脳梗塞後遺症による感覚異常を主訴とした患者に対する始原東洋医学に基づく鍼灸治療の有効性の検討 : N-of-1 trialによる反応点と局所反応点との比較

抄録

Objective: To examine clinical effectiveness of treatment methods for post-stroke dysesthesia. The author carried out a single-case randomized trial. Case: A 77-year-old man with a main complaint of dysesthesia at the left lower limb. History of present illness: X-10 years previously, he suddenly became conscious of a sense of detachment. Dysesthesia and paralysis of the left leg developed on the next morning. Lacunar stroke was diagnosed. X years, I commenced once per week acupuncture and moxibustion therapy. After a research- I term, an improvement in the extent of numbness. But it showed dysesthesia at lower limb. Intervention method: Acupuncture using the reactive point treatment based on the Primordial Oriental Medicine (A) and that using and local response points (C) were executed in random order. The patient received 16 treatments in total; eight of each type. Method of treatment: "A" was assumed to be the reactive point treatment and "C", the local response point treatment. The randomization method ensured that both treatments were thoroughly performed. Evaluation method: Numbness was evaluated using the Visual Analogue Scale (VAS) and Pain Vision (PV). Result: Condition was stabled to 10th time. But a main complaint of this cause is theaggravation which depended on unknown was shown. Then it allowed slight remission. No significant difference in clinical effectiveness was found between the two treatments. Conclusion: The present case suggested that both treatments had equal clinical effectiveness and were useful for the Primordial Oriental Medicine of SHIGEN of cerebral infarction.