• 제목/요약/키워드: KAGS(Korean Acne Grading System)

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 따른 대시호탕(大柴胡湯) 투여와 압출치료를 병행하여 호전된 성인 여드름 증례보고 (A Case Report for Adult Acne treated by Daesiho-tang based on Shanghanlun provisions with Extrusion therapy)

  • 김형섭
    • 대한상한금궤의학회지
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    • 제9권1호
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    • pp.59-73
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    • 2017
  • Objectives : The purpose of this case report is to report the effect of Daesiho-tang on adult acne by Shanghanlun provisions with extrusion therapy. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung Gyeolhyung and treated by Daesiho-tang with extrusion therapy. The result of administrations were evaluated by Korean Acne Grading System(KAGS), Korean Skindex-29, and change of clinical symptoms. Results : After administration of Daesiho-tang for 150 days with weelky extrusion therapy, KAGS improved from grade 4 to grade 1, Skindex-29 improved from 67.93 to 15.51, and patient was very satisfied with the treatment. No serius treatment-related adverse events were reported. Limitations : This case is only one case that the level of evidence is weak. Two interventions were used together and the duration of photo was uneven. Conclusions : The patient almost recovered from acne treated by Daesiho-tang according to diagnostic system based on Shanghanlun provisions with extrusion therapy. This is the first case report that suggests '熱結在裏' on the number 136 provision of Shanghanlun means fever that is always present in chronic skin lesions.

보중익기탕(補中益氣湯) 가미방(加味方)으로 치료한 여드름 환자의 임상 보고 (A Clinical Study about the effect of Bojoongikki-tang on Acne)

  • 이진아;홍승욱
    • 한방안이비인후피부과학회지
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    • 제21권2호
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    • pp.191-197
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    • 2008
  • Objective : This study is to investigate the effect of Bojoongikki-tang on Acne patients Methods : We treated 3 acne patients diagnosed as the deficiency of Qi with Bojoongikki-tang(Buzhongyiqitang), comedon extraction by needle and stamp acupunctures. After treatments we compared the before and after photos, and estimated by Korean Acne Grading System(KAGS1-4). Results & Conclusions : After taking Bojoongikki-tang(Buzhongyiqi-tang) and extruding comedones by needle, the acne was improved. After stamp acupuncture, the acne scar was improved. This study shows that the acne can possibly be diagnosed as the deficiency of Qi. So further studies are needed continuously.

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황련해독탕가미방(黃連解毒湯加味方) 발효한약으로 치료한 여드름 환자 증례 (Acne Treatment Cases with Hwangryeonhaedok-tang)

  • 오충선;김미선;김일;김혜윤;박성익;최승일;홍대성
    • 한방안이비인후피부과학회지
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    • 제22권3호
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    • pp.228-236
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    • 2009
  • Objectives : Acne, one of the most common disorders in dermatology clinic, is a chronic inflammatory disease which has the symptoms of comedones, papules, pustules, cysts, nodules and scars mainly on the face. Although some of pathologic findings are suggested, but the exact causes and mechanisms are not yet known in Western Medicine. Hwangryeonhaedok-Tang(HRHDT) is an antiinflammatory, antipyretic and detoxifying herb decoction. In this report, we would like to share our experience of acne treatment with HRHDT. Methods : We had treated several patients with acne, facial flushing and uprising febrile sensation on face using oral administration and external application of HRHDT. HRHDT is basically made up with Scutellariae Radix, Coptidis Rhizoma, Phellodendri Cortex and Gardeniae Fructus. In this trial, several other herbs were added according to the individual patient's accompanying symptoms. After the decoction of herbs in amount for 10 days, $Yogourmet^{(R)}$ Kefir Starter 10 g was added to the herbal solution that was then fermented in an incubator at $25^{\circ}C$ for 72 hours, and divided into 30 doses. Results : Photographies were taken before and after the treatment. The severities of acne were evaluated with these photos according to the Korean Acne Grading System(KAGS). As results, we observed dramatic clinical improvements and the decreases of KAGS grades after the average treatment period of 8 weeks. The medication was orally administered 3 times a day and the external treatment was applied average twice a week during the whole treatment period. Conclusions : From these results, HRHDT may be considered as a good prescription for the febrile and toxic type of acne patients.

