• 제목/요약/키워드: Integrative cancer treatment

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폐전이된 담낭암 환자를 사상의학적 관리를 통해 제반 증상과 삶의 질을 개선시킨 1례 (A Case Of Symptoms and Quality Of Life Changes in Stage IV Gallbladder Cancer with Hematogenous Lung Metastasis by Sasang Constitutional Medicine)

  • 서영광;김은희;김달래;고병희;전성하;어완규;김세현;최원철;이수경
    • 사상체질의학회지
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    • 제19권2호
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    • pp.187-194
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    • 2007
  • 1. Objectives The incidence of Gallbladder(GB) cancer is increasing through out the world. And the death rate of GB cancer is highest compared with other kinds of cancers. We treated Stage IV GB canter with lung metastasised patient with Sasang constitutional medicine. 2. Methods We fellowed up the changes of Symptoms and QOL. 3. Results The symptoms and quality of lift(QOL) of Stage IV GB cancer with both lung metastasis patient are improved markedly by Sasang constitutional medicine. 4. Conclusions The symptoms of GB cancer with both Lung mets were effectively managed through the constitutional treatment So we report the healing process and result of this patient in this study.

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유방암 환자의 항암 치료 부작용 및 한의학적 보완치료 경험에 관한 포커스 그룹 연구 (Experiences of Treatment-Related Side Effects and Supportive Care with Korean Medicine in Women with Breast Cancer - A Focus Group Study)

  • 한솔아;장보형;황덕상;서혜선
    • 대한한방부인과학회지
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    • 제30권1호
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    • pp.85-94
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    • 2017
  • Objectives: To explore experiences of treatment-related side effects and supportive care among Korean breast cancer survivors (BCS). Methods: Focus group interview was conducted with six Korean women with breast cancer. Participants were recruited through snow-balling. Interview was audio-recorded and transcribed verbatim. NVivo-11 was used to code the data into themes. Results: Two major themes were identified: (1) experiences of Western medicine, including treatment, side effects, needs and costs; (2) experiences of supportive care with Korean medicine, including the same as above. All participants experienced Western medicine in treatment phase and reported impairment of physical, emotional, and social functioning during and after Western medicine treatment. Only three participants used Korean medicine after treatments end. The negative responses from Western medicine doctors were the most important factor keeping participants from accessing Korean medicine when treatment-related side effects occurred. For this reason, some participants used Korean medicine without disclosure. Participants usually acquired information about Korean medicine from online community or other BCS, which was another important factor because it raised concerns about side effects and credibility of Korean medicine. High cost was also reported as barrier in using Korean medicine. During the cancer treatment, participants tended to endure their treatment-related side effects. Conclusions: Korean BCS may be at high risk of physical or emotional distress during treatment period. Findings suggest that there is a high need for supportive care to relieve treatment-related side effects and improve patients' quality-of-life. Furthermore, developing a systematic guidance or credible information sources should be warranted to help patients find the best supportive care options including Korean medicine.

소아암의 한의약치료 임상 동향 - 대조군 임상연구를 중심으로 (Traditional Asian Medicine Treatment for Childhood Cancer - Review of Controlled Clinical Studies)

  • 김윤환;김한슬;오정명;이혜윤;민유리;윤영주
    • 대한예방한의학회지
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    • 제24권2호
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    • pp.17-30
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    • 2020
  • Objectives : To find treatment techniques and design clinical studies, this study reviewed controlled clinical studies on traditional Asian medicine treatment for childhood cancer. Methods : Literature searches were performed on four databases, such as NDSL, OASIS, PubMed, and CNKI. Studies were categorized and analyzed according to the treatment goal and we also assessed the quality of the randomized controlled trials (RCT) using Van Tulder Scale. Results : Twenty-seven studies met our inclusion criteria: 21 RCTs, 4 controlled trials, 2 Cohort studies, however only 6 among the 21 RCTs got the scores of high quality. Various interventions were used, such as herbal medicine, acupuncture, acupressure, and chuna. 7 studies were focused on cure of leukemia or solid cancer. 11 studies were performed to alleviate chemotherapy induced nausea and vomiting. 9 studies were focused on other complications of chemotherapy. Conclusions : Most of the studies reported significant effectiveness of traditional medicine treatment compared to controlled group. However we could not made a definite conclusion because of the low quality and heterogeneity of the studies included. More studies should be performed to introduce traditional Asian medicine to childhood cancer treatment.

