대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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성향정기산가미방을 중심으로 한 한의약 치료를 통해 단기간에 호전을 보인 전순환계 뇌경색 후 발생한 지남력장애 및 현훈을 주소로 한 환자 1례에 대한 보고

A Case Report of a Disorientation and Dizziness with Acute Anterior Circulation Region Cerebral Infraction Improved by Korean Medical Treatment: Focusing on Sunghyuangjunggi-san-gamibang (Xingxiang zhengqi san)

  • 추홍민 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김광호 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이영웅 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 임현서 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 신희라 (원광대학교 장흥통합의료한방병원) ;
  • 양무학 (제3훈련비행단) ;
  • 강건희 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 박찬종 (동인한의원) ;
  • 김철현 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 성강경 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 한의과대학 순환신경내과학교실)
  • Chu, Hongmin (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Kwang-ho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Young-ung (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lim, Hyeon-seo (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Shin, Hee-Ra (Wonkwang University Jangheung Integrated Medical Center) ;
  • Yang, Mu-hack (3rd Flying Training Wing) ;
  • Kang, Gun-hui (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Park, Chanjong (Dongin Korean Medicine Clinic) ;
  • Kim, Cheol-hyun (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Sung, Kang-keyng (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sang-kwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
  • 투고 : 2020.10.24
  • 심사 : 2020.12.21
  • 발행 : 2020.12.30
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초록

Introduction: The aim of this study was to report the effect of Korean medicine treatments on a stroke patient with acute cerebral infarction. Method: A 63-year-old male with anterior and middle cerebral artery infarction had symptoms of dizziness and disorientation. The patient was treated with Korean medicine therapy, including the herbal medicine "Sunghyuangjunggi-san-gamibang." Treatment progress was assessed using the Korean version of the Modified Barthel Index (K-MBI) and the Korean dizziness handicap inventory (K-DHI). Results: After 14 days of treatment, the K-DHI score decreased from 78 to 7 and the K-MBI score increased from 18 to 24. The patient's main symptoms were improved after the treatment, and no side effects were observed. Conclusion: Korean medicine treatment, including Sunghyuangjunggi-san, might be a recommended therapeutic option for dizziness and disorientation in stroke patients.

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참고문헌

  1. Shin HY, Kim J, Lee S, Park MS, Park S, Huh S. Cause-of-death statistics in 2018 in the Republic of Korea. J Korean Med Assoc 2020;63(5):286-97. https://doi.org/10.5124/jkma.2020.63.5.286
  2. The Epidemiology Research Council of the Korean Stroke Society. Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society. Seoul: Korean Stroke Society; 2018.
  3. Jung WY, Lim GH, Oh HG, Lee SH, Na JG. The Longterm Prognostic Factors After Acute Cerebral Infarction. J Korean Neurol Assoc 1995;13(4):806-14.
  4. Jokinen H, Melkas S, Ylikoski R, Pohajasvaara T, Kaste M, Erkinjuntti T, et al. Post-stroke cognitive impairment is common even after successful clinical recovery. European Journal of neurology 2015;22(9):1288-94. https://doi.org/10.1111/ene.12743
  5. Zhao B, Shang XL, He ZY, Fan GG, Liu H. Amplitude of Low-frequency Fluctuation in Patients with Alzheimer's Disease Based on Resting-state Functional MRI. Journal of China Medical University 2012;41(04):329-32.
  6. Desmond DW, Tatemichi TK, Figueroa M, Gropen TI, Stern Y. Disorientation following stroke: frequency, course, and clinical correlates. J Neurol 1994;241(10):585-91. https://doi.org/10.1007/BF00920621
  7. Patel M, Coshall C, Rudd AG, Wolfe CD. Natural history of cognitive impairment after stroke and factors associated with its recovery. Clinical Rehabilitation 2003;17(2):158-66. https://doi.org/10.1191/0269215503cr596oa
  8. Kim DY, Park CI, Ohn SH, Yang EJ, Ahn SY, Na SI. The Efficacy of Donepezil on Cognitive Dysfunction in Subacute Post-stroke Patients. J Korean Acad Rehab Med 2006;30(2):111-5.
  9. Choi DY, Lee SM, Nam DW, Shin SM. Editorial: Korean Translation of the CARE guidelines. Journal of Acupuncture Research 2015;32(4):1-9. https://doi.org/10.13045/acupunct.2015056
  10. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Jeon EJ, et al. The Study of Standardization for a Korean Adaptation of Self-report Measures of Dizziness. Journal of Korean Balance Society 2004;3(2):307-25.
  11. Kim JM, Shin IS, Yoon JS, Lee HY. Comparison of Diagnostic Validities between MMSE-K and K-MMSE for Screening of Dementia. J Korean Neuropsychiatr Assoc 2003;42(1):124-30.
  12. Han TR, Bang MS, Jung SK. Rehabilitation Medicine. 6th edition. Paju: Kunja; 2019, p. 13.
  13. Kim KS, Suo KS, Kim DW, Han MA, Jung YJ, Chang TY, Yang JH. Clinical study on the complications after stroke. J Korean Oriental Med 2000;21(4):227-35.
  14. Korean Stroke Society. Stroke. Seoul: Bummun education; 2015.
  15. Jin SL, Yun JM, Moon BS. A Study of Clinical Research Acupuncture Treatment on Post-stroke Cognitive Disorder. J Int Korean Med 2018;39(3):389-404. https://doi.org/10.22246/jikm.2018.39.3.389
  16. Yu KH, Cho SJ, Oh MS, Jung S, Lee JH, Shin JH, et al. Cognitive Impairment Evaluated With Vascular Cognitive Impairment Harmonization Standards in a Multicenter Prospective Stroke Cohort in Korea. Stroke 2013;44(3):786-8. https://doi.org/10.1161/STROKEAHA.112.668343
  17. Kang MG. Jejungsinpyeon. Seoul: Hangrimseowon; 1982, p. 2.
  18. Lim JK, Byun DS, Rho SS. The effects of Sunghuangjeongki-San on Cerebral edema. Journal of Korean Medicine 1990;11(1):208-15.
  19. Yea GU, Park CS, Lee EJ, Song JH, Kim MR, Cho J, et al. The Protective Effects of Sunghyuangjeongki-San on Middle Cerebral Artery Occlusion. Korean J Orient Int Med 2000;21(1):116-25.
  20. Kim HS, Kim YS. Neuroprotective Effect of Sunghyangjungki-San on Focal Cerebral Ischemia Indcued by MCAO in Rats. Korean J Oriental Physiology & Pathology 2006;20(3):596-602.
  21. Jung B, Lee JS. Effects of Sunghyangjungki-San on Bax and Bcl-2 Expressions in the MCAO Rtas. J Orient Rehab Med 2008;18(2):33-43.
  22. Kim SY, Lee WC. The Effects of Sunghyangjunggi -san and Gwackhyangjunggi-san Extracts on Cerebral Ischemia Following the MCA Occlusion in Rat. J Korean Oriental Med 2001;22(4):142-50.
  23. Shin J, Nam H, Cho Y, Sun S, Baek T, Kim S. Clinical Study of Hemiplegia, Dizziness, and Hiccupping Caused by Pontine Infarction. J Int Korean Med 2016;37(2):298-304.