• Journal of Acupuncture Research
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• 제41권2호
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• pp.121-128
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• 2024

This study presents a case of facial nerve injury that occurred after parotidectomy for a benign tumor of the parotid gland that improved with integrated Korean medicine (IKM). On June 24, 2023, the patient presented with facial nerve injury based on a facial nerve conduction study after parotidectomy, with a score of five on Yanagihara's unweighted grading system (Y-system) and a grade of five on the House-Brackmann facial grading scale (H-B scale). During the 15 days of admission, IKM treatments, including acupuncture, pharmacopuncture, moxibustion, herbal steam therapy, physiotherapy, herbal medicine, and thread embedding acupuncture treatment, were performed. After treatment, the strength of the orbicularis oculi, orbicularis oris, and masticatory muscles improved, with a Y-system score of 17 and an H-B scale of III. In conclusion, the findings of this study confirm the applicability and effectiveness of IKM in the treatment of facial paralysis following parotidectomy.

• 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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• 제38권2호
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• pp.170-174
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• 2021

A patient diagnosed with Guillain-Barre syndrome (GBS) suffering from numbness in the toes and fingers, paralysis in the face, and back pain received intravenous immunoglobulin on December 28, 2019. Without an improvement in symptoms the patient was admitted to a Korean medicine hospital on January 1, 2020 to receive combined Korean medicine treatment including herbal medicine (Sipjeondaebo-tanggami and Hyangbujasunkipalmul-tang), acupuncture treatment, moxibustion, cupping treatment, and physical therapy. Treatment was administered over 51 days, of which 17 days were during hospitalization. Paralysis of facial muscle, and numbness in fingers and toes were evaluated using the Yanagihara score and numeric rating scale (NRS) score, respectively. Facial paralysis improved (21 to 40 based on Yanagihara score) and paresthesia of the hands and feet disappeared (NRS score 6-7 to NRS score 0). There were no side effects or sequela. This study suggested combined Korean medicine treatment may be effective for the treatment of GBS.

• 대한약침학회지
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• 제21권4호
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• pp.214-225
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• 2018

Objectives: The aim of this study was to analyze case reports on and to study Korean medicine treatments of facial palsy. Methods: Studies published after 2000 were selected by searching for the terms "facial palsy" and "Guanwasa" in four databases and case reports using Korean medicine moderating variables were extracted by two individual researchers. Results: The House Brackmann (H-B) Scale (23 times, 65.7%), and Yanagihara Grading Scale (Y-system) (22 times, 62.8%) were used to assess facial palsy. All case reports used acupuncture, while 19 case reports (51.3%) used electro-acupuncture, and 8 case reports (21.6%) used pharmacopuncture. Main meridian points used were ST6, ST4, GB14, TE23, LI20, BL2. Thirty-two case reports used herbal medicine (86.4%) and both Ligigeopoong-san, Bojunglkgi-tang were used frequently. Conclusion: To treat facial palsy, acupuncture was mainly used in conjunction with electro-acupuncture and pharmacopuncture. Most case reports also used herbal medicine.

• Journal of Acupuncture Research
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• 제31권1호
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• pp.149-158
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• 2014

Objectives : The aim of this study is to investigate the influence of anxiety and depression on motor recovery of acute Bell's palsy to estimate how much psychological factors affect the clinical prognosis. Methods : A total of 20 inpatients with acute unilateral Bell's palsy within 1 week of onset participated in this study. The severity of participants' facial palsy was measured by Yanagihara(Y-system) score, FDI and House-Brackmann scale at the time of 1 week and 3 weeks from the onset. The motor recovery of acute Bell's palsy is defined as ${\Delta}Y$-system during 2 weeks. Beck anxiety scale(BAI) and the center for epidermiologic studies depression scale(CES-D) were adopted to assess anxiety and depression, respectively. Correlation analysis and linear regression analysis were conducted between ${\Delta}Y$-system and prognostic factors including anxiety and depression. Results : Significant associations were found between ${\Delta}Y$-system and depression(CES-D) but no significant associations were found between ${\Delta}Y$-system and other prognostic factors, hypertension, diabetes, postauricular pain, disgeusia, age, degree of initial palsy and anxiety(BAI). And a regression equation with 0.295 for coefficient of determination was obtained. Through this analysis, the ${\Delta}Y$-system can be predicted using regression equation which cover 29.5 % of depression index(CES-D). Conclusion : Depression is a significant clinical prognostic factor on motor recovery of acute Bell's palsy. So, Bell's palsy treatment should be combined with psychological care and support.

