• Title/Summary/Keyword: itching

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The Sphenopalatine Ganglion Radiofrequency Thermocoagulation on a Patient of CRPS with Facial Pain and Pruritus -A report of 2 cases- (얼굴 통증과 가려움증을 동반한 복합부위통증증후군 환자에서 나비입천장 신경절 고주파 열응고술 -증례보고-)

  • Park, Seung Jae;Moon, Dong Eon;Kim, Won Young;Park, Jung Ju;Cho, Eun Jeong;Yang, Suk-Woo
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.228-232
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    • 2006
  • Complex regional pain syndrome (CRPS) type 1 is characterized by the presence of pain, which is severe, diffuse and associated with allodynia, and is also associated with autonomic and trophic changes. The sensitization phenomena of CRPS also cause allodynia and itching, as well as pain. These symptoms are the issues associated with the treatment of CRPS. Under normal conditions, an antagonistic interaction exists between the pain and itching, but the patterns of peripheral and central sensitization phenomena for the pain and itching are very similar. The chronic pain and chronic itch have similar characteristics in their developmental and therapeutical principles. Herein, our experience of 2 cases of CRPS, which showed improvement of these facial symptoms after sphenopalatine ganglion radiofrequency thermocoagulation, but were not controlled by spinal cord stimulation or other conservative treatments, is reported.

Effects of Arctium lappa Linne on the DNFB-induced allergic dermatitis (우방자(牛蒡子)의 아토피 피부염에 대한 효과)

  • Kim, Gae-Eun;Jung, Sung-Ki;Jung, Hee-Jae;Jang, Hyung-Jin
    • The Journal of Internal Korean Medicine
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    • v.31 no.2
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    • pp.201-211
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    • 2010
  • Objectives : Atopic dermatitis is a chronic inflammatory skin disease which is characterized by severe pruritis, erythema, edema, effusion and scabs. The aim of this study was to understand effects of Arctium lappa Linne, which is well known for its efficacy for various skin diseases, on atopic dermatitis Methods : We conducted this experiment using the DNFB-induced NC/Nga mice. After two weeks of applying DNFB to NC/Nga mice, severe symptoms of atopic dermatitis occurred. We divided the mice into three different groups: a control group which was given no treatment at all, a group treated with dexamethasone (1mg/kg), and another group treated with Arctium lappa Linne (300mg/kg). After one week of treatment, results were recorded according to their improvement on skin, itching behavior, IL-4, and INF-$\gamma$ measurement, which is a significant criterion for diagnosing atopic dermatitis. Results : Itching behavior showed significant improvement in the Arctium lappa Linne group. However Arctium lappa Linne failed to reduce IL-4 and INF-$\gamma$ count. Also there was no satisfying improvement on AD-like skin lesions on the rostral back of the NC/Nga mice treated with Arctium lappa Linne. Conclusions : Arctium lappa Linne showed improvement in itching behavior in NC/Nga mice induced by DNFB. Arctium lappa Linne showed neither significant improvement on skin lesions nor in IL-4 and INF-$\gamma$ measurement.

Correlation Between Sasang Constitution and Korean Adult Scalp and Hair Condition (사상체질과 두피상태의 상관관계에 대한 연구보고)

