• 제목/요약/키워드: 불면

검색결과 163건 처리시간 0.025초

기혈부족(氣血不足), 심허(心虛)로 진단된 불면환자(不眠患者) 1례(例)에 대한 증례보고 (A Case Report of a Patient with an Insomnia due to Qi and Blood Deficiency, and Insufficiency of Heart.)

  • 김규태;이제균;안건상;권승로;김광호;최우성;강만호
    • 동의신경정신과학회지
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    • 제17권3호
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    • pp.175-181
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    • 2006
  • The purpose of this study is to investigate the clinical application of oriental medical therapy for Insomnia due to Qi and Blood deficiency and insufficiency of Heart. In this case, we treated the patient with insomnia by oriental medical therapy, specially Insamyaogyung-tang(人蔘養榮湯) and Gong-jin-dan(拱辰丹), And we checked patient's sleeping time. In result, at the first time, the patient slept only one hour. After oriental medical therapy, the patient slept over 6 hours, Conclusionally oriental medical therapy, specially Insamyaogyung-tang(人蔘養榮湯) and Gong-jin-dan(拱辰丹) is very helpful for the patient of insomnia due to Qi and Blood deficiency, and insufficiency of Heart.

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3차원 탄성파 자료로부터 불연속면 자동 추출기법 (An Automatic Discontinuity Extraction Method from 3D Seismic Data)

  • 지준
    • 지구물리와물리탐사
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    • 제4권3호
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    • pp.89-95
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    • 2001
  • 물리탐사분야에서 탄성파 기술의 최종 목적은 지하매질의 공간적 특성을 규명하는데 있으며 이를 위해 전문해석가들은 영상화된 탄성파 자료로부터 이벤트들의 연속성을 검토하여 불연속적인 면을 해석하게 된다 본 논문에서는 지하구조 해석에 사용되는 3차원 탄성파 이미지로부터 불연속면을 자동으로 추출하는 기법을 소개하고 있다. 본 논문에서 소개된 방법은 세 단계를 통해 수행된다. 첫번째 단계는 3차원 자료로부터 이벤트의 연속성을 coherency cube형태로 계산하는 과정이며, 두번째 단계는 이러한 coherency cube 로부터 불면속면의 존재 가능성이 높은 지역을 3차원적인 형상의 이진영상(binary image)으로 표현하는 과정이다. 세번째 단계는 앞에서 얻어진 이진영상으로부터 불연속면의 위치 및 연장성에 대한 정보를 찾는 단계로서 앞에서 얻어진 이진 영상을 세선화 과정을 통해 3차원 평면형태의 불연속면을 결과물로 얻게된다.

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정신과적, 소화기성 원인으로 유발된 Globus Hystericus 치험 1례 (A Case of Globus Hystericus caused by psychological, digestive disorder)

  • 이현우;장유진;홍승욱
    • 한방안이비인후피부과학회지
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    • 제26권2호
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    • pp.88-97
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    • 2013
  • Objectives : 본 연구를 통해 정신과적, 소화기성으로 유발된 히스테리성 구를 반하백출천마탕과 자음건비탕으로 치료한 1례를 보고하려 한다. Methods : 오심, 불면, 이명, 소화불량, 초조, 두통, 매핵기를 주소로 하는 23세 여성 환자를 대상으로 약 4개월 동안 침구, 반하백출천마탕과 자음건비탕으로 치료하였다. Results & Conclusions : 4개월 동안의 치료 후, 히스테리성 구와 다른 증상들이 소실되었다. 이 논문에서는, 소화기계 장애와 정신 질환 치료를 위해 오랫동안 사용되어온 반하백출천마탕과 자음건비탕을 히스테리성 구 치료에 이용하였다. 결론적으로, 본 연구는 히스테리성 구와 소화기계 장애가 밀접한 관련이 있음과 히스테리성 구에 대한 한의학적 치료의 중요성을 제시하였다.

