• 제목/요약/키워드: 내과병증(內科病證)

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당뇨병성 말초신경병증에 병발한 항암화학요법 유발 신경병증의 침구치료 1례 (Case Report: Korean Medicine Treatment for Diabetic Peripheral Neuropathy Concurrent with Chemotherapy-Induced Peripheral Neuropathy)

  • 박지윤;김예슬;홍정화;이영주;석은주;안립
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.222-230
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    • 2023
  • Objectives: This study reports the effectiveness of acupuncture and moxibustion for Diabetic Peripheral Neuropathy concurrent with Chemotherapy-Induced Peripheral Neuropathy. Case presentation: A 58-year-old male was admitted for hand numbness and foot pain after his sixth chemotherapy. He was treated with acupuncture and moxibustion for 18 days. Symptoms were evaluated with a numeric rating scale (NRS). After 18 days of treatment, his foot pain improved from NRS 4 to NRS 2. His hand numbness disappeared. Conclusion: This study suggests that acupuncture and moxibustion can be used for managing diabetic peripheral neuropathy concurrent with chemotherapy-induced peripheral neuropathy.

내병외치약물(內病外治藥物)의 효능에 관한 소고(小考) -관우내병외치약물지공효적소고(关于内病外治药物之功效的小考)

  • 이석재
    • 대한한의학원전학회지
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    • 제21권4호
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    • pp.85-96
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    • 2008
  • 內病外治跟一般的外治有所不同, 通过外治疗法治疗內病. 一般內治的藥物通过胃肠管吸收, 但外治疗法的治疗途徑有各种各樣. 被皮肤吸收之后通过经络传導或者通过鼻腔, 口腔, 眼部, 肺, 器官支, 肛门等各组织器官的粘膜而被吸收. 外治疗法的治疗方法多樣而且适应症广泛禁止事项少负作用可以說微乎其微可以安全使用. 爲了了解像这樣的外治方法利用藥物使用在各种內科病證時的效能跟內服時有多大差异,以本草關聯书籍爲主进行了基础性的工作. 综合上述可知,使用在咳嗽的藥物作用在肺而産生止咳效果,使用在水翷, 淋证, 癃閉的藥物有利水,利尿的功效,使用在腰痛的藥物有祛风寒濕和止痛的功效,使用在痹症和痿证的藥物有祛风寒濕和利關节的效果. 这坚定了使用在外治的藥物效能沒有超出內治時的效能范围. 但是像呃逆一樣,也有与藥效沒有關系利用外治的方法來治病的情况.

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항암화학요법으로 유발된 만성 말초신경병증 환자의 한의학적 치험 1례 : 2년 이상 지속된 항암화학요법 유발 말초신경병증 치험 (A Case Report of Chronic Chemotherapy-Induced Peripheral Neuropathy Treated by Korean Traditional Medicine)

  • 안유민;이유나;백경민;장우석
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.892-901
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    • 2020
  • Objective: This study reports the effect of Korean traditional medicine on persistent chemotherapy-induced peripheral neuropathy (CIPN). Methods: The patient was treated with Korean traditional medicine that included acupuncture, moxibustion, and herbal medicine. The effectiveness of the treatment was evaluated by the Quality of Life Questionnaire-Core 30 (QLQ-C30), the Quality of Life Questionnaire Chemotherapy-Induced Peripheral Neuropathy (QLQ-CIPN20), the Medicinae Doctor Anderson Symptom Inventory (MDASI), and a numeral rating scale (NRS). We also used the Beck Depression Inventory (BDI) to evaluate the patient's mood change after relieving the paresthesia. Results: After treatment, the symptoms were improved. Paresthesia decreased 80%p after Korean medicine treatment. Conclusions: According to this study, Korean traditional medicine can be an effective treatment for paresthesia in patients suffering from CIPN over 2 years.

귀비탕가미방으로 호전된 항암화학요법 유발 말초신경병증 치험 1례 (A Case Report of Chemotherapy-Induced Peripheral Neuropathy Treated with Modified Guibi-tang)

  • 박수빈;윤지현;김은혜;윤성우
    • 대한한방내과학회지
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    • 제43권3호
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    • pp.451-459
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    • 2022
  • Objective: The purpose of this study was to report the effectiveness of modified Guibi-tang in a patient suffering from chemotherapy-induced peripheral neuropathy (CIPN). Methods: A 54-year-old Korean female patient diagnosed with recurrent ovarian cancer had CIPN with other symptoms, such as anorexia, dyspepsia, insomnia, etc. She was diagnosed with Simbiyangheo and hence treated with a modified Guibi-tang. Neuropathic symptoms were assessed using a numerical rating scale (NRS) and a sensory score. Quality of life was assessed using the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group Neurotoxicity (FACT/GOG-Ntx). Results: After 14 days of treatment, the patients showed a decrease in NRS for bilateral limb pain and improvement in other symptoms, such as general weakness, insomnia, dizziness, and headache. Quality of life also increased. Conclusion: Modified Guibi-tang may be considered an optional treatment for CIPN if the patient is diagnosed with Simbiyangheo. Further studies are needed to confirm this finding.