• 대한한방내과학회지
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• 제37권5호
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• pp.815-821
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• 2016

Objective: To report the effect of Korean medicine treatment on a facial palsy patient with a cavernous malformation. Methods: The patient was treated with herbal medicine (Jodeung-san, 釣藤散) and acupuncture. The degree of treatment was measured by the Yanagihara-scale and by mobility of the face. Results: During treatment, the patient’s symptoms were relieved and facial movement was improved. Conclusion: This clinical case study showed the effect of herbal medicine and acupuncture on symptoms of facial palsy.

• 턱관절균형의학회지
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• 제6권1호
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• pp.5-10
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• 2016

본 증례에서는 구안와사환자에게 음양균형장치를 포함한 표준형 구강내 균형장치, 침구치료, 골반교정 등 복합치료를 통해 유효한 임상경과를 보인 결론은 다음과 같다. 1. 안면신경은 주행이 길고 측두골내에서 좁은 골관을 지나기 때문에, 좌상(bruised) 등 여러 가지 이유에 의하여 골도속의 신경 부종과 혈액순환 장애로 지연성 마비를 일으킨다. 2. 음양균형장치와 표준형구강내 균형장치 등 턱관절의 균형조절을 통한 기능적뇌척주요법의 치료가 안면신경마비의 치료에 효과적인 방법인 것을 관찰하였다. 기존의 구안와사의 경우 대부분 뚜렷한 치료방법을 선택하기가 어려웠으나, 이 증례를 통해 볼 때 수술 등의 대증요법을 하지 않고 기능적뇌척주요법 치료의 접근을 시도해 볼 수 있는 가능성이 있다고 사료된다.

• 대한중풍순환신경학회지
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• 제21권1호
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• pp.57-66
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• 2020

본 증례보고는 GBS를 진단받고 IVIg치료 후 호중구 감소증이 동반된 환자를 위증(痿證)으로 변증하여 한약, 침구치료, 물리치료를 통해 환자의 증상 호전을 보였기에 보고하는 바이다.

• Journal of Acupuncture Research
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• 제39권2호
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• pp.139-144
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• 2022

Peripheral facial nerve palsy is a neurological condition/disease characterized by unilateral paralysis of the facial muscles. We report the effects of complex Korean medicine treatment in 2 patients diagnosed with Bell's palsy who developed symptoms 3-4 days following vaccination with ChAdOx1 nCoV-19 and who received oral steroids and antiviral medications. Complex Korean medicine treatments including acupuncture, electroacupuncture, bee venom acupuncture, cupping therapy, herbal medicine, and physical therapy were performed. Symptom improvement was evaluated daily using the Numerical Rating Scale, House-Brackmann Grade, and Yanagihara's Score. Patient 1 was hospitalized for 22 days and Patient 2 visited the outpatient clinic 20 times. In both cases, postauricular pain caused by Bell's palsy disappeared, and symptoms of facial paralysis improved following completion of treatment. These findings could suggest that combined Korean medicine treatment may improve symptoms of peripheral facial nerve palsy.

• Journal of Acupuncture Research
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• 제40권1호
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• pp.67-77
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• 2023

This study individually analyzed the effects of Korean Facial Chuna Manual Treatment (K-FCMT) combined with Korean medicine (KM) treatment (acupuncture, electroacupuncture, pharmacopuncture, and herbal medicine) on five patients with acute Bell's palsy who visited Dongsuwon Korean Medicine Hospital between August 1 and 31, 2022. During inpatient treatment, two of the five patients received K-FCMT 5-6 times a week, and the other three received the same frequency during outpatient treatment for approximately 2 weeks. Patients with a House-Brackmann grading scale (HBGS) score of ≤4 and Yanagihara unweighted grading system (Y-score) ≥7-8 began to recover after the 2nd-3rd sessions of K-FCMT, which entered the recovery phase quickly. As patients entered the recovery phase (7-9th sessions of K-FCMT), symptoms improved to HBGS scores of 1-2 and Y-scores of 35-40 points. This study suggests the possibility of applying K-FCMT combined with KM treatment to patients in the acute stage of Bell's palsy.