• Title/Summary/Keyword: internal medicine

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A Case Report on a Patient Treated with Combined Korean Medicine for Chronic Headache with Digestive Symptoms (소화기 증상을 동반한 만성두통 환자에 대한 한방복합치료 치험 1례)

  • Choi, Gyu-cheol;Bae, Ji-eun;Park, Jae-won;Kim, Dong-jin;Hong, Jeong-su
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.923-930
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    • 2021
  • Objectives: The purpose of this study was to examine the effect of combined Korean medical treatment on chronic headache with digestive symptoms. Methods: We collected data from October to December 2020 and evaluated the efficacy of combined Korean medical treatment using the Korean Headache Impact Test-g (KHIT-6), European Quality of Life Five Dimensions (EQ5D) Scale, and Numerical Rating Scale (NRS) at admission, after two weeks of hospitalization, and on discharge. Results: At the end of treatment, the patient had increased EQ5D and reduced KHIT-6 and NRS scores. Conclusions: After the combined Korean medical treatment, the patient showed improvement, suggesting the efficacy of treatment.

A Case Report of the Korean Medical Treatment of Dysphagia and Anorexia after Lumbar Compression Fracture (급성 요추 압박골절 후 발생한 폐렴과 동반된 연하곤란 및 식욕부진에 대한 치험 1례)

  • Jo, Hye-mi;Lee, Eun-chang;Youn, Hye-soo;Park, Choong-hyun;Han, Da-young;Jung, Da-hae;Lee, Jung-eun
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.219-228
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    • 2022
  • Objective: The aim of this study is to describe the effects of traditional Korean medicine on a patient with dysphagia and anorexia following an acute lumbar compression fracture. Methods: The patient was treated with acupuncture and herbal medicine (Bojungikgi-tang and Insamyangyoung-tang), and the effects of the treatment were evaluated by monitoring oral feeding and using the Modified Barium Swallow (MBS) test. Results: After treatment, the amount of oral feeding more than doubled and the MBS was also improved. Conclusion: The results suggest that traditional Korean medicine may be effective for treating dysphagia and anorexia after an acute lumbar compression fracture.

A Case Report of Korean Medicine Treatment of Diffuse Axonal Injury in a Patient with Traumatic Brain Injury (외상성 뇌손상(Traumatic Brain Injury)에서 미만성 축삭손상(Diffuse Axonal Injury)으로 진단된 환자 한방 치험 1례)

  • Jeon, Gyeong-ryung;Cho, Jun-ho;Park, Jin-seo;Kil, Bong-hun;Kim, Dong-won;Jeong, Yun-kyeong;Lee, Yu-jin;Choi, Hyun-jeong
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.804-813
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    • 2019
  • The purpose of this study was to evaluate the effect of Korean medicine in a patient with cognitive impairment, emotional disturbance, and sleep disturbance due to a diffuse axonal injury associated with a traumatic brain injury. The patient was treated with herbal medicine and acupuncture. The treatment effects were evaluated using the Korean version of the Mini-Mental State Examination (MMSE-K) and the Global Detraction Scale (GDS), and by observing clinical symptoms. Improvements in the total scores of MMSE-K and GDS were observed after the Korean medicine treatments; the MMSE-K score increased from 13 to 23 and the GDS score decreased from 5 to 4. The emotional and sleep disturbances were also reduced. These case report findings suggest that Korean medicine may be effective for treating symptoms of diffuse axonal injury in patients with traumatic brain injury.

A Case Report of a Patient with Voiding Dysfunction Caused by Cerebral Infarction Treated with Dangguishaoyao-san-hap-Jeoryeong-tang (뇌경색 이후 발생한 배뇨곤란 환자에 대한 당귀작약산 합 저령탕 치험 1례)

  • Sun-woo Kwon;Choong-hyun Park;Ji-yoon Lee;Hye-soo Youn;Eun-chang Lee;Jung-min Son;Yi-jae Kwon;Hyo-jeong Lee;Jung-eun Lee
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.1041-1049
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    • 2023
  • Objectives: The aim of this study is to describe the effects of treatment with traditional Korean medicine on a patient with voiding dysfunction caused by cerebral infarction. Methods: The patient was treated with herbal medicine, moxibustion, acupuncture, and electroacupuncture. The effects of these treatments were evaluated using the Korean version of the Modified Barthel Index and a post-void residual volume. Results: In this study, the Korean medicine Dangguishaoyao-san-hap-Jeoryeong-tang resulted in improvements in this patient with post-stroke urinary retention and successful removal of the indwelling catheter. Conclusion: The results suggest that traditional Korean medicine may be effective in ameliorating dysfunction caused by cerebral infarction.

