• 정신신체의학
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• 제16권2호
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• pp.103-111
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• 2008

연구목적 : 신체형 장애를 가진 한국 여성에서, 과연 산후조리를 잘 못한 것이 신체화 형성의 요인이 되는지를 알아보고자 하였다. 방법 : 대상자에게 반구조화된 설문지를 통하여 산후 조리와 관련된 내용에 대해 직접 면담하고, 이와 동시에 자가 평가 질문지를 작성하도록 하였다. 자가 평가도구로는 산후조리 평가지, SCL-90R의 SOM척도, 한국판 신체 증상목록, 산후병증상 평가지, Beck depression Inventory(BDI), State trait anxiety inventory(STAI), Visual analogue scale(VAS)을 사용하였다. 결과 : 환자군이 대조군에 비해 산후조리 기간이 짧았으며, 산후조리 평가 점수(K-DMP)가 낮았으며 본인이 평가한 산후조리의 만족도도 낮았다. 현재의 신체증상에 대한 이유에 대해 환자군에서는 43.9%, 대조군에서는 33.3%가 산후조리 때문이라고 답하였다. 산후조리 점수(K-DMP)와 신체화척도(SOM) 사이에는 유의미한 부적 상관관계를 보였다(Pearson correlation : r=-0.476, p<0.01). 다변량 회기 분석에서 현재 신체증상(SOM)에 대해 과거 산후 풍 정도와 산후조리 점수, 이 2가지 요인이 영향력을 가짐이 나타났다. 결론 : 부족한 산후조리는 이후의 신체화 형성과정에 영향을 주는 요인인 것으로 보인다.

• 대한한의학회지
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• 제28권1호통권69호
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• pp.171-186
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• 2007

Objective : No studies had been carried out to date on how Korean medicine practitioners recognize and treat postpartum diseases. Therefore, research on such issues by means of a questionnaire survey was expected to contribute to providing common ground and foundation far postpartum treatment. Methods : This study is based on a questionnaire survey administered to 200 doctors, consisting of 79 members of the Korean Society of Oriental Obstetrics & Gynecology and 121 Korean medicine practitioners, from May to September 2006. Items related to individual characteristics of Korean medicine practitioners and 20 objective items constituted the questionnaire, with every item of the questionnaire belonging to 6 greater categories that the author had categorized for the purpose of the study. Results : The result of the study showed what perspectives and clinical attitudes the majority of participating Korean medicine practitioners had in relation with postpartum diseases. On the basis of these findings, better common ground and systematic treatments can be developed to treat postpartum diseases.

• 혜화의학회지
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• 제5권2호
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• pp.513-522
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• 1997

Clinical studies were done on 94 patients with the General Pain after Childbirth(GPC). which were treated in Dept. of Oriental Gynecology. Oriental Medical Hospital. Dae Jeon University from July 1st 1995 to June 30th 1996. 1. The total incidence of GPC was about 13.2% of the 1162patients. 2. In age distribution of GPC. after twenty years old was the most in 40.4%. the next ration was thirty years old. forty years old. early twenty years old. 3. In inducing factor. overlook was the most in 29.8%. the next ration was delivery itself. difficult delivery. cesarean section in 26.6%. 4. In therapeutic response. excellence was the most in 38.3%. the next ration was improvement. good. non improvement. 5. In onset. within ten days of postpartum was the most in 35%. the next ration was from 11 to 30 days. from 91 to 180 days. during the period of pregnancy. from 61 to 90 days. from 180 to 360 days. 6. Remedical value of abortion was relatively emedical value of difficult delivery. Cesarean section was bad. 7. In delivery times. abortion times and pregnant times did not concern therapeutic response. 8. In therapeutic period. from 11 to 30 days was the most in 46.8%. 9. In delivery seasons. Feburary was the most in 15.9%. and there were many occurrence of GPC in the winter season. 10. Past history did not concern GPC. 11. In prescriptions. Bohuh Tang Kamibang(B) was the most in 33%.

