The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of a Patient with Multiple Cerebral Infarction Caused by Posterior Cerebral Artery Occlusion Treated with Yikgeebohyul-tang

후대뇌동맥 폐색으로 발생한 다발성 뇌경색 환자에 대한 익기보혈탕 치험 1례

  • Youn, Hye-soo (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Kwon, Sun-woo (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Park, Choong-hyun (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Seo, Hae-ni (Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Gachon University) ;
  • Son, Jung-min (Dept. of Korean Acupuncture & Moxibustion, Dongsuwon Korean Medicine Hospital) ;
  • Lee, Yeon-hoo (Dept. of Rehabilitation Medicine of Korean Medicine, Gwangju Ja-Seng Hospital of Korean Medicine) ;
  • Lee, Eun-chang (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jung, Da-hae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jo, Hye-mi (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Lee, Jung-eun (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital)
  • 윤혜수 (동수원한방병원 한방내과) ;
  • 권선우 (동수원한방병원 한방내과) ;
  • 박충현 (동수원한방병원 한방내과) ;
  • 서해니 (가천대학교 한의과대학 침구학교실) ;
  • 손정민 (동수원한방병원 침구의학과) ;
  • 이연후 (광주자생한방병원 한방재활의학과) ;
  • 이은창 (동수원한방병원 한방내과) ;
  • 정다해 (경희대학교 대학원 임상한의학과) ;
  • 조혜미 (동수원한방병원 한방내과) ;
  • 이정은 (동수원한방병원 한방내과)
  • Received : 2022.09.16
  • Accepted : 2022.10.27
  • Published : 2022.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study is to describe the effects of treatment with traditional Korean medicine on a patient with multiple cerebral infarction caused by posterior cerebral artery occlusion. Methods: The patient was treated with herbal medicine (Yikgeebohyul-tang) and acupuncture. The effects of these treatments were evaluated using the Manual Muscle Test, the Korean version of the Modified Barthel Index, the Modified Rankin scale, and a subjective percentage of sensation in the left lower extremity and face. Results: After treatment, the Modified Rankin Scale score, subjective percentage of sensation in the left lower extremity, and gait disturbance improved. Conclusion: The results suggest that traditional Korean medicine may be effective for treating the symptoms of multiple cerebral infarction caused by posterior cerebral artery occlusion.

Keywords

References

  1. Caplan LR, Wityk RJ, Glass TA, Tapia J, Pazdera L, Chang HM, et al. New England Medical Center Posterior Circulation registry. Annals of Neurology 2004;56(3):389-98. https://doi.org/10.1002/ana.20204
  2. Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med 2005;352(25):2618-26. https://doi.org/10.1056/NEJMra041544
  3. The Korean neurological Association. Textbook of Neurology Seoul: Beommun education; 2017, p. 650-60.
  4. Sweid A, Head J, Tjoumakaris S, Xu V, Shinashankar K, Alexander T, et al. Mechanical thrombectomy in distal vessels: revascularization rates, complications, and functional outcome. World neurosurgery 2019;130:e1098-104. https://doi.org/10.1016/j.wneu.2019.07.098
  5. Kim JH, Kim HY, Won SY, Ryu JY, Jung ES, Yoo HR, et al. A Case Report on Treating Post-stroke Visual Impairment with Gamibanhabakchulchunma-tang and Acupuncture. J Int Korean Med 2021;42(5):1045-53. https://doi.org/10.22246/jikm.2021.42.5.1045
  6. Lee YU, Kang Gh, Kim KH, Kim CH, Kang S, Lee SK. Post-stroke Visual Impairment Treated with Korean Medical Treatment: A Case Series. J Int Korean Med 2021;42(5):1035-44. https://doi.org/10.22246/jikm.2021.42.5.1035
  7. Park JH, Kong GS, Song JY, Kim SW, Wang YM, Kim SY, et al. Case Report on Headache (Suspected CPSP) Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction. J Int Korean Med 2021; 42(5):893-903. https://doi.org/10.22246/jikm.2021.42.5.893
  8. Lee HK, Kim SW, Seo YN, Bae IH, Park HJ, Cho KH, et al. A Case Report of Lower Extremity Paresthesia with Polyneuropathy Treated with Traditional Korean Complex Treatment. J Int Korean Med 2020;41(2):256-66. https://doi.org/10.22246/jikm.2020.41.2.256
  9. Korean stroke society. Stroke 2nd rev. Seoul Bumnun; 2015, p. 21-3, 94-5, 527-32.
  10. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine I. Seoul: Woori Medical Books; 2018, p. 255-7.
  11. Hong JA, Song MY, Choi IH, Sohn NW, Chung SH. Effect of Yikgeebohyul-tang on Hair Regrowth and Cytokine Changes on Hair-Removed C57BL/6 Mice. The Journal of Korean Medicine 2010; 31(1):138-52.
  12. Kim JJ. Donyang-uihak Jinryo-yogam. Seoul: institute of Oriental Medicine; 1974, p. 176-7.
  13. Jeong HW, Kim HS, Yang GH. Mechanism of Jaeumgenby-tang on the Regional Cerebral Blood Flow, Mean Arterial Blood Pressure and Cardiac Muscle Contractile Force in Rats. Journal of Physiology & Pathology in Korean Medicine 2002;16(3):507-13.
  14. Choi IS, Kwon JN, Kim YK. Neurological Effects of Bojungikki-tang and ojungikki-tang-gamibang on Focal Cerebral Ischemia of the MCAO Rats. The Journal of Korean Medicine 2009;30(6): 53-68.
  15. Im GM, Jeong HW. Effects of Jaeumgenby-tang adding Aurantii Fructus-Gastrodae Rhizoma on the Brain Cell and Changes of Cerebral Hemodynamics. Journal of Physiology & Pathology in Korean Medicine 2003;17(1):64-70.
  16. Heiss Wolf-Dieter. The ischemic penumbra: how does tissue injury evolve? Annals of the New York Academy of Sciences 2012;1268(1):26-34. https://doi.org/10.1111/j.1749-6632.2012.06668.x