• Title/Summary/Keyword: 腎虛

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척담(滌痰).축어(逐瘀).고본치료효천적경험(固本治療哮喘的經驗) -척담(滌痰).축어(逐瘀).고본(固本)의 방법에 따른 천식에 관한 치험-

  • Hwang Geum-Seong
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.1
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    • pp.39-45
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    • 2001
  • 본 논문은 척담(滌痰) 축어(逐瘀) 고본(固本)의 방법으로 천식을 완화시킨 치험에 관한 내용이다. 천식의 병인병기는 폐(肺) 비(脾) 신(腎) 삼장(三臟)의 본허(本虛)로 인한 알레르기성 체질이 내적인 근본요인으로 간주된다. 담어복폐(談瘀伏肺)는 천식의 병리적인 결과로서 증상유발의 요인이기도 하다. 즉 담어(痰瘀)는 천식의 병리적인 부산물이며, 동시에 천식을 일으키는 치병요인이 된다. 담어(痰瘀)가 내복(內伏)하여 철저히 제거되지 않으면 천식은 결코 완치될 수 없다. 이와 같은 한의학적인 관점은 현대의학에서 천식을 기도의 만성 염증에 의하여 유발된 증상으로 파악하고 있는 기전과 일맥상통하다. 또한 담(痰) 어(瘀) 허(虛)는 천식의 병리변화 과정에서 전반적으로 영향을 미치고 있다는 인식이 지배적이며, 이는 천식치료를 위한 처방구성에 이론적 근거를 제시하고 있다. 치료: 천식은 발작기와 완화기로 분류하여 치료하며, 발작기는 냉효(冷哮)와 열효(熱哮)로 구분된다. 냉효(冷哮)의 경우 치료원칙은 온폐산한(溫肺散寒), 척담평천(滌痰平喘), 화어행체(化瘀行滯)를 기본으로 한다. 처방은 구마황(灸麻黃) 행인(杏仁) 황금(黃芩) 세신(細辛) 계지(桂枝) 오미자(五味子) 당귀(當歸) 울김(鬱金) 목단피(牧丹皮) 지룡(地龍) 정력자(?歷子) 담남성(膽南星) 황기(黃?) 감초(甘草) 등을 기본적으로 사용한다. 열효(熱哮)의 경우 치료원칙은 청열사폐(淸熱瀉肺) 척담평천(滌痰平喘), 화어행체(化瘀行滯)를 근본으로 삼고, 처방으로는 구마황(灸麻黃) 행인(杏仁) 황금(黃芩) 목단피(牧丹皮) 적작약(赤芍藥) 당귀(當歸) 정력자(?歷子) 담남성(膽南星) 지룡(地龍) 어성초(魚腥草) 포공영(蒲公英) 황기(黃?) 감초(甘草) 등을 기본적으로 사용한다. 완화단계도 역시 두가지 유형으로 나누어지는데, 폐신음허형(肺腎陰虛型)은 익기양음(益氣養陰) 척담행어(滌痰行瘀)를 치료원칙으로 하고, 처방에는 남북사삼(南北沙蔘) 구자울(灸紫?) 및 관동화(款冬花) 당귀(當歸) 목단피(牧丹皮) 울김(鬱金) 정력자(?歷子) 세신(細辛) 오미자(五味子) 구기자(枸杞子) 산수황육(山茱黃肉) 황기(黃?) 감초(甘草) 등을 기본적으로 사용한다. 비신양허형(脾腎陽虛型)은 온보비신(溫補脾腎) 화어척담(化瘀滌痰)을 원칙으로 하며, 처방에는 구마황( 灸麻黃) 세신(細辛) 오미자(五味子) 당귀(當歸) 단삼(丹蔘) 울김(鬱金) 정력자(?歷子) 반하(半夏) 보골지(補骨脂) 선령비(仙靈脾) 태자삼(太子蔘) 황기(黃?) 감초(甘草) 등을 기본적으로 사용한다. 치험(治驗): (1) 천식의 실증(實證)은 치료를 한 뒤 완화단계에 접어들면서 허증(虛證)으로 전화되는데, 허천(虛喘)도 역시 천식이니 만큼 단순히 보법(補法)만 사용하여서는 안된다. 시종일관 천식치료에는 척담화어(滌痰化瘀)의 원칙을 지켜야 한다. 폐내(肺內)의 담어(痰瘀)가 철저하게 제거되어야 폐(肺)의 순환기능을 개선시켜 기도(氣道)의 염증을 신속히 흡수하고 치유할 수 있다. 이와 같은 치료과정은 약 3-6개월이 필요하다. 완화단계의 기간이 길어질수록 완치될 확률도 높아진다. (2) 급성기 천식은 폐(肺)를 다스려야 한다. 폐(肺)를 다스리는 방법에는 선폐(宣肺), 청폐(淸肺), 온폐(溫肺), 윤폐(潤肺) 및 척담거어(滌痰祛瘀) 등이 있다. (3) 증상이 완화되면 신(腎)을 다스린다. 천식은 신허(腎虛)가 근본적인 원인이므로 완화단계에서 심지어 발작기에도 보신제(補腎劑)를 추가하여 사용하면 배의 효과를 얻을 수 있다. (4) 비(脾)의 기능을 강화하여 근본을 채우는 부비배본(扶脾培本)도 중요하다. 후천의 수곡정미(水穀精微)로 선천을 충족시키고 자양하는 것은 질병에 대한 저항력을 키우고 재발을 경감시키거나 방지하는 효과를 기대할 수 있으므로 역시 천식치료의 중요한 방법 중 하나이다.

