Browse > Article
http://dx.doi.org/10.22246/jikm.2019.40.6.1248

A Case Report on a Patient with Acute Herniated Lumbar Disc due to Coughing Treated with Megadose Pharmacopuncture and Combined Korean Medicine  

Ryu, Gwang-hyun (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine)
Moon, Heeyoung (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine)
Ju, Ah-ra (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine)
Choo, Won-jung (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine)
Choi, Yo-sup (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine)
Moon, Youngjoo (Dept. of Korean Medicine Rehabilitation, Bu-Cheon Jaseng Hospital of Korean Medicine)
Chai, Jiwon (Dept. of Korean Medicine Rehabilitation, Bu-Cheon Jaseng Hospital of Korean Medicine)
Shin, Wonbin (Dept. of Acupuncture & Moxibustion, Bu-Cheon Jaseng Hospital of Korean Medicine)
Publication Information
The Journal of Internal Korean Medicine / v.40, no.6, 2019 , pp. 1248-1258 More about this Journal
Abstract
Objective: The purpose of this study was to report the radiological and symptomatic changes in a patient with acute herniated lumbar disc due to coughing, treated with megadose pharmacopuncture and combined Korean medicine. Methods: MRI examination diagnosed an acute lumbar disc herniation by coughing. We performed a combination treatment of megadose pharmacopuncture and integrated Korean medicine. NRS, ODI, EQ-5D, SLR test, and big toe extension test were checked on admission, after two weeks, on discharge, and after four months to confirm symptom improvements. Results: In the acute stage of lumbar intervertebral disc rupture, megadose pharmacopuncture combined with Korean medicine treatment showed improvement in NRS, ODI, EQ-5D, SLRT, and big toe extension tests. In addition, absorption of the herniated intervertebral discs was observed through an MRI scan on discharge. Conclusions: For patients with herniated lumbar disc acutely deteriorated by coughing, a combination of megadose pharmacopuncture with Korean medicine treatment may be a solution.
Keywords
herniated lumbar disc; cough; megadose pharmacopuncture; Bee Venom pharmacopuncture; Korean medicine;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Yoon HS, Kim S, Bahn HJ, Yom SK, Cho HC, Jung SY, et al. Herniated Lumbar Disc in a patient Who is Deteriorated by Coughing : A case Report. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2010;5(2):69-76.
2 Jang G, Cho TY, Lee BY, Lim HH, Lee JS. Herniated Lumbar Disc in a patient Undergoing Lumbar Chuna Manipulation Treatment : A Case Report. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2006;1(2):137-42.
3 Youn YS, Cho JH, Ryu HJ, Lee JS. Ruptures Lumbar Disc in a Patient Undergoing Lumbar Chuna Treatment : A Case Report. The Journal of Korea CHUNA Manual Medicine 2004;5(1):163-8.
4 Kim HS, Ha JW, Park JO, Park HW, Han DY, Hur JH. Ruptured Lumbar Disc in Patients Undergoing Manipulation of the Lumbar Spine. The Jorunal of Korean Orthop Assoc 1998;33(5):1326-33.   DOI
5 Yoo SB, Kim MH, Moon BH, Yoon TK, Ju YG, Kwon OJ, et al. Fourty One Cases on MRI (Magnetic Resonance Imaging) Change of Hivd of L-Spine Patient Who Have Been Improvement on Megadose Pharmacoacupuncture and Korean Medical Treatments. Journal of Korean Medicine Rehabilitation 2016;26(4):117-26.   DOI
6 Cha JD, Jung SM, Kim KO, Kim KS, Kim NO. The Comparison of Effectiveness between Acupuncture and Its Cotreatment with Bee Venom Acua-Acupuncture Therapy on the Treatment of Herniation of Nucleus Pulpous. The Journal of Korean Acupuncture & Moxibustion Society 2004;21(1):149-58.
7 Yu SM, Lee JY, Kwon KR, Lee HS. Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous. The Journal of Korean Acupuncture & Moxibustion Society 2006;23(5):39-54.
8 Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. The Korean Journal of Meridian & Acupoint 2007;24(2):77-97.
9 Jeon CH, Kim DJ, Kim SK, Kim DJ, Lee, HM, Park HJ. Validation in the Cross-cultural adaptation of the Korean version of the oswestry disability index. J Korean Med Sci 2006;21(6):1092-7.   DOI
10 Lee SH, Park JW. The study of factors affecting functional disability of the low back pain patients using oswestry disability index (ODI) assessment tool. Korean J Orthop Manu Ther 2007;13(1):18-25.
11 Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, Kind P, Kweon SS, Kim YT. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health 2009;12(8):1187-93.   DOI
12 The Society of Korean Medicine Rehabilitation. Oriental Rehabilitation Medicine. Seoul: Koonja publishing company; 2012, p. 50.
13 Wang DA, Transfeldt E. Macnab's Backache. Seoul: Gabon medical; 2008, p. 161-5.
14 Ju YG, Kim TH, Lee SJ, Ahn SM, Sin SJ, Kwon OJ, et al. A Clinical Case Report Treated by Megadose Pharmacoacupuncture and Korean Medical treatments for the three Patients with HIVD of L-Spine and one Patient with HIVD of C-Spine. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2015;10(2):61-71.
15 Lee JS. Operative Treatment of Lumbar Disc Herniation. Journal of Korean Society of Spine Surgery 2001;8(3):327-35.   DOI
16 Korean Pharmacopuncture Institute. Korea institute of herbal acupuncture. Seoul: Korean Pharmacopuncture Institute; 1999, p. 187-94.
17 Saal JA, Saal JS and Herzog RJ. The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Spine 1990;15(7):683-6.   DOI
18 Korea Institute of Oriental Medicine. KMCPG-Lumbar Herniated Intervertebral Disc(HIVD). Korea Institute of Oriental Medicine; 2016, p. 34.
19 Sarwark JF. Essentials of Musculoskeletal Care. Seoul: Bummoon education; 2013, p. 616, 657-60.