• 제목/요약/키워드: acupuncture & moxibustion treatment

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코라테라피(절개침)을 이용한 위축성 여드름 흉터의 치험례 (A Clinical Report on The Atrophic Acne Scar with Subcision)

  • 백상철;홍무석;제갈훈;진용희;주태민;이상준;조은희;박민철
    • 한방안이비인후피부과학회지
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    • 제25권4호
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    • pp.80-88
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    • 2012
  • Background and Objective : Atrophic scars are the most common complication of acne. Many modalities are proposed but each does not yield satisfactory clinical outcomes. Among therapeutic modalities of acne scars, subcision is a simple, safe procedure with a different and basic mechanism for correcting atrophic and depressed scars. However, there are few reports about such procedure. This study performed to evaluate the effect of subcision treatment on atrophic acne scar. Methods : Five patients with atrophic acne scars of various types(rolling, superficial and deep boxcar, pitted and icepick) were treated by superficial dermal undermining with 25~27 gauge needles. We used GASC(Global Acne Scarring Classification). Satisfaction degree was asked from the patients. Results and Conclusions : After observing patients satisfaction, comparing case photos and GASC, it can be considered that subcision treatment brings great results when performed on atrophic post acne scars.

마행의감탕(麻杏薏甘湯)으로 호전을 보인 Bowen병의 치험 1례 (A case of Bowen's disease improved with Mahaengeuigam-Tang)

  • 조소현;백상철;최용주;조은희;박민철
    • 한방안이비인후피부과학회지
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    • 제25권4호
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    • pp.70-79
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    • 2012
  • Background and Objective : Bowen's disease is a type of an in situ squamous cell carcinoma. Typical type of Bowen's disease present as a gradually growing well-dermarcated erythematous plaque with an irregular border and surface crusting or scaling. This case demonstrates that Bowen's disease which had a relapse during applying the topical imiquimod can be treated by herbal medicine. Methods : A 72-year-old man patient presented with a erythematous plaque on his right medial malleolar area. The diagnosis of Bowen's disease was based on the clinical features. The chief complaints were scales, fissures, crusts and dryness of skin, erythema plaque, hyperpigmentation, bleeding, tenderness on the lesion. He was treated with Mahaengeuigam-Tang for 77 days. The severity of Bowen's disease was evaluated by visible assessment to determine the end-point of clearance. Results : After the treatment, fissures, crusts and dryness of skin and bleeding, tenderness on the lesion were vanished. Scales and erythema plaque, hyperpigmentation of the lesion little remained. Conclusions : Mahaengeuigam-Tang can be used on the treatment of skin disease which has characteristics plaques and crusts of skin.

PTU 투여 갑상선기능저하증 유발 랫드모델에서 고용량 MOK 약침의 효능 및 안전성 평가 연구 (Study on Efficacy and Safety of High Dose MOK Pharmacopuncture in Hypothyroidism-induced Rats with Propylthiouracil)

  • 황지혜;임우현;정철;정효원
    • 동의생리병리학회지
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    • 제33권2호
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    • pp.123-130
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    • 2019
  • In this study, we investigated the effects of MOK pharmacopuncture at high-doses which are increased 10 to 100-fold in clinics, on propylthiouracil (PTU)-induced hypothyroidism in rats and the safety. We measured the changes of body weight, food and water intake, body temperature, the serum levels of thyroid hormones (TSH, T3, and T4), AST and ALT, glucose, lipid metabolites (total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride) and observed histopathological changes of thyroid tissues by H&E staining. We also analyzed the peaks of constituents of MOK using HPLC. In the results, the treatment of MOK pharmacopuncture at high-dose (30 mg/kg) in hypothyroidism-induced rats for 2 weeks was shown the improvement effects on the decrease of body weight, food intake, and body temperature, The MOK pharmacopunture at high dose regulated the imbalance of thyroid hormones, glucose, and lipid metabolites and also inhibited the structural damages of thyroid tissues. In liver damage, the MOK pharmacopuncture at high dose reduced the increase of AST and ALT levels in hypothyroid rats. We identified the MOK constituents in HPLC analysis. In conclusion, the treatment of MOK pharmacopuncture at high dose has a therapeutic effect on hypothyroidism without liver toxicity, suggesting that the MOK pharmacopuncture be usefully applicable to treat with hypothyroidism in clinics.

