• 제목/요약/키워드: Abdominal discomfort

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담훈으로 변증된 말초성 현훈 환자 5례에 대한 임상보고 - 반하백출천마방 가감방을 중심으로 - (Five Case Report of Peripheral Vertigo Diagnosed Dam Hun with Oriental Medical Treatment - Banhabaeckchulchunma-tang gagam -)

  • 안소현;최정식;조충식;김철중
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.263-268
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    • 2009
  • Pripheral vertigo occurs if there is a problem with the part of the inner ear that controls balance or with the vestibular nerve, which connects the inner ear to the brainstem. Peripheral vertigo is caused by benign paroxysmal positional vertigo(BPPV), Menieres disease, vestibular neuronitis, or labyrinthitis. We diagnosed five patients who have severe vertigo as peripheral vertigo and Dam Hun. We treated them with Banhabaeckchulchunma-tang gagam and acupuncture. After treatment, vertigo and other symptoms -nausea, vomiting, abdominal discomfort had improved. So I report these cases, but more clinical case reports are needed.

한방병원에 내원한 유방암 및 부인암 환자 58명에 대한 임상적 특성 분석 (Clinical Characteristics Analysis of 58 Patients with Breast and Gynecologic Cancer in Oriental Hospital)

  • 주정현;박수완;김승모;최홍식;김경순
    • 동의생리병리학회지
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    • 제28권5호
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    • pp.571-575
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    • 2014
  • This study was aimed to obtain epidemiological information of cancer patients treated with Oriental medicine. 58 breast and gynecological cancer patients treated in Cancer Center of Daeguhanny Oriental Hospital from August 2012 to August 2013 were reviewed. Careful investigations were done by categorizing these patients by their origin, stage, treatment, conventional treatment type, chief complaint, etc. In tumor origin, breast cancer showed the largest proportion in total patients(74.1%) and inpatients(81.8%). 63.8% of the patients' tumors were stage III and IV. 48.3% of patients visited Oriental hospital for combination treatment with conventional medicine. 91.4% of the patients have under 5 years of cancer duration. Their cheif complaints are general weakness, postoperative pain and abdominal discomfort in general. This study presented the characteristics of breast and gynecological cancer patients treated by Oriental medical therapies, and thus would be valuable for futher studies of Oriental medical cancer treatments.

비특이적인 증상을 나타내는 허혈성(虛血性) 심질환(心疾患) 진단 2례 (Two cases of Patients with Nonspecific Symptoms Diagnosed as Ischemic Heart Disease)

  • 백종우;정기용;하유군;박종형;전찬용;최유경
    • 대한한방내과학회지
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    • 제29권4호
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    • pp.1130-1137
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    • 2008
  • Objectives : Oriental medical doctors usually use the three-finger pulse diagnosis method to observe disease. Since it is difficult to diagnose ischemic heart disease (IHD) objectively by this diagnostic method, we performed the study to diagnose it as soon as possible by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram(ECG). Methods : Patients who had abdominal discomfort were observed by Yuk Bu Jung Wee Jin Mac(六部定位診脈) and we presumed they had heart disease and checked them with electrocardiogram(ECG). Results : We diagnosed it early by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram (ECG). Conclusions : The study suggests that it is easy to diagnose IHD early using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and ECG. More data related to IHD is needed.

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A Pediatric Case of Toxic Hepatitis Induced by Hovenia Dulcis

  • Kim, Yun Ji;Ryu, Seung Lok;Shim, Jae Won;Kim, Duk Soo;Shim, Jung Yeon;Park, Moon Soo;Jung, Hye Lim
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제15권2호
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    • pp.111-116
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    • 2012
  • Toxic hepatitis is a rare but devastating disease in children. Herbs are widely used in oriental medicine to treat various symptoms in Korea, however, several herbs have been reported to induce liver injury. We report a case of toxic hepatitis induced by Hovenia dulcis in a 3-year-old boy. He complained of nausea, abdominal discomfort, and jaundice. The patient had consumed water boiled with hovenia dulcis for about 1 year prior to presentation. A diagnosis of toxic hepatitis was made based on his history, laboratory data, viral markers, ultrasonography, and biopsied liver tissue. We administered supportive management for acute fulminant hepatitis but his symptoms and liver function progressed. He was transferred to another hospital for further evaluation and consideration for liver transplantation. Because acute liver failure due to herbs or dietary supplement taken for a long time is often fetal, it is important to make early diagnosis and stop taking the drug as soon as drug induced liver injury is suspected.

