• 제목/요약/키워드: Abdominal symptoms

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상한론(傷寒論) 조문중(條文中) 상견복증(常見腹證)에 관한 연구(硏究) (A Study of Abdominal Syndrome in Shanghanlun)

  • 신상습;박원환
    • 동국한의학연구소논문집
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    • 제7권2호
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    • pp.47-67
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    • 1999
  • 상한론(傷寒論)은 복증(腹證)에 관한 내용이 전체의 1/4에 달할 정도로 重히 다루고 있으며 방증변증(方證辨證)이 중심이 되어 복증(腹證)을 통한 변증이 매우 발달되어 있어서 진단학(診斷學)의 발전에 크게 기여하였다. 이후 진단학診斷學)의 발전(發展)은 진맥(診脈), 진설(診舌)을 위주로 했으며, 복진(腹診)의 운용(運用)에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 한의학적(韓醫學的) 진단방법(診斷方法)과 치료방법(治療方法)이 매우 강조되어 활발한 연구가 계속 진행되면서 복증변증(腹證辨證)에 관한 관심이 매우 집중되고 있기에, 복부진단(腹部診斷)에 관한 연구(硏究)의 한 방법(方法)으로써 상한론(傷寒論) 조문(條文)에 실려있는 상견복증(常見腹證)에 관련된 내용(內容)을 정리한 결과(結果) 약간의 지견(知見)을 얻었다.

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금궤요략의 상견복증(常見腹證)에 관한 연구(硏究) (A Study of Abdominal Syndrome in Jin Kui Yao Lue)

  • 홍문엽;박선동;박원환
    • 동국한의학연구소논문집
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    • 제8권1호
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    • pp.51-76
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    • 1999
  • 금궤요략은 후한말기(後漢末期) 장기(張機)가 지은 임상의학(臨床醫學) 전문서적(專門書籍)으로써, 리(理) 법(法) 방(方) 약(藥)이 갖추어진 독창적(獨創的)인 변증론치체계(辨證論治體系)를 수립하고 있으며, 특히 복증(腹證)에 관한 내용을 중(重)히 다루고 있고, 방증변증(方證辨證)이 중심(中心)이 되어 복증(腹證)을 통한 변증(辨證)이 매우 발달되어 있어서 진단학(診斷學)의 발전(發展)에 크게 기여하였다. 이후 진단학(診斷學)의 발전(發展)은 진맥(診脈), 진설(診舌)을 위주로 했으며, 복진(腹診)의 운용(運用)에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 한의학적(韓醫學的) 진단방법(診斷方法)과 치료방법(治療方法)이 매우 강조되어 활발한 연구가 계속 진행되면서 복증변증(腹證變證)에 관한 관심이 매우 집중되고 있기에, 복부진단(腹部診斷)에 관한 연구(硏究)의 한 방법(方法)으로써 금궤요략에 실려있는 상견복증(常見腹證)에 관련된 내용(內容)을 정리한 결과(結果) 약간의 지견(知見)을 얻었다.

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여성의 연령과월경 전후기 증상 정도 및 유형에 관한 연구 (The Serverith Leverls and Patterns of Perimenstrual symptoms among Korean Women in relation to their Ages)

  • 박영주
    • 여성건강간호학회지
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    • 제5권2호
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    • pp.162-175
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    • 1999
  • The study was intended to investigate and explore the preimenstrual symptoms, their severity levels, their patterns and the relationships of the age to those symptoms and patterns among Korean women. The data were collected from 844 women in one highschool, one Nursing college and one Korea National Open University in Seoul, from Nov, 1997 to Jun. 1998. The instruments were the Menstrual Symptoms Questionnaire developed by Chesney and the Center for Epidemiologic studies Depression scale developed by Radloff. the data were analyzed by descriptive statistics, ANOVA, Duncan's multiple comparison test, $X^2$-test, simple regression analysis and logistic regression analysis using pc-SAS program. The results were as follows ; 1. Korean women had more symptoms of abdominal bloating, fatigue, abdominal discomfort and backache in perimenstrual period. There Teenages had more symptoms of depression and uterine cramps in the day before or the first day of menstruation. Women in their twenties had more symptoms of abdominal pain or abdominal discomfort, backache, abdominal bloating and the sensitiveness /discomforts in the lower back, abdomen and inner part of thighs. women in their thirties had more symptoms of abdominal bloating, fatigue, tension and nervousness before the menstruation, abdominal discomfort and backpain in the first day of menstruation. Women in their forties had more symptoms of backache, breast discomforts, abdominal pain and discomforts. 2. The severity levels of the perimenstrual symptoms showed the highest score(mean=2.73) in twenties and the lowest score)mean=1.96) in forties The perimenstrual symptom patterns were prevailed the spasmodic menstrual symptoms in teenage and twenties and the congestive menstrual symptoms in thirties and forties. The age was a determinant of perimenstrual symptom patterns and the precipitative equation was log[p(age)/(1-p(age)]=2.7356-0.0982 age. 3. The relationship of the age to perimenstrual symptoms was vanished or lessened, controlling for parity as a test factor. this finding supports the notion that parity is an extraneous variable.

