• Title/Summary/Keyword: Stiff neck

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A study on the headache and the stiff neck in Shanghanlun(傷寒論) articles quoted in the Shanghan Books(傷寒書) classified as a symptom and are at the core (증(證)으로 분석(分類)한 상한서(傷寒書)애 인용(引用)된 《상한잡병론(傷寒雜病論)》과 《금궤요략(金匱要略)》의 두통(頭痛), 항강(項强) 조문(條文)에 대한 연구(硏究) - 《주해상한론(註解傷寒論)>과 《금궤요략방론(金匱要略方論)》을 중심(中心)으로 -)

  • Park, Yung-Hwan;KANG, Yeonseok
    • The Journal of Korean Medical History
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    • v.24 no.2
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    • pp.57-67
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    • 2011
  • The headache has various causes and symptoms in clinic. Therefore The headache and the stiff neck also can found in many articles of Shanghanlun(傷寒論) On Cold Damage. In the past, many doctors classified the headache and the stiff neck according to their own theories, and published some Shanghan books(傷寒書). In this study, I select ten Shanghan books which classified the headache and the stiff neck in table of contents, and compared with the articles of and , the first books of Shanghanlun(傷寒論) to found meanings of them. As a result, the Osuyutang(吳茱萸湯) was the most quoted herb medicine of . The second was Jowisunggitang(調胃承氣湯) and Sosunggitang(小承氣湯), the group of Sunggitang(承氣湯類). Mahwangtang(麻黃湯) and Gyejitang(桂枝湯) are substituted as Ganghwalchunghwatang(羌活沖和湯) in for simply prescribe medicine, or even not mentioned as in . This can be understand as a result of copy the previous generation doctor's writings, not as a study of and . The articles of the headache in was not quoted in that ten books. But the stiff neck was frequently quoted that Gyejigualutang(桂枝加括蔞湯), Dehamhyungtanghwan(大陷胸湯丸) articles includes chibyong(痓病) The Opisthotonos, gyongbyong(痙病) The Convulsions, Yuchi(柔痓) Opisthotonos With Sweat And Fever.

Comparison of Treatment Effects and Allergic responses to stiff neck between Sweet Bee Venom and Bee Venom Pharmacopuncture (A pilot study, Double blind, Randomized Controlled Clinical Trail) (락침(落枕) 환자에 대한 Sweet Bee Venom과 Bee Venom의 치료효과 및 Allergy 반응 비교 연구)

  • Lee, Kyoung-Hee;Youn, Hyoun-Min;Ko, Woo-Shin;Song, Choon-Ho;Jang, Kyung-Jeon;Ahn, Chang-Beohm;Kim, Cheol-Hong
    • Journal of Pharmacopuncture
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    • v.11 no.4
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    • pp.39-48
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    • 2008
  • Objective The purpose of this study is to investigate the difference of treatment effects and allergic responses to stiff neck between Bee Venom Pharmacopuncture and Sweet Bee Venom Pharmacopuncture. Methods Forty one patients who felt stiff neck were randomly divided into two groups, a Bee Venom Pharmacopuncture group(group I) and a Sweet Bee Venom Pharmacopuncture group(group II). Evaluations of the treatment effects were made before and after a treatment using Visual Analog Scale(VAS), Neck Disability Index(NDI), Clinical Evaluation Grade(CEG). The comparison of allergic responses was measured with VAS. The obtained data were analyzed and compared with SPSS. Results The group I and group II showed significant improvement(p<0.05) according to the VAS, NDI, CEG. And the differences between the two groups were insignificant according to VAS, NDI, CEG. But allergic responses such as localized edema, localized itching were significantly lower in group II than group I. Conclusions It seems that there are no big different treatment effects between the two groups. Sweet Bee Venom Pharmacopuncture appears to be more effective measurement against allergic reactions than the Bee Venom Pharmacopuncture. Further studies are needed for the comparison of Bee Venom Pharmacopuncture and Sweet Bee Venom Pharmacopuncture.

