DOI QR코드

DOI QR Code

A Case Report of Wernicke Aphasia by Korean Medicine Treatment, Including Scalp Acupuncture

두침요법을 포함한 한의 복합치료로 호전된 감각성 실어증 치험 1례

  • Ji-hyun Hwang (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jeong-rim Bak (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Hyo-won Jin (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jungtae Leem (Dept. of Diagnostics, College of Korean Medicine, Wonkwang University) ;
  • Byung-soon Moon (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jong-min Yun (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University)
  • 황지현 (원광대학교 한의과대학 내과학교실) ;
  • 박정림 (원광대학교 한의과대학 내과학교실) ;
  • 진효원 (원광대학교 한의과대학 내과학교실) ;
  • 임정태 (원광대학교 한의과대학 진단학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실)
  • Received : 2023.09.19
  • Accepted : 2023.10.31
  • Published : 2023.10.30

Abstract

The purpose of this case study is to report the effectiveness of scalp acupuncture and Cheungsindodam-tang on Wernicke's aphasia in patients with left middle cerebral territory infarction. Scalp acupuncture, herbal medicine (Cheungsindodam-tang), and moxibustion were administered for 66 days to improve the patient's symptoms. The degree of improvement in symptoms was evaluated using the Korean version of the Western Aphasia Battery (K-WAB) and Mini-Mental State Examination-Korea (MMSE-K). Quality of life was evaluated with the Korean version of the Stroke and Aphasia Quality of Life Scale-39 (K-SAQOL-39). After 66 days of treatment, the aphasia quotient score of the K-WAB test increased from 19 to 34.6 after treatment. The K-SAQOL-3 score increased from 2.77 to 3.18, and the MMSE-K score increased from 4 to 21. This case report suggests that Korean medical therapy can be effective in improving the language functions of patients with Wernicke's aphasia.

Keywords

Acknowledgement

This work was supported by a National Research Foundation of Korea grant funded by the Korea government(No NRF-2022R1C1C2008738). This research was also supported by the Bio & Medical Technology Development Program of the National Research Foundation(NRF) funded by the Korean government (MSIT)(No. RS-2023-00261934). This research was also supported by a grant of the Korea Health Technology Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (grant no. HF23C0063).

References

  1. Kim Y. CheongKangEuiGam(晴崗醫鑑). Seoul: Seongbosa; 1992. 
  2. Sheppard SM, Sebastian R. Diagnosing and managing post-stroke aphasia. Expert Rev Neurother 2021;21(2):221-34.  https://doi.org/10.1080/14737175.2020.1855976
  3. Nogles TE, Galuska MA. Middle Cerebral Artery Stroke. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Accessed September 7, 2023. 
  4. Berthier ML. Poststroke Aphasia. Drugs Aging 2005;22(2):163-82.  https://doi.org/10.2165/00002512-200522020-00006
  5. Korean Academy of Rehabilitation Medicine. Rehabilitation Midicine. Paju: Koonja; 2020. 
  6. Korean Acupuncture & Moxibustion Medicine Society. The Acupuncture and Moxibusion. Vol 2. Paju: Jipmoondang; 2008. 
  7. Yun JM. Clinical Study of Scalp Acupuncture Effects on Patients with Broca Aphasia. J Intern Korean Med 2004;25(4):167-76. 
  8. Kang AR, Woo JM, Lee MR, Kim SB, Cho KH, Moon SK, et al. Two Case Studies of Scalp Acupuncture on Post-stroke Global Aphasia Patients. J Intern Korean Med 2016;37(2):265-72. 
  9. Kim HR, Jeong HA, Choi JW, Jeon GR, Park SU, Park JM, et al. A Case Report of Anomic Aphasia after Putaminal Hemorrhage Improved by Korean Medical Treatment Including Head Acupuncture. J Intern Korean Med 2020;41(6):1200-9.  https://doi.org/10.22246/jikm.2020.41.6.1200
  10. Kertesz A. The Western Aphasia Battery-Revised. NewYork: Grune and Stration; 2015. 
  11. Kim SJ, Shin JC, Kim DY, Kim HH. Korean Version of Stroke and Aphasia Quality of Life Scale-39(K-SAQOL-39): Its Validity & Reliability. J Rehabil Res 2012;16(4):245-65. 
  12. Kim JM, Shin IS, Yoon JS, Lee H. Comparison of diagnostic validities between MMSE-K and K-MMSE for screening of dementia. J Korean Neuropsychiatr Assoc 2003;42(1):124-30. 
  13. Yoo SD. Evidence Based Therapies for Aphasia following Stroke. Brain NeuroRehabilitation 2010;3(1):27-33.  https://doi.org/10.12786/bn.2010.3.1.27
  14. Korean Neurological Association. Neurology. Seoul: Panmunedu; 2017. 
  15. Korean stroke society. stroke. 2nd ed. Seoul: Panmuneducation; 2017. 
  16. Kim LH, Park HC, You G, Jeong EH. A Critical Review on the Communication Disorders in Donguibogam(東醫寶鑑). Commun Sci Disord 2006;11(3):113-28. 
  17. Gang HH, Hwang CW. Literature review on the causes and treatment of Aphasia after stroke. J Haehwa Med 1998;7(1):719-28. 
  18. Lee HG, Jung DJ, Choi YM, Yook TH, Song BY, Jeong SG, et al. A Systematic Literature Review on Clinical Research in Human Utilized Electroacupuncture in Korea. Journal of Acupuncture Research 2013;30(5):139-53.  https://doi.org/10.13045/acupunct.2013053
  19. Kim MK, Oh MS. A Study on the Tendency to Research of Scalp Acupuncture. J Haehwa Med 2008;17(1):113-27. 
  20. Ha CH, Han SG, Cho MR, Ryu CR, Lee BR. A clinical study on 29 cases with Stroke treated by common acupuncture therapy and scalp acupuncture. The J of Korean Acupuncture & Moxibustion Society 2001;18(4):82-90. 
  21. Yau CH, Ip CL. Scalp Acupuncture and Mental Disorders. In: Acupuncture - Reso lving Old Controversies and Pointing New Pathways. IntectOpen: IntechOpen; 2019. 
  22. Koh JY, Son AH, Shin HS. Review of Clinical Research about the Treatment of Aphasia after Cerebrovascular Disease. J Intern Korean Med 2018;39(6):1105-15.  https://doi.org/10.22246/jikm.2018.39.6.1105
  23. Yun YG. Oriental medicine prescription explanation. Seoul: Eui Seong Dang Publishing Co; 2015. 
  24. Bae BI, Lee JS. Literature review on Dodamtang. Hyehwa Medical 1996;5(1):129-48. 
  25. Lee WG, Lee YG, Namgung U, Kim DH. Effect of Jeongsindodam-tang (精神導痰湯) on the pathological condition of diet-induced hyperlipidemic animals. Theory of Literature, Daitai University, Korean Medicine Research Institute, Korean Medicine 2004;13(2):109-22. 
  26. Watt JA, Veroniki AA, Tricco AC, Straus SE. Using a distribution-based approach and systematic review methods to derive minimum clinically important differences. BMC Med Res Methodol 2021;21(1):41. 
  27. Lee HJ, Choi HY, Yeon GW, Kim YC, Lim WJ, Kim JH, et al. Association between Obesity Indices and MMSE-K in Elderly. J Korean Neuropsychiatr Assoc 2013;52(6):447-53.  https://doi.org/10.4306/jknpa.2013.52.6.447
  28. Ahn L. A Systematic Review of Acupuncture Treatment for Post Stroke Aphasia. Dongguk University 2016.