• 대한한방내과학회지
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• 제39권1호
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• pp.76-83
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• 2018

Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with $Guillain-Barr{\acute{e}}$ Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).

• Journal of Chest Surgery
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• 제6권2호
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• pp.213-218
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• 1973

Raynaud attempted to clarify the situation concerning symmetrical and spontaneous gangrene in a thesis published in 1952. The disease was defined as Raynaud`s phenomenon without associated and contributing conditions or disease, and described as two types, such as, `locale syncope and asphyxia` and `gangrene`. Predilection of Raynaud`s disease for female under 40 years of age wi-thout any vascular occlusive disease beginning in the early decades of life and typical color changes in the skin of the extremities incited by coldness are outstanding features in this disease. One typical case of Raynaud`s disease is presented with relating references. Patient was 24 year old female single patient, who noted pain, numbness, and cyanosis of the finger tips of both hands for 6 years previously in the winter season, and recently such symptoms were aggravated including her both feet for two years even in the summer after exposure to cold water. Physical and laboratory examination revealed nothing specific except slightly glistening tight face and hypertrophy of both finger tips with clammy coldness. FamiliaI and past history revealed nothing specific abnormal contributory factors. Biopsy of skin on the dorsum of right foot one year before this admission revealed no evidence of scleroderma. Treatment was aimed to relieve vasospasmodic reaction to coldness and was very successful with bilateral lumbar and thoracic sympathectomy. Patient is free of symptoms relating to the Raynaud’s phenomenon after sympathectomy for 6 months including winter season.

• 대한약침학회지
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• 제12권4호
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• pp.119-126
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• 2009

Purpose: In order to estimate clinical effects of acupotomy and venesection in a patient with peripheral neuropathy and upper limb lymphedema following breast cancer surgery. Methods: From 17th August, 2009 to 29th August 2009, 1 female patient with peripheral neuropathy and upper limb lymphedema following breast cancer surgery was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy with venesection. Results: The patient's chief complaints- Lt hand numbness, Lt arm edema, Lt. wrist flexion limitation - were notably improved. Conclusions : This study demonstrates that oriental medical treatment with acupotomy and venesection therapy has significant effect in improving symptoms of peripheral neuropathy and upper limb lymphedema following breast cancer surgery, as though we had not wide experience in this treatment, more research is needed.

• Journal of Acupuncture Research
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• 제33권4호
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• pp.191-201
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• 2016

Objectives : The purpose of this study is to report the clinical effect of Korean and Western medical treatment on a hemiplegic inpatient with central pontine myelinolysis(CPM). Methods : A patient who was diagnosed with central pontine myelinolysis(CPM) was treated with acupuncture, herbal medicine, Korean physical therapy, along with receiving continuous Western medication and rehabilitation treatment. The patient was evaluated through Manual Muscle Testing(MMT), measurement of grip strength, dysarthria, and dysuresia. The Korean and Western medical treatment was conducted for 4 weeks. Results : After the 4 weeks of Korean and Western medical treatment, MMT grade improved from 2 to 4 and grip strength improved from 6 to 13. Dysarthria and dysuresia also improved. Conclusion : According to these results, this report suggests that Korean and Western medical treatment could be effective in the treatment of central pontine myelinolysis(CPM) patients.

• 동의생리병리학회지
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• 제24권3호
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• pp.512-518
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• 2010

The purpose of this paper is to report the patient with lateral medullary syndrome due to occlusion of vertebral artery who was improved by oriental medical treatment. The patient was admitted on May 15, 2009 and remained until May 29, 2009. He was treated with herbal medicine, acupuncture, moxibustion, cupping and physical therapy. After the treatment, the symptoms(vertigo, diplopia, gait ataxia, sensory loss numbness, Horner's syndrome, etc) improved. This result suggests that oriental medicine can be an effective treatment for a patient with lateral medullary syndrome due to occlusion of vertebral artery. But more clinical case reports are needed.

• The Korean Journal of Pain
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• 제8권2호
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• pp.390-393
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• 1995

Although spinal anesthesia has long been considered a safe technique, it is not without risk or side effect. Cauda equina syndrome is a rare but serious complication of spinal anesthesia. We have experience a case of cauda equina syndrome after spinal anesthesia. A twenty year old healthy male patient complained of pain, numbness, tingling sensation and motor weakness on his right lower extremity 8 hours after subarachnoid blockade. On the following day, the patient was noted to have a right L1 to S2 radiculopathy. Magnetic Resonance Imaging results were unremarkable. The patient sprained his ankle while trying to move down from the bed, so short leg splint was applied. Then he had additional right common peroneal nerve injury from the splint. His neurologic symptoms improved gradually thereafter, and three months postoperatively his electromyogram revealed improving stage from right common peroneal nerve palsy.

