• Title/Summary/Keyword: 부인과(婦人科)

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The Effect of Integrated Medicine for Polycystic Ovary Syndrome Subfertility Patients; A Systematic Review and Meta-Analysis (다낭성 난소 증후군을 이환하는 난임 환자에서 통합 의학 치료의 효과 : 체계적 문헌 고찰 및 메타분석)

  • Bae, Ju-Eun;Park, Kyung-Dug;Yoon, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.59-76
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    • 2017
  • Objectives: The purpose of this study is to investigate the effect on both herbal medicine periodic therapy and western medicine for polycystic ovary syndrome subfertility. Methods: We searched 8 electronic databases and search keywords were 'PCOS' and 'periodic therapy' or 'cyclic treatment'. We included randomized controlled clinical trials (RCTs) using the periodic therapy combined western medicine for PCOS patients. Results: We selected 8 studies. In studies, there were three studies in which the menstrual cycle was divided into 2 periods, one study divided into 3 periods, and four study divided into 4 periods. The meta-analysis of the 7 trials indicated that pregnancy rates integrated clomiphene and periodic therapy were higher than clomiphene alone. Conclusions: The periodic therapy combined western medicine for PCOS subfertility patients seems to improve pregnancy rates from this research. However, this result should be taken cautiously by unclear risk of bias. It would be necessary to fulfill further clinical study with herbal medicine periodic therapy on PCOS in Korean medicine to establish standard evidence of them.

A Review of Research on Electroacupuncture for Female Stress Urinary Incontinence (여성 복압성 요실금에 대한 전침치료 연구 동향)

  • Park, Eo-Jin;Jo, Hyun-Jeong;Jo, Hee-Guen
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.149-174
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    • 2017
  • Objectives: The aim of this study is to establish a base for further research by reviewing studies on electroacupuncture (EA) for stress urinary incontinence (SUI). Methods: Clinical studies concerning the effects of EA for SUI, were obtained from Cochrane Library, PubMed, CNKI, RISS, NDSL, KISS and OASIS. Results: Forty-five studies met the criteria, which included 33 RCTs, 1 pilot RCT, 4 non-randomized Clinical Trials, 6 Case studies and 1 Orthogonal design study with 3638 patients. There was only one article published in Korea. In these study, the most common primary outcome measurement was the pad test. Most of the studies showed the group treated by EA effects compared to the control group. Also, many interventions that combined with EA were found and all complex therapy group had significantly better than control group. 7 studies observed adverse events (AEs), four of which referred to EA related AEs among them. And 4 studies reported no AEs associated with EA. Conclusions: Despite several limitations, various studies to prove limited yet effective EA on SUI provides much significance. Subsequent studies conducted by the complementary systematic review of the studies and well-designed clinical trials using the methodological quality will be needed to more firmly validate the therapeutic effect of EA on SUI.

A Study on Pulse Diagnosis in Women with Polycystic Ovary Syndrome (PCOS) (Polycystic Ovary Syndrome(PCOS) 환자의 맥 분석 연구)

  • Park, Kyung-Dug;Bae, Ju-Eun;Yoon, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.77-88
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    • 2017
  • Objectives: The purpose of this study is to analyze the characteristics of the pulse energy in women with PCOS (Polycystic ovary syndrome) compared with women who have a regular menstrual cycle. Methods: We analyzed the values of pulse energy on 20 patients with PCOS as an experimental group and 40 patients with regular menstrual cycle as a control group. Control group was divided into 20 women with follicular phase and 20 women with luteal phase respectively. Statistical analysis was performed using SPSS/Win 18.0, one way ANOVA and Tukey HSD. Results: The results were as follows. 1. The mean pulse energy of the Right Chon was significantly increased compared with those of the Left Kwan and the Right Kwan among PCOS group. 2. There were no statistically significant pulse energy among control groups. Conclusions: The pulse energy of Lung is bigger than that of Spleen and Liver in PCOS patients compared with women who have a regular menstrual cycle.

