청심연자탕 가감방으로 호전된 교뇌 출혈 이후 발생한 양측 반신부전마비, 연하곤란, 언어장애 치험 1례
A Case Study of Chengsimyeonja-tang-gamibang Treatment of a Patient with a Pontine Hemorrhage, with Quadriparesis, Dysarthria, and Dysphagia
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: This case study evaluated the effectiveness of Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) in a patient with a pontine hemorrhage and quadriparesis, dysarthria, and dysphagia. Methods: A patient diagnosed with a pontine hemorrhage was treated with Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) acupuncture, and moxibustion. The manual muscle test (MMT), modified Barthel index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Mini Mental State Examination-Korea (MMSE-K), and Articulatory Functional Ability of Achievement Scale were administered. Results: Improvements in the MMT, MBI, NIHSS, mRS, and K-MMSE were observed after the treatment. The MMT grade increased from Rt. 3/3- and Lt. 3/3- pretreatment to Rt. 4/4 and Lt. 4+/4+ post-treatment. The MBI increased from 10 to 50 post-treatment. The NIHSS decreased from 24 to 6 post-treatment, and the mRS fell from 5 to 4 post-treatment. Finally, the MMSE-K increased from 0 to 24 post-treatment. The Articulatory Functional Ability of Achievement Scale also improved. Conclusion: This study shows that Chengsimyeonja-tang-gamibang can be used to treat the symptoms of patients with a pontine hemorrhage.
Abstract
Objectives: This case study evaluated the effectiveness of Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) in a patient with a pontine hemorrhage and quadriparesis, dysarthria, and dysphagia. Methods: A patient diagnosed with a pontine hemorrhage was treated with Chengsimyeonja-tang-gamibang (Gamicheongsim-tang and Cheongsimsunhwal-tang) acupuncture, and moxibustion. The manual muscle test (MMT), modified Barthel index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), Mini Mental State Examination-Korea (MMSE-K), and Articulatory Functional Ability of Achievement Scale were administered. Results: Improvements in the MMT, MBI, NIHSS, mRS, and K-MMSE were observed after the treatment. The MMT grade increased from Rt. 3/3- and Lt. 3/3- pretreatment to Rt. 4/4 and Lt. 4+/4+ post-treatment. The MBI increased from 10 to 50 post-treatment. The NIHSS decreased from 24 to 6 post-treatment, and the mRS fell from 5 to 4 post-treatment. Finally, the MMSE-K increased from 0 to 24 post-treatment. The Articulatory Functional Ability of Achievement Scale also improved. Conclusion: This study shows that Chengsimyeonja-tang-gamibang can be used to treat the symptoms of patients with a pontine hemorrhage.
참고문헌 (19)
- Park JS, "Clinical Aspect of Spontaneous Pontine Hemorrhage", Korean J Cerebrovasc Surg, 7(1), pp.31~36 (2005)
- 신지혜, "뇌교경색 이후 발생한 편마비, 현훈 및 딸꾹질 치험 1례", 대한한방내과학회지, 37(2), pp.298~304 (2016), 대한한방내과학회
- Pack BW, "A Case Report of Pontine Infarction with Korean traditional medical treatment", J Int Korean Med, pp.256~262 (2014)
- Lee OB, "The Effects of the Articulatory Training Program on the Dysarthric Speech in Subjects with Dysarthria", pp.1998
- 김태련, "오행침자법(五行鍼刺法)을 포함한 한방치료로 호전된 뇌경색 후 발생한 Broca 실어증 치험 1례", 대한한방내과학회지, 37(3), pp.568~577 (2016), 대한한방내과학회
- The Korean neurological Association, "Textbook of Neurology", pp.27~ (2012), Panmun
- 이현정, "뇌간병변 뇌졸중 환자의 병변에 따른 지표별 삼킴기능 비교", Communication Sciences and Disorders, 17(3), pp.377~389 (2012), 한국언어청각임상학회
- Chung CS, "Primary pontine hemorrhage: a new CT classification", Neurology, 42(4), pp.830~834 (1992)
- Choi CH, "Clinical Analysis of the Factors Affecting the Prognosis of Spontaneous Pontine Hemorrhage", J korean Neurosung Soc, 26, pp.1408~1412 (1997)
- Kim J, "Sasang medicine Seongliimsangron", pp.303~ (1998), Daeseongmunhwasa
- Hong SY, "Sasang medicine Wonron", pp.344~ (1985), haengrim
- Park SJ, "A clinical study of Taeumin Chongsim Yonja Tang", J of Sasang Const Med, 10(1), pp.235~252 (1998)
- Hwang SY, "Effects of Cheongsimyeonja-tang water extract on the Cultured Primary Hippocampal Cell Damaged by XO", HX, 2002, pp.14(3), 132~145
- OK YY, "Effects of Taeumin Chungsimyeunjatang on the Cerebral neurons injured by Hydrogen Peroxide", J of Sasang Const. Med, 11(2), pp.251~266 (1999)
- Hong SC, "An Experimental Study on the Anti-Stress Effect by Taeumin Chongsimyonjatang", J of Sasang Const. Med, 7(2), pp.227~242 (1995)
- Park JH, "Effect of Taeumin Chungsimyoinjatang Extract on Blood Pressure and Regional Cerebral Blood Flow in Rats", J of Sasang Const Med, 12(1), pp.216~227 (2000)
- Hong S, "The Experimental Study of Sunkihwalhyul-Tang against Inhibitive Effects on the Brain Ischemia", HFS, 13(1), pp.49~69 (2005)
- "Encyclopedia of Korean Culture"[URL]
- Duncan PW, "Management of adult stroke rehabilitation care: a clinical practice guideline", Stroke, 36(9), pp.e100~e143 (2005)