한방병원에 입원한 추간판탈출증을 동반한 수면장애 환자에 대한 시호가용골모려탕을 포함한 복합 한의치료 1례 증례보고
A Case Report of Complex Korean Medical Treatments, Including Shihogayonggolmoryo-tang, for Sleep Disorders Accompanied by a Herniated Intervertebral Disc
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Objectives: We describe the clinical course in a 53-year-old female patient admitted to a Korean Medicine Hospital with insomnia disorder accompanied by a herniated intervertebral disc and managed with Korean medical treatments. Methods: The patient was treated with herbal medicines, including Shihogayonggolmoryo-tang, acupuncture, pharmacopuncture, and Chuna manual therapy for 33 days. The therapeutic effect was evaluated based on the Insomnia Severity Index, Numerical Rating Scale score, Oswestry Disability Index, and European Quality of Life 5 Dimensions Scale. Results: Post-treatment, the Insomnia Severity Index decreased from 21 to 6, the Numerical Rating Scale score decreased from 7 to 3, the Oswestry Disability Index decreased from 60 to 18, and the European Quality of Life 5 Dimensions Scale increased from 0.35 to 0.85. Conclusions: Korean medical treatments improved the symptoms of this patient with insomnia disorder accompanied by a herniated intervertebral disc. Further clinical research on patients with insomnia disorder is needed.
Abstract
Objectives: We describe the clinical course in a 53-year-old female patient admitted to a Korean Medicine Hospital with insomnia disorder accompanied by a herniated intervertebral disc and managed with Korean medical treatments. Methods: The patient was treated with herbal medicines, including Shihogayonggolmoryo-tang, acupuncture, pharmacopuncture, and Chuna manual therapy for 33 days. The therapeutic effect was evaluated based on the Insomnia Severity Index, Numerical Rating Scale score, Oswestry Disability Index, and European Quality of Life 5 Dimensions Scale. Results: Post-treatment, the Insomnia Severity Index decreased from 21 to 6, the Numerical Rating Scale score decreased from 7 to 3, the Oswestry Disability Index decreased from 60 to 18, and the European Quality of Life 5 Dimensions Scale increased from 0.35 to 0.85. Conclusions: Korean medical treatments improved the symptoms of this patient with insomnia disorder accompanied by a herniated intervertebral disc. Further clinical research on patients with insomnia disorder is needed.
참고문헌 (18)
- Ahn DH, "Insomnia : Causes and Diagnosis", Hanyang Med Rev, 33(4), pp.203~209 (2013)
- The Society of Internal Korean Medicine, "Clinical Practice Guideline of Korean Medicine-Insomnia Disorder", pp.2~18 (2021), Koonja publishing Inc
- Choi HY, "Current Clinical Practice of Insomnia", Ewha Med J, 36(2), pp.84~92 (2013)
- Jang JS, "The Literature Review on the Etiologic theory of Insomnia", Journal of Haehwa Medicine, 13(1), pp.331~343 (2004)
- Kim KS, "A Study about trends of using Shihogayonggolmoryo-tang granule", Korean J Oriental Medical Prescription, 20(1), pp.159~166 (2012)
- Chung KF, "Assessing insomnia in adolescents; Comparison of insomnia Severity Index, Athens Insomnia Scale and Sleep Quality Index", Sleep medicine, 12(5), pp.463~470 (2011)
- Park IS, "A Case Report of Insomnia Improved by Jawon(Ziuan)'s Purgative Action", J Oriental Neuropsychiatry, 22(4), pp.125~134 (2011)
- Kim SJ, "Recent Advances in Diagnosis and Treatment of Insomnia Disorder", J Korean Neuropsychiatr Assoc, 59(1), pp.2~12 (2020)
- Kim GY, "A Case Report of an Insomnia Patient Treated with Gamiguibi-tang", J Int Korean Med, 37(5), pp.822~830 (2016)
- Cho EC, "A Case Study of Parkinson’s Disease Patient with Anxiety and Insomnia Treated with Korean-medicine Treatment, including Gyejigayonggolmolye-tang", J Int Korean Med, 44(5), pp.846~854 (2023)
- Oh JH, "A Case of Stroke Patient Who Showed Improvement in Constipation, Chest Discomfort and Insomnia tyrough Treatment of Daeseungkitang", J Int Korean Med, 25(2), pp.307~313 (2004)
- Kim SH, "GuksiShanghanlun", pp.133~136 (2006), Jumin Publisher
- Lim JS, "Sleep-promoting and Anti-anxiety Effects of Shihogayonggolmoryo-tang in Mice", J Physiol & Pathol Korean Med, 35(1), pp.8~14 (2021)
- Lee SJ, "Inflammation and Insufficient or Disordered Sleep", Korean J Clin Lab Sci, 47(3), pp.97~104 (2015)
- Lee JS, "Sleep and Pain", Sleep medicine and psychophysiology, 19(2), pp.63~67 (2012)
- Soh JW, "Lumbar Disc Disease", J Korean Soc Spine Surg, 29(4), pp.123~133 (2022)
- Omachi TA, "Measures of sleep in rheumatologic diseases : Epworth Sleepiness Scale(ESS), Functional Outcome of Sleep Questionnaire(FOSQ), Insomnia Severity Index(ISI), and Pittsburgh Sleep Quality Index(PSQI)", Arthritis Care Res(Hoboken), 63(011), pp.287~296 (2011)
- Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Medicine, 2(4), pp.297~307 (2001)