Quality of Anticoagulation and Treatment Satisfaction in Patients with Non-Valvular Atrial Fibrillation Treated with Vitamin K Antagonist: Result from the KORean Atrial Fibrillation Investigation II

  • Oh, Seil;Kim, June-Soo;Oh, Yong-Seog;Shin, Dong-Gu;Pak, Hui-Nam;Hwang, Gyo-Seung;Choi, Kee-Joon;Kim, Jin-Bae;Lee, Man-Young;Park, Hyung-Wook;Kim, Dae-Kyeong;Jin, Eun-Sun;Park, Jaeseok;Oh, Il-Young;Shin, Dae-Hee;Park, Hyoung-Seob;Kim, Jun Hyung;Kim, Nam-Ho;Ahn, Min-Soo;Seo, Bo-Jeong;Kim, Young-Joo;Kang, Seongsik;Lee, Juneyoung;Kim, Young-Hoon
    • Journal of Korean Medical Science
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    • v.33 no.49
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    • pp.323.1-323.12
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    • 2018
  • Background: Vitamin K antagonist (VKA) to prevent thromboembolism in non-valvular atrial fibrillation (NVAF) patients has limitations such as drug interaction. This study investigated the clinical characteristics of Korean patients treated with VKA for stroke prevention and assessed quality of VKA therapy and treatment satisfaction. Methods: We conducted a multicenter, prospective, non-interventional study. Patients with $CHADS_2{\geq}1$ and treated with VKA (started within the last 3 months) were enrolled from April 2013 to March 2014. Demographic and clinical features including risk factors of stroke and VKA treatment information was collected at baseline. Treatment patterns and international normalized ratio (INR) level were evaluated during follow-up. Time in therapeutic range (TTR) > 60% indicated well-controlled INR. Treatment satisfaction on the VKA use was measured by Treatment Satisfaction Questionnaire for Medication (TSQM) after 3 months of follow-up. Results: A total of 877 patients (age, 67; male, 60%) were enrolled and followed up for one year. More than half of patients (56%) had $CHADS_2{\geq}2$ and 83.6% had $CHA_2DS_2-VASc{\geq}2$. A total of 852 patients had one or more INR measurement during their follow-up period. Among those patients, 25.5% discontinued VKA treatment during follow-up. Of all patients, 626 patients (73%) had poor-controlled INR (TTR < 60%) measure. Patients' treatment satisfaction measured with TSQM was 55.6 in global satisfaction domain. Conclusion: INR was poorly controlled in Korean NVAF patients treated with VKA. VKA users also showed low treatment satisfaction.

One case Treated Cerebral Infarction with Aphasia by Jihwangumja (지황음자(地黃飮子)를 투여(投與)한 중풍(中風) 실어증(失語症) 환자 치험1례)

  • Shin Woo-Jin;Hong Hyun-Woo;Kim Ji-Yun;Jeong Jae-Ook;Seo Sang-Ho;Kim Jong-Hwan;Jang Ja-Won;Park Dong-Il
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1014-1022
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    • 2003
  • Aphasia is speech disorder caused by injuries on the speech nerve center. It usually occur due to a disease in the right cerebral cortex and is divided into the various aphasia such as Global aphasia, Broca's aphasia, Wernicke's aphasia, conduction aphasia, Anomic aphasia, etc. Jihwangumja is used the cerebral infarction with Aphasia due to deficiency syndrome of kidneys. The purpose of this study is to examine the efficacy of oriental treatment for cerebral infarction with aphasia by Jihwangumsa. In the hospital, the patient showed the symptoms of mental disorder, Rt. hemiparesis G3/G4, aphasia, chest discomfort, obstipation, frequent urination, etc. The case showed that acute infarction on Lt. fronto-temporo-parietal lobe in Brain-CT. We identified the patient's clinical conditions and treated accordingly. As a result of treatment, symptoms were markedly improved and he was discharged. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

