A Case of Multiple Sclerosis with Depression

우울증상을 동반한 다발성 경화증 재발 환자의 치험 1례

  • Heo, Eun-Jung (Dept. of Oriental Neuropsychiatry, Chun-Cheon Oriental Medical Hospital) ;
  • Kim, Ji-Hyon (Dept. of Oriental Ophthalmology & Otolaryngology & Dermatology, Chun-Cheon Oriental Medical Hospital) ;
  • Yoon, Chang-Jun (Dept. of Oriental Rehabilitation Medicine, Chun-Cheon Oriental Medical Hospital) ;
  • Lyu, Heui-Yeong (Dept. of Oriental Neuropsychiatry, Chun-Cheon Oriental Medical Hospital)
  • 허은정 (춘천한방병원 한방신경정신과) ;
  • 김지현 (춘천한방병원 한방안이비인후피부과) ;
  • 윤창준 (춘천한방병원 한방재활의학과) ;
  • 류희영 (춘천한방병원 한방신경정신과)
  • Published : 2009.06.30

Abstract

Objectives : Multiple sclerosis (MS) is a demyelination disease of central nervous system, presenting a various neurological disorders depending on the lesion. In the view of oriental medicine, MS is similar to Flaccidity-syndrome(痿證). Also, since MS is a chronic disease which repeats the recurrences with periods of remission of the symptoms in between, it may usually be accompanied by depression. However, the etiology, treatment, and cause of recurrence of MS remain unknown, and also, as the recurrences of MS have been repeated, disease burden has been accumulated, which aggravates disorder. This case of MS experienced depression after the patient had been diagnosed as bad consequence based on the past 5 times recurrences of multiple sclerosis. Methods : We saw the causes as vicera and bowels functional disorder which might have come from a poor diet. Thus, we diagnosed this case as dual deficiency of spleen and kidney(脾腎兩虛), stagnant qi transforming into fire(氣鬱化火) and liver-kidney deficiency(肝腎不足) and treated it with Herb medication, acupuncture therapy, and supportive therapy, making the patient better. Results : We have improved the patient's condition to the time before 5th recurrence. Conclusions : This result suggests that our oriental medical treatments was effective on multiple sclerosis with depression.

Keywords

References

  1. 王冰. 新編 黃帝內經 素問. 서울:대성문화사. 1994:271-4.
  2. 김성수, 금동호. 위증에 관한 문헌적 고찰. 동국한의학연구소논문집. 1999;7(2):81-95.
  3. 朱震亨. 丹溪心法附餘. 서울: 대성문화사. 1982:515-27.
  4. 정순창, 강재영, 김관식, 주문배. 실어증을 동반한 다발성 경화증. 대한신경외과학회지. 1977;6(2):407-10.
  5. Okinaka S, Tsubaki T, Kuroiwa Y. Multiple sclerosis and allied disease in Japan. Neurol. 1958;8:756-63. https://doi.org/10.1212/WNL.8.10.756
  6. 허지회, 선우일남, 박기덕, 조필자. 다발성경화증 환자에서의 임상 양상과 유발전위 검사 소견의 비교 관찰. 대한신경과학회지. 1992;10(1):49-58.
  7. Jcobs LD, Wende KE, Brownscheidle CM, Apatoff B, Coyle PK, Goodman A. A profile of multiple sclerosis: the New York State Multiple Sclerosis Consortium. Mult Scler. 1999;5:369-76.
  8. Compston A, ed. McAlpine's Multiple Sclerosis: Disease modifying treatments in multiple sclerosis, 4th ed. Churchill Livingston. 2006:351-810.
  9. 노을선. 사지무력증-양방으로 본 진행성마비. 대한한의학회지. 1978:47-57.
  10. 강석일, 박원태, 구창모, 김연섭. 다발성경화증 환자 치험1례에 대한보고. 대한한의정보학회지. 2002;8(1):34-45.
  11. 강계성, 권기록. 다발성 경화증 환자5례에 대한 임상보고. 대한침구학회지. 2003;20(1):209-17.
  12. 황상일, 백동기, 임은경, 이윤재, 정현애, 조영기, 문미현, 이성균, 김동웅, 신선호. 다발성 경화증 환자 치험 1례. 대한한방내과학회지. 2004;25(3):609-14.
  13. Schmacher GA. Multiple sclerosis. Arch Neurol. 1966;14:571-3. https://doi.org/10.1001/archneur.1966.00470120003001
  14. McDonald WI, Compston A, Edan G, Goodkin D, Hartung HP, Lublin FD, McFarland HF, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann Neurol. 2001;50:121-7. https://doi.org/10.1002/ana.1032
  15. 김용성, 김철중. 위증에 대한 동서의학적 고찰. 대전대학교 한의학연구소 논문집. 2000;8(2):211-43.
  16. Kenneth WL, Ian B. 임상신경학. 서울:이퍼블릭. 2006:736-48.
  17. Rose AS, Ellison GW, Myers LW, Tourtellotte WW. Criteria for the clinical diagnosis of multiple sclerosis. Neurology. 1976;26:20-2. https://doi.org/10.1212/WNL.26.6_Part_2.20
  18. Poser CM, Paty DW, Scheinberg L, McDonald WI, Davis FA, Ebers GC, et al. New diagnostic criteria for multiple sclerosis: guidelines for reserch protocols. Ann Neurol. 1983;13:227-31. https://doi.org/10.1002/ana.410130302
  19. Kuroiwa Y, Hung TP, Landsborough D, Park CS, Singhal BS. Multiple sclerosis in Asia. Neurology. 1977;27:188-92. https://doi.org/10.1212/WNL.27.2.188
  20. Kuroiwa Y, Igata A, Itahara K, Koshijima S, Tsubaki T, Toyokura Y, Shibasaki H. Nationwide survey of multiple sclerosis in Japan-Clinical analysis of 1084 cases. Neurol. 1975;25:845-51. https://doi.org/10.1212/WNL.25.9.845