• 제목/요약/키워드: Arthralgia

검색결과 172건 처리시간 0.031초

세포교정영양요법(OCNT)을 이용한 유방암 환자 사례 연구 (A Case Study on the Breast Cancer Patients Using Ortho-Cellular Nutrition Therapy (OCNT))

  • 장지연
    • 셀메드
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    • 제13권9호
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    • pp.37.1-37.5
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    • 2023
  • Objective: Case report of improvement in joint pain and gum bleeding in a breast cancer patient using OCNT. Methods: A Korean woman in her 60s was diagnosed with breast cancer. After being diagnosed with stage 2 breast cancer, her quality of life has greatly deteriorated due to the side effects of the drugs administered. Results: Improved joint pain and bleeding gums after OCNT Conclusion: The application of OCNT to patients with above problem can help improve symptoms.

비증 설문문항 개발 (Developing Questionnaire of BiJeung(痺證) which is similar to Arthralgia and Paresthesia Syndrome)

  • 안지훈;이순호;박영재;박영배
    • 대한한의학회지
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    • 제34권3호
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    • pp.96-105
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    • 2013
  • Objectives: Bi Jeung (비증) is a pain syndrome derivative of pathological patterns of East Asian medicine. The purpose of this study was to develop a self-rated questionnaire for Bi Jeung. Methods: Twelve questionnaire items for Bi Jeung (3 items for the Wind Bi, 5 items for the Cold Bi, and 4 items for the Dampness Bi) were extracted through the literature review. These items were presented to the 18 Korean medical doctors who specialized in pain medicine to conduct two sessions of the Delphi method. The Korean medical doctors were asked to rate the importance of each item for the corresponding Bi syndromes, using a Likert 7-point scale, and were asked to propose which item should be additionally included to increase determinant power to each Bi syndrome. We determined the 4 points of the importance as a cut-off point of each item. Results: Through two sessions of the Delphi method, two items were deleted because their mean values of the importance were below 4 point. Korean medical doctors proposed to add three items for the Bi Jeung. However, the mean values of only two among the three items were over 4 points, so finally 12 items (3 items for the Wind Bi, 5 items for the Cold Bi, and 4 items for the Damp Bi) were determined for the Bi Jeung questionnaire. Conclusions: It is concluded that a 12 item-Bi Jeung questionnaire comprising the three subcategories of the Bi Jeung (Wind, Cold, and Dampness Bis) possesses contents validity through literature review and Delphi methods.

급성 신부전을 동반한 성인 Henoch-Sch$\ddot{o}$nlein 자반증 1예 (A Case of Adult onset Henoch-Sch$\ddot{o}$nlein Purpura with Acute Renal Failure)

  • 김석민;장경애;정선영;박찬서;박종원;도준영;김용진;윤경우
    • Journal of Yeungnam Medical Science
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    • 제25권1호
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    • pp.58-63
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    • 2008
  • Henoch-Sch$\ddot{o}$nlein purpura (HSP) is a leukocytoclastic vasculitis of small vessels with deposition of IgA, commonly resulting in skin, joint, gastrointestinal, and kidney involvement. HSP is an uncommon disorder in adults and accounts for 0.6% to 2% of adult nephropathy. We report a case of HSP with acute renal failure successfully treated with corticosteroid. In this case, the patient presented with vasculitic purpuric rash on lower extremity, arthralgia in the wrist, abdominal pain, hematochezia, oliguria and azotemia. Abdominal CT showed wall thickening of the small and large bowels. Skin biopsy revealed leukocytoclastic vasculitis. Percutaneous renal biopsy showed no crescent formation, but mesangial IgA and $C_3$ deposits were observed by immunofluorescence. The patient was treated with corticosteroid (1mg/kg per day) and hemodialysis. After treatment, renal function improved and purpuric lesion, arthralgia and abdominal pain disappeared. Thus, when adults present with purpuric rash and rapidly progressive glomerulonephritis (RPGN), HSP should be a diagnostic consideration.

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전신성 홍반성 낭창(SLE) 환자 1례 증례보고 (A Clinical Report of Systemic Lupus Erythematosus)

  • 전영선;이은규;김수현;최유진;박경미;양승정;조성희
    • 대한한방부인과학회지
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    • 제31권4호
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    • pp.179-187
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    • 2018
  • Objectives: The purpose of this study is to report the effect of Korean medicine treatments on a systemic lupus erythematosus (SLE). Methods: We treated 1 case of systemic lupus erythematosus patient with Korean herbal medicine, acupuncture, moxibustion and pharmaco-acupuncture. Patient is a 44-year-old woman, who suffered from general body weakness, arthralgia and foamy urine. She was treated with Samilshinki-hwan-gami and Oryeong-san-gami. Patient is taken acupuncture at GV20, CV12, LI4, LR3, ST36, BL23, BL25 and moxibustion at CV4. We injected pharmaco-acupuncture at BL23, BL25. Results: After treatments the patient recovered from foamy urine, reduced general body weakness, arthralgia. Conclusions: This study suggests that Korean medicine treatments have significant effect on reducing symptoms of systemic lupus erythematosus.

