기저핵-대뇌부챗살 뇌출혈로 인한 반신부전마비에 대한 한⋅양방 병행 치험 1례
A Case Report on Hemiplegia in a Patient with an Intracerebral Hemorrhage of the Basal Ganglia of the Corona Radiata Treated with Traditional Korean and Western Medicine
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective: This study examined the case of a 63-year-old man with a history of hypertension and gout who had developed an intracerebral hemorrhage (ICH) of the right basal ganglia of the corona radiata. Methods: The patient was treated with herbal medicine (Boyanghwanoh-tang and powdered Oryeong-san extract), Western medicine (Anticonvulsants, antihypertensive drugs, psychotropic agents, and others), acupuncture, moxibustion, cupping, and rehabilitative therapy. Their effects were evaluated using the Manual Muscle Test (MMT), Korean version of the modified Barthel Index (K-MBI), National Institute of Health’s Stroke Scale (NIHSS), and Modified Rankin Scale (mRS). Results: After treatment, the MMT grade improved from 3/3+ to 4+/4+. Additionally, the K-MBI score improved from 62 to 77. Conclusion: The results suggest that combined traditional Korean and Western medicine can effectively treat patients with ICH.
Abstract
Objective: This study examined the case of a 63-year-old man with a history of hypertension and gout who had developed an intracerebral hemorrhage (ICH) of the right basal ganglia of the corona radiata. Methods: The patient was treated with herbal medicine (Boyanghwanoh-tang and powdered Oryeong-san extract), Western medicine (Anticonvulsants, antihypertensive drugs, psychotropic agents, and others), acupuncture, moxibustion, cupping, and rehabilitative therapy. Their effects were evaluated using the Manual Muscle Test (MMT), Korean version of the modified Barthel Index (K-MBI), National Institute of Health’s Stroke Scale (NIHSS), and Modified Rankin Scale (mRS). Results: After treatment, the MMT grade improved from 3/3+ to 4+/4+. Additionally, the K-MBI score improved from 62 to 77. Conclusion: The results suggest that combined traditional Korean and Western medicine can effectively treat patients with ICH.
참고문헌 (34)
- Korean Neurology Association, "Textbook of Neurology", pp.13~14 (2017), Bummoon education
- Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine, "Cardiovascular and Neurological Medicine in Korean Medicine I", pp.243~249 (2016), Woori Medical Books
- Kim DW, "Comparative Study of the Effect of Man Geum Tang and Bo Yang Whan O Tang as a General Prescription for the Treatment of Motor Disturbance in Sequelae of Cerebrovascular Disease", K.O.M.S, 15(2), pp.230~240 (1994)
- Chang CC, "Characteristics of traditional Chinese medicine usage in patients with stroke in Taiwan: A nationwide population-based study", J Ethnopharmacol, 186, pp.311~321 (2016)
- Lee YS, "Understanding the multi-herbal composition of Buyang Huanwu Decoction: A review for better clinical use", J Ethnopharmacol, 255, pp.112765~ (2020)
- Cha YJ, "The Economic Burden of Stroke Based on South Korea's National Health Insurance Claims Database", Int J Health Policy Manag, 7(10), pp.904~909 (2018)
- Kim YE, "Trends and Patterns of Burden of Disease and Injuries in Korea Using Disability-Adjusted Life Years", J Korean Med Sci, 34(1), pp.e75~ (2019)
- Sung JH, "Characteristics of Ganglionic, Lobar, Cerebellar and Brain Stem Hemorrhage", J Neurocrit Care, 1(1), pp.50~55 (2008)
