DOI QR코드

DOI QR Code

A Case Report of Migraine with Typical Aura on Korean Medical Treatments

  • Cho, Myoung-Ui (Department of Oriental Neuropsychiatry, Jaseng Hospital of Korean Medicine) ;
  • Lim, Su-Yeon (Department of Oriental Neuropsychiatry, Jaseng Hospital of Korean Medicine) ;
  • Jeon, Hyun-A (Department of Oriental Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Ji-Yeon (Department of Oriental Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Moon, Young-Joo (Department of Oriental Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Song, Kwang-Chan (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Koh, Young-Tak (Department of Oriental Neuropsychiatry, Jaseng Hospital of Korean Medicine)
  • Received : 2018.11.07
  • Accepted : 2018.12.17
  • Published : 2018.12.31

Abstract

Objectives: The objective of this case report was to investigate the effect of Korean medicine therapy on migraine patients with typical aura. Methods: Acupuncture and chuna manual therapy were applied to outpatients once in 1 to 2 weeks, a total of 9 times, for about 11 weeks. A patient was diagnosed with ganyang-toutong and taeeumin dry-heat symptomatic pattern. Herbal medicine (Chongsanggeontong-tang Gagambang (淸上?痛湯加減方)) was prescribed for 15 days up to the 3rd visit, then another herbal medicine (Yeoldahanso-tang (熱多寒少湯)) prescribed for 15 days up to the 6th visit. MSQol and MIDAS were used as a tool at the start and after 9th treatment. The intensity and frequency of headache, frequency of aura and neck pain were examined on every visit. Results: According to the results, Korean traditional medicine described above had effect on the intensity and frequency of headache, frequency of aura and neck pain as well as an increase in the figure of MSQoL from 62 to 81 and decrease of MIDAS Disability from 18 to 7, Duration from 60 to 30, Pain score from 8 to 2. Conclusions: Migraine with typical aura classified as ganyang-toutong and taeeumin dry-heat symptomatic pattern can be alleviated by Korean traditional medicine.

Keywords

Table 1. The Composition of Chungsanggyuntong-tang Gagambang (淸上蠲痛湯加減方)

HBSKB9_2018_v29n4_315_t0001.png 이미지

Table 1. The Composition of Chungsanggyuntong-tang Gagambang (淸上蠲痛湯加減方)

HBSKB9_2018_v29n4_315_t0001.png 이미지

Table 2. The Composition of Yeoldahanso-tang (熱多寒少湯)

HBSKB9_2018_v29n4_315_t0002.png 이미지

Table 2. The Composition of Yeoldahanso-tang (熱多寒少湯)

HBSKB9_2018_v29n4_315_t0002.png 이미지

Table 3. Frequency of Head Attack Depending on the Intensity

HBSKB9_2018_v29n4_315_t0003.png 이미지

Table 3. Frequency of Head Attack Depending on the Intensity

HBSKB9_2018_v29n4_315_t0003.png 이미지

Table 4. Frequency of Aura

HBSKB9_2018_v29n4_315_t0004.png 이미지

Table 4. Frequency of Aura

HBSKB9_2018_v29n4_315_t0004.png 이미지

Table 5. Intensity of Post Neck Pain

HBSKB9_2018_v29n4_315_t0005.png 이미지

Table 5. Intensity of Post Neck Pain

HBSKB9_2018_v29n4_315_t0005.png 이미지

Table 6. Change of MSQoL, MIDAS Questionnaire Scores

HBSKB9_2018_v29n4_315_t0006.png 이미지

Table 6. Change of MSQoL, MIDAS Questionnaire Scores

HBSKB9_2018_v29n4_315_t0006.png 이미지

References

  1. Vos T, Barber R, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2015;386:743-800. https://doi.org/10.1016/S0140-6736(15)60692-4
  2. Lipton RB, Stewart WF, Diamond S, Diamond ML, Reed M. Prevalence and burden of migraine in United States: Data from the American Migraine Study II. Headache: The Journal of Head and Face Pain. 2001;41(7):646-57. https://doi.org/10.1046/j.1526-4610.2001.041007646.x
  3. Hamelsky SW, Lipton RB, Stewart WF. An assessment of the burden of migraine using the willingness to pay model. Cephalalgia: an international journal of headache. 2005;25:87-100. https://doi.org/10.1111/j.1468-2982.2005.00797.x
  4. Quintana S, Genovese A, Rausa F, Manzoni G, Torelli P. Migraine with typical aura: clinical features and their relationship with sex and age of onset. Results from the analysis of a large case series. Neurological Sciences. 2018; 39(1):135-6.
  5. Headache Classification Committee of the International Headache Society (IHS). The international Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33(9):629-808. https://doi.org/10.1177/0333102413485658
  6. Viana M, Sances G, Linde M, Ghiotto N, Guaschino E, Allena M et al. Clinical features of migraine aura: results from a prospective diary-aided study. Cephalalgia:an international journal of headache. 2017;37(10):979-89. https://doi.org/10.1177/0333102416657147
  7. Healthcare Bigdata Hub by Health Insurance Review & Assesment Service. Classification of Disease (three - stage disease: G43 code) Statistics. Available from: URL: http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do
  8. Choi YY. 2018. Systematic Review of Hyeolbuchukeotang (Xuefu Zhuyu Decoction) in the Treatment of Migraine. Unpublished master's thesis, Department of Korean Medicine, Graduate School of Wonkwang University.
  9. Sun SH. Two Cases Report of the Patients with Left Migraine Improved with Zhuapiandutongbang. Korean journal of Oriental Physiology & Pathology. 2008;22(9): 1594-9.
  10. Jeon WJ, Kim MS, Shin GJ, Lee WC. The Clinical Observation on 1 Case of Patient with Migraine. The Journal of. oriental. Chronic Diseases. 2000;6(1):39-44.
  11. Hansen JM, Goadsby PJ, Charles AC. Variability of clinical features in attacks of migraine with aura. Cephalalgia:an international journal of headache. 2016;36(3):216-24. https://doi.org/10.1177/0333102415584601
  12. The Korean Society Of Oriental Neuropsychiatry. Oriental Neuropsychiatry. Jipmundang. 2016:264.
  13. Kim KW. Disease pattern of Sa-am Acupuncture. Chorakdang. 2009:466.
  14. Kim KW. Disease pattern of Sa-am Acupuncture. Chorakdang. 2009:622.
  15. Won JH, Ahn HD, Woo CH. A Case Report on Chronic Tension-type Headache Improved by Korean Medicine with Chuna Manual Therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2013; 8(2):105-11.
  16. Gong JH. Dongeuisusebowon(sang). Taipei International Book Co. 1986:389-90.
  17. Hwang DW. Compilation of Formulas and Medicinals Addendum. Seoul:namsandang. 1985:229.
  18. Kim Sang-Hyuk. The Study on the Formative Process of Taeumin's Dry-febrile Symptom. Dept. of Oriental Medicine, Graduate School, Kyung-Hee University, Korea. 2008;20(1):1-14.