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A Clinical Experience of Bilateral Facial Palsy accompanied by Contralateral Otitis Media under Treatment for Bell's palsy

벨마비 치료 중 건측에 중이염이 동반된 양측성 안면마비 치험 1례

  • Gang, Bung-Su (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University) ;
  • Kim, Hae-Hwa (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University) ;
  • Lim, Gyung-Mim (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University) ;
  • Choi, Jung-Hwa (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University) ;
  • Park, Su-Yeun (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University) ;
  • Jung, Min-Young (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University) ;
  • Kim, Jong-Han (Dept. of Oriental Medicine Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Dong Sin University)
  • 강병수 (동신대학교 한방병원 한방안이비인후피부과) ;
  • 김혜화 (동신대학교 한방병원 한방안이비인후피부과) ;
  • 임경민 (동신대학교 한방병원 한방안이비인후피부과) ;
  • 최정화 (동신대학교 한방병원 한방안이비인후피부과) ;
  • 박수연 (동신대학교 한방병원 한방안이비인후피부과) ;
  • 정민영 (동신대학교 한방병원 한방안이비인후피부과) ;
  • 김종한 (동신대학교 한방병원 한방안이비인후피부과)
  • Received : 2016.10.11
  • Accepted : 2016.11.20
  • Published : 2016.11.25

Abstract

Objectives : To report the patient bilateral facial palsy, because it is unusual. Methods : One patient with bilateral facial palsy was selected. Herbal medicine(Cheunggansoyosan, bubidongyeom-2) was administered and acupuncture was applied for twice a day in 73 days. Facial function was evaluated by House-Brackmann scale, Yanagihara's scale and Standardization of muscular paralysis. Results : Cheunggansoyosan, bubidongyeom-2 and acupuncture treatment improved facial function after 73 days of treatment. Adverse effects were not reported. Conclusions : This study shows that the Korean medicine treatment was effective in improving bilateral facial palsy.

간담습열(肝膽濕熱)로 변증되는 양측성 안면신경 마비 환자 치험 1례에서, 초기 편측 안면신경 마비에 청간소요산의 내복약과 침 치료 등 한방 치료와 항바이러스제의 양방 치료를 병행하였다. 또한 치료 중에 건측에 발생한 중이염 이후 잇따라 양측성 안면신경 마비가 발생하였을 때, 소염, 해열, 진통 효과가 있는 가미갈근탕의 변방인 부비동염-2의 내복약을 비롯한 지속적인 한방 치료 및 항균제의 양방 치료의 병행으로 원인 질환인 중이염을 먼저 치료를 하고 이후에 안면신경 마비 치료를 지속하였다. 이에 환자가 양호한 치료결과를 얻었으므로 이를 보고하는 바이다.

Keywords

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Cited by

  1. 특발성 양측성 안면신경 마비 환자에 대한 한의치료 증례보고 1례 vol.41, pp.2, 2020, https://doi.org/10.22246/jikm.2020.41.2.224