• Journal of Yeungnam Medical Science
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• 제31권2호
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• pp.135-138
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• 2014

A 34-year-old female was suffered from pain and numbness of right arm for 2 months after undergoing a thoracoscopic procedure for a posterior mediastinal mass that was diagnosed as neurilemmoma. The patient was diagnosed as a complex regional pain syndrome type 2 with brachial plexopathy developed during thoracoscopic excision of posterior mediastinal mass, and stellate ganglion block (SGB) with 0.2% ropivacaine 10 mL was performed every 3-4 days. The patient revealed slightly prolonged blepharoptosis as Horner syndrome accompanied after every SGB and recovered. However, following the 23rd SGB, the blepharoptosis persisted and patient was recovered spontaneously from blepharoptosis after about 12 months. The possibility that the persistent blepharoptosis might be caused by brachial plexopathy related to patient's pathology or surgical manipulation and/or repeated SGB. If Horner syndrome occurs, its etiology should be assessed, and it would be necessary to explain and to assure the patient the possibility of recovery spontaneously from the complication within a year, without any sequelae.

• Journal of Oral Medicine and Pain
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• 제35권4호
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• pp.293-298
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• 2010

이 연구의 목적은 하악골 주위의 감각이상을 초래하는 치과 시술 후 하치조신경 및 그 분지부의 술후 통증, 또는 감각감퇴 나 감각이상을 호소하는 환자들의 전류인지역치를 측정하여 정상인과 비교할 때 어떠한 변화와 차이가 있는지 살펴보고 이를 임상에 활용하기 위함이다. 조선대학교 치과병원에서 하악 부위의 치과수술을 받은 후 지각이상을 주소로 구강내과로 전원된 환자(발치 14명, 임플란트 식립 7명, 악골 골절수술 3명, 안면부위 외상환자 3명, 낭종적출술 및 인공골 이식 환자 각 1명) 29명과 안면부의 통증이나 지각이상, 전신질환 등이 없는 건강한 정상인 25명을 대상으로 뉴로미터를 이용하여 2000 Hz, 250 Hz, and 5 Hz 주파수로 삼차신경 하악분지의 전류인지역치를 측정하였다. 전류인지역치는 남 녀 성별에 따른 비교에서 대조군의 $A{\beta}$ 신경섬유 (2000 Hz)에서 남자가 여자보다 유의하게 높게 나타난 것을 제외하고는 $A{\delta}$ 신경섬유(250 Hz), 신경섬유(5 Hz)의 전류인지 역치는 환자군과 대조군 모두 전류인지역치가 모든 주파수에서 유의한 차이가 관찰되지 않았고, 환자군과 대조군을 비교할때 모든 주파수 영역에서 환자군이 대조군보다 유의성있게 높게 나타났고, 환자군의 이환측의 전류인지역치도 비이환측 보다 역시 높게 나타났다. 이 결과로 볼 때 치과 수술 후 감각이상을 호소하는 환자의 수가 계속 증가하고 있는 추세여서 수술후 감각이상을 초래할 가능성이 있는 환자들에 대하여 수술 전 전류인지역치를 미리 측정함으로써 수술 전후 측정치와 비교하여 실제로 감각의 변화가 있는지 환자에게 설명할 수 있으며, 또한 의료분쟁을 사전에 방지하고 해결하는 차원에서도 전류인지역치검사는 매우 유용할 것으로 사료된다.

• Journal of Acupuncture Research
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• 제31권2호
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• pp.173-182
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• 2014

Objectives : There are few reports on treatment of thoracic outlet syndrome in the field of traditional Korean medicine. The aim of this study is to report a case of a 29-year-old male patient diagnosed with thoracic outlet syndrome, whose symptoms were relieved after 3-week integrated Korean medical treatment. Methods : A patient diagnosed with thoracic outlet syndrome was admitted into the Korean medicine hospital. The patient had left shoulder pain and left arm numbness. The pain was worse if it had become cold. The patient was treated using Sa-am acupuncture(Daejangseunggyeok), sweet bee venom acupuncture, herbal medicine and other treatment including physical therapy from September 7th to 27th of 2012. Improvement of the patient's symptoms was evaluated by verbal numerical rating scale(VNRS), skin surface temperature difference between the left and right symmetric part of digital infrared thermographic image(DITI). Results : After 3-weeks of treatment, VNRS decreased and skin surface temperature difference between the left and right symmetric part of DITI showed moderate improvement. Conclusions : The results suggest that integrated Korean medical treatment may affect to reduce the symptoms of thoracic outlet syndrome. Further study is needed to evaluate the importance of this report.

• 대한중풍순환신경학회지
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• 제16권1호
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• pp.1-10
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• 2015

■ Objectives The purpose of this case study is to report that a tremor patient after Acute Cerebral infarction was treated with 'Dodamhwalhul-tang' and then the symptoms were improved. ■ Methods This patient was 81 years old woman whowas diagnosed with acute cerebral infarction. This patient had hypertension and symptoms of tremor on left lower limb, both side weakness, both lower limb numbness, dizziness and low back pain. She was treated with herb medicines, acupuncture, moxibustion during 22 days of hospitalization. Her tremor was evaluated by the tremor frequency and period and other general conditions were measured. ■ Results After taking Dodamhwalhul-tang, symtoms of tremor and patient's general conditions were improved. ■ Conclusion The result shows that Dodamhwalhul-tang is effective for tremor with acute cerebral infarction.