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조등산(Diaoteng-san, Choto-san, 釣藤散)과 GB34(陽陵泉) 전침치료를 활용한 약인성파킨슨증후군 환자의 증례 1례

A Case Report of Drug-Induced Parkinsonism Treated with Jodeung-san and Electro-acupuncture at GB34

임정태|송호준|김현호|한양희|김은지
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2017.10|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제38권 제5호|pp. 600-609

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case reportdrug-induced Parkinsonismsecondary ParkinsonismJodeung-san (Diaoteng-sanChoto-san)electro-acupuncture at GB34 (陽陵泉)
주제분류한의학

초록

Drug-induced Parkinsonism is the most frequently observed type among the cases of secondary Parkinsonism. Besides typical parkinsonian symptoms, such as tremor, rigidity and bradykinesia, drug-induced Parkinsonism manifests with additional simultaneous symptoms like orobuccolingual dyskinesia, mixed type of tremor (resting, action), and symmetry of expressions. We present a case of drug-induced Parkinsonism, affected by taking the antiulcer drug cimetidine. Jodeung-san extract (Choto-san, Tsumura Co. 10) was administered for 7 days and acupuncture (electronic, auricular, pharmacopuncture) was conducted 3 times. The clinical outcomes were then evaluated through the patient’s global impression of change, visual analogue scale, and Hoehn and Yahr stage. After the treatment, the clinical features, such as tremor and orobuccolingual dyskinesia, disappeared. The combination of Jodeung-san and electro-acupuncture at GB34 could therefore be a remedy for the patients with drug-induced Parkinsonism.

Abstract

Drug-induced Parkinsonism is the most frequently observed type among the cases of secondary Parkinsonism. Besides typical parkinsonian symptoms, such as tremor, rigidity and bradykinesia, drug-induced Parkinsonism manifests with additional simultaneous symptoms like orobuccolingual dyskinesia, mixed type of tremor (resting, action), and symmetry of expressions. We present a case of drug-induced Parkinsonism, affected by taking the antiulcer drug cimetidine. Jodeung-san extract (Choto-san, Tsumura Co. 10) was administered for 7 days and acupuncture (electronic, auricular, pharmacopuncture) was conducted 3 times. The clinical outcomes were then evaluated through the patient’s global impression of change, visual analogue scale, and Hoehn and Yahr stage. After the treatment, the clinical features, such as tremor and orobuccolingual dyskinesia, disappeared. The combination of Jodeung-san and electro-acupuncture at GB34 could therefore be a remedy for the patients with drug-induced Parkinsonism.

참고문헌 (37)

