• 제목/요약/키워드: 미병

검색결과 46건 처리시간 0.021초

당뇨 환자의 체중감량을 위한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-Tang for weight loss in diabetic patients: A retrospective chart review)

  • 이아름;이다연;김민지;이향숙;최가혜;김서영;임영우;박영배
    • 대한한의학회지
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    • 제42권1호
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    • pp.46-58
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    • 2021
  • Objectives: The purpose of this study is to report weight changes and analyze adverse events in diabetic patients with Gamitaeeumjowee-Tang for weight loss. Methods: A retrospective chart review of weight change and adverse events was performed during the 10-week weight loss program using Gamitaeeumjowee-tang with low-calorie diets for diabetics(n=61). Weight and BMI changes were compared before and after the program and calculated the percentage of people who lost more than 5% of their weight, also identified whether subjects felt satiated or not. Adverse events were evaluated in terms of causality, severity and system-organ classes. Results: After 10-week weight loss program, significant weight loss (5.9±2.32kg, 7.73% reduction from baseline) and BMI reduction (2.9±0.86) were reported (n=61). Those who lost more than 5 percent of their body weight accounted for 88.5%, and also 88.5% of the participants felt full to help control their appetite. In assessing the causality of adverse events, 'Unlikely' was the most common (66%) and in severity evaluations, almost all symptoms were mild. Insomnia was the most frequently reported during the first 8 weeks, and constipation was reported the most afterwards. Conclusions: A combination of Gamitaeeumjowee-tang and low-calorie diets for 10 weeks appears to help weight reduction without serious adverse events in diabetic patients. Future well-designed prospective clinical studies testing the effectiveness and safety of this weight loss program are warranted.

한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구 (Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry)

  • 문희영;김민수;임수현;채윤병;이인선
    • Korean Journal of Acupuncture
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    • 제40권2호
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    • pp.44-53
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    • 2023
  • Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

피로형 미병에 대한 당귀보혈탕의 효과 (Effect of Dang Gui Bo Hyul-tang on fatigue types of Mibyeong)

  • 박선행;성윤영;장설;이시우;김홍준;김호경
    • 대한예방한의학회지
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    • 제20권3호
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    • pp.55-65
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    • 2016
  • Objectives : Mibyeong is a korea medicine have original concept of the disease. However, no previous report has effect of mibyeong herbal medicine in fatigue types of mibyeong. This study investigated the question of whether Dang Gui Bo Hyul-tang(DGBHT) of effect on fatigue types of Mibyeong. Methods : C57BL/6 mice were randomaly divided into three group (n=10). The mice were then group (1) Nocontrol, (2) Restraunt stress(veh), (3) Dang Gui Bo Hyul-tang 200mg/kg. The administered Dang Gui Bo Hyul-tang 200mg/kg or distilled water (orally) 1 hr prior to daily exposure to repeated restraint stress (2 h) for 15 days. The performed behavior test (Mechanical hyperalgesia test,, Open-field test, Forced swimming test, Sucrose preference test and immunostaining and biochemical measured in serum. Results : Stress fatigue induced mices significantly increased lethargic, hyperalgesia through behavior test (Mechanical hyperalgesia test (decrease 43%), Open-field test ($4,809{\pm} 226.13cm$ vs. $3121{\pm}226.64cm$), Forced swimming test ($11.45{\pm}3.96$ vs. $79.10{\pm}8.12sec$), Sucrose preference test (decrease 58%)). In addition, chronic fatigue model evidently increased corticosterone level ($122.54{\pm}18.88$ vs. $186.94{\pm}18.26ng/ml$), AST level ($46.22{\pm}3.23$ vs. $31.40{\pm}3.86U/L$), ALT level ($38.78{\pm}5.72$ vs. $17.60{\pm}1.30$), liver necrosis, lateral ventricle size. These alterations were significantly ameliorated by DGBHT. DGBHT significantly attend the elevated serum concentrations of corticosterone ($155.90{\pm}6.29ng/ml$), AST ($31.40{\pm}3.86U/L$), ALT ($17.60{\pm}1.30U/L$). Moreover, DGBHT improved lethargic, hyperalgesia when compared the stress fatigue (Mechanical hyperalgesia test (improve 28%), Open-field test ($4,038{\pm}615.81cm$), Forced swimming test ($7.56{\pm}1.88sec$), Sucrose preference test (increase 21%) Conclusions : Theses result suggest that DGBHT have improved lethargic, hyperalgesia and fatigue-associated hormone and liver protective on stress fatigue model. It will be necessary to research to present evidences on benefits and effects of Korean medical treatment for Mibyeong through clinical researches based on benefits and effects of those animal models.

