• 제목/요약/키워드: 만성 두통

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만성 긴장성 두통을 호소하는 소음인(少陰人), 태음인(太陰人) 환자 3례 (Approaching Chronic Tension-type Headache through Sasang Constitutional Therapy: A Series of 3 Cases who were classified as the Soeum Type and Taeeum Type)

  • 오혜원;박윤성;이준희;고병희;이의주
    • 사상체질의학회지
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    • 제25권4호
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    • pp.384-395
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    • 2013
  • Objectives We report a series of 3 chronic tension-type headache cases who were constitutionally typed as the Soeum type, Taeeum type and treated with Dangguibaekhaoguanjung-tang, Chungshimyeonja-tang or Chunghyulganggui-tang. Methods In treating 1 patient who was constitutionally typed as the Soeum type, Case 1 fell into the category of the Taeeum symptomatology, 2 patients who were constitutionally typed as the Taeeum type, Case 2 and Case 3 fell into the category of Dry-Heat symptomatology. Each patient was given Sasang medication according to protocol: Dangguibaekhaoguanjung-tang to Case 1, Chungshimyeonja-tang to Case 2, Chunghyulganggui-tang to Case 3. On admission day and approximately 2 weeks later, patients evaluated their pain and quality of life using SF-36 and HIT-6. The patients symptoms were observed daily and NRS scores were recorded daily. Results and Conclusions 2 Patients(Case1, Case2) showed improvement in their NRS scores, SF-36 scores and HIT-6 scores. 1 patient(Case3) showed improvement in NRS scores, but worse SF-36 scores and no improvement in HIT-6 scores. Treating chronic tension-type headache based on Sasang Constitutional therapy was found to be effective for managing pain. The treatment protocol suggested in this investigation should be explored and verified in future studies.

전침 자극 강도에 따른 만성 긴장성 두통 환자의 통증과 감각역치 변화 연구 (Effects of Fixed-intensity and Varied-intensity Electroacupuncture in Pain and Sensory Threshold in Patients with Chronic Tension Headache)

  • 권유정;이동화;이웅인;박경모;이상훈
    • Journal of Acupuncture Research
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    • 제29권4호
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    • pp.25-34
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    • 2012
  • Objectives : This study was conducted to investigate the effects of fixed-intensity and varied-intensity electroacupuncture in pain and sensory threshold concerning parameters visual analogue scale(VAS), brief pain inventory(BPI) and quantitative sensory testing(QST), among chronic tension headache patients. Methods : Thirty patients with chronic tension headache were randomly assigned to three groups and received different kinds of electroacupuncture at $ST_{36}$ and $ST_{37}$. Group A received fixed-intensity electroacupuncture(fixed-EA), group B received varied-intensity electroacupuncture (varied-EA), and group C received only acupuncture treatment without electrical stimulation as a control group. The intervention was given three times per week, and continued in two weeks. All the experiments were conducted blindly. Results : Fixed-EA group showed a significant decrease of VAS and BPI compared to the baseline measurement, while both varied-EA and control group did not. Of the parameters of QST, subtraction of heat pain threshold(HPT) and cold pain threshold(CPT) slightly increased in all groups, but this was not significant. Conclusions : These results suggest that fixed-EA reduce pain and improve quality of life in patients with chronic tension headache and that acupuncture may regulate patient's pain sensitivity through changing sensory threshold.

FCST(기능적 뇌척주요법)를 병행한 한의 치료로 만성편두통 환자의 두통과 오심을 치료한 증례 보고 1례 (A Case Report of Improvement in Chronic Migraine Headache and Nausea with Korean Medicine Treatment and FCST (Functional Cerebrospinal Therapy))

  • 차지윤;정은선;김찬영;김현태;이영준;설인찬;김윤식;유호룡;조현경
    • 대한한방내과학회지
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    • 제39권4호
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    • pp.784-793
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    • 2018
  • Objective: Chronic migraine is a headache syndrome accompanied by nausea, dyspepsia, depression, and insomnia and it reduces the quality of life. The present case revealed that Korean medicine treatment and Functional Cerebrospinal Therapy (FCST) can reduce headache and nausea in patients with chronic migraine. Method: A 39-year-old female patient with chronic migraine visited Dunsan Korean Medicine Hospital. She had headache combined with moderate nausea and wanted to reduce her dose of almotriptan. We treated her with Korean medicine, including acupuncture, herbal medicine, and a Chuna treatment based on FCST. We evaluated her symptoms using a Numeric Rating Scale (NRS) for headache and nausea every day. Result: After 22 days of treatment, the NRS of headache and nausea had reduced. Her dose of almotriptan was also reduced and the patient felt improvement of in her quality of life. Conclusion: We suggest that Korean medicine treatment combined with FCST can improve the headache and nausea of chronic migraine patients.

