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음결(陰結)로 변증한 궤양성 대장염 환자의 평위지유탕가미방(平胃地楡湯加味方) 치험 1례 (A Case of Pyungwijiyutang-gamibang Diagnosed as Constipation due to Stagnation of Eum with Ulcerative Colitis)

  • 황주원;최효재;백윤선;정승현;신길조;이원철
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.972-977
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    • 2007
  • Objectives : To see the effect of herbal medicine on ulcerative colitis by diagnosing ulcerative colitis as constipation due to stagnation of eum. Methods : We report here on a case of a patient who had abdominal pain, rectal urgency, diarrhea and hemafecia as chief complaints in December 2004 and was diagnosed with ulcerative colitis on January 20, 2007. The patient was treated with Pyungwijiyu-tang till Hwanggi was added on March 23rd of the same year. No change was made to the prescription since then. Results : After 14 weeks of herbal treatment the chief complaints decreased favorably and had no relapse. Conclusions : In this case, we recognized that the herbal medication could be effective for the clinical symptoms of ulcerative colitis. It was effective in decreasing or maintaining the symptoms of patients and in improving quality of life.

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두부외상 후 발생한 지주막하 출혈에 대한 임상분석 (A Clinical Analysis on Traumatic Subarachnoid Hemorrhage)

  • 구태헌;김한식;목진호;이규춘;박용석;이영배
    • Journal of Korean Neurosurgical Society
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    • 제29권1호
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    • pp.108-112
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    • 2000
  • Objective : Many authors suggest that patients with traumatic subarachnoid hemorrhage(tSAH) visible on first CT after heve injury had a significantly worse prognosis than patients who do not. The aim of this study is to identify patients with tSAH who present with a bad prognosis by reviewing their clinicoradiological features and plan appropriate treatments. Patients and Methods : We reviewed and analysed the factors that influenced discharge outcomes in 172 patients with tSAH for a 3-year period. The outcome was divided into good(good recovery and moderate disability of glasgow outcome scale) and good(severe disability, vegetative state and death). Results : A regression analysis of statistical significant factors(p<0.05) among the clinical and CT features ranked them by descending order of contribution to Glasgow Outcome Scale(GOS) scores at the time of discharge from acute hospitalization as follows 1) clinical : admission Glasgow Coma Scale(GCS), hypotension, CT grade, abnormal APTT, skull fracture, hyperglycemia(>160mg/dl), hypoxia, operation, 2) CT : basal cistern effacement(BCE), mass lesion, cortical sulcal effacement(CSE), midline shift. Conclusion : We have also experienced that the CT grading scale proposed by Green et al is a simple and useful prognostic factor. The authors believe that the patients with high CT grade need adjuvant therapies as of well surgery but it seems mandatory to consider early identification and correction of hypotension, hyperglycemia, and hypoxia in emergency setting.

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녹용약침액이 생쥐의 Type II collagen 유발 관절염과 인산이온 유발 연골세포의 세포사에 있어 보호작용에 관한 연구 (Protective and Anti-arthritic Effects of Cervi Pantotrichum Cornu Herbal Acupuncture, Inhibiting Dihydroorotate Dehydrogenase, on Phosphate Ions-mediated Chondrocyte Apoptosis and Rat Collagen-induced Arthritis)

  • 최유행;최우식;송인광;박준성;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제19권5호
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    • pp.10-27
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    • 2002
  • 연구목적 : 면역억제와 활성 작용을 지닌 것으로 알려진 녹용약침(CPH)을 type II collagen 유발 관절염 (CIA) 백서와 인산이온 유발 연골세포의 세포사에 있어 보호활성 효과를 연구하였다. 연구방법 : 7주된 암컷 Sprague-Dawley 쥐를 collagen으로 관절염을 유발시킨 후 CPH의 효과를 관절염 점수, 체중감소 등의 평가기준으로 검정하였다. CPH는 일주일에 5번씩 각각 10, 20, 30 및 $100{\mu}g/kg/day$의 용량으로 양측 신수혈에 주입하였다. 연구결과 : 1. 300 mg/kg/day CPH처리로 관절염점수의 감소를 기초로 한 collagen 유발 관절염의 발생을 완전히 억제하였으며 관절염 점수상에서 CPH의 효과작인 용량은 64 mg/kg이었다. 2. CHP는 쥐의 간에 있는 DHO-DHase 활성을 $Ki=843{\pm}43{\mu}g/ml$의 비교적 높은 비활성으로 억제하였다. 3. 관절염관련 세포의 증식억제활성을 검정한 결과 CPH의 항 증식효과는 세포주기 S기에서 정지시키는 활성을 나타내었다. 4. 쥐의 늑연골로부터 완전히 최종 분화된 비대연골세포를 분리 배양하여 3~5mM/L Pi를 첨가함으로서 세포사멸을 측정하였다. $10{\mu}g/ml$ CPH 처리에 의한 보호(억제) 효과가 Pi-유발 연골세포의 세포사에 대한 Na-Pi cotransport의 경쟁적 저해제로 알려진 phosphonoformic acid(PFA)의 억제활성과 상응하는 수준으로 CPH의 활성을 확인하게 되었다.

