• Title/Summary/Keyword: internal medicine

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A Case of Tracheomegaly and Recurrent Pneumomediastinum Combined with Pulmonary Fibrosis (폐섬유증에 동반된 기관거대증과 재발성 종격동기종 1예)

  • Jeon, Seong-Ran;Uh, Soo-Taek;Kim, Ki-Up;Lee, Young-Mok;Kim, Yang-Ki;Jung, Eun-Jung;Kim, Ji-Yon;Park, Eui-Ju
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.2
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    • pp.144-148
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    • 2008
  • Tracheomegaly is a distinctive condition that presents with marked dilation of the trachea. Spontaneous pneumomediastinum is the result of alveolar rupture with dissection of the airway along the bronchus and into the mediastinum. Tracheomegaly and recurrent spontaneous pneumomediastinum are rare complications of pulmonary fibrosis when combined with rheumatoid arthritis. We present a case of tracheomegaly and recurrent spontaneous pneumomediastinum that was precipitated by repeated respiratory infection and chronic cough in a patient with pulmonary fibrosis that was associated with rheumatoid arthritis.

Two Cases of Hepatitis Treated with Gagamsaenggan-tang (가감생간탕 투여후 호전된 급성 간염 2예)

  • Park, Shin-Myung;Han, Chang-Woo;Kim, Young-Chul;Lee, Jang-Hoon;Woo, Hong-Jung;Seung, Hyun-Suk
    • The Journal of Internal Korean Medicine
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    • v.23 no.2
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    • pp.228-237
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    • 2002
  • Acute hepatitis is caused by virus, alcohol. toxins and drugs. Clinical symptoms of acute hepatitis are severe fatigue, jaundice, nausea, hepatomely, lymphadenopathy. We encountered two cases of acute hepatitis, one C type viral hepatitis and the other hepatitis by overuse of medicine. The symptoms of the latter are severe fatigue, petechia and heartburning. The symptoms of the latter are severe fatigue, nausea, dyspepsia, yellow urine and skin. We recognized that total bilirubin. direct bilirubin, serum transaminase, alkaline phosphatase and gamma glutamyl transferase were elevated. We treated both patients with herb medicine(Gagamsaenggan-tang). Gagamsaenggan-tang has been used to hepatic diseases and have been known to have beneficial effects. The patients' symptoms began to improve after about two weeks of treatment. After 3 weeks on medication, the clinical symptoms and liver function of two patients were improved.

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A clinical report on the Byun-jo had grown worse after cerebral infarction of patient treated with Soyangin-yanggueksanwha-tang (번조증환자(煩躁證患者)의 중풍이후(中風以後) 악화(惡化)된 번조증(煩躁證)에 소양인(少陽人) 양격산화탕(凉膈散火湯)을 통한 증례(證例))

  • Park, Mee-Yeon;Kim, Seong-Mo;Kwak, Min-Ah;Kim, Jong-Dae;Choi, Hae-Youn;Kim, Dae-Jun
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.749-754
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    • 2001
  • In oriental medicine, Byun-jo(煩躁) is including in insomnia, restless, uneasiness, chest discomfort, irritation et all. Byun-jo is one of symptom in Soyangin(少陽人)(one of human type in Sasang constitutional medicine(四象醫學) the lower chest-overheated disease(胸膈熱證). In the book 'dongyi soose bowon(東醫壽世保元)', Soyangin Yanggueksanwha-tang(凉膈散火湯) is used at Soyangin the lower chest-overheated disease. One patient usually who had suffered from chest discomfort, insomnia of Byun-jo, after cerebral infarction the symptom of Byun-jo had grown worse, the patient was classified as Soyangin by somatotype, personality, therefore the patient treated with Soyangin Yanggueksanwha-tang for 10days, and the patient improved in clinical symptoms. so we report it for the better treatment.

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One Case Study on the Cauda Equina Syndrom (마미증후군 환자 증례보고(症例報告))

  • Kwak, Min-Ah;Lee, Eun-Ju;Park, Chi-Sang;Byun, Joon-Seok;Park, Chang-Gook;Hwang, Hui-Jeung
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.773-778
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    • 2001
  • Cauda Equina Syndrom is caused by compression of nerve root resulted from trauma or neoplasm and so forth in the lumbasacral lesion, so the patients suffer from the incontinence or urgency in urination and feces. We are extended to find out the effect of serveral kinds of Herbal Medicine that administrated to the patient suffering from Cauda Equina Syndrom. This patient was differenciated as defiency of Yang. When administrated Palmijihwang-Hwan gami-Bang, there was dominent improvement in both of symptom and dermatome test. From this case it is thought that Herbal Medicine treatment according to differenciation of symptom is very effective to Cauda Equina Syndrom and that more studies and examinations are needed in futher.

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A Case Report of Ulcerative Colitis Medicated by Danggwihwahyeolsan-gamibang and Gami-Jeonssibaekchulsan (장풍(腸風)으로 변증한 궤양성 대장염 환자의 당귀화혈산가미방(當歸和血散加味方) 및 가미전씨백출산(加味錢氏白朮散) 치험 1례)

  • Hur, Jin-Il;Cho, Dong-Hee;Son, Ji-Young;Kwak, Min-A;Kim, Dae-Jun;Byun, Joon-Seok;Park, Kyung
    • Herbal Formula Science
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    • v.15 no.2
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    • pp.187-195
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    • 2007
  • This study is designed to evaluate the effects of an oriental herbal medication namely Danggwihwahyeolsan-gamibang and Gami-Jeonssibaekchulsan, on ulcerative colitis. Subject: A patient diagnosed ulcerative colitis who're not improved through western medication. Methods: The Clinical data was analyzed on a pastient with ulcerative clitis due to Changpung(腸風) resulted from Hanyeolchakjab(寒熱錯雜), whose symptoms were combined diarrhea, abdominal pain et al. The patient visited at the internal medicine department of Daegu Haany University affiliated Daegu Oriental Hospital on May 18. 2007 to June 25. 2007. The improvement of symptoms were checked by Seo Colitis Activity Index(AI).

