• 제목/요약/키워드: Ilsan

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장측 늑막에서 발생한 저등급 섬유점액성 육종 - 1예 보고 - (Low Grade Fibromyxoid Sarcoma of the Visceral Pleura - A case report -)

  • 김연수;장선희;이성순;류지윤;박경택;장우익;김창영;조성준
    • Journal of Chest Surgery
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    • 제41권1호
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    • pp.141-144
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    • 2008
  • 저등급 섬유점액성 육종은 드문 심연부 조직의 악성 종양이다. 비록 조직학적으로는 양성 소견을 보이지만 임상적으로는 악성 경과를 보인다. 일반적으로 하지나 체벽에서 발생하는 종양이며, 장측 늑막에서 발생된 보고는 극히 드물다. 저자들은 37세의 남자에서 장측 늑막에서 기원한 저등급 섬유점액성 육종의 증례를 보고한다. 수술 33개월째 국소재발이나 원격전이 없이 추적 관찰 중이다.

혈구삼화탕 투약 후 복부팽만이 호전된 기능성 소화불량 환자 증례보고 (A Case Report of Improvement in Abdominal Distension in a Patient with Functional Dyspepsia Using Hyeolgusamhwa-tang)

  • 홍승철;김학겸;김영지;송주연;박송원;안립;정지천
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.865-872
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    • 2019
  • Objective: The aim of this case report was to describe the effect of Hyeolgusamhwa-tang (絜矩三和湯 ) on abdominal distension caused by Qi (氣脹) in a patient with functional dyspepsia. Methods: A female Korean patient was treated with Hyeolgusamhwa-tang and acupuncture for 14 days. We observed objective symptoms, such as bloating, nausea, belching, loss of appetite, and heartburn, and we also measured her abdominal circumference. Results: After treatment, her abdominal circumference was decreased from 87 cm to 83.5 cm, and her food intake was improved from the baseline. The other objective symptoms, like general weakness, loss of appetite, abdominal discomfort, and heartburn, were improved or disappeared without any adverse events reported. However, we could not find any significant differences for some symptoms, such as nausea. Conclusions: This case suggests that Hyeolgusamhwa-tang and acupuncture therapy could be effective in reducing functional distension in patients diagnosed with distension caused by Qi (氣脹).

외상성 경막외 출혈 이후 발생한 인지장애에 대한 한방치료 1례 (Korean Medical Treatment of Cognitive Impairments after Traumatic Epidural Hemorrhage: A Case Report)

  • 송주연;김영지;김학겸;홍승철;박송원;안립;정지천
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.920-928
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    • 2019
  • Objectives: After epidural hemorrhage, sequelae may cause cognitive impairments, such as attention, memory, and performance disturbances. This case study reports on the use of traditional Korean medicine in a patient with cognitive impairments after a traumatic epidural hemorrhage. Methods: During the 46-day hospitalization period, traditional Korean medicine treatments, including Sunkihwalhyul-tang-gamibang, Ukgan-san-gajinpibanha Granule, Kyungohk-go, acupuncture, and cupping, were administered. The degree of cognitive impairment was measured based on the Mini Mental State Examination-Korea (MMSE-K), Modified Barthel Index (MBI), and correct answer ratio. Results: After traditional Korean medicine treatment, the MMSE-K score increased from 13 to 19 and the MBI score increased from 63 to 71. The patient's conversations in daily life also proceeded more smoothly than before hospitalization, and the correct answer ratio rose. Conclusion: This case reports the improvement of cognitive impairment after traumatic epidural hemorrhage in response to traditional Korean medicine treatment; further study is needed.

만성 오심 구토 증후군 환자의 한의치료 1례 (A Case Report on Korean Medical Treatment for a Patient with Chronic Nausea and Vomiting Syndrome)

  • 김학겸;박지윤;문지성;김예슬;민선우;안립;임성우
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.967-975
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    • 2021
  • This study investigated the case of a nineteen-year-old female patient with chronic nausea, vomiting, and abdominal distension, who was diagnosed with CNVS and Spleen-Qi deficiency. Subjective symptoms were recorded with the Numerical Rating Scale (NRS) every morning, and the Gastrointestinal Symptom Rating Scale (GSRS) was used on the days of admission and discharge. For eleven days following admission, she took Bojungikki-tang-gagam and received acupuncture and moxibustion therapy. After three days of treatment, her nausea and vomiting ceased, and abdominal distension improved from NRS 3 to 0 after seven days of treatment. The GSRS score for the specific symptoms improved from 3 to 2; however, the total score remained largely unchanged (from 20 to 21). This case suggests that Korean medical treatment may improve CNVS.