봉약침 치료를 중심으로 한 한방 복합치료로 호전된 당뇨병성 신경병증 환자 1례 (A Case Report on Diabetic Neuropathy Treated with Bee Venom Acupuncture and Combined Korean Medicine)

  • 전규리;임태빈;황예채;최정우;박성욱;박정미;고창남;조승연
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.958-966
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    • 2021
  • Objective: This study investigated the effectiveness of bee venom acupuncture for a diabetic neuropathy patient. Methods: A diabetic neuropathy patient received twenty-one bee venom acupuncture treatments for a total of 99 days. The Neuropathy Pain Scale (NPS) was used to evaluate the weekly peak pain during the treatment period. Results: After the treatments, the NPS scores improved, and the frequencies of peak pain decreased. Conclusions: This clinical case indicates that bee venom acupuncture combined with Korean medicine may be effective for treating diabetic neuropathy patients.

항암화학요법 유발 말초신경병증의 한의학적 치료에 대한 국내 연구동향 고찰 (A Review of Domestic Research on Traditional Korean Medicine for Chemotherapy-Induced Peripheral Neuropathy)

  • 최수현;윤채림;정나현;정다희;심유현;정해인;하나연;김진성
    • 대한한방내과학회지
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    • 제45권3호
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    • pp.358-380
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    • 2024
  • Objectives: This study was performed to research Korean medical treatment methods for chemotherapy-induced peripheral neuropathy by summarizing domestic studies. Methods: All domestic research papers on the Korean medical treatment of chemotherapy-induced peripheral neuropathy were selected from the literature published until April 2024 in four domestic databases. In total, 26 domestic papers were selected. Results: Eighteen clinical studies and eight experimental studies were published by April 2024. Most of the studied patients were in their fifties, and 93.4% of the subjects were women. Uchashinki-hwan (牛車腎氣丸) was the most frequently prescribed herbal formula, and Rehmanniae Radix Preparata was the most commonly used herb. All studies showed significant effects of Korean medical treatment, and any adverse events were not reported. Conclusion: This study included all domestic research papers on chemotherapy-induced peripheral neuropathy to identify research trends in the Korean medicine community. Based on this, it is meaningful to confirm areas that need to be supplemented in future research plans. However, large-scale studies are needed.

우측 상지 소력감을 주소로 하는 특발성 다발신경병증 남환 치험 1례 (A Case of Idiopathic Polyneuropathy with Right Upper Limb Weakness)

  • 이상화;신희연;이형민;정혜선;조승연;박성욱;박정미;고창남;양승보
    • 대한중풍순환신경학회지
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    • 제19권1호
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    • pp.55-62
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    • 2018
  • A patient with right upper limb weakness was diagnosed with idiopathic polyneuropathy and received a series of Korean Medicine including acupuncture, electroacupuncture, bee venom acupuncture, and administration of herbal medicine BacJung-hwan for 17 days of hospitalization period. The progression of the weakness was measured by Hand grip tester, neuralgia and numbness were measured by the NRS(Numerical Rating Scale) scores. After treatment, the right grip strength improved from 12kg to 35kg and the right upper limb neuralgia of the NRS5 was improved to NRS2. The present case study suggests that the potential effects of Korean Medicine treatment for idiopathic polyneuropathy.

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당뇨환자의 신경병증 통증과 혈당조절정도 및 자가관리간의 관계 (The Relationship between Neuropathic Pain and Glycemic Control, Self Management in Type II Diabetes Mellitus Patients)

  • 서영미;최원희
    • 한국산학기술학회논문지
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    • 제14권4호
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    • pp.1774-1780
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    • 2013
  • 본 연구는 당뇨 환자를 대상으로 신경병증 통증과 혈당조절정도 및 자가관리간의 관계를 파악하는 서술적 상관관계 연구이다. 자료는 일 대학교 병원의 내분비 내과에서 2011년 5월 10일부터 5월 31일까지 당뇨로 방문한 환자 중 연구기준에 적합한 108명을 대상으로 자가보고식 설문지와 의무기록을 이용하여 수집되었다. 자료분석은 SPSS WIN 18.0을 이용하여 서술통계와 Pearson's correlation coefficient를 실시하였다. 연구 결과 당뇨환자의 통증은 $9.3{\pm}0.4$점이었으며 당화혈색소 수치는 7.5% 이상인 군이 33.3%를 차지하였고 자가관리는 $5.40{\pm}0.76$점이었다. 당뇨환자의 신경병증 통증은 혈당조절 정도가 양호할수록(r=.18, p=.035), 자가관리 수행정도가 높을수록(r=-.19, p=.023) 적었다. 결론적으로 당뇨환자의 신경병증 통증을 조절하기 위하여 보다 엄격한 혈당관리와 자가관리를 향상시키는 노력이 필요하다.