Kim, Jong-Min
(East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University)
,
Jeon, Hyung-Joon
(East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University)
,
Kim, Hyun-Ji
(Department of Acupuncture and Moxibustion, Dunsan Korean Medicine Hospital of Daejeon University)
,
Cho, Chong-Kwan
(East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University)
,
Yoo, Hwa-Seung
(East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University)
Objectives: Treating complex regional pain syndrome (CRPS) is difficult because it still does not have a recommended therapy. A 29-year-old man was diagnosed with CRPS after surgery on his $4^{th}$ and $5^{th}$ left toes 7 years ago. Though he had undergone diverse pain treatme...
Objectives: Treating complex regional pain syndrome (CRPS) is difficult because it still does not have a recommended therapy. A 29-year-old man was diagnosed with CRPS after surgery on his $4^{th}$ and $5^{th}$ left toes 7 years ago. Though he had undergone diverse pain treatment, the symptoms persisted, so he visited Dunsan Korean Medicine Hospital of Daejeon University. This case report presents results on the effect of bee venom pharmacopuncture in treating patient with CRPS. Methods: Bee venom pharmacopuncture (BVP), 0.15 to 0.4 mL dosage, was administered at GB43. The treatment was applied each week for a total 14 times. The symptoms were evaluated using a numeric rating scale (NRS) and the dosage of pain medicine. Results: On the first visit, he was taking an anticonvulsant, a trycyclic antidepressant, and an analgesic. On the NRS the worst pain in the toes received a score of 8. He also complained of severe pain and hypersensitivity when the $4^{th}$ and the $5^{th}$ toes were touched just slightly. Other complaint included dyspepsia, rash, and depression. After treatment, on the NRS, the score for toe pain was 0, and he no longer needed to take pain medication. During the 4-months follow-up period, he has remained without pain; neither have additional symptoms appeared nor adverse events occurred. Conclusion: BVP may have potential benefits for treating patients with CRPS.
Objectives: Treating complex regional pain syndrome (CRPS) is difficult because it still does not have a recommended therapy. A 29-year-old man was diagnosed with CRPS after surgery on his $4^{th}$ and $5^{th}$ left toes 7 years ago. Though he had undergone diverse pain treatment, the symptoms persisted, so he visited Dunsan Korean Medicine Hospital of Daejeon University. This case report presents results on the effect of bee venom pharmacopuncture in treating patient with CRPS. Methods: Bee venom pharmacopuncture (BVP), 0.15 to 0.4 mL dosage, was administered at GB43. The treatment was applied each week for a total 14 times. The symptoms were evaluated using a numeric rating scale (NRS) and the dosage of pain medicine. Results: On the first visit, he was taking an anticonvulsant, a trycyclic antidepressant, and an analgesic. On the NRS the worst pain in the toes received a score of 8. He also complained of severe pain and hypersensitivity when the $4^{th}$ and the $5^{th}$ toes were touched just slightly. Other complaint included dyspepsia, rash, and depression. After treatment, on the NRS, the score for toe pain was 0, and he no longer needed to take pain medication. During the 4-months follow-up period, he has remained without pain; neither have additional symptoms appeared nor adverse events occurred. Conclusion: BVP may have potential benefits for treating patients with CRPS.
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문제 정의
pharmacopuncture [9], and placental extracts [10] have been reported in Korea. In this research study, we describe the case of a patient with CRPS who responded to bee venom pharmacopuncture (BVP) with impressive and sustained results.
제안 방법
The initial plan was for one injection to be given each week for 10 weeks, which was based on the experience of the therapist. After 10 treatments and 2 weeks of observation, although his pain level on the NRS was 2 and he felt no inconvenience in daily living, we decided to perform four additional injections until the symptoms disappeared.
대상 데이터
During the treatment period at our clinic, which ran from January 2, 2014, to April 10, 2014, the patient underwent 14 treatments.
The patient first visited Dunsan Korean Medicine Hospital on December 14, 2013, and started receiving injection of sweet BVP from January 2, 2014. The skin test showed a negative reaction.
This patients was a 29-year-old male with a history of congenital polysyndactylia of the 4th and the 5th toes. He had undergone a polydactyly resection, separation of syndactyly, and split thickness skin-graft on March 14, 2006 and surgery on the necrosis site on April 20, 2006.
성능/효과
On the 2nd day of treatment, the patient reduced Gabapentin from 2700 to 900 mg/day, though the NRS score still persisted. On the 4th day of treatment, the average NRS score declined from 5 to 3, and the sharpest pain appeared just once or twice a week, with rare sudden pain. On the 5th day of treatment, the sharpest pain fell from NRS 7 to 3.
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