Objectives: Cold hypersensitivity in the hands and feet(CHHF) is associated with pattern identification such as Yang deficiency or Spleen-stomach deficiency in Korean medicine, and is linked to various diseases and symptoms. This study was conducted as a retrospective cross-sectional study based on a nationwide survey to analyze the relationship between CHHF and subjective hearing discomfort, tinnitus, and hearing loss. Methods: We analyzed data from the Korean National Health and Nutrition Examination Survey V(KNHANES V) conducted from 2010 to 2012. A total of 15,950 participants aged 19 and older who had records of responses to the questionnaires on CHHF, hearing discomfort and tinnitus, as well as pure-tone audiometry results, were included in the study. A complex sample logistic regression analysis was performed to compare the risks of hearing discomfort, tinnitus, and hearing loss between the CHHF group and the non-CHHF group. Results: The CHHF group consisted of 3,622 individuals, representing 22.7% after applying weights. In the logistic regression analysis adjusted for demographic variables, the odds ratio for tinnitus in the CHHF group was 1.493 compared to the non-CHHF group. For hearing discomfort, the odds ratios for "slightly uncomfortable" and "very uncomfortable" were 1.411 and 1.629, respectively, compared to the non-CHHF group. No differences in odds ratios for unilateral and bilateral hearing loss were observed between the groups. Conclusions: These results suggest that CHHF may influence subjective hearing discomfort and tinnitus. Given that this study is a cross-sectional study, further investigations are required to determine causation.

Objectives : 본 연구는 후향적 차트 리뷰를 통해 이명 환자에서 침술과 뜸 치료의 혈류역학적 효과를 분석하고자 Acceleration Photoplethysmogram (APG) 지표의 변화를 조사하였다. Methods : 2024년 4월부터 7월까지 동국대학교일산한방병원을 방문한 이명 환자들의 의무기록을 후향적으로 분석하였다. 매 외래 방문 시 침술과 뜸 치료를 시행하였으며, 치료 전후 APG를 측정하였다. 연구 대상자는 주관적 이명을 호소하며 APG 데이터를 이용할 수 있는 환자로 한정하였다. Results : 침술 및 침술과 뜸의 복합치료 후 c/a 비율이 유의미하게 증가하여 동맥 경직도가 감소했음을 시사하였다 (각각 P= 0.002, P= 0.020). 반면, b/a, d/a, e/a 비율에서는 유의미한 변화가 나타나지 않았다. 또한, 개별 환자 분석에서는 특정 환자들(Subject 3, 4, 8)에서 b/a, c/a, d/a 비율에 유의한 변화가 관찰되었다. Conclusion : 이명 환자에서 침술이나 침술과 뜸의 복합치료가 혈류역학적 변화를 유도할 수 있으며, 특히 동맥 경직도 감소와 관련된 c/a 비율의 유의미한 변화를 확인하였다. 또한, 개별 환자 분석에서는 일부 환자에서 특정 APG 지표에 유의한 변화가 나타났다.

Objectives : This study was to review and analyze researches on Korean medicine treatment for hearing loss, and present data for further treatment and research. Methods : Three researchers used six Korean search engines to find studies on Korean medicine treatment for hearing loss published from January 1, 2000 to December 31, 2023, and analyzed bibliographic information, main symptoms, treatment period, treatment method, evaluation scale, and treatment results of each study. Results : The most common accompanied symptom was tinnitus (84 times). The most commonly used herbs were Glycyrrhiza uralensis (70 times), Poria cocos (53 times), Zingiber officinale (46 times), Angelica gigas (45 times). and Citrus unshiu (42 times) which are the components of the frequently mentioned prescriptions, Banhabackchulchunma-tang (4 times) and Bojungikgi-tang Gami (4 times). The most widely used prescriptions were Gongjin-dan (12 times) and Sunkihwalhyul-tang (11 times). The most frequently used acupupoints were SI19 (83 times), TE17 (76 times), TE21 (66 times), GB02 (61 times). The most commonly used meridian was Gall Bladder (231 times). Conclusions : These results may enable more effective treatments and follow-up studies for hearing loss.

