• Title/Summary/Keyword: 울증(鬱證)

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Pharmacological Treatment Strategies for Acute Bipolar Depression (급성기 양극성우울증 약물치료 전략)

  • Kim, Se Joo
    • Journal of Korean Neuropsychiatric Association
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    • v.57 no.4
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    • pp.287-300
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    • 2018
  • Of the different phases of bipolar disorder, bipolar depression is more prevailing and is more difficult to treat. However, there is a deficit in systemic research on the pharmacological treatment of acute bipolar depression. Therefore, consensuses on the pharmacological treatment strategies of acute bipolar depression has yet to be made. Currently, there are only three drugs approved by the Food and Drug Administration for acute bipolar depression : quetiapine, olanzapine-fluoxetine complex, and lurasidone. In clinical practice, other drugs such as mood stabilizers (lamotrigine, lithium, valproate) and/or the other atypical antipsychotics (aripiprazole, risperidone, ziprasidone) are frequently prescribed. There remains controversy on the use of antidepressants in bipolar depression. Here, we summarized the evidence of current pharmacological treatment options and reviewed treatment guidelines of acute bipolar depression from recently published studies.

A case study of high school student with UL-syndrom(鬱證) who has treated by auto gens traning. (자율훈련법을 시행한 고3수험생 울증(鬱證)환자 치험1례)

  • Chu, Ching-Nai;Kim, Ryo-Ju;Cha, Rye-Jin;Lee, Ji-Won;Seo, Young-Min;Park, Se-Jin
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.245-254
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    • 2008
  • This study was designed to evaluate the effects of an Schultz's autogens traning and herbal medicine with various scales on symptoms of UL-syndrom(鬱證). We treated UL-syndrom(鬱證) with Schultz's autogens traning, including herbal medicine and we evaluated the clinical progress of the patient using BDI. After treatment about 2-month, the chief complaint and most of symptoms were subsided and improved. BDI score were decreased 32 to 10. This study suggests that Schultz's auto gens traning and herbal medicine is significantly effective in the treatment of UL-syndrom(鬱證).

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The Clinical Review on Three Cases of UL-syndrome(鬱證) induced by Chronic Stress (스트레스에의한 여성 울증(鬱證) 환자의 가미소요산(加味逍遙散) 치험 3례)

  • Kang, Byung-Chul;Sung, Kyoung-Hwa;Song, Il-Hun;Kim, Ui-Chul;Kwon, Do-Ik;Park, Kyung-Hoon;Jung, Sung-Min;Park, Jun-Ha;Ko, Eun-Sang
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.615-624
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    • 2004
  • UL-syndrome(鬱證) is a syndrome of emotional depression and various physical symptoms generally due to chronic psychological stress, without constitutional abnormality. These are cases of female patients suffering from headache, chest discomfort, heart burning, insomnia, dyspepsia, anorexia, fatigue and some other minor symptoms due to chronic stress. We diagnosed these cases as UL-syndrome and treated them with oriental medicine, specifically Gamisoyosan(加味逍遙散). This paper describes the symptoms that the patients suffered, the treatment used, and identifies stages in the development of UL-syndrome, and suggests a stage in which Gamisoyosan is efficacious.

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The Case Study of a patient with Yùzhèng(鬱證) who has treated by Oh-Ji-Sang-Seung(五志相勝) Therapy based on Forgiveness Program (울증(鬱證)환자에게 용서프로그램을 활용한 오지상승요법(五志相勝療法)을 시행하여 호전된 1례)

  • Lee, Sang-Eon;No, Dong-Jin;Park, Jang-Ho;Lee, Go-Eun;Park, In-Sook;Lyu, Yeong-Su;Ahn, Min-Seob;Jung, Ji-Ho
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.201-214
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    • 2010
  • Y$\grave{u}$zh$\grave{e}$ng(鬱證) comes from obstruction of qi by stress. The patient has depressed mood, irritable sign, chest discomfort, costal pain, angry state or some strange feeling on the throat. Oh-Ji-Sang-Seung(五志相勝) therapy is base on the theory of interrelation in five elements in oriental medicine. The contents of Oh-Ji-Sang-Seung(五志相勝) therapy include five subjugations of five emotions. Anxiety subjugates fear(思勝恐), fear subjugates joy(恐勝喜), joy subjugates pity(喜勝悲), pity subjugates anger(悲勝怒), and anger subjugates anxiety(怒勝思). Forgiveness program is a kind of psychological therapies to decrease the degree of anger and it is included in Oh-Ji-Sang-Seung(五志相勝) therapy. In this case, a female patient, 50 years old, who suffered from Y$\grave{u}$zh$\grave{e}$ng(鬱證) with chest discomfort, irritable sign, easily angry state, depressed mood, hot flush, insomnia. We used Oh-Ji-Sang-Seung(五志相勝) therapy besides herbal medication, acupuncture to her condition got improved. Therefore we reported it for the treatment.