• 대한한방부인과학회지
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• 제25권4호
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• pp.105-112
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• 2012

Purpose: This study was to report the effect of Traditional Korean Medicine to Rheumatoid arthritis after parturition. Methods: A woman who complained of arthralgia, edema, sweating and chilling after parturition was enrolled in this study. We treated her by oriental treatments (herb medicine, acupuncture and moxibustion) to improve her symptoms. We checked her by symptoms and serologic test. Results: After treatments, the clinical symptoms and serologic signs improved. Conclusions: This case study shows that TKM treatment is effective for rheumatoid arthritis after parturition.

• 대한한방부인과학회지
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• 제20권3호
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• pp.178-184
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• 2007

Purpose: During postpartum period, many women complain multiple pain, sweating, cold hypersensitivity, abdominal pain, hot flush and so on. We called the postpartum disease as San Hu Pung. The San Hu Pung could related with dysautonomia. So we studied the character of the postpartum disease patients as heart rate variability(H.R.V) Methods: The subjects were 63 women who visited Kangnam Kyunghee hospital for postpartum management from February 2006 to June 2007. From history taking, 42 symptomatic women was divided at the postpartum disease group, 21 asymptomatic women was divided at the control group. All women was measured HRV, we studied the difference of HRV between two group. Results: Compared with the control group, SDNN of the disease group was significant low. TP, LF and HF of the disease group were significantly lower than the control group. Conclusion: The difference of HRV between the disease group and the control group was significant. The results of HRV on the disease group could mean that San hu pung is related dysautonomia. The more studies to diagnose San hu pung would be needed.

• 대한한방부인과학회지
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• 제23권2호
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• pp.131-144
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• 2010

Purpose: There has not been decisional consensus in the concepts and the ways of postpartum cares between Western and non-Western cultures though the importance of postpartum period has been emphasized by the multitude of health professionals. In this study, we investigated the differences in recognition concerning postpartum care among Koreans, Korean residents in America, and Americans (hereafter, K, KA, A). Methods: We used questionnaire of women who had given birth from last 6 weeks to less than 13 years. The women consisted of three groups;104 K, 44 KA, and 44 A. Results: In the perception survey concerning postpartum care, every three group thought that postpartum care was important. However, there were differences in understanding how it would affect women's health, and what they did in the period. K significantly agreed with the content and the importance of postpartum care. The investigation concerning seven categories of postpartum care showed that K group performed the 6 categories except consuming medication beneficial for the postpartum care. KA group performed in a low rate and A group performed two categories in a significantly low rate two categories; avoiding cold stimulation and keeping the body warm. Conclusion: Based on this study, it should be suggested that there were common points and differences among the recognition concerning postnatal care in three groups. Therefore, health professionals make efforts in understanding diversities on postnatal care and providing the adequate services reflecting each mother's needs and recognition.

• 대한한방부인과학회지
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• 제21권3호
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• pp.143-166
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• 2008

Purpose: The purpose of this study is to ascertain the awareness or incidence of SHP and postnatal care. Methods: We analyzed the results of Questionnaires for 104 women who have experienced childbirth within the last 10 years and examined June 2007 to December 2007. We divided to three groups according to age and investigated. Results: 1. Awareness of SHP and postnatal care. Responses about "How informed are you about the syndrome known in Korea as SHP?", Person's ration who know is 72.11%. Responses about "Are you aware of current traditional postnatal practices in Korea?", Person's ration who know is 80.77%. "Do you think that postnatal care as practised is Korea is necessary?", Person's ration who know is 84.62%. "Do you think that in general postnatal care is necessary?", Person's ration who know is 93.27%. "Do you believe, if you are unable to practice postnatal care, you will subsequently develop health problems?", Person's ration who know is 91.35%. 2. Relevant comments of postnatal care. Responses about lifestyle after childbirth are Prevent bodily hard work 35.37%, Prevent cold stimulus 27.21 %, Hold body warmly 17.69%, Psychologically comfortably 7.48%, Eat good food 7.48% Etc 10.88%. Foods after childbirth are Avoid cold foods 22.38%, Avoid hard foods 17.48%, avoid hot foods 16.78%, avoid salty foods 10.49%, avoid excitative foods 8.39%. Medication after childbirth are Oriental medicine and restorative medicine 21.24%, iron was 15.04%, pumpkin 15.04%, vitamin 9.73%, calcium and snakehead each 7.96%. 3. Postnatal care practices Correlation postnatal care practices with present health condition are 19 items of 31 items. Conculsion: We hope these results could be helpful to diagnosis and treatment of SHP.

