Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Complex Korean Medicine Treatment for Essential Tremor Plus Patient Aggravated by Traffic Accident: A Case Report

복합 한의 치료를 시행한 교통사고 후 악화된 본태성떨림플러스 환자: 증례 보고

  • Dong-Guk Shin (Department of Oriental Neuropsychiatry, Bucheon Jaseng Hospital) ;
  • Hyun-A Sim (Department of Oriental Neuropsychiatry, Bucheon Jaseng Hospital) ;
  • Jin-Hyun Kim (Department of Oriental Neuropsychiatry, Bucheon Jaseng Hospital) ;
  • Young-Jun Kim (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Hospital) ;
  • Young-Tak Koh (Department of Oriental Neuropsychiatry, Bucheon Jaseng Hospital)
  • 신동국 (부천자생한방병원 신경정신과) ;
  • 심현아 (부천자생한방병원 신경정신과) ;
  • 김진현 (부천자생한방병원 신경정신과) ;
  • 김영준 (부천자생한방병원 침구의학과) ;
  • 고영탁 (부천자생한방병원 신경정신과)
  • Received : 2023.09.24
  • Accepted : 2023.11.15
  • Published : 2023.12.30
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Abstract

Objectives: The purpose of this study was to report the effect of complex Korean medicine treatments on Essential Tremor Plus (ET plus) patient aggravated by a traffic accident. Methods: We treated an ET plus patient with complex Korean medicine. The patient's resting tremor and kinetic tremor in both hands intensified after experiencing a traffic accident, with tremor in the left hand being worse than that in the right hand. Effect of complex Korean medicine treatment was evaluated using Fahn-Tolosa-Marin Tremor Rating Scale (FTMTRS), Numerical Rating Scale (NRS), and Beck Anxiety Inventory (BAI). Results: After 26 weeks of treatments (acupuncture, pharmacupuncture, cupping, Iigyeungbyunqi-therapy, and herbal medicine), the FTMTRS decreased from 38 to 15. NRS of Lt. upper limb pain decreased from NRS 9 to 0. BAI score also decreased from 31 to 17. Conclusions: Complex Korean medicine could be used to treat patients with ET plus aggravated by a traffic accident.

