대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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청심온담탕가미방과 침구치료를 포함한 복합한의치료로 호전된 심인성 떨림 환자 1례 - 증례보고

A Case of Psychogenic Tremor Improved by Complex Korean Medicine Treatment Including Cheongshimondam-tang-gamibang and Acupuncture Treatment - A Case Report

  • 이지현 (목동동신한방병원 한방내과) ;
  • 윤석영 (목동동신한방병원 한방안이비인후피부과) ;
  • 전현준 (목동동신한방병원 한방재활의학과) ;
  • 주성준 (목동동신한방병원 한방재활의학과) ;
  • 이지수 (목동동신한방병원 침구과) ;
  • 임정태 (원광대학교 한의과대학) ;
  • 한양희 (목동동신한방병원 한방내과)
  • Jihyun, Lee (Dept. of Internal Korean Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Seokyeong, Yoon (Dept. of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Hyoenjun, Cheon (Dept. of Oriental Rehabilitation Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Sungjun, Joo (Dept. of Oriental Rehabilitation Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Jisu, Lee (Dept. of Acupuncture & Moxibustion Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Jungtae, Leem (College of Korean Medicine, Wonkwang University) ;
  • Yanghee, Han (Dept. of Internal Korean Medicine, Dong-Shin Korean Medicine Hospital)
  • 투고 : 2022.09.07
  • 심사 : 2022.12.09
  • 발행 : 2022.12.30
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초록

Objectives: A case study about the effectiveness of integrative Korean medicine treatment in a psychogenic tremor patient. Case presentation: A 36-year-old male diagnosed with psychogenic tremor with low back pain underwent 29 days of inpatient treatment and 4 weeks of outpatient treatment. His pattern identification was a psychogenic tremor of the weakness of the heart and gall bladder (SimDamHeoGup) type. The treatments were herbal medicine and acupuncture. He took Cheongshimondam-tang for 29 days and Chunwangbosim-dan for 6 weeks when he had symptoms. He also received acupuncture for 20 minutes twice a day at GB20 (Pungji), L14 (Hapgok), HT4 (Yeongdo), PC6 (Naegwan), HT7 (Sinmun), GB34 (Yangleungcheon), ST36 (Joksamni), SP6 (Sameumgyo), and LR3 (Taechung). After 8 weeks of treatment, the Fahn Tolosa Marin rating (FTM) scale of his tremor, at rest, dropped from Grade 4 on both upper extremities, trunk, and both lower extremities at the time of admission to Grade 2 in both upper extremities and trunk, and Grade 0 in both lower extremities at the time of discharge. His Beck Anxiety Inventory (BAI) score decreased from 38 to 7, and his numerical rating scale (NRS) decreased from 8 to 1 for low back pain and from 9 to 2 for tremor. A follow-up visit to the hospital 2 months after the end of treatment confirmed continued symptom improvements and no significant side effects. Conclusions: This study suggests the possibility of treating psychogenic tremor using only Korean medicine treatments. Further studies with control groups and long-term follow-up are needed.

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과제정보

이 논문은 2022학년도 원광대학교의 교비지원에 의해 수행됨.