독활지황탕(獨活地黃湯)의 위장관(胃腸管) 및 중추신경(中樞神經)에 미치는 효능(效能)에 관(關)한 실험적(實驗的) 연구(硏究) (An experimental study on the effects of Dokwhaljiwhang-tang affecting gastro-intestinal track and central nervous system in rats and mice)

  • 진현철
    • 사상체질의학회지
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    • 제9권2호
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    • pp.187-201
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    • 1997
  • An experimental study was done to examine the effects of Dokwhaljiwhang-tang on gastro-intestinal track and central nervous system and were undertaken by being carried out with rat. The following results have been obtained ; 1. Dokwhaljiwhang-tang showed to have an inhibitory effect on the smooth muscle contraction of the isolated ileum by acetylcholene chloride and barium chloride. 2. Dokwhaljiwhang-tang showed to have an inhibitory effect on the contraction of the gastric fundus-strip by acetylcholine chloride and barium chloride. 3. The preventive effect was recognized on the pylorus-ligated ulcer, by administration of Dokwhaljiwhang-tang. 4. The preventive effect was not recognized on the indomethacine -induced ulcer, by administration of Dokwhaljiwhang-tang. 5. The inhibitory effects on the secretion gastric juice, free acidity were recognized, by administration of Dokwhaljiwhang-tang 6. The transport ability in the small intestine was increased, by administration of Dokwhaljiwhang-tang. 7. The transport ability in the large intestine was increased, by administration of Dokwhaljiwhang-tang. 8. The analgesic effect was recognized, by administration of Dokwhaljiwhang-tang. 9. The effect of sleeping time was not recognized, by administration of Dokwhaljiwhang-tang. according to the results, it is considered that Dokwhaljiwhang-tang has effects of gastric ulcer, chronic gastritis,hyper-acidity, gastroptosis such as abdominal discomfort, gastric acid, indigestion and anorexia.

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태음조위탕(太陰調胃湯)을 복용한 태음인(太陰人) 소음인(少陰人) 소양인(少陽人)의 반응에 대한 임상보고 (Clinical Report about the Adverse Reactions of Taeeumin.Soeumin.Soyangin by Taeeumjowi-tang)

  • 김효정;김종열
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1600-1605
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    • 2008
  • The objectives of this study were to survey the adverse reactions by Taeeumjowi-tang and to compare the tendency of symptoms by Sasang constitutional type. The clinical data for this study were based on the medical records of 78 cases collected from an oriental clinic. The major results of this survey are following: The 5.8% of Taeeum-in who took Taeeumjowi-tang showed side effects. And the 52.4% of Soeum-in and 41.6% of Soyang-in also showed side effects against Taeeumjowi-tang. They complained of excitation, irritability, restlessness, hypersensitivity, tinnitus, insomnia, upper abdominal discomfort, poor appetite, thirst, perspiration, dizziness, chest pain, tremor and evacuation troubles in common. And these adverse symptoms were similar to that by Ma-hwang. Therefore if we make a suitable medication guide for Ma-hwang based on Sasang constitutional type, it will be able to maximize the efficacy and minimize the adverse effect.

일대학교 대학생의 과민성 장 증후군 유병률 및 영향요인 연구 (The Prevalence and Factors of Irritable Bowel Syndrome in University Students)

  • 이경숙
    • Journal of Korean Biological Nursing Science
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    • 제11권2호
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    • pp.167-175
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    • 2009
  • Purpose: The purpose of this study was to examine the prevalence and factors on Irritable Bowel Syndrome (IBS) symptoms in university students. Methods: This study was descriptive survey research. The subjects were 187 university students from one university. The exclusion criteria were 1) had GI surgery 2) had severe physiologic or psychologic problems 3) had liver, bile duct, pancreatic, and intestinal disease that required treatment. The ROME III was used to diagnose IBS. Sociodemographic characteristics, general health state by SF-36, psychological health by SCL-90-R, stress by perceived stress scale, sleep disturbance by Korean sleep scale, and diet habits were measured. Data were analyzed by using SPSS 17.0. Results: Seventeen students (9.1%) had IBS by ROME III criteria, but 46% had some GI problems at that time. Abdominal pain or discomfort continued for last six months or more in 14.3%. Fiber intake, obsessive-compulsiveness, hostility, psychoticism, global severity index, positive symptom distress, role physical, bodily pain, social functioning, and mental health were significantly different between IBS group and Non IBS group. Conclusion: Over nine percent of the students were diagnosed by Rome III criteria, and almost half of them had some GI problems. Diet, personality, general health state, and psychological health were factors of IBS.

