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KMID : 0363320230440010066
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Journal of Korean Oriental Internal Medicine
2023 Volume.44 No. 1 p.66 ~ p.76
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A Case Report on the Use of Heart Rate Variability and the Treatment Effect of Bunshimgi-eum on Autonomic Dysfunction After Cerebral Infarction
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Kim Jun-Seok
Kagn Ji-Hyeon
Kim Seo-Hyun
Kim Chae-Eun
Kim Na-Yeon
Jang Woo-Seok
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Abstract
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Background: The aim of this study is to investigate the use of heart rate variability on a stroke patient with autonomic dysfunction and the effectiveness of Bunshimgi-eum.
Case report: The patient showed autonomic dysfunction, including chest discomfort, 煩燥 (sweating, anxiety, insomnia, nausea, lightheadedness), and abdomen discomfort (dyspepsia, heartburn) after ischemic stroke. She was treated with a herbal medicine (Bunshimgi-eum) through complex Korean medicine treatment. The effect was evaluated using heart rate variability (HRV), Mini-Mental State Examination-DS (MMSE-DS), mean pulse rate, and subjective percentage of symptoms. After treatment, the HRV score, MMSE-DS score, and subjective percentage of symptoms improved, and the pulse rate decreased from the upper boundary value.
Discussion: The results suggest that HRV may be useful in evaluating stroke patients with autonomic dysfunction and that Bunshimgi-eum is suitable for treatment.
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KEYWORD
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autonomic dysfunction, Bunshimgi-eum, heart rate variability, herbal medicine, stroke
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