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소시호탕과 침구 치료 등을 포함한 복합 한의 치료로 호전된 경추통을 동반한 말초성 안면신경마비 환자 1례

The Case of a Patient with Peripheral Facial Nerve Paralysis Accompanied by Cervical Pain Showing Improvement after Complex Korean Medicine Treatment, Including Soshiho-tang and Acupuncture

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Objective: The purpose of this study was to investigate the effectiveness of Korean medicine in treating peripheral facial nerve paralysis. Methods: A patient with peripheral facial paralysis was treated for 20 days with a combination of herbal medicine, including Sosiho-tang, acupuncture treatment for ST4 (地倉) and other acupuncture points, electroacupuncture, percutaneous infrared therapy, cupping, and chuna treatment, and Western medicine. Treatment outcomes were assessed using the Yanagihara and House-Brackmann (HB) grading systems and the numerical rating scale (NRS). Results: After treatment, the Yanagihara score increased from 10 to 24, the HB scale improved from 5 to 4, and the NRS for pain improved from 7 to 2. No side effects were reported during hospitalization, and the patient was not followed up after discharge. Conclusion: These results suggest that Korean medicine treatment consisting of Soshiho-tang and acupuncture may be effective in improving the symptoms of peripheral facial nerve paralysis, but additional research is needed to confirm this.

Abstract

Objective: The purpose of this study was to investigate the effectiveness of Korean medicine in treating peripheral facial nerve paralysis. Methods: A patient with peripheral facial paralysis was treated for 20 days with a combination of herbal medicine, including Sosiho-tang, acupuncture treatment for ST4 (地倉) and other acupuncture points, electroacupuncture, percutaneous infrared therapy, cupping, and chuna treatment, and Western medicine. Treatment outcomes were assessed using the Yanagihara and House-Brackmann (HB) grading systems and the numerical rating scale (NRS). Results: After treatment, the Yanagihara score increased from 10 to 24, the HB scale improved from 5 to 4, and the NRS for pain improved from 7 to 2. No side effects were reported during hospitalization, and the patient was not followed up after discharge. Conclusion: These results suggest that Korean medicine treatment consisting of Soshiho-tang and acupuncture may be effective in improving the symptoms of peripheral facial nerve paralysis, but additional research is needed to confirm this.

참고문헌 (10)

  1. Kim J, "Facial Nerve and Facial Paralysis", pp.42~270 (2020), Medbook
  2. Meridians & Acupoints Compilation Committee of Korean Medical Colleges, "Acupuncture and moxibustion", pp.625~628 (2012), Jipmoondang
  3. Sim SY, "Clinical Research of Korean Medical Treatment for the Peripheral Facial Paralysis", The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology, 28(4), pp.62~73 (2015)
  4. Choi YJ, "The impact of early acupuncture on Bell’s palsy recurrence : real-world evidence from Korea", Healthcare, 11(24), pp.3143~ (2023)
  5. Lee SD, "Selection of Adequate Indicators for the Development of a Questionnaire to Evaluate the Effects of Ojeock-san", The Journal of Korean Medicine, 31(4), pp.101~114 (2010)
  6. Kim JH, "Anti-inflammatory Effects of Ojeok-san in LPS-induced Inflammatory Rat Model", Journal of Korean Medicine, 42(2), pp.21~30 (2021)
  7. Baik YS, "A Study on the Complex Efficacy of Sosihotang", Journal of Korean Medical Classics, 27(2), pp.137~152 (2014)
  8. Tran NKS, "Multitargeted herbal prescription So Shiho Tang : A scoping review on biomarkers for the evaluation of therapeutic effects", Pharmaceuticals, 16(10), pp.1371~ (2023)
  9. Park JM, "The comparison and consideration of indications of herbal medicine through analysis about insured herbal extracts and clinical prescriptions-Focusing on Bojungikgi-tang", Journal of Society of Preventive Korean Medicine, 17(2), pp.129~138 (2013)
  10. Lim HS, "Bojungikgi-Tang, a traditional herbal formula, exerts neuroprotective effects and ameliorates memory impairments in Alzheimer’s disease-like experimental models", Nutrients, 10(12), pp.1952~ (2018)

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