DOI QR코드

DOI QR Code

A Case Report on the Effect of Peripheral Body Temperature Increase and Pain Relief in a Patient with Complex Regional Pain Syndrome Type 1 Improved by Buja-tang and Aconitum ciliare Decaisne Pharmacopuncture

부자탕과 초오약침을 병행한 한방복합치료로 호전된 복합부위통증 증후군 제1형 환자의 말초체온 상승 및 통증 경감 효과에 관한 증례 보고

  • Lee, Jung Min (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Lee, Eun-Jung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University)
  • 이정민 (대전대학교 한의과대학 한방재활의학교실) ;
  • 이은정 (대전대학교 한의과대학 한방재활의학교실)
  • Received : 2022.05.11
  • Accepted : 2022.06.17
  • Published : 2022.07.31

Abstract

The aim of this study was to investigate the effect of complex Korean medicine treatment especially Buja-tang and Aconitum ciliare decaisne pharmacopuncture on patients with type 1 complex regional pain syndrome caused after a traffic accident. The patients was treated with Buja-tang, Aconitum ciliare decaisne pharmacupuncture, acupuncture and physical therapy during 20 days of hospitalization. Numerical rating scale (NRS), short form McGill pain questionnaire (SF-MPQ), body temperature measurement of the foot, manual muscle test (MMT) were used for assessment. After treatments, NRS of burning pain in the left ankle decreased from 8 to 4-5 and NRS of burning pain in the right ankle decreased from 7 to 4-5. Also, SF-MPQ results, foot temperature measurement and MMT showed improvement during hospitalization. This study shows that complex Korean medicine treatment especially Buja-tang and Aconitum ciliare decaisne pharmacopuncture are effective in alleviating symptoms in patients with type 1 complex regional pain syndrome.

Keywords

Acknowledgement

This research was supported by the Daejeon University fund (2021).

References

  1. Kim C. Complex regional pain syndrome: mechanism, diagnosis and treatment. J Korean Med Assoc. 2008;51(6):553-68. https://doi.org/10.5124/jkma.2008.51.6.553
  2. Byun SB, Yun JM, Moon BS. Complex regional pain syndrome on post-stroke patients with Koreaen medicine: a case series of three patients. J Int Korean Med. 2014;35(4):573-84.
  3. Kim HS, Bae YH, Kim HS, Suh CY, Kim NH, Yang KJ, Lee GB. A review of research on the effects of acupuncture and moxibustion treatment to complex regional pain syndromes. The Acupuncture. 2016;33(4):137-48. https://doi.org/10.13045/acupunct.2016061
  4. Cho HW, Shin BC, Shin MS, Hwang EH, Sul JU. Moxibustion therapy for the pain relief in patient with type 1 CRPS: a case report. J Oriental Rehab Med. 2011;21(3):79-87.
  5. Lee EJ, Yoon IJ. The clinical observation of 1 case of the complex regional pain syndrome. J of the Institue of Orient Med of Daejeon Univ. 2009;18(1):109-16.
  6. Ko JM, Kim JI, Lee JD, Nam SS, Choi DY. CRPS type-1 patient treated with acupuncture and bee-venom acupuncture: a case report. The Journal of Korean Acupuncture & Moxibustion Society. 2009;26(3):165-70.
  7. Chung JH, Yun YU, Cheong SH, Kim SW, Choi HS, Shin DJ, Wang SJ. The clinical observation of 1 case of type 1 complex regional pain syndrome treated with Korean medicine treatment and Harpagophytum radix. pharmacopuncture. The Journal of Korean CHUNA Manual Medicine for Spine & Nerves. 2013;8(11):63-73.
  8. Groeneweg G, Huygen FJ, Coderre TJ, Zijlstra FJ. Regulation of peripheral blood flow in Complex Regional Pain Syndrome: clinical implication for symptomatic relief and pain management. BMC Musculoskelet Disorders. 2009;10:116. https://doi.org/10.1186/1471-2474-10-116
  9. Giangarra CE, Manske RC, Brotzman SB. Clinical orthopaedic rehabilitation: a team approach. 4th ed. Seoul: Hanmi Medical Publishing Co. 2019:249-66.
  10. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. The Korean Journal of Meridian & Acupoint. 2007;24(2):77-97.
  11. Kang DH, Lim MA, Lee HJ, Kim DR, Kang JH, Kim SY, Youn IY. A case report of central pontine myelinolysis patient treated with Korean and western medicine. The Acupuncture. 2016;33(4):191-201. https://doi.org/10.13045/acupunct.2016065
  12. Chae HN, Lee JY, Shim SS, Shin SH, Shin YJ. Study of the effects of Gyejigabuja-tang on liver function in patients with musculoskeletal disease. J Int Korean Med. 2019;40(6):1043-50. https://doi.org/10.22246/jikm.2019.40.6.1043
  13. Park HJ, Kim HT, Lee SH, Heo I, Hwang MS. Use of aconitum herbal medicine for pain control in musculoskeletal disease. The Journal of Korean CHUNA Manual Medicine for Spine & Nerves. 2021;16(2):47-54. https://doi.org/10.30581/jcmm.2021.16.2.47
  14. Eisenerg E, Shtahl S, Geller R, Reznik AZ, Sharf O, Ravbinovich M, Erenreich A, Nagler RM. Serun and salivary oxidative analysis in complex regional pain syndrome. Pain. 2008;138(1):226-32. https://doi.org/10.1016/j.pain.2008.04.019
  15. Herbology Editorial Committee of Korean Medicine schools. Boncho-hak. Seoul:Publication Younglimsa. 2004:311-2, 372-5.
  16. Zhao L, Sun Z, Yang L, Cui R, Yang W, Li B. Neuropharmacological effects of Aconiti Lateralis Radix Praeparata. Clin Exp Pharmacol Physiol. 2020;47(4):531-42. https://doi.org/10.1111/1440-1681.13228
  17. Yoo CK, Kwon GR. The bibilographic studies on Aconiti Ciliare tuber and radix Aconiti. Journal of Korean Pharmacopuncture Institute. 2001;4(2):87-93.
  18. Toya K, Sasano K, Takasoh T, Nishimoto T, Fujimoto Y, Kusumoto Y, Yoshimatsu T, Kusaka S, Takahashi T. Ankle positions and exercise intervals effect on the blood flow velocity in the common femoral vein during ankle pumping exercises. J Phys Ther Sci. 2016;28(2):685-8. https://doi.org/10.1589/jpts.28.685