• Title/Summary/Keyword: Pain disease

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The study on Fatigue, Pain, and Efficacy on Pain of Chronic Arthritis and Lupus (만성관절염과 루푸스의 피로, 통증, 및 통증효능감에 관한 연구)

  • Lim, Nan-Young;Lee, Eun-Young;Yang, Yong-Sook;Chung, Soon-Ae;Cha, Gyeong-Ok;Yi, Yeo-Jin
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.53-62
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    • 2000
  • This study was designed to distinguish by the characteristic difference and the degree of symptoms such as fatigue, pain, coping to pain, and efficacy on pain, and to offer descriptive data for nursing intervention for improving coping ability to pain along each characteristics of disease in chronic arthritis and systemic lupus erythematosus. The subjects were 135 outpatients in the hospital for rheumatic disease in H-university, Seoul. The data were collected by structural questionnaire, from April 29 to June 29, 1999. The results were that the fatigue score was high in the OA patients while the RA patients and SLE patients experienced middle range of fatigue score, but which was not statistically different. Although the RA patients felt higher pain than other diseases, they have well coped with their pain than the others. In efficacy on pain the SLE patients had higher score than others but all of the disease showed lower score. No statistically significant difference among the three group was recorded in efficacy on pain. Therefore, pain management in the RA patients was primary nursing intervention because they felt severe pain and have well coped with pain while they had lower pain efficacy score than the others. It is also important that fatigue management and coping strategies on pain for the OA patients and SLE patients are specially supportive in the nursing intervention.

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The Retrospective Review of 410 Shoulder Pain Inpatients in Korean Medicine Hospital (어깨 통증으로 한방병원에 입원한 환자 410명을 대상으로 한 후향적 연구)

  • Lee, Jae-Eun;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.155-173
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    • 2015
  • Objectives The purpose of this study is to investigate the characteristics of inpatients who were admitted to Korean medicine hospital due to shoulder pain. Methods Characteristics of four hundred ten shoulder pain inpatients of single institution from 2011 to 2013 were retrospectively reviewed through medical charts. Results Patients showed different characteristics in sex, age, motives, interval between onset and admission day, first occurrence or not, related medical history before admission, usage of west medication, admission days, treatment results, radiological examinations by shoulder pain disease groups. Accordingly, Korean medical treatment such as acupuncture, moxibustion, external treatment, cupping therapy, physiotherapy, herb-medication varied with the characteristics of shoulder pain disease groups. Conclusions Through retrospective medical charts review, characteristics of 410 single institution shoulder pain inpatients showed distinctive features and versatile Korean medicine treatments by disease groups. It is expected that this study would accelerate multi-institutional and large scale characteristic review of shoulder pain patients, which would raise reconsideration and expand boundary of Korean medicine.

Herpes Zoster Ophthalmicus Accompanying Blindness, Extraocular Motor Palsies and Contralateral Hemiplegia -A Case Report- (실명, 안구마비 및 반대측 수족마비를 동반한 Herpes Zoster Ophthalmicus -1예 보고-)

  • Kim, Dong-Jin;Goh, Joon-Seock;Min, Byung-Woo
    • The Korean Journal of Pain
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    • v.3 no.2
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    • pp.160-164
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    • 1990
  • Herpes Zoster Ophthalmicus comprises 7% of all herpes zoster infection, 50% of those involving eyeballs, and is one disease entitiy with a very grave prognosis. We have experienced a 68-year-old man who visited the emergency room complaining of severe pain in his eye and headache with loss of vision. He was seen by neurosurgeons, dermatologists and ophthalmologists, and finally sent to the pain clinic for control of pain under the diagnosis of herpes zoster ophthalmicus. In spite of zealous treatment efforts, loss of vision, pain and infectious condition did not recover; and furthermore, due to severe infection, he had his eyeball extracted 100 days after the onset of diseases. 140 days after onset, contralateral hemiplegia accompanied the disease process. We present an unusual case of herpes zoster ophthalmicus with no treatment effect.

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A Case of Neuromyelitis Optica Misdiagnosed as Cervicogenic Headache

  • Choi, Soo Il;Lee, Yeon Ju;Kim, Do Wan;Yang, Jong Yeun
    • The Korean Journal of Pain
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    • v.27 no.1
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    • pp.77-80
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    • 2014
  • Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system associated with longitudinally extensive myelitis and optic neuritis. It is characterized by relapses that lead to blindness and paralysis sequelaes. But, this is rare disease; therefore high clinical suspicion for a correct diagnosis and proper examinations are not easy. However, early diagnosis is essential to prevent sequelae. We report the case of NMO with headache. A 30-year male patient who suffered headache visited our pain clinic because of aggravated pain despite treatment. The cause of the pain was revealed as NMO by more detailed previous history and examination.