Closed Reduction and Fixation of Metatarsal Head and Neck Fractures Using Antegrade Intramedullary K-wire (6 Cases Report) (전향성 골수내 K-강선을 이용한 중족골 두 및 경부 골절의 비관혈적 정복 및 고정술(6예 보고))

  • Kim, Hyong-Nyun;Lim, Hee-Joon;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.91-94
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    • 2009
  • Metatarsal head and neck fractures are injuries that often result from a direct blow of a heavy objects to the metatarsal head. The head is often impacted or displaced to the plantar aspect that if not treated may cause malunion which later induces painful plantar calluses. If the fracture fragment is large enough, closed reduction may be successfully performed, but when the fragment is small or closed reduction is unsuccessful, open reduction is needed. We present our reduction and fixation technique for the metatarsal head and neck fractures using antegrade intramedullary Kirschner wire (K-wire) without opening the fracture site or infringing the metatarsophalangeal (MTP) joint which allows immediate motion of the joint and partial weight bearing in a stiff soled shoe.

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Myofascial Release improved Regional Kyphosis in a 20-year-old Female patient with Cervical Neuroforaminal Encroachment: A Case Report

  • Han, Song-I;Park, Jae-Man
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.19-24
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    • 2020
  • PURPOSE: This paper describes the effects of the myofascial release (MFR) approach in a 20-year-old female patient with neuroforaminal encroachment and regional kyphosis in the cervical area, who also had neck pain. METHODS: A 20-year-old female presented with the chief complaint of neck pain while studying with a level of seven on the rating analogue scale (RAS) and was not taking any drugs or undergoing treatment for the control of neck pain prior to visiting. The cervical radiograph demonstrated neuroforaminal encroachment from C4-5. The patient showed 3.5° kyphosis at C4-5 and 22.9° lordosis at C2-7 according to the Harrison posterior tangent method. The anterior head translation (AHT) was 13.9mm. She reported pain of RAS 5 at the scapular medial border while rotating her neck in the left direction and flexing forward. The patient was treated a total 16 times, three times/week for six weeks using the MFR approach. RESULTS: After the treatment sessions, studying without pain was possible for approximately two hours, but after approximately two hours of studying, she experienced pain of RAS 6 and a stiff feeling in front of the neck. Neuroforaminal encroachment was not detected in the radiographs taken after applying MFR. Improvement of C4-5 kyphosis was noted (from 3.5° kyphosis to 3.8° lordosis). AHT was decreased by 13.6 mm (from 13.9 mm to 0.3 mm). The pain with motion had disappeared. CONCLUSION: The MFR approach in this patient with neuroforaminal encroachment could reduce the pain related to motion and restore the regional cervical lordosis.

The Low Height Looping Technology for Multi-chip Package in Wire Bonder (와이어 본더에서의 초저 루프 기술)

  • Kwak, Byung-Kil;Park, Young-Min;Kook, Sung-June
    • Journal of the Semiconductor & Display Technology
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    • v.6 no.1 s.18
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    • pp.17-22
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    • 2007
  • Recent new packages such as MCP(Multi-Chip Package), QDP(Quadratic Die Package) and DDP(Dual Die Package) have stack type configuration. This kind of multi-layer package is thicker than single layer package. So there is need for the low height looping technology in wirebonder to make these packages thinner. There is stiff zone above ball in wirebonder wire which is called HAZ(Heat Affect Zone). When making low height loop (below $80\;{\mu}m$) with traditional forward loop, stiff wire in HAZ(Heat Affected Zone) above ball is bended and weakened. So the traditional forward looping method cannot be applied to low height loop. SSB(stand-off stitch) wire bonding method was applied to many packages which require very low loops. The drawback of SSB method is making frequent errors at making ball, neck damage above ball on lead and the weakness of ball bonding on lead. The alternative looping method is BNL(ball neckless) looping technology which is already applied to some package(DDP, QDP). The advantage of this method is faster in bonding process and making little errors in wire bonding compared with SSB method. This paper presents the result of BNL looping technology applied in assembly house and several issues related to low loop height consistence and BNL zone weakness.

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Treatment of Forward Head Posture & Shoulder Instability (턱을 앞으로 내민자세와 견관절 불안정 의 치료)

  • Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.219-228
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    • 2007
  • Objective : The purpose of this study was conducted to find treatment of forward head posture and shoulder instability with proprioceptive neuromuscular facilitation concept. Methods : This is literature study with books, seminar note and international course. Results : Forward head posture and shoulder instability has related each other. Forward head posture will make muscle instability, weakness and stiffness on neck and shoulder girdle. It will make pain also. Important muscle are suboccipital muscle, omohyoid muscle, sternoclaidomastoid muscle, scaleni, pectoralis minor, levator scapular and digastric. Conclusion : Treatment of the forward head posture and shoulder instability is provided. It is that treatment of stiff muscle with eccentric muscle work, muscle elongation, muscle strengthening at the structure level and at the functional level for daily activities.

