Objective: This case study reports on the effectiveness of Korean medicine in the treatment of a patient with idiopathic Parkinson's disease who complained of pain and gait disturbance and had a history of suicide attempts due to pain. Methods: A patient diagnosed with idiopathic Parkinson's disease was treated with adjuvant Korean therapy, including herbal medicine and pharmacopuncture. Evaluations were performed using the numerical rating scale (NRS), King's Parkinson's disease pain scale (KPPS), unified Parkinson's disease rating scale (UPDRS), and a three-dimensional gait analysis. Results: After 9 days of inpatient Korean medicine treatment, the NRS score decreased from 6 to 1, and the KPPS score decreased from 70 to 26. The total UPDRS Part III score decreased from 26 to 21. From the gait analysis, gait speed, stride length, swing phase, and kinematic parameters were shown to have improved. Additionally, pain relief persisted with herbal medicine after discharge. Conclusion: This study suggests that Korean medicine, including pharmacopuncture and Jakyakgamcho-tang, is effective in managing severe pain and related gait disturbances in Parkinson's disease.

Objective: The purpose of this study was to report the efficacy of using Hwangnyeonhaedok-tang therapy and Korean medicine to treat headache after whiplash injury. Methods: We used Hwangnyeonhaedok-tang therapy and Korean medicine (herbal medicines, acupuncture, chuna therapy) to treat a hospitalized patient with headache after whiplash injury. We used the ICHD-3 to measure the type of headache. The degree of headache was evaluated using the KHIT-6 and the visual analog scale (VAS). The patient's blood pressure was measured every morning and night. Results: The KHIT-6 and VAS scores decreased after treatment. Blood pressure also decreased. Conclusion: The results of this study suggest that Hwangnyeonhaedok-tang and Korean medicine may be effective for treating headache after whiplash injury.

Objective: This study aimed to evaluate the effectiveness of comprehensive Korean medicine treatments, including Banhabaekchulchunma-tang, acupuncture, and chuna therapy, in managing functional dyspepsia in a patient with cervical disc herniation. Given the connection between cervical spine disorders and gastrointestinal dysfunction, this study also explored the importance of addressing cervical disc herniation to achieve optimal outcomes in treating functional dyspepsia. Methods: A hospitalized patient presenting with functional dyspepsia and cervical disc herniation received comprehensive Korean medicine treatments, including herbal medicine (Banhabaekchulchunma-tang), acupuncture, and chuna therapy. The treatments aimed at improving gastrointestinal symptoms while addressing the underlying cervical spine pathology. The effectiveness of these treatments on functional dyspepsia was assessed using the gastrointestinal symptom score (GIS), while cervical pain and overall health status were evaluated using the numerical rating scale (NRS) and the EuroQoL 5 dimensions (EQ-5D). Results: After integrated treatments targeting both cervical disc herniation and functional dyspepsia, the patient's NRS and EQ-5D scores showed significant improvement. Changes in GIS scores indicated relief of functional dyspepsia symptoms, while the treatment of cervical spine pathology also contributed to improved gastrointestinal function and overall well-being. Conclusion: This case study suggests that comprehensive Korean medicine treatments, including Banhabaekchulchunma-tang, acupuncture, and chuna therapy, may be effective in treating functional dyspepsia, particularly in patients with cervical disc herniation. The findings indicate that while addressing gastrointestinal dysfunction is crucial, considering the treatment of cervical spine disorders may also be beneficial, highlighting the potential value of an integrated therapeutic approach.

