• Title/Summary/Keyword: 중풍

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예티엔스(엽천사(葉天士))의 중풍전조5인(中風前兆5因)과 4증(症)과 치료4법(治療4法)에 관한 연구

  • 양웨이후아
    • The Journal of Internal Korean Medicine
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    • v.16 no.1
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    • pp.258-261
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    • 1995
  • 본 논문은 예꿰이(엽계(葉桂), $1667{\sim}1746$, 자(字) 천사(天士), 호(號) 향암(香岩), 강소오현인(江蘇吳縣人)가 중풍전조증(中風前兆症)을 논치(論治)한 임상경험을 검토했다. 5인4법(5因4法)을 제시했는데, 이 경험은 중풍전조증의 예방과 치료에 여전히 임상지도의의(臨床指導意義)가 있다.

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A Case Report of Benign fasciculation syndrome treated with Gami Ssanghwa-Tang and Yang Eui Gongjin-Dan. (가미쌍화탕과 양의공진단 투여로 호전된 양하지 속 상연축 환자 1례)

  • Kim, Soo-Kyung;Lu, Hsu-Yuan;Lee, Hyun-Joong;Lee, Dong-Hyuk;Doo, Kyeong-Hee;Cho, Seung-Yeon;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.15 no.1
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    • pp.66-71
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    • 2014
  • ■ Objectives This clinical study is to report the effect of Korean medicine on patient with chronic benign fasciculation syndrome on a both legs. ■ Methods A patient who suffered from involuntary fasciculation of Quadricepts femoris and Gastrocnemius was treated with herbal medicine Gami SSanghwa-Tang and Yang Eui Gongjin-dan, acupuncture and moxibustion. Degree of fasciculation and general condition was measured. ■ Results After taking Gami Ssanghwa-Tang and Yang Eui Gongjin-Dan, degree of fasciculation have reduced and patient's general condition improved. ■ Conclusion This clinical case study showed the effect of Korean medicine on symptom of fasciculation.

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A Case Report of Bilateral Abducens Nerve Palsy Using Korean Medicine (양측성 외전신경 마비 환자 치험 1례)

  • Lee, Dong Hyuk;Lee, Young Eun;Lee, Bo Yun;Doo, Kyung Hee;Kim, Soo Kyung;Cho, Seung Yeon;Park, Seong Uk;Park, Jung Mi;Ko, Chang Nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.15 no.1
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    • pp.57-65
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    • 2014
  • ■ Objectives The purpose of this case report is to show an effect of korean medicine for patient with bilateral abducens nerve palsy. ■ Methods This patient was 58 year-old man who was diagnosed with bilateral abducens nerve palsy. The patient had Diabetes Mellitus, hypertension, benign prostatic hyperplasia and dyslipidemia as underlying diseases. The patient had symptoms of limited eye movement to lateral, diplopia, dizziness and mild headache. He was treated by korean medicine, containing electroacupuncture, pharmacoacupuncture, moxibustion and herb medicines during 13 days of hospitalization and following outpatient department. His eye movement was evaluated by the method of Scott and kraft and discomfort from his symptoms was scored by the Numerous Rating Scale. And other general conditions were measured. ■ Results After that period, patient's abduction deficit was improved and subjective discomfort from his symptoms was getting better. His other conditions were also better, compared with his admission. ■ Conclusion This study suggests that Korean medicine could have a therapeutic effect for bilateral abducens nerve palsy. So, It could help to relieve patient's symptoms and make general conditions better.

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A Case Report of Neuropsychiatric Disorder Induced by Traumatic Brain Injury in Traditional Korean Medicine Hospital (한방병원에 입원한 외상성 뇌손상으로 발생한 신경정신학적 장애 환자 1례)

  • Lu, Hsu-yuan;Shim, So-ra;Cho, Seung-yeon;Park, Seong-uk;Ko, Chang-nam;Park, Jung-mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.102-110
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    • 2012
  • Neuropsychiatric disorder is one of the symptoms developed after traumatic brain injury. The main symptoms of neuropsychiatric disorder are delirium, anxiety, depression and so on. We treated the patient with herbal medicine, acupuncture, moxibustion and other appropriate traditional Korean medical treatment. The patient only appeared neuropsychiatric disorder, not another neurologic symptoms. We consider it is the rare case in traditional Korean medicine hospital. So we report the patient with the review of literatures regarding neuropsychiatric disorder induced by traumatic brain injury.

