• 제목/요약/키워드: Clinical case

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주간 졸림을 호소하는 소양인(少陽人) 환자에 대한 형방도(荊防導) 적산(赤散) 치험 1례 (A Case Report of Hyungbangdojeock-san on Daytime sleepiness Diagnosed as Soyangin Type)

  • 전규리;임태빈;최정우;김하리;박성욱;박정미;고창남;조승연
    • 대한중풍순환신경학회지
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    • 제21권1호
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    • pp.47-56
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    • 2020
  • This case study is to report the effectiveness of Hyungbangdojeock-san in the treatment of daytime sleepiness. The patient was diagnosed as a Soyangin, one of the 4 constitution types in Korean medicine, and treated with herbal medicine, Hyungbangdojeock-san and acupuncture treatment for 14 days. The severity of symptom was assessed using Epworth Sleepiness Scale (ESS). After treatment, the severity of daytime sleepiness was reduced. ESS score was decreased from 11 to 2. As a result this case showed the effect of Hyungbangdojeock-san on daytime sleepiness.

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밀러피셔 증후군 환자에 대한 한방 치험 1례 (A case of Miller Fisher Syndrome treated with Traditional Korean Medicine)

  • 이현규;서원주;김재학;조기호;문상관;정우상;권승원;진철
    • 대한중풍순환신경학회지
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    • 제20권1호
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    • pp.33-42
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    • 2019
  • ■ Objectives The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with Miller Fisher Syndrome. ■ Methods A patient with Ataxia, Diplopia, Mydriasis diagnosed as Miller Fisher Syndrome was treated with herbal medication, acupuncture, electro-acupuncture, and press needles. Then we evaluated the improvement with the size of pupil, NRS(Numeral Rating Scale) of Diplopia, Assessment for Gait disturbance. ■ Results We could observe decrease in pupil size and NRS of Diplopia and improve in assessment for gait disturbance after the TKM treatment. ■ Conclusion This case showed the effect of TKM treatment on Miller Fisher syndrome.

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열다한소탕가미를 활용한 2형 당뇨 환자 치험례 (A Case Study of Type 2 Diabetes Patient Using Yeoldahansotang-gami)

  • 김세원;하원정;박호정;조기호;문상관;권승원;진철;정우상
    • 대한중풍순환신경학회지
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    • 제21권1호
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    • pp.11-20
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    • 2020
  • ■ Objectives The purpose of this study is to report on a case that showed improvement in type 2 diabetic patients by using herbal medicine, Yeoldahansotang-gami. ■ Methods Yeoldahansotang-gami was given to patients with type 2 diabetes for 71days. To evaluate the effect, blood glucose was measured 4 times a day. As measured blood sugar, the frequency of hyperglycemia, changes in fasting blood sugar, changes in postprandial blood sugar, and changes in glucose variability were analyzed. The patient's insulin injection dose change was observed, and HbA1c and glycated albumin were measured. Follow-up was performed for 7 months to observe whether the treatment effect was maintained. ■ Results During treatment, the patient's blood sugar control, glucose variability, and HbA1c were improved, and insulin injection dose was gradually reduced and stopped. HbA1c and glycated albumin levels maintained improvement without insulin injection during the follow-up period. ■ Conclusion This study showed the effect of yeoldahansotang-gami on type 2 diabetes patient.

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우측 상지의 실행증을 주소로 하는 피질기저핵 증후군 환자 한방 치험 1례 (A Case of a Corticobasal Syndrome Patient with Right Side Apraxia Treated with Korean Medicine)

  • 정혜선;김하리;이상화;이형민;조승연;박성욱;박정미;고창남;양승보
    • 대한한방내과학회지
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    • 제39권6호
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    • pp.1313-1320
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    • 2018
  • Objectives: This case study reports on the effects of Korean medicine on a corticobasal syndrome with apraxia. Methods: We used acupuncture, bee-venom, pharmaco-acupuncture and herbal medicine to treat a corticobasal syndrome patient during hospitalization for 32 days. We observed changes in the UPDRS score, hand movement by opening and closing of hands, the making of a tower with 10 blocks and writing. Results: The hand movement count was improved from 2 to 10. The time needed for making a tower with 10 blocks decreased from 68 to 50 sec, and the number of stroke when writing the Korean word '철' decreased. In addition, the UPDRS score was decreased after treatment from 27 to 24. Conclusion: This clinical case study suggests that Korean medicine treatment could be used in the treatment of corticobasal syndrome.

레보도파 복용으로 유발된 오심 및 구토를 호소하는 파킨슨병 환자 한방 치험 1례 (A Case of Parkinson's Disease Patient with Nausea and Vomiting Induced by Taking Levodopa)

  • 김세원;양정윤;이유진;조기호;정우상;권승원;최기문;문상관
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.246-253
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    • 2019
  • Objective: In this care report, we address a case of a Parkinson's disease patient with nausea and vomiting. Methods: A patient was treated with Korean medicine therapies including herbal medication (Hyungbangjihwang-tang, Boikyangwie-tang), acupuncture, and electroacupuncture during 35 days of hospitalization. We evaluated the improvements of symptoms by checking the number of vomiting episodes and the presence of nausea. Results: During 35 days of Korean medicine treatment, there was improvement in patient's symptoms. The frequency of vomiting had decreased, and the nausea had decreased and not appeared for the last 7 days. Conclusions: This study suggested that Korean medicine therapies might be effective in relieving gastrointestinal symptoms of Parkinson's disease.

