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특발성 양측성 안면신경 마비 환자에 대한 한의치료 증례보고 1례

A Case Report of Traditional Korean Medicine Treatment for a Patient with Idiopathic Bilateral Facial Nerve Pals

대한한방내과학회지 2020년 41권 2호 p.224 ~ 232
제유란 ( Je Yun-Ran ) - Dongeui University College of Oriental Medicine Department of Oriental Medicine

하다정 ( Ha Da-Jung ) - Dongeui University College of Oriental Medicine Department of Oriental Medicine
황원덕 ( Hwang Won-Deok ) - Dongeui University College of Oriental Medicine Department of Oriental Medicine

Abstract


Objectives: This case report presents the effects of traditional Korean medicine on a patient with idiopathic bilateral facial nerve palsy.

Methods: Two evaluation scales, the House-Brackmann (H-B) scale and the Yanagihara scale, were used to evaluate the symptoms of bilateral facial palsy. Herbal medicine and acupuncture treatment were administered to improve the patient’s symptoms in parallel with Western oral medication (Valvirus Tab 500 mg, Solondo 5 mg, Lipitor 20 mg, Almagel 15 ml, Lanston 15 mg).

Results: Before treatment, the patient had severe facial paralysis with an H-B scale of 5/5 and a Yanagihara scale of 3/2 on both sides. However, after treatment, the symptoms improved significantly with an H-B scale of 2/3 and a Yanagihara scale of 31/26.

Conclusions: This case report shows that traditional Korean medicine in parallel with Western oral medication can be effective in the treatment of idiopathic bilateral facial nerve palsy.

키워드

bilateral facial nerve palsy; Bell's palsy; traditional Korean medicine treatment; case report
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