[논문]하지 감각이상 및 통증을 호소하는 당뇨병성 다발신경병증 환자에 대한 복합 한의치험 1례

정성훈; 이영선; 성시윤; 이한결; 조기호; 문상관; 정우상; 권승원

doi:10.22246/jikm.2023.44.2.231

하지 감각이상 및 통증을 호소하는 당뇨병성 다발신경병증 환자에 대한 복합 한의치험 1례
Case Report: Lower Extremity Paresthesia and Pain with Diabetic Polyneuropathy Combated with Complex Korean Medical Treatment 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.2, 2023년, pp.231 - 243

정성훈 (경희대학교 대학원 임상한의학과) , 이영선 (경희대학교 대학원 임상한의학과) , 성시윤 (경희대학교 한방병원 순환신경내과) , 이한결 (경희대학교 대학원 임상한의학과) , 조기호 (경희대학교 대학원 임상한의학과) , 문상관 (경희대학교 대학원 임상한의학과) , 정우상 (경희대학교 대학원 임상한의학과) , 권승원 (경희대학교 대학원 임상한의학과)

Abstract ▼ AI-Helper

Background: Diabetic polyneuropathy is the most common complication in diabetics, occurring in 50% of all cases. About 10-20% of all diabetics are accompanied by neurological pain, showing a tendency to increase with age. Clinical aspects are very diverse, from mild abnormalities on nerve conduction tests to severe abnormalities in all sensory, motor, and autonomic nerves; however, sensory symptoms usually precede motor symptoms. Patients typically express sensory symptoms, such as positive and negative symptoms, which decrease the quality of life and have marked clinical implications, such as increased morbidity and mortality. Although Western medical drugs, such as tricyclic antidepressants, anticonvulsants, and narcotic analgesics, are used for diabetic polyneuropathy, a standard treatment has not been established. Case report: A 65-year-old male with paresthesia and pain due to diabetic polyneuropathy was treated with Uchashinki-hwan, acupuncture, electroacupuncture, moxibustion, and Jungsongouhyul pharmacopuncture for 10 days. We used the Toronto Clinical Neuropathy Scoring System, EuroQol-5 Dimension, and Visual Analog Scale to evaluate symptoms. Subsequently, the Neuropathy Scoring System, EuroQol-5 Dimension, and subjective discomfort improved. Conclusion: The present case report suggests that combined Korean medicine treatment might be an effective treatment for paresthesia and pain with diabetic polyneuropathy. Several follow-up studies should be conducted to clarify the effectiveness of the treatment.

주제어

표/그림 (14)

그림 Fig. 1. Lumbar Spine X-ray showed disc degeneration (L4-S1), spondylosis and diffuse osteopenia.
표 Table 1. Medication Used from X-1 Year December 5th to X Year July 29th.
표 Table 2. The Result of Blood Test (2022.07.29.)
표 Table 3. The Result of Straight Leg Raise Test (2022.07.29.)
표 Table 4. The Result of Sensory Nerve Conduction Study (NCS) (2022.08.02.)
표 Table 5. The Result of Motor Nerve Conduction Study (NCS) (2022.08.02.)
그림 Fig. 2. Case report timeline before hospitalization.
표 Table 6. Composition of Uchashinki-hwan
표 Table 7. Toronto Clinical Neuropathy Scoring System
그림 Fig. 3. EuroQol-5 dimension, EQ-5D.
그림 Fig. 4. Visual analog scale was decreased over time.
표 Table 8. The Result of TCNSS
표 Table 9. The Result of EQ-5D
그림 Fig. 5. Case report timeline during the hospitalization period.

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