[논문]한방병원에 입원한 수족냉증을 동반한 추간판탈출증 환자에 대한 한방 치료 1례

윤상훈; 김상윤; 왕연민; 백길근; 이유진; 이형철; 강만호; 박성환

doi:10.22246/jikm.2023.44.5.1071

한방병원에 입원한 수족냉증을 동반한 추간판탈출증 환자에 대한 한방 치료 1례
A Case of Cold Hypersensitivity of Hands and Feet Treated with Korean Medicine Including Gyejifabuja-tang-gmibang and Acupuncture in a Patient with Lumbar Spinal Herniated Intervertebral Disc - A Case Report 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.5, 2023년, pp.1071 - 1082

윤상훈 (자생한방병원 한방내과) , 김상윤 (자생한방병원 한방내과) , 왕연민 (자생한방병원 한방내과) , 백길근 (자생한방병원 한방내과) , 이유진 (자생한방병원 한방내과) , 이형철 (자생한방병원 한방내과) , 강만호 (자생한방병원 한방내과) , 박성환 (자생한방병원 한방내과)

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Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (曲池), L14 (合谷), TE5 (外關) on her hands, LR3 (太衝), SP6 (三陰交), SP9 (陰陵泉) ST36 (足三里), GB41 (足臨泣) on Feet, GV4 (命門), GV3 (腰陽關), BL23 (腎兪), BL24 (氣海兪), BL25 (大腸兪), and BL26 (關元兪) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed. Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.

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표/그림 (6)

그림 Fig. 1. L-spine MRI T1-weighted sagittal image/L-spine MRI T1-weighted axial image : L5/S1 level.
표 Table 1. The Composition of Gyejigabuja-tang
표 Table 2. The Composition of Additional Medicinal Materials
그림 Fig. 2. The change in numerical rating scale (NRS) - cold hypersensitivity of hands and feet, LBP.
표 Table 3. The Degree of Cold Hypersensitivity of Hands and Feet Evaluation Paper
그림 Fig. 3. The change in cold hands and feet questionnaire.

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