암생존자의 자가관리 프로그램 개발을 위한 증상관리 및 신체적 활동 관련 가이드라인의 통합적 고찰 (Integrative Review of Guidelines Related Symptom Management and Physical Activity for Developing of Self-Care Management Program for Cancer Survivors)

  • 송지은
    • 한국콘텐츠학회논문지
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    • 제18권4호
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    • pp.586-600
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    • 2018
  • 본 연구는 암 치료를 완료한 암생존자를 위한 통합 자기관리 어플리케이션 개발을 위한 기초자료를 수집하고자 시도되었다. 자기관리 프로그램은 증상관리와 신체활동관리로 구분되며 증상관리는 피로, 수면장애, 통증, 우울과 불안이 포함된다. 근거기반실무 가이드라인을 PubMed, CINAHL 및 EMBASE를 통해 검색하였으며 가이드라인 질 평가 후 최종 8개를 선정하여 분석하였다. 구조화된 표를 이용하여 스크리닝 대상자, 시기, 내용, 포괄적 사정대상자 및 사정내용을 추출하였고, 비약물적 중재 중 신체적 활동 및 운동 관련내용을 정리하였다. 통합한 결과, 암 치료 완료 후에도 모든 암 생존자를 대상으로 신뢰도와 타당도가 입증된 도구를 이용하여 정기적인 증상 스크리닝을 하여야 하고 중정도 이상의 증상 호소 시 전문가에 의한 포괄적인 사정을 요한다. 피로의 경우 신체적 활동이 일차적 중재법으로 권고되었으나 이 외 증상의 경우 보조요법 수준으로 효과가 있는 것으로 권고되었다. 따라서 암 생존자에게 꾸준한 신체적 활동을 격려하여야 하고 치료와 관련된 합병증이 없는 한 중강도의 신체활동을 꾸준히 유지할 수 있도록 중재하여야겠다. 이를 위해 신체적 활동에 대한 다양한 동기화 전략을 개발하고 적용해야 할 것으로 사료된다.

중국(中國) 중서의결합(中西醫結合)모형에 따른 한국(韓國)의 한양방협진(韓洋方協診) 정책(政策) 제언(提言) (A Policy Proposal for the Korean Collaboration of Eastern and Western Medicine according to a model of the Chinese Integrative Medicine)

  • 박정석;신병철;김춘배;정태영;이연월;조종관;유화승
    • 혜화의학회지
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    • 제19권1호
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    • pp.1-7
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    • 2010
  • Melasma is a common disorder that causes dark colored patches. It generally causes brown spots on the face, especially on the forehead, cheeks, and upper lips. The pattern of patches has bilateral symmetry in yellowish-brown to gray-brown colors. It is much more common in women than in men. Melasma is considered to be caused by environmental and physical constitutional factors and often occurs when a woman's hormone changes by pregnancy or the use of oral contraceptive pills. It is important to combine oriental medicine and Sasang constitutional medicine for treatment of Melasma. Normal treatment of Melasma includes warming oneself, removal of the emotional stress factors, and good nutrition.