암환자의 불면에 대한 발반사요법의 효과 : 예비임상연구 (A Pilot study to estimate the efficacy of foot reflexology on insomnia in cancer patient)

  • 정현정
    • 대한암한의학회지
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    • 제26권1호
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    • pp.49-59
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    • 2021
  • Objective: Insomnia is a very common symptom of cancer and has a substantial effect on the patients' quality of life. This study aimed to identify the effects of foot reflexology on insomnia in cancer patients. Methods: The study employed a before-after test design on a single group of 13 cancer patients with insomnia, selected by convenience sampling in Daegu. The foot reflexology treatment comprised 30-min sessions twice a week over four weeks. Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were measured at the baseline, at 2 and 4 weeks, and after 4 weeks post treatment completion. Brief Fatigue Inventory-Korean (BFI-K), Functional Assessment of Cancer Therapy-General (FACT-G), and Heart Rate Variability (HRV) were measured at baseline, post-treatment, and 4 weeks after completing treatments. Results: Thirteen patients (mean age 44.77 ± 6.70 years), with thyroid, breast or cervical cancer, were included in the study. Post-treatment, PSQI (from 12.33 ± 3.17 to 8.54 ± 3.43, p<0.001), ISI (from 20.33 ± 3.88 to 13.38 ± 4.23, p<0.001), FACT-G (from 49.6 ± 13.27 to 61.35 ± 14.45, p<0.001), and BFI (from 6.46 ± 0.91 to 5.00 ± 2.02, p<0.001) scores improved significantly over those at the baseline. Conclusion: Foot reflexology can be a good alternative treatment to improve insomnia, fatigue, and quality of life in cancer patients

사역산(四逆散)의 불면 치료 효과 : 체계적 문헌 고찰 및 메타 분석 (The Effect of Sayeok-san for Insomnia: A Systematic Review and Meta-Analysis)

  • 허태영;하다정;김경민
    • 대한한방내과학회지
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    • 제42권4호
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    • pp.547-562
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    • 2021
  • Objectives: This study evaluated the effectiveness of Sayeok-san for treating insomnia. Methods: We conducted a search using keywords, such as "Sayeoksan", "Si-ni-san", and "insomnia" in eight databases (CNKI, Wanfang, Pubmed, Embase, Cochrane, NDSL, OASIS, RISS) on July 17, 2012. There was no limit placed on the publication period of the papers, and we used Cochrane's risk of bias tool to assess their quality. Meta-analysis was classified according to the outcome measurements, such as total effective rate and PSQI. Results: Nine RCTs were selected. Meta-analysis showed that the treatment group, which used Sayeok-san, had a higher total effective rate than did the control group that used only Western medicine. The treatment group also had a lower average of PSQI and TSS (TCM symptom score) than did the control group. Conclusion: This study suggests that Sayeok-san is effective in treating insomnia. However, these findings should be interpreted cautiously due to unknown or high risk of bias of the included trials.

조혈모세포 이식 환자의 불면증 (Insomnia in Patients with Hematopoietic Stem Cell Transplantation(HSCT))

  • 이상신;김현석
    • 생물치료정신의학
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    • 제24권3호
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    • pp.142-155
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    • 2018
  • Insomnia in patients with hematopoietic stem cell transplantation(HSCT) has been underdiagnosed and undertreated. This study reviewed the frequency, characteristics, physical and psychological effects, and treatments of insomnia in HSCT patients to highlight clinical importance in this specialized population. Furthermore, the authors intended to suggest a model that would conceptualize insomnia in the context of HSCT. In the pre-transplant period, about half of patients with HSCT suffered from sleep disturbance. A substantial number of patients experienced distressing insomnia during the HSCT procedure and recovered to the level of the pre-transplant period. However, sleep disruption could be a chronic symptom in HSCT survivors and could negatively impact quality of control, cancer-related fatigue(CRF), immune function, and psychological distress. The 3P's model(Predisposing, Precipitating, Perpetuating) explains insomnia in cancer population and could be also relevant to HSCT patients with specific consideration of CRF, graft-versus-host diseases, specific properties of hematological disease, and protective isolated milieu. Effective treatment of insomnia in HSCT includes non-pharmacological(e.g., cognitive behavioral therapy, environmental modification) and pharmacological interventions. The decision of pharmacological treatment should be based on the issue of safety due to high risk of potential drug-drug interactions. Screening, treatment, and further research of insomnia in HSCT patients using validated subjective and/or objective measures are warranted.

쿠에타핀 중단 후 전신통증을 동반한 불면을 호소하는 환자에 대한 길초근단 치험 1례 (A Case of Insomnia with Pain after Discontinuation of Quetiapine Treated with Gilchogeun-dan)

  • 이성욱;박호정;이다빈;조기호;문상관;정우상;권승원
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.311-319
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    • 2022
  • Objective: This case report describes an 82-year-old man complaining of insomnia with pain after discontinuation of quetiapine. Methods: The patient was treated with the herbal extraction Gilchogeun-dan, and symptomatic improvement was assessed using the Korean version of the Pittsburgh Sleep Quality Index. Results: Following 28 days of Gilchogeun-dan treatment, the patient's symptoms improved. Conclusions: This case suggests that Gilchogeun-dan could be effective in treating insomnia with pain through central nervous depressant activity and analgesic effect.

