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Treatment of a Patient with Central Dizziness Diagnosed as a Lateral Medullary Infarction: A Case Report (중추성 어지러움을 호소하는 외측 연수경색 환자의 한방치험 증례보고)

  • Park, Song-won;Kim, Youngji;Kim, Hakkyeom;Song, Juyeon;Hong, Seungcheol;Ahn, Lib;Choi, Dong-jun
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.912-919
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    • 2019
  • Objective: The aim of this case report was to describe the effects of traditional Korean medicine on a patient suffering from central dizziness caused by a lateral medullary infarction Methods: The patient was given a series of Korean medicine therapy treatments, including Jeseubsungi-tang, acupuncture, and cupping, for 37 days. We measured the progress of this case using a numerical rating scale (NRS). Results: After the treatment, the NRS score for dizziness decreased, and the headache almost completely subsided. Conclusions: This clinical case study indicated that Jeseubsungi-tang could be effective in relieving central dizziness and headache caused by lateral medullary infarction.

A Case Report on a Patient with Dizziness That Improved with Jihwangeumja (지황음자로 호전된 어지럼 환자의 한방치료 1례)

  • Kil, Bong-hun;Kim, Dong-won;Jo, Hye-mi;Jung, Da-hae;Youn, Hye-soo;Lee, Eun-chang;Won, Jee-yeong;Son, Ah-hyun
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1142-1147
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    • 2021
  • Objective: The purpose of this study was to examine the clinical effect of Korean medicine on a patient who suffered from dizziness. Methods: The patient was treated with herbal medicine for about 2 weeks. Results: Clinical symptoms (dizziness) improved following treatment with Korean medicine. Conclusions: Korean medicine may be effective for improving clinical symptoms of dizziness.

Case Report of Thrombocytopenia Improved by Traditional Korean Medicine (한의치료로 호전을 보인 혈소판감소증 증례 1례)

  • Ye-seul Kim;Ji-yoon Park;Jung-hwa Hong;Eun-joo Seok;Young-ju Rhee;Lib Ahn;Dong-jun Choi
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.216-221
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    • 2023
  • Objective: This study reports on the improvement of a patient with thrombocytopenia using Korean medicine. Methods: A 29-year-old woman was treated with acupuncture, moxibustion, and Korean herbal medicine. Platelet counts were checked periodically to identify improvements in thrombocytopenia. Results: The platelet count showed a marked improvement during treatment, with no side effects for the patient. Conclusion: This study suggests that Korean medicine could be used for the management of thrombocytopenia.

A Case Report of Korean Medicine Treatment for Chest Pain in Variant Angina (변이형 협심증 환자의 흉통에 대한 한의치료 증례 1례)

  • Junghwa Hong;Eun-joo Seok;Youngju Rhee;Jae-hyuk You;Jin-young Lee;Dong-jun Choi;Seong-woo Lim
    • The Journal of Internal Korean Medicine
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    • v.45 no.2
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    • pp.234-245
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    • 2024
  • Variant angina causes chest pain due to abnormal coronary vasospasms. A 60-year-old male who was diagnosed with variant angina was admitted to the Oriental Medicine Hospital and treated with herbal medicines, including Pyungjinsujeom-san and Simjeok-hwan. After treatment, the frequency of chest pain and use of nitroglycerin decreased. Subjective symptoms of chest pain measured using a numerical rating scale (NRS) also decreased. These improvements persisted throughout the hospitalization period. In conclusion, Korean medicines, including Pyungjinsujeom-san and Simjeok-hwan, can be effective for patients with chest pain due to variant angina.

