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Effect of Korean Medicine Treatment on Vancomycin-resistant Enterococci Colonization in a Stroke Patient: A Case Report (반코마이신 내성 장알균(Vancomycin Resistant Enterococci)이 검출된 뇌졸중 환자의 집락 해제에 대한 한방치료 1례 : 증례보고)

  • Seo, Hyung-bum;Lee, Chan;Cho, Im-hak;Heo, Gi-yoon;Kang, Hee-kyung;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.41 no.6
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    • pp.1191-1199
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    • 2020
  • We studied the effect of Korean medicine treatment on the clearance of vancomycin-resistant enterococcus (VRE) colonization and on improvement in symptoms in a stroke patient. The patient was continuously followed up with stool VRE cultures while being treated with herbal medicine, Chunglijagam-tang, acupuncture, and oxygen therapy. We also checked the coccygeal pressure sore condition and the oxygen levels during therapy. No VRE colonization was found after treatment and the oxygen levels and pressure sores had improved. This study proved that Korean medicine treatment could be effective for the clearance of VRE colonization and improvement of symptoms.

A Case Report of Persistent Postural-Perceptual Dizziness Treated with Korean Medicine (한방 치료로 호전된 지속체위 - 지각어지럼에 대한 증례 1례)

  • Kim, Min-hwa;Heo, Gi-yoon;Kang, Hee-kyung;Nam, I-rang;Kim, Maria;Lee, In;Kwon, Jung-nam;Kim, So-yeon;Yun, Young-ju;Choi, Jun-yong;Han, Chang-woo;Park, So-jung;Hong, Jin-woo
    • The Journal of Internal Korean Medicine
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    • v.43 no.4
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    • pp.769-778
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    • 2022
  • Objectives: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of persistent postural-perceptual dizziness. Methods: A patient with dizziness was treated with Banhabackchulchunma-tang and Gongjin-dan herbal medicines. The severity of symptoms was assessed with a daily visual analog scale (VAS) for dizziness and the frequency of subjective trembling feelings (over 30 minutes). Results: After the treatment, the severity of dizziness was reduced from VAS 5 to VAS 2, and fatigue was improved from VAS 5 to VAS 1. The frequency of subjective trembling feelings was reduced from once every 3-4 days to once every 10 days. Other symptoms, such as dyspepsia, sleep disturbance, and hot flashes, also showed improvement. Conclusion: Treatment with Korean medicine may be an effective option for the treatment of persistent postural-perceptual dizziness.

A Case Report on a Patient with Amyotrophic Lateral Sclerosis Treated with Korean Medicine (한방 치료로 호전된 근위축성측색경화증에 대한 증례 1례 : 증례보고)

  • Heo, Gi-yoon;Kang, Hee-kyung;Kim, Min-hwa;Nam, Irang;Kim, Mariah;Kim, So-yeon;Park, So-jung;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.43 no.5
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    • pp.891-900
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    • 2022
  • Purpose: The purpose of this paper is to report the improvement of a patient with amyotrophic lateral sclerosis after long-term combined Korean medical treatment. Methods: A patient diagnosed with amyotrophic lateral sclerosis was treated with herbal medicine, acupuncture, pharmacopuncture, moxibustion, and rehabilitation for four separate hospital stays. To evaluate their respiratory discomfort and limb weakness, we used Manual Muscle Testing, the Pulmonary Function Test, and the Korean Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised. Results: The weakness of the muscles of the lower extremities and respiratory function was improved. Conclusion: We consider that combined Korean medicine treatments might be an effective treatment for muscle weakness and respiratory discomfort of amyotrophic lateral sclerosis. To verify the effectiveness of these treatments, further research is required.

A Case Report of Oculomotor Palsy Associated with Stent-Assisted Coil Embolization of Cerebral Aneurysm (뇌동맥류의 스텐트 보조 코일색전술 후에 발생한 동안신경 마비에 대한 한방치험 1례)

  • Min-hwa Kim;Gi-yoon Heo;Hee-kyung Kang;I-rang Nam;Mariah Kim;In Lee;Jung-nam Kwon;So-yeon Kim;Young-ju Yun;Jun-yong Choi;Chang-woo Han;So-jung Park;Jin-woo Hong
    • The Journal of Internal Korean Medicine
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    • v.43 no.6
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    • pp.1264-1273
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    • 2022
  • Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [參苓白朮散變方] and Uwhangchungsim-won [牛黃淸心元]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.