Objective: The purpose of this clinical case was to evaluate the efficacy of treatment with Korean medicine after excision of the cyst of the canal of Nuck. Methods: The patient was treated with Korean medicine, such as acupuncture and moxibustion, to reduce pain around the surgical region and improve gastrointestinal function. Pain was assessed using the numerical rating scale (NRS). Quality of life was assessed using the EuroQol 5 dimensions 5 levels (EQoL-5D-5L) and the Korean version of the World Health Organization quality of life assessment (WHOQOL-BREF). The gastrointestinal function was checked by inquiring about the symptoms each morning. Results: After treatment, changes were observed in the NRS (when moving, from 6 to 2; when resting, from 5 to 1.5), the EQ-5D-5L (from 12 to 8), and the WHOQOL-BREF (from 77 to 76, and then back to 77). Gastrointestinal discomfort did not appear during the hospitalization period. Conclusion: Postoperative Korean medicine treatment can reduce pain and improve quality of life without causing uncomfortable symptoms in the gastrointestinal tract. Therefore, Korean medicine is recommended for pain management, especially in patients who suffer from gastrointestinal discomfort.

Objective: The purpose of this study was to report the efficacy of using Korean medicine to treat chronic cough. Methods: We utilized Korean medicine (herbal medicines, acupuncture, pharmacopuncture, and chuna) to treat a hospitalized patient with chronic cough and herniated intervertebral lumbar disc. The effectiveness of the treatment was evaluated using the numerical rating scale (NRS), cough symptom score (CSS), and cough assessment test (COAT). Results: After treatment, the NRS scores for cough, lower back pain, and leg pain improved. Additionally, the changes in CSS, and COAT indicated that the patient's cough symptoms were alleviated. Conclusion: The results of this study suggest that Korean medicine may be effective for treating chronic cough and herniated intervertebral lumbar disc.

Objective: This study aimed to report the case of a patient with suspected acute pancreatitis who presented with elevated serum lipase levels and acute abdominal pain. Methods: A 26-year-old male presented with acute abdominal pain, vomiting, and elevated serum lipase levels. Anjung-san was administered along with acupuncture, moxibustion, and cupping therapy. The patient's symptoms were evaluated daily using the numerical rating scale, abdominal palpation, and blood tests for pancreatic enzyme levels. Results: Following treatment, the patient's symptoms, including abdominal pain, vomiting, and nausea, improved, and serum lipase levels returned to normal. No significant complications were observed during the hospital stay. Conclusion: Korean medicine treatment may effectively manage symptoms and reduce serum enzyme levels in patients with suspected acute pancreatitis.

Objective: This study aimed to report on a patient with esophageal cancer who showed improvement through treatment with Korean medicine for esophagitis symptoms that had intensified after anticancer therapy. Methods: A patient with esophageal cancer was treated with herbal medicine, acupuncture, and moxibustion. The patient's subjective symptoms, such as dysphagia and heartburn, were assessed using the numerical rating scale, while constipation was evaluated by defecation frequency and using the Bristol stool scale. The cancer-specific quality of life was used to compare the patient's quality of life before and after treatment. Results: After treatment, dysphagia, heartburn, and constipation were relieved, and the patient's quality of life improved. Conclusion: This case study demonstrates the effectiveness of Korean medicine in treating an esophageal cancer patient whose esophagitis symptoms had worsened after anticancer therapy.

Objective: The purpose of this study was to report the clinical course of complex Korean medicine to treat a patient with hemorrhagic transformation following cerebral infarction. Case presentation: A 46-year-old Korean male was hospitalized with cerebral infarction followed by hemorrhagic transformation classified as parenchymal hematoma type 2. Based on the symptoms and condition, the pattern identification of the patient was deficiency of qi and retention of fluid (Qi-xu, Tan-yin). The patient was treated with herbal medicine, acupuncture, and rehabilitation programs for 187 days. The herbal medicine consisted of modified Geopoongjaeseup-tang (modified Qufeng Chushi decoction) for the first 62 days, followed by another modified Geopoongjaeseup-tang for the next 76 days, and finally Gagamyoonjo-tang (Jiajian Runzao decoction) for the last 30 days, administered 3 times a day. After 187 days, the functional independence measure and modified Barthel index improved (from 75 to 100 and from 44 to 84, respectively), and the MMT of the right upper and lower extremities also improved (from 2+ to 3+ and from 3+ to 4, respectively). In particular, right finger flexion improved from 1 to 3- and right ankle and greater toe improved from 1+ to 4. There were no reports of adverse effects of the treatment. Conclusion: The results suggest that complex Korean medicine treatment for motor and language impairments caused by parenchymal hematoma type 2 hemorrhagic transformation may be effective in improving functions for daily living. Further studies should be conducted with a larger number of patients.

