The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Study of Combined Korean Medicine in Treating a Patient with Vascular Dementia after Traumatic Intracerebral Hemorrhage Accompanying Diabetes

당뇨를 동반한 외상성 뇌내출혈 이후 혈관성 치매 환자에 대한 한의복합치료 치험 1례

  • Ji-hyun Hwang (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jeong-rim Bak (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Chiho Choi (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Gwan-hun Kim (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Yu-min Kim (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jungtae Leem (Dept. of Diagnostics, College of Korean medicine, Wonkwang University) ;
  • Hyo-won Jin (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Jong-min Yun (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University)
  • 황지현 (원광대학교 한의과대학 내과학교실) ;
  • 박정림 (원광대학교 한의과대학 내과학교실) ;
  • 최치호 (원광대학교 한의과대학 내과학교실) ;
  • 김관훈 (원광대학교 한의과대학 내과학교실) ;
  • 김유민 (원광대학교 한의과대학 내과학교실) ;
  • 임정태 (원광대학교 한의과대학 진단학교실) ;
  • 진효원 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실)
  • Received : 2024.09.12
  • Accepted : 2024.11.04
  • Published : 2024.10.30
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Abstract

Objective: This study investigated Korean medicine in treating a case of cognition impairment after stroke with diabetes. Methods: A patient was treated with acupuncture, electroacupuncture, moxibustion, and herbal medicine (Yukmijihwang-tang (Liuweidihuang-wan)) for 69 days. Rehabilitation and speech therapy were also provided. Results: The degree of improvement in symptoms was evaluated using the Korea mini-mental state examination (K-MMSE), the Korean version of the modified Barthel index (K-MBI), the functional independence measure (FIM), the manual muscle test (MMT), HbA1c, average fasting blood sugar, glycated hemoglobin level (HbA1c), and changes in insulin usage. After 66 days of treatment, the MMSE-K increased from 8 to 18, the K-MBI score increased from 13 to 69, and the FIM score increased from 30 to 62. The MMT score increased from left upper extremity Gr.2+P and left lower extremity Gr.2P to left upper extremity Gr.3+F and left lower extremity Gr.3+F. HbA1c changed from 7.1% to 6.5%. Conclusion: This case report suggests that Korean medicine therapy can be effective in improving cognition following traumatic intracerebral hemorrhage and diabetes.

Keywords

Acknowledgement

이 논문은 2023학년도 원광대학교의 교비지원에 의해 수행됨.

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