민어, Miichthys miiuy의 초기 형태 발달: 지느러미 분화, 두부 계측 및 비늘 도포 (Early Morphological Development of the Brown Croaker, Miichthys miiuy (Basilewsky): Fin Differentiation, Head Dimensions, and Squamation)

  • 박인석;김영자;구인본;김동수
    • 한국어류학회지
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    • 제24권2호
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    • pp.125-130
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    • 2012
  • 민어, Miichthys miiuy (Basilewsky)에서의 지느러미 분화, 두부 계측 및 비늘 도포 양상의 초기 형태학적 발달을 조사하였다. 부화 후 12일(전장 4.2 mm 미만)에, 어체 주위로 fin-fold의 존재가 관찰되었다. 등지느러미, 뒷지느러미 및 가슴지느러미의 기조 형성은 부화 후 12일에 거의 완전히 이루어진 반면, 지느러미 분절은 부화 후 26일과 29일 사이에 이루어졌다. 꼬리지느러미 중간 기조의 신장은 부화 후 32일에 시작되었으며 부화 후 37일에 현저하였다. 부화 후 68일에 꼬리지느러미가 뾰족해지기 시작하였다(전장 70.7 mm). 비늘의 발달은 전장이 9.1mm(부화 후 28일)일 때 미병의 측선부위로부터 시작되어 결국 아가미덮개 전체를 도포하였다(전장 22.1 mm, 부화 후 44일). 두부 계측치들은 전장이 12 mm 이상(부화 후 30일)에서 거의 안정화되었다.

질병예측자료로서 사과(四科) . 사류형상(四類形象)의 의의와 미병진단적 가치 연구 (Study on the Meaning of Four Subjects and Four Species as a Disease-Prediction Data and Diagnostic Value on Ante-Disease)

  • 김종원;전수형;이인선;김규곤;이용태;김경철;엄현섭;지규용
    • 동의생리병리학회지
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    • 제23권2호
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    • pp.325-330
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    • 2009
  • In Korea, medical diagnostic equipments and biochemical examination can not be used in order for diagnosing sub-healthy state or ante-disease state in oriental medicine clinic. So morphic analogical method used in oriental medicine can be a good tool as a disease-predictable signs in order to enable preventive diagnosis and therapy. Therefore the four geometrical subjects; Essence, Pneuma, Spirit, Blood(四科;精氣紳血) and the four taxonomical species; Pisces, Quadruped, Aves, Carapaces(四類;魚走鳥甲) are chosen as morphic models in this paper. The differences of two classifying methods with four subjects and four species were as follows. The diagnostic category was meta-medical and synthetic against medical specific. The diagnostic object was body in contrast with face. They were able to be applicant in psychology and classification of characteristics against diagnostics and therapeutics directly in oriental medicine. The theoretical basis was basic diagrams of four unit-fluids of body and morphological analogy with four animal species respectively. And the therapeutic aims were systemic pathogenesis following five phase theory against congestion and deficiency of Essence, Pneuma, Spirit, Blood. The four subjects and four species are mixed each other practically in clinic. But it should be used limitedly because of the above reasons described and must divide the principal and secondary factors and follow the pathology of principal shape factor. In order to improve the diagnostic value of ante-disease state, the discriminable standards, measurement methods, limit of interrelating interpretation and the criteria of abnormal disproportion were needed to be defined more clearly in advance.

Pantotheic acid 결핍에 의한 동자개(Pseudobagrus fulvidraco)치어의 사료성 아기미병 (Gill Disease of Pseudobagrus fulvidraco Fingerlings by Deficiency of Pantothenic acid)

  • 이경희;박성우;김영길
    • 한국어병학회지
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    • 제13권1호
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    • pp.21-29
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    • 2000
  • 1997년 9월 전북 부안군 소재의 동자개(Pseudobagrus fulvidraco) 양어장에서 작은 소리에도 과도하게 놀라고, 새변의 유착과 곤봉화를 특징으로 하는 질병이 발생하여 대량폐사를 초래한 pantothenic acid 결핍에 의한 사료성 아가미병의 병리상과 사망률을 줄이기 위한 방책을 수립하였다. 질병이 발생한 양어장의 수질은 다른 양어장의 수치와 비슷하였고, 병어에서 세균이 분리되지 않았다. 병어는 적혈구 수, Hb, Ht 및 간중량지수의 감소, 적혈구의 소형화와 간의 위축을 나타내는 전형적인 pantothenic acid 결핍에 의한 사료성 아가미병으로 판명되었다. 새변의 상피세포의 증생과 유착을 완화시키기 위해 0.5%와 0.6% 식염을 첨가하여 10일간 사육한 결과 0.5%와 대조구(식염 무첨가구)는 100% 사망하였으나, 0.6% 식염 첨구가구는 75%의 생존율을 나타냄과 동시에 새변 상피세포의 증생과 유착이 감소하였다. Pantothenic acid 10 mg/kg 사료를 25일간 급이하며 5, 10, 15, 25일 간격으로 채취하여 질병의 호전상태를 혈액학적, 병리조직학적으로 검사한 결과 pantothenic acid 첨가사료 급이 25일 후 적혈구 수, Hb, Ht, 간중량지수와 아가미 조직도 정상의 상태로 회복되었다. 병리조직학적 검사에서는 15일부터 상피세포의 증생이 줄어들어 호흡면적이 현저하게 증가하였고 급이 25일 후에는 거의 정상상태로 회복되었다. 본 연구의 결과 동자개의 pantothenic acid 결핍에 의한 사료성 아가미병의 경우 식염 0.6%에서 사육하는것과 pantothenic acid 10 mg/kg 사료 첨가하여 최소한 25일간 사육하는 것이 효과적인 것으로 나타났다.

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