• Title/Summary/Keyword: sleep improvement

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Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Tai Chi in Patients with Rheumatoid Arthritis: Based on 3 Years' Data (태극권 운동이 류마티스관절염 환자의 주관적 증상, 체력, 우울 및 자기효능감에 미치는 효과: 3개년 자료를 바탕으로)

  • Son, Jung Tae;Hwang, Hye-Young
    • Journal of muscle and joint health
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    • v.25 no.3
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    • pp.230-239
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    • 2018
  • Purpose: The purpose of this study was to evaluate whether subjective symptoms, physical fitness, and emotional variables were improved after participating in a 6-week Tai Chi program in patients with rheumatoid arthritis. Methods: 23 rheumatoid arthritis patients participated in the Yang style Tai Chi for arthritis patients 90 minutes session conducted twice a week at the Arthritis Center of D University Hospital. The main outcome of current studies included self-reported scores of subjective symptoms(pain, sleep satisfaction, and fatigue), physical fitness tests, and depression (PHQ-9) and self-efficacy investigated with questionnaire before and after participating in Tai Chi. Results: After participating in Tai Chi, participants perceived lesser pain (t=2.61, p=.016) and fatigue (Z=-2.32, p=.020), and reported improved sleep satisfaction (t=-3.56, p=.002). In the physical fitness test, there were significant improvement in muscle strength (upper limb: t=-7.19, p<.001, lower limb: t=-4.86, p<.001), and balance (right t=-3.70, p=.001; left t=-2.30, p=.031). Depression (t=3.87, p=.001) and self-efficacy (Z=-3.44, p=.001) improved significantly after participating in Tai Chi. Conclusion: Tai Chi had beneficial effects on subjective symptoms and emotional variables as well as physical fitness. Therefore, the program could be recommended in the patients with rheumatoid arthritis.

A Case Report of Severe Keratinized Prurigo Nodularis (중증 각화성 결절성 양진 한방치료 1례)

  • Byun, Jung-Ah;An, Jae-Hyun;Choi, Yoon-Young;Kim, Su-Yeong;Jung, Hyun-A;Hwang, Mi-Lee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.2
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    • pp.70-79
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    • 2021
  • Objectives : The purpose of this study is to report the effect of korean medical treatments on prurigo nodularis. Methods : We treated a 37-year-old female prurigo nodularis patient who has failed to respond to conventional therapies such as steroids and anti-histamines for 8 years. The patient was admitted to Daejeon University korean medical hospital for 21 days to get korean medical treatments including acupuncture, herbal-medicine, vapor treatment, venesection, pharmacopuncture and herbal-med aerosol therapy. The degree of improvement in prurigo nodularis was determined by the patient's subjective opinions on pruritus, febrile sensation, pain, and sleep disorders. Results : The results of this patient showed distinct improvements on pruritus, febrile sensation, pain, and sleep disorders. Pruritus decreased from 10 to 1, febrile sensation from 10 to 0, pain from 10 to 2, and sleeping hours increased 2 hours to 8 hours according to the patient's subjective opinions. Conclusions : This study shows the possibility that such korean medical treatments can improve prurigo nodularis.

A Systematic Review of Placenta Pharmacopuncture for Neuropsychiatric Diseases in Practice (자하거 약침의 신경정신과 임상 응용에 관한 체계적 문헌 고찰)

  • Shin, Haegue;Lee, Jae-Hyok;Kang, Hyung Won
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.2
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    • pp.157-180
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    • 2022
  • Objectives: To perform a systematic review of placenta pharmacopuncture for treating neuropsychiatric diseases, focusing on its efficacy and the safety so that evidence on its clinical use could be obtained, thus contributing to further studies. Methods: Through Korean, English, and Chinese databases (OASIS, Korean TK, KISS, RISS, ScienceON, Pubmed, Cochrane, EMBASE, CINAHL, AMED, CNKI, and Wanfang), combinations of keywords (placenta, pharmacopuncture, etc.) were used to select clinical studies published until January 2021 about placenta pharmacopuncture for neuropsychiatric diseases. Interventions included combined treatments. Study design included cases studies, series, and clinical trials. Cohort studies, literature reviews, in vitro and animal experiments were excluded. The primary outcomes involved measurements of symptoms, Visual Analogue Scale, or questionnaires. Data extracted from databases were imported to Endnote X7 to remove duplicates. The quality of the literature was assessed based on CAse REports Guidelines and Cochrane's Risk of Bias (ROB). Results: Twenty-one studies were selected, including ten case reports, three case series, two one-armed clinical trials, one non-randomized clinical trial, and five randomized clinical trials. There were six studies on sleep disorders, five studies on stroke sequela, two on mood disorders, two on enuresis, two on Guillain-Barré syndrome, two on multiple sclerosis, one on neurocognitive disorder, and one on vertigo. The most frequent combined treatment was acupuncture in both the experimental group (n=10) and the control group (n=3). Acupoints were ST36, SP6, BL23, CV4, GB20, GV20, N-HN54, and so on. All studies reported improvement of symptoms. The quality of case studies was relatively high. Assessment of ROBs resulted in low risks. Conclusions: Placenta pharmacopuncture is effective for neuropsychiatric diseases such as sleep disorders, mood disorders, enuresis, and neurocognitive disorders. Regarding insomnia, several studies have reported significant improvements with placenta pharmacopuncture. There was no adverse event associated with placenta pharmacopuncture.