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Systematic Review on Presbycusis Treated by Herbal Medicine Focusing on Kidney Deficiency (노인성 난청의 한약 치료에 대한 체계적 문헌고찰: 신허(腎虛)을 중점으로)

  • Lim, Hui-yeong;Jin, Han-Sol;Ko, Woo-Shin;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.4
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    • pp.49-70
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    • 2021
  • Objectives : This study was conducted to approve the effectiveness and safety of herbal medicine on presbycusis with kidney deficiency. Methods : We searched randomized controlled trials(RCTs) on presbycusis patients diagnosed with kidney deficiency through 10 electronic databases from the start to Sep 7, 2021. Study collection and data extraction, and evaluation of risk of bias were conducted by two independent collaborator. The evaluation of the risk of bias in included RCTs was carried out by using Cochrane risk-of-bias tool. And the data synthesis was conducted by using Review Manager(RevMan, ver.5.4). Results : 1. The treatment group which used herbal medicine(HM) alone was more effective than the control group which used only western medicine(WM) on effective rate of hearing loss. 2. In 3 studies comparing the HM-WM combination treatment group with the control groups using the same WM treatment, the effective rate was statistically significantly higher in the HM-WM combination treatment group. 3. Of the 5 studies that reported adverse reactions, one study reported mild nausea and dizziness, but the difference between the HM treatment group and the WM control group was not statistically significant, and no side effects occurred in other 3 studies. 4. In studies comparing HM and WM, the HM treatment group improved hearing loss, whole blood viscosity, serum TNF-𝛼, IL-1𝛽, IL-6, and oxidative stress indicators better than the WM control group, and there was no significant difference. 5. In studies comparing the HM-WM treatment group with the WM control group, the severity of tinnitus, quality of life, and feelings of anxiety and depression were better in the treatment group than the control group. Conclusions : This study shows that the herbal medicine can improve symptoms of presbycusis with kidney deficiency.