A Case Report of a Patient with Guillain-Barre Syndrome Who Complained of Quadriplegia (사지마비를 주소로 하는 길랑바레 증후군 환자에 대한 증례보고 1례)

  • Heo, Gi-yoon;Lee, Chan;Cho, Im-hak;Kang, Hee-kyung;Kim, Min-hwa;Kim, So-yeon;Park, Seong-ha;Yun, Young-ju;Lee, In;Choi, Jun-yong;Han, Chang-woo;Hong, Jin-woo;Kwon, Jung-nam
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1009-1019
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    • 2021
  • Purpose: The aim of this study was to report the improvement of Guillain-Barre syndrome after long-term combination treatment with Korean medicine. Methods: A patient was diagnosed with Guillain-Barre syndrome and treated with herbal medicine, acupuncture, pharmacopuncture, moxibustion, and exercise, including quadruped walking after three hospital admissions. To evaluate muscle strength and weakness, we measured manual muscle function, gait pattern, and the speed of quadruped walking. Results: The patient's muscle weakness in the extremities and gait stance were improved. The speed of quadruped walking was increased. Conclusion: We consider that combined treatment with Korean medicine might be effective for the muscle weakness of Guillain-Barre syndrome with a poor prognostic factor. To verify the effectiveness of this treatment, further research is needed.

A Case Report on Korean Medical Treatment of a Patient with Abnormal Liver Function Induced by Rovazet (로바젯정으로 유발된 간수치 상승 환자의 한방 치료 증례 보고)

  • Kang, Hee-kyung;Cho, Im-hak;Lee, Chan;Heo, Gi-yoon;Kim, Min-hwa;Kwon, Jung-nam;Kim, So-yeon;Park, Seong-ha;Yun, Young-ju;Lee, In;Choi, Jun-yong;Hong, Jin-woo;Han, Chang-woo
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.846-852
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    • 2021
  • Objective: This study evaluated a clinical case of a patient with Rovazet-induced abnormal liver function treated with intradermal acupuncture. Method: A 59-year-old woman with abnormal liver function induced by Rovazet ceased taking the drug and instead received intradermal acupuncture treatment. After 15 days, clinical symptoms and laboratory test results were evaluated. Results: Aspartate aminotransferase and alanine aminotransferase levels decreased, and clinical symptoms such as nausea and fatigue improved after treatment with intradermal acupuncture and cessation of the Rovazet. Conclusion: This study meaningfully examined a clinical case of a patient with abnormal liver function induced by a lipid-lowering agent, which is uncommon in Korea. Unfortunately, the lack of clear evidence and the use of only one case are limitations of the study.

A Case Report on a Phantom Limb Pain Patient after Below Knee Amputation using Korean Medicine Treatment (하지 절단 환자의 환상통에 대한 한방 치험1례)

  • Seo, Hung-bum;Bae, Go-eun;Choi, Jin-yong;Seo, Hee-jeong;Shim, So-hyun;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Hong, Jin-woo;Kwon, Jung-nam;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1306-1312
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    • 2018
  • Objectives: This study presented the case of a 49-year-old Korean female with phantom limb pain after below right knee amputation and aimed to assess the effectiveness of Korean medicine treatment. Methods: The patient was treated with scalp acupuncture, electroacupuncture and herbal medicine. We executed a numerical rating scale (NRS), conducted a global assessment (G/A), administrated a Short-Form McGill Pain Questionnaire 2 (SF-MPQ-2) and measured total daily sleep time to evaluate symptom improvement. Results: The patient's G/A scores decreased from 10 to 2 and SF-MPQ-2 points decreased from 20 to 6 after treatment. The total daily sleep time did not changed due to anxiety. Conclusions: This study suggests that Korean medicine treatment could be effective in treating phantom limb pain after amputation. Further studies are needed.

Traditional Korean Medicine for Non-Small Cell Lung Cancer Patient Undergoing Pembrolizumab Immunotherapy: A Case Report (Pembrolizumab 면역치료를 시행 중인 비소세포성 폐암환자의 한방치료 증례보고)

