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A Case Report on Right Hemiparesis after Left Thalamus Infarction Treated with Boyanghwanoh-tang-gagam and Complex Korean Medicine Treatment 左侧丘脑梗死后右侧偏瘫的病例报告:博阳和暖汤加甘和复合韩药治疗法
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.823
Eun-soo Park, Hyun-seo Park, Seong-hyun Jeon, Jin-won Kim
Objectives: This study reports the case of a patient with right hemiparesis after a left thalamic infarction, in which the patient experienced improved clinical symptoms (hemiparesis, constipation) after treatment with a complex Korean medicine treatment.Methods: A 81-year-old male patient diagnosed with acute left thalamic infarction was treated with daily acupuncture and herbal medicine (Boyanghwanoh-tang-gagam) three times a day. Jowiseunggi-tang extract granules were administered to treat constipation by adjusting the dosage according to the reported symptoms. The patient’s clinical course was assessed using changes in Modified Barthel Index (MBI) score, Manual Muscle Testing (MMT) grade, and defecation frequency .Results: The patient’s MBI score improved from 35 to 69 and was discharged with the ability to walk under supervision. The MMT grade also improved from 3/4 to 5/5 in the upper/lower extremities. Other clinical symptoms, including constipation, also improved, leading to the discontinuation of magnesium medication.Conclusion: These findings suggest that complex Korean medicine treatments, including herbal medicine and acupuncture, may be an effective treatment for post-stroke hemiplegic patients.
研究目的本研究报告了一例左侧丘脑梗死后右侧偏瘫的患者,该患者在接受韩医复合疗法治疗后,临床症状(偏瘫、便秘)有所改善:一名被诊断为急性左侧丘脑梗死的 81 岁男性患者接受了每日三次的针灸和中药治疗(Boyanghwanoh-tang-gagam)。根据报告的症状调整剂量,服用九味星木堂提取物颗粒治疗便秘。通过改良巴特尔指数(MBI)评分、手肌测试(MMT)等级和排便次数的变化来评估患者的临床疗程:患者的 MBI 分数从 35 分提高到 69 分,出院时已能在监护下行走。上肢/下肢的 MMT 分级也从 3/4 提高到 5/5。包括便秘在内的其他临床症状也得到了改善,因此停用了镁药物:这些研究结果表明,包括中药和针灸在内的韩医综合疗法可能是治疗中风后偏瘫患者的有效方法。
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引用次数: 0
A Case Report of Korean Medicine Treatment on Clinical Symptoms in a Patient with Post-stroke Deep Vein Thrombosis 脑卒中后深静脉血栓患者临床症状的韩医治疗病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.999
Choong-hyun Park, Sun-woo Kwon, Yi-jae Kwon, Jung-Min Son, Hye-soo Youn, Eun-Chang Lee, Ji-yoon Lee, Hyo-jeong Lee, Jung-eun Lee
This case report shows the effect of Korean medicine treatment in a patient with deep vein thrombosis (DVT) after cerebral infarction who is suspected of having post-thrombotic syndrome (PTS) due to the loss of thrombus after receiving new oral anticoagulant (NOAC) treatment. The patient was treated with Korean medicine (Boyanghwano-tang and Hyulbuchuko-tang) three times a day. Acupuncture, moxibustion, infrared, and extra-physical therapy were given to the patient for 24 days. Clinical assessment - grading of edema and circumference of the left lower extremity were observed twice a week until the end of the treatment. NOAC treatment was continued for 24 days. After treatment, the patient’s edema grade and circumference of the extremity improved. On the 24th day, the patient’s chief complaints improved, and she requested termination of treatment. The results suggest that Korean medicine treatments, including Boyanghwano-tang, Hyulbuchuko-tang, and acupuncture therapy, can be effective in improving the clinical symptoms of DVT and PTS.
