[논문]경추부 및 하악부 약침 치료를 포함한 한의복합치료로 호전된 만성 메니에르병 환자 1례 - 증례 보고

김동주; 허경화; 이경화; 이혜진; 조승연; 박정미; 고창남; 박성욱

doi:10.13048/jkm.23038

경추부 및 하악부 약침 치료를 포함한 한의복합치료로 호전된 만성 메니에르병 환자 1례 - 증례 보고
A Case of Chronic Meniere's Disease Improved by Korean Medicine Treatment Including Pharmacoacupuncture of Cervical and Temporomandibular Area - A Case Report 원문보기

Journal of Korean Medicine = 대한한의학회지, v.44 no.3, 2023년, pp.150 - 162

김동주 (경희대학교 대학원 한방순환신경내과학교실) , 허경화 (경희대학교 대학원 한방순환신경내과학교실) , 이경화 (경희대학교 대학원 한방순환신경내과학교실) , 이혜진 (강동경희대학교병원 뇌신경센터 한방내과) , 조승연 (경희대학교 대학원 한방순환신경내과학교실) , 박정미 (경희대학교 대학원 한방순환신경내과학교실) , 고창남 (경희대학교 대학원 한방순환신경내과학교실) , 박성욱 (경희대학교 대학원 한방순환신경내과학교실)

Abstract ▼ AI-Helper

Meniere's disease is characterized by episodic vertigo, fluctuating hearing loss, tinnitus and ear fullness. The main pathological finding is endolymphatic hydrops, but the etiology of disease and effective treatment methods are still disputed. Recently, Cervical spine disorders(CSD) and Temporomandibular disorders(TMD) have been attracting attention as one of the causes of Meniere's disease. A 65-year-old female Meniere patient with musculoskeletal problems in the cervical and mandible area was treated by Korean medical therapies including pharmacoacupuncture treatment. After 5 weeks of treatment, there was no meaningful change in hearing level evaluated with pure tone audiometry, but the subjective symptoms of Meniere improved significantly. Numerical rating scale (NRS) decreased from 10 to 0 for hearing loss, 10 to 3 for tinnitus and 8 to 3 for ear fullness. Also NRS of cervicalgia was reduced from 5 to 0 after treatment. The result suggests that the Korean medical therapy including pharmacoapuncture targeting CSD and TMD could be safe and effective method for patients with Meniere's disease.

주제어

표/그림 (5)

표 Table 1. The Composition of Herbal medicine, per Pack
그림 Fig. 1. Timeline of treatment PTA, Pure Tone Audiometry; SA, Speech Audiometry ; K-THI, Korean Tinnitus Handicap Inventory; DHI, Dizziness Handicap Inventory; TMD, Temporomandibular disorders
그림 Fig. 2. Changes of NRS scores for chief complaints TMD, Temporomandibular disorders; DGT, Dojukgangi-tang; GJT, Gami-jiwhang-tang
그림 Fig. 3. The results of pure tone audiometry and speech audiometry X : left ear AC unmasked ] : left ear BC masked > : left ear BC unmasked △: right ear AC masked [ : right ear BC masked < : right ear BC unmasked AC, Air Conduction; BC, Bone Conduction; SA Speech Audiometry
그림 Fig. 4. Changes of K-THI and DHI score

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