- Korean Acupuncture & Moxinustion Medicine Society Textbook Compilation Committee, "Acupuncture medicine", pp.612~613 (2016), Hanmi Medicine Publish Company
- Fu J, "Review of the botanical characteristics, phytochemistry, and pharmacology of Astragalus membranaceus (Huangqi)", Phytother Res, 28(9), pp.1275~1283 (2014)
- 이재원, "桃仁이 중추신경 재생 촉진에 미치는 영향", 동의생리병리학회지, 21(1), pp.145~152 (2007), 한의병리학회
- Dae-Jong Gong, "Effect of Do-In (Prunus persica L. BATSCH) Water Extract (PPE) on Concentration of Extracellular Acetylcholine in the Rat Hippocampus", 대한한의학회지, 25(4), pp.1~7 (2004), 대한한의학회
- Kang HY, "A Literature Study on Hwalhyeolgeoeoje: A Drug for Removing Blood Stasis to Promote Blood", Korean J Oriental Medical Prescription, 2(1), pp.47~58 (1991)
- Hrzenjak T, "Fibrinolytic and anticoagulative activities from the earthworm Eisenia foetida", Comp Biochem Physiol B Biochem Mol Biol, 119(4), pp.825~832 (1998)
- Wei S, "Lumbricus extract promotes the regeneration of injured peripheral nerve in rats", J Ethnopharmacol, 123(1), pp.51~54 (2009)
- Kim KD, "Study on the effect of Boyanghwanotang on Thrombosis and Elevated Blood Viscosity", J Physiol & Pathol Korean Med, 3, pp.30~46 (1988)
- Jung WS, "Experimental study on the effects of Boyanghwanoh-tang on blood pressure and hyperlipidemia", J Int Korean Med, 18(2), pp.246~267 (1997)
- 차재덕, "補陽還五湯이 흰쥐 뇌출혈 손상에 미치는 영향에 대한 면역조직화학 연구", 동의생리병리학회지, 25(5), pp.799~806 (2011), 한의병리학회
- Kim KJ, "Facilitating effects of Buyang Huanwu decoction on axonal regeneration after peripheral nerve transection", Journal of Ethnopharmacology, 213, pp.56~64 (2018)
- 김남용, "補陽還五湯이 혈압 및 국소뇌혈류량에 미치는 영향", 동의생리병리학회지, 15(5), pp.682~686 (2001), 한의병리학회
- Li C, "Buyang Huanwu decoction enhances cell membrane fluidity in rats with cerebral ischemia", reperfusion, 2012, pp.7(21), 1605~1610
- Yasunaga H, "Effect of Japanese Herbal Kampo Medicine Goreisan on Reoperation Rates after Burr-Hole Surgery for Chronic Subdural Hematoma: Analysis of a National Inpatient Database", Evid Based Complement Alternat Med, 2015, pp.817616~ (2015)
- Kim MJ, "Current Reiview of the Studies Reported in the 2012 Annual Meeting of Kampo Medicine Association of the Japan Neurosurgical Society", Journal of the Society of Stroke on Korean Medicine, 14(1), pp.107~114 (2013)
- Jang IS, "Orungsan(Goreisan)Application in Neurosurgical Field: Review of the Studies Reported in the 20th Annual Meeting of Kampo Medicine Association of the Japan Neurosurgical Society", The Korean Journal of Joongpoong, 12(1), pp.1~7 (2011)
- 변성범, "뇌졸중 후 연하장애 전침 치료의 임상연구에 대한 고찰", 동의생리병리학회지, 28(3), pp.280~287 (2014), 한의병리학회
- 김자영, "중풍 편마비 환자의 손 기능 회복에 대한 八邪穴 刺鍼의 임상적 효과", Journal of Acupuncture Research, 25(5), pp.97~104 (2008), 대한침구의학회
- Rymer MM, "Hemorrhagic stroke: intracerebral hemorrhage", Mo Med, 108(1), pp.50~54 (2011)
- Saulle MF, "Recovery and Rehabilitation after Intracerebral Hemorrhage", Semin Neurol, 36(3), pp.306~312 (2016)
- Jørgensen HS, "Outcome and time course of recovery in stroke. Part II: Time course of recovery. The Copenhagen Stroke Study", Arch Phys Med Rehabil, 76(5), pp.406~412 (1995)
- 송수진, "중풍의 폐렴합병증에 대한 한방 치료 1례", 동의생리병리학회지, 21(2), pp.567~570 (2007), 한의병리학회
- Hannawi Y, "Stroke-associated pneumonia:major advances and obstacles", Cerebrovasc Dis, 35(5), pp.430~443 (2013)
- Shelton FN, "Effect of lesion location on upper limb motor recovery after stroke", Stroke, 32(1), pp.107~112 (2001)