• 대한한방부인과학회지
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• 제22권2호
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• pp.172-188
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• 2009

Purpose: For mothers just delivered of a child, sanhupung(産後風) is a critical disease which can threaten their health. The symptoms of sanhupung were diverse and divided into pain symptoms, general symptoms, and neuropsychiatric symptoms. We tried to search for the relationship between sanhupung and somatization of postpartum depression. Methods: Analysis was carried out with materials concerning the postpartum depression and sanhupung. For the analysis, materials related with the issue of this study were searched at the Korea Education & Research Information Service, and Oriental medicine advanced searching. Results: 1. The range of period and symptoms of sanhupung has been broaden. The symptoms of sanhupung were divided into pain syndrome, general symptoms, and neuropsychiatric symptoms. 2. As the symptoms of postpartum depression might indicate not only physical symptoms but also mental disorder, more attention should be placed on wether the symptoms were involved in somatization of postpartum depression. Conclusion: The authors conclude that obstinate sanhupung that do not healed up and improve in symptoms have a relation to somatization of postpartum depression.

• 대한한방부인과학회지
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• 제19권4호
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• pp.148-158
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• 2006

Purpose : Sanhupung(産後風) is not completed golden standards of diagnosis therefore doctors diagnose through symptoms and signs of patients in clinic same as progress of treatments. We polled oriental gynecologic specialists and non-specialisst to find out cognitive differences on Sanhupung. Subjects : We surveyed 83 specialists and 87 non-speciailist from May 15 2005 to Oct 15. We analyzed the result of respondants, 39 (47%) specialists and 65 (75%) nono-specialits). Methods : We sorted all symptoms in previous studies then we categorized them into 4 fields. The results are analyzed by frequency, importance and impact(frequency percentage${\times}$average importance). Results : Except back pain, all pain symptoms were lower evaluated in non-specialist on frequency. Except inguinal region pain, pain of lower limbs and back pain, all pain symptoms were lower evaluated in non-specialist on importance. Except the numbness of limbs, all items of whole body were lower evaluated in non-specialist on frequency. Except edema, numbness of hand and foot and discharge from the uterus, all items were lower evaluated in non-specialist on importance. All items of neuropsychotic symptoms were lower evaluated in non-specialist on frequency and importance.

• 대한한방부인과학회지
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• 제23권2호
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• pp.116-123
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• 2010

Purpose: During Postpartum period many women complain multiple pain, cold hypersensitivity, hot flush, sweating and so on. We call the postpartum disease as San Hu Pung. We studied DITI Characters of women suffering from Postpartum disease. Methods: We studied 74 postpartum women visiting OOhospital from February 2006 to December 2009. The subjects were categorized in two groups, symptom group and no symptom group. We measured the temperatures of abdomen, upper and lower limb and back. We studied the difference of DITI between two groups by Student T-test using SPSS for windows(version 17.0). Results: The general characteristics were not different statistically. Temperatures of abdomen and back of two groups were not different statistically. Temperatures of both LR3 of symptom group were statistically higher than no symptom group. The difference of both PC8 and LU4, both LR3 and ST32 of symptom group were statistically higher than no symptom group. Conclusion: The results suggest that women suffering from Postpartum disease shows high temperatures on hand and foot. It seems that postpartum disease patients tend to have blood deficiency. DITI can be useful to diagnose San Hu Pung. More studies to diagnose San Hu Pung would be needed.