• Title/Summary/Keyword: 다한증

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A Case Report of Hyperhidrosis treated by Oryeong-san based on Shanghanlun Provisions (『상한론(傷寒論)』변병진단체계(辨病診斷體系)에 근거하여 오령산(五苓散) 투여 후 호전된 다한증 증례 1례)

  • Park, Seo-Yeon
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.133-142
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    • 2018
  • Objective : The purpose of this paper is to report the improvement of patient with hyperhidrosis treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient was diagnosed with Taeyang-byung Kyeolhyung number 156 provision, and took Oryeong-san herb medication 15days. The result of administration was evaluated by Hyperhidrosis Disease Severity Scale (HDSS) and Visual Analog Scale (VAS). Results : After administration of Oryeong-san 15days, based on 156 provision of Oryeong-san seclected according to Shanghanlun provisions, Hyperhidrosis Disease Severity Scale (HDSS) was decreased from 4 to 2 and Visual Analog Scale (VAS) was decreased from 10 to 2. Conclusions : The patient's hyperhidrosis improved. This case report suggests that the word '遂' on the 153-156 provisions of Shanghanlun be a direct emotional cause of hyperhidrosis in this case.

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A Review of Korean Medicine Treatment for Hyperhidrosis (다한증의 한의학적 변증 및 치료에 대한 국내 임상 논문 고찰)

  • Lee, Shin Hee;Baek, Jung Han
    • The Journal of Pediatrics of Korean Medicine
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    • v.33 no.3
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    • pp.42-55
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    • 2019
  • Objectives The purpose of this study is to figure out the tendency of the commonly-used-pattern-identification and treatment for Hyperhidrosis by reviewing Korean clinical studies. Methods 18 articles which were published from August, 2004 to December, 2018. were obtained from the National discovery for science leader (NDSL), Research information sharing service (RISS), and Oriental medicine advanced searching integrated system (OASIS) by using keyword 'hyperhidrosis'. Results The most commonly-used-pattern-identification were the patterns with 'Heart' and 'Spleen-stomach'. Hyungbangsabaek-san and Taeeumjowi-tang were the most frequently used herbal medicine. The most common acupoints was LI4. The most common method of assessment was VAS. Conclusions This study identifies the most common pattern identification and treatment for hyperhidrosis. Developing systematic standards of pattern identification and treatment can be possible with further studies.

Two Cases of Hyperhidrosis treated by Gyejigajagyak-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 계지가작약탕(桂枝加芍藥湯) 투여 후 호전된 일차성 다한증 증례 2례)

  • Heo, Joo;Lim, Eun-kyo
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.113-125
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    • 2020
  • Objective: This study aimed to report the improvement of patients with hyperhidrosis treated using Gyejigajagyak-tang based on the Shanghanlun provisions. Methods: Two patients were diagnosed with Greater-yin disease based on the 279th provision of Shanghanlun, and Gyejigajagyak-tang was used to treat hyperhidrosis. The result was evaluated using the Hyperhidrosis Disease Severity Scale and Visual Analogue Scale. Results: An analysis of results of the two cases showed that the patients' conditions had improved. The amount of sweat produced was decreased in both cases. Conclusions: These results suggest that the medicines defined in Shanghanlun are clinically effective when Shanghanlun is properly interpreted, considering the origins of the Chinese characters in the text, and the Shanghanlun disease pattern identification diagnostic system is applied.

A Case of Soyangin Daylong Generalized Primary Hyperhidrosis (종일 지속되는 소양인 원발성 전신 다한증의 치험 1례)

  • Soo Yeon Chae;Seong-Sik Park
    • Journal of Sasang Constitutional Medicine
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    • v.35 no.4
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    • pp.65-71
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    • 2023
  • Objectives This case study aimed to report the improvement of stress-induced generalized primary hyperhidrosis of Soyangin patient. Methods Soyangin patient suffering from daylong generalized primary hyperhidrosis was treated with acupuncture, psychological counseling, and herbal medicine. The severity of hyperhidrosis was measured using Visual Analog Scale (VAS). Results & Conclusions After treatment with Tae-Geuk acupuncture, Dojeokganggi-tang, and psychological counseling, the VAS score of hyperhidrosis was reduced from 10 to 2 during three days of admission. Herbal medicine was prescribed for 30 more days after discharge. The relieved state was maintained when monitored after two months. This case report proposes the potential of Sasang constitutional medicine for stress-induced generalized primary hyperhidrosis.