Objectives : The purpose of this study is to report the effect of Q-switched ND:YAG laser therapy along with hominis placenta pharmacopuncture for the patients with Solar lentigines. Methods : The 532nm wavelengths of Q-switched ND:YAG Laser was used to irradiate to the solar lentigines once, choosing an energy that would produce an adequate change in skin color. Also 5cc of hominis placenta pharmacopuncture were injected into both Cheonchu(ST 25). Results : After the treatment with Q-switched ND:YAG laser therapy along with hominis placenta pharmacopuncture, solar lentigines were effectively removed. Conclusion : The treatment with Q-switched ND:YAG laser therapy along with hominis placenta pharmacopuncture for the patients with solar lentigines are effective in the eight cases. Futher, additional studies are required to verify its long-term efficacy.

Objectives : The study aims to report a suspected case of trimethylaminuria (TMAU) that developed during a herbal medicine-based diet for obesity treatment. Trimethylaminuria, characterized by a fishy body odor, can lead to significant social and psychological distress. The objective is to explore whether the prescribed Korean herbal medicine treatment could alleviate TMAU symptoms, providing insight into a potential integrative approach for managing this metabolic disorder. Methods : A 27-year-old woman who experienced significant body odor changes during a weight loss treatment with herbal medicine was observed retrospectively. The treatment initially focused on weight loss, but was modified to address the odor symptoms. Various herbal formulations were prescribed, and changes in body odor intensity were monitored using the Numerical Rating Scale (NRS) and Classification of Odor Intensity (COI) by medical staff. Results : After modifying the herbal treatment, the patient's symptoms of body odor, initially at NRS 8.5 and COI 4, gradually improved over several months. By the end of the treatment, both NRS and COI had reached 0, indicating a complete resolution of odor symptoms. Conclusions : This case suggests that herbal medicine could be an effective treatment for alleviating the symptoms of TMAU. Further research is needed to determine the precise role of herbal formulations in managing metabolic disorders like TMAU, as this study highlights the potential benefits of integrative Korean medicine in managing complex metabolic conditions.

Objectives : The purpose of this study is to report two cases of patients with sudden sensorineural hearing loss who showed delayed hearing improvement with Korean medicine treatments. Methods : This study was conducted with 6 weeks after onset sudden sensorineural hearing loss patients who treated in ophthalmology, otolaryngology & dermatology clinic of Korean medical Hospital. The patients were treated with Korean medicine including acupuncture, electroacupuncture and moxibustion. We evaluated the patient's improvement before and after treatment using the pure tone audiometry and patient's subjective symptoms. Results : The patient's pure tone audiometry and symptoms were improved after treatment. Conclusions : It is considered that Korean medicine could be applied to the initial treatment and salvage treatment of sudden sensorineural hearing loss.

Objectives : The purpose of this study is to report suturing for patients with lacerations requiring emergency treatment. Methods : A 74-year-old male was diagnosed with a laceration of more than 5cm on the back of his right hand. The laceration area was washed with normal saline, the area around the laceration was disinfected with potadine, and local anesthesia was administered with Bufonis venenum pharmacopuncture solution. The edges of the skin of the laceration area were cleaned up, the margins on both sides were aligned, and simple sutures were performed. After suturing, anti-inflammatory pharmacopuncture solution was mixed with normal saline and the treated area was irrigated. For 7 days, Yeonkyopaedok-san was given, yeolsanggo was applied to the sutured area, and finished with a simple dressing. Results : The sutures were removed 10 days after suturing, and no adverse reactions occurred after suturing. Conclusions : Doctors of Korean medicine are medical professionals who can perform suturing surgery on wounds such as lacerations that require emergency treatment, and it is necessary to actively participate in national health policy in the future.

