[논문]청심온담탕가미방과 침구치료를 포함한 복합한의치료로 호전된 심인성 떨림 환자 1례 - 증례보고

이지현; 윤석영; 전현준; 주성준; 이지수; 임정태; 한양희

doi:10.22246/jikm.2022.43.6.1186

청심온담탕가미방과 침구치료를 포함한 복합한의치료로 호전된 심인성 떨림 환자 1례 - 증례보고
A Case of Psychogenic Tremor Improved by Complex Korean Medicine Treatment Including Cheongshimondam-tang-gamibang and Acupuncture Treatment - A Case Report 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.43 no.6, 2022년, pp.1186 - 1197

이지현 (목동동신한방병원 한방내과) , 윤석영 (목동동신한방병원 한방안이비인후피부과) , 전현준 (목동동신한방병원 한방재활의학과) , 주성준 (목동동신한방병원 한방재활의학과) , 이지수 (목동동신한방병원 침구과) , 임정태 (원광대학교 한의과대학) , 한양희 (목동동신한방병원 한방내과)

Abstract ▼ AI-Helper

Objectives: A case study about the effectiveness of integrative Korean medicine treatment in a psychogenic tremor patient. Case presentation: A 36-year-old male diagnosed with psychogenic tremor with low back pain underwent 29 days of inpatient treatment and 4 weeks of outpatient treatment. His pattern identification was a psychogenic tremor of the weakness of the heart and gall bladder (SimDamHeoGup) type. The treatments were herbal medicine and acupuncture. He took Cheongshimondam-tang for 29 days and Chunwangbosim-dan for 6 weeks when he had symptoms. He also received acupuncture for 20 minutes twice a day at GB20 (Pungji), L14 (Hapgok), HT4 (Yeongdo), PC6 (Naegwan), HT7 (Sinmun), GB34 (Yangleungcheon), ST36 (Joksamni), SP6 (Sameumgyo), and LR3 (Taechung). After 8 weeks of treatment, the Fahn Tolosa Marin rating (FTM) scale of his tremor, at rest, dropped from Grade 4 on both upper extremities, trunk, and both lower extremities at the time of admission to Grade 2 in both upper extremities and trunk, and Grade 0 in both lower extremities at the time of discharge. His Beck Anxiety Inventory (BAI) score decreased from 38 to 7, and his numerical rating scale (NRS) decreased from 8 to 1 for low back pain and from 9 to 2 for tremor. A follow-up visit to the hospital 2 months after the end of treatment confirmed continued symptom improvements and no significant side effects. Conclusions: This study suggests the possibility of treating psychogenic tremor using only Korean medicine treatments. Further studies with control groups and long-term follow-up are needed.

주제어

표/그림 (7)

그림 Fig. 1. Brain CT (20.9.2).
그림 Fig. 2. L-spine MRI (20.8.25).
표 Table 1. Medication History
그림 Fig. 3. Timeline of treatments and outcomes. FTM : Fahn Tolosa Marin rating scale, U/Ex. : upper extremity, L/Ex. : lower extremity, NRS : numerical rating scale, BAI : Beck anxiety inventory, TID : three times a day, BID : two times a day, EOD : every other day.
표 Table 2. Prescription of Cheongsimondam-tang (Qīng xī wén dān táng)
표 Table 3. Prescription of Chunwangbosim-dan Power Extract (Tiānwáng bō xīn dān)
그림 Fig. 4. Change of numerical rating scale. NRS : numerical rating scale

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