The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Korean Medicine Treatment for a Patient with Left Facial Paraesthesia, Temporomandibular Joint Pain, and Post-traumatic Neck Pain induced by Cerebral Infarction

뇌경색으로 유발된 좌측 안면부 이상감각, 턱관절 및 후경부 통증 환자에 대한 한의학 치료 1례

  • Tae-ha Kwon (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Min-joo Kim (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Dong-soo Seol (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Min-seok Go (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Min-ji Lim (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Seong-hyun Lee (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Sae-young Bong (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Da-woon Song (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Yeon-hoo Yi (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Yoo-jin Lee (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Cha-young Lee (Gwangju Jaseng Hospital of Korean Medicine) ;
  • Joo-hee Oh (Bundang Jaseng Hospital of Korean Medicine)
  • Received : 2023.09.12
  • Accepted : 2023.10.24
  • Published : 2023.10.30
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Abstract

Objectives: The aim of this case report is to present the effects of Korean medicine treatment in a patient with left facial paraesthesia, temporomandibular joint (TMJ) pain, and post-traumatic neck pain induced by cerebral infarction. Methods: A 26-year-old male patient was treated with Cheongpa-Jeon H, acupuncture, pharmacopuncture (Shinbaro2), and Chuna Therapy for 24 days of hospitalization. Left facial paraesthesia, TMJ pain, and post-traumatic neck pain were assessed with a Numeric Rating Scale (NRS) and EuroQoL-5 Dimension (EQ-5D). Post-traumatic neck pain was assessed using the Neck Disability Index (NDI). Results: After 24 days of treatment, the patient's left facial paraesthesia and left arm tingling sensation were relieved from NRS 6 to NRS 2. Left TMJ pain was reduced from NRS 5 to NRS 2. The EQ-5D score increased from 0.138 to 0.73. The NDI score decreased from 71.11 to 37.78. Conclusion: These results show that left facial paraesthesia, TMJ pain, and post-traumatic neck pain can be relieved with Korean medicine treatment. However, further well-designed studies are required to confirm these findings.

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References

  1. Seok SH. Epidemiology and pathology of Stroke. Journal of The Korean Geriatrics Society 1999;3(3):5-17.
  2. Ko MH, Kim YH, Seo JH. Clinical and Neuropsychological Characteristics of patients with stroke of the basal ganglia. Ann Rehabil Med 1997;21(4):652-7.
  3. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean Medicine I. Seoul: Woori Medical Books; 2018, p. 249-69.
  4. Noh JH, Park JA, Cho SW, Youn HM, Jang KS, Song CH, et al. Effect of Bee-venom Acupuncture on Upper Limb Spasticity of Stroke Patients. J Acupuncture Research 2010;27(4):115-25.
  5. Xue C, Jiang C, Zhu Y, Liu X, Zhong D, Li Y, et al. Effectiveness and safety of acupuncture for post-stroke spasticity: A systematic review and meta-analysis. Frontiers in Neurology 2022;2022:942597.
  6. Lim SM, Yoo JH, Lee YJ, Kim HJ, Shin SW, Han GJ, et al. Acupuncture for Spasticity after Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine 2015;2015:870398.
  7. Seo JH, Kim EM, Leem JT, Sul JW. Integrative traditional Korean medicine management, including acupuncture and Chuna-manual therapy, for stroke-related central facial palsy: A study of three case reports. Explore 2021;17(6):549-56. https://doi.org/10.1016/j.explore.2021.01.002
  8. Kim MS, Kim HJ, Park YJ, Kim EH, Lee EY. The clinical research of the efficacy of bee venom aqua-acupuncture on peripheral facial paralysis J Kor Acupuncture & Moxibustion Society 2004;21(4):251-62.
  9. Im SH, Lee MJ, Lee SM, Kim ES, Lee SH, Kang JW, et al. A Comparative Study of the Effects of Jungsongouhyul Pharmacopuncture Treatment and Bee Venom Pharmacopuncture Treatment on Peripheral Facial Paralysis. The Acupuncture 2014;31(2):135-44. https://doi.org/10.13045/acupunct.2014031
  10. Song KJ, Choi BW, Kim SJ, Yoon SJ. Cross-Cultural Adaptation and Validation of the Korean Version of the Neck Disability Index. J Korean Orthop Assoc 2009;44(3):350-9. https://doi.org/10.4055/jkoa.2009.44.3.350
  11. Kim TH, Yoon SJ, Lee WC, Kim JK, Shin JS, Lee SH, et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. J of Ethnopharmacology 2011;136(2):297-304. https://doi.org/10.1016/j.jep.2011.04.037
  12. Lee SH, Shin KH, Kim JU. Effect of Seven Points of CVA Acupuncture on Cerebral Blood Flow. J Acupuncture Research 2004;21(3):83-97.
  13. Jun BC, Kim ES, Kim DS, Kim TH, Kim JY. Effectiveness of ShinBaro Pharmacopuncture on Lumbar Spinal Herniated Intervertebral Disc : A Randomized Controlled Trial. J Kor CHUNA Manual Medicine for Spine & Nerves 2011;6(2):109-19.
  14. Chung HJ, Lee HS, Shin JS, Lee SH, Park BM, Youn YS, et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130(3):450-9. https://doi.org/10.1016/j.jep.2010.05.020
  15. Kim MK, Han CH. Pharmacopucture for Stroke: An overview of Meta-Analyses. J Int Korean Med 2019;40(6):1081-100.
  16. Drobyshev VA, Shpagina LA, Gudkova EV, Shashukov DA, Gribacheva IA, Maryanovsky AA, et al. Pharmacopuncture application in a complex rehabilitation of patients in the early recovery period of cerebral stroke. Consilium Medicum 2017;19(2-3):19-22.
  17. Lee SG. The study on the hominis placenta aqua-acupuncture solution. The Acupuncture 2000;17(1):67-74.
  18. Ministry of Food and Drug Safety. Hydrolyzed Hominis Placenta. Avaliable from URL: https://nedrug.mfds.go.kr/pbp/CCBBB01/getItemDetailCache?cacheSeq=200512342aupdateTs2023-01-03%2018:24:18.156751b#none