Objectives : The purpose of this study is to report a case of Ganglion removed by surgical method at the Korean Medicine Department. Methods : A 39-year-old male with a recurrent ganglion cyst below the right tibial tuberosity underwent complete surgical excision after previous treatments failed. The procedure included local anesthesia with Bufonis Venenum pharmacopuncture solution, CO₂ laser incision, irrigation with soyeom pharmacopuncture solution, and suture. Intaking 3 days of Yeonkyopaedok-san and wound management with herbal ointment was carried out for postoperative care. Results : The cyst was completely excised, including the cyst wall, without any complications or recurrence observed during the three-month follow-up. Postoperative ultrasonography confirmed the absence of the ganglion cyst, with no significant surgical side effects apart from mild skin pigmentation. Conclusions : Ganglion were surgically removed without any complications by using pharmacopuncture and oral herbal medicines that have anti-inflammatory effects. The successful management of this case supports the potential expansion of surgical procedures for various diseases in Korean medicine.

Objectives : The purpose of this study is to report a suspected case of pilomatricoma that was removed through surgical treatment and to emphasize the necessity of histological examination for an accurate diagnosis. Methods : In a 67-year-old female patient, ultrasound examination revealed calcification in a lesion on the lower leg. Local anesthesia was administered using Bufonis Venenum pharmacopuncture solution. The lesion was excised using an 11th blade and a CO2 laser. Following excision, irrigation with So-yeom pharmacopuncture solution was performed, and the wound was closed with simple interrupted sutures. Postoperatively, the patient was prescribed Yeongyopaedok-san for 5 days to promote anti-inflammatory effects. Results : The lesion was completely removed, and there were no adverse effects until the surgical site fully healed. Conclusions : Preoperative ultrasound examination allowed for the assessment of the size, location, and characteristics of the lesion. Moving forward, postoperative histological examination is essential for an accurate diagnosis.

Objectives : This report is intended to suggest that wart can be removed by LP-Nd:YAG laser treatment. Methods : At the first treatment, the following parameters were used: spot size, 3mm; pulse duration, 30ms; fluence, 198J/²; number of pulses, 1. However, at the second treatment, the parameters were increased as follows: spot size, 3mm; pulse duration, 30ms; fluence, 226J/cm²; number of pulses, 5. The progress was documented through photographs and observed via visual inspection. Results : There was no significant change in the wart after the first treatment; however, following the second treatment, the wart turned black and detached. As new tissue began to form, the wart naturally fell off. The condition remained stable without any recurrence, and there were no side effects observed throughout the treatment process. Conclusions : This study suggests that LP-Nd:YAG laser treatment can be effective for treating warts, highlighting the need to employ optimal parameters. We hope that various laser treatments will be considered at Korean Medicine clinics.

본 논문은 특발성 좌측 외전신경 마비로 내사시, 복시, 어지럼증, 오심 등의 증상을 호소하는 환자에게 2024년 4월 2일부터 2024년 8월 28일까지 상지대학교 부속한방병원 한방안이비인후피부과에서 한약 치료, 침 치료, 황련해독탕(黃連解毒湯) 약침 치료, 전침 치료, 부항 치료를 시행한 치험례이다. 본 증례의 환자는 처음 증상 발생 후 약 4주간 양방 치료를 받았으나 전혀 호전 반응을 보이지 않아 본원에 내원하였다. 본원 초진 시 좌측 안구의 외전 범위 1mm로, Scott and Kraft score -3에 해당하는 심한 외전신경 마비 상태였다. 3개월 간 한의 치료를 시행한 후 복시, 어지럼증, 오심, 안구 불편감의 네 가지 증상이 모두 VAS 0으로 호전되었고, 좌측 안구의 외전 범위도 정상 측 안구와 동일한 7mm로 회복되었다. 이는 향후 외전신경 마비에 대한 한의 치료의 근거로 활용될 수 있을 것으로 사료되어 보고하는 바이다.

Objectives : This study aims to report a case that tinnitus was improved by Korean Medicine Treatment, combined with Temporomandibular Joint Balancing Therapy (TBT). Methods : The patient was treated with herbal medicine (Oryeong-san gami, Hyungbangjihwang-tang gami), acupuncture, and Chuna manual therapy for four months. Additionally, TMJ balancing therapy was applied using an intraoral balancing appliance. Data were collected retrospectively. Results : Tinnitus was improved by Korean medicine treatment with TBT. Conclusions : Korean medicine treatment with TBT may be effective for tinnitus patient.