Thrombosis(DVT) Diagnosed with Taeumin Wiwanhanbyeong. J of Sasang Constitutional Medicine. 2017;29(2):202-9. https://doi.org/10.7730/JSCM.2017.29.2.202
  8. Tintinalli JE. Emergency medicine. Seoul: Hanuri; 2001, p. 47-52.
  9. Min BK, Kim SJ, Kang JH, Park JW, Yoon IJ, Oh MS. Clinical Investigation about Deep Vein Thrombosis after cystostomy : Case Report. The Journal of the Korea Institute of Oriental Medical Informatics 2005;11(2):14-22.
  10. Kim CG, Koh NY, Ko YS, Lee JH. Deep Vein Thrombosis after Total Knee Replacement in a Patient undergoing Korean Medical Rehabilitation. Journal of Korean Medicine Rehabilitation 2015; 25(2):197-203. https://doi.org/10.18325/jkmr.2015.25.2.197
  11. Lee MH, Hur HS, Kim KM, Kim YK. Case Study of a Deep-vein Thrombosis Patient Treated with Combinatorial Hyulbuchuko-tang. J Int Korean Med 2016;37(2):315-21.
  12. Sul JU, Shin MS, Choi JB. Clinical Investigation about Suspected the DVT (Deep Vein Thrombosis) : Case Report. J Oriental Rehab Med 2004;14(2) :137-45.
  13. Heo J. Donguibogam. Seoul: bubibbooks; 2009, p. 846-9.
  14. Wells PS, Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. The New England journal of medicine 2003; 349(13):1227-35. https://doi.org/10.1056/NEJMoa023153
  15. Korean Stroke Society. Stroke. Seoul: Panmuneducation; 2015, p. 459-61.
  16. Lee JH, Kim KK, Kim MK, Yoo BG. D-dimer Predicts Short-Term Functional Outcome in Acute Ischemic Stroke. Joural of Neurocrit Care 2017;10(1):19-27. https://doi.org/10.18700/jnc.160084
  17. Bauersachs R, Berkowitz SD, Brenner B, Buller HR, Decousus H, Gallus AS, et al. Oral rivaroxaban for symptomatic venous thromboembolism. The New England journal of medicine 2010;363(26) :2499-510. https://doi.org/10.1056/NEJMoa1007903
  18. Kappelle LJ. Preventing deep vein thrombosis after stroke: strategies and recommendations. Current treatment options in neurology 2011; 13(6):629-35. https://doi.org/10.1007/s11940-011-0147-4
  19. Kim IH, Lee HI, Lee SW, Kwon YM, Song YS. Anti-nociceptive and Anti-inflammatory Effects of Gami-cheongyulsaseub-tang in Arthritic Model. Journal of Korean Medicine Rehabilitation 2015; 25(1):27-44. https://doi.org/10.18325/JKMR.2015.25.1.027
  20. Park JS. Effects of Cheongyeolsaseup-tang(Qingrexieshi-tang) in Experimental Model of Rheumatoid Arthritis. J Oriental Rehab Med 2004;14(2):29-39.
  21. Yang BF, Zeng XH, Liu Y, Fu QN, He T, Li F, et al. Effect of acupuncture treatment on vascular cognitive impairment without dementia: study protocol for a randomized controlled trial. Trials 2014;15:442. https://doi.org/10.1186/1745-6215-15-442

Cited by

  1. 하지 심부정맥혈전증으로 인한 부종 및 통증에 계지복령환 투약과 침 요법을 포함한 한의 치료를 시행한 증례 1례 보고 vol.42, pp.2, 2018, https://doi.org/10.13048/jkm.21020