Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
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Case Report of Oculomotor Nerve Palsy with Mydriasis Improved by Sa-Am Acupuncture

사암침으로 호전된 동공산대를 동반한 동안신경마비 1례

  • Lee, Ju-Hyun (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Park, Min-Cheol (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Hong, Ji-Eun (Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University) ;
  • Park, Ji-Won (Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University) ;
  • Jo, Eun-Heui (Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University)
  • 이주현 (원광대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 박민철 (원광대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 홍지은 (원광대학교 한의과대학 침구의학교실) ;
  • 박지원 (원광대학교 한의과대학 침구의학교실) ;
  • 조은희 (원광대학교 한의과대학 침구의학교실)
  • Received : 2020.09.08
  • Accepted : 2021.04.19
  • Published : 2021.04.25
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Abstract

This study aims to report a case of oculomotor nerve palsy with mydriasis improved by Sa-Am acupuncture (大腸正格). The patient visited our clinic due to Right oculomotor nerve palsy with symptoms such as periocular pain, diplopia, vertigo, ptosis, eye adduction disorder, and mydriasis on November 11th, 2019. For the treatment, Sa-Am acupuncture (大腸正格) which used to give a significant effect on eye diseases and headaches and to remove toxins from the body was performed every time the patient visited the clinic. About a month after the treatment, ptosis disappeared, and eye adduction disorder also changed from -2 to 2 points, showing a significant improvement. Subjective symptoms such as vertigo, diplopia, and eye pain also significantly decreased from 13 to 4 points. At the second month of treatment, the eye adduction disorder improved to a normal level, and subjective ocular discomforts disappeared. The pupil size decreased from 5 mm to 2.5 mm. After 3-4 months from the start of treatment, most of the symptoms including the light reflex returned to normal. After a total of 32 acupunctures treatment, subjective symptoms such as periocular pain, diplopia and vertigo, as well as ptosis and eye adduction disorder disappeared, and the pupil size, including the light reflex, also improved to the normal level.

Keywords

Acknowledgement

이 논문은 2021년도 원광대학교의 교내 연구비 지원에 의해서 수행됨.

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