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痰暈으로 변증하여 淸暈化痰湯을 사용한 소뇌경색환자의 치험 1례

Case Study of a Cerebellar Infarction Patient Diagnosed as Dam Hun with Korean Medicine treatment - Cheonghunhwadam-tang -

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Objectives: The aim of this study was to report the effect of Korean medicine treatment on a cerebellar infarction patient suffering from vertigo, ataxia, and nausea. Methods: We treated the patient with herbal medicine (Cheonghunhwadam-tang), acupuncture, and physical therapy. Clinical symptoms were assessed with a numeral rating scale (NRS), the Dizziness Handicap Inventory (DHI), and Study Short Form-36 (SF-36). Results: After 24 days of treatment, the vertigo, ataxia, and nausea symptoms were all improved, and the NRS, DHI, and SF-36 scores showed improvement. Conclusion: This case shows that Korean medicine treatments were effective in alleviating the symptoms of cerebellar infarction.

Abstract

Objectives: The aim of this study was to report the effect of Korean medicine treatment on a cerebellar infarction patient suffering from vertigo, ataxia, and nausea. Methods: We treated the patient with herbal medicine (Cheonghunhwadam-tang), acupuncture, and physical therapy. Clinical symptoms were assessed with a numeral rating scale (NRS), the Dizziness Handicap Inventory (DHI), and Study Short Form-36 (SF-36). Results: After 24 days of treatment, the vertigo, ataxia, and nausea symptoms were all improved, and the NRS, DHI, and SF-36 scores showed improvement. Conclusion: This case shows that Korean medicine treatments were effective in alleviating the symptoms of cerebellar infarction.

참고문헌 (11)

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  3. Edlow JA, "Diagnosis and initial management of cerebellar infarction", Lancet Neurol, 7(10), pp.951~964 (2008)
  4. 김성은, "응급실을 경유하여 진단된 소뇌경색 환자의 임상적 고찰", 대한응급의학회지, 13(3), pp.269~274 (2002), 대한응급의학회
  5. Macdonell RA, "Cerebellar Infarction : Natural History, Prognosis, and Pathology", Stroke, 18(5), pp.849~855 (1987)
  6. 최기숙, "중추성 현훈과 운동실조를 주소로 한 소뇌경색 환자 치험 1례", 동의생리병리학회지, 22(6), pp.1589~1593 (2008), 한의병리학회
  7. 전국한의과대학 심계내과학 교수협의회, "심계내 과학", pp.225~ (2018), 우리의학서적
  8. Compter A, "Nonfocal symptoms are more frequent in patients with vertebral artery than carotid artery stenosis", Cerebrovasc Dis, 35(4), pp.378~384 (2013)
  9. Lee H, "Cerebellar infarction presenting 23. isolated vertigo: frequency and vascular topographical patterns", Neurology, 67(7), pp.1178~1183 (2006)
  10. 許浚, "新對譯東醫寶鑑", pp.573~575 (2007), 법인문화사
  11. 정현우, "淸暈化痰湯 및 淸暈化痰湯加天麻에 의한 腦血流力學의 作用機轉에 대한 비교연구", 동의생리병리학회지, 16(6), pp.8~1133 (2002), 한의병리학회

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