• 제목/요약/키워드: 위증

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한방치료를 적용한 척추분리성 척추전방전위증 환자의 치험 1례 (A Case Report of Spondylolytic Spondylolisthesis Treated with an Oriental Medical Treatment)

  • 박삼민;황동규;김은지;김재영;정선영
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.685-690
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    • 2016
  • Objective: To report the effect of an oriental medicine treatment, including chuna manual therapy, for a patient suffering with spondylolytic spondylolisthesis. Methods: One patient was treated by oriental medical treatment including acupuncture, pharmacopuncture, and chuna manual therapy and the results were assessed with a Numerical Rating Scale (NRS), walking distance, and radiological examination. Results: After treatment, the NRS changed from 6 to 2 and walking distance changed from 250 m to 1000 m. Conclusions: In this study, oriental medical treatment, including chuna therapy, was an effective treatment for patients with spondylolytic spondylolisthesis. However, additional studies are needed, as are more and observations of these patients.

"황제내경(黃帝內經).위론(痿論)"의 위증(痿證)에 대한 고찰(考察) (A Study on Wi Syndrome(痿證) in "Hwangjenaegyeong(黃帝內經).Wiron(痿論)")

  • 백유상
    • 대한한의학원전학회지
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    • 제23권1호
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    • pp.1-10
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    • 2010
  • Wi Syndrome(痿證) mainly occurs from fluid damages[津液損傷] caused by heat in Gi(氣) phase of the Five viscera, while it sometimes come from the outside. Although the symptoms are presented in the limbs, the disorder roots in the Five viscera, most deeply located in the human body, Therefore, to approach the disorder, we must apply differentiation of the Five viscera in diagnosis. The Lungs, as the head of the Five viscera control the production and distribution of bodily fluids in the body. Functional disorder of the Lungs bring about Wi Syndrome regardless of it being in the Gi phase. Also, psychological depression leads to Wi Syndrome, In other words, depression and uneasiness easily results in the state of Gi blocking and fluid exhaustion in this modern society where there is less manual labor and excessive use of the brain. Besides Gi blockage, the top muscle[宗筋] theory is another important mechanism in the occurrence of Wi Syndrome. Moreover, the disorder is related to Yangmyeong(陽明), which is the sea of food, Chungmaek(衝脈) which is the sea of meridian, in addition to Immaek(任脈), Dokmeak (督脈) and Deameak(帶脈) which are all involved in Wi Syndrome. In conclusion, the Wi Syndrome happens when various factors involved lose balance and harmony with each other.

척추전방전위증 환자와 추간판탈출증 환자의 요부근 기능과 굴곡/신전근 비율에 관한 비교연구 (Comparison Study on Lumbar Strength and Lumbar Flexor/Extensor Ratio of Spondylolisthesis Patients and Herniated Disc Patients)

  • 지용석;유병규;이완희
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.136-144
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    • 2002
  • The Purpose of this study was to compare the lumbar strength and lumbar flexor/extensor ratio between spondylolisthesis and herniated disc patients. The patients who had a subacute low back pain have been proved to each disease through MRI and we measured the maximal isometric strength of all patients(28) through MedX lumbar extension machine(Ocala, FL). In all patients, males had higher lumbar extensor strength than that of females. Especially, the spondylolisthesis patients had lower lumbar extensor strength than that of herniated disc patients. The statistical significant(p<.05, p<.01) differences were manifested in $48^{\circ},\;60^{\circ}\;and\;72^{\circ}$ between male groups. Also the statistical significant (p<.05) differences were manifested in $60^{\circ}\;and\;72^{\circ}$between female groups. In the lumbar flexor/ extensor ratio, the males of spondylolisthesis groups represented the functional weakness in the flexed portion of the range of motion, and the females of spondylolisthesis and the all patients of herniated disc represented the functional weakness in the extended portion of the range of motion. In conclusion, we may propose the program such that the spondylolisthesis males must increase the ratio of extended portion exercise, and the spondylolisthesis females and herniated disc patients must increase the ratio of flexed portion exercise.