The Heart Rate and ECG Changes after Endoscopic Thoracic Sympathectomy in Patients with Primary Hyperhidrosis (원발성 다한증 환자에서 흉부 교감 신경 차단술 후의 심박동수 및 심전도 변화)

  • Kim, Jae-Jun;Kim, Young-Du;Park, Chan-Beom;Moon, Seok-Whan;Cho, Deog-Gon;Sa, Young-Jo;Seo, Jong-Hee;Kim, Chi-Kyeong
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.214-219
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    • 2009
  • Background: Primary focal hyperhidrosis is characterized by overactivity of the sympathetic nervous function, and this has been effectively treated with endoscopic thoracic sympathetic denervation (ESD). The imbalance of sympathetic and parasympathetic nervous system that's created by ESD may affect the heart, lung and other thoracic organs. We analyzed the heart rate and ECG changes after performing ESD at our hospital, and this is the first such study that has been conducted on this. Material and Method: Of the 263 patients who underwent ESD between October 1996 and October 2006, 130 had ECG before and after ESD, and they were classified into 3 groups according to the level of ESD: Group I (n=40) patients underwent ESD at the 2nd rib (T2ESD), Group II (n=80) at the 3rd rib (T3ESD) and Group III (n=10) at the 4th rib (T4ESD). Result: There was no mortality or major morbidity. Heart rate (HR) was significantly decreased from $71.6{\pm}10.6/min\;to\;66.8{\pm}10.2/min$ after ESD (p<0.01); however, the PR (from $148.6{\pm}21.2$ msec to $152.8{\pm}20.5$ msec) and QTc (from $399.2{\pm}15.4$ msec to $404.0{\pm}15.1$ msec) intervals were significantly increased after ESD in the patients who suffered with primary hyperhidrosis (p<0.01). According to the level of ESD, there were significant changes in the HR and QTc interval in group I (T2ESD), the HR and PR interval in group II and the QTc interval in Group III. Conclusion: There were significant changes in the heart rate and ECG findings after ESD. The thoracic sympathetic denervation of T2, T3 and T4 affected the electrical activity of the heart at the resting state.

Assessment of Natural Environment - II. Based on the Plant Taxa of the Natural Parks and Ulleung island- (자연환경 평가 -II. 국내 자연공원과 울릉도의 식물군을 이용하여-)

  • 김철환;이희천
    • Korean Journal of Environmental Biology
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    • v.19 no.1
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    • pp.49-58
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    • 2001
  • This study aims to compare and analyze the environment of natural parks and Ulleung island using the plant taxa classified by five degrees based on their distributional ranges. The scores differentially given based on the importance of each degree; taxa belonging to the fifth degree are given to 20 scores each, fourth 10, third 5, second 3.3, and first 2.5, respectively. The total assessed scores were ranked as Mt. Halla, Seorak, Jiri, Deokyu, Is. Ulleung, Mt. Sobaek, Odae, Palgong, Chink, Taebaek, Songni, Juwang, Gaya, Duryun, Gaeryong, Bukhan, Naebyeon, Worak, Naejang, Cheongryang, Naeyeon, Myeongii, Jokye, Mudeung, Wolchul, Geumo, Juheul, Biseul, Hwangmae, Jangan, Seonun, Moak, Seonam, Chilgap, and Gibaek, in order, respectively. It is suggested that the natural environments assessing more than 1,000 of total scores such as Mt. Halla and Mt. Deokyu are regarded as the most excellent ones, and those between 700 to 1,000 of total scores such as Is. Ulleung and Mt. Odae are regarded as relatively excellent ones. Natural parks scored between 500 to 700 such as Mt. Palgong and Mt. Gaya are regarded as good ones and parks scored between 300 to 500 such as Mt. Duryun and Mt. Mudeung are regarded as normal ones. The area assessed less than 300 of total scores such as Mt. Wolchul and Mt. Gibaek are regarded as the most inferior ones. The total scores of the national parks are generally higher than those of the provincial and county parks. In addition, Ulleung island has a total of 882.9 scores. Therefore, according to the IUCN the Ulleung island should be included in the criterion of the preservative model of natural ecosystem, suggested by Ministry of Environment. At the same time, Ulleung island should be included to the superior model of natural scenery resources by its uniqueness of topography, geography and natural environments. Ulleung island is assessed as having relatively excellent natural environments as compared with other national parks, suggesting that the island should be designated as a new national park.

