대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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하지 감각이상 및 통증을 호소하는 당뇨병성 다발신경병증 환자에 대한 복합 한의치험 1례

Case Report: Lower Extremity Paresthesia and Pain with Diabetic Polyneuropathy Combated with Complex Korean Medical Treatment

  • 정성훈 (경희대학교 대학원 임상한의학과) ;
  • 이영선 (경희대학교 대학원 임상한의학과) ;
  • 성시윤 (경희대학교 한방병원 순환신경내과) ;
  • 이한결 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과)
  • Seong-Hoon Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Young-Seon Lee (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Si-Yun Sung (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Han-Gyul Lee (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ki-Ho Cho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Sang-Kwan Moon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Woo-Sang Jung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seungwon Kwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2023.04.07
  • 심사 : 2023.05.22
  • 발행 : 2023.05.30
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초록

Background: Diabetic polyneuropathy is the most common complication in diabetics, occurring in 50% of all cases. About 10-20% of all diabetics are accompanied by neurological pain, showing a tendency to increase with age. Clinical aspects are very diverse, from mild abnormalities on nerve conduction tests to severe abnormalities in all sensory, motor, and autonomic nerves; however, sensory symptoms usually precede motor symptoms. Patients typically express sensory symptoms, such as positive and negative symptoms, which decrease the quality of life and have marked clinical implications, such as increased morbidity and mortality. Although Western medical drugs, such as tricyclic antidepressants, anticonvulsants, and narcotic analgesics, are used for diabetic polyneuropathy, a standard treatment has not been established. Case report: A 65-year-old male with paresthesia and pain due to diabetic polyneuropathy was treated with Uchashinki-hwan, acupuncture, electroacupuncture, moxibustion, and Jungsongouhyul pharmacopuncture for 10 days. We used the Toronto Clinical Neuropathy Scoring System, EuroQol-5 Dimension, and Visual Analog Scale to evaluate symptoms. Subsequently, the Neuropathy Scoring System, EuroQol-5 Dimension, and subjective discomfort improved. Conclusion: The present case report suggests that combined Korean medicine treatment might be an effective treatment for paresthesia and pain with diabetic polyneuropathy. Several follow-up studies should be conducted to clarify the effectiveness of the treatment.

키워드

참고문헌

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