대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지
DOI QR코드

DOI QR Code

성향정기산을 포함한 한방치료로 호전된 뇌경색 환자의 감각이상 및 위약감 치험 1례

A Case Study of Cerebral Infarction Patients with Dysesthesia and Weakness Treated with Sunghyuangjunggi-san (Xingxiang zhengqi san)

  • 조은채 (경희대학교 한의과대학 내과학교실) ;
  • 이민준 (경희대학교 한의과대학 내과학교실) ;
  • 유재환 (경희대학교 한의과대학 내과학교실)
  • Eun-chai Cho (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Minjun Lee (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Jae-hwan Lew (Dept. of Oriental Internal Medicine, College of Oriental Medicine, Kyung Hee University)
  • 투고 : 2024.05.24
  • 심사 : 2024.07.06
  • 발행 : 2024.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The purpose of this study was to address a case of cerebral infarction with dysesthesia and weakness. Methods: A patient diagnosed with cerebral infarction with dysesthesia and weakness was treated with Korean medicine therapies including herbal medication (Sunhyunagjunggi-san) for 8 days. To evaluate the therapeutic effect, we used the National Institute of Health Stroke Scale (NIHSS) and Numerical Rating Scale (NRS). Results: After the treatment, the NIHSS and NRS scores dramatically decreased, and the symptoms no longer disturbed the patient. Although the symptoms of dysesthesia did not disappear completely, fine therapeutic effects were noted. Conclusion: These results suggested that Korean medicine therapies with Sunghyuangjunggi-san have a beneficial effect on the dysesthesia and weakness of cerebral infarction.

키워드

참고문헌

  1. Park ES, Park HS, Jeon SH, Kim JW. A Case Report on Right Hemiparesis after Left Thalamus Infarction Treated with Boyanghwanoh-tang-gagam and Complex Korean Medicine Treatment. The Journal of Internal Korean Medicine 2023;44(5):823-9.  https://doi.org/10.22246/jikm.2023.44.5.823
  2. Son DH, Jang IS, Yu KS, Lee JG, Yun HS, Lee HG, et al. A Clinical Study on the Patients Admitted at the Acute Stage of Stroke. The Journal of Korean Oriental Medicine 2000;21(2):203-12. 
  3. Han CH. Korean Medicine Clinical Practice Guideline for Stroke. The Society of Stroke on Korean Medicine 2021. 
  4. Jung SC, Choi IS, Cho JH, Kim JH, Bae YC, Lee MG, et al. Interhemispheric Modulation on Afferent Sensory Transmission to the Ventral Posterior Medial Thalamus by Contralateral Primary Somatosensory cortex. The Korean Journal of Physiology & Pharmacology 2024;13(1):129-32. 
  5. Ryu HH, Lee DY, Lee SG, Yun JM, Yoon JC, Lee GS. Two Cases Report of Thalamic Hemorrhage Patients prescribed Jingansikpung-tang. The Korean Journal of Oriental Internal Medicine 2003;24(3):712-9. 
  6. Shin JH, Nam HI, Cho YY, Sun SH, Baek TH, Kim SH. Clinical Study of Hemiplegia, Dizziness and Hiccupping Caused by Pontine Infarction. The Korean Journal of Oriental Internal Medicine 2016;37(2):298-304. 
  7. Choi DJ, Goo BS, Go CN, Cho JH, Kim YS, Bae HS. The clinical Efficacy of Sunhyangjunggi-san on Acute Stroke. The Korean Journal of Oriental Internal Medicine 2002;23(3):440-6. 
  8. Kim MK, Yang NR, Choi DJ, Han CH. A Study on the Relationship between NIHSS and Distribution of Pattern Identification in Stroke Patients. The Korean Journal of Joongpoong 2009;10(1):47-53. 
  9. KOSIS. Mortality rate by cause of death. Available from: URL: https://kosis.kr/visual/ManAndWoman/ManAndWomanDetail/selectSubJipyo.do?themaId=A&jipyoId=5427_6684 
  10. Chu HM, Kim KH, Lee YU, Lim HS, Shin HR, Yang MH, et al. A Case Report of a Disorientation and Dizziness with Acute Circulation Region Cerebral Infarction Improved by Korean Medical Treatment: Focusing on Sunghyuangjunggi-san-gamibang (Xingxiang zhengqi san). The Journal of Internal Korean Medicine 2020;41(6):1245-54.  https://doi.org/10.22246/jikm.2020.41.6.1245
  11. Kim KS, Suo KS, Kim DW, Shin SH, Han MA, Chang TY, et al. Clinical Study on the Complications after stroke. The Journal of Korean Oriental Medicine 2000;21(4):227-35. 
  12. Guo BR, Liu GX. Acupuncture and early rehabilitaion treatment of acute ischemic stroke hemiplegia: observation of 20 cases. Mod J Integr Tradit Chin West Med 2013;22:2308-9. 
  13. Kim DY, Lee JS, Kim SS, Shin HD, Jung SH. A review of methods for assessing neurological damage in stroke patients. The Journal of Oriental Rehabilitation Medicine 1999;9(2):36-54. 
  14. Li S, Kumar Y, Gupta N, Abdelbaki A, Sahwney H, Kumar A, et al. Clinical and Neuroimaging Findings in Thalamic Territory Infarctions: A Reveiw. Journal of Neuroimaging 2018;28(4):343-9.  https://doi.org/10.1111/jon.12503
  15. Bae SH, Nam CG. Clinical Observation for the 120 Cases of CVA. The Korean Journal of Oriental Internal Medicine 1998;19(1):168-84. 
  16. Kim SY, Lee WC. The Effects of Sunghyangjunggi -san and Gwackhyangjunggi-san Extracts on Cerebral Ischemia Following the MCA Occlusion in Rat. The Journal of Korean Oriental Medicine 2001;22(4):142-50. 
  17. Kim HS, Kim YS. Neuroprotective Effect of Sunghyangjungki-san on Focal Cerebral Ischemia Induced by MCAO in Rats. Korean Journal of Orinetal Physiology and Pathology 2006;20(3):596-602. 
  18. Yea GU, Park CS, Lee EJ, Song JH, Kim MR, Cho JS, et al. The Protective Effects of Sunghyangjenogki-San on Middle Cerebral Artery Occlusion. Korean Journal of Orinetal Physiology and Pathology 2000;21(1):116-25. 
  19. Jeong B. Lee JS. Effects of Sunghyuangjungki-san (Xingsiangzhengqi-san) on Bax and Bcl-2 Expressions in the MCAO Rats. he Journal of Oriental Rehabilitation Medicine 2008;18(2):33-43. 
  20. Lim JK, Byun DS, Rho SS. The effects of Sunghuangjeongki-San on Cerebral edema. Journal of Korean Medicine 1990;11(1):208-15.