  • Roh, Seok-Seon;Lee, Tae-Hyun;Hwang, Seong-Lok;Yoo, In-Kee;Lee, In-Ho;Kang, Sang-Jin;Ryu, Hyun-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.20 no.1 s.32
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    • pp.228-238
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    • 2007
  • Objectives ; Sasang Constitional Medicine is a part of Korean traditional Medicine, and classify human constitution into four types. Scalp and hair is a part of skin. Skin is one of constitutional charasteristic element. So we researched a correlation between Sasang constitutions and Korean adult scalp and hair condition. This is a basic study to find constitution can be a important factor to care scalp and hair. Methods ; We examined Sasang constitutions and scalp and hair condition of 80 human who aged from 20-50. Scalp disease, dandruff was observed by video micro scope and sebum tape diagnosis. Thickness of hair was measured by Laser Scan Micrometer(LSM-3100). Itching sense and life habit was also investigated. Constitution diagnosis and scalp, hair diagnosis was investigated seperately as a blind test and the data was statistically analyzed with chi-square test, correlation analysis, one-way analysis of varience. Results ; 1. In Sasang Constitution, Taeumin group had significant tendency of oilily scalp. 70% of Taeumin group had oilily scalp. 2. The group of dry or oilily scalp had more itching sense and more sensativity of scalp compaired to neuter scalp group. 3. There was no correlation between height, weight, thickness of hair, itching sense, scalp disease and Sasang constitution. 4. There was correlation between loss of hair and drinking alcohol, obesity, curly hair, soft scalp. Conclusions ; Korean adult scalp and hair condition had correlation with Sasang constitution.

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A case of Nummular Eczema Treatment Improved through Korean Medicine : Focus on Hwangryeonagyo-tang and Mahwangbujasesin-tang (한방치료를 통해 개선된 화폐상 습진 치험 1례 : 황련아교탕(黃蓮阿膠湯)과 마황부자세신탕(麻黃附子細辛湯)을 중심으로)

  • Jin, Han-Sol;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.89-100
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    • 2021
  • Objectives : The purpose of this study is to report the effect of Hwangryeonagyo-tang and Mahwangbujasesin-tang(《Shanghanlun》 prescription) on whole-body nummular eczema. Methods : We treated a female patient in her early twenties who has whole-body nummular eczema with Korean medicine. She was treated from 2020.10.8 to 2020.12.11. In this period, she received admission treatments twice because of the recurrence of the symptoms after the first admission. During the treatment, the two herbal medicines were changed depending on the patient's condition. 'Hwangryeonagyo-tang' and 'Mahwangbujasesin-tang' were used as herbal medicine. In addition, herbal external preparations and acupuncture treatment were also performed. The evaluation was conducted by photo comparison, VAS, and DLQI. Blood tests were also conducted for safety assessments. Results : After two months of treatment, the patient's condition improved. The itching and heat sensation decreased, and scabs were placed on the lesion of the eczema, reducing the oozing. VAS of itching decreased from 8 to 0. DLQI was also improved, and the stability of the herbal medicines for liver and kidney was also confirmed through blood tests. Conclusions : Hwangryeonagyo-tang and Mahwangbujasesin-tang helped relieve the itching and heat of eczema in currency. Therefore, it is believed that the proper use of thoes herbal medicine can be expected to have a useful effect on nummular eczema.

A clinical study on a patient with atopic dermatitis (청기산(淸肌散) 변방(變方)을 이용한 아토피 피부염 치험 1례)

  • Koo, Jin Suk;Seo, Bu Il
    • The Korea Journal of Herbology
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    • v.29 no.4
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    • pp.9-12
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    • 2014
  • Objectives : Atopic dermatitis is a skin problem that causes dry skin, intense itching, and then a red, raised rash. It may be a long-lasting (chronic) skin problem that requires more than one treatment. The cause of atopic dermatitis isn't clear, but it affects the skin's ability to hold moisture. The skin becomes dry, itchy, and easily irritated. The purpose of this study was to report the clinical effects of herbal medicine on atopic dermatitis. Methods : We employed oriental medical treatments; herbal-medication (Cheonggisanbyeonbang), acupuncture, moxibustion and cupping therapy. At the same time, the patient sweated out the skin poison. We treated him two times a week with oriental therapy method. He took medicine three times a day after a meal. During taking medicine, we let him avoid fatty food, flour based food, and alcohol. We took a picture the patient's body parts and compared the symptom with previous symptom. With the picture, we evaluated the patient's condition. Results : After taking treatment - 17 times' acupuncture, moxibustion and cupping therapy during 4 months- and taking herbal-medicine, the skin condition of the patient was much improved. At first, he was troubled with itching and hot feeling at reddish area, time after time the itching and hot feeling was weakened. The reddish area was changed to dry condition and changed to normal state. In advance, the symptom of arms was improved, and later the symptom of legs was started to improve. Conclusion : Herbal medicine (Cheonggisanbyeonbang) was an effective in the treatment of atopic dermatitis and it helped to improve regenerating the skin in the body.