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한방안이비인후피부과학회지에 게재된 여드름과 관련된 논문에 관한 고찰 (The Review on the Acne Related Articles Published in the Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)

  • 김지수;박수연;최정화;김종한;이두희
    • 한방안이비인후피부과학회지
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    • 제27권3호
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    • pp.26-39
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    • 2014
  • Objective : This study was carried out to analyze the trends of Acne related articles that have been published in the Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology(JKOOD). Method : We studied 29 research papers relevant to Acne that published in JKOOD from 1998 to 2013. All the paper were classified into three categories; original article, review article and case report. We sub-classified the original articles into three categories; descriptive study, analytic study and experimental study. We analyzed the case report according to various types of treatment. Results : 1. The number of searched journals is 29 papers; 17 original ordicles, 4 review articles, 8 case reports. 2. Classification of 17 original articles into three categories; 10 experimental studies, 7 descriptive studies, 0 analytic study. 3. Method of Evaluation; Korean Acne Grading System(KAGS) is used frequently in descriptive studies and experimental studies. 4. Treatment in Case reports; 7 Case reports used External medical treatments. Conclusions : It is needed to develop the methods of grading system in acne related to Oriental medicine to obtain objectivity of studies. The number of analytic study, clinical trial and experimental study is need to increase.

국내 한약 치험례 분석을 통한 한의학적 여드름 치료법에 대한 고찰 (A Review on Acne Treatment in Korean Medicine by Analyzing Case Studies with Herbal Medicine Treatment)

  • 조은채;김규석
    • 한방안이비인후피부과학회지
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    • 제31권4호
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    • pp.65-82
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    • 2018
  • Objectives : The purpose of this study is 1) to explore the general tendency of the herbs or herbal formula for acne treatment in clinical practice 2) and to provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism by analyzing the herbs or herbal formula using for acne treatment in clinical practice. Methods : In the domestic databases (Oriental medicine Advanced Searching Integrated System-OASIS, Korean Traditional Knowledge Portal-KTKP, National Discovery for Science Leader-NDSL, Research Information Sharing Service-RISS), we selected among the papers published using search terms related to "acne". Reports related to sasang constitutional medicine were excluded and a total of 23 papers were finally selected. Results : 29 prescriptions were retrieved from 23 papers. Chungan-tang (淸顔湯) notified formulas ranked first by Cheongsangbangpung- tang (淸上防風湯), Hwangnyeonhaedok-tang (黃連解毒湯), Dangguijakyaksan (當歸芍藥散) and Bipachungpe-eum (枇杷淸肺飮). Commonly used herbs are Forsythiae Fructus (連翹), Scutellariae Radix (黃芩), Gardeniae Fructus (梔子), Ligustici Rhizoma (川芎), and Angelicae Gigantis Radix (當歸). In most patients with inflammatory lesions or excessive flushing, exterior-releasing medicinal (解表藥) and heat-clearing medicinal (淸熱藥) were mainly prescribed for acne treatment, while in patients with acne accompanied hyperkeratinization, Excess sebum secretion, Dysmenorrhea or indigestion, qi-tonifying medicinal (補氣藥) or blood-tonifying medicinal (補血藥) were mainly used. KAGS (Korean Acne Grading System) was the most commonly used method for acne severity assessment. Conclusions : These findings suggest that the herbs or herbal formula for acne treatment in Korean Medicine is prescribed differently according to the cause and symptoms of acne in a unique way for control the whole body balance. Also, our findings could provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism in clinical practice.

염증성 여드름 환자에 대한 침 치료 효과와 신체이미지 인식에 대한 연구 (Effect of Acupuncture on Inflammatory Lesions and Body Image Disturbance in Patients with Acne Vulgaris)

  • 이아름;이인선;김송이;이향숙;박히준;이혜정;채윤병
    • Korean Journal of Acupuncture
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    • 제30권2호
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    • pp.114-121
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    • 2013
  • Objectives : The purpose of this study is to evaluate the efficacy of acupuncture treatment on the inflammatory lesions and body image disturbances in patients with vulgaris acnes. Methods : Fifteen inflammatory acne patients were enrolled and treated with facial acupuncture during 4 treatment sessions. We evaluated the number of papules and nodules using the Korean Acne Grading System (KAGS). We also evaluated patients' general subjective satisfaction and objective changes of inflammatory acnes symptoms using DermaVision-pro. Moreover, we observed the skin quality-of-life scale with skindex-29 and body image disturbance questionnaire (BIDQ) as secondary outcome. Adverse events were recorded as well at every visit. Results : After 4 treatment sessions, there were significant reductions in the number of papules and nodules of the patients. We found that subjective satisfactions of patients were enhanced as well as the objective inflammatory symptoms. We also found significant improvements in the quality of life and BIDQ. No serious treatment-related adverse events were reported. Conclusions : This study demonstrated that standardized facial acupuncture were effective and safe in the treatment of facial inflammatory acnes.