  1. Grosset DG, "GUIDELINES: Diagnosis and pharmacological management of Parkinson’s disease: summary of SIGN guidelines", BMJ, 340(7739), pp.206~209 (2010)
  2. Kasper D, "Harrison’s Principles of Internal Medicine", pp.2609~2626 (2015), McGraw-Hill Prof. Publ
  3. Kim H, "Clinical study on a case of a patient with a glossal tremor caused by a side effect of drugs", J Orient. Neuropsychiatry, 14(1), pp.133~139 (2003)
  4. López-Sendón J, "Drug-induced parkinsonism in the elderly: incidence, management and prevention", Drugs Aging, 29(2), pp.105~118 (2012)
  5. Fann WE, "Amantadine versus trihexyphenidyl in the treatment of neuroleptic-induced parkinsonism", Am J Psychiatry, 133(8), pp.940~943 (1976)
  6. 김연진, "약인성 파킨슨증후군 환자의 한방 치험 1례", 대한한방내과학회지, 37(2), pp.381~388 (2016), 대한한방내과학회
  7. 정성국, "사상처방을 활용한 약물 유발성 속발성 파킨슨증 치험 2례", 사상체질의학회지, 24(4), pp.109~119 (2012), 사상체질의학회[DOI]
  8. Shim YH, "Herbal medicine treatment for drug-induced parkinsonism", J Altern Complement Med N Y N, 21(5), pp.273~280 (2015)
  9. Michael EG, "Contributions of change in clinical status parameters to Patient Global Impression of Change (PGIC) scores among persons with fibromyalgia treated with milnacipran", Int Assoc Study Pain, 149, pp.373~378 (2010)
  10. Aicher B, "Pain measurement: Visual Analogue Scale (VAS) and Verbal Rating Scale (VRS) in clinical trials with OTC analgesics in headache", Cephalalgia, 32(3), pp.185~197 (2012)
  11. Goetz C, "Movement disorder society task force report on the Hoehn and Yahr staging scale: status and recommendations", Mov Disord, 19(9), pp.1020~1028 (2004)
  12. 정병주, "파킨슨병으로 유발된 진전이 한약 치료를 통하여 호전된 치험 1례", 대한한방내과학회지, 27(4), pp.954~961 (2006), 대한한방내과학회
  13. Louis E, "Essential tremor", N Engl J Med, 345, pp.887~891 (2001)
  14. "Health insurance statistic chronology in 2015" (2015)[URL]
  15. Savica R, "Incidence and time trends of drug-induced parkinsonism: A 30-year population-based study", Mov Disord Off J Mov Disord Soc, 32(2), pp.227~234 (2017)
  16. Shuaib UA, "Neuroleptic-induced Parkinsonism: Clinicopathological study", Mov Disord Off J Mov Disord Soc, 31(3), pp.360~365 (2016)
  17. Barbosa MT, "Parkinsonism and Parkinson’s disease in the elderly: a community-based survey in Brazil (the Bambuí study)", Mov Disord, 21(6), pp.800~808 (2006)
  18. Montastruc JL, "Drug-induced parkinsonism: a review", Fundam Clin Pharmacol, 8(4), pp.293~306 (1994)
  19. Lee AY, "Parkinson’s disease and Parkinsonian syndrome" (2000), Koonja Publ
  20. Nguyen N, "Drug-induced parkinson syndromes", Therapie, 59(1), pp.105~112 (2004)
  21. López-Sendón J, "Drug-induced parkinsonism", Expert Opin Drug Saf Inf Healthc, 12(4), pp.487~496 (2013)
  22. Kim SR, "Use of complementary and alternative medicine by Korean patients with Parkinson’s disease", Clin Neurol Neurosurg, 111(2), pp.156~160 (2009)
  23. Ferry P, "Use of complementary therapies and non-prescribed medication in patients with Parkinson’s disease", Postgrad Med J, 78(924), pp.612~614 (2002)
  24. Shin HW, "Levosulpiride-induced movement disorders", Mov Disord Off J Mov Disord Soc, 24(15), pp.2249~2253 (2009)
  25. 洪元植校, "校黃帝內經素問", pp.23~ (1995), 東洋醫學硏究院 出版部
  26. 진종식, "釣藤散의 藥理學的 考察", 대한한의학 방제학회지, 16(1), pp.55~64 (2008), 대한한의학방제학회
  27. Korean Acupuncture & Moxibustion Medicine Society Textbook publishing institute, "Acupuncture and Moxibustion. Vol. 2", pp.141~ (2008), Jipmoondang
  28. Imai H, "Choto-san versus placebo for patients with dementia: systematic review and meta-analysis", Psychogeriatr Off J Jpn Psychogeriatr Soc (2017)
  29. Yang Q, "Effects of Choto-san on hemorheological factors and vascular function in stroke-prone spontaneously hypertensive rats", Phytomedicine Int J Phytother Phytopharm, 9(2), pp.93~98 (2002)
  30. Dohi K, "Choto-san (Kampo Medicine) for the Treatment of Headache", Headache J Head Face Pain, 44(4), pp.375~ (2004)
  31. Ning Y, "Enhanced Functional Connectivity between the Bilateral Primary Motor Cortices after Acupuncture at Yanglingquan (GB34) in Right- Hemispheric Subcortical Stroke Patients: A Resting-State fMRI Study", Front Hum Neurosci, 11, pp.178~ (2017)
  32. Liu L, "Cerebral activation effects of acupuncture using Zusanli (ST36) and Yanglingquan (GB34) points based on Regional Homogeneity indices: A resting-state fMRI study", J X-Ray Sci Technol, 24(2), pp.297~308 (2016)
  33. Yeo S, "Acupuncture on GB34 activates the precentral gyrus and prefrontal cortex in Parkinson’s disease", BMC Complement Altern Med, 14, pp.336~ (2014)
  34. Shim JS, "Effects of the hook of Uncaria rhynchophylla on neurotoxicity in the 6-hydroxydopamine model of Parkinson’s disease", J Ethnopharmacol, 126(2), pp.361~365 (2009)
  35. Sasaki-Hamada S, "Serotonergic and dopaminergic systems are implicated in antidepressant-like effects of chotosan, a Kampo formula, in mice", J Pharmacol Sci, 133(2), pp.110~113 (2017)
  36. Kim ST, "The effect of electroaucpuncture for 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-in duced proteomic changes in the mouse striatum", J Physiol Sci JPS, 60(1), pp.27~34 (2010)
  37. Leo RJ, "Parkinsonism associated with fluoxetine and cimetidine: a case report", J Geriatr Psychiatry Neurol, 8(4), pp.231~233 (1995)

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