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척추전방전위증 환자에 대한 공간척추도인안교법을 포함한 한방치료 치험 3예 (Korean Medical Treatment Including Space Spinal Conduction Exercise and Manipulation Treatment for Spondylolisthesis: Three Case Reports)

  • 이한솔;박진영;정원석
    • 한방재활의학과학회지
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    • 제30권1호
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    • pp.125-135
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    • 2020
  • To report the effect of an Korean medical treatment, including Space spinal conduction exercise and manipulation treatment for a patient suffering with spondylolisthesis. Three patients were treated by oriental medical treatment including acupuncture, oriental medicine, Space spinal conduction exercise and manipulation treatment and the results were assessed with a numerical rating scale (NRS), walking condition, and back pain, sciatica. After treatment, the NRS changed from 8~9 to 1~2 and walking condition get better. The patient's back pain and sciatica have improved. In this study, oriental medical treatment, including Space spinal conduction exercise and manipulation treatment was an effective treatment for patients with spondylolisthesis. However, additional studies are needed, as are more and observations of these patients.

체질병체(體質病體)의 험위증(險危證)과 복약(服藥)에 대한 고찰 (A Study on the Treatment of Critical State Patients and Method to Use Herbs in Sasang Constitutional Medicine)

  • 서영광;김은희;정의홍;이수경
    • 사상체질의학회지
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    • 제20권2호
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    • pp.11-20
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    • 2008
  • 1. Objectives The objective of this paper is to understand on treatment of in critical state patients based on the text book of Sasang Constitutional Medicine. We expect this study can be helpful in treating the critical state patients. 2. Methods The study is mainly based on the bibliographical research on the "Dongyisoosebowon" and on the "Principle of dosing for patient in critical state". 3. Results and conclusions Lee je-ma suggested a health scale which people can measure his health grade from a standard healthy state to severe diseases. We investigated the treatment of 'critical state' patients according to his scale. Lee je-ma also confirmed the standard dose of herbs and how to take herbs in compliance with the state which each patient in. We tried to find a rules of treating the critical state patients based on the text "Dongyisoosebowon" and we suggested brief principles in treating patients.

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저칼륨혈증성 주기성 사지마비로 진단된 위증(痿證)환자 3례 (Three Cases of Wei symtom diagnosed Hypokalemic Periodic Paralysis)

  • 송왕기;이성환;김나연;강재희;이현
    • 혜화의학회지
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    • 제17권1호
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    • pp.105-112
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    • 2008
  • Objective : This is the clinical report about the Wei symptom patient diagnosed as Hypokalemic periodic Paralysis. Methods and Results : Three Wei symtom patients diagnosed Hypokalemic Periodic Paralysisat at Cheonan oriental medical hospital were treated with Oriental-Western therapies. Conclusion : Hypokalemic Periodic Paralysis is regarded as wei symtom in Oriental Medicine. The treatment of Hypokalemic Periodic Paralysis regarded as wei symtom of Oriental Medicine had favorable effect. Parallel treatment showed favorable effect on other symptoms caused by Hypokalemic Periodic Paralysis such as nausea, chest discomfort, leg pain besides main symptoms such as weakness and numbness.

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척추전방전위증의 추나 치료에 대한 체계적 문헌 고찰 및 메타 분석 (Chuna Manual Therapy for Spondylolisthesis: A Systematic Review and Meta-analysis)

  • 홍수민;하현주;윤광식
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.65-77
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    • 2020
  • Objectives This study is aimed to evaluate the effectiveness of Chuna therapy for spondylolisthesis. Methods We searched th following 10 online databases without a language restriction (National Digital Science Library [NDSL], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], KMBASE, MEDLINE/PubMed, Cochrane library, Ebscohost, EMBASE, Ovid, China National Knowledge Infrastru [CNKI]) to find randomized controlled trials that used Chuna therapy for spondylolisthesis. The methodological quality of each randomized controlled clinical trial was assessed using the Cochrane risk of bias tool and meta-analyses were perfomed. Results Eleven randomized controlled trials were included. Chuna therapy showed statistically significant reduction of symptoms. Meta-analysis showed positive results for Chuna therapy for spondylolisthesis in terms of therapeutic effects to traction, chinese medicine, therapeutic exercise. Conclusion In this study, we reviewed studies about Chuna therapy used for spondylolisthesis. The studies showed that Chuna therapy can significantly effective on spondylolisthesis. But according to Cochrane risk of bias evaluation method, most of the studies's risk of bias were unclear. Therefore, more high-quality studies will be needed.

