The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report on Right Hemiparesis after Left Thalamus Infarction Treated with Boyanghwanoh-tang-gagam and Complex Korean Medicine Treatment

보양환오탕가감방 및 복합한의치료로 호전된 시상 부위 뇌경색 후 우측 편마비 환자 치험 1례

  • Eun-soo Park (Dept. of Oriental Internal Medicine, Dong-seo Oriental Medicine Hospital) ;
  • Hyun-seo Park (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Seong-hyun Jeon (Dept. of Oriental Internal Medicine, Dong-seo Oriental Medicine Hospital) ;
  • Jin-won Kim (Dept. of Internal Medicine of Korean Medicine, National Medical Center)
  • 박은수 (동서한방병원 한방내과) ;
  • 박현서 (국립중앙의료원 한방내과) ;
  • 전성현 (동서한방병원 한방내과) ;
  • 김진원 (국립중앙의료원 한방내과)
  • Received : 2023.08.22
  • Accepted : 2023.10.27
  • Published : 2023.10.30
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Abstract

Objectives: This study reports the case of a patient with right hemiparesis after a left thalamic infarction, in which the patient experienced improved clinical symptoms (hemiparesis, constipation) after treatment with a complex Korean medicine treatment. Methods: A 81-year-old male patient diagnosed with acute left thalamic infarction was treated with daily acupuncture and herbal medicine (Boyanghwanoh-tang-gagam) three times a day. Jowiseunggi-tang extract granules were administered to treat constipation by adjusting the dosage according to the reported symptoms. The patient's clinical course was assessed using changes in Modified Barthel Index (MBI) score, Manual Muscle Testing (MMT) grade, and defecation frequency . Results: The patient's MBI score improved from 35 to 69 and was discharged with the ability to walk under supervision. The MMT grade also improved from 3/4 to 5/5 in the upper/lower extremities. Other clinical symptoms, including constipation, also improved, leading to the discontinuation of magnesium medication. Conclusion: These findings suggest that complex Korean medicine treatments, including herbal medicine and acupuncture, may be an effective treatment for post-stroke hemiplegic patients.

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