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A Case Report on a Patient with Acute Herniated Lumbar Disc due to Coughing Treated with Megadose Pharmacopuncture and Combined Korean Medicine

기침으로 급성 악화된 요추 추간판 파열 환자의 대용량 약침 및 복합 한방치료 호전사례 1례

  • Ryu, Gwang-hyun (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Moon, Heeyoung (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Ju, Ah-ra (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Choo, Won-jung (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Choi, Yo-sup (Dept. of Korean Internal Medicine, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Moon, Youngjoo (Dept. of Korean Medicine Rehabilitation, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Chai, Jiwon (Dept. of Korean Medicine Rehabilitation, Bu-Cheon Jaseng Hospital of Korean Medicine) ;
  • Shin, Wonbin (Dept. of Acupuncture & Moxibustion, Bu-Cheon Jaseng Hospital of Korean Medicine)
  • 류광현 (부천자생한방병원 한방내과) ;
  • 문희영 (부천자생한방병원 한방내과) ;
  • 주아라 (부천자생한방병원 한방내과) ;
  • 추원정 (부천자생한방병원 한방내과) ;
  • 최요섭 (부천자생한방병원 한방내과) ;
  • 문영주 (부천자생한방병원 한방재활의학과) ;
  • 채지원 (부천자생한방병원 한방재활의학과) ;
  • 신원빈 (부천자생한방병원 침구과)
  • Received : 2019.11.16
  • Accepted : 2019.12.27
  • Published : 2019.12.30

Abstract

Objective: The purpose of this study was to report the radiological and symptomatic changes in a patient with acute herniated lumbar disc due to coughing, treated with megadose pharmacopuncture and combined Korean medicine. Methods: MRI examination diagnosed an acute lumbar disc herniation by coughing. We performed a combination treatment of megadose pharmacopuncture and integrated Korean medicine. NRS, ODI, EQ-5D, SLR test, and big toe extension test were checked on admission, after two weeks, on discharge, and after four months to confirm symptom improvements. Results: In the acute stage of lumbar intervertebral disc rupture, megadose pharmacopuncture combined with Korean medicine treatment showed improvement in NRS, ODI, EQ-5D, SLRT, and big toe extension tests. In addition, absorption of the herniated intervertebral discs was observed through an MRI scan on discharge. Conclusions: For patients with herniated lumbar disc acutely deteriorated by coughing, a combination of megadose pharmacopuncture with Korean medicine treatment may be a solution.

Keywords

References

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