수부 발적을 호소하는 레이노병 환자의 한의 치험 1례 (A Case Report of Korean Medicine for Raynaud's Disease with Redness of Hands)

  • 최정우;김서영;전규리;김하리;박성욱;박정미;고창남;조승연
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1307-1316
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    • 2020
  • This is a case report of Raynaud's disease improved by Korean medicine treatment. A patient suffering with redness of the hands for more than five years took Yanggyeoksanhwa-tang or Geopungcheonggi-san for 3 months. The change in symptoms was assessed with photographs and evaluating the subjective symptoms of patient. After the 25th treatment, the redness of the hands and the subjective symptoms showed improvement. These findings suggested that Korean medicine treatment could be an effective option for redness of the hands due to Raynaud's disease.

뇌경색을 동반한 신경인성 과민성 방광 환자의 배뇨장애 팔료혈 전침 치료 1례 (Clinical Report of Baliao Electroacupuncture Treatment on a Stroke Patient Suffering from a Neurogenic Overactive Bladder)

  • 황예채;이혜진;허혜민;전규리;조승연;박성욱;고창남;박정미
    • 대한한방내과학회지
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    • 제43권1호
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    • pp.90-103
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    • 2022
  • Objective: The purpose of this case study is to report the effectiveness of Baliao acupoints electro-acupuncture treatment on a neurogenic overactive bladder induced by stroke. Method: A patient suffering from middle cerebral artery infarction was diagnosed with a neurogenic overactive bladder and treated by Korean medicine, including electro-acupuncture on Baliao acupoints six times per week. The evaluation was performed by monitoring urinary frequency and using the Korean versions of the Overactive Bladder Symptom Score (OABSS) and Urinary Incontinence Quality of Life (I-QoL). Results: After 27 days of electro-acupuncture treatment, the OABSS score improved from 6 to 3. The I-QoL total score improved from 60 to 87. The patient also showed a decrease in nocturia frequency. Conclusion: This case suggests that electro-acupuncture on Baliao acupoints can be effective for overactive bladders due to supra-pontine lesions.

불면을 호소하는 뇌실질내출혈 환자 치험 1례 (A case study of post-stroke insomnia patient using conservative Korean medical treatment)

  • 김경묵;김세원;서유나;정우상;문상관;진철;조기호;권승원
    • 대한중풍순환신경학회지
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    • 제20권1호
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    • pp.1-8
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    • 2019
  • A case of a 46-year-old Korean male with post-stroke insomnia that induced by intracranial hemorrhage was presented. He was treated with Transcutaneous electric acupoint stimulation (TEAS) at BL62 and KI6 once per a day for 17 days. We recorded the patient's sleep time and time of asleep, and used PSQI-K to assess severity of patient's insomnia symptom. After using TEAS, there was improvement in patient's insomnia severity and the time of sleep. From the result of this case, electrical stimulation at acupoint can may be effective in treating post-stroke insomnia.

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섬망을 호소하는 비경련성 간질 중첩증 환자에 대한 복합 한의치험 1례 (A Case of Nonconvulsive Status Epilepticus Patient Complaining Delirium Treated with Combined Korean Medical Treatment)

  • 이다빈;박호정;이영선;조기호;문상관;정우상;권승원;이한결
    • 대한중풍순환신경학회지
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    • 제23권1호
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    • pp.55-64
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    • 2022
  • Nonconvulsive Status Epilepticus(NCSE) refers to continuous epileptic condition with altered mental status and behavioral symptoms, but without convulsive movement at least 10 minutes. In Salzburg criteria, well known as the diagnostic criteria of NCSE, it is diagnosed with clinical symptoms, electroencephalogram (EEG), and effects before and after the use of antiepileptic drugs (AEDs). Commonly being used to treat NCSE, AEDs are likely to have adverse effects. In the present case, a 85-year-old female NCSE patient complaining delirium underwent combined Korean medical treatment by acupuncture and herbal medicine for 13 days. The effect of treatment was assessed with delirium scales including Delirium Rating Scale-Revised-98(DRS-R-98) and Assessment Test for Delirium & Cognitive Impairment(4AT) per 2 days. After the treatment, both DRS-R-98 and 4AT scores decreased, and orientation and mental status of patient improved. This case report suggests that Korean medical treatment might be an effective option without side for those NCSE patients complaining delirium.

항혈소판제제를 복용 중인 출혈성 방광염 환자의 저령탕합사물탕 치험 1례 (Case of a Hemorrhagic Cystitis Patient Taking Antiplatelets Treated with Jeoryeong-tang-hap-Samul-tang)

  • 이다빈;김근영;전선욱;이한결;조기호;문상관;정우상;권승원
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.178-186
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    • 2023
  • Hemorrhagic cystitis refers to massive inflammation and the diffuse vesical bleeding of the bladder. In patients with hematuria complaining of dysuria and pain, it is necessary to differentiate various causes, including cystitis, nephritis, and prostatitis. After the diagnosis of hemorrhagic cystitis, antibiotics usually treat and prevent further urinary tract infections. In the present case, a 78-year-old female patient with hemorrhagic cystitis presenting with hematuria underwent Korean medical treatment with Jeoryeong-tang-hap-Samul-tang for 29 days. The effect of the treatment was assessed with the hematuria grading scale (HGS) per week, urinalysis per two weeks, and the NRS (numeric rating scale) of dysuria per day. After treatment, both HGS and NRS scores decreased, and protein, blood, and red blood cells (RBCs) in urinalysis improved. This case report suggests that Jeoryeong-tang-hap-Samul-tang might be an effective option for hemorrhagic cystitis patients who continuously take antiplatelets.