A Comparison on the General Characteristics of Acute Stroke Patients between Fire-Heat and Deficiency of Yin (화열과 음허로 진단된 급성기 뇌질환 환자의 특성 비교 연구)

  • Kim, Hye-mi;Gwak, Ja-young;Cho, Seung-yeon;Shin, Ae-sook;Lee, In-whan;Kim, Na-hee;Na, Byung-Jo;Park, Seong-Uk;Jung, Woo-sang;Mun, Sang-gwan;Park, Jung-mi;Ko, Chang-nam;Cho, Ki-ho;Kim, Young-suk;Bae, Hyung-sup
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.10 no.1
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    • pp.33-39
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    • 2009
  • Objects : This study propose to compare on general characteristics of acute stroke patients between Fire-Heat group and Deficiency of Yin group. Method : We recruited acute stroke patient within 4 weeks after stroke admitted to Department of Internal Medicine of Kyunghee University Oriental Medicial Center, Dongguk University Ilsan Oriental Medical Center, Kyungwon University Songpa Oriental Medical Centar and Kyungwon University Incheon Oriental Medical Center from April 2007 to August 2009. We investigate age, sex, type of stroke, past history, general characteristics, smoking, drinking alcohol, marriage sasang constitution, etc. Result : It was significant different in sex, smoking, dringking alcohol and marriage between Fire-Heat group and Deficiency Yin group. We need more cases for another result that could associate with diagnosis of stroke. Conclusion : We found that Fire heat group was more associated with lifestyle than deficiency yin group. Further study will be needed to analysis for the diagnosis and the treatments of stroke.

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Hepatic/Renal Safety Evaluation of Cheongsimyeonja-tang (Qīngxīn Liánzǎo Tāng), Dodam-tang (Táodàn Tāng), Hyeolbuchukso-tang (Xuè Fǔ Zhú Yū Tāng), and Boshiniknai-tang (Bǔ Shèn Yì Nǎo Tāng) for Cerebrovascular Diseases : A Retrospective Study (뇌혈관질환 환자에 대한 청심연자탕(淸心連子湯), 도담탕(導痰湯), 혈부축어탕(血府逐瘀湯), 보신익뇌탕(補腎益腦湯)의 간기능과 신기능 안전성 평가 : 후향적 연구)

  • Min-hwa Kim;Im-hak Cho;I-rang Nam;Maria Kim;Ki-beom Ku;Se-yeon Lee;Jung-nam Kwon;In Lee;Jin-woo Hong;Young-ju Yun;So-yeon Kim;Chang-woo Han;So-jung Park;Jun-yong Choi;Hyeun-kyoo Shin
    • The Journal of Internal Korean Medicine
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    • v.44 no.3
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    • pp.439-454
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    • 2023
  • Objectives: As Korea transitions into an aging society, the incidence of cerebrovascular disease is expected to increase. Herbal medicine is commonly used in Oriental medicine to treat cerebrovascular disease. However, there is insufficient clinical evidence to actively support the safety of herbal medicine in clinical practice. Therefore, the aim of this study was to determine the toxicity and safety of four herbal medicines (Cheongsimyeonja-tang, Dodam-tang, Hyeolbuchukso-tang, and Boshiniknai-tang) in patients with cerebrovascular disease. Methods: This study used electronic medical records to analyze patients admitted to an oriental medicine hospital from April 1, 2017, to December 31, 2020. Liver and renal function values at the time of admission and discharge were compared. Results: A total of 25 patients were included in this study. We found no significant differences in various variables, such as complete blood count, liver-renal function test, and urine, before and after the administration of the four herbal medicines. Additionally, no significant adverse events related to herbal medicine were observed. Conclusions: This study confirmed the safety of the four herbal medicines in patients with cerebrovascular disease who were hospitalized in a single Oriental medicine hospital.

A Case Report of Occipital Neuralgia Treated with Acupuncture in the Occipital Nerve Area (후두신경 영역 침치료로 호전된 후두신경통 증례 1례)

  • Min-hwa Kim;I-rang Nam;Mariah Kim;Ki-beom Ku;Se-yeon Lee;Jung-nam Kwon;In Lee;Jun-yong Choi;Young-ju Yun;So-yeon Kim;Chang-woo Han;So-jung Park;Jin-woo Hong
    • The Journal of Internal Korean Medicine
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    • v.44 no.6
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    • pp.1327-1336
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    • 2023
  • This case report presents the effectiveness of Korean medicine in the treatment of occipital neuralgia. The patient with occipital neuralgia was treated with acupuncture. Acupuncture treatment was administered to the occipital nerve area, which is commonly used in occipital nerve blocks by western medicine doctors. The severity of the symptoms was assessed daily using the Numerical Rating Scale (NRS) score of pain. The patient received outpatient treatment a total of 7 times, and only received acupuncture treatment each time. According to the patient, his symptoms decreased by about 90% two days after acupuncture treatment, and the frequency and duration of the symptoms also decreased. Seven days after all acupuncture treatments, the severity of pain was reduced from NRS 6 to NRS 0. The findings of this case report suggest that treatment with Korean medicine can be an effective option for treating occipital neuralgia. Acupuncture can be a good treatment method for occipital neuralgia, along with western drug treatment and occipital nerve block.

