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KMID : 0363320220430061186
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Journal of Korean Oriental Internal Medicine
2022 Volume.43 No. 6 p.1186 ~ p.1197
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A Case of Psychogenic Tremor Improved by Complex Korean Medicine Treatment Including Cheongshimondam-tang-gamibang and Acupuncture Treatment - A Case Report
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Lee Ji-Hyun
Yoon Seok-Yeong
Jeon Hyon-Jun
Joo Sung-Jun
Lee Ji-Su
Leem Jung-Tae
Han Yang-Hee
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Abstract
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Objectives:A case study about the effectiveness of integrative Korean medicine treatment in a psychogenic tremor patient.
Case presentation:A 36-year-old male diagnosed with psychogenic tremor with low back pain underwent 29 days of inpatient treatment and 4 weeks of outpatient treatment. His pattern identification was a psychogenic tremor of the weakness of the heart and gall bladder (SimDamHeoGup) type. The treatments were herbal medicine and acupuncture. He took Cheongshimondam-tang for 29 days and Chunwangbosim-dan for 6 weeks when he had symptoms. He also received acupuncture for 20 minutes twice a day at GB20 (Pungji), L14 (Hapgok), HT4 (Yeongdo), PC6 (Naegwan), HT7 (Sinmun), GB34 (Yangleungcheon), ST36 (Joksamni), SP6 (Sameumgyo), and LR3 (Taechung). After 8 weeks of treatment, the Fahn Tolosa Marin rating (FTM) scale of his tremor, at rest, dropped from Grade 4 on both upper extremities, trunk, and both lower extremities at the time of admission to Grade 2 in both upper extremities and trunk, and Grade 0 in both lower extremities at the time of discharge. His Beck Anxiety Inventory (BAI) score decreased from 38 to 7, and his numerical rating scale (NRS) decreased from 8 to 1 for low back pain and from 9 to 2 for tremor. A follow-up visit to the hospital 2 months after the end of treatment confirmed continued symptom improvements and no significant side effects.
Conclusions:This study suggests the possibility of treating psychogenic tremor using only Korean medicine treatments. Further studies with control groups and long-term follow-up are needed.
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KEYWORD
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psychogenic tremor, case report, acupuncture, herbal medicine, Cheongshimondam-tang, Chunwangbosim-dan, Beck anxiety inventory (BAI)
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