협부형 척추전방전위증에 대한 후방가동관절 이용한 골유합술 및 척추경나사못 고정술의 수술적 결과 (Surgical Results of Patients with Isthmic Spondylolisthesis with Transpedicular Screw Fixation and Posterior Lumbar Interbody Fusion Using Posterior Movable Segment)

  • 김찬;이승명;신호
    • Journal of Korean Neurosurgical Society
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    • 제30권sup1호
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    • pp.108-114
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    • 2001
  • Objective : Posterior lumbar interbody fusion(PLIF) provides the favorable outcome to degenerative lumbar disease, especially isthmic spondylolisthesis. To determine the long-term effect of PLIF using psterior movable segment, we analysed the results of follow-up radiologic changes and surgical outcome retrospectively Patients and Method : During the past 11 years(1989. 1.-1999. 9.), 148 patients with symptomatic lumbar spondylolisthesis were managed at our department and the clinical wants were throughly recieved and final outcome is determined at last follow up. PLIF using antogenous bone(posterior movable segment, iliac bone and rib) were performed in 106 case. Results : After an average follow-up period of 33 months(range ; 15-58 months), the results were excellent in 66 cases, good in 37 cases, fair in 2 cases and poor in 1 cases. And the satisfactory results were 103 cases(98.2%) in PLIF,. Conclusion : In conclusion, patients who underwent PLIF with autologous bone graft had good clinical and radiological outcomes without significant neurological complications.

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호중구 감소를 동반한 길랑바레 증후군에 대한 한의 복합 치료 증례보고 1례 (A Case Report of Guillain-Barré Syndrome with Neutropenia Improved by Combined Korean Medicine Treatment)

  • 정은선;유호룡;김윤식;설인찬
    • 대한중풍순환신경학회지
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    • 제21권1호
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    • pp.57-66
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    • 2020
  • 본 증례보고는 GBS를 진단받고 IVIg치료 후 호중구 감소증이 동반된 환자를 위증(痿證)으로 변증하여 한약, 침구치료, 물리치료를 통해 환자의 증상 호전을 보였기에 보고하는 바이다.

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척추전방전위증(脊椎前方轉位症)에 대한 임상적(臨床的) 고찰(考察) (Clinical Studies on Spondylolisthesis)

  • 한무규;진재도;이정훈;이승우;한승원
    • Journal of Acupuncture Research
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    • 제18권3호
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    • pp.215-226
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    • 2001
  • Objective : Spondylolisthesis has become one of the major causes of the lower back pain in the orthopedic field. We wanted to compare the radiological change with before & after treatment including constitution-acupuncture on spondylolisthesis. Methods : This study were carried out on 9 patients with spondylolisthesis. We reviewed medical records and radiological films. We studied rating score, percent of slip, sagittal angle, percent of posterior disc height. Results and conclusions : The improvement index showed 0.04, 030, 033, 0.00, 0.32 points in isthmic type, and 0.55, 0.56, 0.53, 0.00 points in degenerative type. The percent of slip for pre/post-treatment showed 20/20, 12/11, 24/20, 30/30, 4/3 percents in isthmic type, and 12/4, 16/11, 13/9, 8/8 percents in degenerative type. Sagittal angle showed 11/11, 15/12, 21/18, 17/15, 21.19 degrees in isthmic type, and 22/21, 19/15, 2/2, 8/9 degrees in degenerative type. Percent of posterior disc height were 17/18, 26/28, 24/25, 22/23, 25/27 in isthmic type, and 29/33, 37/45, 25/31, 24/24 in degenerative type. The result suggest that constitution-acupuncture and conservational treatment are good method for treatment of spondylolisthesis, and especially in degenerative type.

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