뇌교 출혈 이후 발생한 지연된 중추성 고체온증에 대한 한방치료 1례

• Published in: 대한한방내과학회지 Vol. 39; no. 5; pp. 1061 - 1067
• Main Authors: 이찬솔, 박송원, 홍승철, 김영지, 송주연, 이정윤, 신길조, 최동준, Yi, Chan-sol, Park, Song-won, Hong, Seungcheol, Kim, Youngji, Song, Juyeon, Lee, Jeong-yun, Shin, Gil-cho, Choi, Dong-jun
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01-10-2018
• Subjects: 한의학; Korean medical treatment; central hyperthermia; case report; ascendant hyperactivity of liver Yang; pontine hemorrhage
• ISSN: 1226-9174

A patient had central fever following pontine hemorrhage. Central hyperthermia caused by stroke is a rare case, and it is difficult to control. There are few case reports about central hyperthermia in Korean medical treatment (KMT). The patient suffered central hyperthermia accompanied by tachycardia, dyspnea, and irritability. However, there was no evidence of infection. Thus, hypnotics, sedatives, and a minor tranquilizer (Lorazepam and Midazolam) was prescribed. Despite a temperature peak of $39.9^{\circ}C$, most of the symptoms were alleviated. The patient's average body temperature was about $37^{\circ}C$, which is higher than most people at $36.5^{\circ}C$. His symptoms were diagnosed as ascendant hyperactivity of liver Yang (肝陽上亢), and the patient was prescribed Shihogayonggolmoryo-tang. During the 44 days of KMT, there was no change in his average body temperature and no central hyperthermia over $39^{\circ}C$. This case report demonstrates the possibility of controlling central hyperthermia caused by pontine hemorrhage using KMT.