• 대한본초학회지
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• 제23권1호
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• pp.103-108
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• 2008

Objective: Atopic dermatitis is the most common chronic inflammatory skin disease in childhood. Phellinus linteus, an orange color mushroom, has been used as a traditional herb medicine for years. Recent preliminary animal experiments suggest that Phellinus linteus grown on germinated brown rice is effective in chronic inflammatory disease. The aim of this study was to evaluate the efficacy of Phellinus linteus grown on germinated brown rice in the treatment of atopic dermatitis(AD). Methods: 35 patients, 2 to 14 years of age, with mild to moderate AD were treated with Phellinus linteus grown on germinated brown rice powder per oral, $6{\sim}12g$/day adjusted by the body weight, divided three for up to 12 weeks without other treatment. The mean age of patients was 7.3 years. The disease activity has been monitored by objective SCORAD index. The symptom score of the pruritus was measured by using a traditional visual analogue scale (VAS). In addition, the global assessments of clinical response were also monitored by patients or their parents. Results: After 12 weeks of the study, significant reductions in mean severity scores and mean symptom scores were observed. The mean objective SCORAD indices of 35 patients decreased from 25.31${\pm}$8.96 to 18.73${\pm}$13.89(p<0.05). And the mean symptom score of pruritus assessment decreased from 7.37${\pm}$1.33 to 4.6${\pm}$2.3(p<0.05). The patient's global assessment of clinical response were also improved through the period of treatment(p<0.05). Conclusions: Phellinus linteusgrown on germinated brown rice may play a role in the treatment of mild and moderate AD in Children.

• 한국한의학연구원논문집
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• 제15권3호
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• pp.63-74
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• 2009

Background and Purpose : Oncheongeum(溫淸飮) composed of Samultang(四物湯) and Hwangryunhaedoktang(黃連解毒湯) was mainly used for healing metrorrhagia in the Qing dynasty of China. At present, Oncheongeum is used for treating a broad spectrum of diseases such as skin disease, stomatitis, behcets disease, diabetes mellitus and, especially in Japan, atopic dermatitis. To our knowledge, however, neither the precise constituents and their effects of Oncheongeum nor the criteria for the prescription of Oncheongeum were defined. To address this issue, we searched and performed analysis of Korean, Chinese and Japanese articles reporting the clinical and experimental studies of Oncheongeum. Methods : We searched articles in the national assembly library of Korea by using keyword 'Oncheongeum' korean. Similarly, we did chinese articles in the CNKI and japanese ones in the CiNii, respectively. Results : We found 13 korean articles about Oncheongeum in the national assembly library, 34 chinese articles in the CNKI, and 23 japanese in the CiNii. The papers were divided into clinical and experimental articles. The clinical articles were mainly published from China and Japan, and their subjects were predominantly on skin diseases. Conclusions : There were a lot of case reports about Oncheongeum used in the clinical studies. In order to better understand the effects of Oncheongeum, systematic review of the studies seems essential. The efficacy of Oncheongeum reported in the clinical studies should be supported by experimental data. Not much were clinical reports in Korea, although we are expecting more to come. It is possible to not only analyse but compare Oncheongeum with other prescriptions used for atopic dermatitis. More comprehensive and comparative analysis of three countries' prescriptions might provide a way of how to standardize prescriptions, which leads oriental medicine to an evidence based medicine.

• Journal of Ginseng Research
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• 제43권3호
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• pp.342-348
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• 2019

Panax ginseng Meyer (P. ginseng; Korean ginseng) is well known for its medicinal properties. It can alleviate pathological symptoms, promote health, and prevent potential diseases via its anti-inflammatory, antioxidant, homeostatic, and other positive effects on biological metabolism. Although many studies have determined effects of P. ginseng on various diseases, such as cardiovascular, neurological, and immunological diseases, little is known about the effect of P. ginseng on autoimmune diseases. Here, we review a few reports about effects of P. ginseng on autoimmune diseases (e.g., multiple sclerosis, Crohn's disease, ulcerative colitis, atopic dermatitis, and rheumatoid arthritis) and suggest the possibility of P. ginseng as a candidate herbal medicine to prevent and treat autoimmune diseases as well as the need to study it.

• 대한상한금궤의학회지
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• 제13권1호
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• pp.155-164
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• 2021

Objective: This study aimed to report the improvement of a patient with nummular eczema treated with Hoeyeok-tang based on Shanghanlun provisions. Methods: According to the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions, the patient was diagnosed with lesser yin disease according to the 324^th provision. The patient was treated with Hoeyeok-tang for 90 days. The severity of pruritus decreased, and changes in symptoms were estimated by a visual analog scale, Scoring Atopic Dermatitis Index and the Validated Investigator Global Assessment for Atopic Dermatitis. Results: The patient's symptoms were improved. The severity of pruritus decreased and they recovered from abrasions. Conclusions: This study suggests that the 324^th provision of Shanghanlun refer directly to nummular eczema.

