The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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The Case of a Patient with Dysphagia and Dysarthria Diagnosed as Pseudobulbar Palsy Caused by Multiple Cerebral Infarction Treated with Banhahoobak-tang

다발성 뇌경색으로 인한 거짓연수마비 환자의 연하장애 및 어삽에 유효하였던 한방 치료 1례 - 반하후박탕을 중심으로

  • Kim, Su-bin (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Kim, Kyung-mook (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Suh, Won-joo (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Mun, Sang-kwan (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Jung, Woo-sang (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Kwon, Seung-won (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Cho, Ki-ho (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital)
  • 김수빈 (경희대학교 한방병원 순환신경내과) ;
  • 김경묵 (경희대학교 한방병원 순환신경내과) ;
  • 서원주 (경희대학교 한방병원 순환신경내과) ;
  • 문상관 (경희대학교 한방병원 순환신경내과) ;
  • 정우상 (경희대학교 한방병원 순환신경내과) ;
  • 권승원 (경희대학교 한방병원 순환신경내과) ;
  • 조기호 (경희대학교 한방병원 순환신경내과)
  • Received : 2018.03.15
  • Accepted : 2018.05.23
  • Published : 2018.05.30
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Abstract

Objective: The purpose of this clinical study is to report the effect of Banhahoobak-tang in the case of a 57-year-old woman with multiple cerebral infarction causing dysphagia and dysarthria diagnosed as pseudobulbar palsy. Methods: A patient was treated with Korean medicine, including herbal medication, acupuncture, and language therapy. We focused on the effect of Banhahoobak-tang by evaluating improvements in symptoms by examining times of aspiration and changes in Speech Mechanism Screening Test scores. Results: After three months of Korean medicine treatment and language therapy, there was improvement in the patient's symptoms, including dysphagia and dysarthria. Conclusions: This study suggests that Korean medicine treatment could be effective for improving the symptoms of pseudobulbar palsy in patients. Specifically, herbal medicine (Banhahoobak-tang) could be an effective choice for treating dysphagia.

Keywords

References

  1. Jang SH, Kim JH, Seo YS, Kwak SY. Recovery of an injured corticobulbar tract in a patient with stroke : A case report. Medicine 2017;96(38) :e7636. https://doi.org/10.1097/MD.0000000000007636
  2. Afifi AK, Bergman RA, Functional Neuroanatomy: Text and Atlas. 2nd ed. New York: Lange Medical Books/McGraw-Hill; 2005.
  3. Korean Neuroscience Association. Neurology. Seoul: Panmun Education; 2017.
  4. Im EY, Baek KM. The effect of Banhahooback-tang(Banxiaheobue-tang) in ALS patient with progressive bulbar dysfunction. The Journal of East-West Medicines 2009;34(4):73-84.
  5. Lee JH, Han SJ, Lee EJ, Lee JE, Nam SU, Ha NY, et al. A Case Study of Hypoglossal Nerve Palsy Patient with Tongue Paralysis Treated with Korean Medical Treatment. The Journal of Korean Oriental Internal Medicine 2016;37(5): 870-5. https://doi.org/10.22246/jikm.2016.37.5.870
  6. Ahn JH, Kim SY, Park JH, Cho JJ, Choi DY, Lee SH, et al. A Case Report on the Use of Korean Medicine Treatment for a Patient with Dysarthria Caused by Progressive Bulbar Palsy (PBP). The Acupuncture 2017;34(1):49-58. https://doi.org/10.13045/acupunct.2017074
  7. Shin MJ, Kim JO, Lee SB, Lee SY. et al. Speech Mechanism Screening Test. Seoul: Hakjisa; 2010.
  8. Yim SH, Kim JH, Han ZA, Jeon S, Cho JH, Kim GS, et al. Distribution of the corticobulbar tract in the internal capsule. J Neurol Sci 2013; 334(1-2):63-8. https://doi.org/10.1016/j.jns.2013.07.015
  9. Son JH, Lee SH, Jeong HC, Han SH, Nam Y. A Clinical study on the Improved Dysphagia associated with Ischemic Stroke using acupuncture therapy(Yomch'on CV23). Journal of Korean Acupuncture & Moxibustion Society 2003;0(0): 71-7.
  10. Xu JM, Li HL, Lu HY, Chen ZG, Liu LQ, Jing S. Effect of acupuncture on the speech and acoustics level in patients with dysarthria. Zhongguo Zhen Jiu 2010 Jul;30(7):537-41.
  11. Lee SH, Shin KH, Kim JU. Effect of Seven Points of CVA Acupuncture on Cerebral Blood Flow. Journal of Korean Acupuncture & Moxibustion Society 2004;21(3):83-97.
  12. Lim JH. Conservative Treatment of Dysphagia. Brain & NeuroRehabilitation 2009;2(2):108-12. https://doi.org/10.12786/bn.2009.2.2.108
  13. Ikeda Masakazu. GeumGweyoryak - For first time readers. Seoul: Chunghong; 2002.
  14. Nakada Y, Arai M, Kokawa M, Takayanagi H, Mochiduki K, Yamabe N, et al. Functional improvement of deglutition after hangekobokuto treatment in two cases: Endoscopy and fluoroscopy evaluation. Traditional & Kampo Medicine 2015; 2(2):97-101. https://doi.org/10.1002/tkm2.1020
  15. Nishiyamaa Y, Abea A, Uedaa M, Ichiro K, atsuraa K, Katayamaa Y. Nicergoline Increases Serum Substance P Levels in Patients with an Ischaemic Stroke. Cerebrovasc Dis 2010;29(2) :194-8. https://doi.org/10.1159/000267279
  16. Naito T, Itoh H, Takeyama M. Effects of Hange-koboku-to (Banxia-houpo-tang) on neuropeptide levels in human plasma and saliva Biol. Pharm Bull 2003;26(11):1609-13. https://doi.org/10.1248/bpb.26.1609
  17. Iwasaki K, Kato S, Monma Y, Niu K, Ohrui T, Okitsu R, et al. A pilot study of banxia houpu tang, a traditional Chinese medicine, for reducing pneumonia risk in older adults with dementia. J Am Geriatr Soc 2007;55(12):2035-40. https://doi.org/10.1111/j.1532-5415.2007.01448.x
  18. Ohkubo T, Chapman N, Neal B, Woodward M, Omae T, Chalmers J. Effects of an angiotensin-converting enzyme inhibitor-based regimen on pneumonia risk. Am J Respir Crit Care Med 2004;169(9):1041-5. https://doi.org/10.1164/rccm.200309-1219OC
  19. Nakashima T, Hattori N, Okimoto M, Yanagida J, Kohno N. Nicergoline improves dysphagia by upregulating substance P in the elderly. Medicine(Baltimore) 2011 Jul;90(4):279-83. https://doi.org/10.1097/MD.0b013e318224413b