The Journal of the Society of Stroke on Korean Medicine (대한중풍순환신경학회지)

The Society of Stroke on Korean Medicine (대한중풍순환신경학회)
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A Case of a Soyangin Patient with Aggravated Voiding Dysfunction after Pontine Infarction

교뇌경색 이후 배뇨장애가 악화된 소양인 환자의 한의 치료 1례 보고

  • Hye-Jin, Lee (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ye-Chae, Hwang (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Tae-Bin, Yim (Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong) ;
  • Kyung-Hwa, Lee (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seung-Yeon, Cho (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong-Uk, Park (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jung-Mi, Park (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chang-Nam, Ko (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 이혜진 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 황예채 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 임태빈 (강동경희대학교병원 뇌신경센터 한방내과) ;
  • 이경화 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조승연 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박성욱 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박정미 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 고창남 (경희대학교 대학원 한방순환신경내과학교실)
  • Published : 2022.12.01
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Abstract

■Objective The purpose of this case report is to report the effect of Korean medicine treatment on a patient with pontine infarction complaining of discomfort due to aggravated voiding dysfunction after the onset of the stroke. ■Methods The patient was hospitalized for 44 days and treated with herbal medicine, acupuncture, electroacupuncture, moxibustion, and interferential current therapy(ICT). We checked the amount of self-voided volume and postvoid residual urine volume(PVR), and asked the patient to subjectively evaluate the degree of discomfort due to voiding dysfunction. ■Results After 44 days of hospitalization, the patient responded that the subjective discomfort due to residual urine remained 30% and delayed urine remained 50% compared to the day of admission. The maximum amount of PVR was 234 ml on the 3rd day, and the minimum amount of PVR was checked on 25th and 35th day as 0 ml. ■Conclusions This study suggests that Korean medicine treatment may be effective in the treatment of voiding dysfunction after stroke.

Keywords

References

  1. Kumar S, Selim MH, Caplan LR. Medical  complications after stroke. The Lancet Neurology 2010;9(1):105-118.  https://doi.org/10.1016/S1474-4422(09)70266-2
  2. Kim DY, Kim YH, Lee JM, Chang WH, Kim  MW, Pyun SB et al. Clinical practice guideline  for stroke rehabilitation in Korea 2016. Brain  Neurohabil. 2017;10(Suppl 1):e11. 
  3. Yu KW, Lin CL, Hung CC, Chou EC, Hsieh  YL, Li TM, et al. Effects of electroacupuncture on recent stroke inpatients with incomplete bladder emptying: A preliminary study.  Clinical interventions in aging. 2012;7:469-474 
  4. Burney TL, Senapati M, Desai S, Choudhary  ST, Badlani GH. Acute cerebrovascular accident and lower urinary tract dysfunction:  A prospective correlation of the site of brain  injury with urodynamic findings. J Urol  1996;156(5):1748-1750. 
  5. Kong KH, Young, S. Incidence and outcome  of poststroke urinary retention: a prospective  study. Archives of physical medicine and rehabilitation 2000;81(11):1464-1467.  https://doi.org/10.1053/apmr.2000.9630
  6. Curtis LA, Dolan TS, Cespedes RD. (2001).  Acute urinary retention and urinary incontinence. Emergency Medicine Clinics of North  America 2001;19(3):591-620.  https://doi.org/10.1016/S0733-8627(05)70205-4
  7. Lee JW, Lee EJ, Shin BC, Lee MS, Lim SM,  Cho CS, at al. Clinical Practice Guideline for  acupuncture in Post-stroke urinary retention. J  korean Med 2016;37(1):1-9. 
  8. Kang AR, Lee HG, Son JH, Cho KH, Moon  SK, Jung WS. A Case Study of a Stroke Patient with Voiding Dysfunction treated by Traditional Korean Medicine. J Int Korean Med  2015;157-161. 
  9. Kang KS, Jeong EJ, Moon SK, Ko CN, Joh  KH, Kim YS, et al. Clinical Study on the Effects of Moxibustion for Post-stroke Voiding  Dysfunction. J Korean Med 2000;21(4):236-241. 
  10. Meng NH, Lo SF, Chou LW, Yang PY, Chang  CH, Chou EC. Incomplete bladder emptying  in patients with stroke: Is detrusor external  sphincter dyssynergia a potential cause? Archives of physical medicine and rehabilitation  2010;91(7):1105-1109.  https://doi.org/10.1016/j.apmr.2010.03.017
  11. Kim TG, Chun MH, Chang MC, Yang S. Outcomes of drug-resistant urinary retention in  patients in the early stage of stroke. Annals of  rehabilitation medicine 2015;39(2):262-267.  https://doi.org/10.5535/arm.2015.39.2.262
  12. Kim BR, Lim JH, Lee SA, Kim JH, Koh SE,  Lee IS, et al. The relation between postvoid  residual and occurrence of urinary tract infection after stroke in rehabilitation unit. Annals  of Rehabilitation Medicine 2012;36(2):248-253.  https://doi.org/10.5535/arm.2012.36.2.248
  13. Andrew J, Nathan PW. Lesions of the anterior  frontal lobes and disturbances of micturition  and defaecation. Brain 1964;87(2):233-262.  https://doi.org/10.1093/brain/87.2.233
  14. de Groat WC. Central neural control of the lower urinary tract. Ciba Found Symp; 2007, p. 27-56.
  15. 두호경. 신계내과학. 서울: 성보사; 2003, p.30, 64-71, 90-103.
  16. Compiled by dept. Sasang constitution medicine of all the college of Korean medicine. Sasang constitution medicine. Jipmoondang. 2006.
  17. Lee SY, Hwang MW. Studies on the Modeling  of the Three-dimensional Standard Face and  Deriving of Facial Characteristics Depending  on the Taeeumin and Soyangin. J Sasang Constitut Med 2014;26(4):350-364.  https://doi.org/10.7730/JSCM.2014.26.4.350
  18. Shin SW, Jeong CH, Baik YS, Jang WC. A  Study on Hyungbangsabaeksan of Dongyisusebowon. J Korean Medical Classics  2015;28(1):173-194. 
  19. Kim JY, Lee JW, Oh HW, Lee JH, Lee EJ,  Koh BH. A Case Study of Soyangin Patient  with Restless Legs Syndrome Treated with  Hyeongbangsabaeksan. J Sasang Constitut  Med. 2015;27(4):419-428.  https://doi.org/10.7730/JSCM.2015.27.4.419
  20. Park GH, Kim OY, Park HS. The Case Report  of Soyangin Yangdokbalban (陽毒發斑). J Korean Oriental Med 2011;32(4):159-116. 
  21. Hong SM, Lee SY, Hwang MW. A Case Study  of Soyangin Patient with Hyperhidrosis Treated Successfully with Hyungbangsabaek-san. J.  Sasang Constitut Med 2014;26(5):379-388.  https://doi.org/10.7730/JSCM.2014.26.4.379
  22. Choi YJ, Kim KT. The Effects of Mokdanpisabaek-san on Stroke: A Retrospective  Medical Chart Review. J Int Korean Med  2020;41(1):69-80. https://doi.org/10.22246/jikm.2020.41.1.69