Three Cases of Condyloma of Anus and Vulva Improved by Korean Medicine (여성의 항문과 생식기에 동시에 발생한 사마귀 환자 치험 3례)

  • Pak, Yeon-Kyoung;Park, Chi-Young;Park, Kyoung-Sun;Hwang, Deok-Sang;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.213-221
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    • 2017
  • Objectives: The purpose of this study is to report the effectiveness of Korean Medicine treatment on condyloma of anus and vulva. Methods: Three patients were treated with herbal medicine, moxibustion, acupuncture and pharmaco-acupuncture. Two of them were prescribed self designed herbal formula and one of them was prescribed pill which is made of Equisetum arvense. Photographs of lesions were used to evaluate the changes in symptoms. Results: All three patients' lesions were disappeared after the treatment and maintained until the last follow up day. The period without recurrence was different in each case: about 1month, 4months, and 6months, respectively. Conclusions: This study shows that Korean Medicine was effective to treat conydloma of both anus and vulva.

Effects of Hyeolbuchugeo-tang on Osteoclast Differentiation and Bone Resorption (혈부축어탕이 파골세포 분화 및 골흡수에 미치는 영향)

  • Jang, Sae-Byul;Yoo, Dong-Youl;Yoo, Jeong-Eun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.1-17
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    • 2017
  • Objectives: This study was conducted to evaluate the effects of Hyeolbuchugeo-tang (HBC) on Osteoporosis. Methods: We induced RAW 264.7 cells to differentiate to Osteoclasts by RANKL and treated RANKL-induced RAW 264.7 cells with HBC (0, 150, 350, $700{\mu}g/ml$). To measure osteoclast differentiation and activation, we counted TRAP (+) MNCs and measured mRNA expressions of its related genes (TRAP, MMP-9, cathepsin K, NFATc1, c-Fos, MITF, iNOS, COX-2, TNF-${\alpha}$) by RT-PCR. To assess bone resorption, the Bone pit formation were examined under a microscope. Results: HBC decreased TRAP (+) MNCs and inhibited mRNA expressions of TRAP, MMP-9, cathepsin K, NFATc1, c-Fos, MITF in osteoclast. And HBC inhibited Bone pit formation. Conclusions: HBC inhibited osteoclast differentiation and activation and bone resorption. Taken together, these results indicate that HBC might have potentials for prevention and treatment of Osteoporosis.

A Case of Intractable Cervical Dysplasia Patient Treated with Korean Medicine for Three Months (3개월간 한방치료를 받은 난치성 자궁경부 이형증 환자 1례)

  • Han, Jae-Hyun;Kim, Sung-Su;Seong, Shin;Bang, Sun-Hwi
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.154-160
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    • 2012
  • Objectives: This report is aimed to investigate the efficacy of Korean medicine including intravenous Cultivated Wild Ginseng(Panax ginseng C.A. Meyer) Pharmacopuncture(CWGP) with intractable cervical dysplasia patient. Methods: A 49-year-old woman who was diagnosed as cervical dysplasia on Feb 2012 was treated with Korean medicine for 3 months. Korean medicine includes intravenous CWGP, acupuncture, moxibustion and herbal medicine. The effect of therapies was evaluated with human papillomavirus deoxyribonucleic acid(HPV DNA) testing. And lower limb cold sense and genital pruritus were recorded with Visual Analogue Scale(VAS). Results: Lower limb cold sense and genital pruritus were decreased from VAS 8-9(2012.04.11.) to VAS 1-2(2012.07.10.). HPV DNA test result was changed from positive to negative. From these results, this report suggests that the Korean medicine, especially CWGP may be a useful method to treat intractable cervical dysplasia. Conclusions: This report shows that Korean medical treatments are effective on intractable cervical dysplasia.