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A Study on the Nutrition Contents and Blood Glucose Response Effect of Diabetic-Oriented Convenience Food prepared Medicinal Plants and Chicken (생약재와 닭고기를 이용하여 개발된 편의 당뇨식사의 영양성분 및 혈당반응)

  • 한종현;박성혜
    • Journal of the East Asian Society of Dietary Life
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    • v.12 no.2
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    • pp.91-99
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    • 2002
  • This study was carried out to develop a diabetic-oriented convenience flood using 7 medicinal plants (Schisandra chinensis, Coix lachryma-jobi, Dioscorea batatas, Ophipogon japonicus, Lyicium chinense, Houttuynia cordata, Polygonatum sibiricum) and chicken. Portion size was 310g, total calorie was 551.6 kcal and carbohydrate, lipid and protein were consisted of 53.0%, 20.9% and 26.1%, respectively. Calcium, zinc and iron content were 268.9mg, 5.4mg and 6.1mg, respectively. Crude fiber content was 22.9g. In sensory evaluation, the scores of taste, color, texture and overall acceptability were higher than normal diabetic meal. Hypoglycemic effect of the device meal for diabetic persons was excellent compared to that of normal diabetic meal. The above results indicate that the 7 medicinal plants can be used as functional ingredients fur diabetic-oriented convenience flood industry. Also, device meal can be used as ready-prepared food for weight control.

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Video-Assisted Thoracic Surgery: A Review of 52 Surgical Procedures (비디오 흉강경을 이용한 흉부수술 -52례 경험-)

  • Gang, Chang-Hui;Lee, Jun-Bok;Lee, Gil-No
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1138-1142
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    • 1996
  • Video-assisted thoracic surgery is a new modality that allows visualization of and access to the intrathoracic organs without making a thoracotomy Incision. 52 patients underwent thoracic procedures using this technique. There were pneumothorax in 40 patients, diffuse interstital lung disease in 6 patients, hyperhidrosis in 3 patients, pulmonary tuberculoma in 1 patient, aspergilloma in 1 patient and localized fibrous tumor of pleura in 1 patient. We had performed a variety of procedures(36 wedge resections with mechanical pleurodesis, 8 wedge resections only, 4 mechanical pleurodeses, 3 bilateral sympathectomys and 1 segmentectomy). The period of chest tube indwelling and postoperative hospitalization were 2.00 $\pm$ 1.32 days(range : 0~6 days) and 3.55 $\pm$ 1.45 days(range : 1~8 days). Four postoperative complications occurred(2 pleural effusion, 1 recurrent pneumothorax and 1 high fever). Conversion to open thoracotomy was done in 1 p tient due to massive air leakage. Patients undergoing video-assisted thoracic surgery seem to have reduced postoperative pain, shorter hospitalization, and quicker recovery times.

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A Case of Severe Serotonin Syndrome Induced by Fluoxetine and Sertraline (Fluoxetine 및 Sertraline으로 유도된 심한 세로토닌 증후군 1예)

  • Cheon, Jin-Sook;Lee, Sang-Shin;Kim, Sung-Hi;Cho, Woong
    • Korean Journal of Biological Psychiatry
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    • v.8 no.1
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    • pp.167-174
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    • 2001
  • A 54-year old male patient who was suffering from bipolar I disorder for 19 years and was admitted to the National Bugok Mental Hospital due to a depressive episode, was referred to the Kosin University Gospel Hospital. On arrival at the emergency room, he had confused mentality with disorientation, memory impairment, hypomania, marked anxiety and hyperirritability. The change of neuromuscular activity such as ataxia, gait disturbance, tremor, shivering, myoclonus and epileptic seizures was also shown. In addition, the symptoms and signs of autonomic instability including diaphoresis, tachycardia, hypotension, fever and facial flushing were noticed. The above symptoms developed after the administration of sertraline successive to the discontinuation of fluoxetine without any washout period. The degree of severity seemed to be severe because he had epileptic seizures, fever and hypotension. He was recovered from the severe serotonin syndrome by the supportive symptomatic treatment with sodium valproate, clonazepam, lorazepam and cyproheptadine after cessation of the selective serotonin reuptake inhibitors during hospitalization. Therefore, this rare case of severe serotonin syndrome was reported and related literatures were also reviewed.

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A Case Report of Hyperhidrosis of palms, solies and axillae Treated with Bokryungbosimtang-gamibang (복령보심탕가미방(茯笭補心湯加味方)으로 호전된 수족과 액와 다한증 환자에 대한 증례 보고)

  • Lee, Jae-Won;Park, Hyoung-Jin;Shim, Ha-Na;Choi, Chang-Min;Won, Jin-Hee;Kim, Yu-Kyung
    • The Journal of Internal Korean Medicine
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    • v.26 no.4
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    • pp.897-903
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    • 2005
  • Excessive sweating, especially hyperhidrosis of palms, solies and axillae, is a distressing problem in the making of a person's social life. Most important in cases of localized hyperhidrosis is the emotional factor. Thoracoscopic sympathectomy is an effective method, but this may result in a postoperatively compensatory hyperhidrosis of facial anhidrosis in the treatment of localized hyperhidrosis. One case of excessive sweating of palms, solies and axillare was observed and treated with the emotional factor taken as primary. This patient was treated with Bokryungbosimtang-gamibang and improvement was seen.

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