• Title/Summary/Keyword: Oriental Neuropsychiatry

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A case with Dissociative amnesia (해리성 기억상실 환자 1례(例)에 대한 증례 보고)

  • Heo Seong;Kim Geun-Woo;Gu Byung-Su;Shim Sang-Min
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.1
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    • pp.183-191
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    • 2001
  • Dissociative amnesia is caused by psychologic disagreement except organic brain disorder, intoxication, severe fatigue and occurred by not recalling saved information. Recently we experienced a 19 year-old woman who had a sudden onset of dissociative amnesia and whose condition was improved through Oriental medical treatment. This case study illustrates what the manifestations of dissociative amnesia is and how dissociative amnesia symptomatology emerged.

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A Case Report of Patient Parkinson's Disease Treated with Oxygen Therapy (산소치료를 비롯한 한방치료를 통하여 호전된 파킨슨병 치험1례)

  • Chu, Ching-Nai;Kim, Hyo-Ju;Kim, Ju-Won;Shin, Hynn-Kwon;Cha, Hye-Jin;Lee, Ji-Won;Park, Se-Jin;Chang, Jun-Ho
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.261-275
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    • 2007
  • Parkinson's Disease is a well known degenerative disease which result's in the depletion of dopamin-producing neurons in the pars compacta of the substantia nigra. This is a chronic, progressive disorder characterized by progressive muscular rigidity, pill-rolling tremor, flexed posture, shuffling gate and akinesia. This study was designed to evaluate the effects of an oxygen therapy with various scales on symptoms of Parkinson's disease. We treated his disease with Oxygen treatment , including herbal medicine acupuncture, and trigger point therapy, and we evaluated the clinical progress of the patient using UPDRS and H- Y stage. After treatment for about 1-month, the chief complaints and tremor symptoms were improved. This study suggests that oxygen therapy is significantly effective in the treatment of Parkinson's disease.

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A Clinical Study of Panic attack and Anticipatory anxiety on Panic disorder patients (공황증(恐慌症) 환자의 발작강도 및 예기불안에 대한 한의학적 임상 연구)

  • Kim, Young-Jun;Kim, Jin-Hyung;Lyu, Heui-Yeong;Hong, Sung-Su;Kim, Tae-Heon;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.1-11
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    • 2005
  • Objective : This study was to evaluate the clinical improvement of Panic attack and Anticipatory anxiety on Panic Disorder patients after Oriental medical treatment. Methods : We compared post-treatment with pre-treatment on Panic attack and Anticipatory anxiety with Thirty eight Panic Disorder patientsafter Oriental medical treatment - acupunture, herbal medicine, oriental psychotherapy. Results and Conclusions : 1. Foremost herbal medicines were Siwuanshentang(四物安神揚)(39.47%), Qingxinwendantang(情心溫膽揚)(13.16%). Types of demonstration weredeficiency of the heart blood(心血不足)(39.47%), deficiency of qi and blood in the heart and spleen(心脾兩虛)(28.95%), timidity die to insufficiency of qi and deficiency of blood of the heart(心脫虛法)(15.79%), stagnation of phlegm(痰獨阻滯)(13.16%), deficiency of liver-yin and kidney-yin(肝腎陰虛)(2.63%) in order. 2. The physical constitutions in Thirty eight Panic Disorder patients weretwenty nine of Taiyinren(76.3%),six of Shaoyinren(15.8%), three of Shaoyangren(7.9%) in order. 3. This oriental medical treatment was effective in Panic attack from $7.68{\pm}0.87$ to $2.68{\pm}1.613$ and in Anticipatory anxiety from $7.47{\pm}1.006$ to $2.47{\pm}1.841$ in comparison post-treatment with pre-treatment. 4. A percentage of subjective improvement was 72.6%. There were 18.4% in the same, 15.8% in slight improvement, 18.4% in medium improvement, 47.4% in remarkable improvement.

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A Clinical Report of Patient with Mandibula Tremor Caused by Spiritual Trauma (심리적인 충격으로 인해 발병한 하악진전(下顎振顫) 환자 치험 1례)

  • Seo, Young-Min;Lee, Ji-Won;Cha, Hye-Jin;Seo, Deok-Won;Park, Se-Jin;Lee, Chang-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.237-247
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    • 2009
  • Objectives : Tremor is increasing recently especially among senior citizens. In this case, the patient who had mandibular tremor caused by trauma, was not improved by western medicine. We tried to apply Oriental medical treatment. Methods : We treated the patient with acupuncture therapy and herbal medication and measured the frequency of the tremor, Jaw expression of Abnormal Involuntary Movement Scale(AIMS) and Visual analog scale. Results: After treatment symptom of mandibular tremor was decreased significantly and other symptoms such as insomnia disappeared. Conclusions : During the admission days symptoms are decreased in contentment. This result suggests that Oriental medical treatment has good effect on tremor.

