동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제34권2호
  • /
  • Pages.61-69
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  • 2023
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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한의원에 내원한 틱장애 아동 환자의 한의복합치료 후 개선 효과: 후향적 관찰 연구

Effect of Complex Korean Medical Treatment on Tic Disorder in Children Who Visited the Neuropsychiatric Clinic of Korean Medicine: A Retrospective Chart Review

  • 김동희 (한음한방신경정신과한의원) ;
  • 최유민 (우석대학교 한의과대학 침구의학교실) ;
  • 유종호 (한음한방신경정신과한의원)
  • Dong-Hee Kim (Haneum Neuropsychiatry Clinic of Korean Medicine) ;
  • Yu-Min Choi (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Woosuk University) ;
  • Jong-Ho Yoo (Haneum Neuropsychiatry Clinic of Korean Medicine)
  • 투고 : 2023.05.19
  • 심사 : 2023.06.19
  • 발행 : 2023.06.30
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초록

Objectives: To examine the effect of complex Korean medical treatment on tic disorder in children who visited the neuropsychiatric clinic of Korean medicine. Methods: Medical records of 35 patients diagnosed with tic disorder based on DSM-V who received complex Korean medical treatment (herbal medicine, acupuncture and Korean psychotherapy) were reviewed. Tic disorder was then evaluated by Yale Global Tic Severity Scale (YGTSS) before and at 4, 8, and 12 weeks after treatment to determine whether their symptoms were improved. Results: 1) After the treatment, mean YGTSS was reduced from 35.54±14.77 to 23.20±12.65. There were statistically significant changes between scores according to the time of treatment (p< 0.05). 2) At the time of visit, symptoms of motor tics were in the order of eyes, neck and shoulders, mouth, head and arms & hands, nose, face, upper body and other parts, and legs and symptoms of vocal tics were in the order of sniffing, dry coughing and MMM, AA and whistling, and other sounds. 3) For 35 patients, herbal medicine was prescribed every two weeks. The frequency of prescriptions used was in the order of Shihogayonggolmoryo-tang, Gami-ondam-tang, and others. 4) The frequency of herbs used in 35 patients was in the order of Poria, Zingiberis Rhizoma Recens, Pinelliae Rhizoma and Scutellariae Radix, Bupleuri Radix, Ostreae Concha and Bovis Ossis Fossilia, and others. Conclusions: Complex Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy is effective for reducing tic symptoms in children.

키워드

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