대한상한금궤의학회지

  • 제8권1호
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  • Pages.109-119
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  • 2016
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  • 2287-8696(pISSN)
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  • 2288-744X(eISSN)
대한상한금궤의학회 (Korean Medical Association of Clinical Sanghan-Geumgwe)
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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대함흉탕(大陷胸湯) 투여로 호전된 공황 장애를 동반한 이명 1례

A Case Report of Tinnitus with Panic Disorder treated by Daehamhyung-tang from the Disease Pattern Identification Diagnostic System based on Shanghanlun provisions

  • 조강문 (보건진료소 한방진료실)
  • 투고 : 2016.12.07
  • 심사 : 2016.12.29
  • 발행 : 2016.12.30
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초록

Objective : The purpose of this paper is to report the effect of Daehamhyung-tang(DHHT) on tinnitus with panic disorder from the disease pattern identification diagnostic system based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, the patient was diagnosed with 'Taeyang-byung Gyeolhyung'. He took DHHT for 82 days. This paper evaluated the results of treatment on tinnitus by Tinnitus Handicap Inventory(THI) and Verbal Numercial Rating Scale(VNRS). To assess the mental state of anxiety, this paper used Hamilton Anxiety Rating Scale(HAM-A) Results : The THI score was declined from 58 to 6 And the VNRS score was declined from 6 to 1. HAM-A score was declined from 28 to 3. Conclusions : This case study suggests that DHHT has effectiveness on a patient suffers from tinnitus with panic disorder and diagnosed with 'Taeyang-byung Gyeolhyung'.

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참고문헌

  1. SS Roh. Korean Medical Ophthalmology and Otolaryngology. 3rd ed. Seoul Printing. 2011:485-492.
  2. ES Seo, CY Hwang, KS Lim, HW Kang, MC Park, NK Kim. A study on the correlation between health related quality of life(QOL) and the severity of tinnitus patients. The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology. 2012;25(4):45-56. https://doi.org/10.6114/jkood.2012.25.4.045
  3. YS Cho, SH Choi, KH Park, HJ Park, JW Kim et al. Prevalence of Otolaryngologic Diseases in South Korea: Data from the Korea National Health and Nutrition Examination Survey 2008. 2010;3(4):183-193. https://doi.org/10.3342/ceo.2010.3.4.183
  4. JW Koo, WC Lee, HW Kim, BC Choi, MH Oh, CY Park. Prevalence of Tinnitus and Hearing Thresholds of a Non-Noise-Exposed Population with and without Tinnitus. Korean Journal of Occupational And Environmental Medicine. 1999;11(3):323-331. https://doi.org/10.35371/kjoem.1999.11.3.323
  5. JW Chang, TS Kim, EC Nam, IS Moon, MK Park et al. Current Trends in the Assessment of Patients with Tinnitus and the Proposal of Tinnitus Assessment in Korea. Korean J Otorhinolaryngol Head Neck Surg. 2014;57(10):671-686. https://doi.org/10.3342/kjorl-hns.2014.57.10.671
  6. SY Yoo, TS Kim, IS Moon, SN Park, JE Shin et al. Current Trends in the Treatment of Subjective Tinnitus at University Hospitals in Korea. Korean J otorhinolaryngol-Head Neck Surg. 2013;56:266-277. https://doi.org/10.3342/kjorl-hns.2013.56.5.266
  7. KY Moon, JH Lee, YM Chun, DY Lee. Correlation Analysis of Tinnitus Severity and Psychiatric Characteristics in Patients. Anxiety and Mood. 2015;11(2):136-142.
  8. SJ Lee, JE Lim. A diagnostic system and clinical application based on six meridian patterns and provisions. Seoul: KMediACs publishing house. 2013.
  9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Hakjisa. 2015:220-221.
  10. JK Chang. Gangpyeong Shanhanlun. Seoul:KMediACs publishing house. 2013.
  11. Craig W. Newman, Gary P. Jacobson, Jaclyn B. Spitzer. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996;122:143-148. https://doi.org/10.1001/archotol.1996.01890140029007
  12. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32:50-55. https://doi.org/10.1111/j.2044-8341.1959.tb00467.x
  13. SI Lee. Comparison of Shanghanlun. Seoul: KMediACs publishing house. 2015:211.
  14. SH Jeong, SH Kang, ZN Lee, BJ Kang, HD Rim. Review of Psychiatric Approaches to Tinnitus. Journal of the Korean Society of Biological Therapies in Psychiatry. 1997;3(2):250-258.
  15. HJ Kim, AR Cho, CH Kim. A Clinical Case Report of Tinnitus after Head Trauma. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2011;24(2):111-118.
  16. GH Park, YM Han, SH Ahn, CY Hwang. Effect of Tinnitus after Bleeding, Acupuncture, Moxa and Laser treatment. The Journal of Oriental Medical Surgery, Ophthalmology & Otolaryngology. 1999;12(1):396-407.
  17. JH Kim, MH Kim, SH Shin, HJ Yoon, WS Ko, KK Kon. The effect of Korean Medicine in the Quality of Life for Tinnitus. The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology. 2006;19(3):158-170.
  18. HA Jung. Recent Trends in Oriental Medical Treatment for Tinnitus. Daejeon Univ Korean Medicine Institute collection of dissertations. 2011;20(1):143-151.
  19. CH Lin, CE Kuo, HC Yu, YK Lai, YC Huang, MY Tsai. Efficacy of adjuvant Chinese herbal formula treatment for chronic tinnitus: A retrospective observational study. Complementary Therapies in Medicine. 2015;23:226-232. https://doi.org/10.1016/j.ctim.2015.01.002
  20. HR Jo, M Hwangbo. Four Cases of Tinnitus with Sudden Sensori-neural Hearing Loss Treated by Daehamhyung-tang. J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28(3):145-160. https://doi.org/10.6114/jkood.2015.28.3.145
  21. Takashi ITOH, Masataka SUGAO, Takeharu CHIJIWA, Hirofumi SHIMADA, Shigeru EBISAWA et al. A consideration for the indication of Daikankyo-to or Daikankyoganryo. Japanese journal of oriental medicine. 2011;62(4):537-547.