Browse > Article
http://dx.doi.org/10.22246/jikm.2021.42.5.931

A Case Report on Central Post-stroke Pain in Medullary Infarction Treated with BackJun-pill  

Lee, Yu Jin (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Park, Hojung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Kim, Geun Young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Cho, Ki-Ho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Mun, Sang-Kwan (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Jung, Woo-Sang (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Kwon, Seungwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Jin, Chul (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
Publication Information
The Journal of Internal Korean Medicine / v.42, no.5, 2021 , pp. 931-938 More about this Journal
Abstract
Objective: This study addressed a case of central post-stroke pain described as right arm painful with coldness and left lateral medullary infarction. Methods: A patient, 71 years old female with medullary infarction, was treated with a Korean herbal medication (BackJun-pill). The improvement of symptoms was evaluated using the Numeral Rating Scale and reports of coldness and pain in the affected areas. We also measured the body temperature difference between the left and right arms using digital infrared thermographic imaging (DITI). Results: After six weeks of treatment with Korean medicine, the patient's pain and sensation of coldness decreased. Conclusions: This clinical case study suggests that BackJun-pill may be effective for alleviating pain and coldness due to central post-stroke pain.
Keywords
central post-stroke pain; painful coldness; BackJun-Pill; Korean medicine;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Eom TM, Baek IK, Park HJ, Cho HK, Kim YS, Yoo HR, et al. A Case report of Thalamic pain Syndrome Patient who were Constitutionally Typed as Taeeumin improved by Yeoldahanso-tang. The Society of Stroke on Korean Medicine 2013;14(1):115-21.
2 Klit H, Finnerup NB, Jensen TS. Central post-stroke pain: clinical characteristics, pathophysiology, and management. Lancet Neurol 2009;8(9):857-68.   DOI
3 Kong KH, Woon VC, Yang SY. Prevalence of chronic pain and its impact on health-related quality of life in stroke survivors. Arch Phys Med Rehabil 2004;85(1):35-40.   DOI
4 Kim JS, Choi-Kwon S. Sensory sequelae of medullary infarction: differences between lateral and medial medullary syndrome. Stroke 1999;30(12):2697-703.   DOI
5 Shin HY, Lee SH, Lee HM, Yang SB, Cho SY, Park SU, et al. A Case Report of Central Post -stroke Pain Improved by Gami SSanghwa-tang. The Journal of the Society of Stroke on Korean Medicine 2017;18(1):77-86.
6 Lee EC, Hyun SH, Min KD, Kim YS, Jo JH, Moon SK, et al. A case of oriental medicine treatment for central pain after stroke. The Journal of Internal Korean Medicine 2013;spr:194-200.
7 Jeong SM, Ko HY, Jung KY, Kim DW, Park JH, Choi YK, et al. Paik Jung-hwan Clinical Report on Parathyroid Patients Caused by Sagittal Stroke. The Journal of Internal Korea Medicine 2005;spr:269-77.
8 Murray F, Edwin M, Murali R, Jose B. Central Poststroke Pain: Current Diagnosis and Treatment. Topics in Stroke Rehabilitation 2013;20(2):116-23.   DOI
9 Gwak JY, Cho SY, Shin AS, Lee IW, Kim NH, Kim HM, et al. Efficacy of Bee-venom Acupuncture on Central Post Stroke Pain - Single-blind Randomized Controlled Trial-. The Journal of Korean Acupuncture & Moxibustion Society 2009;26(6):205-14.
10 Lee HJ, Kim SY, Lee SH, Seo DM, Lee DI, Kim KS, et al. Effect of East-West pain treatment for Central Poststroke Pain on alleviation of pain and Rehabilitation. Journal of Korean acupuncture & moxibustion medicine society 2003;20(2):42-9.
11 Jons on AC, Lindgren I, Hallstrom B, Norrving B, Lindgren A. Prevalence and intensity of pain after stroke: a population based study focusing on patients' perspectives. J Neurol Neurosurg Psychiatry 2006;77(5):590-95.   DOI
12 Bovie J, Leijon G, Johansson I. Central poststroke pain: a study of the mechanism through analysis of the sensory abnormalities. Pain 1989;37(2): 173-85.   DOI
13 Beric A. "New syndrome" and their evaluation. Muscle Nerve 1993;16:1017-24.   DOI
14 Mulla SM, Wang L, Khokhar R, Izhar Z, Agarwal A, Couban R, et al. Management of Central Poststroke Pain: Systematic Review of Randomized Controlled Trials. Stroke 2015;46(1):2853-60.   DOI
15 Lundstrom E, Smits A, Terent A, Borg J. Risk factors for stroke-related pain 1 year after first-ever stroke. Eur J Neurol 2009;16(2):188-93.   DOI
16 Widar M, Ahlstrom G, Ek AC. Health-related quality of life in persons with long-term pain after a stroke. J Clin Nurs 2004;13(4):497-505.   DOI
17 Widar M, Ek AC, Ahlstrom G. Coping with long-term pain after a stroke. J Pain Symptom Manage 2004;27(3):215-25.   DOI
18 Bowsher D. Central pain: clinical and physiological characteristics. J Neurol Neurosurg Psychiatry 1996;61(1):62-9.   DOI
19 Kumar G, Rasilal C. Central post-stroke: current evidence. Journal of the Neurological Science 2009;284(1-2):10-7.   DOI
20 Kuptniratsaikul V, Kovindha A, Suethanapornkul S, Manimmanakorn N, Archongka Y. Complications during the rehabilitation period in Thai patients with stroke: a multicenter prospective study. Am J Phys Med Rehabil 2009;88(2):92-9.   DOI
21 Suzuki Y, Yuzurihara M, Hibino T, Yano S, Kase Y. Aqueous extract of Asiasari radix inhibits formalin-induced hyperalgesia via NMDA receptors. J Ethnopharmacol 2009 May 4;123(1):128-33.   DOI
22 Jeong KS, Kim SH, Park SK, Lim HJ, Yoon HS, Ahn HJ. Clinical Study on the Effect of Bee Venom Acupuncture Therapy on the Post-stroke Pain. The Journal of Korean Acupuncture& Moxibution Society 2005;22(3):69-75.
23 Kim JH, Park GC. A Case Report of Central Post-stroke Pain Patient Treated with Scalp Acupuncture(MS6 and MS7) and Usual Treatment of Korean Medicine. The Acupuncture 2014;31(3):57-65.
24 Kim SM, Kang AM, Noh HS, Ha YK, Ahn L, Choi DJ. A Case Report of Central Post-Stroke Pain Improved by Sokyungwhalhyultang. The Journal of the Society of Stroke on Korean Medicine 2015;16(1):73-80.
25 전국한의과대학 심계내과학 교수협의회. 한방순환신경내과학. 서울: 우리의학서적; 2016.
26 Willoch F, Schindler F, Wester HJ, Empl M, Straube A, Schwaiger M, et al. Central poststroke pain and reduced opioid receptor binding within pain processing circuitries: a [11C]diprenorphine PET study. Pain 2004;108(3):213-20.   DOI
27 Wang C, Sun D, Liu C, Zhu C, Jing X, Chen S, et al. Mother root of Aconitum carmichaelii Debeaux exerts antinociceptive effect in Complet Freund's Adjuvant-induced mice: roles of dynorpin/kappa-opioid system and transient receptor potential vanilloid type-1 ion channel. J Transl Med 2015;13:284.   DOI
28 Kim YS, Cho YE. Pre- and Postoperative Thermographic Imagings on the Lumbar Disc Herniations. Journal of Korean Neurosurgical Society 1993;22(1):71-82.