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KMID : 1189420200330030125
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Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
2020 Volume.33 No. 3 p.125 ~ p.137
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A Case of Charcot Neuroarthropathy Improved by Korean Medical Treatment Combined with Shudihuangkushen-tang and Haifu-san Wet Dressing
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Lee Hyun-Bum
Lee Chang-Won
Lim Eun-Chul
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Abstract
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Objectives : Charcot neuroarthropathy(CN) is condition characterized by a progressive joint deformation with sensorial and autonomic neuropathy. This study is to report a case of CN improved by Korean medical treatment.
Methods : The patient’s left foot with CN was treated by Shudihuangkushen-tang, Haifu-san wet dressing, acupuncture and herbal acupuncture. We evaluated the progress by laboratory investigation, radiograph and photograph comparison, visual analogue scale(VAS) of edema and pain sensation.
Results : After treatment, VAS score of edema dropped from 6 to 1, of pain sensation slightly improved from 0 to 1. Average blood sugar level decreased and rebounded, but Hemoglobin A1c level improved from 9.5% to 7.7%. Improvement of the left foot was recognized from the radiograph and photograph comparison.
Conclusions : This study suggests Korean medicine is effective in treating CN, especially using Shudihuangkushen-tang, Haifu-san wet dressing.
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KEYWORD
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Charcot neuroarthropathy, Diabetic foot ulceration, Charcot foot, Shudihuangkushen-tang, , Haifu-san
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