• The Korean Journal of Physiology and Pharmacology
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• 제19권1호
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• pp.9-14
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• 2015

We investigated the sweating response during passive heating (partial submersion up to the umbilical line in $42{\pm}0.5^{\circ}C$ water, 30 min) after summer and winter seasonal acclimatization (SA). Testing was performed in July during the summer, 2011 [summer-SA; temp, $25.6{\pm}1.8^{\circ}C;$ relative humidity (RH), $82.1{\pm}8.2%$] and in January during the winter, 2012 (winter-SA; temp, $-2.7{\pm}2.9^{\circ};$ RH, $65.0{\pm}13.1%$) in Cheonan ($126^{\circ}52^{\prime}N$, 33.38'E), Republic of Korea. All experiments were carried out in an automated climatic chamber (temp, $25.0{\pm}0.5^{\circ}C$: RH, $60.0{\pm}3.0%$). Fifteen healthy men (age, $23.4{\pm}2.5$ years; height, $175.0{\pm}5.9cm;$ weight, $65.3{\pm}6.1kg$) participated in the study. Local sweat onset time was delayed during winter-SA compared to that after summer-SA (p<0.001). Local sweat volume, whole body sweat volume, and evaporative loss volume decreased significantly after winter-SA compared to those after summer-SA (p<0.001). Changes in basal metabolic rate increased significantly after winter-SA (p<0.001), and tympanic temperature and mean body temperature were significantly lower after summer-SA (p<0.05). In conclusion, central sudomotor acitivity becomes sensitive to summer-SA and blunt to winter-SA in Rebubic of Korea. These results suggest that the body adjusts its temperature by economically controlling the sweating rate but does not lower the thermal dissipation rate through a more effective evaporation scheme after summer-SA than that after winter-SA.

• Journal of Chest Surgery
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• 제28권7호
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• pp.684-688
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• 1995

Hyperhidrosis, one of the abnormalities in autonomic nervous system, has been treated with dermatologic principles or thoracic sympathectomy via conventional axillary thoracotomy or dorsal spinal approach. But these techniques were rather ineffective or invasive. Recently, VATS is widely applied in thoracic surgical area, and hyperhidrosis is not the exception of these cases.From May 1993 to August 1994, 30 patients with bilateral palmar hyperhidrosis underwent bilateral thoracic [T2, T3 sympathectomy with thoracoscopic surgery at Seoul National University Hospital. There were 20 men and 10 women and the mean age was 23.0 years.Mean operating time was 115 min and there was no thoracotomy conversion. Operative complications were anesthetic overdose in 1, Horner`s syndrome in 1, and small amount of residual pneumothorax in 6. Mean postoperative hospital stay was 2.3 days [range from 1 to 4 days and postoperative analgesics were required in 17 cases with a single dose.Sweating amount was measured in 12 patients, showing significantly decreased amount from 284.5 mg preoperatively to 18.9 mg postoperatively in 5 minutes [p=0.004 . There was no recurrence during mean 6 months follow up. Twenty two patients [73.3 % complained moderate compensatory hyperhidrosis on the trunk.In conclusion, all patients were greatly satisfied with those results including no more palmar sweating, less pain, better cosmetics, short hospital stay. In addition, recent use of sweating amount measurement and intraoperative temperature monitoring could make this technique more accurate, so we easily applied thoracoscopic sympathectomy with minimal risk.

• 한방재활의학과학회지
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• 제32권1호
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• pp.73-87
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• 2022

Objectives We aimed to characterize the results obtained from Korean medical examinations and questionnaires on the quality of sleep. Methods The quality of sleep was measured using the Pittsburgh sleep quality index in 400 subjects. Afterwards, heart rate variability (HRV) measurements were done, along with the analyses for tongue color, teeth marks, and tongue coating through the tongue diagnosis system. A questionnaire about body's heat, cold and sweating conditions, and the perceived stress scale (PSS) were performed. Finally, correlations between all these indicators and the sleep quality were analyzed. Results As the quality of sleep decreased, the sympathetic nervous system was stimulated. The subjects who had the blue-purple colored tongue experienced decreased quality of sleep. The quality of sleep was also deteriorated in the subjects who usually feel cold and hot easily, sweat a lot, and feel a lot of discomfort. According to the PSS questionnaire, the higher the stress level is, the lower was the quality of sleep. Conclusions We obtained meaningful results by comprehensively analyzing the sleep quality, HRV, tongue diagnosis, heat and cold conditions, sweating, and stress conditions. In particular, the sleep quality had a significant correlation with the rest of the indicators.

