DOI QR코드

DOI QR Code

Treatment of Peripheral Facial Palsy with Skin Damage Caused by Folk Remedies Using Korean Medicine: A Case Report

민간요법으로 피부손상을 동반한 말초성 안면마비에 대한 한의치료 증례 보고

  • Yoona, Oh (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yeonhak, Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Jihun, Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Eunseok, Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Byung Ryul, Lee (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Gi Young, Yang (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital)
  • 오유나 (부산대학교한방병원 침구의학과) ;
  • 김연학 (부산대학교한방병원 침구의학과) ;
  • 김지훈 (부산대학교한방병원 침구의학과) ;
  • 김은석 (부산대학교한방병원 침구의학과) ;
  • 이병렬 (부산대학교한방병원 침구의학과) ;
  • 양기영 (부산대학교한방병원 침구의학과)
  • Received : 2022.10.28
  • Accepted : 2022.11.21
  • Published : 2022.12.27

Abstract

Peripheral facial palsy generally results from damage to the facial nerve. As facial asymmetry is observed, it accompanies not only functional problems but also psychological and social difficulties. Medical institutions treat most patients, however, there are still patients who rely on invasive methods by unqualified practitioners for fear of sequelae. This case describes a 61-year-old woman who experienced facial palsy twice. She visited our hospital with skin damage after folk patch therapy for her facial palsy. Combined Korean medicine treatment was administered during treatment period. After treatments, the symptoms of facial palsy and skin lesions improved. This case showed that Korean Medicine was efficacious in improving symptoms of facial palsy with damaged skin caused by folk patch therapy. Education and awareness of uncontrolled invasive treatments for facial palsy are needed.

Keywords

Acknowledgement

This work was supported by clinical research grant from Pusan National University Hospital in 2022.

References

  1. Gilden DH. Bell's Palsy. N Engl J Med. 2004 ; 351(13) : 1323-31. https://doi.org/10.1056/NEJMcp041120
  2. Korean Acupuncture and Moxibustion Medicine Society. Facial palsy: clinical practice guideline of Korean medicine. 1st ed. Paju : Koonja publishing inc. 2021 : 1-32.
  3. Madhok VB, Gagyor I, Daly F, Somasundara D, Sullivan M, Gammie F, et al. Corticosteroids for Bell's palsy (idiopathic facial paralysis). Cochrane Database Syst Rev. 2016 ; 7(7) : CD001942. http://doi.org/10.1002/14651858.CD001942.pub5
  4. Yu Z, Shen M, Shang W, Wu J, Xuan L. Timing of Acupuncture Treatment in Peripheral Facial Paralysis: A Systematic Review and Meta-Analysis. Comput Math Methods Med. 2021 ; 2021 : 4221955. http://doi.org/10.1155/2021/4221955
  5. Valls-Sole J, Montero J. Movement disorders in patients with peripheral facial palsy. Mov Disord. 2003 ; 18(12) : 1424-35. http://doi.org/10.1002/mds.10605
  6. Dong SH, Jung AR, Jung J, Jung SY, Byun JY, Park MS, et al. Recurrent Bell's palsy. Clin Otolaryngol. 2019 ; 44(3) : 305-12. http://doi.org/10.1111/coa.13293
  7. Tiemstra JD, Khatkhate N. Bell's palsy: diagnosis and management. Am Fam Physician. 2007 ; 76(7) : 997-1002.
  8. Kim, SJ Lee HY. Acute peripheral facial palsy: recent guidelines and a systematic review of the literature. J Korean Med Sci. 2020 ; 35(30) : e245. https://doi.org/10.3346/jkms.2020.35.e245
  9. Yanagihara N. Grading of facial palsy. Proceedings: third international symposium on facial nerve surgery. Zurich. 1976. In: Fisch U, editor. Facial nerve surgery. Birmingham : Kugler Medical Publica-tions. Amstelveen, Netherlands : Aesculapius Publishing Co. 1977 : 533-5.
  10. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985 ; 93(2) : 146-7. https://doi. org/10.1177/019459988509300202
  11. Jeong HI, Kim KH, Oh YT, Choi YM, Song BY, Kim JU, et al. Korean medicine for treating facial palsy: a literature review of case reports. J Pharmacopuncture. 2018 ; 21(4) : 214-25. https://doi.org/10.3831/KPI.2018.21.025
  12. Korean Acupuncture and Moxibustion Medicine Society. Acupuncture Medicine. Seoul : Hanmi Medical Science. 5th ed. 2020 : 19-115.
  13. Jeong J, Yoon SR, Lim H, Choi HS. Distribution of medical service use for facial palsy between medicine and traditional Korean medicine based on population-based data of Korea. J Korean Med Sci. 2022 ; 37(15) : e119. https://doi.org/10.3346/jkms.2022.37.e119
  14. Mancini P, Bottaro V, Capitani F, De Soccio G, Prosperini L, Restaino P, et al. Recurrent Bell's palsy: outcomes and correlation with clinical comorbidities. Acta Otorhinolaryngol Ital. 2019 ; 39(5) : 316-21. https://doi.org/10.14639/0392-100X-2415
  15. Jin TJ. Folk remedies in Jeju Island. 1st ed. Uiwonsa. 1977 : 81-145.
  16. Jang HS. A study on the facial nerve paralysis disease in oriental medicine focused on Dong-ui-bo-gam. Kongju, Korea : Kongju National University. 2014 : 59-78.
  17. Huang CF, Wang YF, Zhang JS, Jiang S, Lin XM. Preliminary analysis of the three major paths in the action of vesiculation moxibustion. Shanghai Journal of Acupuncture and Moxibustion. 2018 ; 37(1) : 101-3. https://doi.org/10.13460/j.issn.1005-0957.2018.01.0101
  18. Jiao JY, Yu QL, Shi CP, Zhang JS, Jiang S, Lin XM. Study on the role of dendritic cells in immune regulation in blistering moxibustion. Shanghai Journal of Acupuncture and Moxibustion. 2017 ; 36(12) : 1500-4. https://doi.org/10.13460/j.issn.1005-0957.2017.12.1500
  19. Wang WY, Wang CY. Blistering moxibustion therapy for facial palsy. Research of Traditional Chinese Medicine. 2002 ; 18(2) : 23-4.