스파이랄 발란스 테이핑이 유방암 환자의 수술 후 후유증에 미치는 영향 : 사례연구 (The Effect of Spiral Balance Taping on Postoperative Sequelae in Breast Cancer : Case study)

  • 강수지;이대희;장철;임백빈
    • 대한통합의학회지
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    • 제12권3호
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    • pp.37-47
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    • 2024
  • Purpose : Cancer survivors often suffer from postoperative sequelae. the diagnosing and provision of manual therapy using spiral taping significantly improves the quality of life of cancer patients. The aim of this case study is to investigate the immediate effects of spiral taping on pain, range of motion (ROM), chemotherapy-induced peripheral neuropathy (CIPN), and lymphedema following breast cancer surgery. Methods : The taping techniques were performed as follows by spiral taping. The measurements were taken before, in the middle, and after taping using a mobile phone camera, tape measure, and a numerical rating score (NRS). The evaluation employed a single-group pre-post design based on a primitive experimental design. Results : Out of four patients, all four exhibited Reverse circle flow energy (RCFE), Passive cervical right (Rt) rotation test, anterior-posterior movement pattern, nerve type (+), cold energy (CE), sangcho acupuncture point, blood clot, hwal point. Comparing before and after treatment, almost all values were reduced to zero after treatment in terms of pain complaints. The lack of range of motion (ROM) caused by the shortened tissue after surgery did not increase. The range of motion (ROM) lost due to pain returned to normal. The circumference of lymphedema did not show a tendency. The symptoms of CIPN improved. Conclusion : There was a significant change in joint range of motion, with pain decreasing, but there were structural limitations in the tissue due to total resection, and the chemotherapy-induced peripheral neuropathy scale. It was effectively treated surgical site pain, axillary membrane syndrome-induced pain, and unexplained pain. While there was a treatment effect for lymphedema in the evaluation of circumference values, there was no significant change in circumference. There was a significant effect on chemotherapy-induced peripheral neuropathy, particularly in treating numbness in the feet, which is a side effect of TC anticancer drugs. This case study found that spiral balance taping provides a rapid therapeutic effect for most side effects in patients who have undergone total breast cancer resection. However, the generalization is limited due to the small sample size, and further research is needed to determine the extent to which the effects of one treatment are maintained.

미후등식장탕으로 오치하여 복통(腹痛), 자한(自汗), 오심(惡心)이 발생한 소음인 직장암 환자 1례 증례보고 (A Case of Soeumin Rectal Cancer Misdiagnosed as a Taeyangin and Mistreated with Mihuedungsikjang-tang)

  • 안지혜;권은미;송안나;김은희;박소정;정의홍;최원철;이수경
    • 사상체질의학회지
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    • 제23권4호
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    • pp.533-540
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    • 2011
  • In this case, we report a case of Soeumin rectal cancer patient who was mistreated with herb medication. This patient was 72 years old female diagnosed rectal cancer stage IV with multiple liver, lung, and LN metastases. She administered our cancer center in Sep. 2011 for cancer treatment, we diagnosed this patient as Taeyangin at first, and treated with Mihuedungsikjang-tang. After 1 week, she complained upper abdominal discomfort, severe abdominal pain, nausea and sweating. Considering several symptoms and conditions, the change of symptoms seemed to a adverse events caused by mistreatment. We re-diagnosed this patient as Soeumin, and treated with Soeumin herbal medication, Baekhaoleejung-tang(白何烏理中湯) and Hyangsayangyi-tang(香砂養胃湯). Several symptoms including abdominal pain were improved 2 weeks later. Therefore, we report this case as a reference that Soeumin misdiagnosed as Taeyangin and the improvement of adverse symptoms.

국내에 보고된 한국 한의학의 암치료 임상연구에 대한 계통적 고찰 (Systemic Review of Clinical Studies about Oriental Medical Treatment of Cancer in Korea)