• 대한한방부인과학회지
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• 제36권3호
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• pp.211-225
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• 2023

Objectives: The purpose of this study is to report the effects of Korean medical treatment including Sanhuhyulpung-tang on three postpartum patients who suffered from hyperhidrosis. Methods: We treated three patients complained of postpartum symptoms including hyperhidrosis. The patients were treated by Traditional Korean Medicine including herbal medicine, acupuncture, moxibustion, and cupping therapy. Sanhuhyulpung-tang is a herbal medicine prescription which is used in clinical practice for the treatment of postpartum sweating, anxiety, flushing, and joint pain. Three patients were hospitalized for treatment for 6, 8, and 19 days respectively. During hospitalization, patients took Sanhuhyulpung-tang three times a day, and acupuncture, moxibustion, and cupping were performed once a day. To evaluate the degree of improvement, we used VAS score of the patient's chief complaint during hospitalization. Results: After the treatment, symptoms including hyperhidrosis were improved. The degree of excessive sweating decreased to 30% in two patients, and 55% in one patient. Combined symptoms including lower coldness, burning sensation, chilling, and multiple site pain also improved on discharge day. Conclusions: This case report shows that Korean medicine treatment including Sanhuhyulpung-tang can improve postpartum symptoms including hyperhidrosis.

• 대한한방부인과학회지
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• 제22권1호
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• pp.161-171
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• 2009

Purpose: We intended to observe relation between general symptom and the number of uterine myoma. Methods: We surveyed 948 women from 35 to 45 years old who had received Korean oriental medical questionnaires about general symptom pattern and pelvic ultrasonography at Kyung-Hee university medical center from May, 2007 to October, 2008. After we divided women into three groups (Mono-uterine myoma, Bi-uterine myoma & uterine myoma above 3) by ultrasonography result, we compared general symptom pattern according to the number of uterine myoma. For statistics, we used Kruskal-Wallis Test, SPSS 13.0 for windows. Results: In relation to sleep pattern, severity of dreaming & awaking showed statistical significance according to the number of uterine myoma. In relation to digestion pattern, appetite & heartburn showed statistical significance according to the number of uterine myoma. In relation to evacuation pattern, hardening of stool showed statistical significance according to the number of uterine myoma. In relation to sweating pattern, severity of refreshing after sweating showed statistical significance according to the number of uterine myoma. In relation to the other patterns, hypertonicity of nape neck showed statistical significance according to the number of uterine myoma(p<0.05). Conclusion: The result showed that prevalence of uterine myoma had to be considered in respect of sleep, digestion, evacuation and sweating pattern. we need further study based on this preliminary result.

• Journal of Chest Surgery
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• 제41권3호
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• pp.343-346
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• 2008

배경: 다한증 환자에서 흉부교감신경절단술은 효과적인 치료방법으로, 수술직후에는 만족도가 높으나 시간이 지남에 따라 재발 및 보상성 발한으로 인해 만족도가 떨어지는 경향이 있다. 재발 및 보상성 발한을 최소화하기 위해 신경절제를 위한 다양한 방법이 제시되고 있다. 이에 흉부교감신경의 절단범위에 따른 증상 및 만족도, 재발, 보상성 발한을 비교 평가하였다. 대상 및 방법: 1999년 1월부터 2007년 7월까지 수부 다한증으로 흉부 교감신경절단술을 시행한 180명의 환자 중 술 후 추적이 가능했던 111명을 대상으로 하였다 제3번 늑골 상연에서 교감신경절을 절단한 39예(R3)와 제4번 늑골상연에서 교감신경절을 절단한 72예(R4)로 나누어서 술 후 초기 및 중기 만족도, 보상성 발한, 재발의 정도를 비교하였다. 결과: 두 군간의 연령에 있어서는 차이가 있었으나 성별에 있어서는 차이가 없었다. 초기의 만족도(R3, R4)는 각각 94.9%, 98.7%로 차이가 없었고, 중기 만족도 또한 84.6%, 87.5%로 차이가 없었다. 일상 생활에 불편함을 초래하는 중증도 이상의 보상성 발한은 R3에서 23.1%, R4에서 9.7%로 유의한 차이를 보였다(p=0.020). 재발되어 재수슬한 경우는 각각 5.1%, 4.2%로 유의한 차이를 보이지는 않았다. 결론: 수부다한증의 치료에 있어 교감신경절단술 시 R4가 R3에 비해 초기 및 중기 만족도 및 재발에 있어서는 차이가 없으나, 술 후 보상성 발한이 보다 적은 것으로 보인다.