Syndrome Differentiation of Low Back Pain Presented in Uibujeonrok and Donguibogam in Korean Medicine (의부전록(醫部全錄)과 동의보감(東醫寶鑑)에 제시된 한의학적 요통(腰痛) 분류(分類)에 대한 소고(小考))

  • Lim, Hansol;Nam, Donghyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.3
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    • pp.173-184
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    • 2015
  • Objectives The purpose of this study is to understand formation courses of the ten types of LBP (十種腰痛) in Korean medicine through reviewing classic literatures. Methods We summarized sentences describing syndrome differentiation of LBP directly in Uibujeonrok (醫部全錄) and Donguibogam (東醫寶鑑), and then organized similarities and differences among diagnostic factors described in the classic literatures. Results In most of the classics LBP was classified according to the cause but the causes varied depending on the classic literatures. Cheonkeumbang (千金方) tried to suggest a reasonable classification of LBP in a relatively early age. In Dangyesimbeop (丹溪心法) the causes of LBP were divided into 6 factors; qi movement stagnation (氣鬱), dampness-heat (濕熱), kidney deficiency (腎虛), static blood (瘀血), sprain (挫閃) and phlegm accumulation (積痰). It had a lot of influence on the classic literatures published later. Donguibogam was also influenced by the Dangyesimbeop and the ten types of LBP in Donguibogam was similar to the information on the classification shown in Uihakipmun (醫學入門) and Uijongpildok (醫宗必讀). Conclusions We verified universality of the ten types of LBP; kidney deficiency, phlegm-retained fluid (痰飮), food accumulation (食積), sprain, static blood, wind (風), cold (寒), dampness (濕), dampness-heat and qi (氣).

Bibliographic Studies of Depilation (탈모(脫毛)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Jang, Hae-Young;Choi, Kwan-Ho;Kim, Sung-Hyun;Kwon, Ki-Rok;Kim, Byung-Woo
    • Journal of Pharmacopuncture
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    • v.5 no.2
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    • pp.92-108
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    • 2002
  • According to the bibliographic studies of Depilation, the following conditions were made after literary studies.; 1. According to the period, The depilation have been named variously, for example, Balta(髮墮), Balgu(髮去), Balrak(髮落), Mobal(毛拔), Yupung(油風), Dokchang(禿瘡), Guijidu(鬼?頭), Dokban(禿班), etc. 2. The cause of depilation was deficiency of kidney(腎虛), defciency of Qi of the lung(肺氣虛), excessive heat of blood system(血熱), deficiency of Qi and blood system(氣血虛), deficiency of blood system(血虛), and endogenouse cause of, etc. 3. The depilation is meaning fallen hair in head. There are multiform type in the symptoms of depilation; round shape, ellipse type & bald head. 4. The herbal treatment was used Yukmijihwaghwan(六味地黃丸), Palmihwan(八味丸), Singihwan(腎氣丸), Hwangigunjungtang(黃耆建中湯), Samultang(四物湯), ect. and external herbal reatment was Sineungyangjindan(神應養鎭丹), Bangpungtongsungsan(防風通聖散), ect.

The Oriental and Western Medical Study on Habitual Abortion (습관성유산(習慣性流産)에 대(對)한 동서의학적(東西醫學的) 고찰(考察))

  • Kim, Eun-Seop;Yoo, Dong-Youl
    • Journal of Haehwa Medicine
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    • v.18 no.2
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    • pp.95-104
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    • 2009
  • This study was carried out through the investigation of Oriental and Western medical literature and we was discovered these conclusions about the etiology, treatment, prescription of habitual abortion. The result of this study were as follows : 1. The habitual abortion does agree with 'Hwaltae(滑胎)' and means that spontaneous abortion repeats three times or more. 2. The etiology of habitual abortion is divided 'Deficiency of kidney'(腎虛), 'Deficiency of vital energy and blood'(氣血虛弱), 'Deficiency of yin'(陰虛), 'Clotted blood'(瘀血). 3. By means of cause, the treatment of habitual abortion was mainly made use of 'Tonifying kidney and promoting spleen'(補腎健脾), 'Invigorating vital energy and nourishing blood'(補氣補血), 'Supplementing yin fluid and alleviating fever'(滋陰淸熱), 'Resuscitating blood and removing clotted blood'(活血祛瘀). 4. By means of cause, the prescription of habitual abortion was frequent made use of Bosingochunghwan(補腎固沖丸), Bosingotae$\breve{u}$m(補腎固胎飮), Taesanbans$\breve{o}$ksan(泰山磐石散), $Ch\breve{o}ng\breve{u}mboinghwan$(千金保孕丸), Agyotang(阿膠湯), Gungguibojungtang(芎歸補中湯), Taewon$\breve{u}$m(胎元飮), Gotaej$\breve{o}$n(固胎煎), Baekchulj$\breve{o}$n(白朮煎), Sas$\breve{o}$ngsan(四聖散), Gyegibokryonghwan(桂枝茯苓丸), $Dangguich\breve{o}ng\breve{u}mtang$(當歸千金湯). 5. The Western medical etiology of habitual abortion(recurrent spontaneous early pregnancy loss) is divided Genetic factor(Chromosome aberration), Anatomical deformity, Endocrinologic disorder, Infection, Immunologic factor, Unknown factor(Others).

