A Case Report of Anxiety Disorder Patient with Dyspnea

호흡곤란 있는 불안장애 환자 치험 1례

  • Eun Ju Lee (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Tae Kyung Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Chang Min Shin (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Cheol Hong Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University)
  • 이은주 (동의대학교 한의과대학 침구학교실) ;
  • 김태경 (동의대학교 한의과대학 침구학교실) ;
  • 신창민 (동의대학교 한의과대학 침구학교실) ;
  • 김철홍 (동의대학교 한의과대학 침구학교실)
  • Received : 2022.12.05
  • Accepted : 2022.12.10
  • Published : 2022.12.20

Abstract

Objectives: The purpose of this study is to report the effect of Korean medical treatment with TBT (Temporomandibular Joint Balancing Therapy) on Anxiety disorder patient with dyspnea. Methods: In this study, an Anxiety disorder patient with dyspnea was admitted to △△ Korean medicine Hospital from Nov 1st, 2022 to Nov 23rd, 2022. During the admission period, the patient was treated by Korean medical treatment(acupuncture, pharmacopuncture, herb medicine, etc.), especially using TBT and Western medical treatment (Pharmacotherapy). Beck Anxiety Inventory (BAI) and VAS were used for measuring the Anxiety and Dyspnea. Results: After treatment for 30days, the BAI showed a decrease from 33 to 19, The VAS associated with dyspnea also decreased from 6 to 1 and VAS associated with Neck Pain decreased from 5 to 3. Conclusions: These results showed that Korean medical treatment especially using TBT may have an effect on reducing symptoms of dyspnea due to Panic Attack. But the further researches are needed.

본 증례에서는 발병일 이후 항우울제 복용 및 도수치료, 한방치료에도 증상의 개선이 보이지 않던 호흡곤란이 주증인 불안장애 환자를 대상으로 TBT를 병행한 약침, 침, 한약 등 한방치료를 적용하여 증상의 완화를 관찰하였다. 이에, 호흡곤란을 수반한 정신과질환의 치료에 있어서 한의학 치료 및 TBT가 효과가 있을 것으로 판단된다.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders:DSM, 5th. Korea:Hakjisa. 2015:199-248. 
  2. Kim MK, Lee JH, Kim MS, Kim W, Moon ES, Seo HJ, Koo BH, et al. Korean Guidelines for the treatment of Panic Disorder. 2018:Initial and Maintenance Treatment Strategies for the Pharmacological Treatment of Panic Disorder. Anxiety and Mood. 2018;14(2):53-62.  https://doi.org/10.24986/ANXMOD.2018.14.2.001
  3. The Korean Society Of Oriental Neuropsychiatry Textbook Compilation Committee. Korean Oriental Neuropsychiatry. 1st ed. Seoul:Maver Publishing Co. 2018:218-27, 511-24. 
  4. Chu HM, Kim CH, Park CR, Moon YJ, Ryu HS, Kim MH, et al. A Case Report of the Patient with Anxiety Disorder following Traumatic Brain Injury Treated with Ling-Gui-Gan-Zao-Tang. J Int Korean Med. 2018;39(6):1272-80.  https://doi.org/10.22246/jikm.2018.39.6.1272
  5. Lim JS, Leem KH, Kim TY. Sleep-promoting and Anti-anxiety Effects of Shihogayonggolmoryo-tang in Mice. J Physiol & Pathol Korean Med. 2021;35(1):8-14.  https://doi.org/10.15188/kjopp.2021.02.35.1.8
  6. Lee YJ. TMJ Secret 1. Cheonan:Ilyeon. 2011:35, 36, 76. 
  7. Han C, Kim JH, Ryu KJ, Ahn KS, Kwon SR. A clinical Report on Symptom of Panic Disorder Improved by Chuna Manual Relaxation Therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2008;3(2):1-8. 
  8. Lee SW, Lee YJ, Yoo SW, Lee RD, Park SJ. Case Series of Panic Disorder Patients Treated by Oriental Medical Treatments and EFT. J of Oriental Neuropsychiatry. 2014;25(1):13-28.  https://doi.org/10.7231/jon.2014.25.1.013
  9. Jang HJ, Jung HC, Sung WY, Kim JW, Jeong BJ. A Case of Combination Therapy of Cognitive-Behavioral Therapy and Oriental Medical Treatment on Panic Disorder. J of Oriental Neuropsychiatry. 2004;15(2):211-9. 
  10. Oh KM, Kim BK. Clinical Report of One Case with Insomnia, Depression and Anxiety Disorder Improved by Traditional Korean Medical Treatment and Breathing Meditation. J of Oriental Neuropsychiatry. 2009;20(3):297-307. 
  11. Suh HU, Hwang EY, Jung SY, Kim JW. A case of a Panic Disorder (with Agoraphobia) Patient Improved by Herbal Extracts Gyejigayonggolmoryo-tang (Guizhijialonggumuli-tang) and Jakyakgamcho-tang (Shaoyaogancao-tang). J of Oriental Neuropsychiatry. 2010;21(4):207-18. 
  12. Lee JJ. Case Reports on 70 Tic Disorder Cases Managed with Functional Cerebrospinal Therapy (FCST). Journal of TMJ Balancing Medicine. 2016;6(1):19-23. 
  13. Chae KH. Case Reports on Two Motor Tic Disorders and a Tourette's Disorder Managed by Yin-yang Balancing Therapy of the Temporomandibular Joint. Journal of TMJ Balancing Medicine. 2021;11(1):25-36. 
  14. Jung C, Jung JH, Lee MS. A Clinical Study of Immune Pharmacopuncturology : KYUNG-RAK Medical Publications. 2011:166, 167. 
  15. Yook TH, Kim KH, Kim SC, Kim JH, Kim JO, Kim CH, et al. Pharmacopuncturology. 3rd ed. Seoul : Hanmibook. 2019:111. 
  16. Yook SP, Kim ZS. A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient. Korean Journal of Clinical Psychology. 1997;16(1):185-97. 
  17. Sung YT, Wu JS. The Visual Analogue Scale for Rating, Ranking and Paired-Comparison: A new technique for psychological measurement, Behavior Research Methods. 2018;50:1694-715.  https://doi.org/10.3758/s13428-018-1041-8
  18. Anat Ratnovsky, Pinchas Halpern. Mechanics of respiratory muscles. Respiratory Physiology and Neurobiology. 2008;163(1-3):82-9.  https://doi.org/10.1016/j.resp.2008.04.019
  19. Liebenson C. Re-education of faulty respiration. Journal of Bodywork and Movement Therapies. 1999;3(4):225-8.  https://doi.org/10.1016/S1360-8592(99)80007-2
  20. Yoshimasu Todo. Yaking-Yaguijingpyo, 1st ed. Seoul: Fishwoodbook. 2014:110-82.