• 제목/요약/키워드: 한방정신요법

검색결과 84건 처리시간 0.019초

화병의 비약물요법에 관한 전문가집단 설문 연구 (Questionnaire Survey of Nonherbal Therapy of Hwabyung in Professionals)

  • 이승기;최우진;강형원;구병수;김근우;이재혁
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.133-141
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    • 2009
  • Objectives : This study was performed to develop Hwabyung clinical guideline. Acupuncture, moxibustion, negative therapy and psychotherapy were selected, and herbal therapy was excluded in this study. Methods : 27 questions were composed to investigate nonherbal therapy of Hwabyung. They were answered by the experts. They are the professors of oriental neuropsychiatry in Korea. Results and Conclusions : Most experts use acupuncture mainly in treating Hwabyung. They think that acupuncture therapy is needed by all means. Moxibustion, negative therapy and psychotherapy are also utilized mainly or partially to treat Hwabyung, Moxibustion and negative therapy are usually done for somatic symptoms, and psychotherapy is for mental symptoms.

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양약 복용 후 추체외로증후군을 나타낸 정신분열형 장애 환자에게 EFT 요법과 한방치료를 병행하여 치료한 치험 1례 (A Case Report of a Schizophreniform Disorder Treated by Oriental Medical Treatment and Emotional Freedom Techniques.)

  • 이지원;차혜진;서영민;서덕원;박세진
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.207-216
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    • 2009
  • Objectives : Schizophreniform Disorder can be put as pre-stage of Schizophrenia, which is known as one of the most common mental disorder. Many studies have shown that Antipsychotic Treatment for Schizophrenia has many side effects such as EPS(Extrapyramidal Symptoms), and recently it has been found that even Non-Antipsychotic Treatment has side effects such as weight gain. This clinical study was aimed to search the therapeutic effects of Oriental medicine in Schizophreniform Disorder, and in reducing the side effects of Western medicine. Methods : We treated the patient diagnosed as Schizophreniform Disorder, whose chief complaint was auditory hallucination, with herbal medicine and acupuncture. Improvement in her clinical symptoms were recorded daily. We also used Emotional Freedom Techniques to control her anxiety effectively. Results : Auditory hallucination and extrapyramidal symptoms such as tremor disappeared. The patient's anxiety was controlled by Emotional Freedom Techniques effectively. Conclusions : From the above results, we conclude that Oriental medical treatment is effective in treating clinical symptoms of Schizophreniform Disorder, as well as in reducing the side effects of Western medicine.

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턱떨림을 주증상으로 내원한 환자 3명에 대한 증례 보고 (A Clinical Study on 3 Cases in Submaxillary Tremor)

  • 김진형;국윤재;백동기;김태헌;강형원;류영수;양희숙
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.187-196
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    • 2004
  • 하악진전(下顎振顫)이 나타난 여자 노인 환자 3례를 발병 초기에 간신부족(肝腎不足), 기혈양허(氣血兩虛)로 변증하여 지황음자가미(地黃飮子加味), 귀비온담탕가미(歸脾溫膽湯加味)를 투여하고, 간정격(肝正格)시술, 백회구(百會灸) 요법을 병행하여 치료해서 좋은 결과를 얻었고 이를 보고하는 바이다. 하지만 연구 기간이 짧아 지속적인 관찰이 요구되며, 이번 연구에 서는 한약요법, 침요법, 백회구요법을 동시에 시행하였지만 각각의 치료 효과에 대한 비교 분석을 포함하여 향후 객관적이고 지속적인 연구가 필요하리라 생각한다.

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불면장애에 대한 부항요법의 체계적 문헌고찰 (A Systematic Review of Cupping Therapy for Insomnia Disorder)

  • 이정한;최미라;임정화;김보경
    • 동의신경정신과학회지
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    • 제34권3호
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    • pp.181-212
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    • 2023
  • Objectives: To examine the efficacy and safety of cupping therapy for insomnia disorder and provide clinical evidence that could contribute to further research. Methods: We searched randomized controlled trials (RCTs) that verified effects of cupping therapy for insomnia disorder from 11 domestic and foreign databases. Included studies were evaluated using Risk of Bias (RoB). Results: Nineteen RCTs were selected. Wet cupping was more frequently used than dry cupping. Moving cupping was mostly used among dry cupping methods. Dry cupping was mainly performed in Bladder Meridian on the back. Wet cupping was mainly performed on BL18, LR14, and BL15. The most common treatment period was 4 weeks. The average number of treatments per week was about 2.4 times for all types of cupping, about 3.2 times for dry cupping and about 1.9 times for wet cupping. All selected studies showed a significant sleep improvement compared to the control group. As a result of the meta-analysis, in terms of effective rate, SAS score, and SDS score, the wet cupping in combination with acupuncture was significantly more effective than acupuncture alone, although the quality of selected RCTs was low. Conclusions: Cupping therapy is effective for insomnia disorder. Based on results of this study, it is reasonable to use wet cupping two times per week on BL18, LR14, and BL15 or use moving cupping three times per week in Bladder Meridian on the back for 4 weeks to treat insomnia disorder.

