Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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A Case Report of a Essential Tremor Patient Aggravated by Hwa-byung

화병에 의해 악화된 본태성 진전증 환자 치험 1례

  • Ko, In-Sung (Dept. of Oriental Neuropsychiatry, Dongseo Oriental Medical Center) ;
  • Ryu, Ho-Sun (Dept. of Oriental Neuropsychiatry, Dongseo Oriental Medical Center) ;
  • Park, Se-Jin (Dept. of Oriental Neuropsychiatry, Dongseo Oriental Medical Center) ;
  • Ahn, Hyo-Jin (Dept. of Oriental Neuropsychiatry, Dongseo Oriental Medical Center)
  • 고인성 (동서한방병원 한방신경정신과) ;
  • 류호선 (동서한방병원 한방신경정신과) ;
  • 박세진 (동서한방병원 한방신경정신과) ;
  • 안효진 (동서한방병원 한방신경정신과)
  • Received : 2012.03.21
  • Accepted : 2012.05.31
  • Published : 2012.09.30
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Abstract

Objectives : The essential tremor (ET) is characterized by a tremor of the whole body, including both arms. Recent studies suggest that its psychiatric and cognitive factors are more important for treatment and management than motor symptomsymptoms. This study was performed to report the effects of Korean medicine for essential tremor aggravated by Hwa-byung. Methods : We treated a 42 year- old man with Korean medicine (acupuncture, herb-medication and moxibustion) and mental therapy. The effects of the treatment for tremor and skin symptoms were measured by VAS and Severity score (3 level). We used SCL-90-R, BDI, BAI, PSQI and instrument of oriental medical evaluation for Hwa-Byung score (IOMEHB) for a psychological condition. Results : After treatments, tremor, Hwa-byung and accompanying symptoms have improved and subsided. VAS, SCL-90-R, BDI, BAI, PSQI, and IOMEHB have decreased. Conclusions : This result suggests that Korean medical treatment and mental therapy might be effective for the essential tremor aggravated with Hwa-byung.

본 증례에서는 상기한 바와 같이 화병을 주로 한 심리상태 변화에 의해 악화된 진전증을 주소로 본원 한방신경정신과에 입원한 환자에게 한약치료와 침치료, 한방정신치료를 병행한 결과 제반증상 및 심리 상태 상 양호한 효과를 보여 이에 보고하는 바이다. 1. 18일간의 한약치료, 침치료, 정신요법 및 부항, 뜸의 기타치료를 통해 전신의 본태성진전증과 화병의 증세의 동반 호전을 경험하였다. 2. 화병 및 신체 상태를 심신불교(心腎不交)로 변증하고 황련아교탕(黃連阿膠湯) 처방을 기본 방제로서 증세변화에 따라 가감투여했으며, 정서적 안정과 기타 신체증상과 함께 진전증이 호전됨을 확인하였다.

Keywords

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