A Case Report of Undifferentiated Somatoform Disorder, Wei Symptom Patient

Article information

J Korean Acupunct Moxib Soc. 2013;30(5):193-201
Publication date (electronic) : 2013 September 20
doi : https://doi.org/10.13045/acupunct.2013058
Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Daejeon University
*Corresponding author : Department of Korean Acupuncture & Moxibustion Medicine, Cheonan Oriental Hospital of Daejeon University, 621, Dujeong-dong, Cheonan-si, Chungcheongnam-do, 331-958, Republic of Korea, Tel : +82-41-521-7578, E-mail : lh2000@hanmir.com
Received 2013 August 23; Revised 2013 September 03; Accepted 2013 September 03.

Abstract

Objectives:

This is a case report about undifferentiated somatoform disorder, Wei symptom patient

Methods:

The patient was treated using acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy. The recovery of this patient had measured in physical examination, gait condition test, body surface temperature, body perimeter and sensory test by dermatome.

Results:

Through this treatment, the patient`s leg elevation angle, body surface tempreature, body perimeter was raised, Rt. lower limb numbness and gait condition had improved.

Conclusions:

Korean medical therapy including acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy was effective to improve undifferentiated somatoform disorder, Wei symptom patient.

Fig. 1.

Dermatome of lower extremity10)

Fig. 2.

DITI of lower extremity, admission day

1st : front. 2nd : back. 3rd : plantar.

Fig. 3.

DITI of lower extremity, admission 1 week

1st : front. 2nd : back. 3rd : plantar.

Fig. 4.

DITI of lower extremity, outpatient department lweek

1st : front. 2nd : back. 3rd : plantar.

Fig. 5.

DITI of lower extremity, outpatient department 3 weeks

1st : Front, 2nd : back, 3rd : plantar.

Change of Herbal Medication

Change of Physical Examination in Rt Lower Limb

Change of Body Surface Temperature

Change of Body Surface Temperature; Substration Rt From Lt

Change of Body Perimeter in Rt Lower Limb

Change of Sensory Distribution in Rt Lower Limb

References

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Article information Continued

Fig. 1.

Dermatome of lower extremity10)

Fig. 2.

DITI of lower extremity, admission day

1st : front. 2nd : back. 3rd : plantar.

Fig. 3.

DITI of lower extremity, admission 1 week

1st : front. 2nd : back. 3rd : plantar.

Fig. 4.

DITI of lower extremity, outpatient department lweek

1st : front. 2nd : back. 3rd : plantar.

Fig. 5.

DITI of lower extremity, outpatient department 3 weeks

1st : Front, 2nd : back, 3rd : plantar.

Table 1.

Change of Herbal Medication

Date(month/day) Herbal medication
4. 3∼9 Yogaktong H
4. 10∼11 Jasinyanghyeolgunbo decoction
4. 12∼14 Samchulgunbi decoction
Discharge medication (4. 15∼29) Samchulgunbi decoction

Table 2.

Change of Physical Examination in Rt Lower Limb

Period Straight leg raise test(°) Against dorsi flexion Against plantar flexion Milgram test(sec)
A 0
1 week 90° + + 10
2 weeks 90° + + 10
OPD 1 week 90° + + 10
OPD 3 weeks 90° + + 10
OPD 5 weeks 90° + + 10
OPD 7 weeks 90° + + 10

A : admission. OPD : Outpatient department. + : weakness.

In against dorsi flexion, against plantar flexion, the grade was measured −, +, ++; − was paralysis, + was not paralysis, but was weakened, ++ was normal strength.

Table 3.

Change of Body Surface Temperature

Position ST36 (°C) ST41 (°C) BL40 (°C) BL56 (°C) K11 (°C)
Period Rt Lt Rt Lt Rt Lt Rt Lt Rt Lt
A 30.2 33.2 29.6 33.0 31.7 33.9 29.7 32.6 26.4 28.7
1wk 31.7 32.8 31.9 32.7 32.1 33.7 30.9 32.0 30.2 30.6
OPD 1wk 31.2 32.1 31.3 31.8 31.8 32.4 30.9 31.5 28.8 28.9
OPD 3wks 32.8 33.2 32.6 34.3 33.3 34.1 32.5 32.8 30.8 30.4

A : admission, OPD : outpatient department, wk : week.

Table 4.

Change of Body Surface Temperature; Substration Rt From Lt

Position ST36 (°C) ST41 (°C) BL40 (°C) BL56 (°C) K11 (°C)
Period
A 3 3.4 2.2 2.9 2.3
1 week 1.1 0.8 1.6 1.1 0.4
OPD 1 week 0.9 0.5 0.6 0.6 0.1
OPD 3 weeks 0.4 1.7 0.8 0.3 −0.4

A : admission. OPD : outpatient department.

Table 5.

Change of Body Perimeter in Rt Lower Limb

Position GB31 level (cm) ST34 level (cm) ST36 level (cm) BL57 level (cm)
Period
A 44 36 31.5 28.5
1 week 45.5 36.5 31.5 29
2 weeks 44 36 32.5 32
OPD 1 week 44 36.5 33 32.5
OPD 3 weeks 45 36.5 33 32
OPD 5 weeks 45 36 33 31.5
OPD 7 weeks 45 35.5 32.5 31

A : admission. OPD : outpatient department.

Table 6.

Change of Sensory Distribution in Rt Lower Limb

Position L4 L5 S1
Period
A 0 0 0
1 week 1 1 1
2 weeks 1 1 1
OPD 1 week 2 2 2
OPD 3 weeks 2 2 2
OPD 5 weeks 2 2 2
OPD 7 weeks 2 2 2

A : admission.

OPD : outpatient department.

The score was measured 0, 1, 2; 0 was numbness, 1 wasn’t numbness, but slightly dull sense, 2 was normal sense.