Effects of Ikgukwhan and Ikgukbowhawhan on the Production of Collagen and the Regeneration of Liver Cells Damaged by Bile Duct Ligation and Dimethylnitrosamine (익국환과 익국보화환의 실험적(實驗的) 간경변(肝硬變)에 대(對)한 효과(效果))

  • Bae Cheol-Ho;Kim Sung-Hwan;Kim Kang-San;Kang Byung-Ki
    • Herbal Formula Science
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    • v.6 no.1
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    • pp.119-139
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    • 1998
  • This study was to investigate the protective and effects of Ikgukwhan and Ikgukbowhawhan on the liver cirrhosis or fibrosis induced by prolonged bile duct ligation; a new experimental model for cirrhosis and the intraperitoneal injection of dimethylnitrosamine in the rat. The development of fibrosis or cirrhosis and its inhibition by the two prescriptions were examined by the chemical analysis of AST, ALT, and hydroxyproline. The results obtained were as follows. 1. The increase of serum asparate aminotransferase induced by bile ductligation was inhibited by the administration of Ikgukwhan and Ikgukbowhawn extract. 2. The increase of serum alanine aminotransferase induced by bile duct ligation was inhibited by the administration of Ikgukwhan and Ikgukbowhawhan extract. 3. The increase level of serum AST and ALT induced by the intraperitoneal injection of dimethylnitrosamine was inhibited by the administration of Ikgukwhan and Ikgukbowhawhan extract. 4. The increase level of hydroxyproline volume in the damaged liver tissues in the rat was decreased by the oral administration of Ikgukwhan and Ikgukbowhawhan extract. But there were no significant differences in the inhibition rate between the two experimental groups.

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The Case Study of a patient with 'Ul-zeong' who has treated by $'Y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ (이정변기(移精變氣)요법을 시행한 울증(鬱證) 환자 1례(例)에 대한 임상고찰)

  • Choi, Kang-Wook;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.233-242
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    • 2005
  • 'Ul-zeong' comes from obsturction of qi by stress. The mind affect the body. The patient has depressed mood, irritable sign, chest discomfort, costral pain, angry state or some strange feeling on the throat. $'Y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ is a psychological therapy that a doctor changes the patient ' s psychological condition by using various method. 'yi' means moving, 'qing' means changing. Art therapy means a therapy by using artistic activities and included in $'y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ In this case, a female patient, 35 years old, who suffered from 'ul-zeong' with depressed mood, anxiety, general body weakness, anorexia, constipation. We used $'y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ besides herbal medication, acupuncture to her and her condition got improved. Therefore we reported it for the treatment.

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The Case Study of a Patient with Simbiyangheo type Ul-zeong who has treared by Bibliotherapy and Neurofeedback (독서요법과 뉴로피드백을 시행한 심비양허형(心脾兩虛型) 울증(鬱證)환자 치험(治驗) 1례(例))

  • Lim, Jung-Hwa;Choi, Kang-Wook;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.187-198
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    • 2006
  • Bibliotherapy is the field of clinical counceling to treat the emotional, psychiatric and social maladjustment. Neurofeedback is a means by which participants can team voluntary control of the EEG and has been applied to a range of clinical conditions such as epilepsy, attention deficit hyperactivity disorder, depressive disorder. 'Ul-zeong' comes from obstruction of qi by stress. The mind affect the body. The patient has depressed mood, irritable sign, chest discomfort, flank pain, angry state and some strange feeling on the throat. In this case, a female patient, 30 years old, who complained of amnesia, deficiency of the power of the attention and concentration depersonalization, depressed mood, insomnia ect. We treated the patient with bibliotherapy, neurofeedback and oriental medical treatment such as heral medicine, acupuncture treatment and aroma therapy. In result, the symptoms which she complained were improved.

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A Review on the Concept Establishment of Stagnation Syndrome (울증(鬱證)의 개념 정립에 관한 문헌고찰)

  • Kim, Sanghyun;Choi, Yujin;Jung, In Chul;Lee, Mi Young;Yang, Changsop
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.2
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    • pp.121-133
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    • 2020
  • Objectives: The purpose of this study was to identify the meanings and characteristic of the stagnation syndrome, a distinctive clinical syndrome in traditional Korean medicine (KM). Methods: The major ancient Oriental medicine literature, including Huangdi neijing (黃帝內經), Danxixinfa (丹溪心法), and Jingyuequanshu (景岳全書) were examined to identify the semantic change of the stagnation syndrome (鬱證). Also, recently published articles about the stagnation syndrome were searched from databases including MEDLINE, CENTRAL, KMBASE, KISS, NDSL, and OASIS. Results: The term of stagnation was originally used to describe not flowing and clogged situations, and the stagnation syndrome appeared as an independent syndrome in Danxixinfa. As the etiology became more sophisticated over time, emotional factors were mentioned for one of the causes of the stagnation syndrome. However, the major causes and symptoms of the stagnation syndrome were somatic factors. Various articles about stagnation were searched, and most of them used "stagnation" as the KM syndrome subtype of disease, some of them referred to the "stagnation syndrome" as an independent syndrome. The recently defined stagnation syndrome commonly shows distinctive symptoms of chest stuffiness, and an obstructing sensation in the throat. Conclusions: The semantic changes and characteristics of the stagnation syndrome were examined through searching ancient and modern literature. The meaning of the stagnation syndrome has evolved over time, and at its center, there are somatic and mental symptoms characterized by stagnation, distinguished from the depressive disorder.