네트워크 분석에 기반한 항암화학요법으로 유발된 말초신경병증의 최적 경혈 조합 (Optimal Combination of Acupoints Based on Network Analysis for Chemotherapy-Induced Peripheral Neuropathy)

  • 김민우;김중일;이진현;조동찬;강수빈;이지원;박태용;고연석
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.107-124
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    • 2022
  • Objectives This study aimed to identify optimal combinations of acupoints used to treat chemotherapy-induced peripheral neuropathy (CIPN). Methods We searched four international databases (MEDLINE, EMBASE, the Allied and Complementary Medicine Databases [AMED], and China National Knowledge Infrastructure [CNKI]) and five Korean databases (DBpia, Research Information Sharing Service [RISS], Korean Studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], and KoreaMed) to identify randomized controlled trials (RCTs) that used acupuncture to treat CIPN. Network analysis was performed on the acupoints used in more than three included articles. We constructed a network by calculating the Jaccard similarity coefficient between acupoints and applied minimum spanning tree. Then, modularity analysis, degree centrality (Cd), and betweenness centrality (Cb) were used to analyze properties of the acupoints. Results A total of 25 articles were included. 24 acupoints were extracted from 25 articles. The combinations of acupoints having the highest Jaccard similarity coefficient were {EX-UE9, EX-LE10} and {ST36, SP6}. In the modularity analysis, acupoints were classified to six modules. ST40, EX-UE11, and KI6 had the highest Cd value while ST40, GB34 had the highest Cb value. Conclusions This study found the systematic framework of acupoint combinations used in CIPN studies. This study is expected to provide new perspectives of CIPN treatment to therapists. A RCT is in progress of using the network of this study as a guideline. If significant results are derived from the RCT, it will be possible to lay the groundwork to consider acupuncture for CIPN treatment.

두통에 대한 이혈 방혈요법의 유효성 분석: 체계적 문헌고찰 및 메타분석 (Effectiveness of Auricular Blood-letting Therapy for Headaches: A Systematic Review and Meta-Analysis)

  • 이경은;박민령;이지원;황인준;이보람;서종철;권찬영
    • 동의신경정신과학회지
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    • 제34권3호
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    • pp.259-274
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    • 2023
  • Objectives: The purpose of this study was to provide clinical evidence to support the use of auricular blood-letting therapy (ABT) for headaches. Methods: Studies were identified by a comprehensive search of five databases. Randomized controlled trials (RCTs) that investigated the effects of the ABT for headaches were included. Two authors independently extracted the data and assessed the methodological quality of the included studies using Cochrane's risk-of-bias tool. If two or more studies reported the same outcome, a meta-analysis was performed. Meta-analysis results for dichotomous variables are expressed as risk ratios (RRs) and 95% confidence intervals (CIs). Results: A total of eight RCTs were included in this review. The total effective rate (TER) was the most commonly used outcome measurement. Among the eight RCTs, five were included in the metaanalysis. The TER was not statistically significantly different in the ABT group compared to the medication group (two studies, n=55, RR=1.24, 95% CI: 0.78 to 1.96, p=0.36, I2 =86%). However, the TER of the combined ABT and medication group was significantly different compared to the medication alone group (four studies, n=159, RR=1.23, 95% CI: 1.12 to 1.35, p<0.0001, I2 = 0%). Pain and mental health-related outcomes in the combined ABT and medication group were significantly different from the control groups. The methodological quality of the included RCTs was generally low. Conclusions: ABT combined with medication may be effective for treating headaches. However, the number of studies included was small, so the results were insufficient, and statistically significant effects were not confirmed for a single implementation of ABT. Thus, well-designed further studies based on the findings of this study are recommended.

후천성(後天性) 사경증(斜頸症) 환자(患者) 치험(治驗) 1례(例) (A case report on acquired torticollis)

  • 원호영;이동원;최은정;김경수;김은정
    • 동의신경정신과학회지
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    • 제14권1호
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    • pp.141-147
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    • 2003
  • 1. 한의학(韓醫學) 고전(古典)에서 사경(斜頸)과 동일한 병명은 없으나 낙침(落枕)(항강증(項强症)), 요두(搖頭), 근급(筋急), 근축(筋縮), 계, 기통(氣痛) 등의 범주에서 찾아볼 수 있다. 2. 후천성(後天性)으로 발생하는 경련성(痙攣性) 사경(斜頸)에 한의학적(韓醫學的) 치료(治療)가 유효함을 입증할 수 있었고, 근맥(筋脈), 경락(經絡), 기혈(氣血), 심비(心脾)의 다양한 측면에서 진단되어야 하며 특히 순기(順氣), 이기해울(理氣解鬱), 서근(舒筋), 양혈보심(養血補心)하는 치료(治療)가 중요함을 알 수 있다. 3. 약물(藥物)치료 뿐만이 아니라 추나요법(推拿療法), 운동요법(運動療法) 및 물리치료(物理治療) 등이 동시에 이루어져야 효과적으로 치료(治療)됨을 알 수 있다. 향후 경련성(痙攣性) 사경(斜頸)을 위와 같은 한의학적(韓醫學的)인 이론에 근거하여 치료한다면 대부분의 임상 실제에서 유효할 것으로 사료된다.

