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The Journal of Internal Korean Medicine > Volume 27(1); 2006 > Article
The Journal of Internal Korean Medicine 2006;27(1): 288-293.
右上肢 單痲痺가 主症인 風痱 환자의 萬金湯加味方 투여 호전 1례
김진원1, 정병주1, 우성호1, 김병철1, 김용호1, 서호석1, 황규동1, 장하정2, 남효익3, 김회영3
1국립의료원 한방진료부 내과
2국립의료원 한방진료부 신경정신과
3광동한방병원 내과
Case Report of Hemiplegia after apoplexy(風痱) in a Patient with Monoplegia on Right Upper Extremity Treated with Herbal Prescription
Jin-won Kim1, Byeong-ju Jeong1, Sung-ho Woo1, Byung-chul Kim1, Yong-ho Kim1, Ho-seok Seo1, Gyu-dong Hwang1, Ha-jeong Jang2, Hyo-ick Nam3, Hoi-young Kim3
1Department of Oriental Internal Medicine, National Medical Center
2Department of Oriental Neuropsychiatry, National Medical Center
3Department of Oriental Internal Medicine, Kwang-Dong Oriental Medicine Hospital
Correspondence  Jin-won Kim ,Tel: 02-2260-7454, Fax: 02-2260-7464, Email: sandman10@hanmail.net
Received: February 12, 2006,   Accepted: March 2, 2006,   Published online: March 30, 2006.
ABSTRACT
Background:
Monoplegia is the paralysis of a limb. It is commonly caused by an injury to the cerebral cortex, and rarely caused by injury to the internal capsule, brain stem, or spinal cord. Most problems with cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus.

Objectives:
This study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment of monoplegia on an upper extremity to test the validity of acupuncture and herbal treatment for it.

Methods :
By using Digital Infrared Thermographic Imaging(DITI), thermal differences(⊿T) of acupoints on the upper extremity in a patient with monoplegia on the right upper extremity were measured after an attack of the disease. By giving Mangeum-tang(萬金湯) and treating the patient with acupuncture, the temperature changes of the upper extremity were examined through DITI and improvement was observed.

Results:
Compared with the left arm which suffered no such injury, the right recovered about 80% of sensation, and the grade of monoplegia improved from Grade O to Grade V. Also, the temperatures of right palmar-dorsal hand and the region of Weiguan(外關, Waiguan, TE5) were 1°C and 1.45°C higher than the same left region on admission day, but the thermal differences(⊿T) narrowed to 0.5°C by the last day.

Conclusions:
Results suggest that DITI screening is a reliable method of prognosis and that the time required for treatment can be estimated through this method in cases of monoplegia to an upper extremity. Also, progress in treatment is reflected in thermal differences of acupoints of the monoplegic upper extremity in accordance with the theory of meridian. This supports a role for acupuncture and herbal treatment for monoplegia.
Key words: monoplegia, Digital Infrared Thermographic Imaging(DITI), Mangeum-tang(萬金湯), hemiplegia
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