• 제목/요약/키워드: internal medicine

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한방병원에 입원한 담훈으로 변증한 어지럼 환자에 대한 한방 치료 1례 (A Case Report of Dizziness Diagnosed Dam Hun Treated with Korean Medicine in a Patient Hospitalized at a Korean Medicine Hospital)

  • 김상윤;왕연민;백길근;윤상훈;이유진;이형철;강만호;박성환
    • 대한한방내과학회지
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    • 제44권5호
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    • pp.911-919
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    • 2023
  • Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment on dizziness diagnosed as Dam Hun. Methods: The patient received herbal medicine treatment of Banhabakchulchunma-tang and acupuncture from May 18, 2023 to June 3, 2023. To evaluate the treatment, we used the Korean Version of the Dizziness Handicap Inventory (K-DHI) to measure dizziness. The degree of dizziness, headache, and dyspepsia was also evaluated using the Visual Analogue Scale (VAS). Results: The patient's VAS scores improved after treatment. The change in the K-DHI scores showed that the patient's dizziness symptoms were relieved. Conclusions: The results of this study suggest that Korean medicine therapies may be effective for treating dizziness.

Korean Society of Heart Failure Guidelines for the Management of Heart Failure: Definition and Diagnosis

  • Jae Yeong Cho ;Dong-Hyuk Cho;Jong-Chan Youn;Darae Kim;Sang Min Park;Mi-Hyang Jung;Junho Hyun;Jimi Choi;Hyun-Jai Cho;Seong-Mi Park;Jin-Oh Choi;Wook-Jin Chung;Byung-Su Yoo;Seok-Min Kang;Committee of Clinical Practice Guidelines, Korean Society of Heart Failure
    • Korean Circulation Journal
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    • 제53권4호
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    • pp.195-216
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    • 2023
  • The Korean Society of Heart Failure guidelines aim to provide physicians with evidence-based recommendations for diagnosing and managing patients with heart failure (HF). In Korea, the prevalence of HF has been rapidly increasing in the last 10 years. HF has recently been classified into HF with reduced ejection fraction (EF), HF with mildly reduced EF, and HF with preserved EF (HFpEF). Moreover, the availability of newer therapeutic agents has led to an increased emphasis on the appropriate diagnosis of HFpEF. Accordingly, this part of the guidelines will mainly cover the definition, epidemiology, and diagnosis of HF.

당뇨병성 방광병증으로 진단된 배뇨장애 환자 치험 1례 (A Case Study of a Patient Diagnosed as Diabetic Cystopathy with Dysuria)

  • 김미경;김보람;김용형;최동준;한창호;정승현;신길조;이원철
    • 대한한방내과학회지
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    • 제29권4호
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    • pp.1123-1129
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    • 2008
  • There's a case of a 74-year-old male patient who was recommended urethral catheterization because of voiding problem which is diagnosed as diabetic cystopathy. According to the Differentiation of Symptoms(辨證), we classified his situation as kidney yang deficiency (腎陽虛衰), prescribed Uchasingi-hwan(牛車腎氣丸). and treated with moxibustion and electroacupuncture. After nine days of such treatments, he started voiding himself without catheterization, and the volume of residual urine decreased. So we report this case.

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스트레스에의한 여성 울증(鬱證) 환자의 가미소요산(加味逍遙散) 치험 3례 (The Clinical Review on Three Cases of UL-syndrome(鬱證) induced by Chronic Stress)

  • 강병철;성경화;송일헌;김의철;권도익;박경훈;정성민;박준하;고은상
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.615-624
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    • 2004
  • UL-syndrome(鬱證) is a syndrome of emotional depression and various physical symptoms generally due to chronic psychological stress, without constitutional abnormality. These are cases of female patients suffering from headache, chest discomfort, heart burning, insomnia, dyspepsia, anorexia, fatigue and some other minor symptoms due to chronic stress. We diagnosed these cases as UL-syndrome and treated them with oriental medicine, specifically Gamisoyosan(加味逍遙散). This paper describes the symptoms that the patients suffered, the treatment used, and identifies stages in the development of UL-syndrome, and suggests a stage in which Gamisoyosan is efficacious.

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한약과 민간약물의 독성 및 부작용에 대한 고찰 (A Study on The Side Effects and Toxicity of Herbal Medicine)

  • 박병욱;허금정;고흥;이은
    • 대한한방내과학회지
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    • 제23권2호
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    • pp.222-227
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    • 2002
  • Although there are a few reports concerning the side effects and toxicity of herbal medicines, there has not yet been any report concerning their causes, mechanisms or prevention. We investigated the internal reports concerning the side effects and toxicity of herbal medicines. In the findings, liver disorder (hepatic injury) was found in 7 cases, kidney disorders (nephropathy) were found in 12 cases, heart disorders were found in 4 cases and mineral-caused diseases were found in 2 cases. Besides, we found the major cause of the side effects and toxicity was drug abuse, such as over-dosage and long term medication. So, we hope this report brings more attention to the safety and toxicity of herbal medicines.

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소아(小兒) 야뇨증(夜尿症)의 치료(治療)에 관한 임상적(臨床的) 고찰(考察) (The Clinical study of Nocturnal Enurosis)

  • 이경환;서수환;김행진;김용성
    • 대한한방내과학회지
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    • 제25권1호
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    • pp.126-131
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    • 2004
  • Between February 2002 and June 2003, A clinical study on Noctural Enurosis Patients had been conducted by the Department of Internal medicine at Dongshin University Oriental hospital. In this study, we treated nine patients with ear acupuncture using seed of Allium tuberosum ROTTLER and Herbal medicine. And we got the efficacious results. Moreover, the patients who were treated for more than 20days show more efficient result.