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A case study of three patients who have tinnitus that is diagnosed as weakness of the kidney, treated with Cervi Pantotricuhum Cornu hereat-acupunture (녹용약침(鹿茸藥鍼)요법을 겸한 신허이명환자(腎虛耳鳴患者) 3예(例)에 대한 임상적(臨床的) 고찰(考察))

  • Bae, Jin-Seok;Park, Yong-Ho;Kim, Dae-Su;Park, Su-Yeon;Kim, Jong-Han;Choi, Jung-Hwa;Yu, Mi-Kyoung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.249-255
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    • 2006
  • Object : The tinnitus is a very common otorhinolaryngologic disease. But, we don't know the exact cause and the healing method of that. Treatment : We have three cases report of the patients who have tinnitus. Their tinnitus is diagnosed weakness of the kidney because of chronic symptoms, the Cheek pulse weakening, the whole body weakness, fatigue. So we treat them with herbal medicine and Cervi Pantotricuhum Cornu herbal-acupunture. Result : In the result, their symptoms is reduced. So we report these cases for the improvement of tinnitus treatment efficacy and making the best use of Cervi Pantotricuhum Cornu herbal-acupunture.

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A Case Report on Four Pregnancies of Subfertile Patients with Low Anti-Müllerian Hormone (AMH) Level after Korean Medical Treatments (혈중 항뮬러관호르몬 저하를 진단 받은 난임 환자의 한방치료 후 임신 4례)

  • Moon, Hyon-Ju;Cho, Hyun-Ju
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.2
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    • pp.174-182
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    • 2015
  • Objectives : AMH (Anti-Müllerian Hormone) is considered a sensitive marker of ovarian reserve, and it tends to be included among basic fertility tests. This paper is to report four pregnancies which were achieved by subfertile women with low AMH level after Korean medical treatments. Methods : Four cases of pregnancy by subfertile women, aged 34 to 37, with low AMH level (0.04 to 0.76 ng/mL), after Korean medical treatments between July 2012 and May 2015, were analysed. The patients were diagnosed as Kidney deficiency (腎虛), Blood extravasation (瘀血) and/or Liver Qi stagnation (肝氣 鬱結). Herbal medicine, acupuncture, pharmacopuncture and moxibustion treatments were applied. Results : The four subfertile women with low AMH level achieved pregnancy after Korean medical treatments. Conclusions : The case report suggests that Korean medical treatment can be an effective option for subfertile women with low AMH level before Assisted Reproductive Technology.

The Study of Deficiency of the Kidney-Eum Nourishing Therapy by Methodology of Oriental Medicine Music Therapy (한방음악치료(韓方音樂治療)의 기전(機轉)에 따른 치료법(治療法) 연구(硏究) - 신허자음음악요법(腎虛滋陰音樂療法)을 중심(中心)으로 -)