• Journal of Chest Surgery
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• 제32권8호
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• pp.739-744
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• 1999

배경: 본 임상연구는 수부 다한증 환자에서 흉부 3번 교감신경 차단 후 효과를 관찰하였다. 대상 및 방법: 1998년 6월에서 동년 12월까지 수부 다한증을 호소한 50명(여자: 24, 남자: 26)의 환자에서 흉부 3번 교감신 경 차단 수술을 시행하였다. 환자중 수부 다한증만을 호소한 경우가 37명이었으며, 액와부 다한증이 동반된 경우가 13명이었다. 환자의 평균연령은 20세였다. 수술방법은 전기 소작용 가위를 이용하여 양측의 흉부 교 감신경을 차단하였으며, 수부 다한증만을 호소한 경우는 3번 늑골(흉부 2번, 3번 교감신경절 사이)에서 차단 하였으며 액와부 다한증을 동반한 환자는 3번, 4번 늑골에서 교감신경을 차단하였다. 수술 후 다한증의 호전 정도 및 보상성 다한증의 정도와 만족도의 측정은 Linear analogue scale을 이용하여, 수부, 안면부, 체간, 족부 의 땀 분비정도는 무한증을 0로 과다 발한을 10으로 하였으며 만족도는 후회하는 경우 0로 매우 만족해하는 경우를 10으로하여 조사 후 측정하였다. 결과: 모든 환자에서 수술 후 수부 다한증은 호전되었다. 흉부 3번 교감신경 차단 후 수부의 땀 발생 정도의 평균 측정치는 $1.5\pm$0.8로 조사되었으며, 보상성 다한증은 39명 (78%)의 환자에서 발생하였고 평균측정치는 3.4$\pm$1.6이었다. 2명(4%)의 환자에서 미각성 다한증이 발생하였 으며, 수술 후 만족도는 8.5$\pm$1.2였다. 결론: 수부 다한증에서 흉부 3번 교감신경 차단술 시행 후 증상이 호 전되었으며, 안면부 교감신경 기능의 보존과 보상성 다한증의 정도 및 미각성 다한증의 발생빈도가 낮아, 수부 다한증의 일차적 치료로 흉부 3번 교감신경 차단 술의 적용이 합당하다고 생각된다.

• Journal of Chest Surgery
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• 제31권3호
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• pp.279-285
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• 1998

손과 발에 정상 이상의 많은 땀이 나는 것은 정신적으로나 직업적으로 난처하고 때로는 무력한 상태를 만든다. 다한증은 자율신경계의 흔한 질병중 하나이다. 다한증은 특별한 치료법이 없었으며 따라서 액와 또는 경부 쪽에서 접근하는 절제술이 있었다. 최근에는 흉강경을 이용한 흉부수술(VATS)이 수장부와 액와부의 다한증에 가장 널리 사용되고 있다. 경희의료원에서는 1996년 3월부터 1997년 3월까지 양쪽 수장부에 다한증이 있는 15명의 환자를 양측 흉부 교감신경 절제술 (T2, T3, T4)을 시행하였고, 수술 전후로 컴퓨터 적외선 전신 체열 측정 (DITI)을 하였다. 이들 모두 개흉술로의 전환은 없었다. 3건의 술후 합병증으로 폐부종 1건, Horner씨 증후군 1건, 미각 다한증 1례가 있었다. 반 이상의 환\ulcorner에서 하복부, 둔부,배부, 대퇴부에 보상성 다한증이 나타났다. 결론적으로, 대부분의 환자는 수장부와 액와부에 땀이 나지 않고, 통증이 적고, 미용상 더 낫고, 족저부와 안면부에도 땀이 줄어 흉강경 수술 후의 결과에 대해 만족하였다. 또한 수술중에 수장부 온도를 측정함으로써 흉강경 교감신경 절제술의 성공 여부를 평가할 수 있었으며, 컴퓨터 적외선 체열 측정을 수술 전후로 시행함으로써 이 방법이 흉강경 교감신경 절제술의 성공적인 결과를 평가하는 객관적인 방법이 될 수 있었다고 사려된다.

• 한국방사성폐기물학회:학술대회논문집
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• 한국방사성폐기물학회 2012년도 추계학술논문요약집
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• pp.219-220
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• 2012

• Maxillofacial Plastic and Reconstructive Surgery
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• 제35권6호
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• pp.376-380
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• 2013

Frey syndrome is a disease characterized by abnormal sweating, facial redness, and rare pain by stimulation of taste sense on the limited area dominated by the auriculotemporal nerve and great auricular nerve. Although the developmental mechanism and histopathologic cause of Frey syndrome are still being debated, the most reliable theory is based on injury of the parathympathetic nerve connected to the auriculotemporal nerve continuing to abnormal regeneration. The other theory is that the sweat glands develop an increased sensitivity after degeneration of sympathetic fibers. Therapy of Frey syndrome includes drugs, radiographic treatment, and surgical treatment; however, in most cases, treatment is not satisfactory. This is a case report on a 24-year-old male patient with Frey syndrome caused by the fracture reduction with retromandibular approach after multiple facial traumas and spontaneous healing without any special treatment.