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자음건비탕가녹용을 비롯한 한방치료로 호전된 편마비를 동반한 뇌출혈 환자 1례

A Case Report of Intercranial Hemorrhage with Hemiplegia Improved by Jayumkeonbi-tang with Deer Antler and Other Korean Medicine Treatments

  • 강지윤 (대전대학교 한의과대학 심계내과학교실) ;
  • 신주은 (대전대학교 한의과대학 심계내과학교실) ;
  • 백지수 (대전대학교 한의과대학 신계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실)
  • Jie-yoon Kang (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Joo-eun Shin (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Ji-soo Baek (Dept. of Internal Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Yoon-sik Kim (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • In-chan Seol (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Ho-ryong Yoo (Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Daejeon University)
  • 투고 : 2023.08.29
  • 심사 : 2023.09.26
  • 발행 : 2023.09.30

초록

Objective: This study reports on the effectiveness of Korean medicine treatment in a patient with intracerebral hemorrhages with symptoms of hemiplegia, personality change, and aphasia. Case presentation: The patient was treated using Korean medicine, including Jayumkeonbi-tang with deer antler as herbal medicine, acupuncture, moxibustion, and a limb activation exercise. To evaluate the effect on clinical symptoms, a manual muscle test, the Modified Functional Ambulation Classification, and the Korean version of the Modified Barthel Index were used. After 84 days of treatment, the MMT grade of the right upper and lower limbs improved from Gr. 2+/2- to Gr. 4/3~4 on average, and personality change and aphasia were gone. Conclusion: A complex treatment that includes Jaeumkunbi-tang, acupuncture, moxibustion, and limb activation exercises can be effective following an intracerebral hemorrhage resulting in hemiplegia and personality change. However, more research is needed.

키워드

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