• 한국융합학회논문지
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• 제8권4호
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• pp.37-48
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• 2017

본 연구는 보육교사들의 알레르기 질환에 대한 지식과 알레르기 질환 관리에 영향을 미치는 요인들을 파악하기 위하여 시도하였다. 자료수집은 J도 보육시설에 근무하고 있는 보육교사 222명을 대상으로 수집하였으며. 자가보고식 설문지를 통해 이루어졌다. 수집된 자료는 SPSS/WIN 23.0 프로그램을 이용하여 분석을 실시하였다. 연구결과 천식과 알레르기 비염의 지식에서는 연령(p=.013), 교육경험(p=.049), 천식과 알레르기 비염의 관리에서는 교육경험(p=.045), 교육필요성(p=.034)에 따라 유의한 차이를 보였다. 아토피피부염의 지식과 관리에는 유의한 차이가 없는 것으로 나타났다. 천식과 알레르기비염 지식에 영향을 주는 것은 알레르기 질환 관리, 연령으로 36.2%를 설명하였다. 천식과 알레르기 비염 관리에 영향을 미치는 것은 알레르기 질환 지식, 교육경험, 교육필요성으로 천식과 알레르기 비염 관리의 43.1%를 설명하였다. 본 연구 결과를 토대로 보육교사를 위한 알레르기 질환에 관한 교육프로그램의 기초자료에 활용 할 수 있을 것이다.

• 한국환경보건학회지
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• 제47권3호
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• pp.279-291
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• 2021

Objectives: This study investigated the association between air pollutant levels and medical usage rates for environmental disease in a general residential area during the period 2015-2017. Methods: Air pollutant (PM₁₀, PM_2.5, SO₂, NO₂, CO, O₃) data were collected from Air-Korea. Medical usage data on environmental disease (asthma, allergic rhinitis, atopic dermatitis) for the period 2015-2017 in a general residential area in Gyeongsangnam-do Province were provided by the National Health Insurance Corporation. Pearson correlation analysis and multiple regression analysis were conducted to investigate the association between air pollutant levels and medical usage rates (SAS 9.4). In the multiple regression analysis, environmental disease was set as the dependent variable and air pollutants were set as independent variables and analyzed using the General Linear Model. Results: Except for PM_2.5, the average concentration of air pollutants in the surveyed area was below than the air environment standards of Korea. NO₂ was higher than Korea's national average, but CO was similar. The others were lower than the Korea's national average. The daily medical usage rates for environmental disease were 1.38‰ for asthma, 9.90‰ for allergic rhinitis, and 0.32‰ for atopic dermatitis. As a result of correlation analysis, PM₁₀ and SO₂, NO₂ and CO were significantly correlated with asthma, PM₁₀ and NO₂ and CO were correlated with allergic rhinitis, and PM₁₀ and PM_2.5, SO₂, NO₂ and CO were correlated with atopic dermatitis. As a result of multiple regression analysis, PM₁₀ and SO₂ were found to have a higher effect on asthma, PM₁₀ and NO₂ on allergic rhinitis, and SO₂ and NO₂ on atopic dermatitis, compared to other air pollutants. Conclusion: According to these results, air pollutants such as PM₁₀ and SO₂ and NO₂ were associated with the medical usage rates of environmental disease even in relatively low concentrations. Therefore, continuous monitoring will be required for general residential areas.

• 대한본초학회지
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• 제31권4호
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• pp.79-85
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• 2016

Objectives : The aim of this study is to investigate anti-atopic dermatitis effect using ato-tang.Methods : Ato-tang was external treatment to NC/Nga mice for 4 weeks, where atopic dermatitis was induced by DNCB at 1% and 0.4% for 3 weeks. Atopic dermatitis index score was measured using eye observation and picture evaluation. The histopathological change of dorsal skin was observed by hematoxylin and eosin (H&E) staining. Cytokines including IL-4, IL-5 and IL-13 were measured by Luminex or reverse transcriptase polymerase chain reaction (RT-PCR) analysis and immunoglobulin E (IgE) was measured by ELISA reader.Results : The dorsal skin of Ato-tang group showed decrease in erythema, pruritus, dry skin, edema, excoriation, erosion and lichenification level through naked eye observations. Immunoglobulin cell infiltration and the thickness of epidermis were significantly decreased in the dorsal skin compared to control. Production of Th2 cytokines (IL-4, IL-5, IL-13) and IgE level in serum were all significantly decreased, in comparison with control. In addition, mRNA expression level of Th2 cytokines (IL-4, IL-5, IL-13) in spleen was decreased, in comparison with control.Conclusion : The results indicated that external treatment of ato was improved skin barrier function in the symptoms of atopic dermatitis disease. Also, atopic dermatitis factors where cytokine as well as immunoglobulin E in serum and mRNA expression were decreased, respectively, in comparison with control. Therefore, we suggest that ato could be effectively used as a external therapeutic drug based on atopic dermatitis factors.