A case study of post-stroke insomnia patient using conservative Korean medical treatment (불면을 호소하는 뇌실질내출혈 환자 치험 1례)

  • Kim, Gyeong-muk;Kim, Se-won;Seo, Yu-na;Jung, Woo-sang;Moon, Sang-Kwan;Jin, Chul;Cho, Ki-ho;Kwon, Seungwon
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.20 no.1
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    • pp.1-8
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    • 2019
  • A case of a 46-year-old Korean male with post-stroke insomnia that induced by intracranial hemorrhage was presented. He was treated with Transcutaneous electric acupoint stimulation (TEAS) at BL62 and KI6 once per a day for 17 days. We recorded the patient's sleep time and time of asleep, and used PSQI-K to assess severity of patient's insomnia symptom. After using TEAS, there was improvement in patient's insomnia severity and the time of sleep. From the result of this case, electrical stimulation at acupoint can may be effective in treating post-stroke insomnia.

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A Case Report of Korean Medicine Treatment for A Patient with Variant Angina and Asthma Symptoms (천식 증상을 가진 변형 협심증 환자에 대한 한방치료 증례보고)

  • Kim, Min-joo;Kwo, Tae-ha
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.864-873
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    • 2022
  • Objective: The purpose of this case study was to report the symptom improvement effect of integrative Korean medicine treatment based on Pyongsim Solution: Cheonwangbosim-dan in a patient with variant angina and asthma symptoms. Methods: This 68-year-old male patient was treated with Pyongsim Solution, Gamihyangsayukgunja-tang, Gwakhyangjunggi-san, acupuncture, pharmacopuncture, and cupping therapy for 24 days. The European Quality of Life-5 Dimensions-5 Levels profile, Numerical Rating Scale score, and pulse rate per minute were measured on admission, at two weeks of hospitalization, and upon discharge to assess the clinical outcomes. Results: After treatment, the "mobility" dimension profile of the European Quality of Life-5 Dimensions-5 Levels changed from 1 to 1, "self-care" changed from 1 to 1, "usual activity" changed from 3 to 2, "pain/discomfort" changed from 4 to 3, and "anxiety/depression" changed from 3 to 2. The Numerical Rating Scale score for chest pain decreased from 7 to 5, chest tightness decreased from 6 to 4, sleep disturbance decreased from 6 to 3, polydipsia decreased from 5 to 3, and stomach discomfort decreased from 5 to 3. All the profiles of these five dimensions were unchanged for 11 days in the period between the two weeks of hospitalization and discharge. There were also no changes in the profiles of either "mobility" or "self-care" throughout the entire 24-day hospitalization period. Conclusion: This case report shows that integrative Korean medicine treatment based on Pyongsim Solution can improve the symptoms of patients with variant angina and mild intermittent asthma, suggesting that Pyongsim Solution could be an important herbal medication for treatment.

Case Study of a Patient in a Thyrotoxic Phase of Painless Thyroiditis Treated with Guibiondam-tang-gamibang (귀비온담탕가미방으로 호전된 무통성 갑상선염 중독기 환자 치험 1례)

  • Seo-hyun Kim;Chae-eun Kim;Jun-seok Kim;Woo-seok Jang
    • The Journal of Internal Korean Medicine
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    • v.44 no.2
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    • pp.277-284
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    • 2023
  • Objective: This study investigated the effects of Guibiondam-tang-gamibang on patients in the thyrotoxic phase of painless thyroiditis. Methods: A patient in the thyrotoxic phase of painless thyroiditis was treated with Guibiondam-tang-gamibang combined with Western medicine (i.e., beta blockers). The effect of treatment was evaluated according to the pulse rate, NRS, the frequency of subjective symptoms, and sleep time. In addition, the thyroid function was evaluated with TSH, Free T4, and T3 using blood tests. Results: After treatment, the pulse rate decreased, and the NRS and frequency of subjective symptoms disappeared after improvement. Sleep time increased. In the thyroid function test, a significant normalization of each value was observed. Conclusion: This study suggests that Guibiondam-tang-gamibang can be effectively treated in patients with painless thyroiditis in the thyrotoxic phase. However, further studies should be conducted.