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Treatment of Forward Head Posture and Shoulder Instability (턱을 앞으로 내민 자세와 견관절 불안정의 치료)

  • Bae, Sung-Soo;Kim, Sik-Hyun;Kim, Sang-Soo
    • PNF and Movement
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    • v.5 no.2
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    • pp.1-10
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    • 2007
  • Purpose : The purpose of this study was conducted to find treatment of forward head posture and shoulder instability with proprioceptive neuromuscular facilitation concept. Methods : This is literature study with books, seminar note and international course. Results : Forward head posture and shoulder instability has related each other. Forward head posture will make muscle instability, weakness and stiffness on neck and shoulder girdle. It will make pain also. Important muscle are suboccipital muscles, omohyoid muscle, sternoclaidomastoid muscle, scaleni, pectoralis minor, levator scapular and digastric. Conclusion : Treatment of the forward head posture and shoulder instability is provided. It is that treatment of stiff muscle with eccentric muscle work, muscle elongation, muscle strengthening at the structure level and at the functional level for daily activities.

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Asymptomatic Hematoma in Herpes Simplex Encephalitis (단순헤르페스뇌염에서 무증상 혈종)

  • Song, Soo Jin;Na, Boo Suk;Song, Jong Min;Woo, Ho Geol;Lee, Dokyung;Ahn, Tae-Beom
    • Annals of Clinical Neurophysiology
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    • v.17 no.2
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    • pp.82-85
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    • 2015
  • A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.

Treatment of Avascular Necrosis of the Talus with Vascularized Fibular Graft (혈관부착 비골이식술을 이용한 거골 무혈성 괴사의 치료)

  • Chung, Duke-Whan;Kho, Duk-Whan
    • Archives of Reconstructive Microsurgery
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    • v.9 no.1
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    • pp.49-55
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    • 2000
  • Nonunion and avascular necrosis are well-recognized complications of severe ankle injury especially aftrer talar neck fracture. The treatment of avascular necrosis is controversial and methods of treatment are limited. Many modalities have been introduced for the treatment of avascular necrosis of talus. The prolonged non-weight bearing for 2~3 years is not practical but also is occasionally complicated by late segmental collapse. Operative treatment includes tibiotalar arthrodesis and talectomy with tibiocalcaneal arthrodesis, but arthrodesis in patients with talar avascular necrosis is technically demanding and cause stiff, immobile foot and relatively high failure rate was reported. It is desirable to preserve their original joint if possible. Vascularized fibular grafting has been reported as a joint preserving treatment option for osteonecrosis of the hip but has not been described for the ankle. The authors applied free vascularized fibular grafts for 3 cases of avascular necrosis of talus. We observed evidences of revascularization of necrotic talar body and progression of fracture healing and obtained satisfactory results at mean 8 months of follow-up. Vascularized fibular grafting is one of the better alternatives for treating avascular necrosis of talus. It is expected that vascularized fibular grafting can prevent the necrotic talar dome from progressing to collapse and promote directly restored vascularization and new bone formation.

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Apoplexy and Hyungsang Medicine (중풍의 형상의학적 고찰)

  • Jung, Haeng-Gyu;Lee, Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.573-579
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    • 2005
  • The followings are the conclusions drawn from the clinical cases of apoplexy; The main cause of apoplexy is the deficiency of both Jung and Ki. dam typed persons are stricken with paralyses because of the insufficiency of the kidney water. On the other hand, bangkwang typed persons' apoplexy comes from the deficiency of Ki and dump-phlegm. The prevention of apoplexy is very important so that porpe medical care should be taken at the appearance of premonitory symptoms like vertigo, dim sight tinnitus, stiff neck, numbness and others. It appears very reasonable both clinically and pathologically that Li dongyuen classified the apoplexy in to three groups : the first group is apoplexy involving meridians ; the second. involving Bu ; the third, involving Jang. The accurate diagnosis of apoplexy regulates com prehension consideration of four factors configuration color, pulse and symptoms and distinction from the similar diseases. Apoplexy is the up wand floating of Yaug in deficiency due to the deficiency of genuine Yim. In its early stages it should be treated by eliminating the excess in the upper pant. In the lower pant becomes the fundamental treatment.