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오지상승요법(五志相勝療法)에 관한 임상사례(臨床事例) 연구(硏究)와 현대적(現代的) 이해(理解) (A review of the Traditional Concept of Psychologic Therapy in Oriental Medicine-specially about Oh-Ji-Sang-Seung(五志相勝療法) Therapy-)

  • 장현호;유영수;강형원
    • 동의신경정신과학회지
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    • 제12궈1호
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    • pp.11-27
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    • 2001
  • In oriental medicine, from old times, psychological therapy has been regarded as physical therapy that has been inseparable from psychological therapy. The major objects for oriental psychological therapy is human emotions. Human emotions can be put in the seven feelings(七精) that include Joy(善), Anger(怒), Grief(思), Pity(悲), Fear(恐), Surprise(驚). The seven feelings are connected with human physiology. If each of the seven feelings if excessive, human physiology loses its valance. So the seven feelings are major causes of diseases. The specific character of oriental neuropsychiatry is to make use of the seven feelings in clinical treatment. These oriental neuropsychiatry therapies are performed through consultation with the patient. Of these therapies, Oh-Ji-Sang-Seung(五志相勝療法) is based on the theo교 of interrelation in five elements(metal, wood, water, fire, and earth) in oriental medicine. Specially the sequential subjugations of the five emotions are applied. The contents of Oh-Ji-Sang-Seung(五志相勝療法) 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). The psychological therapy of Oh-Ji-Sang-Seung(五志相勝療法) can be applied in all area of neuropsychiatry. These days, many mental diseases such as Panic Disorder, Depression Somatoform disorders, and negative symptoms of Schizophrenia have been improved by Oh-Ji-Sang-Seung(五志相勝療法) therapy. Here, we present the treatment cases applied Oh-Ji-Sang-Seung(五志相勝療法) therapy in oriental medicine quoted from old oriental books and the latest treatment cases. Moreover, we hope that many oriental therapist will treat many different patients with mental disorders by Oh-Ji-Sang-Seung(五志相勝療法) therapy.

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마음챙김 명상과 이정변기요법을 이용한 PTSD 환자 치험례 (A Case Report for PTSD Patients Based on Mindfulness & I-Jeong-Byeon-Gi Therapy)

  • 박종민;이고은;서주희;배달빛;최성열;강형원
    • 동의신경정신과학회지
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    • 제25권1호
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    • pp.73-84
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    • 2014
  • The purpose of this study was to introduce a PTSD patient who experienced significant effects of mindfulness meditation and Ii-Gyeung-Byun-Qi therapy. Our psychotherapy was executed five times a week for the 14-year-old male patient who attended middle school and was diagnosed by DSM-IV Diagnostic Criteria for PTSD, and then the MMPI-A was evaluated to determine the effects after 3 months. The results showed normal profiles of MMPI-A validity scales and Clinical Scales profile after his treatment, positive changes in content scales, and significant decreases of PSYC (psychoticism) and NEGE (negative emotionality) in PSY-5 scales. This study made through a case report on the treated psychotherapy for PTSD by the applications of modern psychological techniques in the Korean psychotherapy. We expected that this case report will have a role in development of standardized psychotherapy programs for PTSD.

최면요법을 이용한 수면보행장애 환자 치험 1례 (A Case Report of Sleepwalking Disorder with Hypnotherapy)

  • 최우진;정명숙;이승기;김현동
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.273-282
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    • 2009
  • Objectives : The symptoms of Sleepwalking disorder include getting up, walking, talking, and even eating in one's sleep or sleep-like state. The patients do not realize what they have done. It is accepted that there is no specific treatment for this disorder. Some medications and psychotherapies including hypnotherapy have been used in various situations. In this study, the hypnotherapy was used on a 46-year-old female patient. Method : She had been suffering from insomnia, nightmares, and sleepwalking for over a year. Through hypnotherapy, she was able to express her anger towards people who had hurt her in the past. Also, through regression and trance logic, she was able to reconcile with her mother who had passed away. Result and Conclusion : As a result, her sleepwalking disappeared and other psychological problems such as depression and anxiety were reduced effectively.

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