• 한국임상수의학회지
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• 제30권2호
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• pp.107-110
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• 2013

6년령의 중성화한 수컷 시츄견이 좌측 안면마비를 주증으로 내원하였다. 환자는 신경검사에서 좌측 안면의 신경반사 소실 및 MRI 검사에서 두개강내 지주막낭종이 확인되었다. 환자는 안면신경마비를 유발할 수 있는 다른 기저질환을 감별하고, 또 스테로이드와 이뇨제를 이용한 치료에 대한 반응은 미약하였기에 특발성 안면신경마비로 잠정진단 하였다. 봉독 약침을 이용한 침술치료를 진행 후, 환축의 임상증상은 단계적으로 호전되었으며 치료 8주 후에는 신경반응이 거의 정상적으로 회복되었다. 본 증례는 특발성 안면마비 환축에서 봉독 약침을 이용한 치료 증례 보고이다.

• 한방재활의학과학회지
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• 제33권3호
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• pp.161-161
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• 2023

• 한국임상수의학회지
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• 제24권4호
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• pp.503-508
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• 2007

사람에서와 같이 개에서도 안면신경마비가 발생되지만, 특발성 원인에 의한 안면신경마비에 대한 유용한 서양의학적 치료 방법이 없는 실정이다. 따라서 개 안면신경마비에 대한 약침의 치료 효과를 알아보기 위하여 인공 유발된 개 안면신경마비에 대하여 약침의 효과를 실험하였다. 안면신경마비가 인공적으로 유발된 12두의 개는 대조군(4두), 덱사메타손 투여군(4두) 및 봉독 투여군(4두)로 나누어 공시하였다. 안면신경마비 유발 후 대조군은 식염수 1ml을 머리 근육에 일주일에 두 번 근육주사 하였다. 반면에 덱사메타손 투여군과 봉독 투여군은 합곡, 영향, 사백, 하관, 예풍, 권료, 상관 및 양릉천 혈위에 각각 덱사메타손과 봉독을 일주일에 두 번 약침하였다. 실험 기간 동안 안면신경마비에 대한 임상증상과 혈중 creatine kinase(CK) 활성의 변화를 각각 검토하였다. 임상증상은 치료 14일에 봉독 투여군과 덱사메타손 투여군이 대조군에 비하여 유의성 있는 저치를 보였으나 봉독 투여군과 덱사메타손 투여군 간에는 유의성이 인정되지 않았다. 혈중 CK 활성의 변화는 치료 7일 및 14일에 봉독 투여군과 덱사메타손 투여군이 대조군에 비하여 유의성 있는 저치를 보였으나, 봉독 투여군과 덱사메타손 투여군 간에는 유의성이 인정되지 않았다. 따라서 개 안면신경마비의 치료에 봉독과 덱사메타손 약침이 효과적이었으며, 그 효과는 유사한 것으로 판단되었다.

• 한방재활의학과학회지
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• 제33권2호
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• pp.87-94
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• 2023

This study aims to demonstrate the effectiveness of facial chuna manual therapy in treating the sequelae of Bell's palsy. Four patients were treated with facial chuna manual therapy once a week for 4 weeks, consisting of facial muscle massage, acupoint pressure, contracture chuna, and synkinesis chuna. The changes in symptoms (contracture and sysnkinesis) were measured using the Sunnybrook Facial Grading Scale (SFGS), Synkinesis Assessment Questionnaire (SAQ), Facial Disability Index (FDI), Contracture/Synkinesis scale using a facial scanning system, Numeric Rating scale (NRS) for synkinesis or contracture, and Was It Worth It questionnaire. After treatments, SFGS, Contracture/Synkinesis scale, and NRS for synkinesis or contracture showed significant improvements. SFGS increased in three cases from 39~76 to 52~85 score. SAQ decreased in two cases from 53.33~57.78 to 40.00~55.56. FDI increased in three cases from 120~128 to 138~145. These results suggest that Korean medicine treatment, including facial chuna manual therapy can be effective in improving the sequelae of Bell's palsy.

• 대한한방내과학회지
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• 제41권2호
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• pp.224-232
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• 2020

Objectives: This case report presents the effects of traditional Korean medicine on a patient with idiopathic bilateral facial nerve palsy. Methods: Two evaluation scales, the House-Brackmann (H-B) scale and the Yanagihara scale, were used to evaluate the symptoms of bilateral facial palsy. Herbal medicine and acupuncture treatment were administered to improve the patient's symptoms in parallel with Western oral medication (Valvirus Tab 500 mg, Solondo 5 mg, Lipitor 20 mg, Almagel 15 ml, Lanston 15 mg). Results: Before treatment, the patient had severe facial paralysis with an H-B scale of 5/5 and a Yanagihara scale of 3/2 on both sides. However, after treatment, the symptoms improved significantly with an H-B scale of 2/3 and a Yanagihara scale of 31/26. Conclusions: This case report shows that traditional Korean medicine in parallel with Western oral medication can be effective in the treatment of idiopathic bilateral facial nerve palsy.