• 한국식품과학회지
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• 제53권2호
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• pp.139-148
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• 2021

아토피피부염은 성인 및 어린이에서 모두 발생할 수 있지만, 특히 어린이에게서 많이 발병하는 질환으로 만성, 재발성, 염증성 피부질환이며, 심한 가려움증을 동반해 일상생활을 힘들게 한다. 현재까지 아토피피부염에 대한 치료법은 스테로이드성 연고를 도포하는 것뿐이지만, 많은 환자들은 스테로이드 장기 사용에 의한 부작용을 겁내고, 이는 스테로이드 포비아로까지 번지고 있어 아토피피부염의 완화를 위한 천연 대체재가 절실한 상황이다. 과거 뼈 건강과 칼슘 대사만을 담당하는 것으로 알려져 왔던 비타민 D가 면역조절에서 있어서 중요한 역할을 담당한다는 사실이 밝혀지며, 대표적인 알레르기성 질환의 하나인 아토피피부염과 비타민 D 사이의 상관관계를 분석한 연구가 다수 보고되었다. 아토피피부염의 발병 또는 중증도는 다양한 원인이 복합적으로 작용한다고 알려져 있다. 많은 연구들이 이러한 변수들을 통제하지 않고 단면조사연구로 진행되었기에 발표된 연구들 간에 상충성이 존재하지만 과반수 이상의 연구결과들이 유의적인 상관관계를 보고하고 있고, 인구집단을 특정하였을 때, 상관관계를 보였다는 연구 결과를 토대로 하면 혈중 비타민 D 농도와 아토피 피부염의 발생 또는 중증도 사이에는 약한 상관관계가 있을 가능성이 있는 것으로 생각된다. 그러나 명확한 상관관계를 파악하기 위해서는 다양한 변수를 통제한 연구가 진행되어야 할 것으로 생각된다. 최근에는 혈중 비타민 D 농도와 아토피피부염 간의 관계를 파악하기 위해 단면조사연구보다는 아토피피부염 환아에게 직접 비타민 D를 투여 후 질환의 개선효과를 확인하는 무작위대조군 연구가 많이 시도되고 있다. 본 논문에서 검토한 논문 중 70%는 경구로 1000-5000 IU의 비타민 D를 21일-3개월 투여 시 아토피피부염의 중증도가 유의적으로 개선되었음을 보고하였다. 연구들 간의 상충성은 연령, 계절, 위도, 자외선 선량 및 자외선 조사 시간 등 다양한 변수들이 작용하였기 때문이라 생각된다. 다소 상반되는 연구결과들이 있지만, 비타민 D가 아토피피부염을 유의적으로 개선하였다는 결과들은 아토피피부염을 비롯한 알레르기성 질환의 완화에 있어서 비타민 D의 활용 가능성을 제시하고 있다. 비타민 D를 아토피피부염 개선을 위한 치료제로서 적용하기 위해서는 좀 더 체계적으로 설계된 실험이 진행되어야 할 것으로 생각되며, 면역조절기능을 위한 적절한 섭취용량이 도출되어야 할 것으로 사료된다.

• 대한의생명과학회지
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• 제20권1호
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• pp.25-31
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• 2014

Atopic dermatitis (AD) is an inflammatory, relapsing, chronic skin disease and lesions in AD are frequently colonized with Staphylococcus aureus (S. aureus). Activation of T cells and IgE production by staphylococcal enterotoxins B (SEB) plays a crucial role in the pathogenesis of AD. Enterococcus faecalis (E. faecalis) is a nonpathogenic bacterium and produces the probiotic products that have been shown to have inhibitory effects on inflammatory responses. In present study, we carried out to assess the anti-inflammatory role of lyzed E. faecalis against the damaging effects of SEB on AD related immune responses. Furthermore, we attempted to determine whether the co-cultured lyzed E. faecalis can influence the colonization of S. aureus. As a result, we identified the effect of E. faecalis lysate as a potent therapeutic agent for atopic dermatitis (AD). E. faecalis lysate reduces the productions of total IgE and cytokines of AD-related immune cells in response to SEB stimulation. The proliferation of S. aureus was also inhibited by E. faecalis lysate. In conclusions, E. faecalis lysate may improve the skin-defense system disturbed by atopic condition, and may prevent subsequent secondary infection of S. aureus and development of AD.

• 한방안이비인후피부과학회지
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• 제28권1호
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• pp.68-84
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• 2015

Object : The object of this study was effected of composed of 4 herbal medicines(Rubus coreanus, Rehmanniae Radix, Houttuynia cordata, Betulae cortex) on acute atopic dermatitis mice. Methods : BALB/c mice were divided 4 groups ; normal group, negative control group of acute atopic dermatitis mice induced by DNCB, treated apply to the back skin with the herbal medicine group, and treated orally with herbal medicine group. Treated with herbal medicine and DNCB during 2 weeks. After treated, measured WBCs, RBCs, and platelet in the blood, and analysed mRNA expression of spleen. Result : Composed herbal medicines could reduce WBCs, lymphocytes, monocytes, neutrophils, and eosinophils in the mouse blood. And, could down TNF-${\alpha}$ levels in spleen. In the skin tissue histology results, herbal medicines reduce the cells and T cells. Conclusion : Composed herbal medicines help to another inflammatory disease because they reduce the cells and T cells in the skin tissues. And they have inhibitory effects of TNF-${\alpha}$ mRNA expression, and Th 2 immune responses. Therefore herbal medicines use for an acute atopic dermatitis treatment.