구침(九鍼)의 형태와 용도에 대한 문헌연구 (Literature Study on the Conformation and Application of Nine Classical Needles)

  • 손인철;권오상;김유리;안성훈;김재효
    • Korean Journal of Acupuncture
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    • 제28권1호
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    • pp.157-169
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    • 2011
  • Objective : Nine classical needles have been recorded in oriental medical classics as a diversified instrument for acupuncture to treat patients with various symptoms. Recently, it has suggested that doctors didn't make full use of acupuncture and that poor understanding of the nine needles has caused the lack of usage. Methods : It has studied bibliographically about the conformation including a length & shape and application & usages of the nine classical needles presented in oriental medical classics. Results : Chamchim (shear needle) has 1.6 chon (寸) length, sharp apex treating fever in the head and trunk; Wonchim (roun-pointed needle) has 1.6 chon, eggshaped apex treating disease of flesh by massaging with it; Sichim (spoon needle) has 3.5 chon, thick body with round sharp apex treating weakness of Qi; Bongchim (lance needle) has 1.6 chon, a triangled apex treating chronic disease with bleeding; Pichim (stiletto needle) has 4 chon, razor sharp applying to surgery of big pus; Wonlichim (round-sharp needle) has 1.6 chon, thin body, sharp apex treating acute arthralgia syndromes; Hochim (filiform needle) has various lengths which treats various disease of meridians and organs; Jangchim (long needle) has 7 chon, sharp apex treating chronic arthralgia syndromes in deeper place of body; Daechim (large needle) has 4 chon, nail like apex applying to excrete artheredema in joints. Conclusions : The conformation of nine classical needles has been changed from those recorded in oriental medical classics since it was developed. However, the usage of nine classical needles has remained the same. Therefore it is considered that intrinsic attribute of the nine needles has preserved even though the conformation of nine classical needles has changed.

측두하악관절과 저작근의 통증이 긴장성 두통에 미치는 영향 (The Effect of the Pain on the TMJ and Masticatory Muscles to Tension-type Headache)

  • 김진석;어규식;이진용;홍정표;전양현
    • Journal of Oral Medicine and Pain
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    • 제31권4호
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    • pp.327-335
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    • 2006
  • 긴장성두통은 일반적으로 근육성 두통이 많지만 측두하악관절장애 등과 같은 관절통이 주소인 경우도 있는데 본 연구의 목적은 근육통을 호소하는 긴장성 두통환자와 측두하악관절의 통증을 호소하는 긴장성 두통환자의 임상적 통증양상을 비교 연구하는데 있다. 일정기간 긴장성두통을 주소로 내원한 환자 167명을 관절통군 18명, 근육통군 50명, 그리고 관절통과 근육통이 함께 있는 관절근육통군 99명을 대상으로, 국제두통학회에서 제시한 두통의 진단기준인 통증의 질, 통증의 강도, 통증의 양측성 유무 그리고 일상생활시 통증의 증가유무, 악습관의 유무 등을 설문조사한 후 통계처리 하여 결과를 얻었다. 1. 통증의 질은 세 군 모두 둔통이 많았다. 관절통군이 94%, 근육통군이 94%, 그리고 관절근육통군이 85%로 둔통이 많았다. 그러나, 세 군간의 통계적으로 유의한 차이는 없었다. 2. 통증의 강도는 세 군 모두 심하지 않은 정도의 통증이 많았다. 관절통군이 89%, 근육통군이 88%. 그리고 관절근육통이 94%로 비심도의 비율이 높았다. 하지만, 세 군간의 통계적으로 유의한 차이는 없었다 3. 통증의 양측성 유무는 세 군 모두 편측성이 많았으나, 관절통군이 83%, 근육통군이 82%, 그리고 관절근육통군이 63%로 편측성이 많았다. 세 군간의 통계적으로 유의한 차이는 없었다. 4. 일상생활시 통증의 증가유무는 세 군 모두 악화되는 경우가 많았으며, 관절근육통에서 75%로 관절통의 61%, 근육통의 54%보다 악화되는 비율이 통계적으로 유의성있게 더 높았다(p=0.03). 이상의 연구로 관절통 혹은 근육통 하나 만이 있는 긴장성 두통 환자보다, 관절통과 근육통을 모두 가지고 있는 긴장성 두통환자는 더욱 쉽게 악화됨이 관찰되었다.

