Case Report

구음장애, 필기장애를 중심으로 한 중풍후유증에 少陷胸湯을 투여하여 호전된 1례 보고

A Case Report of a Patient Who Has Dysgraphia and Articulation After a Stroke Treated by Sohamhyung-Tang

2018 Vol. 10 No. 1
김창식1, 윤효중2, 이숭인3*
서울 성동구 홍익동 124 도선한의원,
영광군 보건소,
동신대학교 한의과대학 방제학교실
Changsig Kim1, Hyo-Joong Yun2, Soong-In Lee3*
1. Doseon-oriental medicine clinic 230, Majang-ro, Seongdong-gu, Seoul, Korea
2. Health center of Yeonggwang, Jeollanam-do Province, Republic of Korea.
3. Department of Herbal Formula Science, College of Korean Medicine, Dongshin University


Objective : The purpose of this paper is to report the improvements of a patient who has suffered from aftereffects following stroke such as dysgraphia and articulation disorder, which is treated by herbal medication based on Shanghanlun disease pattern identification diagnostic system.

Methods : According to ‘Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’, the patient was diagnosed as Taeyang-byung Gyeolhyung and number 138 provision, and was administered Sohamhyung-tang for 90 days. We recorded the progress of improvements based on the patient's statement and documented the patient's writing

Results : The patient can write the letters such as U, 2, ㄹ,ㅇ more clearly and become confident on both writing and speaking.

Conclusions : This case shows the effects of Sohamhyung-tang on aftereffects following stroke such as dysgraphia and articulation disorder. It was induced according to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’ so

that it suggest a potential interpretation, which is different with it of the text books Herbal Formula Science and Sanghallonjeonghae, on the provision no. 138. Also the usage of Sohamhyung-tang in this case may support the way far from the diagnosis of oriental neurological medicine, which explain the pathology of stroke as fire-heat(火熱), dampness-phlegm(濕痰), static blood(瘀血) and dual deficiency of qi and blood(氣血兩虛).

KeyWords : Dysgraphia, Articulation, Sohamhyung-Tang, Shanghanlun