참고문헌

  1. Association of Korean Medicine Professors for Cardiovascular and Neurological Medicine. Cardiovascular and Neurological Medicine in Korean MedicineI. 1st edition. Seoul: Woori; 2016, p. 293-300. 
  2. Cheon JS. Movement Disorders that Psychiatrists Should Know. Psychosomatics 2013;21(2):99-105. 
  3. Sohn YJ, Jung SY, Kang KW, Jeong MJ, Jang IS. A Meta analysis of the Effectiveness of Acupuncture for the Treatment of Essential Tremors. J Int Korean Med 2017;38(4):419-32.  https://doi.org/10.22246/jikm.2017.38.4.419
  4. The Text Compilation Committee of National Oriental Medicine University of Oriental Neuropsychology. Oriental Neuropsychology. 2nd edition. Seoul: Jipmoondang; 2010, p. 223. 
  5. Kim SH, Park SJ, Byun SN, Kim JY, Kim JW, Chung SY, et al. Relaxation Training for psychogenic tremor patient with anger : A Case Report. Journal of Oriental Neuropsychiatry 2006;17(3):87-96. 
  6. Lim GM, Song GS, Park SJ, Jo SW, Lee JH. A Case Report of 2 Patients with Psychologic Tremor Using Korean Medical Treatments with MCVT. J of Oriental Neuropsychiatry 2019;30(2):107-18.  https://doi.org/10.7231/JON.2019.30.2.107
  7. Hwang EY, Chung SY, Kim JW. A Case Report of Psychogenic Tremor Patient with Head Tremor. J of Oriental Neuropsychiatry 2010;21(3):95-103. 
  8. Kim JS, Jeon BS, Kim SY, Lee HB, Park SH. Psychogenic movement disorder. Journal of the Korean Neurological Association 1996;14(2):476-85. 
  9. Fahn S, Tolosa E, Marin C. Clinical rating scale for tremor. In: Jankovic J, Tolosa E, editors. Parkinson's Disease and Movement Disorders. 5th ed. Baltimore: Williams & Wilkins; 2007, p. 225-34. 
  10. Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. Korean J Acupunct 2007;24(2):77-97. 
  11. Baek ES, Park HJ. Effects of a Case Management Program on Self-efficacy, Depression and Anxiety in Pregnant Women with Gestational Diabetes Mellitus. Korean J Women Health Nurs 2013;19(2):88-98.  https://doi.org/10.4069/kjwhn.2013.19.2.88
  12. Kim ZS, Yook SP. A clinical study of the Korean version of Beck Anxiety Inventory: comparative study of patients and non-patient. Korean J Clin Psychol 1997;16(1):185-97. 
  13. Ricciardi L, Edwards MJ. Treatment of Functional (Psychogenic) Movement Disorders. Neurotherapeutics 2014;11(1):201-7.  https://doi.org/10.1007/s13311-013-0246-x
  14. Korean Neurological Association. Text book of Neurology. 3rd edition. Seoul: Beommun Education; 2017, p. 600-4. 
  15. Kim YH. CheongKangEuiGam. 5th edition. Seoul: Seongbosa; 2001, p. 237-8. 
  16. Kim JH, Lee SY. The effect of Anticonvulsion, Antipyretic, Analgesic, Sedative and GABAergic system on mice by ChongsimOndamTang. Journal of oriental neuropsychiatry 1997;8(1):95-109. 
  17. Kang SY, Hyun SY, Kwon YD, Park YK, Jung HW. Effects of Chaenomelis Fructus Extract on the regulation of myoblasts differentiation and the expression of biogenetic factors in C2C12 myotubes. Kor J Herbol 2019;34(6):99-107. 
  18. The education committee of Korean medicine college for Herbal formula science. Herbal formula science Seoul: Yeonglimsa; 2014, p. 528-9, 553-4. 
  19. Ha JH, Lee MG, Chang SM, Lee JT. In vivo characterization of sedative activities of Fossilia Mastodi OSSIS. Biological and Pharmaceutical Bulletin 2006;29(7):1414-7.  https://doi.org/10.1248/bpb.29.1414
  20. Lee YT, Choi BT, Choi YH, Kang KH. Development of Health Assistances for Anti Stress used with Ostrea Concha. Korean J Oriental Physiology & Pathology 2006;20(6):1604-11. 
  21. Kang RY, Kim HJ, Han HJ, Park EY, Jang JA, Seo HS, et al. A Pilot Study about The Effect of Chunwangbosim-dan(天王補心丹) on Heart Rate Variability of Healthy Subjects. J of Oriental Neuropsychiatry 2009;20(4):127-35. 
  22. Choi WJ, Lee SG, Park KM. A Study on the Relationship with Acupuncture Stimulation and Stress Using Heart Rate Variability. J of Oriental Neuropsychiatry 2004;15(1):197-209. 
  23. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. The Acupuncture and Moxibustion III. Gyeonggi-do: Jipmoondang; 2008, p. 391-417. 
  24. Han YS, Song MS, Lee SJ, Choi CH. Effect of Acupressure at the GB20 on the Electroencephalogram and concentration. Korean J Oriental Physiology & Pathology 2010;24(4):688-95. 
  25. Kwon HY, Kim JH. The effects of Yanggnungchon (G34) acupuncture on the muscle fatigue. Korean Journal of Acupuncture 2008;25(2):115-23.