Pain and burning sensation of bilateral lower limbs successfully treated using acupuncture combined with herbal medicine (Kampo medicine) in patient with Guillain-Barre syndrome

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  • MURAHASHI masaki
    Resident of acupuncture and moxibustion, Fukushima Medical University Aizu Medical Center
  • SUZUKI masao
    Department of Kampo medicine, Fukushima Medical University Aizu Medical Center
  • MATSUURA satoshi
    Resident of acupuncture and moxibustion, Fukushima Medical University Aizu Medical Center
  • UNIDA akina
    Resident of acupuncture and moxibustion, Fukushima Medical University Aizu Medical Center
  • KAYOU takumi
    Department of Kampo medicine, Fukushima Medical University Aizu Medical Center
  • MUNAKATA motoyuki
    Department of General Practice, Fukushima Medical University Aizu Medical Center.
  • MITSUMA tadamichi
    Department of Kampo medicine, Fukushima Medical University Aizu Medical Center

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Other Title
  • Guillain-Barre Syndromeによる下肢痛および灼熱感に対して鍼治療と漢方治療が奏功した一症例
  • 症例報告 Guillain-Barre Syndromeによる下肢痛および灼熱感に対して鍼治療と漢方治療が奏功した一症例
  • ショウレイ ホウコク Guillain-Barre Syndrome ニ ヨル カシツウ オヨビ シャクネツカン ニ タイシテ シンチリョウ ト カンポウ チリョウ ガ ソウコウ シタ イチ ショウレイ

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Abstract

[Objective] We report a successfully treated case by a combined therapy of acupuncture and Kampo medicine for a patient with lower limb pain associated with Guillain-Barre syndrome (GBS). [Case] The patient was a 74-year-old man whose chief complaints were severe lower limb pain, gait difficulty, and hyposthenia. Clinical history: In late September in X year, the patient had a cold infection. On October 14, he became aware of weakness in his lower limbs on both sides, difficulty in walking, and severe pain in his lower limbs. He visited our hospital's general internal medicine department and was diagnosed with GBS. The patient was hospitalized and started to receive intravenous immunoglobulin therapy for GBS. Since pain in the lower limbs continued after treatment, he received analgesics, which was not effective. Therefore, acupuncture treatment was started on October 30 aiming to alleviate lower limb pain. Evaluation: Pain and burning sensation were evaluated using a numerical rating scale (NRS), and Hughes' function grade scale (FG) as an objective evaluation. [Acupuncture treatment] The acupuncture treatment was based on Chinese medicine. The basic combination of meridian points for treatment of the case were LR3 (Taichong), LI4 (Hegu), KI6 (Zhaohai), KI3 (Taixi), ST36 (Zusanli), PC6 (Neiguan), and SI8 (Xiaohai). The patient received acupuncture treatments once a day for 12 weeks. [Progress] The first evaluation of the patient's pain in his lower limbs on both sides was 10 points in NRS and 4 units in FG. Pain was alleviated immediately after acupuncture treatment was started, and a significant improvement in pain was observed by the seventh acupuncture treatment. However, the　patient started to complain of burning sensation on his soles. Therefore, the combined use of Kampo medicine (Choutousan, Rokumijiougan) were introduced in addition to the acupuncture treatment, and his burning sensation disappeared. Since then, rehabilitation was enhanced, and after three months from the start of acupuncture treatment, he was discharged since the FG was improved to 2 units. [Discussion] Lower limb pain and burning sensation in this case were considered to be neuropathic pain associated with GBS, and conventional analgesics were only temporarily effective. In contrast, the combined use of acupuncture and Kampo medicine alleviated the pain and burning sensation, and ADL was improved. Acupuncture and Kampo medicine were effective for lower limb pain and burning sensation from GBS.

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