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A Case Report of a patient with hemiplegia ipsilateral to affected cerebral hemisphere (대뇌반구의 병변과 동측에 반신마비 발생한 중풍 환자의 1례)

  • Cho, Seung-yeon;Gwak, Ja-young;Hong, Jin-woo;Na, Byong-jo;Park, seong-uk;Jung, Woo-sang;Moon, Sang-kwan;Park, Jung-mi;Ko, Chang-nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.8 no.1
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    • pp.48-57
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    • 2007
  • Stroke is a disease which results in impairment of body functions and affects everyday life. The ability of cerebral neurons to become reorganized and restore function after damage is called plasticity. Motor impairment typically appears contralateral to the affected cerebral hemisphere in patients with cerebral lesions. The authors report a case of a patient with hemiplegia ipsilateral to affected cerebral hemisphere, along with its conjectured mechanism.

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Meridian Massage Therapy for Treating Constipation in Patients with Stroke: a Systematic Review (중풍 환자의 변비에 대한 경락 마사지의 효과: 체계적 문헌 고찰)

  • Lee, Eun-Nam;Kang, Jung-Won;Lee, Myeong-Soo
    • Journal of Acupuncture Research
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    • v.27 no.3
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    • pp.59-64
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    • 2010
  • 목적 : 이 연구의 목적은 중풍 환자의 변비에 대한 증상완화요법으로서의 경락 마사지에 대해 그 임상적인 근거를 평가하기 위함이다. 방법 : 본 연구에서는 언어적인 제한 없이 12가지의 데이터베이스에서 개시부터 2010년 4월까지의 문헌을 검색했다. 변비가 있는 중풍 환자를 경락 마사지로 치료한 모든 형태의 임상 연구를 대상으로 하여, 플라시보 대조군 연구나 약물요법 또는 무처치 대조군 연구의 경우를 본 연구에 포함하였으며, 증례 보고나 사례군 연구는 제외하였다. 모든 임상 연구의 방법론적인 질은 Cochrane의 risk of bias analysis를 이용하여 평가하였다. 결과 : 전체적으로 세 편의 비무작위 배정 대조군 연구와 한 편의 비대조군 관찰 연구가 포함되었다. 모든 연구들은 높은 수준의 risk of bias를 보였다. 세 편의 비무작위 배정 대조군 연구들은 경락 마사지의 효과를 무처치군과 비교하였는데, 중풍 환자의 변비에 대해 경락 마사지의 긍정적인 효과를 나타내었으며, 한편의 비대조군 관찰 연구 역시 긍정적인 결과를 보였다. 하지만 모든 연구들은 bias에 노출되어 있었다. 결론 : 경락 마사지가 중풍 환자의 변비에 대해 효과적인 치료법이라는 것을 보여주기에는 현재의 근거가 부족하며, 모든 연구들은 높은 수준의 risk of bias를 가지고 있기 때문에 더욱더 엄격한 연구가 요구된다.

Effect of Stroke Prevention Program for The Elderly in The Rural Area (농촌지역 노인을 위한 중풍예방 프로그램의 효과)

  • Kang, Mal-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2620-2627
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    • 2015
  • The goal of this study was to examine how effective stroke prevention program is for body mass index, blood pressure, blood glucose, and serum lipids of the elderly in the rural areas. The stroke prevention program included health care education, nutrition guidance and exercise. The program was provided for 12 weeks(36 sessions) from May to August, 2014. Participants were 55 elderly people in the rural areas; 28 people in the experimental group and 27 in the control group. The results of before and after the experiment showed that body mass index(p<.001), TC(p<.001), TG(p=.047), and LDL(p=.010) were significantly better in the experimental group compared to the control group. Also, after the program, the figures of body mass index, fasting blood glucose, TC, TG, and HDL in the control group were decreased, while those of LDL were increased. Study findings indicate that the stroke prevention program is effective and can be recommended as a precaution against the stroke of the elderly in the rural area by preventing risk factors beforehand.

