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A Case Study of Korean Medicine Treatment in a Patient Complaining of Generalized Dystonia

전신성 근긴장이상을 호소하는 환자에 대한 한의 치료 1례

  • Kyeong-hwa Lee (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hye-min Heo (Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong) ;
  • Dong-joo Kim (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Min-jae Kwak (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ye-chae Hwang (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seung-yeon Cho (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jung-mi Park (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chang-nam Ko (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong-uk Park (Dept. of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 이경화 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 허혜민 (강동경희대학교병원 뇌신경센터 한방내과) ;
  • 김동주 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 곽민제 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 황예채 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조승연 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박정미 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 고창남 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박성욱 (경희대학교 대학원 한방순환신경내과학교실)
  • Received : 2024.04.23
  • Accepted : 2024.05.20
  • Published : 2024.05.30

Abstract

We report a case of generalized dystonia that developed from oromandibular dystonia and improved following Korean medicine treatment. The patient was hospitalized for 18 days and treated with herbal medicine, mainly Hyeongbangsabaek-san and Soyangbowi-tang, acupuncture, electroacupuncture, pharmacopuncture, cupping, and moxibustion. To evaluate the clinical effects of the treatment, we used the Unified Dystonia Rating Scale (UDRS) and Global Dystonia Severity Rating Scale (GDS) and checked dyskinesia occurrence in a diary recorded by the patient's guardian. After 18 days of hospitalization, the UDRS for the trunk, upper extremities, and lower face improved by more than 50%, and the GDS for the whole region, except the larynx and lower face, also improved. In addition, the maximum duration of dystonia decreased from 6 hours to 3 hours, and the pain and numbness associated with dystonia disappeared. This case suggests that Korean medicine treatment is effective in treating generalized dystonia.

Keywords

References

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