Objective: This study aimed to report the effects of Korean medicine in treating a patient with peripheral facial nerve palsy. Methods: The patient received Korean herbal medicine and pharmacopuncture and acupuncture treatment for 14 days. We measured the House-Brackmann (HB) scale, Yanagihara's unweighed grading system (Yanagihara's score), and the numeric rating scale (NRS) to assess symptom changes. Results: After treatment, the patient showed decreased HB, Yanagihara's, and NRS scores. Conclusion: The results indicate that Korean medicine, including Korean herbal medicine and pharmacopuncture and acupuncture treatment, is effective in the management of patients with peripheral facial nerve palsy. Further clinical research on this patient group is needed.

Objective: The purpose of this study was to investigate the effectiveness of Korean medicine in treating peripheral facial nerve paralysis. Methods: A patient with peripheral facial paralysis was treated for 20 days with a combination of herbal medicine, including Sosiho-tang, acupuncture treatment for ST4 (地倉) and other acupuncture points, electroacupuncture, percutaneous infrared therapy, cupping, and chuna treatment, and Western medicine. Treatment outcomes were assessed using the Yanagihara and House-Brackmann (HB) grading systems and the numerical rating scale (NRS). Results: After treatment, the Yanagihara score increased from 10 to 24, the HB scale improved from 5 to 4, and the NRS for pain improved from 7 to 2. No side effects were reported during hospitalization, and the patient was not followed up after discharge. Conclusion: These results suggest that Korean medicine treatment consisting of Soshiho-tang and acupuncture may be effective in improving the symptoms of peripheral facial nerve paralysis, but additional research is needed to confirm this.

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.

Objective: The aim of this case report was to present the effect of Korean medicine in the treatment of a patient with postmenopausal syndrome with dyspepsia, post neck pain and shoulder pain. Methods: A 51-year-old female patient was treated with Cheongpa-Jeon H, Gamisoyo-san, Gamiguibi-tang, Jstrogen, acupuncture, and pharmacopuncture over 39 days of hospitalization. Dyspepsia, post neck pain, and shoulder pain were assessed using the numeric rating scale (NRS), EuroQoL 5 dimensions (EQ-5D), neck disability index (NDI), shoulder pain and disability index (SPADI), and Nepean dyspepsia index-Korean version (NDI-K). Results: After 39 days of treatment, the NRS, NDI, SPADI, and NDI-K scores decreased, while the EQ-5D scores increased. Conclusion: These results show that postmenopausal syndrome with dyspepsia and arthralgia can be relieved with Korean medicine treatment.

Objective: The aim of this case report was to present the effects of Korean medicine in the treatment of a patient with traumatic facial palsy induced by a traffic accident. Methods: A 35-year-old male patient was treated with pharmacopuncture (Shinbaro2), acupuncture, and Ansinjitong-tang over 35 days of hospitalization. Facial palsy was assessed using the House-Brackmann (HB) scale, Yanagihara score, and EuroQoL 5 Dimensions (EQ-5D). Results: After 35 days of treatment, the symptoms improved, as measured by HB (from 4 to 2), Yanagihara (from 16 to 34), and EQ-5D scores (from 0.405 to 0.913). Furthermore, there were no side effects during treatment compared with other types of pharmacopuncture or medicine. Conclusion: These results show that Korean medicine treatment may have a positive clinical effect in patients with traumatic facial palsy. However, further well-designed studies are required to confirm these findings.

