[논문]통규활혈탕가감방을 포함한 한의복합치료로 뇌동맥류 파열에 의한 뇌실내출혈을 동반한 지주막하출혈 환자의 사지마비에 개선을 보인 증례보고 1례

전성현; 박은수; 김유빈; 이지수; 박은영

doi:10.22246/jikm.2023.44.5.1050

통규활혈탕가감방을 포함한 한의복합치료로 뇌동맥류 파열에 의한 뇌실내출혈을 동반한 지주막하출혈 환자의 사지마비에 개선을 보인 증례보고 1례
A Case Report of Quadriparesis due to Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Cerebral Aneurysm Rupture Improved after Treated with Korean Medicine Treatment Including Tonggyuhwalhyeol-tang-gagambang 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.5, 2023년, pp.1050 - 1061

전성현 (동서한방병원 한방내과) , 박은수 (동서한방병원 한방내과) , 김유빈 (목동동신한방병원 한방내과) , 이지수 (목동동신한방병원 침구과) , 박은영 (동서한방병원 한방내과)

Abstract ▼ AI-Helper

This study reported the case of a patient with quadriparesis due to cerebral aneurysm rupture, subarachnoid hemorrhage, and intraventricular hemorrhage (IVH) treated with Korean medicine. The patient was treated with acupuncture, herbal medicine (mainly Tonggyuhwalhyeol-tang-gagam), Western medicine, moxibustion, cupping, and rehabilitative therapy for 75 days, and improved after administration. After treatment, the Manual Muscle Test grade improved from 4/4-/3+/3 to 4+/4+/4+/4+, the Korean version of the modified Barthel Index score improved from 9 to 100, the National Institute of Health's Stroke Scale score improved from 2 to 0, the Global Deterioration Scale score improved from 3 to 2, and the Korean version of the Mini-Mental State Examination score improved from 22 to 30. During administration, the patient did not show seizures, shock, or loss of consciousness, and the vital signs were stable in the normal range. We followed up the brain computed tomography findings for 2 times and found that there was no definite evidence of intracranial hemorrhage or IVH or re-rupture or rebleeding after Korean medicine treatment. This study suggests that Korean medicine treatment with blood-invigorating and stasis-removing herbs could be a safe and effective intervention option for improving quadriparesis due to cerebral aneurysm rupture and subarachnoid hemorrhage.

주제어

표/그림 (10)

표 Table 1. Composition of Per Os Medication
표 Table 2. Composition of Tonggyuhwalhyeol-tang-gagambang
표 Table 3. Composition of Hyangbujapalmul-tang
표 Table 4. Composition of Sosiho-tang
표 Table 5. Composition of Jeonggicheonhyang-tang-gagambang
표 Table 6. Change of MMT Grade
그림 Fig. 1. Change of K-MBI, MMSE-K.
그림 Fig. 2. Change of NRS.
그림 Fig. 3. Brain CT.
그림 Fig. 4. Timeline of treatments and outcomes.

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