  • 박봉기;이종훈;조종관;신현규;엄석기;유화승
    • 대한한방내과학회지
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    • 제29권4호
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    • pp.1061-1074
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    • 2008
  • Objectives : Recently, the number of cancer patients who use complementary and alternative medicine (CAM), including oriental medicine, are increasing. Also, evidence for efficacy and safety of cancer CAM is reported continuously. This study was designed to evaluate the quality of the published papers for clinical studies about oriental medical cancer treatment in Korea. Methods : We searched for clinical research papers on the websites of the Korean oriental medical society and subsidiary academies, Korean traditional knowledge portal. Koreanstudies information service system (KISS), etc. We used the reference words 'cancer', 'malignant tumor', 'leukemia', 'lymphoma', 'multiple myeloma', 'melanoma', etc, We then chose studies that had been presented between 1991 and 2008 and analyzed them by publication year, design, cancer type, intervention, subject and journal. Results : There were 86 clinical research papers that were published between 1991 and 2008. The number of clinical studies has increased in a time-dependent manner. Case reports and case series studies account for 78% of total clinical research. Studies of lung cancer account for 17%. Studies of cancer-related symptoms of cancer patients account for 38%. Studies of Hang-Am-Dan account for 33%. Studies published in the journal of the Korean Society of Oriental Internal Medicine account for 35%. Conclusion : The clinical research papers about oriental medicine are increasing over time, but most of the studies are retrospective case reports or case series. Well-designed and prospective clinical trials would be recommended to provide more reliable evidence.

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한약치료와 표적항암요법(아피니토)을 병행하여 부분 관해 된 신세포암 간전이 환자 1례 (A Case Report of Partial Remission of Renal Cell Carcinoma with Multiple Liver Metastases Treated with Korean Herbal Medicine in Conjunction with Targeted Anticancer Therapy Afinitor)

  • 장성환;박지혜;유화승
    • 대한암한의학회지
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    • 제22권2호
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    • pp.13-24
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    • 2017
  • Objectives: The purpose of this study is to report the effect of Korean Herbal Medicine (KHM) on a Renal Cell Carcinoma with multiple liver metastases patient. Methods: One renal cell carcinoma with multiple liver metastases patient was treated by KHM in conjunction with targeted anticancer agent (Afinitor). The effect of KHM was measured by scanning with Computed Tomography (CT), Blood Test, Visual Analogue Scale (VAS) and Eastern Cooperative Oncology Group scale. Results: Multiple hepatic tumors were reduced after the treatment during 5 months (Partial Remission, PR). As treatment was performed, complications induced by targeted anticancer agent (Afinitor) were alleviated. Conclusions: This case provides us a possibility that Korean Herbal Medicine offers potential benefits for renal cell carcinoma with multiple liver metastases patient.

위암 수술 후 항암치료를 병행한 한의치료의 유효성 및 안전성: 체계적 문헌고찰 및 메타분석 프로토콜 (Efficacy and Safety of Combination Treatment of Traditional Korean Medicine after Gastric Cancer Surgery: A Systematic Review and Meta-analysis Protocol)

  • 김종희;곽은빈;박소정;김동현;김수담;박지혜;유화승
    • 대한한의학방제학회지
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    • 제31권4호
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    • pp.361-371
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    • 2023
  • Objectives : Gastric cancer is a malignant tumor of the digestive tract that not only has a high mortality rate, but also affects quality of life. In Traditional Korean Medicine, acupuncture and herbal medicines can increase the survival rate for Gastric cancer and improve the quality of life. Traditional Korean Medicine treatment played an important role when used alone or in combination with chemotherapy. However, there is still insufficient evidence to support the efficacy and safety of Traditional Korean Medicine in patients undergoing chemotherapy after surgery. Therefore, the purpose of this study is to systematically evaluate the effect of oriental medicine treatment on patients as a complementary therapy for Gastric cancer. Methods : 2 researchers will search using EMBASE, Pubmed, CNKI, Cochrane Library, CiNii, KMBASE, KISS, OASIS, RISS, ScienceON. The search period of the database is from inception until June 2022. This study will include a randomized controlled trial of GC for acupuncture and herbal treatment. Primary outcomes include anti-cancer effects. Secondary outcomes evaluate survival rates and improvements in quality of life. The data uses Review Manager Software 5.4. Results : This study will provide a systematic evaluation by synthesizing the anti-cancer effect, survival rate and quality of life of Gastric cancer when Traditional Korean Medicine is combined with chemotherapy. Conclusion : The conclusion of this study will provide a basis for determining whether Traditional Korean Medicine treatment for Gastric cancer treatment is an effective and safe treatment method in clinical practice.