Pathophysiological Role of TLR4 in Chronic Relapsing Itch Induced by Subcutaneous Capsaicin Injection in Neonatal Rats

  • Hee Joo Kim;Eun-Hui Lee;Yoon Hee Lim;Dongil Jeong;Heung Sik Na;YunJae Jung
    • IMMUNE NETWORK
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    • v.22 no.2
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    • pp.20.1-20.9
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    • 2022
  • Despite the high prevalence of chronic dermatitis and the accompanied intractable itch, therapeutics that specifically target itching have low efficacy. Increasing evidence suggests that TLRs contribute to immune activation and neural sensitization; however, their roles in chronic itch remain elusive. Here, we show that the RBL-2H3 mast cell line expresses TLR4 and that treatment with a TLR4 antagonist opposes the LPS dependent increase in mRNA levels of Th2 and innate cytokines. The pathological role of TLR4 activation in itching was studied in neonate rats that developed chronic itch due to neuronal damage after receiving subcutaneous capsaicin injections. Treatment with a TLR4 antagonist protected these rats with chronic itch against scratching behavior and chronic dermatitis. TLR4 antagonist treatment also restored the density of cutaneous nerve fibers and inhibited the histopathological changes that are associated with mast cell activation after capsaicin injection. Additionally, the expression of IL-1β, IL-4, IL-5, IL-10, and IL-13 mRNA in the lesional skin decreased after TLR4 antagonist treatment. Based on these data, we propose that inhibiting TLR4 alleviated itch in a rat model of chronic relapsing itch, and the reduction in the itch was associated with TLR4 signaling in mast cells and nerve fibers.

The Relation between Deqi and Anti-itching Effect of Acupuncture Stimulation (득기와 침의 항소양 효과 간의 상관관계 분석)

  • Park, Ji-Eun;Kim, Ae-Ran;Jung, So-Young;Kim, Jung-Eun;Jung, Hyun-Jung;Kang, Kyung-Won;Jung, Hee-Jung;Kim, Tae-Hun;Shin, Mi-Suk;Park, Hyo-Ju;Choi, Sun-Mi
    • Korean Journal of Acupuncture
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    • v.29 no.2
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    • pp.290-299
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    • 2012
  • Objectives : 'Obtaining qi(deqi)' is a sensation experienced by a patient or an acupuncturist during acupuncture treatment, and it is considered to be an important factor in acupuncture treatment. However, previous studies reported conflicting results about the relationship between 'obtaining qi(deqi)' sensation and the effect of acupuncture treatment. Also, most of the previous studies investigating 'obtaining qi(deqi)' and the acupuncture effect, dealt with the analgesic effect of acupuncture. The objective of this study was to analyze the relation between the 'obtaining qi(deqi)' and the anti-itching effect of acupuncture treatment. Methods : Twenty one healthy subjects participated in this study. At the first visit, itch was induced to all subjects using intradermal injection of histamine on the lower arm. At the second visit, acupuncture treatment was applied using LI11 and 'obtaining qi(deqi)' was assessed. After acupuncture treatment, itch was induced again, and itch VAS and skin flare were assessed. Results: At the 6,8,10 minutes after histamine injection, the change of itch VAS between before and after acupuncture treatment was significant. Among 'obtaining qi(deqi)', subjects reported that 'dull ache', 'pricking', 'heavy' were most strong. Total score of 'obtaining qi(deqi)' sensation was not related to the change of itch VAS or skin flare. The 'electric shock' sensation is related to the change of itch VAS, and 'bruised' and 'heavy' sensations were related to the change of skin flare. Conclusions : Total 'obtaining qi(deqi)' is not related to the anti-itching effect of acupuncture, but several sensations showed relationship with the effect of acupuncture on itch severity and skin flare. Further researches based on various symptoms or acupuncture points, are needed.

