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제초제 음독 후 발생한 신경학적 후유증으로 사지마비, 인지저하를 호소한 환자의 한의치료 증례보고 1례
심상송,안재윤,진효원,윤종민,문병순,Shim, Sang-song,Ahn, Jae-yoon,Jin, Hyo-won,Yun, Jong-min,Moon, Byung-soon 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5
This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.
한의치료로 호전되었던 사지마비, 운동실조, 인지저하를 호소하는 베르니케 뇌병증 환자 증례보고 1례
심상송,이현승,안재윤,채한나,윤종민,문병순 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.5
Background: This study is a report on a case of a Wernicke’s encephalopathy with quadriplegia, ataxia, and impaired cognition, whose condition was improved by Korean medicine treatment. Case report: A 51-year-old man diagnosed with Wernicke’s encephalopathy was treated with acupuncture, Banhabakchulchunma-tang mixed with Ondam-tang-gami (半夏白朮天麻湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Berg Balance Scale (BBS), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), Modified Barthel Index (MBI), and a numeric rating scale (NRS). After 22 days of treatment, his clinical symptoms showed improvement. The motor function improved (MMT Rt. side Gr. 4+G/4+G, Lt. side Gr. 4G/4+G → Rt. side Gr. 5-N/4+G, Lt. side Gr. 5-N/4+G), Ataxia was relieved (BBS 3→33), cognition improved (K-MMSE 15→27), ADL scores showed improvement (FIM 58→90, MBI 40→75), and the NRS score decreased for headache (3→0). Conclusion: Korean medicine treatment could be effective in the treatment of patients with Wernicke’s encephalopathy.
지주막하출혈 후 안검하수와 안구운동장애를 호소하는 동안신경마비 환자의 한방치료 증례보고 2례
이현승,심상송,정솔,신용진,윤종민,문병순 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.5
Background: A number of studies have identified the effect of Korean medicine treatment for oculomotor nerve palsy, but few have reported treatment of subarachnoid hemorrhage. This paper reports two cases of oculomotor nerve palsy with ptosis and limitation of eye movement after subarachnoid hemorrhage whose conditions were improved by Korean medicine treatment. Methods: Two patients with ptosis and limitation of eye movement after subarachnoid hemorrhage were treated with Korean medicine, including acupuncture, electroacupuncture, herbal medicine, cupping, moxibustion, and pharmacoacupuncture. Clinical symptoms were measured as the distance of the interpalpebral fissure and eyeball movement (adduction, abduction). Results: After treatment, their clinical symptoms showed improvement. Conclusion: Korean medicine treatment, including pharmacoacupuncture and electroacupuncture, could be adopted as a treatment method for oculomotor nerve palsy after subarachnoid hemorrhage.
사지마비와 식욕부진을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례
안재윤,심상송,정솔,신용진,문병순,윤종민 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.5
Objective: This case study reports improvement in a case of Guillain-Barre Syndrome by Korean medicine treatment in a patient with quadriplegia and anorexia. Methods: A 79-year-old woman diagnosed with Guillain-Barre Syndrome was treated with acupuncture, electroacupuncture, Bojungikgi-tang-gami, cupping, moxibustion, and rehabilitation. Her clinical symptoms were measured with the Manual Muscle Test (MMT), Modified Barthel Index (MBI), Functional Independence Measurement (FIM), and the EuroQol five-dimensional descriptive system (EQ-5D-5L). Results: After treatment, improvements in the MMT, MBI, FIM, and EQ-5D-5L were observed and her anorexia decreased. Conclusion: Korean medicine treatment appeared to be effective in the treatment of a patient with Guillain-Barre Syndrome with quadriplegia and anorexia.
황달을 동반한 알코올성 간질환 환자의 한방치료 치험 1례
안재윤,심상송,정솔,신용진,김강산,문병순,윤종민,Ahn, Jae-yoon,Sim, Sang-song,Jeong, Sol,Shin, Yong-jeen,Kim, Kang-san,Moon, Byung-soon,Yun, Jong-min 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5
Objective: This study aimed to report a case of alcoholic liver disease with jaundice that was improved with Korean medicine treatment. Methods: A patient who developed jaundice due to continuous drinking was treated with herbal medicine, acupuncture, moxibustion, and cupping. Blood tests were performed to measure the levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl transpeptidase (γ-GTP), total bilirubin, albumin, and total protein; AST/ALT ratio; and mean corpuscular volume (MCV). Jaundice parameters were subjectively recorded at 3-day intervals. Results: After treatment, the AST, ALT, ALP, γ-GTP, and total bilirubin levels; MCV; and jaundice were decreased. Conclusion: Korean medicine treatment appeared to be an effective method for alcoholic liver disease with jaundice.