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시호계지탕가감방과 침구치료로 호전된 만성 복통 환아 4례 (4 Cases of Chronic Abdominal Pain Children Treated by Sihogyeji-tanggagam with Acupuncture and Moxibustion Treatment)

  • 이신희;허유진;조연수
    • 동의생리병리학회지
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    • 제35권6호
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    • pp.261-266
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    • 2021
  • This study aim to report 4 cases with chronic abdominal pain whose symptoms are alleviated by Sihogyeji-tanggagam with Korean medicine treatments. The patients were decided to administer Sihogyeji-tanggagam through abdominal examination. The patients were treated by Korean medicine, including acupuncture, moxibustion, and herbal medicine (Sihogyeji-tanggagam). We used Gastrointestinal Symptom Rating Scale (GSRS), Abdominal examination, Visual Analog Scale (VAS), and Subjective Unit of Clinical Symptoms to evaluate the progress of treatments. The improvement of clinical symptoms appeared to be effective with out any remarkable side effects. The abdominal pain of all patients stared to improve as soon as treatment begin, and disappeared in 1-2 weeks. We also confirmed that the abdominal symptoms improved together with the improvement of clinical symptoms. This study suggests that Sihogyeji-tanggagam is effective on reducing symptoms of chronic abdominal pain, but further studies should be followed.

『동의수세보원(東醫壽世保元)』에 나타난 복증(腹證)에 대한 문헌적 고찰 : 소음인편 (The Literature Study on Abdominal Symptoms in Dongeuisusebowon : Soeumin)

  • 고찬희;유준상
    • 사상체질의학회지
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    • 제26권3호
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    • pp.281-294
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    • 2014
  • Objectives The purpose of this study was to investigate the abdominal symptoms of Sasang constitutional disease to make the basis for the clinical treatment. Methods The study focused on the abdominal symptoms of Soeumin written in "Dongeuisusebowon" and compared it with "Shanghanlun" and "Dongeuibogam". Results & Conclusions Abdominal symptoms of Soeumin exterior disease usually appeared in lower abdomen caused by deficiency of ascending of Kidney yang qi, and abdominal symptoms of Soeumin interior disease were related to degree of warm qi of the stomach and cold qi of the large intestine.

기능성 소화불량증으로 복부창만(腹部脹滿)이 지속되는 환아 증례 1례 보고 (A Case Report of Functional Dyspepsia with Abdominal Distention)

  • 김초영;장규태
    • 대한한방소아과학회지
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    • 제23권3호
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    • pp.121-131
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    • 2009
  • Objectives This study is to report a case that has an important meaning as a result of treating functional dyspepsia with oriental treatment. We investigated functional dyspepsia in 6 years child who had to continue abdominal distention for a month after gastroenteritis. The child has recovered from all dyspepsia symptoms after treating with oriental medicine. Methods The patient had dyspepsia symptoms all day, especially repeated abdominal distention. He sometimes had nausea, vomiting, diarrhea, abdominal pain. For those symptoms, we treated him with herbal medicine and acupuncture. The aim of treatment was to improve functional dyspepsia without western treatment. We measured patient's abdomen circumference for change of abdominal distention. Results The symptoms of functional dyspepsia were vanished and the patient maintains his condition with oriental medicine treatment without western treatment. After herb medicine treatment and acupuncture treatment the patient's dyspepsia symptoms (nausea, vomiting, diarrhea, abdominal pain, and abdominal distention) were vanished and maintained his condition for two months after complete the treatment. Conclusions This study showed that oriental medicine can elevate the functional dyspepsia children's quality of life with continuous health care and treatment. For more accurate studies, further studies would be needed with more cases.

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소아(小兒) 복통(腹痛)에 관한 임상적(臨床的) 고찰(考察) (An Study on Abdominal Pain in Childhood according to Its Symptoms)

