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다낭신 환자의 요추 추간판탈출증에 대한 통합한방치료 1례

A Case Report of Lumbar HIVD Treated with Korean Medicine on a Polycystic Kidney Patient

대한한방내과학회지 2020년 41권 2호 p.132 ~ 140
주아라 ( Ju Ah-Ra ) - Bu-Cheon Jaseng Hospita lof Oriental Medicine Department of Oriental Internal Medicine

류광현 ( Ryu Gwang-Hyun ) - Bu-Cheon Jaseng Hospita lof Oriental Medicine Department of Oriental Internal Medicine
박미소 ( Park Mi-So ) - Bu-Cheon Jaseng Hospita lof Oriental Medicine Department of Oriental Internal Medicine
최요섭 ( Choi Yo-Sup ) - Bu-Cheon Jaseng Hospita lof Oriental Medicine Department of Oriental Internal Medicine
추원정 ( Choo Won-Jung ) - Bu-Cheon Jaseng Hospita lof Oriental Medicine Department of Oriental Internal Medicine
채지원 ( Chae Ji-Won ) - Bu-Cheon Jaseng Hospita lof Oriental Medicine Department of Korean Medicine Rehabilitation

Abstract


Objectives: This research study aimed to determine the effect of Korean medicine treatments on a patient with lumbar disc herniation accompanying polycystic kidney disease.

Methods: Acupuncture, herbal medicine, pharmacopuncture, spine decompression therapy, Motion Style Acupuncture Treatment (MSAT), and Chuna were preceded for treatment. We checked the patient's Oswestry Disability Index (ODI), numeric rating scale (NRS), and straight leg raise test (SLRT) on admission and discharge; we also used the NRS and SLRT to evaluate the patient's symptoms on every third day during the hospital stay. Because it is important to manage blood urea nitrogen (BUN), serum creatinine, and blood pressure during the early stage of polycystic kidney disease, BUN and serum creatinine levels were checked weekly while blood pressure was checked every morning.

Results: Twelve days after admission, the NRS for lower back pain and right leg pain decreased from 7 to 3 and from 7 to 2, respectively. The ODI value also decreased from 56 to 20 while the SLRT value increased from 30/70 to 60/70. The BUN and serum creatinine levels and the blood pressure readings were all within normal range every time they were checked.

Conclusions: The use of Korean medicine treatments resulted in improvements in NRS, ODI, and SLRT on a patient with a herniated lumbar disc herniated who had a past history of polycystic kidney disease; thus, the patient was able to maintaining kidney functioning. Herbal medicine, an alternative method of analgesic anti-inflammatory drugs that has been evaluated as relatively safe on liver and kidney function, could be suggested on a patient with a past history of polycystic kidney disease to maintain kidney function when renal function and blood pressure are monitored.

키워드

polycystic kidney; lumbar HIVD; Korean medicine treatment
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