A clinical study of the effects of Oriental medical treatment on Vascular Dementia

Vascular Dementia에 관(關)한 한의학적(韓醫學的) 임상연구(臨床硏究)

  • Hyun Kyung-Chul (Dept. of Oriental Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Kim Jong-Woo (Dept. of Oriental Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Whang Wei-Wan (Dept. of Oriental Neuropsychiatry, College of Oriental Medicine, Kyung Hee University)
  • 현경철 (경희대학교 한의과대학 신경정신과 교실) ;
  • 김종우 (경희대학교 한의과대학 신경정신과 교실) ;
  • 황의완 (경희대학교 한의과대학 신경정신과 교실)
  • Published : 1999.08.30

Abstract

In order to confirm the efficiency of Oriental medical treatment on Vascular dementia, 24 probable and possible vascular dementia patients diagnosed by ADDTC criteria, were chosen and followed among the patients who had visited KOMC from April, 1996 to March, 1997. They were given herbal and acupuncture therapy, mainly focused on circulating qi(順氣)and removing phlegm(治痰) which is generally applied in early stage of cerebro-vascular disease, and then assessed by the improvement of stage according to the level of impairment, as proposed by APA. The results were as followed. 1. Out of 25 cases, 8 patients showed 2 grade improvement(++), 15 patients showed 1 grade improvement(+), and 1 patient showed no change. 2. The efficiency of treatment is higher when they're given treatment earlier. 3. The efficiency of treatment is higher when their symptoms are lighter. In conclusion, this study shows meaningful effect of Oriental medical treatment on vascular dementia and also shows that It's more effective in the case of short onset and mild symptom.