  • 김성희;이승연
    • 대한한방소아과학회지
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    • 제15권2호
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    • pp.53-68
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    • 2001
  • Purpose : This Study was conducted to evaluate clinical manifestations of abdominal pain(AP) in childhood according to its symptoms and to find out characteristic of children with abdominal pain. Methods : Pacients who visited Dong-Eui Oriental Medical hospital from August to November 2001 due to abdominal pain were included. According to questionaire and history taking abdominal pain was classified by its six subtype in the Oriental Pediatic Text Book and Dong Eui Bo Gam(東醫寶鑑). Result : According to the Oriental Pediatic Text Book, among 41 children, 31.7% had symptoms of AP caused by cold in internal organs of deficiency(臟腑虛冷腹痛), 29.3% had symptoms of AP caused by diet(食積腹痛), 19.5% had symptoms of AP caused by cold(寒腹痛), 9.8% had symptoms of AP caused by both cold and diet, 7.3% had symptoms of AP caused by internal diet and external cold(內食外寒腹痛), 2.4% had symptoms of AP caused by stagnation of Ki and stasis of blood(氣滯血瘀腹痛). There is no AP caused by parasites(蟲腹痛). Otherwise, according to Dong Eui Bo Gam, 43.9% had symptoms of AP caused by cold, 26.8% had symptoms of AP caused by diet, 9.8% had symptoms of AP caused by both cold and diet, 7.3% had symptoms of AP caused by fire(熱腹痛), 7.3% had symptoms of AP caused by phlegm(痰飮腹痛), 4.9% had symptoms of AP caused by stagnated blood(瘀血腹痛). Also There is no AP caused by parasites. Conclusion : 1. The type of AP in Childhood is different from AP in adults. AP in Childhood is most occured by cold of deficiency and food, and there is few AP caused by fire. Six subtype in Dong Eui Bo Gam prefer adults to children and It is more studied that what kind of subtype is proper for AP caused by stress or drugs. So the study on subclassification and clinical Manifestations of AP in Childhood is more performed.

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분변 감입을 동반한 무증상의 심한 소아변비 치험례 (A Case Report of Fecal Impaction in a Child without Abdominal Symptoms)

  • 정지은;장인수;정민정
    • 대한한방소아과학회지
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    • 제34권4호
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    • pp.101-107
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    • 2020
  • Objectives The purpose of this study is to report the case of fecal impaction in a child without any abdominal symptoms treated by taking herbal medicine. Methods We examined a 7-year-old girl who had normal bowel movement and defecation per day, and had no particular abdominal symptoms. Abdominal radiography was taken, and unexpected severe fecal impaction was observed throughout the abdominal cavity, filled with intestinal gas and feces. According to the subject's parents, she had no generalized symptoms, such as abdominal pain or distension, and had on a regular diet and normal bowel movement daily. She was treated with herbal medicine (Daeseunggi-tang) for 23 days. While she was on the therapy, numbers, doses, bowel movements, and radiography were checked and recorded. Results During the treatment, her stool was softened, and fecal impaction was relieved as showed by abdominal radiography. Conclusions We have identified that there are cases where subjects have no symptoms of abdominal pain, despite presence of severe fecal impaction. In addition, it was found that Daeseunggi-tang is effective in fecal impaction in childhood.

소아 만성 복통의 진단적 평가 -기능성 복통과의 감별점을 중심으로- (Evaluation of the Children with Chronic Abdominal Pain)

  • 정수진
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup2호
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    • pp.19-28
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    • 2008
  • Chronic abdominal pain, defined as long-lasting intermittent or constant abdominal pain, is a common pediatric problem encountered by primary care physicians and medical subspecialists. Chronic abdominal pain in children is usually functional, i.e., without objective evidence of an underlying organic disorder. Functional abdominal pain is categorized as functional dyspepsia, irritable bowel syndrome, functional abdominal pain, abdominal migraine, and aerophagia according to the Rome II criteria for pediatric functional gastrointestinal disorders. There is insufficient evidence to state that the nature of abdominal pain or the presence of associated symptoms can discriminate between functional and organic disorders. The presence of alarming symptoms or signs, such as weight loss, gastrointestinal bleeding, persistent fever, and chronic severe diarrhea, is associated with a higher prevalence of organic disease. Most children with chronic abdominal pain are unlikely to require diagnostic testing; such children often need pharmacologic and behavioral therapy.

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Initial Diagnosis of Functional Gastrointestinal Disorders in Children Increases a Chance for Resolution of Symptoms

  • Trivic, Ivana;Hojsak, Iva
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권4호
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    • pp.264-270
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    • 2018
  • Purpose: The aim of this study was to describe functional gastrointestinal disorders (FGID) presented in a tertiary medical center, characteristics of patients and results of the diagnostic work-up together with an outcome during the follow up. Methods: This was a retrospective, single center, observational study including all patients who were diagnosed with FGID based on Rome III criteria from January to December 2015 in tertiary medical center. Results: Overall 294 children were included (mean age, 8.9 years [range, 1-18 years]; 165 females). Majority had functional constipation (35.4%), followed by functional abdominal pain (30.6%), irritable bowel syndrome (17.0%), functional dyspepsia (12.6%), functional nausea (3.4%) and abdominal migraine (1.0%). Regression model found that only significant factor associated with improvement of symptoms is the establishment of the functional diagnosis at the first visit (hazard ratio, 2.163; 95% confidence inverval, 1.029-4.544). There was no association between improvement of symptoms and presence of alarm signs/symptoms (weight loss, nocturnal symptoms and severe vomiting) at diagnosis. Furthermore, in pain symptoms (functional abdominal pain, irritable bowel syndrome, dyspepsia) no treatment positively correlated with pain improvement. Conclusion: Regardless of the initial diagnosis of FGID, positive diagnosis at the first visit increases a chance for resolution of symptoms.