CARES 지침에 따른 동의신경정신과학회지의 증례보고에 대한 질 평가 연구 (Evaluation of the Quality of Case Reports in Journal of Oriental Neuropsychiatry Using CARES Guideline)

  • 이환성;이준엽;한지한;채한
    • 동의신경정신과학회지
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    • 제30권2호
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    • pp.59-69
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    • 2019
  • Objectives: Case report is a description of medical experience that contains a patient's information and treatments. It has been used to determine the effectiveness and side effect of the treatments. Case report can be used for medical, scientific, or educational purposes. The objective of this study was to evaluate the quality of case reports published in Journal of Oriental Neuropsychiatry from 2013 to 2017 using CARE and CARES guideline. Methods: Case reports were selected from Journal of Oriental Neuropsychiatry and their quality assessed using CARE guideline and CARES guideline. The items of CARE and CARES guideline were assessed as 'Sufficient', 'Not sufficient', 'Not reported', 'Not applicable'. The outcome was analyzed using case reports and items. Results: 26 case reports were selected. For CARE guideline, 'Sufficient' percentage was min at 22.2%, max at 46.4% with a median of 39.3%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 59.3%, max at 85.7% with a median of 75.0%. Items 'Timeline', 'Diagnostic assessment', 'Follow up and outcomes', 'Informed consent' were not reported in more than 50% of all case reports. Items 'Keywords', 'Abstract', 'Introduction', 'patient information', 'Diagnostic assessment', 'Therapeutic interventions', 'Follow up and outcomes' were not sufficiently reported in more than 50% of all case reports. For CARES guideline, 'Sufficient' percentage was min at 0%, max at 50% with a median of 0%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 33.3%, max at 100% with a median of 92.9%. Items of herbal prescription 'herb', 'decoction', 'use', items of acupuncture treatment 'materials', 'techniques', items of moxibustion treatment 'materials', 'techniques' were not sufficiently reported in more than 50% of all case reports. Conclusions: The reporting rate of items was good. But the quality of reporting was low. Also, particular items were not reported frequently. Therefore, there is a need to improve the quality of case reports in Journal of Oriental Neuropsychiatry.

하지통증을 호소하는 샤르코마리투스 질환 환자에 대한 복합적 한방처치 1례 (A Case Report of a Patient with Charcot-Marie-Tooth Disease Complaining about Lower Limb Pain)

  • 문희영;류광현;추원정;최요섭;박지원;김두리;류원형;전용현
    • 대한한방내과학회지
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    • 제39권6호
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    • pp.1321-1328
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    • 2018
  • Objective: This study was performed to report on the effects of traditional Korean Medicine as a treatment for a patient with Charcot-Marie-Tooth disease, with lower limb pain as the chief complaint. Methods: We treated this patient with traditional Korean medicine and measured symptom severity using the Visual Analogue Scale (VAS), and the Oswestry Disability Index (ODI) as well as measuring the length of the patient's self-exercising time. Results: After about 7 weeks of treatment, most pathological symptoms had decreased. There was a gradual decline in the VAS and a gradual increase in the length of the self-exercising time. Although there was an increase in the ODI scale during the first 2 weeks, it eventually showed a decline in the rest of the period. Conclusions: Traditional Korean medicine can be a solution for the patients with Charcot-Marie-Tooth disease suffering from peripheral neurological symptoms.

파두 공법을 병용한 한방치료로 호전된 위완통 증례보고 (A Case Report of an Epigastralgia Patient using Korean Medicine with Crotonis Fructus Purgation Therapy)

  • 이다은;김동현;노지원;유정화;안세영;이병철;안영민
    • 대한한방내과학회지
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    • 제39권6호
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    • pp.1296-1305
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    • 2018
  • A patient with an epigastralgia was treated with Korean medicine for the short-term period of five days under admission care. In this case report, we discuss the efficacy and safety of short-term treatment using Korean medicine methods on a patient with an epigastralgia by evaluating a numerical rating scale, agastrointestinal symptom questionnaire, clinical features, and blood tests. The complex methods comprise purgation therapy using Crotonis Fructus, Korean herbal medication, acupuncture and moxibustion. Throughout the purgation therapy with Crotonis Fructus, the patient reported improvement in both her pain score and dyspepsia index. This case showed that Korean medicine acted not only fast, but also effective for treating epigastralgia patients diagnosed with functional dyspepsia.

