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The Journal of Internal Korean Medicine > Volume 42(5); 2021 > Article
The Journal of Internal Korean Medicine 2021;42(5): 904-915.
doi: https://doi.org/10.22246/jikm.2021.42.5.904
제초제 음독 후 발생한 신경학적 후유증으로 사지마비, 인지저하를 호소한 환자의 한의치료 증례보고 1례
심상송, 안재윤, 진효원, 윤종민, 문병순
원광대학교 한의과대학 내과학교실
A Case Report on Korean Medical Treatment for a Patient with Quadriplegia and Impaired Cognition as Neurological Sequelae after Ingestion of Herbicides
Sang-song Shim, Jae-yoon Ahn, Hyo-won Jin, Jong-min Yun, Byung-soon Moon
Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University
Correspondence  Byung-soon Moon ,Tel: 063-859-2802, Fax: 063-841-0033, Email: mbs@wku.ac.kr
Received: September 15, 2021,   Accepted: October 25, 2021,   Published online: October 30, 2021.
ABSTRACT
This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G →Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.
Key words: herbicide intoxication, toxic encephalopathy, hypoxic encephalopathy, quadriplegia, impaired cognition, Korean medicine treatment, case report
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