Objective: The purpose of this study was to report the effects of a combined treatment including Banhabaekchulcheonma-tang extract, acupuncture, cupping, and moxibustion in patients with functional dyspepsia accompanied by headache after a traffic accident. Methods: The patients received Banhabaekchulcheonma-tang extract 2-3 times daily alongside concurrent treatments, such as acupuncture, cupping, and moxibustion. Differential diagnosis was performed through medical history and imaging tests. The patients' progress was evaluated using the numeric rating scale (NRS), EuroQoL 5 Dimensions (EQ-5D), and gastrointestinal symptom score (GIS) before and after treatment. Results: Significant improvement was observed in the patients' NRS, EQ5D, and GIS scores after treatment, and no adverse events were reported. However, the effects of Banhabaekchulcheonma-tang could not be evaluated independently due to the combined treatment approach. Conclusion: These findings suggest that Banhabaekchulcheonma-tang, as part of a combined treatment regimen, may contribute to the improvement of functional dyspepsia accompanied by headache after traffic accidents. Further studies are needed to evaluate the independent effects of each treatment modality.

Introduction: This report describes a case of locked-in syndrome (LIS) due to a bilateral pontine infarction. Case Presentation: A patient with LIS showed worsening despite treatment with thrombolytics, anticoagulants, and antiplatelet agents for acute pontine infarction. On the 8th day post-infarction, the patient was referred to the Internal Korean Medicine Department and received 83 days of acupuncture therapy. Treatments were conducted daily, excluding holidays and Sundays, for 15 minutes at various acupoints, including Baihui (GV20), Qubin (GB7), Jianyu (LI15), and Hegu (LI4). Muscle strength was assessed using manual muscle testing (MMT). Post-treatment, improvements were observed: right upper extremity strength increased from grades 0 and 1 to 2 and 4, while right lower extremity strength increased from 0 and 0 to 2 and 3; the results were similar for both left extremities. Conclusion: Acupuncture therapy led to a noticeable improvement in muscle strength in the LIS patient.

Objective: The purpose of this study was to report on Korean medicine in the clinical improvement of a patient with right hemiplegia due to cerebral infarction. Methods: The patient was treated with Korean medicine, including Kangwhalyupung-tang. To assess the treatment outcomes, we used the manual muscle test (MMT), the EuroQoL 5 Dimensions (EQ-5D) scale, and the numeral rating scale (NRS). Results: The patient's clinical symptoms improved after 15 days of treatment with Korean medicine. The MMT score of right big toe extension and elbow flexion, where muscle weakness was most prominent, improved from G4 to G4+. The NRS score decreased from 6 to 4, and the EQ-5D score increased from 0.664 to 0.783. The patient had mild insomnia at the beginning of the treatment, but by subtracting Ma-huang from the prescription, he returned to sleepping normally. There were no other severe adverse effects from the Korean medicine. Conclusion: This study suggests the possibility of Korean medicine in the treatment of hemiplegia after cerebral infarction.

Objective: The purpose of this study was to report a case of a stage III endometrial cancer patient whose symptoms, including abnormal uterine bleeding, improved after Korean medicine treatment. Methods: A 85-year-old Korean female patient with a known diagnosis of endometrial serous carcinoma was admitted to a Korean medicine hospital for the treatment of abnormal uterine bleeding and anorexia, fatigue, and subjective weakness of the lower extremities. Based on Korean medicine pattern differentiation, she was treated with Korean medicine therapies including herbal medicine, acupuncture, moxibustion, and cupping. Results: After 30 days of treatment, the patient's estimated daily bleeding improved from 10.5 milliliters per day to 2 milliliters per day. Her Eastern Cooperative Oncology Group performance score improved from 3 to 2. Imaging showed no definite evidence of cancer progression or metastasis. Conclusion: Korean medicine treatment, including herbal medicine and nonmedical treatments, may be effective for supportive treatment of cancer-related bleeding and for improving general performance in elderly endometrial cancer patients. Further studies are needed to confirm these findings.

