중풍(中風) 환자(患者)의 피부(皮膚) 소양증(瘙痒症)에 소풍산(消風散) 투여(投與) 2례(例)

Two Cases of Stroke Patient's Pruritic Dermatoses Treated with Sopung-San(Xiaofeng-San)

  • 김태경 (경희대학교 한의과대학 심계내과학교실) ;
  • 김정열 (경희대학교 한의과대학 심계내과학교실) ;
  • 강경숙 (경희대학교 한의과대학 심계내과학교실) ;
  • 류순현 (경희대학교 한의과대학 심계내과학교실) ;
  • 배형섭 (경희대학교 한의과대학 심계내과학교실) ;
  • 최요섭 (경희대학교 한의과대학 심계내과학교실)
  • Kim, Tai-Kyung (Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Jung-Yul (Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Kang, Kyung-Suk (Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Ruy, Soon-Hyun (Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Bae, Hyung-Sub (Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Choi, Yo-Sub (Dept. of Circulatory Internal Medicine, College of Oriental Medicine, Kyung Hee University)
  • 발행 : 2002.06.30

초록

Pruritus is [CHECK DEFN] itchy feeling of one's skin. We often face stroke patients who complain about Pruritus. They occasionally fail to fall asleep or have a secondary infection as a result of scratching. For these reasons, severe Pruritus brings down general condition and interferes with recovery. The causes of Pruritus are distributed to from skin diseases and from internal diseases. Especially among the skin diseases, Xerotic Eczema, which is called Senile Eczema causes the dry skin in the elderly, especially lower limb's extensor part. According to the epidemiology, 20% of the old have Xerotic Eczema. In oriental medicine, Pruritus is called Pungsoyang(風瘙痒), Pungyang(風痒), Yangpung(痒風), Sinyang(身痒). The cause of Pruritus is divided into two. One is endogenous factors and the other is exogenous factors. The former are deficiency of blood(血虛), blood fever(血熱), wind-heat due to internal damage(內傷風熱), damp-heat in the liver and gallbladder(肝膽濕熱), endogenous wind stirring in the liver(肝風內動), deticiency syndrome of the spleen(脾虛), deficiency of Yin of the liver and kidneys(肝腎陰虛) and deficiency of the Penetration and Conception Vessels(衝任不足). The latter are wind-cold due to exogenous affection(外感風寒) and wind-heat due to exogenous affection(外感風寒). We report two stroke patients who complained of severe Pruritus They were diagnosed as having Xerotic Eczema by a dermatologist. We regarded their Pruritus as blood fever(血熱) and wind-heat(風熱) and prescribed Sopung-San to these patients. These patients showed significant improvement.

키워드

참고문헌

  1. 일차진료에서 흔히 접하는 임상적 문제들 서울대학교 의과대학 내과학교실
  2. 임상피부과학 이유신
  3. 대한외관과학회지 v.11 no.1 皮膚搔痒症에 關한 文獻的 考察 李貞강
  4. 피부과학 대한피부과학회
  5. 가정의학 의학교육연수원
  6. 諸病源候論校釋 巢元方
  7. 黃帝內經素問今釋 王奇(外)
  8. 備急千金要方 孫思邈
  9. 傷寒論譯釋 남경중의학원
  10. 太平惠民和劑局方 陳師文
  11. 방제학 李尙仁
  12. 대한한방외관과학회지 v.4 no.1 소풍산과 가미소풍산이 면역반응 및 항 알레르기에 미치는 영향 김중호;채병윤