DOI QR코드

DOI QR Code

사지마비와 저림을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례

A Case Report on a Patient with Guillain-Barre Syndrome Complaining of Quadriplegia and Paresthesia, Which Improved after Korean Medicine Treatment

  • 이현승 (원광대학교 한의과대학 내과학교실) ;
  • 김두리 (원광대학교 한의과대학 내과학교실) ;
  • 심상송 (원광대학교 한의과대학 내과학교실) ;
  • 백동기 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • Lee, Hyun-seung (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Du-ri (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Shim, Sang-song (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Baek, Dong-gi (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Yun, Jong-min (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Moon, Byung-soon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 투고 : 2019.09.16
  • 심사 : 2019.12.03
  • 발행 : 2019.12.30

초록

Objective: This study is a report on a case of a Guillain-Barre syndrome patient with quadriplegia and paresthesia, whose condition was improved by Korean medicine treatment. Methods: A 71-year-old woman diagnosed with Guillain-Barre Syndrome was treated by acupuncture, electroacupuncture, Sambi-tang-gami, cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), the Numeric Rating Scale (NRS), the Modified Barthel Index (MBI), and the Functional Independence Measurement (FIM). Result: After treatment, clinical symptoms showed improvement. Conclusion: Korean medicine treatment could be effective in the treatment of Guillain-Barre syndrome patients with quadriplegia and paresthesia.

키워드

참고문헌

  1. Kenneth WL, Ian B. Neurology and Neurosurgery Illustrated 4th ed. Seoul: E*PUBLIC; 2006, p. 613-5.
  2. Lee KW. Textbook of Neurology. Seoul: Panmun education; 2005, p. 293-4.
  3. Hughes RA, Comblath DR. Guillain-Barre syndrome. Lancet 2005;366(9497):1653-66. https://doi.org/10.1016/S0140-6736(05)67665-9
  4. Goodfellow JA, Willison HJ. Guillain-BarrE syndrome: a century of progress. Nature reviews Neurology 2016;12(12):723-31. https://doi.org/10.1038/nrneurol.2016.172
  5. Association of Korean Medicine College for Cardiology and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine. Seoul: Gunja publisher; 2013, p. 416-34.
  6. Roh JA, Jang JW, Lee GE, Hong JS, Kim DJ. A Clinical Case Study of Guillain-Barre Syndrome with Chronic Progression. Journal of Internal Korean Medicine 2018;39(1):76-83. https://doi.org/10.22246/jikm.2018.39.1.76
  7. Lee YR, Kim KS, Choi HS, Kim SM. A Case Report of Patient with Guillain-Barre Syndrome Complaining of Fatigue and Tingling Improved by Korean Medicine Treatment. Journal of Internal Korean Medicine 2017;38(5):719-26. https://doi.org/10.22246/jikm.2017.38.5.719
  8. Hwang DG, Park SM, Kim EJ, Kim JY. Case Report of Patients Diagnosed with Guillain-Barre Syndrome Improved by Traditional Korean Medical Treatment. Journal of Internal Korean Medicine 2016;37(2):305-14.
  9. Heo I, Heo KH, Hwang EH, Shin BC, Hwang MS. A Case Report on Patient with Guillain-Barre Syndrome Improved by Korean Medical Combined Treatment. Journal of Korean Medicine Rehabilitation 2015;25(1):95-101. https://doi.org/10.18325/jkmr.2015.25.1.095
  10. Huh G, Lee YC, Lee JM, Oh MS. A case report of Guillain-Barre syndrome. Research Institute of Korean Medicine 2014;23(1):137-48.
  11. Kim KW, Kim SS, Lee JS, Chung SH. A Clinical Case Study on Guillain-Barre Syndrome Complaining Both Lower Extremity Weakness with Oriental Medical Treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2011;6(1):27-33.
  12. Han TR, Bang MS. Rehabilitation Medicine 3rd ed. Seoul: Gunja publisher; 2008, p. 13.
  13. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine 4th ed. Seoul: Gunja publisher; 2015, p. 27.
  14. Hatrick CT, Kovan JP, Shapiro S. The Numeric Rating Scale for Clinical Pain Measurement: A Ratio Measure?. Pain practice: the official journal of World Institute of Pain 2003;3(4):310-6. https://doi.org/10.1111/j.1530-7085.2003.03034.x
  15. Willison HJ, Jacobs BC, Doorn PA. Guillain-Barre syndrome. Lancet 2016;388(10045):717-27. https://doi.org/10.1016/S0140-6736(16)00339-1
  16. Heo J. Dongeuibogam. Seoul: Beobinmoonhwasa; 1999, p. 977.
  17. Park KH, Lee YS, Kang S, Cho HB, Kim JH, Yoo SK, et al. Effects of Sambitang water extract on Cultured Osteoblast Damaged by Xanthine oxidase(XO)/Hypoxanthien(HX). The Journal of Oriental Obstetrics & Gynecology 2001;14(3):19-32.
  18. Ying H, Zhou Y. Sambi-tang for the treatment of Rheumatic Heart Disease. Jiangxi Journal of Traditional Chinese Medicine 1999;30(2):32.
  19. Ryu JK, Lee YG, Moon BS. Study on the Antiinflammatory, Anticoagulative and Analgesic effects of Sambitang in the experimental animal model. The Journal of Internal Korean Medicine 1998;19(2):88-106.
  20. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. The Acupuncture and Moxibustion Medicine. Seoul: Jibmundang; 2012, p. 599-600.
  21. Jang SG, Kang JH, Yim YK, Lee H, Lee BR. Influence on the Anti-cancer and Immune response improvement of Herbal-acupuncture with Asparagus cochinchinensis infusion solution put into Chung-wan(CV12) and Kwanwon (CV4). The journal of Korean Acupuncture & Moxibustion Society 2003;20(5):159-71.

피인용 문헌

  1. 사지위약감과 안면마비를 주소로 하는 길랑바레 증후군 환자의 한방치료 증례보고 1례 vol.42, pp.4, 2019, https://doi.org/10.22246/jikm.2021.42.4.695
  2. 사지마비를 주소로 하는 길랑바레 증후군 환자에 대한 증례보고 1례 vol.42, pp.5, 2021, https://doi.org/10.22246/jikm.2021.42.5.1009