외상성 뇌손상 환자의 공격성에 대한 치료 1례

• Published in: 대한한방내과학회지 Vol. 37; no. 5; pp. 831 - 838
• Main Authors: 박혜림, 홍미나, 조재현, 배고은, 최진용, 홍진우, 박성하, 이인, Park, Hye-lim, Hong, Min-na, Cho, Jae-hyun, Bae, Go-eun, Choi, Jin-yong, Hong, Jin-woo, Park, Seong-ha, Lee, In
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01.10.2016
• Subjects: 한의학; Samulanshin-tang; modified overt aggression scale; aggressive behavior, traumatic brain injury; Taegeuk acupuncture
• ISSN: 1226-9174

Objective: To describe the effectiveness of traditional Korean medicine (TKM) on a patient showing aggressive behavior after a traumatic brain injury. Methods: We used complex TKM treatments. The acupoints used were as follows: Soyangin Taegeuk acupuncture (HT3, KI3, and SP3) and acupoints frequently used in hemiparesis (GV20, GV24, ST4, LI11, LI4, ST36, GB34, SP9, and LR3). Moxibustion was also applied to GV20, and herbal medicine (Samulanshin-tang-gami, 四物安神湯 加味方) was administered. The efficacy was evaluated at baseline, week 8, and week 16 using the Modified Overt Aggression Scale (MOAS). Results: After 8 weeks, the total MOAS score was decreased from 13 to 5, and this score was maintained until week 16. The average sleep time was increased and waking up during the night was decreased. Conclusions: We suggest that TKM could be effective for reducing aggressive behavior and alleviating sleep disturbances. Further studies are needed.