A Case of Chronic Cough in a Child Misdiagnosed as a Tic Disorder (틱 장애로 오인된 소아청소년의 만성 기침 1례)

  • Ji-Young Choi;Ji-One Im;Young-Eun Lee;Seon-Young Jee;Min Hwangbo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.2
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    • pp.104-112
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    • 2024
  • Objectives : This study aimed to report improvement of patient with chronic cough treated with Korean medical treatment. Methods : A 12-year-old male patient who began coughing at the end of October 2023 misdiagnosed by a tic disorder and was prescribed oral medication. However, the cough worsened, persisting throughout the day without respite, accompanied by sleep disturbances (desire to sleep continuously) and gait disturbance (only able to walk with support). The patient visited the clinic on December 15, 2023, and was re-diagnosed with chronic cough. And the patient received Korean medical treatment, including herbal medicine(Ryokankyomishinge-tang, Ryokankyomishingenin-tang, Sogunjung-tang), and acupuncture. The severity of chronic cough was evaluated by VAS before and after administration of each treatment term. Results : The patient's symptoms improved and VAS changed 10 to 0. Conclusions : This case study showed an effectiveness of Korean medical treatment on chronic cough.

A Study on the Standard Management spectrum for the Cut Slope (건설공사 비탈면 유지관리에 관한 연구)

  • Shin, Kwan-Young;Kim, Yong-Soo;Chang, Buhm-Soo;Shin, Chang-Gun
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.781-787
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    • 2005
  • Recently, disaster that is earthquake, sever rainstorm and the tidal wave were increased by abnormal weather. These influence which is the slope stability of the completed slope as well as under construction slope is affected by disaster. But the management standard for the construction slope is incomplete. Also, the standard connected with construction slope is not integrated with the important public paper organic enemy and it is duplicated and the standards which conflict are being scattered. In this research which it sees consequently the inside and outside of the country construction slope the maintenance civil official relation law and standard investigation it leads and the problem point and a improvement program of management criterion and to sleep the construction slope which is suitable in domestic actuality it prepares and propose.

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Two Case Reports on Soeumin Woolgwang-incurable Disease with Vascular Dementia (소음인(少陰人) 울광말증(鬱狂末證)으로 진단된 혈관성치매 환자 치험 2례)

  • Hong, Sol-Yi;Kim, Tae-Hwan;Han, Da-Nim;Lim, Eun-Chul
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.2
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    • pp.213-222
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    • 2007
  • 1. Objectives The purpose of this case is to evaluate the effects of Sasang constitutional medical diagnosis and treatment on Soeumin Woolgwang-incurable disease with Vascular dementia. 2. Methods We treated two patients who attacked an acute cerebral infarction with dementia. We prescripted Doksampalmul-tang(獨蔘八物湯) for their physical symptoms. The improvement of their diseases were checked through their sleep, irritability, stool and vital sign. 3. Results After the Sasang constitutional medication of Doksampalmul-tang(獨蔘八物湯) were given, their physical symptoms were improved over all. 4. Conclusions This case-studies show an efficient result of using Sasang constitutional medication in the treatment of vascular dementia.

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Chronic Fatigue Syndrme (만성 피로 증후군)

  • Song, Gwan-Gyu
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.163-176
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    • 1997
  • Chronic fatigue syndrome Is a syndrome of unknown etiology and pathophysiology characterized by severe, chronic, debilitating fatigue as main symptom and numerous additional symptoms such as joint and muscle pain, headache, sleep disturbance. According to recent researches, it was suggested that chronic fatigue syndrome was developed by disturbance of interaction between neuropsychiatric system and immune system due to environmental factors and stress. Many patients experience gradual improvement but complete recovery from disorderd state is rare. There was no research elucidating the exact pathogenetic mechanism of chronic fatigue syndrome, so there was no established treatment. Several controlled studies about treatment was reported, but its results was not effective in all patients with chronic fatigue syndrome. For chronic fatigue syndrome, a comprehensive approach to physical, psychological, and social aspects is needed.

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