대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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가미반하백출천마탕과 침치료를 통한 한의치료로 호전된 뇌경색 후 시야장애 환자 치험 1례

A Case Report on Treating Post-stroke Visual Impairment with Gami-banhabakchulchunma-tang and Acupuncture

  • 김정희 (대전대학교 한의과대학 심계내과학교실) ;
  • 김해융 (대전대학교 한의과대학 심계내과학교실) ;
  • 원서영 (대전대학교 한의과대학 심계내과학교실) ;
  • 유주영 (대전대학교 한의과대학 심계내과학교실) ;
  • 정은선 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실)
  • Kim, Jeong-hui (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Hae-yoong (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Won, Seo-young (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Ryu, Ju-young (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Jung, Eun-sun (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Yoo, Ho-ryong (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Seol, In-chan (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Yoon-sik (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University)
  • 투고 : 2021.09.17
  • 심사 : 2021.10.25
  • 발행 : 2021.10.30
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초록

Objectives: This study investigated the effectiveness of acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) for post-stroke visual impairment. Methods: A 79-year-old male with headache, dizziness, visual field defects, and blurred vision caused by a posterior cerebral infarction was treated with acupuncture and Gami-banhabakchulchunma-tang for three months. We used the Numerical Rating Scale (NRS) for each symptom and measured the patient's eye-movement range. Results: Following treatment, the NRS score for headache decreased from 5 to 0, and for dizziness and blurred vision, it decreased from 5 to 1. The NRS score for visual field defects decreased from 5 to 2. The range of the patient's left and right eye movements both improved, and no adverse side effects were observed during the admission period. Conclusions: Korean medical treatment with acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) could effectively treat post-stoke visual impairment.