Subarachnoid hemorrhage (SAH), a type of cerebral hemorrhage, is bleeding in the subarachnoid space. In this study, we investigated the improvement of symptoms such as headache and dizziness by treating a patient with acute SAH using integrative treatments. During hospitalization, the progress of hemorrhage absorption was observed using brain CT, headache intensity was assessed using the numeral rating scale (NRS), and dizziness was assessed using the Korean dizziness handicap inventory questionnaire (K-DHI). At the time of discharge, the brain CT confirmed that the hemorrhage had been completely absorbed, the NRS had decreased to 1 point from 10 points at the time of admission, and the total K-DHI score had decreased to 12 points from 70 points at the time of admission, showing that headache and dizziness had improved. This case showed the effective results of integrative treatment for acute subarachnoid hemorrhage.

The purpose of this study was to report the clinical effects of Korean herbal medicine on an elderly patient with anorexia of unknown aetiology. The patient was diagnosed with Qi Yin Yang He and treated with relevant Korean herbal medicines, mainly acupuncture and moxibustion, in combination with fluid therapy. Over a period of approximately 2 weeks, we observed improvement in anorexia and other clinical symptoms, such as dizziness, nausea, and vomiting. Therefore, Korean herbal medicine treatment may be effective in improving anorexia symptoms in elderly patients in combination with additional treatments, such as acupuncture, moxibustion, and fluid therapy.

A 63-year-old female diagnosed with Ramsay Hunt syndrome with multiple cranial nerve palsy, presenting with severe dizziness and nausea, was treated using Korean medicine, including herbal medicine (Geopung-tang and Gyejibanhasaenggang-tang), acupuncture, pharmacopuncture, electroacupuncture, and moxibustion. The patient underwent a 58-day course of treatment during hospitalization, and the effects were evaluated using the Korean dizziness handicap inventory, the index of nausea, vomiting, and retching, the gastrointestinal symptom rating scale, and the numeric rating scale for dizziness and nausea. Vestibular function was assessed using the video head impulse test. After treatment, the patient showed significant improvement in dizziness, nausea, and her overall health condition. This case suggests that Korean medicine may offer an effective treatment for persistent dizziness and nausea in patients with Ramsay Hunt syndrome, particularly when conventional treatments are insufficient.

Objective: This study reports improvements in chest pain, palpitations, dyspnea, and morphea following surgical aortic valve replacement following treatment with Korean medicine. Methods: A patient received Korean medicine treatment, including acupuncture, moxibustion, and herbal formulas such as Chilgi-tang, Insamyangyoung-tang, and Bojungikki-tang-gamibang. The patient's improvement was evaluated using the numeric rating scale (NRS), the modified localized scleroderma skin severity index (mLoSSI), and antinuclear antibody (ANA) tests. Results: After receiving Korean medicine treatment, the patient showed improvement in the NRS, mLoSSI, and ANA results. Conclusion: This case suggests that Korean medicine may be effective in treating chest pain, palpitations, dyspnea, and morphea following surgical aortic valve replacement.

Objective: This study reports on the improvement in chest pain, abdominal pain, and physical exhaustion in a So-eum patient diagnosed with autonomic dysfunction and fibromyalgia complicated by diabetes following treatment with Korean medicine. Methods: A patient received Korean medicine treatments, including acupuncture, moxibustion, and herbal formulas such as Daegunjoong-tang and Sojukgunbi-hwan. The patient's improvement was evaluated using the numeric rating scale (NRS) and the autonomic nerve function (ANF) test. Results: After receiving Korean medicine treatments, the patient showed improvement in the NRS and the ANF test. Conclusion: This case suggests that Korean medicine may be effective in treating chest pain, abdominal pain, and physical exhaustion in a So-eum patient with autonomic dysfunction and fibromyalgia complicated by diabetes.