유맥(維脈)의 개념과 임상 활용에 대한 고찰 (A Study on the Concept and Clinical Treatment of Link Meridian)

  • 윤기령;백유상;장우창;정창현
    • 대한한의학원전학회지
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    • 제32권1호
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    • pp.145-158
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    • 2019
  • Objectives : This study attempts to identify the concept of Link meridian in previous medical books, and explore how Link meridian theory was used in a clinical practice focusing on YeTianshi. Methods : This study looked at the medical books related to acupuncture and moxibustion in the past and the part where Link meridian is mentioned in the annotations of "Huangdineijing" and "Nanjing", and examined how medical doctors prior to YeTianshi used Link meridian in a clinical practice. And then this study examined treatment cases in the medical records of YeTianshi. Results & conclusions : Yang-Link meridian and Eum-Link meridian were arranged as ascending route by the majority of medical doctors. However, there are doubts because startpoints of them are not "Jeyanghoe" and "Jeeumgyo" respectively described in "Nanjing". Link meridian is thought to be a structure that connects each meridian passing through crossing points with each crossing point itself as a starting point. Thus, Link meridian can be seen as a role in strengthening the connection of crossing meridians and balancing and controlling those meridians centering on each crossing point. The point that YeTianshi's identifying that pathology of Eight extra meridians associates with liver and kidney(肝腎) to be a symptom of weakness, and his development of Link meridian's physiology and pathology through the relationship with other Eight extra meridians are thought to be more advanced than the previous medicine prior to YeTianshi.

불안, 복부동계를 동반한 기능성 소화불량 환자에 대한 시호가용골모려탕 치험 1례 (A Case Report of a Functional Dyspepsia Patient with Anxiety and Abdominal Pulsation Treated with Shihogayonggolmoryo-tang)

  • 윤미정;김나연;최홍식;김승모;김경순
    • 대한한방내과학회지
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    • 제43권3호
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    • pp.485-492
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    • 2022
  • Objective: The aim of this case report is to report the effect of Korean medicine treatment, including Shihogayonggolmoryo-tang, on anxiety and abdominal pulsation in a patient diagnosed with functional dyspepsia. Method: The patient was treated with Shihogayonggolmoryo-tang, including acupuncture, moxibustion, and cupping therapy. Changes in symptoms were evaluated using a self-reported numerical rating scale (NRS) score every morning. The gastrointestinal symptom score (GIS) was checked on admission and discharge day. Results: After 6 days, the NRS scores for anxiety, abdominal pulsation, abdomen discomfort, and GIS all decreased. Conclusion: The results suggest that Shihogayonggolmoryo-tang with Korean medicine could be effective for treating anxiety, abdominal pulsation, and accompanying abdomen symptoms. However, further evaluation is needed to clarify the relationship between the treatment's effect and Shihogayonggolmoryo-tang.

총담관결석으로 내시경역행성췌담관조영술 시행 후 지속되는 기력저하, 식욕부진에 대한 한방치험 1례 (A Case Report of Korean Medical Treatment for Fatigue and Anorexia after Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stone)

  • 박지윤;김예슬;문지성;민선우;홍정화;안립
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.254-263
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    • 2022
  • Objective: This study reports the effects of Korean medicine therapy for fatigue and anorexia after endoscopicretrograde cholangiopancreatography (ERCP) for common bile duct stone with cholangitis. Methods: A 76-year-old woman was admitted for fatigue and anorexia after ERCP and she was treated with Hyansayangyi-tang-gami as well as acupuncture, moxibustion, and cupping therapies. Symptoms were evaluated using a numericrating scale (NRS), and liver function was examined through laboratory test. Results: After 19 days of treatment, the patient's fatigue improved from NRS 7 to NRS 4, and her anorexia score also improved, from NRS 9 to NRS 1~2. Liver function also increased. Conclusion: This study suggests that Korean medicine can be used for managing fatigue and anorexia following ERCP.

자궁근종을 동반한 난임 여성의 한의학적 치료에 대한 연구 동향 (A Review on Research of Korean Medicine Treatments for Infertile Women with Uterine Myoma)

  • 고은빈;박남경;최민영;이진무;이창훈;장준복;황덕상
    • 대한한방부인과학회지
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    • 제36권3호
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    • pp.196-210
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    • 2023
  • Objectives: The purpose of this study is to review the research trends of infertile women with uterine myoma in Korean medicine and to recognize the efficacy of Korean medicine intervention. Methods: A search was conducted on November 18, 2022, using six databases, including Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), Cochrane Library Central, Pubmed, China National Knowledge Infrastructure (CNKI) and WangFang Med Online. We analyzed the studies using Korean medicine on women with uterine myoma preparing for pregnancy or complaining infertility. Results: Total 4 studies were selected and all of which were case reports. Among 6 cases, Korean medicine treatment including herbal medicine, acupuncture, electroacupuncture, moxibustion was used alone. Ikgibohyeol-tang-gami-bang, Gyejibokryeong-hwan, Saenghwa-tang-gami-bang were prescribed in 2 cases each. Angelicae Gigantis Radix and CV4 were most frequently used herb and acupoint. All subjects were successful in becoming pregnant. Conclusion: This review shows that Korean medicine treatment can be effective in infertile women with uterine myoma. However, the number of included studies is small, so the level of evidence needs to be raised through more clinical studies in the future.