The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of a Patient with Lewy's Body Dementia and Insomnia Treated with Korean Medicine

불면을 호소하는 Lewy's body dementia 환자 치험 1례

  • Park, Min-jeong (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University) ;
  • Lee, Mi-rim (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University) ;
  • Kim, Gyeong-muk (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University) ;
  • Cho, Ki-ho (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University) ;
  • Moon, Sang-kwan (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University) ;
  • Kwon, Seung-won (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University) ;
  • Jung, Woo-sang (Dept. of Clinical Korean Medicine, Cardiology and Neurology, Graduate School, Kyung Hee University)
  • 박민정 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 이미림 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 김경묵 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 조기호 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 문상관 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 권승원 (경희대학교 대학원 임상한의학과 순환.신경내과학교실) ;
  • 정우상 (경희대학교 대학원 임상한의학과 순환.신경내과학교실)
  • Received : 2017.03.24
  • Accepted : 2017.05.25
  • Published : 2017.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

The patient was a 69-year-old Korean male with Lewy's body dementia and insomnia. He was treated with acupuncture and a herbal medicine, Ukan-san. To evaluate insomnia, the patient's total sleeping time was recorded. The patient's sleeping time increased after the administration of the Korean medicine treatments. Treatment with Korean medicine may be effective in treating insomnia in cases of Lewy's body dementia.

Keywords

References

  1. Ko JS, Hwang JH, Kim SH, Koo BS. A Case Report of Dementia with Lewy bodies. Journal of Oriental Neuropsychiatry 2011;22(4):157-68. https://doi.org/10.7231/JON.2011.22.4.157
  2. Kim JW. Dementia with Parkinsonism: Dementia with Lewy bodies. Dementia and Neurocognitive Disorders 2002;1(2):69-72.
  3. Aarsland D, Perry R, Larsen JP, Mckeith IG, O'Brien JT, Perry EK, et al. Neuroleptic sensitivity in Parkinson's disease and parkinsonian dementias. J Clin Psychiatry 2005;66(5):633-7.
  4. National Institutes of Health. National Institutes of Health State of the Science Conference statement on Manifestations and Management of Chronic Insomnia in Adults. Sleep 2005;28:1049. https://doi.org/10.1093/sleep/28.9.1049
  5. Buscemi N, Vandermeer B, Friesen C, Bialy L, Tubman M, Ospina M, et al. The efficacy and safety of drug treatments for chronic insomnia in adults: a meta-analysis of RCTs. J Gen Intern Med 2007;22(9):1335-50. https://doi.org/10.1007/s11606-007-0251-z
  6. Holbrook AM, Crowther R, Lotter A, Cheng C, King D. Meta-analysis of benzodiazepine use in the treatment of insomnia. CMAJ 2000;162(2):225-33.
  7. Erman MK, Zammit G, Rubens R, Schaefer K, Wessel T, Amato D, et al. A polysomnographic placebo-controlled evaluation of the efficacy and safety of eszopiclone relative to placebo and zolpidem in the treatment of primary insomnia. J Clin Sleep Med 2008;4(3):229-34.
  8. Kuehn BM. FDA warns antipsychotic drugs may be risky for elderly. JAMA 2005;293(20) :2462. https://doi.org/10.1001/jama.293.20.2462
  9. Hyun WH, Lee SR. Studies on the effect of anticonvulsion and analgesic by Ukgan-san and Ukgan-sangami. J Oriental Neuropsychiatry 1994;5 :69-79.
  10. Aizawa R, Kanbayashi T, Saito Y, Ogawa Y, Sugiyama T, Kitajima T, et al. Effects of Yoku-kan-san-ka-chimpi-hange on the sleep of normal healthy adult subjects. Psychiatry Clin Neurosci 2002;56(3):303-4. https://doi.org/10.1046/j.1440-1819.2002.01006.x
  11. Ozone M, Yagi T, Chiba S. Effect of yokukansan on psychophysiological insomnia evaluated using cyclic alternating pattern as and objective marker of sleep instability. Sleep and Biological Rhythms 2012;10;157-60. https://doi.org/10.1111/j.1479-8425.2011.00527.x
  12. Iwasaki K, Satoh-Nakagawa T, Maruyama M, Monma Y, Nemoto M, Tomita N, et al. A randomized, observer-blind, controlled trial of the traditional Chinese medicine Yi-Gan san for improvement of behavioral and psychological symptoms and activities of daily living in dementia patients. J clin Psychiatry 2002;66(2) :248-52.

Cited by

  1. 동의보감에 수록되지 않았던 억간산의 문헌상 흐름과 현대 한의학에서의 응용 현황 vol.39, pp.3, 2017, https://doi.org/10.13048/jkm.18021