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참고문헌

  1. Korean Stroke Society. Stroke. 2nd ed. Seoul: Panmuneducation; 2015, p. 197-204.
  2. Garrison SJ, Rolak LA, Dodaro RR. Rehabilitation of the stroke patient, rehabilitation medicine principles and practice. Philadelphia, JB Lippincott 1977;29:565-69.
  3. Hepworth LR, Rowe FJ, Walker MF, Rockliffe J, Noonan C, Howard C, et al. Post-stroke visual impairment: A systematic literature review of types and recovery of visual conditions. Ophthalmology Research 2016;5.
  4. Trauzettel-Klosinski S. Current Methods of Visual Rehabilitation. Dtsch Arztebl Int 2011; 108(51-52):871-8.
  5. Kim HD. Neurology and Neurosurgery. 2nd edition. Seoul: KunJa publisher Co; 2015, p. 30-3.
  6. Department of Neurology, Seoul National University College of Medicine. Manual of Neurology. 2nd edition. Seoul: Korea medical book publishing company; 2021, p. 97-110.
  7. Pollock A, Hazelton C, Henderson CA, Angilley J, Dhillon B, Langhorne P, et al. Interventions for visual field defects in patients with stroke. Stroke 2012;43(4):e37-e38. https://doi.org/10.1161/STROKEAHA.111.639815
  8. Scottish intercollegiate guidelines network. Management of patients with stroke:rehabilitation, prevention and management of complication, and discharge planning 2010.
  9. Zhang X, Kedar S, Lynn MJ, Newman NJ, Biousse V. Homonymous Hemianopia in Stroke. J Neuro-Ophthalmol 2006;26(3):180-3. https://doi.org/10.1097/01.wno.0000235587.41040.39
  10. Ali M, Hazelton C, Lyden P, Pollock A, Brady M; VISTA Collaboration. Recovery from poststroke visual impairment: evidence from a clinical trials resource. Neurorehabil Neural Repair 2013 Feb;27(2):133-41. https://doi.org/10.1177/1545968312454683
  11. Celebisoy M, Celebisoy N, Bayam E, Kose T. Recovery of visual-field defects after occipital lobe infarction:a perimetric study. J Neurol Neurosurg Psychiatry 2011 Jun;82(6):695-702. https://doi.org/10.1136/jnnp.2010.214387
  12. Sand KM, Midelfart A, Thomassen L, Melms A, Wilhel H, Hoff JM. Visual Impairment in Stroke Patients - A Review. Acta Neurol Scand Suppl 2013;196:52-6.
  13. Seo JM, Park GH, Heo MY, Jung JH. Study on Developing the Equipment of the Time Division System for Rehabilitation in Peopl with Homonymous Hemianopia. J Korean Ophthalmic Opt Soc 2014;19(3):407-12. https://doi.org/10.14479/jkoos.2014.19.3.407
  14. Jung MH, Kim JH, Kim SW, Cho KH, Mun SK, Jung WS, et al. A Case Series of Post-stroke Vision Disorders Using Korean Medical Treatment. J Int Korean Med 2018;39(2):217-23. https://doi.org/10.22246/jikm.2018.39.2.217
  15. Ey YL, Son JH, Park MJ, Cho KH, Moon SK, Jung WS. Case Study of Right-side Homonymous Hemianopia in a Stroke Patient Treated by Traditional Korean Medical Treatment. J Int Korean Med 2016;37(2):237-42.
  16. Chu HM, Kim CH, Lee YU, Kim KH, Moon YJ, Shin HR, et al. A Case Report of a Homonymous Hemianopsia in a Stroke Patient Treated with Traditional Korean Medical Treatment. J Int Korean Med 2019;40(5):797-803. https://doi.org/10.22246/jikm.2019.40.5.797
  17. Choi JW, Kim SY, Kim HR, Shin HY, Yang SB, Cho SY, et al. A case study of bilateral superior altitudinal hemianopia in a stroke patient treated with Korean Medicine. The Journal of the Society of Stroke on Korean Medicine 2019;20(1):43-52.
  18. Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. The Korean Journal of Meridian & Acupoint 2007;24(2):77-97.
  19. Rowe FJ, Hepworth LR, Howard C, Hanna KL, Cheyne CP, Currie J. High incidence and prevalence of visual problems after acute stroke: An epidemiology study with implications for service delivery. PLoS One 2019 Mar 6;14(3): e0213035.
  20. Rowe FJ, VIS group. The profile of strabismus in stroke survivors. Eye 2010;24(4):682-5. https://doi.org/10.1038/eye.2009.138
  21. Koo JS, Kim BH, Seo BI. A clinical study of two patients on vertigo with Banhabaekchulcheonma-tang gamibang. Kor J Herbol 2015;30(5):1-6. https://doi.org/10.6116/KJH.2015.30.5.1.
  22. Cho YY, Shin JH, Baik TH, Park HM, Sun SH. A Case Study of a Patient with a Cerebellar Infarction, Dizziness, and Ataxia Who Was Treated with Traditional Korean Medicine. The Journal of Internal Korean Medicine 2017;38(2):270-5. https://doi.org/10.22246/jikm.2017.38.2.270
  23. Lim MA, Lee HJ, Seo HS, Kim PK, Kim JW. Two Case Reports about Traditional Korean Medicine Treatment in Patients with Central Dizziness and Cerebellar Ataxia. The Journal of Internal Korean Medicine 2017;38(5):744-52. https://doi.org/10.22246/jikm.2017.38.5.744
  24. Moon SK, Kim YS, Park SU, Jung WS, Ko CN, Cho KH, et al. Effect of Gastrodia Elata BL water extract on human cerebral blood flow using transcranial doppler. J Korean Oriental Med 2005;26(1):115-22.
  25. Lee BC, Leem KH, Kim YO, Kim SY, Ahn DK, Park HK, et al. Neuroprotective Effects of Scutellariae Radix on the Brain Ischemia induced by Four - Vessel Occlusion in Rats. The Korea Journal of Herbology 1999;14(2):89-9.
  26. Kim HC, Ahn DK. Neuroprotective Effect of Gastrodiae Rhizoma on Global Ischemia Induced by 4-Vessel Occlusion in Rats. The Korea Journal of Herbology 1999;14(1):121-9.
  27. Lee SH, Shin KH, Kim JU. Effect of Seven Points of CVA Acupuncture on Cerebral Blood Flow. The Journal of Korean Acupuncture & Moxibustion sociery 2004;21(3):83-98.
  28. Liu H, Xu J, Shan B, Li Y, Li L, Xue J, et al. Determining the Precise Cerebral Response to Acupuncture: an Improved FMRI Study. PLoS One 2012;7(11):e49154. https://doi.org/10.1371/journal.pone.0049154