A Clinical Study on Treatments of Hwabyung with Oriental Medicine

홧병환자의 한의학적 치료에 대한 임상적 연구

  • Kim, Jong-Woo (Department of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Whang, Wei-Wan (Department of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University)
  • 김종우 (경희대학교 한의과대학 한방신경정신과) ;
  • 황의완 (경희대학교 한의과대학 한방신경정신과)
  • Published : 1998.10.30

Abstract

Hwabyung is a common emotional disorder which has symptoms expressed like firt's explosion in middle-aged after long period of emotional suppression among Koreans. It is similar in its characteristics such as neurosis, anxiety, panic attacks in Western Medicine, though the treatment method was not effective. So we have done a clinical research on Oriental Medical Method, especially on Acupuncture Therapy, and obtained following results. 1. Patients with Hwabyung complained of pressure pain around the Chunjung(?中, CV-17) point distinctively. About 70% of those were located on the CV-17 point, 25% were 1cm upper than the CV-17 point and 5% of those were 1cm lower point than the CV-17 point. 2. Degrees of pressure pain were divided into 5 grades from ade 1(feeling pain with slight pressure) to grade 5(feeling no pain with severe pressure), respectively. 3. Patients with Hwabyung showed various symptoms compared to fire's explosion such as anger, chest discomfort, difficulty in breathing. tachycardia. and feeling of epigasfric mass etc., and the degrees were divided into 5 grades according to the severities from grade 1(can't keep their usual living) to grade 5(no complaints with heavy stresses), respectively. 4. For the treatment of Hwabyung in this study, we had given Acupuncture therapy on some points such as Chunjung:?中:CV-17, Jungwan:中脘:CV-12) and Chunchu:天樞:S-25, etc. for 15 minutes a time twice a week. And Bunshimkiumgmnihang(分心氣飮加味方) was administered 3 times a day. 5. About 40% of the patients took treatment for more than 2 months, 29% of those took 1 to 2 months and 31% of those took less than 1 month. In this study, we excluded those who stopped treatment within a month without any expected effects. 6. We evaluated the changes of severity of pain according to the following categories such as - for no change, + for 1 grade, ++ for 2 grades, +++ for 3 grades, and ++++ for 4 grades of improvements. Among the patients taken 1 to 2 months of treatment. 48% of the those showed +, 7% of those showed ++, 3% of those showed +++ and 41% of those showed no change. Among the patients taken less than 2 months of treatment, 20%of those showed +, 40% of those showed ++, 28% of those showed +++ and 13% of those showed no change. 7. We evaluate the changes of symptoms according to the following categories such as - for no change, + for 1 grade, ++ for 2 grades, +++ for 3 grades and +++ for 4 grades of improvements. Among the patients taken 1 to 2 months of treatment, 34% of those showed +, 14% of those showed ++ and 52% of those showed no change. Among the patients taken more than 2 months of treatment, 20% of those showed +, 43% of those showed 20% of those showed +++, 3% of those showed +++ and 15% of those showed no change. 8. When we compare the changes of pain and symptoms according to the periods of treatment, the changes in quantity of pain in 1 to 2 months group was $0.72{\pm}0.75$, in more than 2 months group was $1.83{\pm}0.98$, and the changes in quantity of symptoms in 1 to 2 months group was $0.62{\pm}0.73$, in more than 2 months group was $1.75{\pm}1.03$. According to the above results, we have concluded that more than 2 months of treatment is more beneficial than 1 to 2 months of treatment.

References

  1. 새 우리말 큰사전 신기철
  2. 동의병리학 文濬典;安圭錫;崔昇勳
  3. 동의신경정신과학회지 v.4 no.1 火病에 對한 文獻的 小考 具炳壽;李鐘馨
  4. 동의신경정신과학회지 v.5 no.1 한의학에서 본 홧병의 해석 김종우;황의완
  5. 대한 신심스트레스학회지 v.4 no.2 홧병에 대한 임상적 연구 김종우 등
  6. 홧병 김종우
  7. 동의신경정신과학회지 v.3 no.1 화병에 대한 동의학적 고찰 김진태
  8. 대한한방내과학회지 v.29 Stress와 火에 關한 東西醫學的 考察 문충모;김지혁;황의완
  9. 스트레스병과 火病의 한방치료 조홍건
  10. 東醫寶鑑 許浚
  11. 동의신경정신과학회지 v.8 no.1 홧병 환자에게 나타나는 화의 양상에 관한 연구 엄효진;김종우;황의완
  12. 동의신경정신과학회지 v.8 no.2 홧병환자의 임상양상에 대한 고찰 지상은;김종우;황의완;조황성
  13. 中醫內傷火病學 田合祿
  14. Diagnostic and Statistical Manual of Mental Disorders(4th ed) American Psychiatric Association
  15. 대한의학협회지 v.29 홧병에 대한 진단적 연구 민성길;이만홍;신정호;박묵희;김만권;이호영
  16. 대한의학협회지 v.30 홧병에 대한 임상적 연구 민성길;이만홍;강홍조;이호영
  17. 신경정신의학 v.28 no.4 홧병(火病)의 개념에 대한 연구 민성길
  18. 韓國標準疾病死因分類 보건복지부
  19. 고의 v.12 울화병으로서의 홧병형성기전 이시형;조소연;이성희
  20. Am J Psychiatry v.140 no.1 Hwa-Byung, A Korea Culture-Bound syndrome? Lin, KM
  21. Culture Medicine & Psychiatry v.14 no.4 HWABYUNG, The construc-tion of a korean popular illness among korean elderly immigrant women in the united states Pang KY.
  22. 鍼灸學 최용태
  23. 針灸學辭典 上海中醫學院
  24. 精校黃帝內經素問 홍원식
  25. 精校黃帝內經靈樞 홍원식
  26. 難經本義 滑壽
  27. 鍼灸治療學 박종국
  28. 鍼灸實用經穴學 本間祥白
  29. 經絡 남상천
  30. 慶熙韓方處方集 慶熙大學校 韓醫科大學 附屬韓方病院