치매에 대한 한의학적 임상연구

  • Whang Wei-Wan (Dept. of Neuropsychiatry College of Oriental Medicine Kyung Hee University) ;
  • Kim Jong-Woo (Dept. of Neuropsychiatry College of Oriental Medicine Kyung Hee University) ;
  • Lee Jo-Hee (Dept. of Neuropsychiatry College of Oriental Medicine Kyung Hee University) ;
  • Eom Hyo-Jin (Dept. of Neuropsychiatry College of Oriental Medicine Kyung Hee University) ;
  • Lee Seung-Gi (Dept. of Neuropsychiatry College of Oriental Medicine Kyung Hee University)
  • 황의완 (경희대학교 한의과대학 신경정신과학교실) ;
  • 김종우 (경희대학교 한의과대학 신경정신과학교실) ;
  • 이조희 (경희대학교 한의과대학 신경정신과학교실) ;
  • 엄효진 (경희대학교 한의과대학 신경정신과학교실) ;
  • 이승기 (경희대학교 한의과대학 신경정신과학교실)
  • Published : 1996.12.12

Abstract

1. Out of 21 examples on a clinical base Alzheimer type dementia were 8 examples(38%), 11 vascular types(52%), 1 Alzheimer and vascular mixed type and rest 1 was secondary dementia type(NPH).2. Between the genders, there were 5 males and 3 females for Alzheimer types, 6 males and 5 females for the vascular types, 1 male for Alzheimer and vascular mixed type, and 1 female for secondary dementia type(NPH).3. For the degrees of Alzheimer type dementia there were 2 mild dementia, 4 moderate dementia, and 2 severe dementia. 4. Among the Alzheimer types 2 mild dementia were almost recovered back to normal in approximately 2 months, 2of 4 moderate dementia became significantly better in approximately 2 months and recovered to almost normal state in 3 to 5 months. The rest 2 have been under treatment for 3 months, but showed a little improvement. Out of 2 severe dementia examples, one showed a little improvement even if it has been under treatment over 2 years. The other example did not show any improvement, but dementia did not proceed any more.5. Among the 11 vascular examples, 7 recovered in 2 to 3 months, 1 in 5 months, 2 recovered in a year, and the treatment was stopped arbitrary for the last one.6 In the case of Alzheimer and vascular mixed type dementia, even the moderate dementia did not show any apparent result in 6 months.7. For NPHI (Normal Pressure Hydrocephalus), there was an improvement on dementia in 2 months after the treatment, but gait disturbance and urinary incontinence did not show any noticeable difference. As a conclusion, almost all the Alzheimer and vascular type patients recovered, but the treatment periods varied depending on the types of the dementia and the degree of seriousness, especially in the case of the severe Alzheimer patients, the treatment oniy suppression the progression of the dementia. The most important aspect from clinical point of view was even if almost all the patients were almost completely cired, they need to keep being cured for a long period of time. The method with respect to Four Constitutions is thought of the most desirable.

Keywords

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