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KMID : 0363620080290010146
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Journal of Korean Oriental Medicine
2008 Volume.29 No. 1 p.146 ~ p.155
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The effectiveness of oriental medical therapy compared to oriental-western medical therapy on acute bell’s palsy
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Cho Ki-Ho
Jung Woo-Sang
Hong Jin-Woo
Hwang Jae-Woong
Na Byung-Jo
Park Sung-Wook
Moon Sang-Kwan
Park Jung-Mi
Ko Chang-Nam
Kim Young-Suk
Bae Hyung-Sup
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Abstract
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Objectives: This study was to assess the effectiveness of oriental medical therapy (OM) on acute Bell’s palsy,
comparing its outcome with that of oriental-western medical therapy (OWM).
Methods: Subjects were enrolled atKyung Hee Medical Center from March 2007 to December 2007. We prescribed
Igigeopung-san and acupuncture therapy to both the OM and OWM groups, and prednisolone only to the OWM group. Effectiveness was assessed by the House-Brackmann facial nerve grading system (HBGS) and Yanagihara’s
unweighted grading system (YUGS) every week.
Results: There were 31 patients in the OM group and 34 in the OWM group. About grading system scores and
weekly score gaps, no significant differences were revealed between the two groups, but statistical significant difference was detected at recovery time. After 2 weeks of treatment, the OM group’s HBGS score showed significant difference from baseline score, but the OWM group showed it after 1 week. After 3 weeks of medication, pain was reduced in 22% of OM group patients, but 50% in the OWM group (p=0.028). We made the same comparison study for patients treated within 4 days from onset, but there was no significant difference between the two groups. 3 cases of adverse effect of hyperglycemia were found in the OWM group, which could be due to hyperglycemic side-effect of prednisolone.
Conclusion: This work could help us to understand the effectiveness of OM compared to OWM on acute Bell’s
palsy.
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KEYWORD
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Oriental-western medical therapy, oriental medical therapy, Bell‘s palsy
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