귀비온담탕가감(歸脾溫膽湯加減)을 포함한 한방치료로 호전된 섬유근육통 환자의 불면 및 구강건조 치험 1례 (A Case Study of Fibromyalgia with Insomnia and Dry Mouth Treated with Korean Medicine including Guibiondam-tang-gagam)

  • 양지수;이수정;조은채;유재환
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.152-158
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    • 2022
  • Objective: This study addresses a case of fibromyalgia with insomnia and dry mouth. Methods: A patient diagnosed with fibromyalgia was treated with Korean medicine including herbal therapy with Guibiondam-tang-gagam, acupuncture, pharmacopuncture, moxibustion, and chuna for 16 days. To evaluate the therapeutic effects, sleeping hours, time taken to fall asleep, and surprise on waking were assessed, and a numeric rating scale (NRS) was used to monitor dry mouth. Results: After treatment, the patient's sleeping hours increased, time taken to fall asleep decreased, and the patient woke up surprised less often. The NRS score for dry mouth also decreased. Conclusion: These results suggest that Korean medicine therapies with Guibiondam-tang-gagam have a beneficial effect on insomnia and dry mouth as additional symptoms of fibromyalgia.

장개빈(張介賓)의 불면(不眠) 논치(論治) 연구(硏究) (A Study on Zhang Jiebin's Discussion of Treating Insomnia)

  • 朴基鎬;裵靚耘;柳姃我
    • 대한한의학원전학회지
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    • 제36권1호
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    • pp.79-107
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    • 2023
  • Objectives : This study aims to improve the diagnosis and treatment of contemporary insomnia by examining Zhang Jiebin's discussion on treating insomnia. Methods : The classical texts from the 'Insomnia' chapter of the Jingyue Quanshu were examined threefold in terms of symptom, treatment, and prescription analysis, after which the treatment discussion part was examined within the historical context of discussions on insomnia in major medical texts starting from the Huangdineijing. Results : According to Zhang, the cause of insomnia could be divided into two, after which criteria for diagnosis and treatment were set as excess pathogen and vital qi deficiency. He argued that insomnia could be naturally resolved through improvement of various pathogenic situations. Discussions on insomnia from various medical texts since the Huangdineijing suggest that pathology related to psychological function and emotions gradually increased and expanded over time. Conclusions : Zhang's discussion on symptom, treatment and prescriptions of insomnia suggests a new framework that could improve treatment effects through a Korean Medical Mind-Body approach, rather than the contemporary classification of organic insomnia and non-organic insomnia.

향기요법의 암 환자 불면에 대한 효과에 관한 예비임상연구 (A Pilot study to estimate the efficacy of aroma therapy on insomnia in cancer patient)

  • 정현정
    • 대한암한의학회지
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    • 제27권1호
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    • pp.37-48
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    • 2022
  • Objective: Insomnia is a very common symptom and has a great effect on the quality of life in cancer patients. This study was conducted to identify the effects of the aroma therapy on insomnia in cancer patients. Methods: The study was performed with one group in before-after test design. The subjects were 15 cancer patients with insomnia selected by convenience sampling in Daegu. The aroma therapy consists of 10-minute sessions twice a week over 6 weeks. The PSQI (Pittsburgh Sleep Quality Index), ISI (Insomnia Severity Index) were measured at baseline and at 3 and 6 weeks, after 6 weeks after finishing treatment. STAI (State-Trait Anxiety Inventory), FACT-G (Functional Assessment Cancer Therapy-General), HRV (Heart Rate Variability) were measured at baseline, post-treatment and after 6 weeks after finishing treatments. Results: Fifteen patients (mean age 50.93 ± 7.29 years), with breast, ovarian or gastric cancer, participated this study. At post-treatment, PSQI (from 14.18 ± 2.64 to 6.18 ± 3.03), ISI (from 19.00 ± 3.19 to 8.18 ± 5.14), FACT-G (from 55.65 ± 11.20 to 66.91 ± 12.33), and STAI (from 40.36 ± 8.10 to 34.73 ± 9.81, from 45.64 ± 6.07 to 39.73 ± 9.37) scores improved significantly over baseline(p<0.001). Conclusion: Aroma therapy improved insomnia, anxiety and quality of life on cancer patients.