양 하지 불편감을 호소하는 교뇌 경색 환자에 대한 한의 치험 1례
A Case of a Patient with Pontine Infarction Complaining of Discomfort in Both Legs
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Objective: This study examined the effectiveness of Korean medical treatment for an 81-year-old female patient with pontine infarction complaining of discomfort in both legs. Methods: The patient was hospitalized for 45 days and treated with herbal medicine (mainly Bohyulanshin-tang [補血安神湯], pharmacopuncture, acupuncture, electroacupuncture, and moxibustion). We used the International Restless Legs Scale (IRLS) and Numerical Rating Scale (NRS) and checked the duration of the symptoms to evaluate the clinical effects of the treatment. Results: After 45 days of hospitalization, the IRLS score decreased from 33 to 19, with the lowest score of 8 recorded on the twenty-seventh day after discharge. The NRS score and the duration of symptoms also improved, and the treatment effect continued following discharge. Conclusions: This study suggests that Korean medical treatment may be effective for the treatment of restless legs.
Abstract
Objective: This study examined the effectiveness of Korean medical treatment for an 81-year-old female patient with pontine infarction complaining of discomfort in both legs. Methods: The patient was hospitalized for 45 days and treated with herbal medicine (mainly Bohyulanshin-tang [補血安神湯], pharmacopuncture, acupuncture, electroacupuncture, and moxibustion). We used the International Restless Legs Scale (IRLS) and Numerical Rating Scale (NRS) and checked the duration of the symptoms to evaluate the clinical effects of the treatment. Results: After 45 days of hospitalization, the IRLS score decreased from 33 to 19, with the lowest score of 8 recorded on the twenty-seventh day after discharge. The NRS score and the duration of symptoms also improved, and the treatment effect continued following discharge. Conclusions: This study suggests that Korean medical treatment may be effective for the treatment of restless legs.
참고문헌 (29)
- Trenkwalder C, "The Restless Legs Syndrome", Lancet Neurol, 4(8), pp.465~475 (2005)
- Korean Neurological Association, "Textbook of Neurology", pp.539~541 (2017), PANMUNEDU
- Cho YW, "Epidemiology of Restless Legs Syndrome in Korean Adults", Sleep, 31(2), pp.219~223 (2008)
- Trenkwalder C, "Restless Legs Syndrome Associated with Major Diseases", Neurology, 86(14), pp.1336~1343 (2016)
- 강승걸, "하지불안증후군 진단과 치료의 최신 지견", 신경정신의학, 59(1), pp.13~19 (2020), 대한신경정신의학회[DOI]
- Winkelman JW, "Practice Guideline Summary: Treatment of Restless Legs Syndrome in Adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology", Neurology, 87(24), pp.2585~2593 (2016)
- Winkelman JW, "Augmentation and Tolerance with Long-Term Pramipexole Treatment of Restless Legs Syndrome (RLS)", Sleep Med, 5(1), pp.9~14 (2004)
- 양정윤, "하지불안증후군으로 인한 양 발바닥 저림에 대한 한의 치험 1례", 대한한방내과학회지, 40(2), pp.270~278 (2019), 대한한방내과학회[DOI]
- 김진영, "荊防瀉白散으로 호전된 少陽人 하지불안증후군 환자 치험 1례", 사상체질의학회지, 27(4), pp.419~428 (2015), 사상체질의학회[DOI]
- 김경묵, "양 족부 열감을 호소하는 하지불안증후군 환자 치험 1례", 대한한방내과학회지, 39(2), pp.116~129 (2018), 대한한방내과학회
- Ko JE, "A Case Report : Bee Venom Acupuncture for a Restless Leg Syndrome Patient with Sleep Disturbance", J Spine & Joint Korean Med, 15(1), pp.85~100 (2018)
- 박원형, "장요근 침치료와 마사지로 호전된 하지불안증후군 환자 치험례", 한방재활의학과학회지, 23(2), pp.163~174 (2013), 한방재활의학과학회
- 박성욱, "약침의 정석 : 통증편", pp.24~ (2020), 우리의학서적
- Allen RP, "Factor Analysis of the International Restless Legs Syndrome Study Group’s Scale for Restless Legs Severity", Sleep Med, 4(2), pp.133~135 (2003)
- 양준규, "한국판 국제하지불안척도와 하지불안증후군 삶의 질 설문지의 신뢰도 및 타당도 연구", 대한신경과학회지, 28(4), pp.263~269 (2010), 대한신경과학회
- Allen RP, "Restless Legs Syndrome", Willis-Ekbom Disease Diagnostic Criteria: Updated International Restless Legs Syndrome Study Group (IRLSSG) Consensus Criteria-History, Rationale, Description, and Significance, 2014, pp.15(8), 860~873
- Lee SJ, "Poststroke Restless Legs Syndrome and Lesion Location: Anatomical Considerations", Mov Disord, 24(1), pp.77~84 (2009)
- Takakusaki K, "Role of Basal Ganglia-Brainstem Pathways in the Control of Motor Behaviors", Neuroscience Research, 50(2), pp.137~151 (2004)
- McCarley RW, "Sleep disorders medicine", pp.17~36 (1994), Butterworth-Heinemann
- Chokroverty KS, "Propriospinal myoclonus: a neurophysiologic analysis", Neurology, 42(8), pp.1591~1595 (1992)
- Trenkwalder C, "Treatment of Restless Legs Syndrome: An Evidence-Based Review and Implications for Clinical Practice", Mov Disord, 23(16), pp.2267~2302 (2008)
- Allen RP, "Augmentation of the Restless Legs Syndrome with Carbidopa", Levodopa, 1996, pp.19(3), 205~213
- 許浚, "東醫寶鑑", pp.295~ (2003), 南山堂
- 金相孝, "東醫精神科學", pp.258~264 (1980), 杏林出版社
- Chi SE, "The Effects of Bohyulanshintang in the Chronic Mild Stress Model of Depression in Rats", pp.2001
- 백현, "補血安神湯이 SK-N-SH cell line의 brain-derived neurotophic factor 발현에 미치는 영향", 동의생리병리학회지, 19(1), pp.139~145 (2005), 한의병리학회
- Choi JG, "Clinical Study of 1 Case of Patient with Trigeminal Neuralgia", J Korea Inst Orient Med Informatics, 6(1), pp.102~108 (2000)
- Oskarsson E, "Reduced Daytime Intramuscular Blood Flow in Patients with Restless Legs Syndrome", Willis-Ekbom Disease, 2014, pp.68(8), 640~643
- Salminen AV, "Peripheral Hypoxia in Restless Legs Syndrome (Willis-Ekbom Disease)", Neurology, 82(21), pp.1856~1861 (2014)