A Case Report of a Homonymous Hemianopsia in a Stroke Patient Treated with Traditional Korean Medical Treatment (한의 복합 치료를 통해 시야결손에 개선을 보인 후대뇌동맥 폐색에 의한 뇌경색증 환자 1례에 대한 증례 보고)

  • Chu, Hongmin;Kim, Cheol-hyun;Lee, Young-ung;Kim, Kwang-ho;Moon, Yeon-ju;Shin, Hye-ryung;Ahn, Jae-yoon;Sung, Kang-keyng;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.797-803
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    • 2019
  • Introduction: The aim of this study was to report the effect of Korean medicine treatments on a stroke patient with homonymous hemianopsia. Case Presentation: A 50-year-old male with a posterior cerebral artery infarction had continuously deteriorating symptoms of right homonymous hemianopsia, fatigue, dizziness, and light sensitivity. Treatment with Korean medicine therapy, including acupuncture and herbal medicine significantly improved the patient's symptoms. The result of a visual field test (VFI) was also improved after treatment, and no side effects were observed during treatment. Conclusion: Korean medicine treatment can be considered an effective treatment for homonymous hemianopsia in stroke patients.

A Case of a Corticobasal Syndrome Patient with Right Side Apraxia Treated with Korean Medicine (우측 상지의 실행증을 주소로 하는 피질기저핵 증후군 환자 한방 치험 1례)

  • Jeong, Hye-seon;Kim, Ha-ri;Lee, Sang-hwa;Lee, Hyung-min;Cho, Seung-yeon;Park, Seong-uk;Park, Jung-mi;Ko, Chang-nam;Yang, Seung-bo
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1313-1320
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    • 2018
  • Objectives: This case study reports on the effects of Korean medicine on a corticobasal syndrome with apraxia. Methods: We used acupuncture, bee-venom, pharmaco-acupuncture and herbal medicine to treat a corticobasal syndrome patient during hospitalization for 32 days. We observed changes in the UPDRS score, hand movement by opening and closing of hands, the making of a tower with 10 blocks and writing. Results: The hand movement count was improved from 2 to 10. The time needed for making a tower with 10 blocks decreased from 68 to 50 sec, and the number of stroke when writing the Korean word '철' decreased. In addition, the UPDRS score was decreased after treatment from 27 to 24. Conclusion: This clinical case study suggests that Korean medicine treatment could be used in the treatment of corticobasal syndrome.

A Case Report of Chronic Gastritis in a Patient with Spinal Stenosis Hospitalized at a Korean Medicine Hospital and Treated with Korean Medicine (한방병원에 입원한 요추관협착증을 동반한 만성 위염 환자에 대한 한방 치료 1례)

  • Kim, So-won;Park, Jin-hun;Wang, Yen-Min;Kim, Sang-yoon;Baek, Gil-geun;Yun, Sang-hun;Lee, Hyung-chul;Kang, Man-ho;Park, Sung-hwan;Lee, Jee-young
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.854-863
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    • 2022
  • Objectives: The purpose of this study is to report the efficacy of applying Korean medical treatment to chronic gastritis. Methods: We treated a chronic gastritis patient with Korean medical treatments (herbal medicines, acupuncture, and herbal acupuncture therapy). To evaluate the results of this treatment, we took measurements using the Gastrointestinal Symptom Rating Scale and Visual Analogue Scale for abdominal pain, heartburn, nausea, and abdominal distension. The patient's generic health status was evaluated using the European Quality of Life 5 Dimensions Scale. Results: Improvements in gastrointestinal symptom ratings and the European Quality of Life 5 Dimensions Scale were observed after the treatments. Relief of symptoms was observed in abdominal pain, heartburn, nausea, vomiting, and abdominal distension using the Visual Analogue Scale. Conclusions: This study suggests that Korean medicine may be effective in the treatment of chronic gastritis.