A Case Report of Pruritus Gravidarum Diagnosed as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus (태음인(太陰人) 위완수한표한병(胃脘受寒表寒病)으로 변증된 임신신양(姙娠身痒) 환자 치험 1례)

  • Choi, Yu-Jeong;Kang, Yu-Jeong;Lee, In-Seon;Cho, Hye-Sook
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.3
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    • pp.149-156
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    • 2012
  • Objectives: This case study described a process of the pruritus gravidarum patient diagnosed as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus. Methods: We experienced one patient who had been suffering from itching and plaque during pregnancy. We diagnosed her case as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus and treated with Jowiseuncheong-tang and Jiyang-go. Results: She was treated with herbal therapy, and her symptoms were remarkably alleviated. Also after all treatment, there were no adverse effects such as a recurrence of severe itching or fetal problems. Conclusions: This clinical case indicates that Jowiseuncheong-tang is effective in treatment of Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus type of pruritus gravidarum.

A case of Seborrheic dermatitis treated by Bangpungtongsungsangamibang (방풍통성산가미방을 병행한 지루성 피부염 치험 1례)

  • Koo, Jin Suk;Seo, Bu Il
    • The Korea Journal of Herbology
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    • v.31 no.2
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    • pp.1-5
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    • 2016
  • Objectives : Seborrheic dermatitis is an inflammatory skin disorder affecting the scalp, face, and torso. Typically, it presents with scaly, flaky, itchy, and red skin. It may be aggravated by illness, psychological stress, fatigue, sleep deprivation, change of season. The purpose of this study was to report the clinical effects of herbal medicine on Seborrheic dermatitisMethods : We employed oriental medical treatments; herbal-medication (Bangpungtongsungsangamibang), acupuncture, moxibustion and cupping therapy. At the same time, the patient sweated out the skin poison. We treated him two times a week with oriental therapy method. He took medicine three times a day after a meal. During taking medicine, we let him avoid fatty food, flour based food, and alcohol. We took a picture the patient's body parts and compared the symptom with previous symptom. With the picture, we evaluated the patient's condition.Results : After taking treatment - 77 times' acupuncture, moxibustion and cupping therapy during 9 months and taking herbal-medicine, the skin condition of the patient was much improved. At first, he was troubled with itching and hot feeling at reddish area, time after time the itching and hot feeling was weakened. The reddish area was changed to scaly and flaky skin and changed to normal state.Conclusions : Herbal medicine (Bangpungtongsungsangamibang) with oriental medical treatments was an effective in the treatment of Seborrheic Dermatitis and it helped to improve regenerating the skin in the body.

The study of a case about dermatitis exfoliativa by drug eruption (약진(藥疹)으로 박탈성(剝脫性) 피부염(皮膚炎)에 이른 증례(證例) 보고(報告) 1례(例))

  • Jun, Su-Kyung;Kim, Ja-Hye;Kim, Min-Hee;Shin, Sang-Ho;Ko, Woo-Shin;Kim, Hoon;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.1
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    • pp.145-154
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    • 2006
  • A man visited the Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology Hospital, Dong-eui University with the dermatitis exfoliativa by drug eruption. He was suffering from the whole body itching, rubefaction, edema, scale and the feeling a chill. The drug eruption's cause assumed antibiotics. We treated a patient with Oriental Medicines(the herbal medicine of internal use and external use), aroma oils and acupuncture. After four days or so, the itching, rubefaction, edema of the skin was recovered remarkably. After one weeks or so, the scale of the skin disease was improved remarkably, we think that these are good cases to treat with Oriental Medicine, Yeongyopaedog-san. We suggest that Oriental Herb medicines have an effect with the dermatitis exfoliativa and the drug eruption.

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