Serotonin Transporter Gene Polymorphism in Korean Stroke Patients-277 Case Control Study (한국인 중풍 환자의 Serotonin Transporter 유전자다형성-환자 대조군 연구 277례)

  • Seo, Jung-Chul;Kim, Jong-In;Kim, Youn-Mi;Nam, Tong-Hyun;Baek, Yong-Hyeon;Choe, Bong-Keun;Kim, Youn-Jung;Kim, Chang-Ju;Chung, Joo-Ho;Yin, Chang-Sik;Kim, Ee-Hwa;Han, Sang-Won;Koh, Hyung-Kyun;Kim, Chang-Hwan
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.111-117
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    • 2002
  • 목적 : 본 연구는 serotonin transporter (5-HTT) 유전자다형성이 중풍의 발병과 관련이 있는지 알아보기 위해 수행하였다. 대상 : 경희의료원 한방병원에 입원한 중풍환자 139명과 각 병원 중풍 기왕력이 없는 건강인 138명을 대상으로 하였다. 방법 : 각 그룹에서 개개인마다 DNA를 분리 정제한 후 Taq polymerase로 증폭하여 한천 겔에서 전기영동을 하여 잘려진 DNA fragment의 양상을 관찰하였다. 결과 : L/L, L/S, S/S의 세가지 유전자형이 검출되었으며 중풍군과 대조군 사이에 유의성 있는 차이는 발견되지 않았다. 개별 allele 빈도에 있어 중풍군과 건강인 사이에는 통계적인 유의성이 나타나지 않았다. 결론 : 이상의 결과를 통하여 5-HTT 유전자다형성은 중풍의 발병과는 직접적인 관련이 없는 것으로 사려되며 더 많은 환자를 대상으로 다른 환경요인 또는 유전자와 연관성에 대한 심도깊은 연구가 필요하다고 하겠다.

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A Qualitative Case Study of the Narrative therapy group work on the elderly with palsy to solve conflict with the elderly with dementia (치매노인과의 관계개선을 위한 중풍노인 이야기치료 집단상담 사례 연구)

  • Lee, Gyeonguk
    • 한국노년학
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    • v.29 no.3
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    • pp.1123-1140
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    • 2009
  • The purpose of this study is to explore the process for the elderly with palsy to solve conflicts with the elderly with dementia in day care center through the narrative therapy group work. For this, the researcher enacted the Narrative therapy group work on the 12 elderly with palsy for seven sessions, and analysed these data through qualitative case study method. The results of this study are as follows. First, the elderly with palsy became to recognize the elderly with dementia as 'the people suffering from dementia' rather than 'the problem', and tried to care them rather than to blame. Second, they became to recognize themselves as 'component people' rather than 'the victim'. Third, they grew intimate and collaborated with themselves. Fourth, they participated actively in day care center. It was discussed connection between these changes and narrative therapy skills, such as to separate problem from people, to respect client as expert for one's problem, to seek unique outcome. The recommendation is suggested that it is important to enlarge choice to participate for long-term care service consumer and to apply narrative therapy on the elderly.

Clinical Observation on East-West Integration Treatment in Stroke and Brain Disease (중풍 뇌 질환의 한 방향 협진에 관한 임상적 고찰)

  • Shin, Ae-sook;Lee, ln-whan;Kim, Na-hee;Kim, Hye-rni;Kim, Min-kyung;Sim, So-ra;Cho, Seung-yeon;Park, Seong-uk;Park, Jung-mi;Bae, Hyung-sup;Ko, Chang-nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.11 no.1
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    • pp.9-17
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    • 2010
  • Objectives : This study was aimed to evaluate the current status of East-West integrated treatment in stroke and brain disease and to discuss further plans. Methods : The medical records of patients who visited the stroke and brain disease center at Kyung Hee University, East-West Neo Medical Center from May 2006 to August 2010 were evaluated. The general characteristics of patients who underwent integrated treatment, trend in the number of cross referrals were initially evaluated. Later major disorders, the reasons of referrals and the number of visits in outpatients were analyzed. Results : 1. 3496 patients were referred from the eastern medical hospital to the western medical hospital and 2440 patients from the western medical hospital to the eastern medical hospital. The number of patients reached a peak alter the opening of the hospital and has decreased from then on. Referrals of female patients were more than those of male patients and patients over 50 years old were the most. 2. Admitted patients with stroke of chronic stage were most commonly referred from the eastern medical hospital to the western medical hospital and cerebral infarction was most common from the western medical hospital to the eastern medical hospital. Among the outpatients cerebral infarction topped from east to west, and stroke of chronic stage from west to east. 3. 36.6% of the patients from east to west received integrated treatment more than 3 times and 28.6% from west to east. Headache was the second most common reason to be referred from west to east and 36.7% of patients didn't continue to have either of the treatment and 30.3% received eastern treatment only, Conclusions: According to this study, chronic stroke management was successfully performed in the outpatient clinic in the form of East-West integration treatment. Further research on other diseases such as headache is recommended.

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