• 제목/요약/키워드: The Korean Journal of Acupuncture

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침진통(鍼鎭痛) 작용에 있어서 시상 후방 층판내핵(속방핵)의 역할 (Role of Posterior Intralaminar Thalamic Nuclei in Acupuncture Analgesia in Rats)

  • 노식;민병일;윤상협
    • 대한한의학회지
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    • 제20권3호
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    • pp.36-44
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    • 1999
  • Objectives: It has been well known that electroacupuncture(EA) has an analgesic effect and there is a pain control system in the central nervous system(CNS). The pain control system is composed of three major nuclei, which are periaqueductal gray(PAG), raphe nuclei, and the pain inhibitory complex located in the spinal cord. It has been suggested that the analgesic effect of EA might be the result of activation of the pain control system in the CNS. However, there may be a possibility that other nuclei are also involved in this pain modulation. Thus, we investigated whether the posterior intralaminar thalamic nuclei (PTIN) are involved in the pain modulation. Methods: To measure the level of pain, the jaw opening reflex (JOR) was used as a pain index. The magnitude of JOR is estimated by averaging the area of 10 successive responses. JOR was evoked by tooth-pulp stimulation with bipolar electrode carrying stimulus with the following parameters: intensity ranging from 420uA to 680ulA, 0.3ms duration of square pulse, and 0.5 Hz. Hapkog($LI_4$) and Taechung ($LR_3$) were the chosen acupoints. The Hapkog point was stimulated ipsilaterally at 5V, 3 Hz, for 15min in total, and the Taechung was stimulated at 2-3 V, 3 Hz, and for a total of 15 or 30 minutes. Different intensities of stimulation were given the PITN; one was given at $300{\mu}A$ and the other was at 500uA. The position stimulated in these nuclei by Paxinos Atlas was AP; from bregma $-4.0{\sim}-4.3mm,\;L; 0.5{\sim}1.8mm,\;D;\;4.8{\sim}6.3mm$. Results: The Hapkog point had a significant analgesic effect (P<0.05). However, the Taechung point had no effect. Both types of stimulation in the PITN did not reveal any analgesic effects. Conclusions: From these results, it was suggested that the posterior intralaminar thalamic nuclei are not involved in the modulation of pain.

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視力低下에 對한 臨床的 考察 (A Clinical Study on the Decreased Visual Acuity)

  • 최은성;류혜정;채병윤
    • 한방안이비인후피부과학회지
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    • 제9권1호
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    • pp.146-158
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    • 1996
  • We observed 79 patients, who visited the Department of Oph. & Otorhinolaryngology in Oriental medicine of Kyung Hee University Medical Center from July 1995 to June. 1996, with the complaint of decreased visual acuity. The results were as follows. 1. In the incidence of decreased visual acuity, men's was $46.84\%$(37 cases) and women's was $53.16\%$(42 cases), which showed that more women were suffering decreased visual acuity than men. In the incidence of myopic ametropia and astigmatic ametropia among the total patients, men's was $44.62\%$(29 cases) and $37.50\%$(9 cases) each, and women's was $55.38\%$(36 cases) and $62.50\%$( 15 cases) each, which also showed that more women were suffering myopia and astigmatism than men. 2. The average age of patients was 11.08 years at the first visit. The most were the patients from 6 to 15 years old, with 63 cases($79.74\%$). 3. The age of onset in the decreased visual acuity was mainly 6∼10 years with 45 cases($56.96\%$). In the case of myopic ametropia and astigmatic ametropia, the age of onset was also mainly 6∼10 years with 65 cases($60.00\%$), and with 12 cases($50.00\%$) each. 4. In ABO blood type, the frequency was, A type, O type, B type and AB type in order. In men, O type was the most, while in women, A type. 5. In the liking for cool or warm food or tepidity, the liking for cool food was the most in both men and women. 6. The type of decreased visual acuity was mainly myopic ametropia with 65 cases($82.28\%$). Astigmatic ametropia was $30.38\%$ with 24 cases, hyperopic ametropia $2.53\%$ with 4 cases, and the decreased visual acuity accompanied by amblyopia $7.59\%$ with 4 cases. 7. At the first visit, the average visual acuity of O.D. was 0.29 and that of O.S.. 0.24, which showed that O.S.. is worse than O.D.. The visual acuity below 0.2 was the most, $63.29\%\;in\;O.D..\;72.15\%$ in O.S.. 8. In the treatment period, 4∼7 weeks occupied $35.44\%$ with 28 cases, 8∼11 weeks $30.38\%$ with 24 cases, so the treatment period was mainly these two periods with 52 cases($65.82\%$). 9. The average frequency of acupuncture treatment per week was mainly 2.1∼3.0 times with 45 cases($56.96\%$). In this case, men was 24 cases($53.33\%$) and women 21 cases($46.67\%$), so men was more than women. 10. The frequency of herbal prescription was mainly Gamijungjitang and Gamijingjibogansan with 76 cases($85.39\%$).

