DOI QR코드

DOI QR Code

자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사

A Survey on Korean Medicine Treatment of Autonomic Dysfunction: Preliminary Research for Clinical Practice Guidelines

  • 박희영 (경희대학교 한의과대학 한방신경정신과) ;
  • 송금주 (경희대학교 산학협력단) ;
  • 이현우 (강동경희대병원 한방신경정신과) ;
  • 박찬 (강동경희대병원 한방신경정신과) ;
  • 윤석인 (경희대학교 한의과대학 한방신경정신과) ;
  • 박정환 (경희대학교 임상한의학과) ;
  • 정선용 (강동경희대병원 한방신경정신과) ;
  • 김종우 (강동경희대병원 한방신경정신과)
  • Hui-Yeong Park (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University) ;
  • Geum-Ju Song (Industry-Academic Cooperation Foundation, Kyung Hee University) ;
  • Hyun Woo Lee (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Chan Park (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Seok-In Yoon (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University) ;
  • Jung Hwan Park (Department of Clinical Korean Medicine, Kyung Hee University) ;
  • Sun-Yong Chung (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Jong Woo Kim (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong)
  • 투고 : 2023.11.02
  • 심사 : 2023.12.23
  • 발행 : 2023.12.30

초록

Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

키워드

과제정보

This study was supported by the Traditional Korean Medicine R&D program funded by the Ministry of Health & Welfare through the Korea Health Industry Development Institute (HF22C0085).

참고문헌

  1. Tomifusa KBK. 200% Basic Techniques to Quickly Eliminate the Depression of Autonomic Dysfunction Anyone can do it right away! Nitto Shoin Headquarters. 2012.
  2. Tomako FKNG. You can understand it right away! How to cure autonomic imbalance disorder. Natsumesha. 2015. p. 14-36.
  3. Huang XH, Yang Y, Lin SY. Research progress on traditional chinese medicine in treating cardiac neurosis. Journal of Emergency in Traditional Chinese Medicine. 2022;31:737-740. doi: 10.3969/j.issn.1004-745X.2022.04.049
  4. Hideaki HGSN. Diseases caused by the autonomic nerve dysfunction, and those treatments. The Japanese Journal of Ryodoraku Medicine. 2006;51:94-104. doi: 10.17119/ryodoraku1986.51.94
  5. Kim SR. Blood circulation disorders and autonomic dysfunction. Deulkkochnuli. 2014.
  6. Kim DF, Choi YS, Park YH, Keum DH. A Case Report by Heart Rate Variability on the Patient with Dysfunction of Autonomic Nervous System. Journal of oriental rehabilitation medicine. 2004;14:173-85.
  7. GU ST. Emotional Disease and Cardiac Neurosis Chinese Medicine Modern Distance Education of China. 2017;15:52-4. doi: CNKI:SUN:ZZYY.0.2017-13-025
  8. Lin GW, Wang JY, Ge JB. Practical Internal Medicine - 15th edition. Beijing: People's Health Publishing House. 2017. p. 1119-20.
  9. Su ZY. Clinical Study on Acupuncture Combined with Balanced Cupping Therapy in the Treatment of Cardiovascular Neurosis [master's thesis]. Changchun: Changchun University of Traditional Chinese Medicine. 2020.
  10. Ge JB, Xu YJ. Internal Medicine - 8th Edition. Beijing: People's Health Publishing House. 2017. p. 344-5.
  11. Chen HZ, Lin G. Practical Internal Medicine - 14th Edition. Beijing: People's Health Publishing. 2013. p. 1648-50.
  12. Zhou ZG. Traditional Chinese Medicine Internal Medicine - Second Edition in the New Century. Beijing: China Traditional Chinese Medicine Publishing House. 2014. p. 126-33.
  13. Korean Neuropsychiatric Association. Textbook of Neuropsychiatry Third edition. iMis company. 2016. p. 31-2.