대한한방내과학회지 (The Journal of Internal Korean Medicine)

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

DOI QR Code

소뇌성 다계통위축증(MSA-C) 환자 한방 치험 1례

A Case Report of a Multiple System Atrophy-C Patient Treated by Korean Medicine

  • 조준호 (동수원한방병원 한방내과) ;
  • 임보라 (동수원한방병원 한방내과) ;
  • 정택수 (동수원한방병원 한방내과) ;
  • 전경륭 (동수원한방병원 한방내과) ;
  • 박진서 (동수원한방병원 한방내과) ;
  • 이유진 (동수원한방병원 한방재활의학과) ;
  • 권도익 (동수원한방병원 한방내과)
  • Cho, Jun-ho (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Lim, Bo-ra (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jeong, Taek-su (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jeon, Gyeong-ryung (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Park, Jin-seo (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Lee, Yu-jin (Dept. of Rehabilitation Medicine of Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Kwon, Do-ick (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital)
  • 투고 : 2018.08.03
  • 심사 : 2018.10.30
  • 발행 : 2018.10.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study evaluates the effect of Korean medicine in a patient with multiple system atrophy-C (MSA-C). Methods: A patient diagnosed with MSA-C was treated with herbal medicine (Boyangwhano-tang hap Yeokgan-san), acupuncture, and moxibustion for 8 weeks. Clinical improvements were evaluated by the unified MSA rating scale (UMSARS) and the scale for the assessment and rating of ataxia (SARA). Results: Improvements in the total scores of UMSARS Part I, II, and IV and SARA were observed after Korean medicine treatments. However, there were no improvements to the urinary and autonomic dysfunctions. Conclusions: Korean medicine treatment may be an effective treatment for a degenerative, progressive disease like MSA-C.

키워드

참고문헌

  1. Quinn N. Multiple system atrophy-the nature of the beast. Journal of Neurology, Neurosurgery and Psychiatry. Special Supplement 1989:52(suppl):78-89. https://doi.org/10.1136/jnnp.52.Suppl.78
  2. Wenning GK, Ben Shlomo Y, Magalhaes M, Danie SE, Quinn NP. Clinical features and natural history of multiple system atrophy:An analysis of 100 cases. Brain 1994:117(4):835-45. https://doi.org/10.1093/brain/117.4.835
  3. Korean Neurological Association. Test book of Neurology. 2nd Edition. Seoul: Panmun: 2012. p. 509.
  4. Gilman S, Wenning GK, Low PA, Brooks DJ, Mathias CJ, Trojanowski JQ, et al. Second consensus statement on the diagnosis of multiple system atrophy. Neurology 2008:71(9):670-6. https://doi.org/10.1212/01.wnl.0000324625.00404.15
  5. Flabeau O, Meissner WG, Tison F. Multiple system atrophy : current and future approaches to management. Ther Adv Neurol Disord 2010:Jul;3(4):249-63. https://doi.org/10.1177/1756285610375328
  6. Baik YS, Jo EY, Choi HJ, Jung SH. A Clinical Case Study on Multiple System Atrophy-C. J Int Korean Med 2008:spr;119-26.
  7. Kang YG, Shim WS, Lee BR, Kin KL, Park DI. A Case Study of a MSA Patient Treated by Korean Medical Treatment. J Int Korean Med 2015:spr;138-42.
  8. Im JW, Lee JE, Yei YC, Kim YS, Cho KH, Moon SK, et al. A case report of multiple system atrophy patient treated by Korean Medicine. J Int Korean Med 2013:spr;206-10.
  9. Byeon HS, Park JY, Leem JT, Kim MY, Kim CH, Jung WS, et al. A Clinical Case Study on Multiple System Atrophy with Dysuria treated with Electroacupuncture and Moxibustion. J Int Korean Med 2008:fal;196-203.
  10. Wenning GK, Tison F, Seppi K, Sampaio C, Deiem A, Yekhlef F, et al. Development and validation of the Unified Multiple System Atrophy Rating Scale(UMSARS). Movement Disorders 2004:19(12):1391-402. https://doi.org/10.1002/mds.20255
  11. Schmitz-Hubsch T, du Montcel ST, Baliko L, Berciano J, Boesch S, Depondt C, et al. Scale for the Assessment and Rating of Ataxia:development of a new clinical scale. Neurology 2006:Jun 13; 66(11):1717-20. https://doi.org/10.1212/01.wnl.0000219042.60538.92
  12. Lee JH, Song SK, Kim SK, Kim TS, Lee PH. An Autopsy Case of Multiple System Atrophy. J Korean Neurol Assoc 2010:28(1):56-8.
  13. Gibb WR, Lees AJ. The relevance of the Lewy body to the pathogenesis of idiopathic Parkinson's disease. J Neurol Neurosurg Psychiatry 1988:51(6):745-52. https://doi.org/10.1136/jnnp.51.6.745
  14. Wenning GK, Geser F, Stampfer-Kountchev M, Tison F. Multiple system atrophy:an update. Mov Disord 2003:18(Suppl 6):34-42. https://doi.org/10.1002/mds.10561
  15. Druschky A, Hilz MJ, Platsch G, Radespiel-Troger M, Druschky K, Kuwert T, et al. Differentiation of Parkinson's disease and multiple system atrophy in early disease stages by means of I-123-MIBG-SPECT. J Neurol Sci 2000:175(1):3-12. https://doi.org/10.1016/S0022-510X(00)00279-3
  16. Choi SH. Bibliographical study on the Pathology of Endogenous wind stirring in liver. J of Eastern Pathology 1984:1:53-8.
  17. Kim NY, Lee I, Jang HY, Im JM, Kim SM, Cho HG, et al. Effect of Boyanghwanoh-tang extract on Blood Pressure and Regional Cerebral Blood Flow in Rats. Korean J Oriental Medical Physiology & Pathology 2001:15(5):682-6.
  18. Kang SH, Kim GJ. Effects of Lithospermum erythrorhizon on the cytokine gene expression in human keratinocytes. The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology 2013:26(1):50-62. https://doi.org/10.6114/jkood.2013.26.1.050
  19. Lim SM, An JJ, Choi BR, Song GC, Kim MH, Kim YS, et al. A case study of tremor patient with Yeokgansan-gamibang. Korean J Orinet Int Med 2003:24(4):1062-106.

피인용 문헌

  1. 경전굴 및 보행장애를 주소로 하는 다계통 위축증 환자의 한의 치료 증례 1례 vol.40, pp.5, 2018, https://doi.org/10.22246/jikm.2019.40.5.851