A Case Report of Conversion Disorder with Climacteric Symptoms (갱년기 증후군을 나타낸 전환장애 환자 치험 1례)

  • Kim, Ji-Eun;Yang, Seung-Jeong;Cho, Seong-Hee;Yeo, Eun-Ju;Park, Kyung-Mi;Kim, Kyung-Ok
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.144-153
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    • 2012
  • Objectives: This case is that of a woman in her late forties who was diagnosed as conversion disorder. She suffered the climacteric while being treated with conversion disorder and the respective symptoms got worse. We investigated whether Korean traditional treatment is effective in patient with conversion disorder and menopausal symptoms. Methods: The prescription of Banhabaekchulchunma-tang, Gamisoyo-san, Bunsimgieum, acupuncture therapy and moxibustion therapy were used for the treatment. Results: After treatment, the chief complaint and accompanying symptoms were reduced to 40% compared with first visit day. Conclusions: We may conclude that Korean traditional treatment is effective in patients with conversion disorder and menopausal symptoms.

A Case Report of Sanhupung Patient Diagnosed of Postpartum Thyroiditis (산후 갑상선염 진단을 받은 산후신통(産後身痛) 환자 치험 1례)

  • Kim, Mi-Rim;Kim, Yoon-Sang;Lim, Eun-Mee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.125-133
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    • 2012
  • Objectives: Postpartum thyroiditis patient's symptoms are very similar to symptoms of postpartum disease which can be called sanhupung. This study is to report the effect of herbal medicine on sanhupung patient diagnosed of postpartum thyroiditis. Methods: We treated a 32-year-old female patient who had symptoms of postpartum thyroiditis and sanhupung with Jaeumganghwa-tang and Jayumkeonbi-tang. Results: After herbal medicine treatment the symptoms of postpartum thyroiditis such as general weakness, hot flush on the palms and soles of the feet, fever pattern of malaria and symptoms of sanhupung such as arthralgia, depression, imsomnia, sweating were improved. Conclusions: This case report shows that herbal medicine can be used to treat patient with postpartum thyroiditis and Jaeumganghwa-tang, Jayumkeonbi-tang is effective for mitigating the symptoms of postpartum thyroiditis. However, patient is still in thyroxine treatment, and additional care is required.

Four Cases Report of the Female Lower Urinary Tract Infection with Oryeong-san (오령산(五苓散)으로 호전된 여성 하부 요로감염증 환자 치험 4례)

  • Jung, Eun-Hye;Yoo, Jeong-Eun;Choi, Kyung-Hee;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.134-143
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    • 2012
  • Purpose: This paper aims to report the effects of Oryeong-san on lower urinary tract infection. Methods: Four women were admitted to Dunsan Oriental Hospital with chief complaint that was not supposed to be a symptom of urinary tract infection. During the admission, urine test showed pyuria with white blood cell and their chief complain also accompanied. We prescribed Oryeong-san three times a day, and then took follow-up 4 days later. Results: After treatment, symptoms of lower urinary tract infection were decreased and the results of urine test improved also. Conclusions: These cases indicate that Oryeong-san is effective in treatment of the lower urinary tract infection.

A Clinical Study of Hyperemesis Patient Treated with Oriental Medicine (임신오조(姙娠惡阻)환자 임상보고 1예(例))

  • Ok, Jin-Yoo;Lee, In-Seon;Cho, Hye-Sook
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.1
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    • pp.116-124
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    • 2012
  • Objectives: Pregnant women often experience the symptoms of Hyperemesis Gravidarium. Many pregnant women think it is a passing symptom, so, they usually don't receive aggressive treatment. But if there is a heavy degree may lead to dangerous situations, so, if necessary, should receive aggressive treatment. Methods: The treatment of Hyperemesis Gravidarium, there are several ways. We provided herbal medicine and acupuncture, observed changes of subjective complaint. Results: In this report, we gained significant effects with oriental medical treatment. To this Hyperemesis Gravidarium patient, oriental medical treatment rather than conservative treatment using fluid therapy and antiemetics was effective. Conclusions: This patient was mainly treated with herbal medicine and acupuncture of oriental medical treatment. But, to the patient of Hyperemesis Gravidarium, you may consider other treatments and we suggest that you should take advantage of various therapies.