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KMID : 0352119960120020186
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Journal of Kyung Hee University
1996 Volume.12 No. 2 p.186 ~ p.199
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Clinical Study on Dementia with Oriental Medicine
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황의완
김종우/이조희/엄효진/이승기
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Abstract
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This clinical study was done on 21 patients with dementia visited Dept. of Neuropsychiatry of Oriental hospital of Kyung Hee Medical Center from Feb. 94 to Feb. 96. All patients were classified into several groups according to their pattern of
disease
and their constitutions. They were given treatemtn according to the methods of Oriental Medicine and following results were obtained.
1. Out of 21 examples on a clinical base Alzheimer type dementia were 8 examples (38%), 11 vascular types (52%), 1 Alzheimer and vascular mixed type and rest 1 was secondary dementia type (NPH).
2. Between the genders, there were 5 males and 3 females for Alzheimer types, 6 males and 5 females for the vascular types, 1 male for Alzheimer and vascular mixed type, ad 1 female for secondary dementia type (NPH).
3. For the degrees of Alzheimer type dementia, there were 2 mild dementia, 4 moderate dementia, and 2 severe dementia.
4. Among the Alzheimer types, 2 mild dementia were almost recovered back to normal in approximately 2 of 4 moderate dementia became significantly better in approximately 2 months and recovered to almost normal state in 3 to 5 months. The rest 2
have
been under treatment for 3 months, but showed a little improvement. Our of 2 severe dementia examples, one showed a little improvement even if it has been under treatment over 2 years. The other exampe did not show any improvement, but dementia
did
not
proceed any more.
5. Among the 11 vascular examples, 7 recovered in 2 to 3 months, 1 in 5 months, 2 recovered in a year, and the treatment was stopped arbitrary for the last one.
6. In the case of Alzheimer and vascular mixed type dementia, even the moderate dementia did not show any apparent result in 6 months.
7. For NPH (Normal Pressure Hydrocephalus), there was an improvement on dementia in 2 months after the treatment, but gait disturbance and urinary incontinence did not show any noticeable difference.
As a conclusion, almost all the Alzheimer and vascular type patients recovered, but the treatment periods varied depending on the types of the dementia and the degree of seriousness, especially in the case of the severe Alzheimer patients, the
treatment
only suppressed the progression of the dementia. The most important aspect from clinical point of view was even if almost all the patients were almost completely cured, they need to keep being cured for a long period of time. The method with
respect to
Four Constitutions is thought of the most desirable.
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