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Case Report of Radial Nerve Palsy Patients Treated with Additional Jungsongouhyul Pharmacopuncture

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Case Report of Radial Nerve Palsy Patients Treated with Additional Jungsongouhyul Pharmacopuncture

Eun-Hee Choi, *Hea-Sun Chun, *Hye-Seon Ryu, *Ju-Hee Lee, **Dong-Seon Yang, Seok Hong

Department of Internal Medicine, Dongshin University College of Oriental Medicine, Naju, Korea

*Department of Acupuncture & Moxibustion, Dongshin University College of Oriental Medicine, Naju, Korea

**Department of Oriental Gynecology, Dongshin University College of Oriental Medicine, Naju, Korea KEY WORDS:

Radial nerve palsy;

Jungsongouhyul Pharmacopuncture Received : Aug 12, 2011 Revised : Sep 18, 2011 Accepted : Oct 27, 2011

I . 서론

3

3-4

Abstract

Objectives: This study was to investigate the clinical effect of additional Jungsongouhyul Pharmacopuncture on radial nerve palsy patients.

Methods & Results: The patients were hospitalized or outpatients in Department of traditional kore- an medical hospital, Dongshin University from 28th, Oct. 2009 to 25th, Aug, 2010. All patients were treated by additional Jungsongouhyul Pharmacopuncture. To evaluate the wrist drop and numbness of fingers, coding result, Verbal numerical scale (VNS) were used. As the result, symptoms are improved remarkably according to improvement of coding result, VNS score.

Conclusions: Patients were treated during 3.5 weeks in average. All cases were excellent results by additional Jungsongouhyul Pharmacopuncture. But further studies are required to investigate exact effects.

Case Report

중성어혈 약침치료를 병행한 요골신경마비 환자 치험 4례

2011 Korean Pharmacopuncture institute http://pharmacopuncture.co.kr

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://cre- ativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non- commercial use, distribution, and reproduction in any medium, provid- ed the original work is properly cited.

Corresponding Author

Seok Hong. Department of Acupuncture & Moxibustion,

Dongshin University College of Oriental Medicine, 1722-9, Joredo-ng, Suncheon 520-714, Korea

Tel: +82-61-729-7155 E-mail: [email protected] cc

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4

II . 대상 및 방법 1

2009 10 28 2010 8 25

4

2

2.1

1 30mm 30mm stainless steel

2-3 1 20

2.2

1 26gage

5~10 0.1

0.3 1

2

1.5

1 2

2.3 1,2

3,4

3

3.1

coding results(table1)

12)

10

3.2

VNS(Verbal numerical scale)

value

DF PF MP Ext FT-MPC ABD IP-Ext

Excellent 50 30 170 0 40 180

Fair 25 10 155 1/2in 30 165

Good

25 to 50

10 to 30

155 to 170

0 to 1/2in

30 to 40

165 to 180 Table 1. Arbitrary values used to evaluate results

DF: dorsiflexion, PF: palmar flexion, MP Ext: metacarpha- lageal joint extension.

FT-MPC: fingertip to mid-palmar crease, ABD: abductoin, IP Ext: interphalangeal joint extension.

Wrist Fingers Thumb

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1. 1

(M/43)

1.1

1,2

1.2 2009 10 24

1.3

1.4

1.5 2009 10 24 local Brain-MRI 2009 11 3

1.6

2009 11 3 2009 11 12

VNS

2 2

(F/57)

2.1 1,2,3

1,2

2.2 2009 12 26

2.4

2.5 2009 12 26

Brain-CT MRI

2.6

2009 12 26 2010 1 30

VNS

3 3

(M/73)

3.1 1,2,3

1,2

3.2 2009 10 28

3.3

3.4

3.5 2009 10 28

3.6

Numbness (VNS)

G(4) G(7)

E(9) E(10)

G(7) E(8)

E(7) E(8)

F(5) G(7)

G(6) G(8)

2009.11.3 10

2009.11.12 2009.11.6 2009.11.9

7 2 Table 2. The results of arbitarary values

E: Excellent. G: Good. F: Fair, (Number) means muscle power.

Wrist Fingers Thumb

DF PF MP ExtFT-MPC ABD IP-Ext F(2) E(9) G(7) G(6) F(5) F(5)

E(9) E(10) E(9) E(10) E(9) E(10)

Numbness (VNS)

F(2) G(5)

E(9) E(9)

F(1) F(2)

F(1) G(3)

F(1) G(4)

F(1) G(4)

2009.12.26 10

2010.1.30 1

2010.1.20 2

2010.1.2 2010.1.11

8 5 Table 3. The results of arbitarary values

E: Excellent, G: Good. F: Fair, (Number) means muscle power.

Wrist Fingers Thumb

DF PF MP Ext FT-MPC ABD IP-Ext F(0) E(8) F(0) F(0) F(1) F(0)

G(6) E(9) G(4) G(4) G(6) G(6) E(9) E(9) G(6) G(6) E(9) E(9)

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2009 10 28 2009 11 20

4 4

(F/42)

4.1 (C/C) 1,2,3

1,2

4.2 (O/S) 2010 8 1

4.3 (P/H)

4.4 (F/H)

4.5 (P/I) 2010 8 1

4.6

2009 10 28 2009 11 20

VNS

IV . 고찰 및 결론

C5, 6, 7, 8 T1

(posterior brachial cutaneous branch) long head

(radial grove)

1

Numbness (VNS)

F(3) G(6)

E(9) E(10)

G(6) E(8)

G(6) E(8)

G(4) G(6)

F(2) G(6)

2009.10.28 10

2009.11.20 2009.11.2 2009.11.9

8 6 Table 4. The results of arbitarary values

E: Excellent, G: Good, F: Fair, (Number) means muscle power.

Wrist Fingers Thumb

DF PF MP ExtFT-MPC ABD IP-Ext F(0) E(9) G(4) G(5) G(4) F(2)

E(10) E(10) E(9) E(10) E(9) E(9)

Numbness (VNS)

G(6) G(6)

E(10) E(10)

G(6) E(8)

G(6) E(8)

G(6) G(6)

F(2) G(6)

2010.8.1 10

2010.8.25 2010.8.9 2010.8.19

7 5 Table 5. The results of arbitarary values

E: Excellent, G: Good, F: Fair, (Number) means muscle power.

Wrist Fingers Thumb

DF PF MP ExtFT-MPC ABD IP-Ext F(1) E(9) G(6) G(6) G(4) F(2)

E(9) E(10) E(9) E(10) E(9) E(9)

(5)

Tinel' sign

1 5

2 1.5 1

power 1,2

2 1,2,3

1,2

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3

1,2,3 power 1,2

4

1,2,3 power

1,2

1 3

2 3 4 5

3- 5

8-12

5

8 5

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