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KMID : 0363320230440051071
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Journal of Korean Oriental Internal Medicine
2023 Volume.44 No. 5 p.1071 ~ p.1082
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A Case of Cold Hypersensitivity of Hands and Feet Treated with Korean Medicine Including Gyejifabuja-tang-gmibang and Acupuncture in a Patient with Lumbar Spinal Herniated Intervertebral Disc - A Case Report
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Yun Sang-Hun
Kim Sang-Yoon
Wang Yen-Min
Baek Gil-Geun
Lee Yu-Jin
Lee Hyung-Chul
Kang Man-Ho
Park Sung-Hwan
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Abstract
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Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc.
Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (ÍØò®), L14 (ùêÍÛ), TE5 (èâμ) on her hands, LR3 (÷¼õú), SP6 (ß²ëäÎß), SP9 (ëä×Õô») ST36 (ðëß²×ì), GB41 (ðëìúëè) on Feet, GV4 (Ù¤Ú¦), GV3 (é¦åÕμ), BL23 (ãìêä), BL24 (Ѩúêä), BL25 (ÓÞíóêä), and BL26 (μêªêä) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed.
Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.
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KEYWORD
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cold hypersensitivity of hands and feet, Korean medical treatment, herbal medicine, case report, lumbar spinal herniated intervertebral disc
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