An Da-Young, Kim Chae-Eun, Han Suzy, Kim Mi-Kyung, Yu Jun-Sang, Sun Seung-Ho
Department of Internal Korean Medicine, College of Korean Medicine, Sangji University, Wonju, Republic of Korea.
Department of Sasang Korean Medicine, College of Korean Medicine, Sangji University, Wonju, Republic of Korea.
J Pharmacopuncture. 2022 Jun 30;25(2):138-144. doi: 10.3831/KPI.2022.25.2.138.
Cervical spondylotic myelopathy (CSM) is common in elderly people and severe CSM patients are recommended to receive surgery. However, in some cases, surgery may fail to improve the patients' symptoms. An 80-year-old man diagnosed with CSM complained of right hemiplegia and right arm and leg pain with the presence of a Foley catheter, despite treatment with laminectomy and laminoplasty. Acupuncture, bee venom pharmacopuncture, and herbal medicine were administered for 129 days. As a result, manual muscle testing (MMT) and the Modified Barthel Index (MBI) improved, the pain in his right arm and leg decreased, and he was able to urinate by himself. This case report implies that integrative Korean medicine (IKM) can be an option for patients suffering from muscular weakness resulting from myelopathy.
脊髓型颈椎病（CSM）在老年人中很常见，严重的CSM患者建议接受手术治疗。然而，在某些情况下，手术可能无法改善患者的症状。一名80岁被诊断为CSM的男性患者，尽管接受了椎板切除术和椎板成形术治疗，但仍主诉有右侧偏瘫以及右臂和腿痛，且留置有导尿管。给予针灸、蜂毒药针和草药治疗129天。结果，徒手肌力测试（MMT）和改良巴氏指数（MBI）得到改善，他右臂和腿部的疼痛减轻，并且能够自行排尿。本病例报告表明，韩医中西医结合疗法（IKM）可以作为脊髓病所致肌肉无力患者的一种选择。