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References

  1. Bhatia KP, Bain P, Bajaj N, Elble RJ, Hallett M, Louis ED, Raethjen J, Stamelou M, Testa CM, Deuschl G, Tremor Task Force of the International Parkinson and Movement Disorder Society. Consensus Statement on the classification of tremors from the task force on tremor of the International Parkinson and Movement Disorder Society. Mov Disord. 2018;33:75-87. https://doi.org/10.1002/mds.27121
  2. Rajalingam R BD, Lang AE, Fasano A. Essential tremor plus is more common than essential tremor: insights from the reclassification of a cohort of patients with lower limb tremor. Parkinsonism Relat Disord. 2018;56:109-10. https://doi.org/10.1016/j.parkreldis.2018.06.029
  3. Commitee of The Society of Korean Medicine Neuropsychiatry. Korean Medicine Neuropsychiatry textbook. 3rd Jipmoondang. 2016;303-18.
  4. Lee JH, Yoon SK, Cheon HY, Joo SJ, Lee JS, Leem JT, Han YH. A Case of Psychogenic Tremor Improved by Complex Korean Medicine Treatment Including Cheongshimondam-tang-gamibang and Acupuncture Treatment-A Case Report. J. Int. Korean Med. 2022;43:1186-97. https://doi.org/10.22246/jikm.2022.43.6.1186
  5. Kim, GW, Koo BS, Kim HI. Clinical study on a case of a patient with a glossal tremor caused by a side effect of drugs. J of Oriental Neuropsychiatry. 2003;14:133-9.
  6. Jang HS, Ha YB, Jun SH. A Case Report of Valproic Acid-Induced Tremor by Korean Traditional Medicine. J. Int. Korean Med. 2021;42:1319-30. https://doi.org/10.22246/jikm.2021.42.6.1319
  7. Ha Dj, Huh TY, Park SE. A Case Report of Essential Tremors Treated with Yeokhan-san. The Journal of Internal Korean Medicine. 2021;42:1102-8.
  8. Ko IS, Ryu HS, Park SJ, Ahn HJ. A Case Report of a Essential Tremor Patient Aggravated by Hwabyung. J of Oriental Neuropsychiatry. 2012:23:129-42. https://doi.org/10.7231/JON.2012.23.3.129
  9. Ryu SH, Chae JW. A. Case Report of Early Onset-Essential Tremor. J. of Korean oriental pediatrics. 2013;27:1-6. https://doi.org/10.7778/jpkm.2013.27.1.001
  10. Shin AR, Bae YL, Lim J, Lee SH, Kim SH, Lim JH. A Review on Treatment of Essential Tremor in Traditional Chinese Medicine. Journal of Oriental Neuropsychiatry. 2017;28: 95-107. https://doi.org/10.7231/JON.2017.28.2.095
  11. Shanker V. Essential tremor: diagnosis and management. BMJ. 2019;366:l4485. Doi: 10.1136/bmj.l4485
  12. Welton, T, Cardoso F, Carr JA. et al. Essential tremor. Nat Rev Dis Primers. 2021;7:1-17. https://doi.org/10.1038/s41572-021-00314-w
  13. Uzun S, Kozumplik O, Jakovljevic M, Sedic B. Side effects of treatment with benzodiazepines. Psychiatr Danub. 2010;22:90-3.
  14. Mittal SO, Lenka A, Jankovic J. Botulinum toxin for the treatment of tremor. Parkinsonism Relat Disord. 2019;63: 31-41. https://doi.org/10.1016/j.parkreldis.2019.01.023
  15. Kremer NI, Pauwels RWJ, Pozzi NG, Lange F, Roothans J, Volkmann J, Reich MM. Deep Brain Stimulation for Tremor: Update on Long-Term Outcomes, Target Considerations and Future Directions. J Clin Med. 2021;10:3468. Doi: 10.3390/jcm10163468. PMID: 34441763.
  16. Haubenberger D, Hallett M. Essential Tremor. N Engl J Med. 2018;378:1802-10. https://doi.org/10.1056/NEJMcp1707928
  17. Sepulveda Soto MC, Fasano A. Essential tremor: New advances. Clin Park Relat Disord. 2019;3:100031. Doi: 10.1016/j.prdoa.2019.100031
  18. Lenka A, Jankovic J. Peripherally-induced Movement Disorders: An Update. Tremor and Other Hyperkinetic Movements. 2023;13:1-16. https://doi.org/10.5334/tohm.758
  19. Counsell H, Johnson S. Road traffic accidents: more than just whiplash? BMJ Case Rep. 2013;2013:bcr2012007832. Doi:10.1136/bcr-2012-007832
  20. Chung SJ. Diagnosis and treatment of hand tremor. J. of the Korean Medical Association. 2012;55:987-95. https://doi.org/10.5124/jkma.2012.55.10.987
  21. Jankovic J, Tolosa E. Parkinson's disease and movement disorders. 2nd ed. Baltimore: Williams and Wilkins. 1993: 271-80.
  22. Kim ZS, Yook SP. A clinical study of the Korean version of Beck Anxiety Inventory: comparative study of patients and non-patient. Korean J Clin Psychol. 1997;16:185-97.
  23. Lim SY, Moon YJ, Lee JY, Jeon HA, Koh YT. Acute Stress Disorder Patients Treated with Yanshimtang - Gamibang: Three Case Reports. J of Oriental Neuropsychiatry. 2019; 30:295-304.
  24. Latorre A, Hallett M, Deuschl G, Bhatia KP. The MDS consensus tremor classification: The best way to classify patients with tremor at present. J Neurol Sci. 2022;435: 120191. DOI:https://doi.org/10.1016/j.jns.2022.120191
  25. Moon, D. Disorders of Movement due to Acquired and Traumatic Brain Injury. Curr Phys Med Rehabil Rep. 2022; 10:311-23. https://doi.org/10.1007/s40141-022-00368-1
  26. Choi SW, Shin MS, Kim, SC. Mononeuropathy and Nerve Entrapment Syndromes. 1st ed. Seoul; Gaonhaemedia Publishing Inc. 2017:14-16,54-70,124-5.
  27. Seo YM, Lee JW, Cha HJ, Seo DW, Park SJ, Lee CH. A Clinical Report of Patient with Mandibula Tremor Caused by Spiritual Trauma. J. of OrientalNeuropsychiatry. 2009; 20:237-47.
  28. Suh HU, Hwang EY, Jung SY, Kim JW. A Case of a Panic Disorder (with Agoraphobia) Patient Improved by Herbal Extracts-Gyejigayonggolmoryo-tang (Guizhijialonggumulitang) and Jakyakgamcho-tang (Shaoyaogancao-tang). J. of Oriental Neuropsychiatry. 2010;21:207-18.
  29. Kim JE, Park DW, Han JY, Lee JH. Comparisons of HRV Parameters Among Anxiety Disorder, Depressive Disorder and Trauma. Stressor Related Disorder. Korean J. of Psychosomatic Medicine. 2020;28:81-8.
  30. Hwang MS. Study on the Treatment Mechanism of Back-Shu Points for Organ Dysfunction. Korean J of Acupuncture. 2016;33:95-101. https://doi.org/10.14406/acu.2016.019