대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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뇌혈관질환을 동반한 진행성 핵상마비 환자의 의식수준저하에 대한 한방복합치료 증례보고 1례

A Case Report of Complex Korean Medicine Treatments of Decreased Mental Status in a Progressive Supranuclear Palsy Patient with a Cerebrovascular Accident

  • 강지현 (대구한의대학교 부속 대구한방병원 심계내과학교실) ;
  • 김서현 (대구한의대학교 부속 대구한방병원 심계내과학교실) ;
  • 김준석 (대구한의대학교 부속 대구한방병원 심계내과학교실) ;
  • 장우석 (대구한의대학교 부속 대구한방병원 심계내과학교실)
  • Kang, Ji-hyeon (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University) ;
  • Kim, Seo-hyun (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University) ;
  • Kim, Jun-seok (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University) ;
  • Jang, Woo-seok (Dept. of Cardiovascular and Neurologic Diseases of Korean Internal Medicine, Daegu Oriental Hospital of Daegu Haany University)
  • 투고 : 2022.09.14
  • 심사 : 2022.10.27
  • 발행 : 2022.10.30
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초록

Objectives: This study investigated the effect of complex Korean medicine treatment on decreased mental status in a progressive supranuclear palsy patient with a cerebrovascular accident. Case presentation: The patient was treated with Korean medicine composed of herbal medicine (modified Guibi-tang), acupuncture, moxibustion, and cupping combined with Western medicine (a dopamine precursor and an anticholinergic) and physical therapy. The Glasgow Coma Scale, Mini-Mental State Examination, and Hoehn and Yahr Scale were used to evaluate the effects of the treatments. After treatment, Glasgow Coma Scores increased from 9-10 to 12-13, and Mini-Mental State Examination for dementia screen scores increased from 1 to 2. The Hoehn and Yahr score remained at 5. There were no side effects of the treatment. Conclusion: This study suggests that complex Korean medicine treatments may be effective for the decreased mental status of a progressive supranuclear palsy patient with a cerebrovascular accident, but further studies are needed.

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참고문헌

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