근무력증 위기를 겪은 중증근무력증 환자의 한의학적 중재에 관한 증례보고 1례 (A Case Report of Korean Medical Intervention in a Patient with Myasthenia Gravis after Myasthenia Crisis)

  • 김예슬;박지윤;민선우;문지성;홍정화;안립;최동준
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.244-253
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    • 2022
  • Objective: This study reports on the management of a patient with myasthenia gravis (MG) following myasthenic crisis (MC) using Korean medicine. Methods: A 77-year-old Class V MG patient was treated with acupuncture, moxibustion, and Korean herbal medicine. A manual muscle test was used to derive a Medical Research Council (MRC) score and the patient's subjective view of his dyspnea was measured to assess MG symptoms. Results: The MRC grade indicated significant deterioration after 65 days of treatment, although there was no change in the patient's subjective dyspnea assessment. But no other MG or MC complications occurred. Conclusion: This study suggests that Korean medicine could be used for the management of Class V MG patients.

쌍합탕 투약 후 수족부 저림증이 호전된 지주막하출혈 환자 증례보고 (A Case Report of a Subarachnoid Hemorrhage Patient whose Paresthesia Improved by Ssanghap-tang)

  • 홍승철;민선우;문지성;김학겸;김영지;송주연;안립;신길조;최동준
    • 대한중풍순환신경학회지
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    • 제21권1호
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    • pp.77-84
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    • 2020
  • ■ Objectives This case is to report the effect of Ssanghap-tang on paresthesia of a subarachnoid hemorrhage patient. ■ Methods A male Korean patient was treated with Ssanghap-tang and acupuncture, moxibustion for total 30 days. We observed limbs numbness, circumferences, other symptoms such as weakness and any adverse event. ■ Results After treatment, numeric rating scale of limb numbness was improved to 5 from 8 at admission without any adverse event. However, we could not find any significant differences on hand circumference and limb weakness. ■ Conclusion This case suggests that Ssanghap-tang and acupuncture, moxibustion therapy could be effective in improving paresthesia of subarachnoid hemorrhage patient.

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COVID-19 감염 이후 발생한 인후부 이물감에 대한 한의치료 증례 1례 보고 (Case Report of Korean Medicine Treatment for Post-COVID-19 Globus Sensation)

  • 홍정화;김예슬;박지윤;석은주;이영주;안립;최동준
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.244-251
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    • 2023
  • Globus sensation is a continuous, intermittent, non-painful sensation of lumps or foreign substances in the throat. It was reported that 13.7% of patients developed globus sensations after COVID-19 infection. A 73-year-old male patient with a globus sensation after a COVID-19 infection was admitted to the ◯◯ Oriental Medicine Hospital and treated with herbal medicine (Banhahubak-tang, Sosiho-tang). Subjective symptoms of globus sensation were measured with the Numerical Rating Scale (NRS) daily and found to reduce. The effect persisted during his admission. In conclusion, Korean medicine, including Banhahubak-tang, can be effective for patients with globus sensations after COVID-19 infections.

소세포폐암에 동반된 미세변화 신증후군 1예 (A Case of the Minimal Change Nephropathy Associated with Small Cell Lung Cancer)

  • 고광일;송민근;신동엽;김동현;김찬호;한창훈;이선민;최윤정;김정주
    • Tuberculosis and Respiratory Diseases
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    • 제65권1호
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    • pp.37-40
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    • 2008
  • 본 증례는 소세포폐암에 동반된 미세변화 신증후군에 대한 국내 첫 번째 보고이며, 흉막여출액에 의한 호흡곤란과 말초부종 등 미세변화 신증훈군의 증상 발현에 의해 내원하여 잠재암이 발견된 경우이다. 본 증례를 통하여 성인의 경우 막성신병증 뿐만 아니라 미세변화 신증후군이라도 초기진단 시 원인질환으로 종양의 가능성을 고려해야 한다는 것을 경험하게 되었다.