만성매일두통 환자에 대한 홍화 약침 치료 : 예비연구 (The effect of Carthami-Semen acupuncture on chronic daily headache: A pilot study)

  • 김민경;박성욱;정우상;문상관;박정미;고창남;조기호;김영석;배형섭
    • 대한약침학회지
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    • 제13권4호
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    • pp.109-118
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    • 2010
  • Objectives : This pilot study is designed to reveal the effect of Carthami-semen acupuncture treatment on chronic daily headache. Methods : 1. All the voluntary subjects were diagnosed as CDH. 2. Carthami-semen acupuncture is applied 2 times a week for 4 weeks. 3. The patients were assessed by Headache impairment test score(HIT), Short Form 36 (SF-36) Health Survey, and Headache Free Days(HFD) before and after 4 weeks treatment, and two weeks the treatment finished. Results : The result were as follows ; 1. HIT score decreased from $65.3{\pm}5.5$ to $53.1{\pm}9.4$, and furthermore declined to $49.5{\pm}8.0$ after 2 weeks the treatment finished. 2. HFD increased from 19.1% to 31.5% during the treatment time. Moreover it showed continuous effectiveness after 2 weeks the treatment finished. 3. SF-36 showed significant improvement on all of the QOL items. Conclusions : This pilot study suggests that Carthami-semen acupuncture treatment has an effect on the CDH patients.

만성 두통에 대한 뇌청혈해독탕의 임상적 효과 (The clinical effect of Noechongyolhaedok-tang on the chronic headache)

  • 김제영;이시섭;유정석;송범용;김락형;육태한
    • 동의신경정신과학회지
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    • 제18권1호
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    • pp.133-142
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    • 2007
  • Objective : Chronic headache is the most common headache. The objective of this study is to find the clinical manifestation of chronic headache and has been carried out to investigate the effects of Noechongyolhaedok-tang on the chronic headache. Method : This observation was carried out on 73 patients with chronic headache. They were applied to Noechongyolhaedok-tang and the degree of improvement of chronic headache was evaluated by VAS. Results : 1. Distribution of study population by sex, age : male : female = 1 : 3, 30s-50s group = 81% Duration of onset : over 10years = 48% Reported site of chronic headache : the whole = 28% Clinical pain characteristics : be torn = 25% Frequency of headache : everyday = 72% Time of attack : irregular = 52% 2. In VAS scores, there were significant differences between before and after Noechongyolhaedok-tang treatment. There were no differences between before and after treatment in each sex and the duration of onset Conclusion : The effectiveness of Noechongyolhaedok-tang on the chronic headache was shown through VAS. Further study is needed about Noechongyolhaedok-tang.

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만성 긴장성 두통환자의 매선요법과 침의 효과에 대한 예비적 비교 연구 (A Preliminary Comparison of Efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache Patients)

  • 배달빛;유윤선;박종민;강형원;유영수
    • 동의신경정신과학회지
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    • 제24권1호
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    • pp.45-62
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    • 2013
  • Objectives : The purpose of this study was to compare the efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache (CTTH) patients. Methods : The study recruited Chronic Tension-type Headache patients. A total of twenty-six patients were divided into 2 groups. 13 subjects were placed into a needle-embedding therapy group and 13 subjects into an acupuncture therapy group by a randomization table. The needle-embedding therapy group was treated with needle-embedding at Fengchi (GB20), while the acupuncture therapy was acupunctured at Fengchi (GB20). Then, a comparative analysis was conducted by comparing the results with those measured by a Blood pressor, Heart rate variability (HRV), Henry Ford Headache Disablity Inventory (HDI) Internet Headache Impact Test (HIT), and Visual Analogue Scale (VAS). Results & Conclusions : As a result of evaluation by using the self-rating headache index (VAS, HDI, HIT), pain score declined in both groups. But they were not difference between the two groups.

구강내 작열감 증후군의 임상적 특징에 관한 연구 (A Study on the Clinical Characteristics of Burning Mouth Syndrome)

  • Jin-Woo Chung;Ki-Yong Hyun;Sung-Woo Lee
    • Journal of Oral Medicine and Pain
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    • 제19권2호
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    • pp.7-23
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    • 1994
  • 구강내 작열감 증후군은 객관적 징후없이 구강점막에 작열감을 나타내는 만성동통장애이다. 다양한 원인요소들이 제시되어 있지만, 이러한 요소들의 관련성에 대해서는 아직 분명하지 않은 실정이다. 그러므로, 이러한 구강내 기능이상의 근본적이고 효과적인 치료를 위해서는 다양한 임상적 관찰과 원인요소의 분석등이 계속 연구 조사되어져야 할 것이다. 저자는 구강내 작열감 증후군의 증상을 호소하는 112명의 환자의 임상적 특징에 대해 조사하고자, 환자군과 대조군에 대해 구강내 작열감 증후군에 관한 설문조사 및 구강검사와 혈액학적 검사를 시행하였으며, 점도계를 사용하여 구강내 작열감 증후군 환자의 자극이 전타액의 점도를 측정하였다. 또한, 환자의 심리적 요인을 파악하고자 간이정신진단검사를 실시한 결과 다음과 같은 결론을 얻었다. 1. 구강내 작열감 증후군은 주로 페경기 전후의 여성에서 많이 나타났으며, 호발부위는 혀, 치주 및 치조점막, 구개, 협점막의 순이었다. 2. 구강내 작열감 증후군 환자에게서 대조군 비해 구강건조감, 미각 및 수면장애, 빈혈, 소화기 장애, 두통과 기타 다른 신체불편감의 호소 등이 더 많이 나타났다. 3. 혈액학적 검사결과, 구강내 작열감 증후군 환자중의 26%와 12%에서 각각 혈중 엽산농도와 철분농도의 저하를 나타냇다. 4. 자극시 분비된 전타액의 점도는 40대와 50대이상의 연령군에서 구강내 작열감 증후군 환자가 정상인에 비해 높았다.(p<0.01). 5. 구강내 작열감 증후군 환자군의 간이정신진단검사의 각 증상차원 및 전체지표의 T점수의 평균치는 정상범위내에 있었으며, 신체화(SOD)와 우울 (DEP)차원의 평균치가 가장 높았다.

