복합한방치료로 호전된 섬유근통증후군 환자에 대한 증례보고
The Clinical Study on a case of Fibromyalgia Syndrome(FMS) Patient
Case Report
Lee Yoo-hwan, Kim Jung-Hee, Lee Chang-hwan, Kim cheol-hong, Youn Hyoun-min Department of Acupuncture & moxibustion, College of Oriental Medicine, Dong-Eui University
ABSTRACT
Objective : This study is to report the effect that taken by using oriental treatment on the patient with Fibromyalgia Syndrome(FMS).
Methods : We have observed this case of patient treated by Acupuncture therapy, pharmacopuncture therapy and herbal medication.
Results : There was improvement in condition of the patient who had Fibromyalgia Syndrome(FMS) after treated by using oriental treatment.
Conclusion : Oriental treatments such as Acupuncture therapy, Pharmacopuncture therapy and herbal medication can be effective for the Fibromyalgia Syndrome(FMS).
Key Words:
Fibromyalgia Syndrome(FMS), Pharmacopuncture ther- apy.
Received : 11. 01. 18 Revised : 11. 03. 02 Accepted : 11. 03. 02
Corresponding author : Hyun-Min Yoon Dong-Eui Univ. Oriental Medicine Hospital San 45-1, Yangjung2-Dong, Busanjin-Gu Busan, Korea, 614-710
Tel : (82)51-850-8934, Fax : (82)51-867-5162 E-mail : [email protected] This work was supported by grants from Dongeui University(2010AA123).
I
. 서 론fibromyalgia syndrome
fibrositic tender point, Fig. 1, Table 1.
1990
18 11
1~4 2~5 10~20
2010 8 14 8
27 9 28 10 9
1
II
. 증 례1
43
2
3
2009 11
4
2010 8 14
5
6
CVA
7
2010 8 14 8 27 2010 9 28
10 9 2
8
43 2009 11
2009 12 steroid
2010 6 25 7 16
2010
8 2 8 9 L/C
2010 8 14
self walking 3
9
1
1 2-3Hr/day
2 1/2 1
3
4 1 1
5 5-6 2-3
6
7
8
9
10
10
1 vital sign
Blood Pressure 110/70mmHg, Pulse 72 /min, Respiration 20 /min, Temperature 36.4 C
2
3 chest EKG
11
1
0.20 x 30 1 stainless steel
1~20
30 1 2
0.40 x 0.60 1 stainless steel 5-6 1 1
2
sweet bee venom sweet BV, SBV
SBV 1.0cc 1 0.30 x
8
0.3cc 0.6cc
5-6 Table 2.
20cc 1 23G
3-5 Table 2.
3
1 2010 8 14 23
2 2010 8 24 25
3 2010 8 26 10 9
4
1 2009 12 2010 8
14
1T bid 6mg 3T
0.5 1T qd 25 1T qd 200 1T bid 1T bid
75 1C bid 50 1C bid
2 2010 9 28 2
2
1T bid 200 1T bid
1C tid
50 1C bid 1T bid
12
1 Visual Analogue Scale,
VAS
0 10
VAS Fig. 2
13
1 1 2010 8 14 27
2010 8 14
1
80 vas 6-7
vas 5
90 vas 6
2 2 2010 9 28 10 9
1 f/u 4 2010
9 28 2 1
2
vas 6-7
70-80
2
vas 4
80
vas6
III
. 고 찰fibrositic tender point
2 0.5 3.4
10 80
40~50
2005
2010 6
2010 8 14 3
Hormone
VAS 5 80-90
VAS 6
2 1
IV
. 결 론2010 8 14 8 27 2010 9 28
2010 10 9
1
V
. 참고 문헌1) Bonica JJ: The management of pain. 2nd ed.
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Bombardier C, Goldenberg DL, et al. The Am- erican College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 1990;33:160-72
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2002:263-64
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2007:60
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12) 2002:974-8
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19) 1999 : 17-8 20) Byung Jun Cho, Ki Rok Kwon. Effects of
Cultivated Wild Ginseng Herbal Acupuncture to the serum cytokine on Hepatic Metastatic Model using Colon26-L5 Carcinoma Cells.
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Fig. 1. Test of FMS
Criteria for the Classification of Fibromyalgia (The American College of Rheumatology 1990) 1. History of widespread pain has been present for at least three months
Definition : Pain is considered widespread when all of the following are present:
1) Pain : in both sides of the body
2) Pain : above and below the waist In addition, axial skeletal pain (cervical spine, anterior chest, thoracic spine or low back pain) must be present. Low back pain is considered lower segment pain.
2. Pain in 11 of 18 tender point sites on digital palpation
Definition : Pain, on digital palpation, must be present in at least 11 of the following 18 tender point sites:
1) Occiput - at the suboccipital muscle insertions.
2) Low cervical - at the anterior aspects of the intertransverse spaces at C5-C7.
3) Trapezius - at the midpoint of the upper border.
4) Supraspinatus - at origins, above the scapula spine near the medial border.
5) Second rib - upper lateral to the second costochondral junction.
6) Lateral epicondyle - 2 cm distal to the epicondyles.
7) Gluteal - in upper outer quadrants of buttocks in anterior fold of muscle.
8) Greater trochanter - posterior to the trochanteric prominence.
9) Knee - at the medial fat pad proximal to the joint line.
Digital palpation should be performed with an approximate force of 4 kg. A tender point has to be painful at palpation, not just "tender."
Table 1. Criteria for the Classification of Fibromyalgia (The American College of Rheumatology 1990) Fig. 2. Change of VAS Score
Date 8/14 8/15 8/16 8/17 8/18 8/19 8/20
PT SBV 0.3 SBV 0.3 SBV 0.3 SBV 0.3 SBV 0.3
0.3
SBV 0.3 HPP 0.3
MGP o o o o o
Date 8/21 8/22 8/23 8/24 8/25 8/26 8/27
PT SBV 0.3
HPP 0.3 SBV 0.3 SBV 0.3
HPP 0.3 HPP 0.3 SBV 0.3 SBV 0.3
HPP 0.3
MGP o o o
Date 9/9 9/16 9/28 9/29 9/30 10/1 10/2
PT SBV 0.9
HPP 0.3 SBV 0.9 SBV 0.
HPP 0.3
SBV 0.3
HPP 0.3 SHP 0.3 SBV 0.3 SBV 0.6
SHP 0.6
MGP o o o o o
Date 10/3 10/4 10/5 10/6 10/7 10/8 10/9
PT SBV 0.6
SHP 0.6
SBV 0.6 HPP 0.3
SBV 0.6 SHP 0.6
SBV 0.6 SHP 0.6
SBV 0.6 SHP 0.6
SBV 0.6 SHP 0.6
MGP o o o
Table 2. Chart of pharmacopuncture therapy
* PT - Pharmacopuncture Treatment
* MGP - Mountain Ginseng Pharmacopuncture
* HPP - Hominis Placenta Pharmacopuncture
* SHP - Samgi-Halleak Pharmacopuncture( )