다빈도 피부질환에 대한 국내외 한의학 논문에서 평가도구 사용현황에 대한 고찰 (A Review of Assessment Tools in Traditional Medicine on the High Frequent Skin Diseases)

  • 박소영;강민서;김민희;곽재영;최인화
    • 한방안이비인후피부과학회지
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    • 제31권4호
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    • pp.31-41
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    • 2018
  • Objectives : The purpose of this study is to establish the basis of the assessment tools that can be used for the diagnosis and assessment of skin diseases by reviewing the present status of the assessment tools used in domestic and overseas traditional medicine papers for the past five years. Methods : This study is based on analysis of papers on clinical trials about atopic dermatitis, psoriasis, acne, urticaria published from 1st July 2013 to 30th June 2018. The papers were searched from Oriental Medicine Advanced Searching Integrated System(OASIS), Korean Traditional Knowledge Portal(KTKP), Pubmed, MEDLINE. Results : 40 articles on atopic dermatitis, 34 articles on psoriasis, 26 articles on acne and 10 articles on urticaria were selected. Among them, 38 articles(90%), 20 articles(85%), 22 articles(85%) and 5 articles(50%) used assessment tools in order. Conclusions : SCoring Atopic Dermatitis(SCORAD), objective SCORing of Atopic Dermatitis index(OSI), Eczema Area and Severity Index(EASI) were used in studies on atopic dermatitis. In the case of psoriasis, The Psoriasis Area and Severity Index(PASI) was used in most papers. In the study on acne, most of Korean papers used Korean Acne Grading System(KAGS), but in the overseas papers, various assessment tools were used. In the case of urticaria, the rate of use of the assessment tool was the lowest, but the assessment tool used was unified by Urticaria Activity Score(UAS). Since skin diseases can cause stress and a decrease in quality of life, the quality of life should be taken into account when evaluating treatment effects.

스킨헬스케어를 위한 에코코스메틱 효과성의 주·객관적인 평가 (Subjective and Objective Evaluation of Acne Skin Through Natural Cosmetics with Distilled Bamboo Vinegar Contents for Skin Health Care)

  • 박가희;박정연
    • 한국엔터테인먼트산업학회논문지
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    • 제15권7호
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    • pp.271-280
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    • 2021
  • 본 연구는 죽초액을 함유한 폼클렌징과 토너, 팩 사용에 따른 여드름 피부상태 개선을 주·객관적 평가를 통해 검증하고자 하였다. 연구 대상은 한국형 여드름 중등도 시스템에 의한 2등급 이상의 여드름 피부 해당자로 광주·전라 지역 고등학교 남·여학생 20명을 선정하였다. 실험 진행을 위해 대상자를 죽초액 함유 폼클렌징, 토너, 팩 사용군(실험군) 10명, 죽초액 비함유 폼클렌징, 토너, 팩 사용군(대조군) 10명으로 나누어 12주 동안 각각 폼클렌징과 토너, 팩사용하도록 하였으며, 그 결과는 다음과 같다. 객관적 측정값에 의한 피부개선 효과에서 실험군이 대조군에 비해 이마, 콧등, 왼쪽볼의 모공 감소와 피지 개선 정도가 크게 나타났으며(p<.001), 주관적 평가도구에 의한 피부개선 효과에도 실험군이 대조군에 전반적인 만족도가 높게 나타났다(p<.05, p<.001). 화장품 사용 만족도는 전체 값에서 폼클렌저, 토너, 팩 모두 실험군이 대조군에 비해 높게 나타났으며(p<.01, p<.001), 세부적으로 유용성에서 통계적으로 유의한 차이를 보였다(p<.01, p<.001). 이상의 결과 죽초액은 여드름 피부상태 개선에 효과적인 천연화장품 소재임이 확인되었다.