本病例报告显示了韩药治疗一名脑梗塞后深静脉血栓形成(DVT)患者的效果,该患者在接受新型口服抗凝剂(NOAC)治疗后因血栓脱落而被怀疑患有血栓形成后综合征(PTS)。患者接受了韩药(保阳和胃汤和百草枯汤)治疗,每天三次。针灸、艾灸、红外线和体外疗法对患者进行了 24 天的治疗。每周观察两次临床评估--水肿分级和左下肢周径,直至治疗结束。NOAC 治疗持续 24 天。治疗后,患者的水肿等级和肢体周长均有所改善。第 24 天,患者的主诉有所改善,并要求终止治疗。结果表明,韩医治疗,包括保阳和野汤、百步草汤和针灸疗法,可有效改善深静脉血栓和创伤后应激障碍的临床症状。
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引用次数: 0
A Case Report of Korean Medicine Treatment for a Patient with Cervical Dystonia 韩医治疗颈肌张力障碍患者的病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.948
H. Jin, Jeong-rim Park, Ji-hyun Hwang, J. Yun, Byung-soon Moon
The purpose of this study is to report a case of cervical dystonia and the effects of a series of traditional Korean medicine treatments applied to the patient. The patient was treated with conventional treatment and traditional Korean medicine consisting of acupuncture, moxa, chuna therapy, and herbal medicine (Hoesu-san-gami) for 48 days. Progress was measured by Tsui’s score, the Toronto Western Spasmodic Torticollis Rating Scale, and the Neck Disability Index. We observed some improvements in the patient’s symptoms: Tsui’s score of 15 to 11, TWSTRS of 63.3 to 47.8, and NDI of 24 to 17. These findings indicate that the application of traditional Korean medicine to cervical dystonia can yield decent clinical outcomes.
本研究的目的是报告一例颈肌张力障碍患者的情况,以及对其采用一系列传统韩医疗法的效果。该患者接受了为期 48 天的常规治疗和由针灸、艾灸、穴位疗法和草药(Hoesu-san-gami)组成的传统韩医治疗。通过徐氏评分、多伦多西方痉挛性皮肌痉挛评分量表和颈部残疾指数来衡量治疗进展。我们观察到患者的症状有所改善:徐氏评分从 15 分降至 11 分,TWSTRS 从 63.3 分降至 47.8 分,NDI 从 24 分降至 17 分。这些研究结果表明,应用传统韩医学治疗颈肌张力障碍可取得良好的临床效果。
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引用次数: 0
A Case Report of Korean Medicine Treatment for a Patient Admitted to a Korean Medicine Hospital with Post-Concussion Syndrome 韩医医院收治的脑震荡后综合征患者的韩医治疗病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.837
Yen-min Wang, Sang-yoon Kim, Gil-geun Baek, S. Yun, Yu-jin Lee, Hyung-chul Lee, Man-ho Kang, Sung-hwan Park
The purpose of this study is to investigate the efficacy of using Korean medicine treatment with post-concussion syndrome. We primarily treated the patient’s post-concussion syndrome during hospitalization (22.04–22.11.11) with Korean medicine treatments (herbal medicine, acupuncture, and Chuna therapy). The KHIT-6 and Numeric Rating Scale were used to assess symptom (headache, dizziness, and nausea) changes. Following treatment, the patient’s KHIT-6 and Numeric Rating Scale scores decreased. This study suggests that Korean medicine may be effective in the treatment of post-concussion syndrome.
本研究旨在探讨使用韩医治疗脑震荡后综合征的疗效。在患者住院期间(11 年 4 月 22 日至 11 年 11 月 22 日),我们主要采用韩医疗法(草药、针灸和 Chuna疗法)治疗脑震荡后综合征。我们使用 KHIT-6 和数字评定量表来评估症状(头痛、头晕和恶心)的变化。治疗后,患者的 KHIT-6 和 Numeric Rating Scale 分数均有所下降。这项研究表明,韩医对治疗脑震荡后综合征可能有效。
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引用次数: 0
A Case Report on Cervicogenic Dizziness and Headache Treated with Korean Medicine in a Hospitalized Patient 关于一名住院病人颈源性头晕和头痛的韩医治疗病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.885
Gil-geun Baek, Sang-yoon Kim, Yen-min Wang, S. Yun, Yu-jin Lee, Hyung-chul Lee, Man-ho Kang, Sung-hwan Park
Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cervicogenic dizziness and headache.Methods: We used Korean medicine treatments (herbal medicines, acupuncture, pharmaco-acupuncture, and Chuna) to treat a hospitalized patient with cervicogenic dizziness and headache. The treatments were assessed using the Korean Dizziness Handicap Inventory (K-DHI) to evaluate the degree of dizziness. The Numerical Rating Scale (NRS) was used to evaluate headaches and post-traumatic neck pain. General health status was evaluated using the European Quality of Life Five Dimensions (EQ-5d) scale.Results: The patient’s NRS and EQ-5d scores improved after treatment. The change in the K-DHI scores showed that the patient’s cervicogenic dizziness symptoms were relieved.Conclusions: The results of this study suggest that Korean medicine therapies may be effective for treating cervicogenic dizziness and headaches.