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흉배부(胸背部)에 시행한 부항요법(附缸療法)이 자율신경계에 미치는 영향 - 심박변이도 측정을 통한 연구 - (The Effect of Dry Cupping Treatment Applied to Back-shu Points on the Autonomic Nervous System through HRV)

  • 황은미;왕개하;배재익;금동호
    • 한방재활의학과학회지
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    • 제23권1호
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    • pp.51-64
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    • 2013
  • Objectives : This study was performed to evaluate the effect of dry cupping treatment applied to back-shu points on the autonomic nervous system. Methods : Two groups of sympathicotonia and normal with each 30 volunteers were set up for this experiment. The sympathicotonia group was selected by the criterion for sympathicotonia by the questionnaire composed of 11 items. After 10 minutes for environmental adaptation, the first HRV(heart rate variability) test was conducted, and then, dry cupping therapy was applied to back-shu points for 5 minutes to stimulate sympathetic ganglia lying along the spine. The second HRV test was carried out just after the cupping therapy under the same condition and then, the third test was repeated after two hours based on the first test time. Results : 1. In sympathicotonia group, SDNN(standard deviation of all normal R-R intervals), RMSSD(the square root of the mean of the sum of the squares of differences between adjacent normal R-R intervals), Ln(HF)(high frequency power), nmHF(normalized high frequency power) increased and mHR(mean heart rate), nmLF(normalized low frequency power) decreased significantly right after dry cupping therapy which means dry cupping affects on autonomic nervous system. The effect lasts in these items of nmLF, Ln(HF), nmHF, rLHF(rate ratio of LF/HF). 2. In normal group, SDNN, RMSSD increased and mHR decreased significantly right after dry cupping therapy, too. But, Ln(LF)(low frequency power), nmLF, rLHF unexpectedly increased and nmLF, rLHF stay increased up to 2 hours. Conclusions : The results suggest that the dry cupping therapy has effect on the autonomic nervous system. It is effective to stabilize hyper-sympathetic tone of people diagnosed as Sympathicotonia and activate parasympathetic tone.

감기 임상연구의 최신 동향 및 평가도구에 관한 연구 (Study of Instruments for Assessment and Clinical Research Trends in Common Cold)

  • 양수영;변준섭;황지호;안정조;홍권의;강위창;이용구;박양춘
    • 대한한의학회지
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    • 제29권2호
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    • pp.165-181
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    • 2008
  • Objectives: This study was conducted to help clinical studies for treating the common cold with Oriental medicine. We inspected tendencies of clinical studies of the common cold in western medicine and analyzed the assessing instruments for it by scrutinizing PubMed publications for the last five years. Materials and Methods: We inspected 32 theses and scrutinized their objectives, periods, participants, materials and methods, the instrument of assessment for the studies, and validity, reliability, criteria and symptom score for questionnaires, results and JADAD score. Results: 1. The median for total period of study was 7 months, the median for days of treatment was 7.5, and most studies were carried out during the winter/spring period, because of the enhanced risk of cold infections. 2. The studies focused on unorthodox medicines or new drug products, such as antipyretic analgesics (e.g. paracetamol), decongestant and bronchodilator (e.g. ephedrine), echinacea, antioxidants (e.g. zinc), probiotic bacteria and so on. 3. All theses except one had subjectscomposed of cold patients who were infected naturally. The median number of subjects for final analysis was 187. 4. 27 studies used survey as the instrument of assessment. Among these, only one thesis was verified for validity. 5. The mean of JADAD score was 4.41, suggesting most of theses of worth. 7 studies were assessed as ineffective. Conclusion: Recent studies of the common cold are focused on unorthodox medicines or new drug products, and it is necessary to provide an objective instrument for assessing common cold treatments.

