Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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A Patient with Guillain-Barre Syndrome Treated with Combined Korean Medicine Treatments

  • Cha, Hyun Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Beom Seok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Ye Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Hyo Bin (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Sung, Ki Jung (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Young Rok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Jin Youp (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Eun Seok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeon, Ju Hyun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Young Il (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • Received : 2020.10.04
  • Accepted : 2021.01.21
  • Published : 2021.05.31
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Abstract

A patient diagnosed with Guillain-Barre syndrome (GBS) suffering from numbness in the toes and fingers, paralysis in the face, and back pain received intravenous immunoglobulin on December 28, 2019. Without an improvement in symptoms the patient was admitted to a Korean medicine hospital on January 1, 2020 to receive combined Korean medicine treatment including herbal medicine (Sipjeondaebo-tanggami and Hyangbujasunkipalmul-tang), acupuncture treatment, moxibustion, cupping treatment, and physical therapy. Treatment was administered over 51 days, of which 17 days were during hospitalization. Paralysis of facial muscle, and numbness in fingers and toes were evaluated using the Yanagihara score and numeric rating scale (NRS) score, respectively. Facial paralysis improved (21 to 40 based on Yanagihara score) and paresthesia of the hands and feet disappeared (NRS score 6-7 to NRS score 0). There were no side effects or sequela. This study suggested combined Korean medicine treatment may be effective for the treatment of GBS.

Keywords

References

  1. Asbury AK, Cornblath DR. Assessment of current diagnostic criteria for Guillain-Barre syndrome. Ann Neurol 1990;27:21-24.
  2. Islam Z, Jacobs BC, van Belkum A, Mohammad QD, Islam MB, Herbrink P et al. Axonal variant of Guillain Barre syndrome associated with Campylobacter infection in Bangladesh. Neurology 2010;74:581-587. https://doi.org/10.1212/WNL.0b013e3181cff735
  3. Musakhan P, Sreevani S, Amaravathi KS, Devi MB. A study of cranial nerve involvement in patients with Guillain-Barre syndrome. Indian J Appl Res 2016;6:34-36.
  4. Jang JU, Koo BM, Lee KY, Yang JC, Mun KS. Clinical observation on 2 case of Guillain-Barre syndrome. J Korean Acupunct Moxibustion Soc 2006;23:189-198. [in Korean].
  5. Lee HS, Kim DR, Shim SS, Baek DG, Yun JM, Moon BS. A Case Report on a Patient with Guillain-Barre Syndrome Complaining of Quadriplegia and Paresthesia, Which Improved after Korean Medicine Treatment. J Int Korean Med 2019;40:1210-1218. [in Korean]. https://doi.org/10.22246/jikm.2019.40.6.1210
  6. Kim KW, Kim SS, Lee JS, Chung SH. A Clinical Case Study on GuillainBarre Syndrome Complaining Both Lower Extremity Weakness with Oriental Medical Treatment. J Korea Chuna Man Med Spine Nerv 2011;6:27-33. [in Korean].
  7. Shim JC, Kim JW, Kim MS, Oh BY, Yu BC, Jo HK et al. A Case Report of Korean Traditional Medical Therapy about Patient with Guillain-Barre Syndrome. Korean J Orient Int Med 2004;25:418-425. [in Korean].
  8. Im SH, Lee MJ, Lee SM, Kim YS, Lee SH, Kang JW et al. A Comparative Study of the Effects of Pharmacopuncture Treatment and Bee Venom Pharmacopuncture Treatment on Peripheral Facial Paralysis. J Acupunct Res 2014;31:135-144. [in Korean]. https://doi.org/10.13045/acupunct.2014031
  9. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 204-228, 322, 488-491, 501-502, 491-494, 510-512. [in Korean].
  10. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 104-106, 809-811. [in Korean].
  11. Kim JI, Lee MS, Lee DG, Boddy K, Ernst E. Cupping for Treating Pain: A Systematic Review. Evid Based Complement Alternat Med 2011;2011:467014.
  12. Yanagihara N. Grading of Facial Palsy. In Facial Nerve Surgery, Proceedings: Third International Symposium on Facial Nerve Surgery, Zurich, 1976. U. Fish (Ed.). Amstelveen, Netherlands: Kugler Medical Publications. Birmingham (UK): Aesculapius Publishing Co; 1977. p. 533-535.
  13. Engstrom M, Jonsson L, Grindlund M, Stalberg E. House-Brackmann and Yanagihara Grading Score in Relation to Electroneurographic Results in the Time Course of Bell's palsy. Acta Otolaryngol 1988;118:783-789.
  14. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short Form McGill Pain Questionnaire (SF MPQ), Chronic Pain Grade Scale (CPGS), Short Form 36 Bodily Pain Scale (SF36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res 2011;63:240-252. https://doi.org/10.1002/acr.20345
  15. Burres S, Fisch U. The comparison of facial grading systems. Arch Otolaryngol Head Neck Surg 1986;112:755-758. https://doi.org/10.1001/archotol.1986.03780070067015
  16. Han SB, Shin HT, Park HM , Lee SD. Sibjeondaebotang and Yugmijihwangtang's Toxicological Effects on Pregnant Rats. Korean J Orient Prevent Med Soc 2007;11:159-174. [in Korean].
  17. Kim BW, Kim SO. The Effect of Hyangbujapalmultang on The Serum Catecholamine Contents and Body Weight of Rats in Immobilization Stress. Korean J Orient Int Med 2001;22:683-689. [in Korean].
  18. Jung MJ, Lee JH, Yeom SR, Lee SK, Song YS, Kim KB et al. Effects of Ohyaksungi-san (Wuyaoshungi-san) and Jungsongouhyul Pharmacopuncture on Pain Reduction and Nerve Regeneration after Crush Injury in Rat Sciatic Nerve. J Orient Rehabil Med 2009;19:51-72. [in Korean].
  19. Roh HJ, Ahn MY. Recent Concept of Guillain-Barre Syndrome. J Soonchunhyang Med Sci 2009;15:59-70. [in Korean].
  20. Fan Z, Liu B, Zhang Y, Li M, Lu T. The effectiveness and safety of acupuncture therapy for Guillain-Barre syndrome. Medicine 2020;99:1-4.