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The Journal of Internal Korean Medicine > Volume 25(3); 2004 > Article
The Journal of Internal Korean Medicine 2004;25(3): 669-676.
성상신경절차단술로 제어되지 않은 대상포진후 신경통환자 치험 1례
이정은1, 배한호1, 한영주1, 임도희1, 채은영1, 조철준2, 박양춘1
1대전대학교 한의과대학 내과학교실
A Case Report of Post-herpetic neuralgia uncontroled after Stellate Ganglion Block
Jung-eun Lee1, Han-ho Bae1, Young-joo Han1, Do-hee Lim1, Eun-young Chae1, Chul-jun Jo2, Yang-chun Park1
1Department of Internal Medicine, College of Oriental Medicine, Daejeon University
2Department of Internal Medicine, Kwang-Dong Oriental Medicine Hospital
Correspondence  Yang-chun Park ,Tel: 043-229-3704, Fax: 043-253-8757, Email: omdpyc@dju.ac.kr
Received: July 26, 2004,   Accepted: August 13, 2004,   Published online: September 30, 2004.
Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care. We treated a 60 year-old female patient who suffered pain and headache after Stellate Ganglion Blocks(SGB). In identifying points for differentiation of syndrom(辨證), this subject was diagnosed as Yangmyeong Merdian wind-heat syndrom(陽明經風熱證) and was administered Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方). To ease pain, Western medication was administered as well. After fourteen days of treatment, pain and other symptoms improved.
Key words: Post-herpetic neuralgia(PHN), Stellate Ganglion Block(SGB), Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方)
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