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202종(種) 한약재(韓藥材)의 $IFN-{\gamma}$ 분비조절에 관한 비교연구 (Comparative study of 202 herbs on interferon-gamma secretion)

  • 이시형;강미숙;최유경;전찬용;박종형;김동우
    • 대한한방내과학회지
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    • 제27권2호
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    • pp.336-344
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    • 2006
  • Objects : This study has been carried out to assess the effects of the variable herbs on $IFN-{\gamma}$ secretion in the mouse spleen cell. Methods : 202 kinds of herb extracts were used to evaluate the $IFN-{\gamma}$ secretory distinction by each $1{\mu}g/ml$ and $10{\mu}g/ml$ density of water. All experimental herbs were grouped by oriental herbalogical method. But each herb had its independent variables. Results : The secretions increased in 20% of all herbal water. The density differences also make different effects on the secretion of $IFN-{\gamma}$. The secretion of IFN-${\gamma}$ inclosed in some kinds of herbs of IFN-${\gamma}$. It has representatively increased in Imperaetae Rhizoma(白茅根) of $1{\mu}g/ml$ and Notopterygii Rhizoma(羌活)of $10{\mu}g/ml$. $IFN-{\gamma}$ incresed in 12 kinds of heybs of both densities. The secretion of $IFN-{\gamma}$ decreased in some kinds of herbs of $IFN-{\gamma}$. It has representatively decreased in Moutan Radicis Cortex(蘇丹皮) of $1{\mu}g/ml$ and Angelicae Radix(富歸尾) of $10{\mu}g/ml$. $IFN-{\gamma}$ decreased in 18 kinds of herbs of both densities. In t oriental herb group, The secretion of $IFN-{\gamma}$ increased in Bang-Hyang-Hwa-Sup group(芳香化濕藥), He-Pyo group(解表藥), I-Su-Sam-SuP group(利水渗) The secretion of $IFN-{\gamma}$ decreased in Gu-Chung group(驅蟲藥), An-Sin group(安神藥). Su-Sap group(收澁) On-Li group(溫裏藥), I-Gi group(利氣藥). Conclusions : The result of this study will not only broaden applications of oriental medicine to biological therapy, but also form the basis of oriental medical therapy to find out the meaning of oriental classification.

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Glutamate로 유도된 C6 glial 세포 자멸사에 대한 청심연자음(淸心蓮子飮)의 보호효과 (Protective Effects of Chungsimyeonja-eum on Glutamate-induced Apoptosis in C6 Glial Cells)

  • 고석재;신용진;장원석;하예진;이선아;안민섭;권오상;신선호
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.54-65
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    • 2010
  • Objective : The water extract of Chungsimyeonja-eum (CSYJE) has traditionally been used in treatments of heart diseases and brain diseases in Oriental medicine. However, little is known about the mechanism by which CSYJE protects neuronal cells from injury damages. Therefore, in this study we attempted to elucidate the mechanism of the cytoprotective effect of the CSYJE extract on glutamate-induced C6 glial cell death. Methods : Cultured cells were pretreated with CSYJE and exposed to glutamate, cell damage was assessed by using MTT assay and propidium iodide (PI), probe 2',7'-dichlorofluorescein diacetate (DCF-DA) staining. Western blotting was performed using anti-procaspase-3 and anti-PARP, respectively. Result : We determined the elevated cell viability by CSYJE extract on glutamate-induced C6 glial cell death. Glutamate induced DNA fragmentation on C6 glial cells but pre-treatment with CSYJE inhibited DNA fragmentation. One of the main mediators of glutamate-induced cytotoxicity was known to generation of reactive oxygen species (ROS). Pre-treatment with CSYJE inhibited this ROS generation from glutamate-stimulated C6 glial cells. Also, we identified that the ROS-induced DCF-DA green fluorescence was reduced by CSYJE pre-treatment. The critical markers of apoptotic cell death are the cleavages of procaspase-3 protease and PARP proteins, so we checked the expression level and cleavages of procaspase-3 protease and PARP proteins. Glutamate-treated C6 glial cells showed the cleavages of procaspase-3 protease and PARP proteins and followed the reduction of expression of these proteins. Conclusion : These findings indicate that CSYJE may prevent cell death from glutamate-induced C6 glial cell death by inhibiting the ROS generation and procaspase-3 and PARP expression.

춘천한방병원에 내원한 이비인후과 및 호흡기계 질환 외래 환자의 통계적 고찰 (The Statistical Analysis on Outpatients Who Had Visited Chuncheon Oriental Medical Hospital with Otolaryngology and Respiratory Diseases)