• Journal of Acupuncture Research
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• 제18권5호
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• pp.99-108
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• 2001

Objective : Lately variable oriental-western medicine treatment have been used for Bell's palsy. The purpose of this study is comparison of clinical treatment outcome between oriental medicine group and oriental-western medicine group. Materials and Methods : From 08-01-2000 to 07-30-2001, 30 Bell's palsy out-patients who visited within 5days after onset and treated more than 3weeks at the Department of Acupuncture & Moxibustion, Bundang CHA Oriental Medicine Hospital were selected for two groups. One group(A group) was treated by oriental medicine therapy(Acupunture, Herb, Physical therapy), the other group(B group) was treated by oriental-western medicine therapy(Acupunture, Herb, Physical therapy, Administration of prednison). Two group was composed of 15 patients respectively and measured by HBGS(House-Brackmann Grading System) and DEFS(Detailed Evaluation of Facial Symmetry of Pillsbury and Fisch) at first visit and 3weeks after. Result and Conclusion : A group was marked more higher than B group in treatment outcome. But we discovered that it is not significant differences between two groups.

• 한방안이비인후피부과학회지
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• 제37권3호
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• pp.49-62
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• 2024

Objectives : The purpose of this study is to report on the good results achieved through Korean and western medicine treatment on patients with idiopathic bilateral facial nerve palsy. Methods : We treated a female patient with idiopathic bilateral facial nerve palsy by Korean medicine treatment such as herbal medicine, acupuncture, pharmacopuncture, cupping therapy, and taping therapy. The patient also received western medicine treatment. The treatment effect was evaluated by visual observation through photography, House-Brackmann scale, Yanagihara's scale, standardization of muscular paralysis, and clinical symptoms. Results : After the treatment, muscle movements and clinical symptoms improved, and all facial palsy evaluation indicators also showed improvement. In particular, the House-Brackmann-scale showed improvement from (3/4) to (1/2). Conclusions : This case study shows that Korean-western medicine combination treatment for idiopathic bilateral facial nerve palsy can be effective. We hope that case reports and clinical research will continue to be actively conducted in the future.

• Journal of Acupuncture Research
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• 제32권1호
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• pp.67-78
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• 2015

Objectives : This study is designed to explore the experience of patients who received facial Qigong exercise education, to identify whether facial Qigong exercise is effective for Bell's Palsy patients and to aid in developing a more efficient exercise program. Methods : Eight patients who visited the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital between September 2014 and December 2014 for treatment of Bell's palsy were interviewed. All patients received facial Qigong exercise education at least two times. The interview was conducted for 20 to 30 minutes and included discussion related to the experience of facial palsy, facial Qigong exercise and suggestions for a more efficient facial Qigong program. Results : The patients replied that they experienced emotions such as anxiety, depression and confusion when they discovered the symptoms of facial palsy. They also suggested that they had regained mental stability and physically recovered through facial Qigong exercise and also suggested possible improvements for the system of facial Qigong exercise in terms of time/place/educator. Conclusions : The results from the interviews suggest that facial Qigong exercise might be an effective treatment for Bell's Palsy patients from a psychological and physical perspective. A more patient-centered environment should be established to ensure efficient treatment.

• 혜화의학회지
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• 제15권1호
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• pp.87-95
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• 2006

Objective : We suggested the clinical effect of Rainbow therapy on Bell's palsy. Methods : 20 Bell's palsy patients were divided into two groups. One group(A group) was treated by acupunture and the other group(B group) was treated by acupunture and Rainbow therapy. The effect of these treatments was evaluated by Yanagihara's unweighted grading system and House-Brackmann grading system. Results and Conclusions : In Yanagihara's unweighted grading system After 1 week and 2weeks treatment, group B marked more higher than group A in treatment outcome. We discovered that it is significant differences between two groups. After 3 weeks treatment, group B marked more higher than group A in treatment outcome but it is not significant differences between two groups. In House-Brackmann's facial nerve grading system, After 1 week treatment, group B marked more higher than group A in treatment outcome. We discovered that it is significant differences between two groups. After 2 weeks and 3 weeks treatment, group A marked more higher than group A in treatment outcome but it is not significant differences between two groups.

• 대한한방내과학회지
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• 제34권1호
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• pp.86-99
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• 2013

Objectives : The purpose of this study was to analyze the general features of patients with idiopathic faical paralysis. Methods : We investigated the various features and HBGS (House-Brackmann Grading System) of 505 patients who were diagnosed with idiopathic facial paralysis. Results and Conclusions : 1. The sex distribution was 264 male cases, and 241 female cases, and the majority of them were in their 40s. 2. Overwork was the most frequent contributing factor to their paralysis. 3. The treatment of most patients was completed within 2 months. 4. Their recovery was faster if their first hospital visit was sooner and their paralysis was partial. On average, the patients recovered within 19.5 to 27.8 days and it took much less time than natural recovery. 5. When looking at the BMI of the selected patients for this study, 62.00% were obese while 14.37% were under-weight. Among the obese patients, there were more with Xu mai (虛脈) than Shi mai (實脈). For the under-weight patients, most had Shuo mai (數脈) while none had Chi mai (遲脈).