Table 2. Change of Symptoms

Sympotoms Treatment
1st visit(2020.7.7) Ptosis : Less in the morning and more severe in the afternoon Other symptoms : No diplopia or strabismus Acupuncture, Pharmacopunctue, Cupping therapy Solondo 5㎎
2nd visit(2020.7.8) Ptosis : Compared to the previous day, there was a feeling of softening when the eyes open, but the eyelids came down more Other symptoms : Hot Flashes in the night Acupuncture, Pharmacopunctue, Cupping therapy Gamiboik-tang Solondo 5㎎
3rd visit(2020.7.14) Ptosis : There was a feeling of raising the eyelids Other symptoms : Hot Flashes and diarrhea was improved Acupuncture, Pharmacopunctue, Cupping therapy
4th visit(2020.7.27) Ptosis : When waking up in the morning, the patient had double eyelids and felt almost normal. Futhermore intraday ptosis didn't get worse than the condition at the time of admission. Acupuncture, Pharmacopunctue, Cupping therapy Mestinon 60㎎
5th visit(2020.8.17) Ptosis : No significant difference between morning and afternoon. Other symptoms : There has been a tremor around the eyes in the last 2-3 days. Acupuncture, Pharmacopunctue, Cupping therapy Mestinon 60㎎
f/u by phone(2020.12.1) Ptosis : Staying better. Symptoms appear when feeling fatigue. Other symptoms : The thymoma was determined to be malignant on histological examination, and surgery was performed. There was no lymph node metastasis, so no radiation treatment was received. There is no weakness in other body parts. Mestinon 60㎎