The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case of Psychogenic Tremor Improved by Complex Korean Medicine Treatment Including Cheongshimondam-tang-gamibang and Acupuncture Treatment - A Case Report

청심온담탕가미방과 침구치료를 포함한 복합한의치료로 호전된 심인성 떨림 환자 1례 - 증례보고

  • Jihyun, Lee (Dept. of Internal Korean Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Seokyeong, Yoon (Dept. of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Hyoenjun, Cheon (Dept. of Oriental Rehabilitation Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Sungjun, Joo (Dept. of Oriental Rehabilitation Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Jisu, Lee (Dept. of Acupuncture & Moxibustion Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Jungtae, Leem (College of Korean Medicine, Wonkwang University) ;
  • Yanghee, Han (Dept. of Internal Korean Medicine, Dong-Shin Korean Medicine Hospital)
  • 이지현 (목동동신한방병원 한방내과) ;
  • 윤석영 (목동동신한방병원 한방안이비인후피부과) ;
  • 전현준 (목동동신한방병원 한방재활의학과) ;
  • 주성준 (목동동신한방병원 한방재활의학과) ;
  • 이지수 (목동동신한방병원 침구과) ;
  • 임정태 (원광대학교 한의과대학) ;
  • 한양희 (목동동신한방병원 한방내과)
  • Received : 2022.09.07
  • Accepted : 2022.12.09
  • Published : 2022.12.30
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Abstract

Objectives: A case study about the effectiveness of integrative Korean medicine treatment in a psychogenic tremor patient. Case presentation: A 36-year-old male diagnosed with psychogenic tremor with low back pain underwent 29 days of inpatient treatment and 4 weeks of outpatient treatment. His pattern identification was a psychogenic tremor of the weakness of the heart and gall bladder (SimDamHeoGup) type. The treatments were herbal medicine and acupuncture. He took Cheongshimondam-tang for 29 days and Chunwangbosim-dan for 6 weeks when he had symptoms. He also received acupuncture for 20 minutes twice a day at GB20 (Pungji), L14 (Hapgok), HT4 (Yeongdo), PC6 (Naegwan), HT7 (Sinmun), GB34 (Yangleungcheon), ST36 (Joksamni), SP6 (Sameumgyo), and LR3 (Taechung). After 8 weeks of treatment, the Fahn Tolosa Marin rating (FTM) scale of his tremor, at rest, dropped from Grade 4 on both upper extremities, trunk, and both lower extremities at the time of admission to Grade 2 in both upper extremities and trunk, and Grade 0 in both lower extremities at the time of discharge. His Beck Anxiety Inventory (BAI) score decreased from 38 to 7, and his numerical rating scale (NRS) decreased from 8 to 1 for low back pain and from 9 to 2 for tremor. A follow-up visit to the hospital 2 months after the end of treatment confirmed continued symptom improvements and no significant side effects. Conclusions: This study suggests the possibility of treating psychogenic tremor using only Korean medicine treatments. Further studies with control groups and long-term follow-up are needed.

Keywords

Acknowledgement

이 논문은 2022학년도 원광대학교의 교비지원에 의해 수행됨.

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