The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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A Case of Charcot Neuroarthropathy Improved by Korean Medical Treatment Combined with Shudihuangkushen-tang and Haifu-san Wet Dressing

숙지황고삼탕(熟地黃苦蔘湯)과 해부산(海浮散) 습윤드레싱을 병행한 한방치료를 통한 샤르코 신경관절병증 환자 호전 1례

  • Lee, Hyun-Bum (Dept. of Oriental Ophthalmology and Otolaryngology and Dermatology, Dongseo Oriental Medical clinic) ;
  • Lee, Chang-Won (Dept. of Oriental Ophthalmology and Otolaryngology and Dermatology, Dongseo Oriental Medical clinic) ;
  • Lim, Eun-Chul (Dept. of Sasang constitutional medicine, Dongseo Oriental Medical clinic)
  • 이현범 (동서한방병원 한방안이비인후피부과) ;
  • 이창원 (동서한방병원 한방안이비인후피부과) ;
  • 임은철 (동서한방병원 사상체질과)
  • Received : 2020.07.06
  • Accepted : 2020.07.27
  • Published : 2020.08.25
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Abstract

Objectives : Charcot neuroarthropathy(CN) is condition characterized by a progressive joint deformation with sensorial and autonomic neuropathy. This study is to report a case of CN improved by Korean medical treatment. Methods : The patient's left foot with CN was treated by Shudihuangkushen-tang, Haifu-san wet dressing, acupuncture and herbal acupuncture. We evaluated the progress by laboratory investigation, radiograph and photograph comparison, visual analogue scale(VAS) of edema and pain sensation. Results : After treatment, VAS score of edema dropped from 6 to 1, of pain sensation slightly improved from 0 to 1. Average blood sugar level decreased and rebounded, but Hemoglobin A1c level improved from 9.5% to 7.7%. Improvement of the left foot was recognized from the radiograph and photograph comparison. Conclusions : This study suggests Korean medicine is effective in treating CN, especially using Shudihuangkushen-tang, Haifu-san wet dressing.

Keywords

References

  1. Chung HJ. Treatment of diabetic Charcot arthropathy. J Korean Foot Ankle Soc. 2013;17(4):243-50.
  2. Pinzur MS. Current concepts review: Charcot arthropathy of the foot and ankle. Foot Ankle Int. 2007;28:952-9. https://doi.org/10.3113/FAI.2007.0952
  3. Dodd A, Daniels TR. Current concepts review: Charcot neurarthropathy of the foot and ankle. J Bone Joint Surg Am. 2018;100(8):696-711. https://doi.org/10.2106/JBJS.17.00785
  4. Heo J. Daeyeokdonguibogam. Hadong: Donguibogamchulpansa. 2010:1579.
  5. Kim HW, Kim JH, Song JM. A clinical case report of diabetic patient with foot ulcers. J Sasang Constitue Med. 2002;14(2):132-7.
  6. Heo M, Song IB. Treatment case on carbuncle and cellulitis of Soyangin. J Sasang Constitue Med. 1998;10(2):473-84.
  7. Song IB, Ko BH, Hoo DM, Kim KY, Kim DL, Kim IH, et al. Kaejeongjeungbosasanguihak. Seoul:Jipmundang. 2014:669-70, 693-4, 697, 710-1.
  8. Kim JK. Classification of Sa-sang typology based on index signs for Tae-guek acupuncture: a narrative review. J Korean Med. 2019;40(2):89-93. https://doi.org/10.13048/jkm.19019
  9. National health insurance service. Press release. 2016 Apr[Cited 2019 Oct 9]. Available from: URL: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=330894.
  10. Neilson DL, Armstrong DG. The natural history of Charcot's neuroarthropathy. Clin Pdiatr Med Surg. 2008;25:53-62. https://doi.org/10.1016/j.cpm.2007.10.004
  11. Perrin BM, Gardnet MJ, Suhaimi A, Murphy D. Charcotosteoarthropaty of the foot. Aust Fam Physician. 2010;39:117-9.
  12. Vander Ven A, Chapman CB, Bowker JH. Charcot neuroarthropathy of the foot and ankle. J Am Acad Orthop Surg. 2009;17:562-71. https://doi.org/10.5435/00124635-200909000-00003
  13. Seo DK, Lee HS. Management of diabetic foot ulcer. J Korean Foot Ankle Soc. 2014;18(1):1-7. https://doi.org/10.14193/jkfas.2014.18.1.1
  14. Rogers LC, Frykberg RG, Armstrong DG, Boulton AJ, Edmonds M, Van GH, et al. The Charcot foot in diabetes. Diabetes Care. 2011;34:2123-9. https://doi.org/10.2337/dc11-0844
  15. Gilbey SG, Walters H, Edmonds ME, Archer AG, Watkins PJ, Parsons V, et al. Vascular calcification, autonomic neuropathy, and peripheral bloodflow in patients with diabetic nephropathy. Diabet Med. 1989;6:37-42. https://doi.org/10.1111/j.1464-5491.1989.tb01136.x
  16. Saltzman C, Hagy M, Zimmerman B, Estin M, Cooper R. How effective is intensive nonoperative initial treatment of patients with diabetes and Charcot arthropathy of the feet? Clin Orthop Relat Res. 2005;435:185-90.
  17. Kim IL, Kim HC, Kook YB, Park SJ, Park YK, Park JH, et al. Bonchohak. Seoul:Younglimsa. 2012:232, 633.
  18. Wang Y, Zhou J, Yan C. Effects of haifu powder on the number of vessels and collagen content of the new granulation tissue in the dorsal wound of rats. Jilin Journal of Chinese Medicine. 2019;39(3):377-80.
  19. Kim JK. Clinical opinion of Taegeuk acupuncture treatment by Sasang(4-type) constitutional medicine. J Acupunct Res. 2011;28(2):69-73.
  20. Jea HK, Ahn JH, Hwanf ML, Kim SY, Jung HA. Three cases of nummular eczema patients treated with Cheongshimyeonjaeum gagambang and soyeon pharmacoacupuncture. J Korean Med Ophthalmol Otolaryngol Dermatol. 2018;32(2):107-19. https://doi.org/10.6114/JKOOD.2019.32.2.107
  21. Kim YB, Nam HJ, Park OS, Kim HJ, Kim KS, Cha JH. The effects of the Hominis placenta on skin barrier. J Korean Med Ophthalmol Otolaryngol Dermatol. 2006;19(2):99-107.
  22. Seo TB, Han IS, Yoon JH, Seol IC, Kim YS, Jo HK, et al. Growth-promoting activity of Hominis Placenta extract on regenerating sciatic nerve. Acta Pharmacologica Sinica. 2006;27(1):50-8. https://doi.org/10.1111/j.1745-7254.2006.00252.x