研究目的本研究旨在报告韩医治疗颈源性头晕和头痛的疗效:我们采用韩医疗法(草药、针灸、药针和 Chuna)治疗一名住院的颈源性头晕和头痛患者。使用韩国头晕障碍量表(K-DHI)评估头晕的程度。数字评定量表(NRS)用于评估头痛和颈部创伤后疼痛。一般健康状况采用欧洲生活质量五维度(EQ-5d)量表进行评估:结果:治疗后,患者的 NRS 和 EQ-5d 评分均有所改善。结果:患者的 NRS 和 EQ-5d 评分在治疗后有所改善,K-DHI 评分的变化表明患者的颈源性头晕症状得到了缓解:本研究结果表明,韩医疗法可有效治疗颈源性头晕和头痛。
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引用次数: 0
A Case Report on a Patient Treated with Combined Korean Medicine for Functional Dyspepsia after Cholecystectomy 一名胆囊切除术后功能性消化不良患者接受韩医结合治疗的病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.1062
J. Lim, Jae-won Park, Ja-hyun Min
Objectives: The purpose of this study is to report the case of a patient with functional dyspepsia after cholecystectomy whose discomfort after eating and upper abdominal pain improved with a combined Korean medicine treatment.Methods: A combination of treatments, including acupuncture, cupping, Chuna, and herbal medicine, was provided for 48 days to a patient with functional dyspepsia. Her progress was assessed with NRS, EQ5D, and GIS every 2 weeks, including before and after treatment.Results: The patient made significant improvements in NRS, EQ-5D, and GIS after treatment. No adverse events were observed in the patient.Conclusions: The findings indicate that combined Korean medicine treatment can be a safe and effective alternative to treating functional dyspepsia after cholecystectomy.
研究目的本研究旨在报告一名胆囊切除术后功能性消化不良患者在接受韩医综合治疗后进食后不适和上腹部疼痛得到改善的病例:方法:对一名功能性消化不良患者进行了为期 48 天的综合治疗,包括针灸、拔罐、Chuna 和中药。每两周用 NRS、EQ5D 和 GIS 评估一次患者的治疗进展,包括治疗前后:结果:治疗后,患者的 NRS、EQ-5D 和 GIS 均有明显改善。结果:治疗后,患者的 NRS、EQ-5D 和 GIS 均有明显改善,未发现不良反应:结论:研究结果表明,韩药联合疗法是治疗胆囊切除术后功能性消化不良的一种安全有效的替代疗法。
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引用次数: 0
A Case Report of UDCA and Injinho-tang Co-administration for Liver Damage Caused by Rifampin UDCA 和仁和堂联合用药治疗利福平所致肝损伤的病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.1011
Seyeon Lee, Hansung Yoon, Kibeom Ku, Maria Kim, Irang Nam, Min-hwa Kim, Changwoo Han
We have experienced a case in which herbal medicine was administered to treat drug-induced liver damage and would like to introduce it. A 49-year-old man exhibited a positive result in the interferon-gamma release assay. He had never suffered from tuberculosis in the past, and the route and time of infection could not be confirmed. He had no respiratory or systemic symptoms suggestive of active tuberculosis, and a chest X-ray examination showed no active lung lesions, so he was diagnosed with latent tuberculosis infection. He was confirmed to be within the normal range in the liver function test, renal function test, and complete blood cell count test, and started taking rifampin (600 mg qd). In the screening test performed on the 19th day of taking the drug, other test items were normal, but alanine aminotransferase (ALT) increased to 50 U/L (reference value: 4-40 U/L). In a test performed on the 29th day of taking the drug, ALT was clearly elevated to 102 U/L. Ursodeoxycholic acid and Injinho-tang were taken together with rifampin, and the patient’s progress was observed. In a test performed 14 days later, ALT decreased to 26 U/L, within the normal range. It is presumed that Injinho-tang may have partially contributed to alleviating liver damage in this case.
