• The Journal of Internal Korean Medicine
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• v.45 no.5
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• pp.937-950
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• 2024

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.