속발성 치매 환자에 한 보신익뇌탕가미방의 효과 3례
Three Case Reports of Patients with Secondary Dementia Treated with Korean Traditional Medicine, Especially Boshiniknoe-tang-gami
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: To describe the effectiveness of traditional Korean medicine (TKM) on the patients with secondary dementia (case 1: Rt. MCA infarction; case 2: traumatic subacute subdural hemorrhage and traumatic intracranial hemorrhage; case 3: delayed encephalopathy after carbon monoxide poisoning). Methods: We used a complete TKM treatment. The acupoints used were as follows: acupoints frequently used in hemiparesis (GV20, GV24, ST4, LI11, LI14, ST36, GB34, SP9, and LR3), and we used herbal medicine (補腎益腦湯加味, Boshiniknoe-tang-gami ). The efficacy was evaluated using the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and the Modified Barthel Index (MBI). Results: After treatment, the total MMSE-DS score was increased from 14 to 24 (case 1), 14 to 19 (case 2), and 0 to 17 (case 3). The total K-MBI was increased from 30 to 44 (case 1), 82 to 86 (case 2), and 30 to 86 (case 3) Conclusions: We suggest that TKM could positively influence cognition and improve activity of daily living (ADL). This study has limitations, so further studies are needed.
Abstract
Purpose: To describe the effectiveness of traditional Korean medicine (TKM) on the patients with secondary dementia (case 1: Rt. MCA infarction; case 2: traumatic subacute subdural hemorrhage and traumatic intracranial hemorrhage; case 3: delayed encephalopathy after carbon monoxide poisoning). Methods: We used a complete TKM treatment. The acupoints used were as follows: acupoints frequently used in hemiparesis (GV20, GV24, ST4, LI11, LI14, ST36, GB34, SP9, and LR3), and we used herbal medicine (補腎益腦湯加味, Boshiniknoe-tang-gami ). The efficacy was evaluated using the Mini-Mental State Examination for Dementia Screening (MMSE-DS) and the Modified Barthel Index (MBI). Results: After treatment, the total MMSE-DS score was increased from 14 to 24 (case 1), 14 to 19 (case 2), and 0 to 17 (case 3). The total K-MBI was increased from 30 to 44 (case 1), 82 to 86 (case 2), and 30 to 86 (case 3) Conclusions: We suggest that TKM could positively influence cognition and improve activity of daily living (ADL). This study has limitations, so further studies are needed.
참고문헌 (23)
- Son SI, "The Effect of Computerized Cognitive Rehabilitation(COGPACK) Applied to Improve Cognitive Function in Patients with Brain Injury", pp.2013
- 김가나, "혈관성 치매 치료 한약물 임상연구 고찰", 동의신경정신과학회지, 23(4), pp.37~48 (2012), 대한한방신경정신과학회[DOI]
- College of Korean medicine, Cardiology Internal Medicine Professor Counsil, "Text of Traditional Korean circulatory internal medicine(the title was translated from 한방 순환 신경내과학)", pp.311~317 (2016), Woori medical publisher
- 류기준, "최근 10년간 痴？에 대한 한의학적 연구 동향 고찰", 동의신경정신과학회지, 18(3), pp.135~145 (2007), 대한한방신경정신과학회
- Matsumoto K, "Sasaki-Hamada S, et al. Kampo formulations, chotosan, and yokukansan, for dementia therapy: existing clinical and preclinical evidence", J of Pharmacol Sci, 122(4), pp.257~269 (2013)
- 이영준, "혈관성 치매 치료 약물에 대한 문헌 고찰 연구 : 외국문헌을 중심으로", 대한예방한의학회지, 15(2), pp.51~67 (2011), 대한예방한의학회
- 류창희, "치매 한의 평가도구 개발을 위한 기초 연구", 동의신경정신과학회지, 21(4), pp.123~135 (2010), 대한한방신경정신과학회
- 김재규, "뇌졸중후 인지기능저하의 한약치료에 대한 임상적 고찰", Journal of Pharmacopuncture, 11(4), pp.59~64 (2008), 대한약침학회
- Kim JK, "Study on Cognitive Deficit after Stroke by CERAD-K Test", pp.2008
- Cha YS, "The Case of Vascular Dementia Treated with Gagambosim-tang (Jiajianbuxin-tang)", J Int Korean Med, 24(4), pp.1037~1045 (2003)
- 박경, "補中益氣湯加味方 투여로 호전된 혈관성 치매 환자 1례 보고", 동의생리병리학회지, 22(4), pp.943~947 (2008), 한의병리학회
- 홍솔이, "少陰人 鬱狂末證으로 진단된 혈관성치매 환자 치험 2례", 사상체질의학회지, 19(2), pp.213~222 (2007), 사상체질의학회
- 이상아, "외상성 뇌손상 후두통과 기억장애가 발생한 환자에 犀角地黃湯加減方을 투여한 1례 보고", 대한한방내과학회지, 34(4), pp.438~446 (2013), 대한한방내과학회
- 허성규, "외상성 뇌손상으로 인한 기억장애에 대한 가미활혈탕 치험 1례", 한방재활의학과학회지, 16(3), pp.169~176 (2006), 한방재활의학과학회
- Bae GE, "A Case Study of Patient with Delayed Encephalopathy after Carbon Monoxide Poisoning Improved by Korean Traditional Treatment, Especially Boshiniknoe -tang-gami", The Journal of the Society of Stroke on Korean Medicine, 17(1), pp.29~38 (2016)
- Kim TW, "Vascular Dementia", biological psychiatry, 23(3), pp.80~88 (2016)
- Yun KS, "Three Case Reports about Improving Vascular Dementia and Secondary Dementia", J Int Korean Med, 24(4), pp.1103~1111 (2003)
- Rose JJ, "Carbon Monoxide Poisoning: Pathogenesis, Management and Future Directions of Therapy", Am J Respir Crit Care Med (2016)
- Gorman DF, "A longitudinal study of 100 consecutive admissions for carbon monoxide poisoning to the Royal Adelaide Hospital", Anaesthesia and intensive care, 20(3), pp.311~316 (1992)
- Lee WC, "Oriental treatment of neurological diseases(the title was translated from 신경기계질환의 한방치료)", pp.433~ (2005), Jeongdam book publishing
- Yang BF, "Effect of acupuncture treatment on vascular cognitive impairment without dementia: study protocol for a randomized controlled trial", Trials, 15, pp.442~ (2014)
- Lee JH, "Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries", Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(1), pp.47~53 (2002)
- Rosen WG, "A new rating scale for Alzheimer's disease", American Journal of Psychiatry, 141(11), pp.1356~1364 (1984)