我们曾经历过一个用中药治疗药物性肝损伤的病例,现介绍给大家。一名 49 岁的男子在干扰素-γ 释放试验中显示出阳性结果。他过去从未患过结核病,感染途径和时间无法确认。他没有提示活动性肺结核的呼吸道或全身症状,胸部 X 光检查也没有发现活动性肺部病变,因此被诊断为潜伏性肺结核感染。他的肝功能检查、肾功能检查和全血细胞计数检查均在正常范围内,并开始服用利福平(600 毫克,每天一次)。在服药第 19 天进行的筛查中,其他检查项目均正常,但丙氨酸氨基转移酶(ALT)升高至 50 U/L(参考值:4-40 U/L)。在服药第 29 天进行的检测中,丙氨酸氨基转移酶明显升高至 102 U/L。在服用利福平的同时还服用了熊去氧胆酸和因金霍唐,并观察了患者的病情进展。在 14 天后进行的检测中,ALT 降至 26 U/L,在正常范围内。据推测,茵栀黄汤可能部分缓解了该病例的肝损伤。
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引用次数: 0
A Case of Cold Hypersensitivity of Hands and Feet Treated with Korean Medicine Including Gyejifabuja-tang-gmibang and Acupuncture in a Patient with Lumbar Spinal Herniated Intervertebral Disc - A Case Report 腰椎间盘突出症患者使用韩方(包括 Gyejifabuja-tang-gmibang 和针灸)治疗手脚冰冷过敏症的病例 - 病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.1071
S. Yun, Sang-yoon Kim, Yen-min Wang, Gil-geun Baek, Yu-jin Lee, Hyung-chul Lee, Man-ho Kang, Sung-hwan Park
Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc.Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (曲池), L14 (合谷), TE5 (外關) on her hands, LR3 (太衝), SP6 (三陰交), SP9 (陰陵泉) ST36 (足三里), GB41 (足臨泣) on Feet, GV4 (命門), GV3 (腰陽關), BL23 (腎兪), BL24 (氣海兪), BL25 (大腸兪), and BL26 (關元兪) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed.Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.
研究目的本研究的目的是报告韩医治疗腰椎间盘突出症手足冰冷过敏症的疗效:我们采用韩医疗法(Gyejigabuja-tang,针灸)治疗了一名腰椎间盘突出症手足冰冷过敏症住院患者。为了评估治疗效果,我们使用了数字评定量表(NRS)。此外,我们还使用评估纸对手脚的冷敏感程度进行了评估。一般健康状况采用欧洲生活质量-5维度(EQ-5D)量表进行测量。这名 31 岁的女性接受了 13 天的住院治疗。她的辨证模式是手脚冰凉(偏阳虚)型。治疗方法是中药和针灸。她服用了 13 天的 Gyejigabuja-tang。她还接受了针灸治疗,每天两次,每次 20 分钟,部位包括手部的 LI11(曲池)、L14(合谷)、TE5(外关)、LR3(太衝)、SP6(三陰交)、SP9(陰陵泉)、ST36(足三里)、GB41(足臨泣)在足部,GV4(命門)、GV3(腰陽關)、BL23(腎兪)、BL24(氣海兪)、BL25(大腸兪)和 BL26(關元兪)在腰部。治疗两周后,她的手脚冰冷过敏症状的国家评定量表从国家评定量表 7 分降至国家评定量表 3 分,腰背痛从国家评定量表 6 分降至国家评定量表 3 分。她的手脚冰冷过敏症评估纸张得分从 64 分降至 32 分,EQ-5D 从 0.487 升至 0.681。治疗结束后,症状持续改善,无明显副作用:这些研究结果表明,韩国医学疗法(Gyejigabuja-tang,针灸)对治疗腰椎间盘突出症手足冰冷过敏症可能有效。治疗后,NRS、评估纸和 EQ-5D 评分均有所改善,且无副作用。
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引用次数: 0
A Case Report of Intracranial Germ Cell Tumor-Induced Central Diabetes Insipidus in a Child Treated with Korean Herbal Medicine 韩方草药治疗颅内生殖细胞瘤诱发儿童中枢性糖尿病的病例报告
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.979
Su Bin Park, Eun Hye Kim, Hayun Jin, Seong Woo Yoon
Objective: The purpose of this study is to report the case of intracranial germ cell tumor-induced central diabetes insipidus (CDI) in a child treated with Korean herbal medicine.Methods: A nine-year-old female patient diagnosed with intracranial germ cell tumor-induced CDI suffering from polyuria, polydipsia, and headache was hospitalized. Nocturia frequency and 24-hour urine volume were assessed.Results: The patient was treated with Korean medicine, including Nokyong-hwan. As a result of the 6-day inpatient treatment, nocturia frequency was decreased 3-4 times to 0-1 time, and 24-hour urine volume was decreased.Conclusion: Korean medicine, including Nokyong-hwan, may be considered an optional treatment for releasing the symptoms of intracranial germ cell tumor-induced CDI. Further studies are needed to confirm this finding.