  • Shim, So-hyun;Seo, Hee-jeong;Seo, Hyung-bum;Cho, Im-hak;Lee, Chan;Kim, So-yeon;Han, Chang-woo;Park, Seong-ha;Yun, Young-ju;Lee, In;Kwon, Jung-nam;Hong, Jin-woo;Choi, Jun-yong
    • The Journal of Internal Korean Medicine
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    • v.40 no.4
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    • pp.709-722
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    • 2019
  • Objective: The purpose of this study was to report the effect of traditional Korean medicine (TKM) in alleviating the side effects of lung cancer patient undergoing immunotherapy. Method: A 43-year-old man, who was diagnosed with non-small cell lung cancer, received pembrolizumab treatments. The patient was treated with acupuncture and herbal medicine (Geoeoyangpye-tang) to control various uncomfortable symptoms. The degree of pain was measured by the numeric rating scale (NRS). The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30 (EORTC QLQ-C30) and the EORTC 13-item lung cancer-specific module (EORTC LC-13 questionnaire) were used to assess the change in the quality of life. Results: After the TKM treatment, the flank pain and arthralgia based on the NRS were significantly improved. Various uncomfortable symptoms such as fatigue, dyspnea, insomnia, and loss of appetite were also significantly improved, based on the EORTC QLQ-C30 and EORTC QLQ-LC13. The size of the primary tumor was decreased during treatment. The disease status was stable radiologically after two months from discharge.

Analysis of the Numeric Rating Scale (NRS) Used in Clinical Studies Based on Randomized Controlled Studies (임상연구에서 사용되고 있는 NRS에 대한 분석 : 무작위대조군연구를 중심으로)

  • Lee, Chan;Cho, Im-hak;Heo, Gi-yoon;Kang, Hee-kyung;Kim, Min-hwa;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Hong, Jin-woo;Kwon, Jung-nam;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.510-531
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    • 2021
  • Objectives: The purpose of this study was to review the status of numeric rating scale (NRS) usage and suggest the potential for use in multicenter retrospective studies of various diseases. Methods: Articles published from 2011 to 2021 that used the keywords "NRS", "Multi-center", and "RCT" were identified in foreign databases, including EMBASE, PubMed, CENTRAL. The articles were analyzed according to their use of "NRS" by symptoms and by disease group using the major classifications of the Korean Standard Classification of Diseases (KCD-7). Results: Classification by symptom in a total of 288 articles illustrates that the NRS was not only commonly used in pain evaluation but also for non-pain symptoms. In usage with non-pain symptoms, chief complaint of patients was the most common at 79%, and other factors included treatment satisfaction, evaluation of daily life, and sleep quality. In disease classification according to the KCD-7, the NRS was commonly used in connection with musculoskeletal and connective tissue diseases but was also utilized in various other disease groups. Conclusions: This study confirms usage of the NRS in multi-center RCTs, as the NRS was widely used in all types of diseases and symptoms. Considering the result and the advantages of the NRS, it is recommended for use as a daily evaluation tool for the collection of common data in multicenter retrospective studies.

A Case Report of Dysphagia of Achalasia Patient Treated with Korean Medicine, Including Bunsimgieum-gami and Electroacupuncture (식도이완불능증 환자의 연하장애에 대한 분심기음과 전침의 복합 한의치료 1례 : 증례보고)

  • Cho, Im-hak;Lee, Chan;Kang, Hee-kyung;Heo, Gi-yoon;Kim, Min-hwa;Kwon, Jung-nam;Park, Seong-ha;Yun, Young-ju;Lee, In;Choi, Jun-yong;Han, Chang-woo;Hong, Jin-woo;Kim, So-yeon
    • The Journal of Internal Korean Medicine
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    • v.42 no.3
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    • pp.412-419
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    • 2021
  • This study presents the case of a 73-year-old Korean male with dysphagia caused by achalasia and aimed to assess the effectiveness of Korean medical treatment. The outpatient was treated with acupuncture, electroacupuncture, and herbal medicine (Bunsimgieum-gami, Gyejigayonggolmolyeo-tang, Bangpungtongsung-san) for about 6 months. We evaluated the patient's symptoms whenever he visited the clinic. The patient improved significantly after Korean medical treatment. In particular, dysphagia disappeared after herbal medicine treatment. This case report suggests that Korean medical treatment could be effective in treating achalasia. Further studies are needed.