측두하악관절의 관절염 진단에 있어서 골스캔과 단광자방출 전산화 단층촬영의 유용성에 관한 연구 (A Study on Usefulness of Planar Bone Scan and Bone SPECT in Diagnosis of Temporomandibular Joint Arthritides)

  • 김창용;안용우;박준상;고명연
    • Journal of Oral Medicine and Pain
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    • 제30권1호
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    • pp.107-119
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    • 2005
  • 측두하악관절 관절염은 골관절염, 골관절증, 다발성 관절염으로 나뉜다 골관절염과 골관절증은 관절통을 제외하면 그 증상, 징후, 방사선적 특징이 비슷하기 때문에 감별진단이 어렵다. 또한 초기 골관절염의 경우 방사선적 변화가 나타나지 않아서 오진을 할 수가 있다. 골스캔과 단광자방출 전산화 단층촬영은 골의 변화를 초기에 감지하는데 유용하다. 이 연구는 골스캔과 단광자방출 전산화 단층촬영을 이용하여 진단학적인 기준을 제시하기 위하여 시도되었다. 임상검사, 전산화단층 촬영, 골스캔, 단광자방출전산화 단층촬영을 실시한 304개의 측두하악관절을 대상으로 연구하였다. 연구결과 다음과 같은 결론이 도출되었다. 1. 골스캔을 이용하여 측두하악관절을 진단하는데 있어서 20대 환자의 단순섭취율이 1.397% 이상인 경우, 30$\sim$40대 환자의 단순섭취율이 1.332% 이상인 경우에는 골관절염으로 추정해 볼 필요가 있다. 2. 단광자방출 전산화단층 촬영을 이용하여 측두하악관절을 진단하는데 있어서 온점이 관찰되는 관상단면, 횡단면이 4개 이상일 경우에는 골관절염으로 추정해 볼 필요가 있다. 3. 골스캔을 이용하여 측두하악관절을 진단하는데 있어서 20대 환자의 단순섭취율이 1.370% 이상인 경우, 30-40환자의 단순 섭취율이 1.104% 이상인 경우에는 골파괴 과정이 진행중인 것으로 생각해 볼 필요가 있다. 4. 단광자방출 전산화단층 촬영을 이용하여 측두하악관절을 진단하는데 있어서 20대와 30-40대에서 온점이 관찰되는 관상단면이 4개 이상일 경우에는 골파괴 과정이 진행중인 것으로, 모든 연령에서 온점이 관찰되는 횡단면이 3개 이상일 경우에는 골파괴 과정이 진행 중인 것으로 생각해 볼 필요가 있다. 5. 임상적으로 주관적 관절통과 촉진통이 모두 나타난 경우에 골변화가 더욱 활발할 가능성이 높다. 6. 관절음, 관절통, 개구제한의 병력이 4.5개월까지 점차 길어질 수록 측두하악관절은 골관절염으로 점차 악화되고, 그 이후에는 골관절증으로 점차 안정화되는 경향을 보였다.

알레르기성 자반증의 증례보고 1례 (A Case Report of Allergic Purpura)

  • 이지홍;유선애;이승연
    • 대한한방소아과학회지
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    • 제26권3호
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    • pp.12-19
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    • 2012
  • Objectives The purpose of this study is to report the clinical effects of an oriental medical treatment on the patient with allergic purpura. Methods A 7-year-old female patient, who was suffering from the purpura on her extremities: swelling and arthralgia on her lower extremities, was treated by herb medicine, acupuncture and pediluvium. Results Treated only with oriental medicine, the patient's allergic symptoms were improved. When we checked back on her condition after 2 months later, she did not show any recurrence of the flares, and regained her health. Conclusions This study shows that oriental medical treatments are effective on allergic purpura, but further clinical studies are needed.

신경뿌리 병증, 경추부의 증례보고 1례 (A Case Report of Cervical Radiculopathy)

  • 박젬마;유수향;채중원
    • 대한한방소아과학회지
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    • 제26권4호
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    • pp.71-76
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    • 2012
  • Objectives: The purpose of this study is to report the clinical effects of Korean medical treatment on the patient with cervical radiculopathy. Methods: A 16-year-old female patient, who was suffering from the cervical radiculopathy on her Lt. shoulder: ROM limit, swelling and arthralgia, was treated by herbal medicine, physical therapy, acupuncture and pharmacupuncture. Results: As a result, the patient's left upper limb disability was improved by Korean herbal medicine (ssanghwatang hap gamiseokyungtang), hominis placenta (Ja-ha-geou) pharmacupuncture and physical therapy. Conclusions This study showed that Korean medical treatments can be an effective choice for cervical radiculopathy.