  • 허은정;김지현;강다혜;권강
    • 한방안이비인후피부과학회지
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    • 제23권3호
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    • pp.202-215
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    • 2010
  • Objective : This study was performed to investigate the prevalence of otolaryngology and respiratory diseases and characteristics of the outpatients who had visited Chuncheon oriental medical hospital which located in Gangwon province with the diseases. Methods : We analyzed data from 627 patients, who had visited to the Department of ophthalmology & otolaryngology & dermatology of Chuncheon oriental medical hospital from November 1st, 2007 to May 31th, 2010. The data were analyzed and demonstrated by age, gender, season, period between the onset of disease and the first examination, times of treatment, and treatment methods. Results : The results of this study are summarized as follows. 1. Among the 627 outpatients, male patients outnumbered female patients, and the most frequent age group was 0-10 year-old group(24.9%) and it is followed by 31-40 and 41-50 year-old groups. The majority of outpatients, 79.7% of them were from Chuncheon, and Hongcheon and Gapyeong residents were respectively 4.7% and 3.8% of the patients. 2. The shares of outpatients by department were 47.4% in Rhinology disease, 29.8% in respiratory disease, 14.5% in Otology disease, and 8.3% in Laryngology disease. The seasons with the most frequent prevalence by department were spring and winter for otology group, autumn and spring for rhinology group, summer and spring for laryngology group, and winter and spring for respiratory disease group. Overall, most outpatients had visited the hospital for 1-5 times or 6-10 times. Acupuncture and herbal medicine were the most frequent treatment methods that these patients received. 3. The most prevalent diseases were rhinitis, common cold, tinnitus, and sinusitis. The most frequently visited age groups for tinnitus and hearing loss were 41-50 and 51-60 year-old groups, and for rhinitis and sinusitis 0-10 and 11-20 year-old groups. Irritation in larynx was almost evenly prevalent among 31-40, 41-50 and 51-60 age groups. Regarding the period between the onset of disease and the first medical examination, outpatients with tinnitus, rhinitis, sinusitis, and irritation in larynx came to the hospital after one year since the onset and outpatients with common cold first visited the hospital within one week since the onset of disease. Conclusions : This study shows that the most frequent diseases were rhinitis, common cold, sinusitis, tinnitus, and cough. In order to do better treatment for these diseases in the future, there is a need to investigate long-term, multifaceted studies, connected studies with other hospital in Gangwon province.

${\ll}$영추(靈樞).전광편(癲狂篇)${\gg}$에 대(對)한 연구(硏究) (A Study on the Jeon Kwang Pyun (癲狂篇) of the Young Chu(靈樞))

  • 서명진;육상원
    • 대한한의학원전학회지
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    • 제11권1호
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    • pp.361-394
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    • 1998
  • Jeon Kwang(癲狂), term of oriental medicine, corresponds to psychopathy. This is recorded in the 22th chapter of Young Chu(靈樞). Jeon and Kwang come under Eum(陰) and Yang(陽) respectively. The symptoms of Jeon have silence, cry and giggle alternately, muttering, and so on. And those of Kwang have quick-tempered, absurd remarks, slander, and so on. The contents of this chapter are divided into three volumes. The first is descriptive of paroxysmal causes and various symptoms of Jean and methods of acupuncture and moxibustion. The second stales causes, symptoms, and remedy methods of Kwang. And the third describes about Pung Youk(風逆), Kweol Youk(厥逆), So Ki(少氣), and Tan Ki(短氣). A paragraph concerning of Mok Ja(目眥), so to speak side of pupil, is mentioned at the begginning of this chapter incomprehensibly. Si Ma(馬蒔) asserted that this one is not a pleonasm because mental condition is seen at Mok Ja. But Sa-Deok Jeong(程士德) decided this one doesn't relation to Jeon Kwang. In my opinion, both views have proprieties. It is in a controversy whether Jeon Kwang has somthing to do with Pung Youk, Kweol Youk, etc. Tan Pa(丹波) asserted that these don't have connection each other. But JI-Chong Jang(張志總) explained Jeon Kwang originates in Kweol Youk with a basis of So Mun(素門). It is difficult to judge which opinion is right, but I am of the opinion that paragraphs of Pung Youk and downward mentioned those of other chapter with a mistake in the process of transcription. On accout of not only shortage contents but also ancient writings of this chapter we cannot understand all about Jeon Kwang. In addition, each woodblock-printed book has different letters and every commentaries aren't the same. Till now, therefore, basic study hasn't been done enough to offer a foundation to the theory of medical treatment. The purpose of this study is to correct wrong letters, to take out right commentaries, and then to interpret the accurat meaning of this chapter. I think this bibliographic study is quite meaningful because of hardship to cure psychopathy in clinic as well as of a viewpoint of basic study. However as this thesis is insufficient, so I expect many studies come out later.

