• Title/Summary/Keyword: 偏頭痛

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A Comparison of Three Constitution Types of Korean Hand Therapy (Seogeum Therapy) for Migraine Care (편두통환자와 건강인의 삼일체형 분류 비고)

  • Kim, Young-Hae;Lee, Nae-Young;Kang, Youn-Whang
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.135-140
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    • 2009
  • Purpose: This study examines the relationship between the occurrence of migraine headaches and three constitution types of Korean Hand Therapy (Seogeum Therapy). Methods: A total of 684 subjects comprised the study data: 500 healthy individuals and 184 migraine sufferers. The data were analyzed according to three constitution types of Seogeum Therapy. The subjects were classified according to their constitution types and body sides. Results: There were significant differences between the three types. Among the healthy group, the Yang Type and Shin Type Constitutions were more predominant than the Eum Type; the Yang and Shin Types were also more predominant than Eum Type with respect to both sides of the body. Among the migraine sufferers, the Eum Type Constitution was more predominant than the Eum Type; the Eum Type was also more predominant than the other types with respect to both sides of the body. Conclusions: These results suggest that the Eum Type Constitution might be associated with migraine headaches.

Clinical Characteristics of Headache in Orofacial Pain Patients (구강안면통증 환자에서의 두통 양상의 분류)

  • Kang, Jin-Kyu;Ryu, Ji-Won;Kim, Seong-Taek;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.31 no.4
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    • pp.355-364
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    • 2006
  • Headache is a common disease which influences not only individually but also socially. Temporomandibular disorders(TMD) refers to pain and dysfunction within the temporomandibular joint(TMJ) and associated muscles. TMD is presented commonly, and 70% of population are found to have one or more related symptom. A number of studies have been conducted to verify the association between headache and TMD, and some authors have proposed that headache and TMD may be related. In this study, we studied the patterns of headache presented by the patients who visited the TMJ and Orofacial pain clinic. Among the patients participated in this study, tension type headache showed the highest prevalence(48.5%), followed by migraine without aura(15.0%), probable migraine(10.6%), migraine with aura(7.1%), probable tension type headache(4.8%), and other primary headaches(1.8%). The high prevalence of tension type headache may be due to the accompaniment of orofacial pain by pericranial muscle tenderness. Comparison of sex showed that the rate of migraine was higher in female than male(female to male ratio 35.8:25.3). In age analysis, the rate of migraine was high in the twenties(42.2%) and the thirties(40.0%). As the age increased, the rate of migraine decreased, and this trend was in accordance with the previous studies. The percentage of the patients who had previously received treatment was only 26.2%, and that of those who were aware of the diagnosis was merely 8.7%. Therefore, it is not common for headache patients to get treatment, however, since orofacial pain is often accompanied by headache, more systematic diagnosis as well as precise treatment would be necessary. Moreover, since TMD could induce and aggravate headache, proper evaluation and management of TMD would be essential for diagnosis and treatment of headache. In the future, more systematic and broad investigation on the influence of causative factors of TMD on headache as well as the change in headache pattern with the treatment of TMD would be required.

Treatment of the Headache (두통의 치료)

  • Chung, Kyung-Cheon
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.263-273
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    • 1999
  • Headache is a symptom with varied etiologies and extraordinarily frequent. Headaches can be a symptom of another diseases, such as meningitis, subarachnoid hemorrhage or brain tumor, may represent the disease entity itself as the case in migraine. The international Headache Society criteria were the first to distinguish between primary and secondary headache disorders. When evaluating a patient who presents with headache, the physician abviously needs to identify or exclude the myriad conditions that can cause secondary headache and initial diagnostic workup should be considered. If patient meets the criteria for a primary headache disorder, treatment commonly initiated without additional neurodiagnostic tests. The headache type, its associated feature, and the duration and the intensity of the pain attack all can influence the choice of acute therapy in migraine. Pharmacologically, such as NSAIDs, combination analgesics, vasoactive antimigraineous drugs, neuroleptics, antidepressants, or corticosteroids. Other approches to managing headache include a headache diary to identify triggers, biofeedback, relaxation technique and behavioral modification. Daily preventive medication should be considered by his attack frequency and intensity, and maintained for 4 to 6 months. Tension-type headaches are distinguished between episodic and chronic tension-type headache, but physician must make sure that patient is not drug-overuse or independent during symptomatic abortive therapy or preventive medication. The most difficult headache patients to treat are those with chronic daily headache. They often have physical dependency, low frustration tolerance, sleep problems, and depression. So discontinuation of overused medication is crucial. New developments in migraine therapy are broadening the scope of abortive and prophylactic treatment choices available to the physician. The enhanced ease of the use of sumatriptan and DHE will likely increase patient compliance and satisfaction.

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A clinical study of Banhabaekchulcheonmatang(半夏白朮天麻湯) on a patient with headache due to retention of phlegm (반하백출천마탕(半夏白朮天麻湯)과 그 변방(變方)으로 담궐두통(痰厥頭痛) 재발 환자를 치료한 치험례(治驗例))

  • Seo, Bu-Il
    • The Korea Journal of Herbology
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    • v.22 no.2
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    • pp.79-82
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    • 2007
  • A headache due to retention of phlegm has vomitting, dizziness, nausea, etc. A headache due to retention of phlegm mainly was occurred by insufficiency of the spleen and stomach. Banhabaekchulcheonmatang(半夏白朮天麻湯) has effects of strengthening the spleen and reducing phlegm and calming the endopathic Wind relieving fainting. I prescribed the Banhabaekchulcheonmatang(半夏白朮天麻湯) to a patient with headache due to retention of phlegm. After taking these medicines, the patient was cured.

