우울증상을 동반한 다발성 경화증 재발 환자의 치험 1례
A Case of Multiple Sclerosis with Depression
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives : Multiple sclerosis (MS) is a demyelination disease of central nervous system, presenting a various neurological disorders depending on the lesion. In the view of oriental medicine, MS is similar to Flaccidity-syndrome(痿證). Also, since MS is a chronic disease which repeats the recurrences with periods of remission of the symptoms in between, it may usually be accompanied by depression. However, the etiology, treatment, and cause of recurrence of MS remain unknown, and also, as the recurrences of MS have been repeated, disease burden has been accumulated, which aggravates disorder. This case of MS experienced depression after the patient had been diagnosed as bad consequence based on the past 5 times recurrences of multiple sclerosis. Methods : We saw the causes as vicera and bowels functional disorder which might have come from a poor diet. Thus, we diagnosed this case as dual deficiency of spleen and kidney(脾腎兩虛), stagnant qi transforming into fire(氣鬱化火) and liver-kidney deficiency(肝腎不足) and treated it with Herb medication, acupuncture therapy, and supportive therapy, making the patient better. Results : We have improved the patient's condition to the time before 5th recurrence. Conclusions : This result suggests that our oriental medical treatments was effective on multiple sclerosis with depression.
Abstract
Objectives : Multiple sclerosis (MS) is a demyelination disease of central nervous system, presenting a various neurological disorders depending on the lesion. In the view of oriental medicine, MS is similar to Flaccidity-syndrome(痿證). Also, since MS is a chronic disease which repeats the recurrences with periods of remission of the symptoms in between, it may usually be accompanied by depression. However, the etiology, treatment, and cause of recurrence of MS remain unknown, and also, as the recurrences of MS have been repeated, disease burden has been accumulated, which aggravates disorder. This case of MS experienced depression after the patient had been diagnosed as bad consequence based on the past 5 times recurrences of multiple sclerosis. Methods : We saw the causes as vicera and bowels functional disorder which might have come from a poor diet. Thus, we diagnosed this case as dual deficiency of spleen and kidney(脾腎兩虛), stagnant qi transforming into fire(氣鬱化火) and liver-kidney deficiency(肝腎不足) and treated it with Herb medication, acupuncture therapy, and supportive therapy, making the patient better. Results : We have improved the patient's condition to the time before 5th recurrence. Conclusions : This result suggests that our oriental medical treatments was effective on multiple sclerosis with depression.
참고문헌 (20)
- 王冰, "新編 黃帝內經 素問", pp.271~274 (1994), 대성문화사
- 김성수, "위증에 관한 문헌적 고찰", 동국한의학연구소논문집, 7(2), pp.81~95 (1999)
- 朱震亨, "丹溪心法附餘", pp.515~527 (1982), 대성문화사
- 정순창, "실어증을 동반한 다발성 경화증", 대한신경외과학회지, 6(2), pp.407~10 (1977)
- Okinaka S, "Multiple sclerosis and allied disease in Japan", Neurol, 8, pp.756~763 (1958)
- 허지회, "다발성경화증 환자에서의 임상 양상과 유발전위 검사소견의 비교 관찰", 대한신경과학회지, 10(1), pp.49~58 (1992)
- Jcobs LD, "A profile of multiple sclerosis: the New York State Multiple Sclerosis Consortium", Mult Scler, 5, pp.369~376 (1999)
- Compston A, "McAlpine's Multiple Sclerosis: Disease modifying treatments in multiple sclerosis, 4th ed", pp.351~810 (2006), Churchill Livingston
- 노을선, "사지무력증-양방으로 본 진행성마비", 대한한의학회지, pp.47~57 (1978)
- 강석일, "다발성경화증 환자 치험1례에 대한보고", 대한한의정보학회지, 8(1), pp.34~45 (2002)
- 강계성, "다발성 경화증 환자 5례에 대한 임상보고", 대한침구학회지, 20(1), pp.209~217 (2003), 대한침구학회
- 황상일, "다발성 경화증 환자 치험 1례", 대한한방내과학회지, 25(3), pp.609~614 (2004), 대한한방내과학회
- Schmacher GA, "Multiple sclerosis", Arch Neurol, 14, pp.571~573 (1966)
- McDonald WI, "Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis", Ann Neurol, 50, pp.121~127 (2001)
- 김용성, "위증에 대한 동서의학적 고찰", 대전대학교 한의학연구소 논문집, 8(2), pp.211~243 (2000)
- Kenneth WL, "임상신경학", pp.736~748 (2006), 이퍼블릭
- Rose AS, "Criteria for the clinical diagnosis of multiple sclerosis", Neurology, 26, pp.20~22 (1976)
- Poser CM, "New diagnostic criteria for multiple sclerosis: guidelines for reserch protocols", Ann Neurol, 13, pp.227~231 (1983)
- Kuroiwa Y, "Multiple sclerosis in Asia", Neurology, 27, pp.188~192 (1977)
- Kuroiwa Y, "Nationwide survey of multiple sclerosis in Japan-Clinical analysis of 1084 cases", Neurol, 25, pp.845~851 (1975)