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InGaAlP 레이저 경피혈액조사가 정상성인의 심박변이도에 미치는 영향 (The Effect of InGaAlP Laser Transcutaneous Blood Irradiation on Heart Rate Variability in Healthy Adults)

  • 이태호;여진주;설현;장인수
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.25-33
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    • 2004
  • Objective : The effects of Indium-Gallium-Aluminium-Phosphide(InGaAlP) laser transcutaneous irradiation on heart rate variability(HRV) in healthy adults are investigated with power spectrum analysis(PSA) of HRV. Methods : The control group consisted of 20 healthy volunteers (10 men, 10 women). The experiment was divided into 5 different periods, the pre-1st laser period(10 minutes), the 1st laser period(30 minutes), the post-1st laser period(5 minutes), the 2nd laser period( 30 minutes) and the post-2nd laser period(30 minutes). HRV was measured for 5 minutes at the pre-1 st laser period, the post-l st laser period and the post-2nd laser period. The laser period is the period in which InGaAlP laser transcutaneous Irradiation treatment occurs. Results : 1. SDNN of volunteers at post-1st laser period and post-2nd laser period significantly increased compared with that of the pre- 1 st laser period. 2, Ln(VLF) at post-I st laser period significantly increased compared with that of pre-1st laser period, while Ln(HF) at post-2nd laser period significantly decreased compared with those of pre- I st laser period and post-1st laser period, 3. Ln(TP) at post-1st laser period and post-2nd laser period significantly increased compared with that of pre-1st laser period, 4, LF/HF Ratio at post-2nd laser period significantly increased compared with those of pre-1st laser period and post-1st laser period. But the other variables did not significantly change. Conclusions : The results suggest that InGaAlp laser transcutaneous Irradiation in healthy adults is associated with the autonomic nervous systems. Further study is needed for investigating the effects of laser irradiation on autonomic nervous systems.

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부황, 뜸, 침 레이저요법 시술이 耳鳴에 미치는 영향 (Effect of Tinnitus after Bleeding, Acupuncture, Moxa, and Laser treatment)

  • 박경화;한영목;안수현;황충연
    • 한방안이비인후피부과학회지
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    • 제12권1호
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    • pp.396-407
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    • 1999
  • Although tinnitus is a common disease, it's reason, pathogenesis and treatment are not examined clearly. As tinnitus is a subjective complaint, it is not easy to evaluate objectively and to compare with another. In this study, we intend to estimate the effect of a variety of oriental medical treatments to tinnitus. We inquired about 30cases of tinnitus patients visited the Kwang-ju Oriental Medical Hospital of Wonkwang University from Apr. 1998 to Sep. 1998. We examined the 30cases in the view of sex, age, occupation, duration, etiologic factors, past history, associating symptoms, quality of tinnitus, and recovery rate after treatments. The results were as follows: 1. In distribution of sex, the ratio of male was $63.3\%$(19cases)and\;female\;was\;36.6\%$(11cases). 2. In distribution of age, the ratio of the 2th decade was $6.6\%(2cases),\;the\;3th\;decade\;was\;20.0\%(6cases),\;the\;4th\;decade\;was\;16.6\%(5cases),\;the\;5th\;decade\;was\;23.3\%(7cases),\;the\;6th\;decade\;was\;30.0\%\;(9cases),and\;the\;7th\;decade\;was\;3.3\%(1case)$. 3. In distribution of occupation, the ratio of employee was $23.3\%$(7cases), house-keeper was $63.3\%(11cases),\;farmer\;was\;16.6\%(5cases),\;teacher\;was\;13.3\%$ (4cases), and student, merchant, soldier was each $3.3\%$(1case). 4. In distribution of duration, the ratio of under 1month was $6.6\%$ (2cases), 1 month -6 months was $20.0\%$(6cases), 6 months- 12months was $30.0\%$(9cases), 12months-36months was $23.3\%$(7cases), and over 36months was $20.0\%$(6cases). 5. In etiologic factor of tinnitus, the ratio of unknown reason was $40.0\%$ (12cases), overwork was $16.6\%$(5cases), emotional stress was $10.0\%$(3cases), noise was $6.6\%$(2cases), cases of laying overwork upon stress was $13.3\%$(4cases), head trauma was $3.3\%$(1case), gun report was $3.3\%$ (1case), and after sickness was $6.6\%$(2cases). 6. 9 cases had experienced such a disease as meniere's disease, tympanitis, labyrinthitis, trauma of tympanum, hypertension, etc. 7. Commonly associated symptoms were dizziness, deafness, uneasiness, headache, ear fullness, fatigue, insomnia, nausea, vomiting, and forgetfulness. 8. Most frequent quality of tinnitus were buzzing, whistling, humming etc. 9. In $76.6\%$(23cases) of tinnitus patients, it was improved, but in $23.3%$(7cases) of them, not improved. Total recovery rate was $42.2\%$.

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