본문 바로가기
KERD
논문KCI 등재

정신성 근긴장 이상 환자에 대한 한방 치험 증례보고 1례

Case Report of Psychogenic Dystonia Treated with Traditional Korean Medicine

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류한의학

초록

Objective: This case reports on the effect of traditional Korean medicine (TKM) treatment in a patient with psychogenic dystonia. Methods: A patient with generalized tremor and gait disturbance diagnosed as psychogenic dystonia was treated with Yokukan-san-gami, Jakyakgamcho-tang, Yikgeebohyul-tang, acupuncture, moxibustion, and cupping for 6 weeks. Symptom improvement was evaluated with the unified dystonia rating scale (UDRS) and the Toronto Western spasmodic torticollis rating scale (TWSTRS). Results: After 6 weeks of TKM treatment, the UDRS and TWSTRS decreased, and the patient’s clinical symptoms, including generalized tremor and gait disturbance, improved. Conclusions: This case shows that TKM treatment may be effective for improving psychogenic dystonia.

Abstract

Objective: This case reports on the effect of traditional Korean medicine (TKM) treatment in a patient with psychogenic dystonia. Methods: A patient with generalized tremor and gait disturbance diagnosed as psychogenic dystonia was treated with Yokukan-san-gami, Jakyakgamcho-tang, Yikgeebohyul-tang, acupuncture, moxibustion, and cupping for 6 weeks. Symptom improvement was evaluated with the unified dystonia rating scale (UDRS) and the Toronto Western spasmodic torticollis rating scale (TWSTRS). Results: After 6 weeks of TKM treatment, the UDRS and TWSTRS decreased, and the patient’s clinical symptoms, including generalized tremor and gait disturbance, improved. Conclusions: This case shows that TKM treatment may be effective for improving psychogenic dystonia.

참고문헌 (22)

  1. Albanese A, "Phenomenology and classification of dystonia:a consensus update", Mov Disord, 28(7), pp.863~873 (2013)
  2. Peckham EL, "Psychogenic movement disorders", Neurol Clin, 27(3), pp.801~807 (2009)
  3. 김희태, "임상적 관점에서 본 Primary Dystonia와 Dystonia-plus Syndrome", 대한신경과학회지, 22(6), pp.569~576 (2004), 대한신경과학회
  4. Comella CL, "Botulinum toxins in neurological disease", Muscle Nerve, 29(5), pp.628~644 (2004)
  5. 임신영, "사경의 감별 진단 및 치료", 대한의사협회지, 52(7), pp.705~718 (2009), 대한의사협회
  6. Rodrigues FB, "Deep brain stimulation for dystonia", Cochrane Database Syst Rev, 1, pp.CD012405~ (2019)
  7. Jung HH, "Deep Brain Stimulation for Dystonia 2007", KSSFN Journal, 3(1), pp.23~28 (2007)
  8. Elia AE, "Differential diagnosis of dystonia", Eur J Neurol, 17(1), pp.1~8 (2010)
  9. Lang AE, "Psychogenic dystonia:a review of 18 cases", Can J Neurol Sci, 22(2), pp.136~143 (1995)
  10. Comella CL, "Rating Scales for Dystonia:A Multicenter Assessment", Mov Disord, 18(3), pp.303~312 (2003)
  11. Kaji R, "Inter-rater reliability while using the Toronto Western Spasmodic Torticollis Rating Scale(TWSTRS) in patients with cervical dystonia", Brain and nerve, 61(1), pp.65~71 (2009)
  12. Fahn S, "Psychogenic dystonia", Adv Neurol, 50, pp.431~455 (1988)
  13. Lee JA, "A Case Report of Effect of Ukgansan on Hemiballism Dyskinesia with Cerebral infarction", J Int Korean Med, (spr), pp.147~153 (2008)
  14. 이미림, "뇌성마비로 인한 근육긴장이상(Dystonia) 치험 1례", 대한한방내과학회지, 37(2), pp.257~264 (2016), 대한한방내과학회
  15. Lim SM, "A case study of tremor patient with Yeokgansan-gamibang", J Int Korean Med, 24(4), pp.1062~1066 (2003)
  16. 박웅, "Planarian 모델을 이용한 억간산의 항발작 효과", KSBB Journal, 29(1), pp.67~71 (2014), 한국생물공학회
  17. Son SK, "Anxiolytic-like effects of Jackyakgamcho-tang using the elevated plus-maze in mice", J East-West Med, 35(3), pp.107~123 (2010)
  18. Yang SH, "The Effects of Jakyakgamcho Pharmacopuncture on Acute Cervical Pain after Whiplash Injury, 5 Cases", J Int Korean Med, (fal), pp.195~203 (2014)
  19. 성윤영, "작약감초탕의 추출용매에 따른 성분 분석 및 항피로 효능 비교", 대한본초학회지, 35(2), pp.31~38 (2020), 대한본초학회
  20. 이현규, "양하지 이상감각을 호소하는 다발신경병증 환자에 대한 침구-한약 복합한방 치료 치험 1례", 대한한방내과학회지, 41(2), pp.256~266 (2020), 대한한방내과학회[DOI]
  21. Baek TH, "Study on effect of Bojungikgitang affecting lactate tolerance and recovery rate", J Korean Med Rehabi, 8(1), pp.171~186 (1998)
  22. Kim JH, "Experimental Study on the Effects of Jaeumgeonbi-tang on Sedative Action and Hematosis", J Korean Oriental Med, 9(1), pp.35~41 (1988)

관련 논문AI추천

이 간행물의 다른 논문 (15건)