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Kang Junhyeok,Kim Sijin,Jung Sehun,Kim Hongik 대한침도의학회 2023 대한침도의학회지 Vol.7 No.1
Background: The aim of this study is to report the effect of Acupotomy, intranasal bloodletting therapy and herbal medicine on otalgia patient. Methods: One patient with otalgia was treated with Korean medicine therapy, including the Acupotomy, intranasal bloodletting therapy and herbal medicine twice week. Thermography, Ear endoscope, Visual Analogue Scale (VAS) were used to evaluate the effect of the treatment. Results: The pain disappeared after treatment. The redness of the eardrum on the Ear endoscope was improved, and blood circulation in the face was also improved on the Thermograpy. Also, the score of VAS was improved from 10 to 0. Conclusion: This improvement suggests that Korean medicine therapy can be a new alternative to otalgia treatment.
침도 치료와 비강 사혈 치료로 호전된 이명 청력감소 증례 보고
Kang Junhyeok,Kim Sijin,Kim Hongik,Jung Sehun 대한침도의학회 2023 대한침도의학회지 Vol.7 No.1
Background: The aim of this study is to report the effect of Acupotomy and intranasal bloodletting therapy on tinnitus and aural fullness. Methods: A 60-year-old patient with tinnitus was treated with acupotomy and intrasasal bloodletting therapy twice a week. Treatment progress was assessed using Numeral Rating Scale (NRS) and Automated Micro Audiometer Pure-Tone Audiometry (AMA-PTA). Results: The score of NRS was improved from 8 to 2 and the results of the hearing test was also improved. Conclusion: Both tinnitus and hearing loss improved markedly after treatment. Tinnitus NRS was decreased from 8 to 2. Hearing test improved in 250-8,000 Hz. This improvement might suggest Acupotomy and intranasal bloodletting therapy can be effective for tinnitus and hearing loss.
( Junhyeok Kim ),( Min Kyoung Kim ),( Geun Joo Choi ),( Hwa Yong Shin ),( Beom Gyu Kim ),( Hyun Kang ) 대한통증학회 2021 The Korean Journal of Pain Vol.34 No.4
Background: Postherpetic neuralgia (PHN) is a refractory complication of herpes zoster (HZ). To prevent PHN, various strategies have been aggressively adopted. However, the efficacy of these strategies remains controversial. Therefore, we aimed to estimate the relative efficacy of various strategies used in clinical practice for preventing PHN using a network meta-analysis (NMA). Methods: We performed a systematic and comprehensive search to identify all randomized controlled trials. The primary outcome was the incidence of PHN at 3 months after acute HZ. We performed both frequentist and Bayesian NMA and used the surface under the cumulative ranking curve (SUCRA) values to rank the interventions evaluated. Results: In total, 39 studies were included in the systematic review and NMA. According to the SUCRA value, the incidence of PHN was lower in the order of continuous epidural block with local anesthetics and steroids (EPI-LSE), antiviral agents with subcutaneous injection of local anesthetics and steroids (AV + sLS), antiviral agents with intracutaenous injection of local anesthetics and steroids (AV + iLS) at 3 months after acute HZ. EPI-LSE, AV + sLS and AV + iLS were also effective in preventing PHN at 1 month after acute HZ. And paravertebral block combined with antiviral and antiepileptic agents was effective in preventing PHN at 1, 3, and 6 months. Conclusions: The continuous epidural block with local anesthetics and steroid, antiviral agents with intracutaneous or subcutaneous injection of local anesthetics and a steroid, and paravertebral block combined with antiviral and antiepileptic agents are effective in preventing PHN.