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A Case Report on Korean Medical Treatment for a Patient with Quadriplegia and Impaired Cognition as Neurological Sequelae after Ingestion of Herbicides

제초제 음독 후 발생한 신경학적 후유증으로 사지마비, 인지저하를 호소한 환자의 한의치료 증례보고 1례

  • Shim, Sang-song (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Ahn, Jae-yoon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jin, Hyo-won (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Yun, Jong-min (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Moon, Byung-soon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 심상송 (원광대학교 한의과대학 내과학교실) ;
  • 안재윤 (원광대학교 한의과대학 내과학교실) ;
  • 진효원 (원광대학교 한의과대학 내과학교실) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • Received : 2021.09.15
  • Accepted : 2021.10.25
  • Published : 2021.10.30

Abstract

This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.

Keywords

Acknowledgement

이 논문은 2021학년도 원광대학교의 교비 지원에 의해 수행됨.

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