The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Hemiparesis and Hypesthesia in a Patient with an Intracerebral Hemorrhage at the Basal Ganglia Treated with Traditional Korean Medicine

기저핵 뇌출혈로 인한 반신부전마비, 감각장애에 대한 한방치험 1례

  • Jeong, Taek-su (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jeon, Gyeong-ryung (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Cho, Jun-ho (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Park, Jin-seo (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Sohn, Soo-ah (Dept. of Acupuncture and Moxibustion Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Kwon, Do-ick (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital)
  • 정택수 (동수원한방병원 한방내과) ;
  • 전경륭 (동수원한방병원 한방내과) ;
  • 조준호 (동수원한방병원 한방내과) ;
  • 박진서 (동수원한방병원 한방내과) ;
  • 손수아 (동수원한방병원 침구과) ;
  • 권도익 (동수원한방병원 한방내과)
  • Received : 2018.08.03
  • Accepted : 2018.10.24
  • Published : 2018.10.30
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Abstract

Objectives: The aim of this study is to describe the effects of traditional Korean medicine treatment on a patient with an intracerebral hemorrhage (ICH) at the left basal ganglia. Methods: The patient was treated with herbal medicine (Gamicheongsim-tang, Hwangryunhaedok-tang-tablet), acupuncture, moxibustion, and rehabilitative therapy. The effects of these treatments were evaluated using the manual muscle test (MMT), sensory scale, Korean version of the modified Barthel index (K-MBI), and the National Institutes of Health Stroke Scale (NIHSS). Results: After treatment, the MMT grade improved from 3+/3+ to 4+/4+, and the sensory scale increased from 40%/40%/40% to 80%/80%/80%. In addition, the K-MBI score improved from 56 to 100, and the NIHSS score decreased from 7 to 1. Conclusion: The results suggest that traditional Korean medicine can be effective in the treatment of patients with ICH.

Keywords

References

  1. Korea Neurological Association. Textbook of Neurology. Seoul: PanMun-education; 2015. p. 570-1, 595-3.
  2. Choi IS. Internal medicine as understood by pathophysiology 10, Neurological disease. Seoul: Jeongdam; 2013. p. 234-5.
  3. Department of Cardiology Internal Medicine, College of Korean Medicine. Korean medicine Circulatory neurology. 4th edition. Seoul: Koonja; 2013. p. 404.
  4. Yang JY, Jeong TS, Jeon GR, Ok SY, Sun JJ. A case study of Chengsimyeonja-tang-gamibang treatment of a patient with a pontine hemorrhage, with quadriparesis, dysarthria, and dysphagia. J Int Korean Med 2017:38(2):217-8. https://doi.org/10.22246/jikm.2017.38.2.217
  5. Ji HM, Suh JH, Won YH, Yoon TS. Early recurrent right basal ganglia infarction after intravenous thrombolysis for left basal ganglia infarction management. Brain & NeuroRehabilitation 2014:7(2):143-3. https://doi.org/10.12786/bn.2014.7.2.143
  6. Son AY, Choi HM, Go JY, Lee DK, Shin HS. A case report of hemiparesis in a patient with an intracerebral hemorrhage at th basal ganglia, thalamus, and internal capsule treated with a combination of Traditional Korean Medicine and Western Medicine. J Int Korean Med 2017:38(2):180-9. https://doi.org/10.22246/jikm.2017.38.2.180
  7. Kang HS, Yu HJ, Lee KE, Roh SY. A case of pathologic crying, delusion and memory impairment due to hemorrhage in th right basal ganglia. Korean J Stroke 2011:11(3):134-2.
  8. Lee SB, Kim DK, Kim JM. Relationship of hypertension and hematoma volume in ganglio- thalamic hemorrhages. J of the Korean Neurological Association 1993:11(2):149-7.
  9. Shin SW, Lee EJ, Koh BH, Lee JH. The study on th development of diagnosis algorithm of Taeeumin symptomology. J of Sasang Constitutional Med 2012:24(4):28-11. https://doi.org/10.7730/JSCM.2012.24.4.28
  10. Lee JM. Dongeuisusebowon. Seoul: Yeogang publishing Co: 1992. p. 243-28.
  11. Han BS, Bae YC, Song SY, Park HS, Lee JH, Kim KY. Antioxidant effects and its mechanism of Cheongsimyeonjatang in Sasang constitutional medicine. J of Sasang Constitutional Med 2004:16(1):130-17.
  12. Lim JP, Ahn TW. The anti-oxidative and immune-regulatory effect of Chungsimyeonja-tang in aged rat. J of Sasang Constitutional Med 2007:19(3):227-14.
  13. Park JH, Kim KY. Effect of Taeumin Chungsimyoinjatang extract on blood pressure and regional cerebral blood flow in rats. J of Sasang Constitutional Med 2000:12(1):216-1.
  14. Choi YJ, Han JH, Kim KY, Kang SY. Effects of Yuldahansotang water extract on blood pressure, regional cerebral blood flow and pial arterial diameter. J of Sasang Constitutional Med 1998:10(1):285-8.
  15. Lee JH, Park HS, Kim KY. Effects of Yuldahansotang water extract on cultured primary hippocampal cell culture damaged by hydrogen peroxide. J of Sasang Constitutional Med 2002:14(1):79-10.
  16. Kim OS, Kim HJ, Shin HK. Anti-atherosclerotic effects of Herbal formulas for Sasang Constitutional Medicine. J of Sasang Constitutional Med 2012:24(4):51-10. https://doi.org/10.7730/JSCM.2012.24.4.51
  17. Song MY, Jung HW, Park YK. Antiobesity effect of water extract of Coix lacrymajobi var. mayuen in high fat fed C5BL/6 mice. J Korean Med Obes Res 2016:16(1):27-8. https://doi.org/10.15429/jkomor.2016.16.1.27
  18. Hyun SH, Min KD, Yei YC, Kang AR, Lee EC, Moon SK, et al. Correlation study between the changes of the fire- and heat- related symptoms and motor function recovery in acute cerebral infarction patients. Korean J Orient Int Med 2013:34(4):428-9.
  19. Hwang DS, Kim HG, Kim TM, Lee TH, Oh MS. The effect of Hwangryunheadok-tang on the c-fos level in mice exposed to heat stress. J Korean Obstet Gynecol 2014:27(3):1-10. https://doi.org/10.15204/JKOBGY.2014.27.3.001
  20. Lee YB, Lee YJ, Kim HT, Kim SH, Kim JH, Kim MH. Outcome after medical treatment for hypertensive intracerebral hemorrhage. J of the Korean Neurological Association 1997:15(4):745-8.