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고대(古代)의 경복진단법(經服診斷法) 중 십이경맥(十二經脈) 맥진(脈診)에 관(關)한 연구(硏究) (The study of pulse diagnosis(服診) about twelve meridians(十二經脈))

  • 임성철;손성철;이경민;황민섭;김갑성;윤종화
    • Journal of Acupuncture Research
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    • 제19권5호
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    • pp.1-9
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    • 2002
  • Objective : The study of relations between twelve meridians and pulse diagnosis Method : The possiblity of pulse diagnosis on the pulse points(脈動處) of each meridian through the scription of $\ll$Maek beop(脈法)$\gg$ $\ll$Nae kyeong(內經)$\gg$ and $\ll$Nan kyeong(難經$\gg$ Result : The comparative pulse diagnosis method(比較脈診法) in the scription of $\ll$Mack beop$\gg$ progressed to the five Jang bu maek(五臟脈) in the scription of $\ll$Young chu : Sa gi jang bu byeong hyeong(靈樞 邪氣臟腑病形)$\gg$ in accordance with the progress of pulse diagnosis and the theory of medicine. Conclusions : The comparative pulse diagnosis method in the scription of $\ll$Mack beop)$\gg$ progressed to the five Jang bu maek(五臟脈) in the scription of $\ll$Young chu : Sa gi jang bu byeong hyeong$\gg$ and the moxibustion and Pyum bup(貶法) in the scription of $\ll$Mack beop$\gg$ altered to acupuncture therapy on the five shu points(五輸穴)

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무작위 대조 시험을 통한 족관절 염좌의 자침 중 심자와 천자의 비교 연구-준비 조사 (Comparison of Superficial and Deep Acupuncture in the Treatment of Ankle sprain : A Randomized Controlled Trial-Pilot study)

  • 박준성;김우영;백승태;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제21권5호
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    • pp.137-147
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    • 2004
  • Objective : The aim of the study was to compare the therapeutic effect of the superficial and in-depth insertion of acupuncture needles in the treatment of patients with ankle sprain. Design : A prospective randomized single-blind study of superficial and deep acupuncture was conducted. Setting : The study was conducted in the Kang-nam Oriental Hosp. of Dong-Guk University. Patients: The study comprised 14 patients with ankle sprain who were divided into two groups (A and B). Intervention : In group A, the needle was introduced in the skin at a depth of 2 mm, whereas in group B the needle was placed deeply into muscular tissue or the articular capsule at a depth more than 1.5 Cm The treatment was planned for a duration of 1 week, 3 times. Outcome Measures : The intensity of pain was evaluated with the Ankle grade pain chart(AGPC) before and after treatment and at the 1-week follow-up examination. The AGPC includes Swelling, Tenderness, Exudation, Bruise, Medial/Lateral. stability test, Anterior drawer test, Squeeze test, Bearing weight, Pressure Algometer, Walking state and VAS. Results : Although at the end of the treatment there was no evidence of significant statistical differences between the two different groups, Pain reduction(VAS) was greater in the group treated with deep acupuncture. A statistical difference existed between the two groups at the 1 week follow up, with a better result in the deeply stimulated group in VAS. Conclusion : Clinical results show that deep stimulation has a better analgesic effect when compared with superficial stimulation in pain reduction(VAS, Visual analogic scale).

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QSCC II의 성정(性情) 항목과 MBTI의 상관성(相關性)에 대한 비교 연구 (The study on the relationship between MBTI and QSCC II composed to Nature & Emotion)

  • 송지형;박경수;심상민;장미경;김근우;구병수
    • 동의신경정신과학회지
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    • 제13권2호
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    • pp.21-39
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    • 2002
  • Objectives : This study is designed to evaluate the psychological characteristics of Sasang Constitution(Origin and Nature & Emotion Group) by MBTI. Methods : 200 people were tested by QSCCII(Origin and Nature & Emotion Group) and MBTI. It is analyzed by ANOVA, Frequency, Crosstabulation, Duncan & Scheffe Post Hoc Tests. Results : 1. The number of Soyangin was 73, Soeumin was 49, Taeumin was 50, Not classified was 28 in Origin group and Soyangin was 114, Soeumin was 28, Taeumin was. 26 in Nature & Emotion group. When we evaluate QSCCII with 38 Nature & Emotion questionaires, the number of Soyangin are incresed compare to Origin Group. 2. The most three MBTI Types are Soyangin ISTJ, ISTP, ESTJ, Soeumin IJST, ISTP, INTJ, Taeumin ISTJ, ESTP, ESTJ, in Origin Group and Soyangin ISTJ, ESTJ, ISTP, Soeumin ISTJ, ISTP, INTJ, Taeumin ISTJ, ESTP, ISFP in Nature & Emotion Group. There is no significant difference between Origin and Nature & Emotion Group in ststistics. 3. Soeumin & Taeumin tended to be introverted, judging types in Origin and Nature & Emotion Group. Soeumin tended to be intuition type in Nature & Emotion Group. Conclusion : We have not significant differences on peculiarity of sasang constitution compared to MBTI between Origin and Nature & Emotion Group in ststistics.

