The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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A Case of Ramsay Hunt syndrome with Poor Prognosis on EMG

근전도상 불량한 예후를 보였던 Ramsay Hunt Syndrome 환아 1례에 대한 임상적 고찰

  • Koh, Duck-Jae (Department of Pediatrics, College of Oriental Medicine, Kyunghee University) ;
  • You, Han-Jung (Department of Pediatrics, College of Oriental Medicine, Kyunghee University) ;
  • Cho, Hyung-Jun (Department of Pediatrics, College of Oriental Medicine, Kyunghee University) ;
  • Kim, Deog-Gon (Department of Pediatrics, College of Oriental Medicine, Kyunghee University) ;
  • Lee, Jin-Yong (Department of Pediatrics, College of Oriental Medicine, Kyunghee University)
  • 고덕재 (경희대학교 한의과대학 소아과학교실) ;
  • 유한정 (경희대학교 한의과대학 소아과학교실) ;
  • 조형준 (경희대학교 한의과대학 소아과학교실) ;
  • 김덕곤 (경희대학교 한의과대학 소아과학교실) ;
  • 이진용 (경희대학교 한의과대학 소아과학교실)
  • Published : 2004.12.31
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Abstract

Objective : To evaluate the effect of Oriental medical treatment on a patient with Ramsay Hunt syndrome with poor prognosis on EMG. Methods : We applied various methods of Oriental Medical treatment including Acupuncture, Electroacupuncture, Herb medicine, Vesiculation therapy using Mylabris and Crontonis Fructus, Massage, Self-excercise of face muscles. Results : 1. Herb medicine was applied on the basis of Differentiation of Syndromes(辨證): We tried Herb medicine to improve the function of Digestive System. The patient's stool condition, subjective sensation related with abdominal pain and general condition improved. 2. We used the Vesiculation therapy using Mylabris which was used traditionally to treat Facial Palsy. We powdered Mylabris and mixed it with Crontonis Fructus to make a paste. We put it on Ye-poong(?風), Nae-gwan(內關) at left side. It induced vesicles at the applied area, but it disappeared in 48 hours without any scar. 3. We applied acupuncture, electroacupunture, massage and self-excercise of face muscles. On gross scale assessment, there was some improvement. And assessment with regional scale also showed changes. The patient and the guardian were satisfied with the result. Conclusion : We experienced a case of Ramsay Hunt syndrome with poor prognosis on EMG. She also showed poor response to conservative treatment. Through various modalities of Oriental medical treatment, we attained some clinical improvement.

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