Four Case Reports of Neck Pain based on Shanghanlun 燒針(shaozhen) Provisions (『상한론(傷寒論)』 '소침(燒針)' 조문(條文) 및 변병진단체계(辨病診斷體系)에 근거하여 치료한 목통증 증례 4례)

  • Heo, Joo;Cho, Seong-hwan;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.95-114
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    • 2018
  • Objective : This study is to report four cases complaining of neck pain that diagnosed by Shanghanlun disease pattern identification diagnostic system and treated with the Shanghanlun Shaozhen(燒針) provision herbal medicine. Methods : Based on the Shanghanlun disease pattern identification diagnostic system, we analyzed four cases treated with Shanghanlun Shaozhen(燒針) provision herbal medicine. Results : In all cases, the NDI and NRS score improved. Conclusions : In Shanghanlun, Shaozhen(燒針) may indicate neck pain. And neck pain can be relieved by administering Shanghanlun Shaozhen(燒針) provision herbal medicine.

Persistent Post-radiotherapy Pain and Locoregional Recurrence in Head and Neck Cancer- Is There a Hidden Link?

  • Srivastava, Preety;Kingsley, Pamela Alice;Srivastava, Himanshu;Sachdeva, Jaineet;Kaur, Paramdeep
    • The Korean Journal of Pain
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    • v.28 no.2
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    • pp.116-121
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    • 2015
  • Background: To explore the relationship between persistent post-radiotherapy pain and locoregional recurrence in head and neck cancer patients. Methods: Five year retrospective data was reviewed of 86 patients of head and neck cancer treated with radiotherapy who continued to have pain at 6 weeks after completion of treatment. At follow-up after 3 months, these patients were stratified into: Group A (n = 39) constituted of patients whose pain subsided and Group B (n = 47) were patients who continued to have persistent pain. Results: At median follow-up time of 25 months (range: 8-47), one patient (2.6%) and 18 (38.3%) patients in group A and group B had locoregional recurrence respectively (P < 0.0001). Furthermore, group B patients had higher mean pain score levels as compared to group A (P = 0.03). Patients in whom pain subsided within 3 months had statistically much greater disease-free survival in comparison to those with persistent pain (P < 0.0001). Conclusions: Pain in head and neck cancer is an important symptom and should be considered a poor prognostic factor. In the current study, the majority of the patients with persistent pain had recurrent disease as compared to those in whom pain subsided within 3 months of post-treatment. It is suggested that patients with persistent pain need more intense follow-up and should be investigated thoroughly to detect recurrence at an early stage to provide a better quality of life.

Comparative Analysis of Common Herbs for Pain Related Disease between Yak-Jing and Textbook of Herbology (약징(藥徵)과 본초학 교과서의 통증 질환 관련 공통 약물에 대한 비교 분석)

  • Jeong, Jun-Kyo;Park, Won-Hyung;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.1
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    • pp.53-61
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    • 2015
  • Objectives The purpose of this study is to compare the common herbs for pain related disease between Yak-Jing and textbook of herbology. Methods We searched the formation of "Koho" and theory of Todo yoshimasu. We selected the common herbs that is used for pain related disease in Yak-Jing and textbook of herbology. These herbs were compared with each other. Result 1. Common Herbs for pain related disease are Ephedrae Herba (麻黃), Aconiti Lateralis Preparata Radix (附子), Euphorbiae Kansui Radix (甘遂), Euphorbiae pekinensis Radix (大戟) Daphnis Genkwa Flos (芫花), Atractylodis Rhizoma (朮), Paeonia Radix Rubra (芍藥), JujubaeFructus (大棗), Gypsum (石膏), Anemarrhenae Rhizoma (知母), Cinnamomi Ramulus (桂枝), Poria (茯苓), Rhei Rhizoma (大黃), Natrii Sulfas (芒草), Pueraiae Radix (葛根). There are some difference between textbook of herbology and Yak-Jing about Aconiti Lateralis Preparata Radix (附子), Paeonia Radix Rubra (芍藥), Atractylodis Rhizoma (蒼朮), Pueraiae Radix (葛根). 2. Preparata Radix (附子) excrete water poisons (水毒) in Yak-Jing, but it has the effect of restore yang and tonify fire (回陽補火) in textbook of herbology. 3. Paeonia Radix Rubra (芍藥) is effective for pathological condition caused by the formation of the band and spasm (結實拘攣) in Yak-Jing, but it is to cure heat pattern in textbook of herbology. 4. Atractylodis Rhizoma (蒼朮) has the effect of water-draining (利水) in Yak-Jing, but it has the effect of dispersing (發散) in textbook of herbology. 5. Pueraiae Radix (葛根) is used in dyspnea and sweating (喘而汗出) in Yak-Jing, but it is to cure engender fluid (生津), skin disease, diarrhea in textbook of herbology. Conclusion There are some difference between textbook of herbology and Yak-Jing in the herb medicine that is used in pain related disease.