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조구등(Uncaria Hooks)의 성분에 관한 연구

  • 박만기;박정일;김종문;한방희
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1993.04a
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    • pp.47-47
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    • 1993
  • 조구등(Uncaria Hooks)은 한방에서 고혈압, 동맥경화 및 편두통의 치료제로 널리 사용되는 셍약이다. 한방에서 조구등은 오래 달이면 약효가 감소하고 약 15분 정도 달이는 것이 가장 약효가 강하다고 알려져 있다. 본 연구는 이러한 조구등의 수치에 환한 연구의 일환으로 조구등으로부터 혈압 강하 성분을 관리하고 이들 성분이 생약을 달이는 과정에서 어떻게 변화하는지를 알아보고자 하였다.

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A Case of Strabismus of Recurrent Abducent Nerve Palsy with Migraine (편두통을 동반한 재발성 외전신경마비 사시환자 1례)

  • Cho, Jae-Hun;Kim, Yoon-Bum;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.2
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    • pp.112-117
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    • 2001
  • Authors experienced one case of the strabismus of recurrent abducent nerve palsy with migraine, which was estimated from Brain MRA images to be induced by the sclerotic changes of internal carotid artery in carvernous portion. Headache, double vision, vertigo and corneal reflex improved under the treatment of acupuncture and herbal medicine(J eongyongtang-gagambang).

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Review of Clinical Research on Herbal Medicine Treatment of Migraine (편두통 환자의 한약치료 임상연구에 대한 고찰)

  • Lee, Su-yeong;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.550-569
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    • 2018
  • Objectives: The purpose of this study was to investigate the effects of herbal medicine treatment for patients with migraine and to suggest research methods for herbal medicine treatment on migraine. Methods: In this study, a search was conducted through several academic sites using a combination of terms '편두통', 'Migraine', '한약', '한약치료', 'Herbal medicine', 'Herbal medicines', 'Herb', 'Traditional Chinese Medicine', and 'TCM'. Randomized controlled trials using herbal medicine treatments for adult patients with migraine were selected. Results: Ultimately, 46 papers were selected and analyzed. A statistically significant improvement was noted in the treatment group in terms of clinical migraine symptoms and other migraine evaluation tools before and after the herbal medicine treatment. Herbal medicines were administered in decoction, pill, and granule formulations. Many kinds of medicinal herbs, such as 解表藥類, 補益藥類, 淸熱藥類, 活血祛瘀藥類, and 平肝藥類, have been used for migraine. Among them, 川芎, belonging to 活血祛瘀藥類, is mentioned 36 times and is the most frequently used medicine. Herbal medicine was used safely for migraine treatment, without major adverse reactions, and the recurrence rate was significantly lower in the treatment group than in the control group. Conclusions: In conclusion, the herbal medicine treatment for patients with migraine showed a statistically significant improvement in 46 papers. Future studies should utilize standardized and objective evaluation tools, along with appropriate experimental design. The relevant articles should be increased to a significant level to verify the effect of herbal medicine treatments on migraine.

Two Cases Report of the Patients with Left Migraine Improved with Zhuapiandutongbang (좌편두통방으로 호전된 좌측 편두통 환자 치험 2례)

  • Sun, Seung-Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1594-1599
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    • 2008
  • Migraine is a very common unilateral and throbbing headache, and a chronic relapsing and remitting disorder characterised by neurological, gastrointestinal, and autonomic changes. It has a high prevalence, often recurs at the time of being in full activity of life, and has a serious impact on patients personally and socially. So we need to develop a oriental medicine for migraine. I have treated two migraine patients using Zhuapiandutongbang (Zuopiantoutongfang) of Dongyibogam. The impression of first case is migraine with aura, and that of second case is probable migraine. We just give Zhuapiandutongbang (Zuopiantoutongfang)'s medicine to two patients, but don't apply acupucture and anything to treat. We reported that Zhuapiandutongbang (Zuopiantoutongfang) has a good effect on not only the improvement of symptoms but also the prevention of relapse.

Functional Neuroimaging in Migraine (편두통의 기능적 뇌영상)

  • Kim, Ji Hyun
    • Annals of Clinical Neurophysiology
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    • v.10 no.1
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    • pp.13-24
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    • 2008
  • Functional neuroimaging, especially positron emission tomography (PET) and functional magnetic resonance imaging (MRI), is the main tool that allows the unveiling of the neurovascular events during a migraine attack. In migraine with aura, functional neuroimaging has contributed greatly to the understanding of the fundamental pathophysiology of the visual aura, whereas in migraine without aura, the PET findings of brainstem activation suggest a pivotal role of brainstem in the generation of migraine headache. In addition, voxel-based morphometry (VBM) method has provided an insight into the morphometric changes of the brain, which might be considered as a consequence of repeated migraine attacks. In this article, I will briefly discuss the main neuroimaging findings pertaining to the pathophysiology of migraine.

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A Case Report of a Chronic Migraine Patient Who Did Not Respond to Triptan (트립탄 계열 약물에 반응하지 않는 만성 편두통 환자 치험 1례)

  • Kim, Cheol-hyun;Moon, Yeon-ju;Chu, Hong-min;Yang, Mu-hack
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.154-158
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    • 2018
  • Introduction: This case report assessed the effects of Korean medicine treatments on a chronic migraine patient who did not respond to triptan. Case Presentation: The patient received Korean medicine treatments, such as acupuncture, moxibustion, cupping, and herbal medication, during a hospitalization period. The effects of treatments were assessed with the Numerical Rating Scale (NRS) and migraine attack frequency. The intensity and attack frequency of migraines were significantly reduced after the complete treatment. Conclusions: For migraines, Korean medicine such as acupuncture and herbal medication could be an alternative to conventional therapy.