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보음익기전(補陰益氣煎)을 사용하여 호전된 중풍(中風)환자 편비(便秘) 치험(治驗) 2례(例) (Two Cases of constipation in stroke patients treated with Boemyikgijeon)

  • 장우석;윤현덕;박치상;박창국;이소연
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.545-550
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    • 2004
  • Constipation is a common symptom, but stroke patients are especially susceptible to constipation due to colon ineutia as a result of prolonged bed rest. In these two cases, patients diagnosed as Gieumliangheu had bowel complaints and defecated a small quantity of loose form. Therefore the patients were treated with Boemyikgijeon. Patients showed improvement in this symptom, so Boemyikgijeon is cited for the better treatment.

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궤양성 대장염에서 나타난 폐쇄성 세기관지염 기질화 폐렴 1예 (A Case of Bronchilolitis Obliterans Organizing Pneumonia in a Patient with Ulcerative Colitis)

  • 이현정;박병훈;손지영;정지예;황세나;전영은;김은영;임주은;이경종;윤여운;김영삼;김세규;장준;심효섭;조상호;박무석
    • Tuberculosis and Respiratory Diseases
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    • 제68권3호
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    • pp.175-179
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    • 2010
  • The ulcerative colitis is a chronic inflammatory bowel disease with an unknown etiology. The major symptoms of ulcerative colitis are diarrhea, abdominal pain and hematochezia. However, arthritis, skin disorders, hepatobiliary inflammation and uveitis are occasionally recognized as systemic complications. Although there are few reports of coexistent pulmonary and inflammatory bowel disease, the lung is not generally considered to be a target organ in ulcerative colitis. We report a patient with ulcerative colitis-related bronchilolitis obliterans organizing pneumonia confirmed by video-assisted thoracoscopic surgery, who responded to corticosteroid therapy.

Early or Late Gefitinib, Which is Better for Survival? - Retrospective Analysis of 228 Korean Patients with Advanced or Metastatic NSCLC

  • Kim, Dong-Gun;Kim, Min-Kyoung;Bae, Sung-Hwa;Koh, Sung-Ae;Park, Sung-Woo;Kim, Hyun-Je;Kim, Myung-Jin;Jang, Hyo-Jin;Lee, Kyung-Hee;Lee, Kwan-Ho;Chung, Jin-Hong;Shin, Kyung-Chul;Ryoo, Hun-Mo;Hyun, Myung-Soo
    • Journal of Yeungnam Medical Science
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    • 제28권1호
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    • pp.31-44
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    • 2011
  • Background: The optimal timing of treatment with EGFR-tyrosine kinase inhibitors (EGFR-TKI) in NSCLC patients has not yet been determined. Methods: We separated 228 patients with advanced /metastatic NSCLC treated with gefitinib into an early gefitinib group (patients who received gefitinib as first- or second-line treatment) and a delayed gefitinib group (patients who received gefitinib as third or fourth-line treatment) and attempted to determine whether the timing of gefitinib treatment affected clinical outcomes. Results: Median overall survival (OS), progression free survival (PFS), and median OS from first-line treatment of advanced/metastatic disease (OSt) for 111 patients in the early gefitinib group were 6.2 months, 3.3 months, and 11.6 months. However, median OS, PFS, and OSt for 84 patients in the delayed gefitinib group were 7.8 months, 2.3 months, and 22.7 months. No differences in OS and PFS were observed between the 2 groups. However, OSt was significantly longer in the delayed gefitnib group. Timing of gefitinib therapy was one of the independent predictors of OSt. Hb ${\geq}$ 10 g/dl, and having never smoked, and ECOG performance status ${\leq}1$ were independent predictors of better PFS. Conclusion:Deferral of gefitinib therapy in patientswith advanced ormetastatic NSCLC may be preferable if they are able to tolerate chemotherapy.

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A Case of Occupational Hypersensitivity Pneumonitis Associated with Trichloroethylene

  • Jae, Young;Hwang, Eu Dong;Leem, Ah Young;Kang, Beo Deul;Chang, Soo Yun;Kim, Ho Keun;Park, In Kyu;Kim, Song Yee;Kim, Eun Young;Jung, Ji Ye;Kang, Young Ae;Park, Moo Suk;Kim, Young Sam;Kim, Se Kyu;Chang, Joon;Chung, Kyung Soo
    • Tuberculosis and Respiratory Diseases
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    • 제76권2호
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    • pp.75-79
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    • 2014
  • Trichloroethylene (TCE) is a toxic chemical commonly used as a degreasing agent, and it is usually found in a colorless or blue liquid form. TCE has a sweet, chloroform-like odor, and this volatile chlorinated organic chemical can cause toxic hepatitis, neurophysiological disorders, skin disorders, and hypersensitivity syndromes. However, the hypersensitivity pneumonitis (HP) attributed to TCE has rarely been reported. We hereby describe a case of HP associated with TCE in a 29-year-old man who was employed as a lead welder at a computer repair center. He was installing the capacitors on computer chip boards and had been wiped down with TCE. He was admitted to our hospital with complaints of dry coughs, night sweats, and weight losses for the past two months. HP due to TCE exposure was being suspected due to his occupational history, and the results of a video-associated thoracoscopic biopsy confirmed the suspicions. Symptoms have resolved after the steroid pulse therapy and his occupational change. TCE should be taken into consideration as a potential trigger of HP. Early recognition and avoidance of the TCE exposure in the future is important for the treatment of TCE induced HP.