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A Case Report of the Herbal Medication Treatment and Psychotherapy for a Patient with Psychogenic Chronic Low Back Pain (심인성(心因性) 만성요통(慢性腰痛) 환자에 대해 한방치료(韓方治療)와 정신요법(精神療法)을 적용한 1례)

  • Kim, Ji-Hyung;Han, Chang;Ryu, Ki-Joon;Ahn, Keon-Sang;Kwon, Seung-Ro;Cho, Jae-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.299-307
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    • 2008
  • In this study, we treated a patient with psychogenic chronic low back pain for 2 years with herbal medication treatment and psychotherapy. The case was a 17 years old female patient complained chronic low back pain for a long time. She received the spine operation, epidural injection, many kind of oriental medicine treatment about low back pain, but there was no improvement. We diagnosed her pain as a psychogenic pain disorder, and treated her with herbal medication for decrease her stress, and did a psychotherapy such as the progressive muscle relaxation, and counseled about trouble with her family. After treatment, her chronic low back pain was improved so much. We think that the herbal medication treatment and psychotherapy can be helpful to treat patients who have psychic and physical disorders.

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The Preliminary Study of Defense Mechanisms of Oriental Medicine Students (한의과대학생들의 자아방어기제 특성에 대한 예비적 연구)

  • Kim, Ji-Young;Cho, Rye-Young;Kim, Yun-Yong;Cho, Seung-Run;Whang, Wei-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.23-34
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    • 2008
  • Objective: The purpose of this study was to investigate characteristics of the defense mechanism of oriental medicine students by using Ewha Defense Mechanism Test(EDMT) preliminarily. Method: We described the characteristics of the defense mechanism of oriental medicine students and compared the scores of EDMT with standard group. We analysed the differences of defense mechanism by sex (male, female) and age($\leq$29 and $\geq$30 yrs old) within oriental medicine students. The score of EDMT were verified by examination of one sample t-test and unpaired t-test. Results and Conclusions: First, there was no Major Defense Mechanism in oriental medicine students. Second, oriental medicine students had more defensive, passive inclination and used Evasion and Show-off more frequently. Third, the differences within oriental medicine students depended on age rather than sex. The younger students used immature and neurotic defense mechanisms more frequently, and the older students had more defensive and passive inclination.

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The Characteristics of Hwa-byung Patients Based on Hwa-byung Epidemiologic Data (화병역학연구 자료를 기반으로 한 화병 환자의 특성)

  • Kim, Jong-Woo;Chung, Sun-Yong;Suh, Hyun-Uk;Jung, In-Chul;Lee, Seung-Gi;Kim, Bo-Kyoung;Kim, Geun-Woo;Lee, Jae-Hyuk;Kim, Lak-Hyung;Kim, Tae-Heon;Kang, Hyung-Won;Kim, Se-Hyun
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.157-169
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    • 2010
  • Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.

A case report of a Soeumin patient with Hwabyung complained neck pain and foreign body sensation in throat (항강증과 매핵기 등을 주소로 하는 소음인 화병환자 치험 1례)

  • Kim, Ji-Hyung;Ryu, Ki-Joon;Ahn, Keon-Sang;Lee, Je-Kyun;Kwon, Seung-Ro;Sul, Moo-Chang;Joe, Jae-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.299-308
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    • 2007
  • Hwabyung is an culture-bound anger syndrome in Korea. It consists of as one or more of a wide range of physical symptoms, in response to emotional stress. In this case, a 51-years woman complained neck pain and foreign body sensation in throat. We diagnosed her Hwabyung because her chief complaint occurred from stress in process of traffic accident. We classified her Soeumin in Sasang Constitutional Medicine, and used Hwanggigyeji-tang. And we encouraged her think positive and don't worry about little matters because Soeumin tend to think negative and wony about little matters. After treatment, her condition got improved. This report suggest that treatment method of Sasang Constitutional Medicine such as herb medicine and way of thinking is effective in treatment of Hwabyung patient.

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Development of Clinical Practice Guideline for Hwabyung (1) - Purpose, Development Strategy and Procedure - (화병 임상진료지침 개발 연구 (1) - 목적과 개발 전략 및 절차 -)

  • Kim, Jong-Woo;Chung, Sun-Yong;Cho, Seung-Hun;Whang, Wei-Wan;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.143-152
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    • 2009
  • Objectives : Hwabyung is one of well-known mental health problems like depression in Korea and it's concept is generated from oriental medicine. We suggest that clinical practice guideline should reflect the Hwabyung's characteristics, clinical environment and Oriental medical doctor's need. Methods : We use the general development method of clinical practice guideline and also apply the oriental medicine's properties. Results : We need to refer to the western psychiatric field, especially the clinical guideline of depression. And we should base on the clinical survey and trial with the selected core subject considering oriental medicine's character. Conclusions : From this development, we expect the application of proper clinical decision by medical team, the objectification of oriental medicine, and the improvement of medical quality in the clinical field of oriental medicine.

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Clinical Report of two TGA cases (일과성 전기억상실증으로 진단된 환자 치험 2례)

  • Oh, Kyong-Min;Yang, Dong-Ho;Cho, Youn-Song;Kim, Bo-Kyong
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.265-276
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    • 2008
  • Transient global amnesia(TGA) is a clinical syndrome characterized by sudden, temporary dysfunction of anterograde and recent retrograde memory without other neurologic deficits. Different hypotheses have been considered for its etiology, but it still remains obscure. Recently the diffusion-weighted magnetic resonance imaging(DWI), has been considered as the sensitive tool to detect small punctate hyperintense lesions in the hippocampus in transient global amnesia(TGA). We report two TGA cases, all of them answers to TGA clinical criteria, and one of them showed two dot like high signal intense foci in Rt. hippocampus on DWI.

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