만성 통증 및 보행장애를 호소하는 특발성 파킨슨병 환자의 한방복합치료 1례
A Case Report of Korean Medicine in the Treatment of Idiopathic Parkinson’s Disease with Chronic Pain and Gait Disturbance
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Objective: This case study reports on the effectiveness of Korean medicine in the treatment of a patient with idiopathic Parkinson’s disease who complained of pain and gait disturbance and had a history of suicide attempts due to pain. Methods: A patient diagnosed with idiopathic Parkinson’s disease was treated with adjuvant Korean therapy, including herbal medicine and pharmacopuncture. Evaluations were performed using the numerical rating scale (NRS), King’s Parkinson’s disease pain scale (KPPS), unified Parkinson’s disease rating scale (UPDRS), and a three-dimensional gait analysis. Results: After 9 days of inpatient Korean medicine treatment, the NRS score decreased from 6 to 1, and the KPPS score decreased from 70 to 26. The total UPDRS Part III score decreased from 26 to 21. From the gait analysis, gait speed, stride length, swing phase, and kinematic parameters were shown to have improved. Additionally, pain relief persisted with herbal medicine after discharge. Conclusion: This study suggests that Korean medicine, including pharmacopuncture and Jakyakgamcho-tang, is effective in managing severe pain and related gait disturbances in Parkinson’s disease.
Abstract
Objective: This case study reports on the effectiveness of Korean medicine in the treatment of a patient with idiopathic Parkinson’s disease who complained of pain and gait disturbance and had a history of suicide attempts due to pain. Methods: A patient diagnosed with idiopathic Parkinson’s disease was treated with adjuvant Korean therapy, including herbal medicine and pharmacopuncture. Evaluations were performed using the numerical rating scale (NRS), King’s Parkinson’s disease pain scale (KPPS), unified Parkinson’s disease rating scale (UPDRS), and a three-dimensional gait analysis. Results: After 9 days of inpatient Korean medicine treatment, the NRS score decreased from 6 to 1, and the KPPS score decreased from 70 to 26. The total UPDRS Part III score decreased from 26 to 21. From the gait analysis, gait speed, stride length, swing phase, and kinematic parameters were shown to have improved. Additionally, pain relief persisted with herbal medicine after discharge. Conclusion: This study suggests that Korean medicine, including pharmacopuncture and Jakyakgamcho-tang, is effective in managing severe pain and related gait disturbances in Parkinson’s disease.
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