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만성두통환자(慢性頭痛患者)의 생체전기자율반응검사에 의(依)한 임상적(臨床的) 고찰(考察) (The Clinical Study of Autonomic Bioelectric Response Recorder on Patients with Chronic Headache)

  • 황선미;이승진;정대규
    • 동의신경정신과학회지
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    • 제11권2호
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    • pp.63-78
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    • 2000
  • Headache is one of the most common medical complaints. It is not so easy to manage headache. especially if it is chronic although it seldom cause serious problem. There are many psychological factor known to induce, maintain an aggravate symptom in patients with chronic headache. The purpose of this study is to investigate clinical characteristics with ABR-2000 was carried out for 57 patients who had been suffered from headache for 6 months from march to August 2000.The results were as follows:1. According to the statics, on the whole woman's rate was higher than man's, and the mean duration of the headache was 8.06 years.2. Common associated symptoms were nausea. dyspepsia, dizziness, palpitation, fatigue, depression, etc.3. According to oriental medical differentiation of symptoms and signs, the rate of stagnation of the liver-qi's fire-transmission(肝變化火), deficiency of blood(血虛) and plegm syncope (痰厥), these three types were hghest.4. Result of analyzing ABR-2000 is that the rate of low response is higher than high response's on each item. But result of Graph A is that the rate of high response in higher than that of low response only in deficiency of Yin(陰虛) and the rate of high response in stagnation of the liver-qi's fire-transmission(肝變化火) and deficiency of blood (血虛) is comparatively high. Result of Graph R is that the rate of high response in wind-heat(風熱), deficiency of blood(血虛) and plegm syncope(痰厥) is comparatively higher than in others.

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만성두통 환자에서 한방 치료 후 인영혈 부위의 뇌혈류에 대한 연구 (Study on Cerebral Blood Flow in In-Young(ST9) after Treatment on Chronic Daily Headache Patients)

  • 이충식;박보라;박인숙;김지훤;이상언;임진영;류영수;강형원;김태헌
    • 동의신경정신과학회지
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    • 제20권1호
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    • pp.199-214
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    • 2009
  • Objectives : This study was performed to change of blood flow in In-Young(ST9) after treatment on chronic daily headache patients. Methods : Monitoring of TCD was examined in 10' s chronic daily headache patients before and after treatment. Mean velocity flow, systolic velocity and pulsatility index were analyzed from TCD at In-Young(ST9). The patients was laid for 20 minutes before treatment and also for treatment. Results : The results showed a significant(p<0.05: Paired T-test) decrease in mean velocity flow and systolic velocity. but there were no significant differences in pulsatility index. Conclusions : These results suggest that there were significant change on blood flow in In-young of chronic daily headache patients.

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방사선 선량이 생체 내 조직에서 미량원소에 미치는 영향 (Impact of the Radiation Absorbed dose on the Microelements of Tissues in Living Bodies)

  • 지태정;곽병준
    • 한국콘텐츠학회논문지
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    • 제11권8호
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    • pp.204-210
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    • 2011
  • 방사선에너지가 생체에 미치는 영향 중 물질대사에 관여하는 미량원소의 함량을 알아보았다. 실험 방법은 mouse에 1Gy, 5Gy, 10Gy의 X선을 전신 조사한 후 간 조직에서 분석하였다. 그 결과, 일부 원소에서 대조군과 비교하여 함량 변화가 확인되었다. 선량에 따른 변화에서는 1Gy에서는 크게 차이를 보이지 않았으나 5Gy, 10Gy의 높은 선량에서는 Ca, Mn의 함량이 감소되었다. 그 중 Ca의 함량이 가장 많이 감소되었으며, 근육 긴장과 만성 두통 등의 증후군을 유발하는 것으로 판단된다. 함량 증가를 보인 원소는 Al으로 100% 증가된 것으로 조사되었다. 방사선 조사 후 기간 경과에 따른 함량 변화에서는 Fe, Ba 등에서 감소하는 경향을 보였다. 유해원소는 Cd 함량이 25% 증가 되었는데 이는 칼슘대사에 관여하는 것으로 알려졌다. 따라서 방사선에너지에 의한 세포 손상이 미량원소 함량 변화에 영향을 주는 것으로 판단되며, 전구증상을 유발하는데 일정부분 관련이 있는 것으로 사료된다.