The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Report on the Guillain-Barre Syndrome with Autonomic Dysfunction(1 Case)

자율신경 기능 이상을 동반한 Guillain-Barre 증후군 1례

  • Kim, Dong-Ung (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Shin, Sun-Ho (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Cho, Gwon-Il (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Shin, Hak-Su (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Han, Myung-A (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Choi, Jin-Young (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Choi, Woo-Jung (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Yang, Jae-Hun (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Chung, Yong-Jun (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Kwan-Sick (Department of Oriental internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 김동웅 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 신선호 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 조권일 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 신학수 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 한명아 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 최진영 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 최우정 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 양재훈 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 정용준 (원광대학교 한의과대학 전주한방병원 내과학교실) ;
  • 김관식 (원광대학교 한의과대학 전주한방병원 내과학교실)
  • Published : 2001.09.30
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Abstract

Guillain-Barre syndrome, or acute inflammatory demyelinating Polyradiculoneuropathy, is frequently accompanied by cardiac and autonomic dysfunction. We report a patient who had tachycardia, orthostatic hypotension, hypertension, pronounced blood pressure fluctuations, abnormal sweating, constipation and urinary frequency as well as qudriparesis. We thought that the GBS was incurred by Damp-Heat, used Heat-Clearing and Dampness-Transforming decoction(Chongjoo-tang) in the early stage. In the later stage, fortifying the Spleen and Boosting Qi plus Supplementing the Kidney decoction(Palmultang+chongawon) was used to remove low back pain and boost recovery. The patient reached the nadir 14 days after onset. He became bed-bound and autonomic dysfunction was very severe. From 3rd week, abnormalities of autonomic function and paresis impoved gradually and he could walk above 5m without walker or equivalent support at the 5th week after onset.

Keywords

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