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http://dx.doi.org/10.22246/jikm.2021.42.5.904

A Case Report on Korean Medical Treatment for a Patient with Quadriplegia and Impaired Cognition as Neurological Sequelae after Ingestion of Herbicides  

Shim, Sang-song (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Ahn, Jae-yoon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Jin, Hyo-won (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Yun, Jong-min (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Moon, Byung-soon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
Publication Information
The Journal of Internal Korean Medicine / v.42, no.5, 2021 , pp. 904-915 More about this Journal
Abstract
This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.
Keywords
herbicide intoxication; toxic encephalopathy; hypoxic encephalopathy; quadriplegia; impaired cognition; Korean medicine treatment; case report;
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