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A Case of Hypereosinophilic Syndrome with Bladder Involvement in a 7-Year-Old Boy

  • Park, Yoon Kyoung;Yim, Hyung Eun;Yoo, Kee Hwan
    • Childhood Kidney Diseases
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    • 제19권2호
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    • pp.167-170
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    • 2015
  • Hypereosinophilic syndrome (HES) is characterized by the presense of hypereosinophilia with evidence of target organ damage. We report a patient diagnosed with eosinophilic cystitis and HES. A 7 year old boy had hematuria, dysuria, and increased urinary frequency for 1 day. Laboratory examinations revealed hypereosinophilia (eosinophils, $2,058/{\mu}L$), hematuria, and proteinuria. Abdominal sonography revealed diffuse and severe wall thickening of the bladder. The patient was treated initially with antibiotics. However, his symptoms did not improve after 7 days. A computed tomography scan demonstrated severe wall thickening of the bladder and the hypereosinophilia persisted (eosinophils, $2,985/{\mu}L$). The patient complained of chest discomfort, dyspnea, epigastric pain, and vomiting on hospital day 10. Parasitic, allergic, malignancy, rheumatologic, and immune workups revealed no abnormal findings. Chest X-rays, electrocardiography, and a pulmonary function test were normal; however, the hypereosinophilia was aggravated (eosinophils, $3,934/{\mu}L$). Oral deflazacort was administered. A cystoscopic biopsy showed chronic inflammation with eosinophilic infiltration. The patient's respiratory, gastrointestinal, and urinary symptoms improved after 6 days of steroids, and he was discharged. The eosinophil count decreased dramatically ($182/{\mu}L$). The hypereosinophilia waxed and waned for 7 months, and the oral steroids were tapered and stopped. This case describes a patient diagnosed with eosinophilic cystitis and HES.

Stellantchasmus falcatus에 의한 인체 감염 1례 (A human case of Stellantchasmus falcatus infection)

  • 손운목;채종일;이순형
    • Parasites, Hosts and Diseases
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    • 제27권4호
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    • pp.277-280
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    • 1989
  • Stelldntthasntus falcatrts에 의한 인체감염 1례가 프라지콴텔 투여 후 충체를 수집함으로써 확진되었다. 환자는 서울에 거주하는 33세 남자로 복부 불쾌감과 공복통이 있다고 하였다. Formalin-ether 침전법으로 실시한 대변 검사에서 이형홉충류의 충란이 검출되어 프라지콴텔 600 mg을 1회 투여하고 1시간 후 황산 마그네슘 25 g으로 설사를 유도한 바 설사변에서 S. falcatus 17 마리와 H. nocens 14마리가 검출되었다. 치료 후 1개월에 실시한 대변검사에서는 충란이 검출되지 않았고 임상증상도 없어졌다고 하였다. 환자는 평소에 여러 종류의 생선회를 즐겨 먹었다고 하며 이들이 감염원일 것으로 추측된다. 이 중례는 S. felcatus의 국내 4번째 인체감염례에 해당된다.

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성인에서 기흉을 동반한 우측의 Bochdalek Hernia 1 (Right Bochdalek hernia with pneumothorax in adult)

  • 백광제
    • Journal of Chest Surgery
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    • 제17권4호
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    • pp.729-734
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    • 1984
  • Bochdalek hernia is a type of congenital diaphragmatic defect in the posterolateral portion of the diaphragm. The defect is usually Lt. sided due to protective effect of liver on right. Sex distribution is male preponderance [2:1] and it is diagnosed during neonate, mostly first 24 hours, due to severe respiratory distress. We experienced a rare case of old aged female patient with congenital Bochdalek hernia on Rt. side which was found incidentally during treatment of spontaneous pneumothorax of Rt. side. 17 year old female patient was admitted to CS department for chest discomfort on right and mild dyspnea with duration of 20 days. Under the diagnosis of spontaneous pneumothorax, Rt. closed thoracostomy and underwater sealed drainage with continuous suction was applied. On follow-up chest x-ray, poorly defined hazy increased density with multiple air-fluid levels in Rt. lower lung field and Lt. subphrenic free air were noted. So, Barium enema was done under the impression of Rt. diaphragmatic hernia, and nearly entire colon proximal to sigmoid was demonstrated in the Rt. hemithorax. Operation was done-for surgical repair of defected diaphragm through Rt. posterolateral thoracotomy. Operative findings were as follows; 1.Hypoplastic Rt. lung, esp. RML & RLL. 2.Nearly entirely intestines were herniated. 3.Diaphragmatic defect was located on posterolateral portion of the diaphragm, about 10x3cm in size with blunt smooth margin. 4.A large bleb on apex of RUL of lung. Herniated intestines were repaired into abdominal cavity manually and defect of diaphragm was repaired with No. I black silk interrupted sutures directly, and bleb was resected. Postoperative courses were uneventful and the patient was discharged with good condition on POD 14th.

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