研究目的本研究旨在报告一例用韩方中药治疗的颅内生殖细胞瘤诱发的儿童中枢性糖尿病(CDI)病例:一名 9 岁女性患者被诊断为颅内生殖细胞瘤诱发的 CDI,伴有多尿、多饮和头痛。对夜尿次数和 24 小时尿量进行了评估:结果:患者接受了包括能容丸在内的韩药治疗。住院治疗 6 天后,夜尿次数从 3-4 次减少到 0-1 次,24 小时尿量也有所减少:结论:包括能容丸在内的韩药可被视为缓解颅内生殖细胞肿瘤诱发的 CDI 症状的一种可选治疗方法。这一发现还需要进一步研究证实。
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引用次数: 0
A Case Report of Quadriparesis due to Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Cerebral Aneurysm Rupture Improved after Treated with Korean Medicine Treatment Including Tonggyuhwalhyeol-tang-gagambang 脑动脉瘤破裂导致蛛网膜下腔出血并伴有脑室内出血的四肢瘫痪病例报告,经 Tonggyuhwalhyeol-tang-gagambang 等韩医治疗后好转
Pub Date : 2023-10-30 DOI: 10.22246/jikm.2023.44.5.1050
Seong-hyeon Jeon, Eun-soo Park, Yu-bin Kim, Ji-su Lee, Eun-yeong Park
This study reported the case of a patient with quadriparesis due to cerebral aneurysm rupture, subarachnoid hemorrhage, and intraventricular hemorrhage (IVH) treated with Korean medicine. The patient was treated with acupuncture, herbal medicine (mainly Tonggyuhwalhyeol-tang-gagam), Western medicine, moxibustion, cupping, and rehabilitative therapy for 75 days, and improved after administration. After treatment, the Manual Muscle Test grade improved from 4/4-/3+/3 to 4+/4+/4+/4+, the Korean version of the modified Barthel Index score improved from 9 to 100, the National Institute of Health’s Stroke Scale score improved from 2 to 0, the Global Deterioration Scale score improved from 3 to 2, and the Korean version of the Mini-Mental State Examination score improved from 22 to 30. During administration, the patient did not show seizures, shock, or loss of consciousness, and the vital signs were stable in the normal range. We followed up the brain computed tomography findings for 2 times and found that there was no definite evidence of intracranial hemorrhage or IVH or re-rupture or rebleeding after Korean medicine treatment. This study suggests that Korean medicine treatment with blood-invigorating and stasis-removing herbs could be a safe and effective intervention option for improving quadriparesis due to cerebral aneurysm rupture and subarachnoid hemorrhage.
本研究报告了一例因脑动脉瘤破裂、蛛网膜下腔出血和脑室内出血(IVH)而导致四肢瘫痪的患者,该患者接受了韩医治疗。患者接受了针灸、中药(主要是通瘀散-汤加甘)、西药、艾灸、拔罐和康复治疗 75 天,用药后病情有所好转。治疗后,徒手肌力测试等级从 4/4-/3+/3 提高到 4+/4+/4+/4+,韩国版改良巴特尔指数评分从 9 分提高到 100 分,美国国立卫生研究院卒中量表评分从 2 分提高到 0 分,全面恶化量表评分从 3 分提高到 2 分,韩国版迷你精神状态检查评分从 22 分提高到 30 分。用药期间,患者没有出现抽搐、休克或意识丧失,生命体征稳定在正常范围。我们对脑部计算机断层扫描结果进行了 2 次随访,发现韩药治疗后没有明确的颅内出血或 IVH 或再破裂或再出血证据。本研究表明,活血化瘀中药韩方治疗是改善脑动脉瘤破裂和蛛网膜下腔出血所致四肢瘫痪的一种安全有效的干预方案。
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引用次数: 0
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The Journal of Internal Korean Medicine
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