The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

A Case Report of Cerebral Infarction in an Elderly Patient with Subclinical Hypothyroidism

불현성 갑상선기능저하증이 병발한 고령의 뇌졸중 환자의 호전 1례

  • Woo, Sung-Ho (Department of Oriental Internal Medicine, National Medical Center) ;
  • Kim, Byung-Chul (Department of Oriental Internal Medicine, National Medical Center) ;
  • Shim, Hyo-Ju (Department of Oriental Internal Medicine, National Medical Center) ;
  • Na, Eu-Jin (Department of Oriental Internal Medicine, National Medical Center) ;
  • Kang, Rae-Yeop (Department of Oriental Internal Medicine, National Medical Center) ;
  • Kim, Jin-Won (Department of Oriental Internal Medicine, National Medical Center) ;
  • Seo, Ho-Seok (Department of Oriental Internal Medicine, National Medical Center) ;
  • Kim, Jung-Uk (Department of Acupunture & Moxibustion, College of Oriental medicine, Dongguk University) ;
  • Kim, Yong-Ho (Department of Oriental Internal Medicine, National Medical Center)
  • 우성호 (국립의료원 한방진료부 내과) ;
  • 김병철 (국립의료원 한방진료부 내과) ;
  • 심효주 (국립의료원 한방진료부 내과) ;
  • 나유진 (국립의료원 한방진료부 내과) ;
  • 강래엽 (국립의료원 한방진료부 내과) ;
  • 김진원 (국립의료원 한방진료부 내과) ;
  • 서호석 (국립의료원 한방진료부 내과) ;
  • 김정욱 (동국대학교 한의과대학 침구학교실) ;
  • 김용호 (국립의료원 한방진료부 내과)
  • Published : 2007.09.30
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Abstract

Hypothyroidism is a common disease of the endocrinal system, characterized by fatigue, cold intolerance, bradycardia, and so on. Subclinical hypothyroidism is a common biochemical abnormality which can be found in routine screening tests of thyroid function. It is defined as an asymptomatic state which characterized by normal free thyroxine(FT4) and elevated thyroid stimulating hormone(TSH) levels. The purpose of this study was to evaluate the effect of treatment with palmijihwang-tang and to observe the changes in triiodothyronine(T3), free thyroxine(FT4), thyroid stimulating hormone(TSH) level and VAS of cold intolerance, hoarseness, dry skin. After the treatment, triiodothyronine(T3) increased from 57.12ng/dl to 120.53ng/dl. Free thyroxine(FT4) increased from 12.59pg/ml to 14.21pg/ml. Thyroid stimulating hormone(TSH) decreased from 10.61mU/L to 1.57mU/L. Cold intolerance, hoarseness and dry skin changed for the better. These results support a role for oriental medical therapy in treating subclinical hypothyroidism. Further case studies of herbal treatment of this ailment are needed.

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