황련해독탕 투여 후 Vancomycin-resistant Enterococcus 집락이 해제된 외상성 지주막하출혈 및 경막하혈종 환자 증례보고 1례
채한나,이지은,심상송,신선호,신용진 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.3
This study aimed to investigate the effect of Hwanglyeonhaedok-tang on the clearance of vancomycin-resistant Enterococcus (VRE) colonization in a patient with traumatic subarachnoid hemorrhage and subdural hematoma. A 73-year-old man who was diagnosed with traumatic subarachnoid hemorrhage and subdural hematoma with isolation of VRE colonization was administered Hwanglyeonhaedok-tang and followed up with a rectal swab VRE culture every week. After treatment with Hwanglyeonhaedok-tang, VRE colonization was no longer detected. This case report proved that Hwanglyeonhaedok-tang could be an effective treatment for clearance of VRE colonization in a patient with traumatic subarachnoid hemorrhage and subdural hematoma.
계지가부자탕이 근골격계 질환을 주소로 내원한 환자들의 간 기능에 미치는 영향
채한나,이준영,심상송,신선호,신용진 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.6
Objectives: This study aimed to investigate the effects of Gyejigabuja-tang on liver function in patients with musculoskeletal disease. Methods: This research compared and analyzed data from liver function tests on patients who were treated with Gyejigabuja-tang during 17.98±1.78 days. Results: No significant effects appeared in the liver function of patients who were treated with Gyejigabuja-tang. Conclusions: This study suggests that Gyejigabuja-tang, which includes Aconiti Radix Lateralis Preparata, known as a toxic herb, may be used without causing significant liver injury if administered correctly as in this study.
사지마비와 저림을 호소하는 길랑바레 증후군 환자의 한방치료 증례보고 1례
이현승,김두리,심상송,백동기,윤종민,문병순 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.6
Objective: This study is a report on a case of a Guillain-Barre syndrome patient with quadriplegia and paresthesia, whose condition was improved by Korean medicine treatment. Methods: A 71-year-old woman diagnosed with Guillain-Barre Syndrome was treated by acupuncture, electroacupuncture, Sambi-tang-gami, cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), the Numeric Rating Scale (NRS), the Modified Barthel Index (MBI), and the Functional Independence Measurement (FIM). Result: After treatment, clinical symptoms showed improvement. Conclusion: Korean medicine treatment could be effective in the treatment of Guillain-Barre syndrome patients with quadriplegia and paresthesia.
조은별(Eun-Byul Cho),심상송(Sang-Song Shim),한용민(Young-Min Han),안재윤(Jae-Yoon Ahn) 대한모유수유한의학회 2020 nipple confusion,breastfeeding consultation,IBCLC, Vol.1 No.1
Objectives: The purpose of this literature review was to research fracture cases treated with herbal medicine in Korea. The analysis was focused on the fracture site, outcome measure, herbal medicine decoction and medicinal herbs. Methods: We searched case reports of fractures treated with Korean medicine, published since 2011 until 2020 November, in five Korean databases. The key words Fracture (in Korean and English) and Case (in Korean) were used to obtain the data. Studies that did not use herbal medicine and studies that did not indicate medicinal herbs were excluded. Results: Numeric rating scale or visual analog scale were used in 34 cases. Among the 35 case reports, the most used herbal medicine, Dangguisu-san was reported in 8 cases. Sipjeondaebo-tang, Bojungikgi-tang, Samul-tang were used in 3 cases. Common reasons for using the herbal medicine were pain and swelling control (20 cases), bones and muscles strengthening ( 17 cases), blood circulation (15 cases), and bone healing ( 6 cases). Conclusion: In Korean medical case reports, imaging tests and various evaluation methods are used to diagnose fractures. Appropriate treatment methods and herbal medicine prescriptions are used according to the patient s symptoms and the stage of fracture healing. Various case reports of fractures and additional experimental, clinical studies on the specific effects of herbal medicines on the bone fusion process are needed in the future.