  • Lee, Seung-Hyun
    • Journal of Korean Medical classics
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    • v.23 no.1
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    • pp.91-100
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    • 2010
  • In this study, I investigated physiology and pathology of the kidney and then researched deficiency of the kidney-nourishing the Eum music therapy to apply for clinical use, because symptoms such as chronic fatigue, morbus asthenia, anxiety, dizziness, tinnitus, and amnesia are prevalent in our modern societies. These symptoms are due to deficiency of the kidney. The kidney stores vital essence and has a function to keep activities as motive power. If the kidney is abnormal in storing the essence and holding Gi, various symptoms like dizziness, tinnitus, amnesia are caused by deficiency of the kidney. In deficiency of the kidney-nourishing the Eum music therapy, Water-Gi music which can store the essence is mainly used. In case of patients with deficiency of the kidney, dizziness, tinnitus, and amnesia, we can make use of NO.3, BWV 1068, Air of J.S.Bach and Jinyangjo of Geomungo. If there are flaring-up and fidgetiness due to deficiency of vital essence, Earth-Gi music that can help the vigor of spleen and stomach should be used prior to Water-Gi music. In the concrete, Hahyeondodeuri of Yeongsanhoesang played on Geomungo can be used. The tinnitus is caused by wind-heat and fire in the gallbladder. It is good to nourish the Eum through Water-Gi music after dispelling pathogens through Jajinmori among Gayageum sanjo.

Differences in electric potential of meridian system -Comparing electrical potentials of patients with Lumbago due to the kidney deficiency- (신허요통 환자의 12 경맥 전위측정 연구)

  • Nam, Bong-Hyun;Choi, Hwan-Soo
    • Korean Journal of Oriental Medicine
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    • v.9 no.1
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    • pp.103-111
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    • 2003
  • Objectives : Assuming that the characteristic of meridian system has been similar to this of electric potentials in human body and that measurements of electric potential at well(井穴) and sea(合穴) points in branches of the twelve meridians(WSBTM) will be representative of measurements of the twelve meridians, to measure the electric potentials of 16 patients with Lumbago due to the kidney deficiency(腎虛腰痛, LKD), to find out the characteristic of meridian system in patients with LKD. Methods : Electric potentials of welt and sea points in the meridians in twenty one patients with the pain in the lion diagnosed as LKD were repeatedly measured by physiograph(PowerLab). Measurements of those electrical potentials were analyzed by factor analysis. Results : The electric potentials of WSBTM at the left side were divided into five factors. On the other hand those at the right side Were divided into t1vee factors. Conclusions : In conclusion, their electrical potentials at the left and right side were four different factors search side. Thus electrical potentials of welt and sea points might be the representative meridian to show their characteristics.

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A Study on Effect of Sutaehwan for treatment of Abortus habitualis (활태(滑胎)의 치료(治療)에 사용(使用)된 수태환(壽胎丸)의 효능(效能)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Choi, Jin-gyung;Yoo, Dong youl
    • Journal of Haehwa Medicine
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    • v.10 no.1
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    • pp.93-108
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    • 2001
  • The purpose of this research was to investigate the effects of Sutaehwan(壽胎丸) for treatment Abortus habitualis(滑胎). I came to conculsion after considering literatures of every generation on the effects of Sutaehwan and then came to get some conclusion as follows. 1. Sutaehwan(壽胎丸) was designed to prescribe for treatment of Abortus habitualis(滑胎) 2. Sutaehwan(壽胎丸) was made use of Fetal Restlessness(胎動不安) caused by Kidney Deficiency(腎虛). 3. Sutaehwan(壽胎丸) was always used by the origin prescription itself, also used the modified prescription and the additional prescription. 4. Sutaehwan(壽胎丸) is the best quality prescription for treatment Abortus habitualis(滑胎) that due to Deficiency of Liver-Kidney Essence. Sutaehwan(壽胎丸) contains four specific herbs like Dodder Seed(兎絲子), Taxillus Twig(桑寄生), Himalayan Teasel Root(續斷), Donkey-hide Gelatin(阿膠). Dodder Seed(兎絲子) is effective the Tonifying Kidney, the Invigorating Yang and the Supplementing Essence. Taxillus Twig(桑寄生) is effective the Nourishing Blood and the Tonifying Kidney. Himalayan Teasel Root(續斷) is effective the Tonifying Liver-Kidney and the Regulation Blood. Donkey-hide Gelatin(阿膠) is effective the Tonifying Liver Blood, the Arresting Bleeding and the Supplementing Kidney Yin Fluid.

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