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A Case report of ascites in Liver cirrhosis treated with Taeumjowetang-gamibang (태음조위탕가미방(太陰調胃湯加味方)으로 복수를 동반한 간경변 환자 치험 1례)

  • Kim, Jung-Chul;Lee, Hae-Yeon;Park, Jung-Han;Lee, Jae-Jun;Lee, You-Kyung;Han, Dong-Youn;Cho, Hyun-Seok
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.625-632
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    • 2004
  • Liver cirrhosis is a disease of the liver in which normal cells are replaced by scar tissue. This condition results in the failure of the liver to perform many of its usual functions. Liver cirrhosis include acsites, jaundice, portal hypertension, varices etc. This report is about one case of ascites with liver cirrhosis. In this case, we administrated Taeumjowetang-gamibang was administered and acupuncture was done in treatment of ascites and its symptoms. After administration of Taeumjowetang-gamibang medication, clinical symptoms and prominently improved and ascites dwindled to nothing. This reports suggests Taeumjowetang-gamibang has desirable effected on ascites.

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Clinical study on a case of a patient with sequelae caused by removal of vestibular schwannoma (청신경초종 수술 후유증 환자 증례 1례)

  • Kim, Jae-Woo;Hyun, Jin-Oh;Hyun, Min-Kyung;Sin, Won-Yong;Lim, Seong-Woo;Choi, En-Young
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.551-558
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    • 2004
  • The purpose of this study is to develop an aproach to diagnosis and treatment of sequelae after removal of vestibular schwannoma through Oriental Medicine. An eighty year-old woman with sequelae after removal of vestibular schwannoma was observed and treated. She had difficulty of hearing, facial nerve palsy, dizziness and was generally weak. She was treated with herb medications for these symptoms. Having been treated for 27 days in hospital her symptoms improved. This report provides evidence for application of herbal medicine in treatment of sequelae. However, more cases are required for an in depth study of oriental treatments for this ailment in order to open this method of treatment to general application.

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A Lung Abscess Combined with Mediastinal Air Shadow (종격동 공기음영을 동반한 폐농양)

  • Choi, In-Keun;Lee, Sin-Hyung;Lee, Sang-Youb;Cho, Jae-Youn;Shim, Jae-Jeong;In, Kwing-Ho;Yoo, Se-Hwa;Kang, Kyung-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.1
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    • pp.142-146
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    • 1999
  • A 55-year-old-female was admitted for the evaluation of mass shadow on chest film. She complained of fever, chilling, cough, and whitish sputum. She did not give any history of choking or coughing when she ate. The chest CT showed lung aoocess in right lower lobe with extension of infiltration and air shadow in mediastinum. The esophagoscopy and esophagography were performed to find the cause of mediastinal infiltration, and bronchoesophageal fistula was detected in esophagography. The patient complained of severe chilling and febrile sensation after esophagography, mediastinitis aggravated by thin barium was suggested clinically. So, surgical drainage of lung abscess and thin barium was done urgently. One month after operation, follow-up of esophagoscopy and esophagography were done, the bronchoesophageal fistula was not detected.

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Indolent Metastatic Squamous Cell Carcinoma of Unknown Primary in the Intrathoracic Lymph Node: A Case Report and Review of the Literatures

  • Kim, Min Jin;Lim, Sang Hyok;Han, Su Jung;Choi, Kang Hyug;Lee, Sun Hyo;Park, Min Woo;Kang, HyeRan;Na, Ju Ock
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.1
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    • pp.23-26
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    • 2015
  • Metastatic squamous cell carcinoma from a cancer of unknown primary (CUP) affecting the intrathoracic lymph node is very rare. We reported a case of metastatic squamous cell carcinoma in the hilar and interlobar lymph node from a patient with CUP and reviewed the associated literature. Abnormal mass in the right hilar area was incidentally detected. A chest computed tomography scan showed a 2.5-cm diameter mass in the right hilum that had changed little in size for 3 years. The patient underwent a right pneumonectomy and mediastinal lymph node dissection. A metastatic squamous cell carcinoma in the hilar and interlobar lymph nodes without a primary lung or other lesion was diagnosed. The patient received adjuvant chemotherapy for a diagnosis of T0N1M0 lung cancer.

Pulmonary Lymphangioleiomyomatosis with Chylous Pleural Effusion (유미흉수를 동반한 폐 임파관 평활근종증 1예)

  • Park, Byong-Joon;Cho, Jae-Hwa;Moon, Tae-Hoon;Park, Sang-Joon;Ryu, Jung-Seon;Lee, Hong-Lyeol;Kwak, Seung-Min;Cho, Chul-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.1
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    • pp.127-131
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    • 2001
  • Pulmonary lymphangioleiomyomatosis is a disease involving the proliferation of atypical smooth muscle cells from the perilymphatics, peribronchial and perivascular region of the lung and the retroperitneum. The disease usually affects women of child-bearing age. We recently experienced a case of pulmonary lymphangioleiomyomatosis in a 31-year-old women who had suffered from a chylous pleural effusion. Histologic confirmation of lymphangioleiomyomatosis Was made upon a video-associated thoracoscopic lung biopsy. Here we report this case with a brief review of the literature.

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