대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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뇌교 출혈 이후 발생한 지연된 중추성 고체온증에 대한 한방치료 1례

Korean Medical Treatment for Prolonged Central Hyperthermia Following Pontine Hemorrhage: A Case Report

  • 이찬솔 (동국대학교 일산한방병원 한방내과) ;
  • 박송원 (동국대학교 일산한방병원 한방내과) ;
  • 홍승철 (동국대학교 일산한방병원 한방내과) ;
  • 김영지 (동국대학교 일산한방병원 한방내과) ;
  • 송주연 (동국대학교 일산한방병원 한방내과) ;
  • 이정윤 (서울대학교 자연과학대학 뇌인지과학과) ;
  • 신길조 (동국대학교 한의과대학 내과학교실) ;
  • 최동준 (동국대학교 일산한방병원 한방내과)
  • Yi, Chan-sol (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital) ;
  • Park, Song-won (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital) ;
  • Hong, Seungcheol (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital) ;
  • Kim, Youngji (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital) ;
  • Song, Juyeon (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital) ;
  • Lee, Jeong-yun (Dept. of Brain and Cognitive Sciences, College of Natural Sciences, Seoul National University) ;
  • Shin, Gil-cho (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Guk university) ;
  • Choi, Dong-jun (Dept. of Oriental Internal Medicine, Dong-Guk University, Il-san Oriental Medicine Hospital)
  • 투고 : 2018.08.03
  • 심사 : 2018.11.01
  • 발행 : 2018.10.30
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초록

A patient had central fever following pontine hemorrhage. Central hyperthermia caused by stroke is a rare case, and it is difficult to control. There are few case reports about central hyperthermia in Korean medical treatment (KMT). The patient suffered central hyperthermia accompanied by tachycardia, dyspnea, and irritability. However, there was no evidence of infection. Thus, hypnotics, sedatives, and a minor tranquilizer (Lorazepam and Midazolam) was prescribed. Despite a temperature peak of $39.9^{\circ}C$, most of the symptoms were alleviated. The patient's average body temperature was about $37^{\circ}C$, which is higher than most people at $36.5^{\circ}C$. His symptoms were diagnosed as ascendant hyperactivity of liver Yang (肝陽上亢), and the patient was prescribed Shihogayonggolmoryo-tang. During the 44 days of KMT, there was no change in his average body temperature and no central hyperthermia over $39^{\circ}C$. This case report demonstrates the possibility of controlling central hyperthermia caused by pontine hemorrhage using KMT.

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참고문헌

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