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The Case of Vascular Dementia Treated with Gagambosim-tang(Jiajianbuxin-tang) (가감보심탕(加減補心湯) 투여 후 호전된 혈관성 치매 1례(例))

  • Cha Yong-Seok;Kim Kyong-Su;Park Byong-Min;Yun Jong-Min;Kim Yong-Jeong;Lee Seung-Eon;Lee In;Moon Byung-Soon
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1037-1045
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    • 2003
  • Objectives: Dementia is a kind of chronic, progressive, degenerative disease. The symptoms results in troubles in intellectual functions. memory, orientation, intelligence, judgement, common sense and calculating ability. The Korean version of Mini-Mental State Examination(MMSE-K) has been used widely to screen cognitive impairment of the elderly in Korea. This instrument has been specifically developed and evaluated for the assessment of cognitive function in older Korean populations. Methods: Cognitive function was evaluated by the Korean version of Mini-Mental State Examination(MMSE-K). This patient was diagnosed as Vascular dementia and We treated her cognitive impairment with Gagambosim-tang(Jiajianbuxin-tang). Results: After treated with Gagambosim-tang(Jiajianbuxin-tang), Cognitive function was improved. Conclusion: This report may have a meaning to treat Vascular dementia.

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Lipid-lowering Effect of Chunggantang in Poloxamer-407 induced Hyperlipidemia Model in Rat (Poloxamer-407로 유발시킨 고지혈증에 대한 청간탕의 효과)

  • Park, Hong-Hak;Cho, Jung-Hyo;Shin, Jang-Woo;Lee, Yeon-Weol;Yoo, Hwa-Seung;Lee, Nam-Heon;Yun, Dam-Hee;Cho, Chong-Kwan;Son, Chang-Gue
    • The Journal of Internal Korean Medicine
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    • v.26 no.4
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    • pp.820-827
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    • 2005
  • 연구목적: 본 연구는 Poloxamer-407로 유발시킨 고지혈증에 대한 청간탕의 효과를 알아보기 위해 수행되어졌다. 실험방법: Poloxamer-407로 쥐에 고지혈증을 유발시킨후 청간탕과 Lipidil을 경구 투여하여 혈청 cholesterol, 고밀도 지단백, 중성지질을 측정하였으며, 지질대사와 관련된 ACAT, DGAT, $CYP7{\alpha}H$, LDL receptor의 gene expression을 RT-PCR를 통해 비교 분석하였다. 실험결과: 청간탕 투여군은 혈청 콜레스테롤을 각각 32% 와 65% (p<0.05)로, 혈청 중성지방을 각각 21% 와 51% (p<0.05)로 감소시켰다. 또한, 청간탕은 LDL 수용체와 $CYP7{\alpha}H$ 유전자 발현을 증가시켰다. 결론: 이상의 연구로부터 우리는 청간탕이 지질의 흡수, 저장을 억제하고 콜레스테롤의 분비를 촉진함으로써 고지혈증에 일정한 효과가 있음을 알 수 있었다.

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A Case of Intractable Hiccup Treated with Paljung-san (난치성 애역 환자를 팔정산으로 치료한 1례)

  • Sin, Won-Yong;Choi, Eun-Young;Hyun, Jin-Oh;Yoon, Cheol-Ho;Lim, Seong-Woo;Han, Chang-Ho;Lee, Won-Chul;Hyun, Min-Kyung
    • The Journal of Internal Korean Medicine
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    • v.26 no.2
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    • pp.506-511
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    • 2005
  • Hiccup is a common clinical symptom, and may be caused from over 100 medical origins. Generally hiccup happens temporarily, and continues only a few seconds or minutes, and is cured easily by physical methods or even by itself. But in some cases, hiccup is so refractory that patients may be tired and very troubled by it. At worst, it may cause death. Intractable hiccup is defined as hiccup persisting for more than 48 hours, and this appears in various diseases. Persistent hiccup is very difficult to treat by conventional methods. A 69-year-old man was admitted due to intractable hiccup without gastroenteral system abnormalities or peripheral nervous systemic involvement. So Paljung-san(八正散) was prescribed. The intensity and frequency of hiccup dramatically improved.

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