Use of Aconitum Herbal Medicine for Pain Control in Musculoskeletal Disease (근골격계 질환에서 통증 조절을 위한 부자류 약물의 활용)

  • Park, Hye-Jin;Kim, Hyun-Tae;Lee, Sang-Hyun;Heo, In;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.47-54
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    • 2021
  • Objectives This review was conducted to study use of Aconitum herbal medicine for pain control in musculoskeletal disease. Methods Musculoskeletal disease is a major factor of social cost increase and physical disability. Various drugs, surgery and imaging are being overused regardlessly. Aconitum herbal plants are one of the most toxic Korean traditional herbs. However, they could be utilized effectively on patients with appropriate processing and decocting time. We searched Korean medicine literature to see various features of aconitum herbal plants and tried to find the utilization of the plants in effective way for pain control in musculoskeletal disease. Results Aconitum herbal plants needs to be used carefully because of intoxication which could lead to severe damage to human body. Processing of these toxic plants could minimize the harm and raise the benefits, such as relieving various types of pain and positive inotropic action. Further studies with clearer evidence and discovering aftereffects of processing in more details are needed. Conclusions Aconitum herbal plants could dedicate to controlling pain in musculoskeletal disease with various forms and appropriate processing.

An Analysis of Clinical Research Trends on Interventions of Oriental Medicine for Postpartum Disease and Postpartum Care (산후병 및 산후관리에 대한 국내 한의학 임상 연구 동향 분석)

  • Kim, Nu-Ree;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.1
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    • pp.34-58
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    • 2022
  • Objectives: This study was performed to analyze the interventions of Oriental Medicine which had been commonly used for postpartum disease and postpartum care. Methods: We searched research on the interventions for postpartum disease and postpartum care in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 50 studies. There were 2 randomized controlled trial (RCT), 5 non-RCT, 35 case reports, 8 case series within the 6~8 weeks after childbirth. 2. Of the 35 case reports, several interventions were used : acupuncture (22), moxibustion (11), cupping therapy (7), pharmacopuncture (5), chuna manipulation (4), herbal medicine (34). The most common symptoms were musculoskeletal symptoms (8), followed by postpartum depression (7). Various prescriptions and acupoints of oriental medicine were used depending on the diseases or symptoms. 3. Of the 8 case series, 382 subjects in 5 case series had taken Saenghwa-tang-gagam. And Acupuncture, moxibustion, cupping therapy (5), pharmacopuncture (1) were used as an intervention. 4. The most commonly used acupoint is 腎兪 (BL23) in the pain including postpartum back pain and 三陰交 (SP6), 關元 (CV4) in the postpartum care. 關元 (CV4) is the most commomly used moxibustion point not only the postpartum disease but also the postpartum care. Conclusions: In clinical studies of oriental medicine related to postpartum disease and postpartum care, pain-related clinical studies that belong to or progress to Sanhupung were the most common (30%), and among them, postpartum low back pain studies were the most common (20%). Based on this, we believe that large-scale clinical studies with high quality using oriental interventions including chuna and pharmacopuncture are needed to establish guidelines for the management of pain treatment including postpartum back pain.

A Study on wind stroke, impediment disease, heart pain, side pain, headache, abdominal pain, lumbago in the "Byun Jeung Rok(辨證錄)" vol.II ("변증록(辨證錄)" 권지이(卷之二)의 중풍(中風), 비증(痹證), 심통(心痛), 협통(脇痛), 두통(頭痛), 복통(腹痛), 요통(腰痛)에 대(對)한 연구(硏究))

  • Lee, Gu-In;Park, Dong-Seok;Keum, Kyung-Soo
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.16 no.2
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    • pp.89-161
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    • 2010
  • "Byun Jeung Rok(辨證錄)" is composed of 14 volumes. In relation to the contents, it is organized into 126 gates(門) and 700 remaining syndromes(餘證) where internal medicine, external medicine, pediatrics, gynecology(內科 外科 小兒 婦人), etc. are divided into sub-sections of cold damage, cold stroke, wind stroke(傷寒 中寒 中風), etc. For every syndrome, the symptom, cause of disease, method of treatment, prescription, construction of prescription, instruction of medicine and prognosis.(症狀 病因 治法 處方 處方構成 服用法 預後) were explained thoroughly. This study, as an inquiry of the second volume, deals with wind stroke(中風), impediment disease(痹證), heart pain(心痛), side pain(脇痛), headache(頭痛), abdominal pain(腹痛), lumbago(腰痛) It was written very logically so it is easy to understand. The analysis of the symptoms are brief and appropriate. Also, in the usage of the medicine, the sovereign, minister, assistant and courier(君臣佐使) method was used as the basis for the prescriptions. Therefore, it is considered to have significant clinical value for future generations and is thus being applied by them.

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