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항응고제 치료에도 임상증상이 호전되지 않은 뇌경색 후 심부정맥혈전증에 대한 한의 치험 1례

A Case Report of Korean Medicine Treatment on Clinical Symptoms in a Patient with Post-stroke Deep Vein Thrombosis

  • 박충현 (동수원한방병원 한방내과) ;
  • 권선우 (동수원한방병원 한방내과) ;
  • 권이재 (동수원한방병원 한방내과) ;
  • 손정민 (동수원한방병원 침구의학과) ;
  • 윤혜수 (동수원한방병원 한방내과) ;
  • 이은창 (동수원한방병원 한방내과) ;
  • 이지윤 (동수원한방병원 한방재활의학과) ;
  • 이효정 (동수원한방병원 한방내과) ;
  • 이정은 (동수원한방병원 한방내과)
  • Choong-hyun Park (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Sun-woo Kwon (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Yi-jae Kwon (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jung-min Son (Dept. of Korean Acupuncture & Moxibustion Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Hye-soo Youn (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Eun-chang Lee (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Ji-yoon Lee (Dept. of Rehabilitation Medicine of Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Hyo-jeong Lee (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jung-eun Lee (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital)
  • 투고 : 2023.09.14
  • 심사 : 2023.10.24
  • 발행 : 2023.10.30

초록

This case report shows the effect of Korean medicine treatment in a patient with deep vein thrombosis (DVT) after cerebral infarction who is suspected of having post-thrombotic syndrome (PTS) due to the loss of thrombus after receiving new oral anticoagulant (NOAC) treatment. The patient was treated with Korean medicine (Boyanghwano-tang and Hyulbuchuko-tang) three times a day. Acupuncture, moxibustion, infrared, and extra-physical therapy were given to the patient for 24 days. Clinical assessment - grading of edema and circumference of the left lower extremity were observed twice a week until the end of the treatment. NOAC treatment was continued for 24 days. After treatment, the patient's edema grade and circumference of the extremity improved. On the 24th day, the patient's chief complaints improved, and she requested termination of treatment. The results suggest that Korean medicine treatments, including Boyanghwano-tang, Hyulbuchuko-tang, and acupuncture therapy, can be effective in improving the clinical symptoms of DVT and PTS.

키워드

참고문헌

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