A Case of Live Leech(Hirudo Medicinalis) Therapy with Herbal Medication on Regional Rheumatoid Arthritis

한약투여 및 의료용 거머리 요법을 병행 시술 후 관절 경직 및 부종이 호전된 국소 류마티즘 환자 증례 1례

  • Yoo, Chang-Kil (Yoo Chang-Kil Oriental Clinic) ;
  • Lee, Yun-Ju (Yoo Chang-Kil Oriental Clinic)
  • 유창길 (유창길한의원) ;
  • 이윤주 (유창길한의원)
  • Received : 2009.06.17
  • Accepted : 2009.07.21
  • Published : 2009.07.31
  • 42 0


Abstract

Objectives : The purpose of this study is to report the effect of live leech(hirudo medicinalis) therapy with oriental medication on the patient with regional rheumatoid arthritis. The patient had resistant to DMARDs so she was in the debilitating condition and suffered from edema, pain, stiffness of joint and purpura before live leech(hirudo medicinalis) therapy. Methods : The regional rheumatoid arthritis patient had edema, pain, stiffness of joint and purpura on right foot. We treated the patient with live leech(hirudo medicinalis) therapy and oriental medicine. Results : The symptoms of regional rheumatoid arthritis was improved through live leech(hirudo medicinalis) therapy and oriental medicine. The patient maintains her condition with oriental medicine treatment after stopped all DMARDs such as MTX(methotrexate) and NSAIDs. After this treatment the patient's walking difficulty has been improved. Conclusions : This study shows that live leech(hirudo medicinalis) therapy and oriental medicine can elevate the regional rheumatoid arthritis patient's quality of life with continuous health care and treatment for major problem. For more accurate studies, further studies would be needed with more cases.

References

  1. 김성윤. 류마티스 관절염의 진단과 치료. 가정의학학회지. 1997;18(11):1279-90.
  2. 임상류마티스학 편찬위원회. 임상류마티스학. 서울:한국의학사. 2006:101-2.
  3. 이상훈외. 봉독약침이 류마티스 관절염 환자의 관절통증, 종창 및 급성 염증 반응에 미치는 영향. 대한침구학회지. 2003;20(2):77-84.
  4. 배상철. 류마티스 관절염 치료의 최신 지견. 가정의학학회지. 2001;22(1):21-6.
  5. 최도영외. 류마티스 관절염에 대한 한약의 면역학적 연구동향. 대한침구학회지. 2004;21(4):177-96.
  6. 대한통증학회. 통증의학. 서울:군자출판사. 1997:27-9.
  7. 한주원, 송영일, 윤일지, 오민석. 祛濕複合方이 류마토이드 관절염에 미치는 영향. 한방재활의학과학회지. 2006;16(3):2.
  8. 허준. 동의보감. 경남:동의보감 출판사. 2005:1591.
  9. 임상류마티스학 편찬위원회. 임상류마티스학. 서울:한국의학사. 2006:749.
  10. A Michalsen, U Deuse, T Esch, G Dobos, S Moebus. Effect of leeches therapy (Hirudo medicinalis) in painful osteoarthritis of the knee: a pilot study. Annals of the Rheumatic Diseases. 2001;60:986. https://doi.org/10.1136/ard.60.10.986
  11. 황지혜, 조현석, 이현진, 이동건, 정원제, 정찬영, 김경호. 자하거약침의 MIF 활성억제를 통한 LPS 유발 류마티스성 관절염의 치료효과. 대한침구학회지. 2008;25(3):41-51.
  12. 임상류마티스학 편찬위원회. 임상류마티스학. 서울:한국의학사. 2006:195, 214, 101.
  13. 김무진, 윤종화, 김경호, 이승덕, 김갑성. 류마티스성 슬관절염의 침구치료에 관한 문헌 고찰. 대한침구학회지. 2005;22(1):191-201.
  14. 나현종. The Effects of Live Leech Therapy on Diabetic Foot:A Clinical Report. 대한한의학회지. 2003;24(4):136.