대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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간접구 중심의 한의복합치료로 전대뇌동맥 및 중대뇌동맥 경색 환자의 중추성 통증과 하지마비에 개선을 보인 증례보고 1례

A Case Report of Central Post-stroke Pain and Hemiparesis due to Anterior Cerebral Artery and Middle Cerebral Artery Infarction That Improved Following Treatment with Korean Medicine, Including Moxibustion

  • 전성현 (동서한방병원 한방내과) ;
  • 김다담 (동서한방병원 침구의학과) ;
  • 김유빈 (목동동신한방병원 한방내과) ;
  • 박한송 (동서한방병원 한방내과)
  • Seong-hyeon Jeon (Dept. of Korean Internal Medicine, Dong-Seo Oriental Medicine Hospital) ;
  • Da-dam Kim (Dept. of Acupuncture & Moxibustion Medicine, Dong-Seo Oriental Medicine Hospital) ;
  • Yu-bin Kim (Dept. of Korean Internal Medicine, Dong-Shin Korean Medicine Hospital) ;
  • Han-song Park (Dept. of Korean Internal Medicine, Dong-Seo Oriental Medicine Hospital)
  • 투고 : 2024.04.27
  • 심사 : 2024.06.03
  • 발행 : 2024.05.30
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초록

This case report describes a patient diagnosed with central post-stroke pain (CPSP) and hemiparesis due to anterior cerebral artery and middle cerebral artery infarction. The patient was treated with Korean medicines, including moxibustion, acupuncture, electroacupuncture, herbal medicine, Western medicine, and rehabilitation therapy for 67 days. CPSP improved based on scores on the Numeric Rating Scale (NRS) (from 8 to 0), paresthesia NRS (7 to 0), Manual Muscle Test (4/1 to 4+/4-),4+/4-), Korean version of the modified Barthel Index (24 to 73), National Institute of Health's Stroke Scale (7 to 0), Global Deterioration Scale (1 to 1), and Korean version of the Mini-Mental State Examination (27 to 29). No seizures, shocks, recurrent ischemic stroke, and liver dysfunction were recorded during the treatment. A moxibustion-induced burn healed within 7 days. This case suggests that moxibustion, combined with other treatments, has the potential to improve CPSP, without severe side effects.

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참고문헌

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