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양측성 안면신경마비 치험 1례에 관한 고찰 (Clinical Observation on 1 Case of Patient with Bilateral Facial Palsy)

  • 김민정;박상동;이아람;김경호;장준혁;김갑성
    • Journal of Acupuncture Research
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    • 제19권2호
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    • pp.238-249
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    • 2002
  • Facial palsy is commonly encountered disease in the clinic but bilateral facial palsy is known as rare disease. Type of facial nerve paralysis include unilateral, recurrent ipsilateral, recurrent alternating and bilateral simultaneous palsies. Among the types, the reported incidence of bilateral simultaneous palsy is 0.3~2% of facial paralysis patients. We experienced I case of patient with bilateral simultaneous facial palsy that was concluded as bilateral bell's palsy. Objective : The purpose of this paper is to report the patient with bilateral facial palsy, who improved by oriental medical treatment. Another purpose is to review the current literature and to differential diagnosis of bilateral facial paralysis. Methods and Results : The patient was treated by acupuncture, herb medication and self-massage on facial muscle for 14 weeks. House-brackmann grading score was improved into I/I (Rt/Lt) from IV/IV. Conclusion : Through reviewing some literatures and reports, It is concluded that bilateral facial palsy was related to many other disorders and more ominous than unilateral facial palsy. therefore, its work-up should include a complete neurologic assesment and thorough evaluation. also, we consider that bilateral Bell's palsy can improve by oriental medical treatments.

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기관절개술을 시행한 중풍 환자의 객담에 대한 담음(痰飮) 처방 투여 1예(例) (A Case Report of a Tracheostomized Patient with Stroke Suffering from Sputum Secretion Treated with Herbal Prescriptions for dispelling Dam-eum)

  • 권태욱;안립;김명호;이상아;장명웅;최동준
    • 대한한방내과학회지
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    • 제34권3호
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    • pp.329-337
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    • 2013
  • This is a case report of a tracheostomized 80-year-old man suffering from sputum after stroke. His symptoms were watery sputum production requiring frequent sputum suction. The subject was diagnosed as having a deficiency of spleen qi and was treated with Gami-ijung-tang, Yukgunja-tang, Soeumin Bojungikgi-tang, and Ijin-tang extract in the herbal prescription known to dispell Dam-eum (phlegm-retained fluid). Frequency of ssputum suction and condition of sputum were checked everyday. Gamiijung-tang, Soeumin Bojungikgi-tang with Ijin-tang extract led to improvement by reducing sputum secretion. There were limitations on frequency of suction and condition of sputum which were thought to be derived from tracheostomy, however. Consequently, pathology and treatment of sputum will be different whether tracheostomy was performed or not.

위절제술 후 발생한 조기 덤핑증후군에 대하여 한방치료로 호전된 환자 1례 증례보고 (Korean Medical Treatment of Early Dumping Syndrome after Gastrectomy: A Case Report)

  • 이찬솔;노현석;하유경;박송원;홍승철;임성우
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.736-743
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    • 2017
  • This clinical study describes the effect of Korean medicine as a treatment for early dumping syndrome. The patient was treated with herbal medicine (Sogeonjung-tang and Jeongjeon-gami-ijin-tang), acupuncture, and moxibustion for 34 days. The degree of treatment was measured by the amount of oral intake and the number of vomiting incidents. During the treatment, the patient's symptoms were relieved and the amount of oral intake increased. At first, the patient vomited once or twice per day, and the amount of oral intake was about 600-700 cc. After the treatment, the patient did not vomit and oral intake increased about two fold. This clinical case study shows the positive effect of herbal medicine, acupuncture, and moxibustion on relief of symptoms of early dumping syndrome.

한약 및 침치료 후 피부습진의 SCORAD 점수를 호전시킨 성인 아토피성 피부염 환자 증례보고 (A Case Report of an Adult Atopic Dermatitis Patient Whose Eczema and SCORAD Index Were Improved by Herbal Medicine and Acupuncture Therapy)

  • 홍승철;김영지;송주연;박송원;이찬솔;정지천
    • 대한한방내과학회지
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    • 제39권5호
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    • pp.1004-1014
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    • 2018
  • This case reports the effect of herbal medicine and acupuncture therapy on the scoring atopic dermatitis (SCORAD) index for an adult atopic dermatitis patient. An adult male in his 30s with complaints of severe eczema on the whole body was diagnosed with heat toxin blazing exuberance pattern (熱毒內蘊) and treated with herbal medicine, including an orally-administrated decoction, externally-applied decoction, extracted powder capsule, and acupuncture for a total of 30 days. We observed skin symptoms, SCORAD index, follow-up photographs, and any adverse events. After treatment, SCORAD index decreased from 74.5 to 38.7 (51.9% from baseline). Skin symptoms such as redness, itching, and exudation were improved without any adverse events reported. This case suggests that herbal medicine and acupuncture therapy could be effective in improving eczema in adult atopic dermatitis patients.