Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
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The Study on Korean Medical Pattern Differentiation of Sleep-Wake Disorders by DSM-V Classification

DSM-V 분류에 따른 수면-각성장애의 한의학적 변증 연구

  • Na, Il Doo (Department of Oriental Pathology, College of Korean Medicine, Wonkwang University) ;
  • Park, Mi Sun (Department of Oriental Pathology, College of Korean Medicine, Wonkwang University) ;
  • Kim, Yeong Mok (Department of Oriental Pathology, College of Korean Medicine, Wonkwang University)
  • 나일두 (원광대학교 한의과대학 한방병리학교실) ;
  • 박미선 (원광대학교 한의과대학 한방병리학교실) ;
  • 김영목 (원광대학교 한의과대학 한방병리학교실)
  • Received : 2017.03.03
  • Accepted : 2017.04.21
  • Published : 2017.04.25
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Abstract

This study covers pattern differentiation based on Korean medical references, research trend and modern clinical applications about Sleep-Wake disorders of Diagnostic and Statistical Manual of Mental Disorders(DSM-V) published by American Psychiatric Association. Insomnia disorder is mostly caused by yin deficiency of liver-kidney or liver qi depression and main patterns are heart-kidney non-interaction, deficiency-excess complex pattern containing phlegm-heat due to qi stagnation and blood stasis. Hypersomnolence disorder is more due to yang deficiency rather than yin deficiency and it's major pattern is spleen-kidney yang deficiency. Cataplexy is main feature in narcolepsy and corresponds to depressive psychosis or fainting in terms of Korean Medicine and narcolepsy is assumed to be relevant to liver wind. Breathing-related sleep disorders are related with phlegm-fluid retention brought on spleen deficiency with dampness encumbrance. Pattern of circadian rhythm sleep-wake disorders is combined with yin deficiency of liver-kidney or liver qi depression of insomnia disorder and spleen-kidney yang deficiency or dampness-phlegm of hypersomnolence disorder. Yin deficiency with effulgent fire brought on drugs or alcohol is one of main patterns of substance/medication-induced sleep disorder and combined patterns with yin deficiency of liver-kidney and blood stasis or dampness-phlegm-heat are mostly applied clinically. This study drew major and frequently applied patterns of sleep-wake disorders based on Koran medical literature and modern clinical applications. And that can be the groundwork for the task ahead like clinical practice guideline of sleep-wake disorders containing pattern differentiation, diagnosis and prescriptions.

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References

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