Keywords

References

  1. 對譯 證脈 方藥合編 黃度淵(著)
  2. 壽世保元 공廷賢
  3. 備急千金要方 孫思邈
  4. 聖濟總錄 43卷 趙佶
  5. 中醫針灸 v.9 化濁益智針法治療的血管性痴매 臨床療效及機理硏究 刈會安;후冬芬;王芸
  6. 上海中醫藥雜誌 v.4 中醫治療老年腦血栓形成後痴매 李貫徹;孟祥福;李光
  7. 安徽中醫學院學報 v.15 no.1 滌痰化瘀湯治療腦血管性痴매 15例 李中南;王正雨;王健平
  8. 北京中醫藥大學學報 v.20 no.3 近10年來中醫大血管性痴매的臨床硏究進展 張云령;梅建勛
  9. 北京中醫藥大學學報 v.20 no.4 血管性痴매硏究述評 田金洲;王永炎;Haworth, J.;Wilcock, G.
  10. 上海中醫藥雜誌 v.1 中風痴매 從痰瘀論治 鄭功澤;周鶯歌
  11. 浙江中醫學院學報 v.19 no.3 淺談老年痴매症的證治 許曉蓉
  12. Mebio v.13 no.9 腦血管性痴매の病熊$\cdot$診斷基準と臨床的特徵 宇高不可思;龜山正那
  13. 慶熙韓方處方集 경희의료원
  14. 알기쉬운 사상의학 송일병
  15. DSM-III-R 정신장애의 분류와 진단편람 이근후(역)
  16. 정신장애의 진단 및 통계편람 제4판(DSM-IV) 이근후(외14명 역)
  17. ICD-10(정신 및 형태장애) 이부영(역)
  18. 사망원인통계연보 통계청
  19. 精校黃帝內徑素問 洪元植(編)
  20. 精校黃帝內徑靈樞 洪元植(編)
  21. 신경정신의학 v.28 노인용 한국판 Mini-mental state examination(MMSE-K)의 표준화 연구 권영철;박영한
  22. 동의신경정신과학회지 v.9 no.1 Dementia of Alzheimer Type에 關한 韓醫學的 臨床硏究 김보균;현경철;김종우;황의완
  23. 大韓韓醫學會誌 v.13 no.1 健忘의 原因, 治法, 治方에 대한 文獻的 考察 김세실;문병순;김연두
  24. 가정의학학회지 v.18 no.3 치매의 접근 방법 나덕렬
  25. 신경정신의학 v.32 no.4 역학적 연구에서 치매의심의 문제: 경도치매와의 비교 박종한;조성완;이황희;최상용
  26. 대한의학협회지 v.37 no.7 노인성 치매-진단기법 양병환
  27. 대한의학협회지 v.37 no.7 노인성 치매-원인 및 감별진단 오병훈
  28. 대한의학협회지 v.37 no.7 노인성 치매-정의, 분류 및 임상양상 우종인
  29. 동의신경정신과학회지 v.8 no.1 調胃升淸湯이 흰쥐의 방사형 미로 학습과 기억에 미치는 影響 우주영;김종우;황의완;김현택;박순권
  30. 대한핵의학회지 v.28 no.3 99mTc-HMPAO SPECT를 이용한 알쯔하이머병의 진단에서 허혈성 뇌병변이 미치는 영향 이경한;이명철;이동수;권준수;김종호;정준기;우종인;고창순
  31. 調胃升淸湯이 Alzheimer's disease 모델 白鼠의 학습과 기억에 미치는 영향 李雄錫
  32. 慶熙韓醫大論文集 v.20 no.2 荊防地黃湯이 흰쥐의 Moris 水中 迷路 學習과 記憶에 미치는 影響 이재혁;황의완;김현택;박순권
  33. 경희의학 v.13 no.1 치매 장대일
  34. 신경정신의학 v.33 no.3 치매의 임상적 정도와 인지기능 장애 및 행동 장애간의 상관 조성완;박종한
  35. 동의신경정신과학회지 v.9 no.1 형방지황탕이 Alzheimer's Disease 모델 백서의 학습과 기억에 미치는 영향 조윤숙;황의완;김현택;박순권
  36. 경희의학 v.13 no.1 치매 치료에 대한 한의학적 접근 방법 황의완
  37. 경희의학 v.12 no.2 치매에 대한 한의학적 임상연구 황의완;김종우;이조희;엄효진;이승기
  38. 濟生方(中國醫學大系 11) 嚴用和
  39. 證治準繩 王肯堂
  40. 張氏景岳全書 張介賓
  41. 辨證奇文全書 錢鏡湖
  42. 石室秘錄(下) 陣士澤
  43. 實用中醫內科學 黃大東(外)
  44. British Medical Journal v.312 no.1 Vascular dementia Amar, K.;Wilcock, G.
  45. Am J Psychiatry v.154 no.5 Practice Guideline for the Treatment of Patients With Alzheimer's Disease and Other Dementias of Late Life American Psychiatric Association
  46. Arch Neurol v.54 Comparative evolution of Alzheimer disease, vascular dementia, and mixed dementia Bowler, J.V.;Eliasziw, M.;Steenhuis, R.;Munoz, D.G.;Fry, R.;Merskey, G.;Hachinski, V.C.
  47. Geriatrics v.49 Vascular dementia: An updated approach to patient management Butler, R.N.;Ahronheim, J.;Fillit, H.;Rapoport, S.I.;Tatemichi, T.K.
  48. Neurology v.49 Evaluation of dementia: A systematic study of the usefulness of the American Academy of Neurology's Practice Parameters Chui, H.;Zhang, Q.
  49. Neurology v.42 Criteria for diagnosis of ischemic vascular dementia proposed by the State of California Alzgeimer's Disease Diagnostic and Treatment Centers Chui, H.C.;Victoroff, J.I.;Margolin, D.;Jagust, W.;Shankel, R.;Katzman, R.
  50. Arch Neurol v.50 Risk factors for cerebrovascular disease as correlates of cognitive function in a stroke-free cohort Desmond, D.W.;Tatemichi, T.;Paik, M.H.;Sterm, Y.
  51. Arch Gerontol Geriatr v.26 Posatirelin for the treatment of degenerative and vascular dementia : results of explanatory and pragmatic efficacy analyses Gasbarrini, G.(et al)
  52. Neurology v.49 Sensitivity and specificity of newly proposed clinical criteria for possible vascular dementia Gold, G.;Giannakopoulos, P.;Montes-Paixao, Jr. C.;Herrmann, F.R.; Muligan, R.;Michel, J.P.;Bouras, C.
  53. Journal of Internal Medicine v.242 Vascular dementia: the need for a new approach Hachinski, V.
  54. Arch Neurol v.32 Cerebral blood flow in dementia Hachinski, V.C.;Iliff, L.D.;Zihka, E.(et al)
  55. Lancet v.349 Atherosclerosis, apolipoprotein E, and prevalence of dementia and Alzheimer's disease in the Rotterdam study Hofman. A.;Ott, A.;Breteler, M.M.B.;Bots, M.L.;Slooter, A.J.C.;Harskamp, F.V.;Duijn, C.N.V.;Broeckhoven, C.V.;Grobbee, D.E.
  56. Classification v.11 no.5 diagnosis and treatment of vascular dementia Konno, S.;Meyer, J.S.;Terayama, Y.;Margishvili, G.M.;Mortel, K.F.
  57. Stroke v.14 Diagnostic evaluation of degenerative and vascular dementia Loeb, C.;Gandolfo, C.
  58. Arch Phys Med Rehabil v.78 Cerebral angioplasty in a patient with vascular dementia Maeshima, S.;Terada, T.;Yoshida, N.;Nakai, K.;Itakura, T.;Komai, N.
  59. JAMA v.256 no.16 Improved cognition after control of risk factors for multi-infarct dementia Meyer, J.S.;Judd, B.W.;Tawaklna, T.;Rogers, R.L.;Mortel, K.F.
  60. Stroke v.29 Clinical Determinants of Poststroke Dementia Pohjasvaara, T.;Erkinjuntti, T.;Ylikoski, R.;Hietanen, M.;Vataja, R.;Kaste, M.
  61. Stroke v.28 Demetia three months after stoke: Baseline frequency and effect of different definitions of dementia in the Helsinki Stroke Aging Mimory Study(SAM) Cohort Pohjasvaara, T.;Erkinjuntti, T.;Vataja, R.;Kaste, M.
  62. Neurology v.43 Vascular dementia: Diagnostic criteria for research studies, Report of the NINDSAIREN Interational Workshop Roman, G.C.(et al)
  63. The Journal of Nuclear Medicine v.39 no.1 Correlation of Neuropsychological, Morphological and Functional (Regional Cerebral Blood Flow and Glucose Utilization) Findings in Cerebral Microangiophathy Sabri, O.;Hellwing, D.;Schreckenberger, M.;Cremerius, R.;Kaiser, H.J.;Doherty, M.(et al)
  64. Stroke v.27 Comparison of different diagnostic criteria for vascular dementia (ADDTC, DSM-IV, ICD-10, NINDS-AJREN) Wetterling, T.;Kanitz, R.D.;Borgis, K.J.