• 제목/요약/키워드: Chronic Rhinitis

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鼻茸(Nasal Polyp)에 對한 文獻的 考察 (A Literature study on the Nasal Polyps)

  • 김현아
    • 한방안이비인후피부과학회지
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    • 제12권1호
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    • pp.338-355
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    • 1999
  • In the treatment of Nasal Polyps. which are produced with allergic rhinitis, chronic paranasal sinusitis at clinic. Herb-med., acupuncture and some medicine for external application have been used. The symptoms, however, has taken a turn for the better in temporary, the nasal polyps was not removed in completely. So the origin treatment was impossible by the use of herb-med.. acupuncture and medicine. Although a surgical operation (excision) of western-medicine is effective for a specified period of time (about 6 months), the nasal polyps tend to recur. Because of that the second and third operation might be needed, so we cannot consider the operation as the treatment of nasal polyps. The study was observed to investigate the nasal polyps treatment, and to search practical attempt for the clinic application through a literature study on Bisikyuk and Bithch which are similar with nasal polyps. As results, the practical application of external treatment for the nasal polyps treatment in clinic might be more necessary, and internal use of the Herb-med. with the external treatment might be treated as supplementary treatment.

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비침이 비색증에 대한 영향 (A Clinical Observation of the Nasal Acupunture Therapy on Nasal Obstruction)

  • 김윤범;윤상협
    • 한방안이비인후피부과학회지
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    • 제12권2호
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    • pp.205-211
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    • 1999
  • We studied 32 patents, who had visited Kyung Hee downtown oriental hospital with nasal obstruction. They has been observed their nasal cavity through anterior rhinoscopy. We had paten't middle and inferior turbinte bleeding by acupuncture. This symptom had been disappeared after this treatment. The result were as follows. 1. Sex and age distribution: The males were 18($56.2\%) and Female were 14($43.8\%$). The most common occurrence was found between 1-5 years old. 2. The most common duration of disease was between 2-6 months. 3. In decreasing order, the common complication & past history of otolaryngologic or allergic disease were allergic rhinitis, atopic dermatitis, chronic sinusitis, adenoid or tonsil hypertrophy, otitis media with effusion and asthma. 4. In descending order, distribution of symptoms were rhinorrhea, sneezing, dry sensation, sputum, frontal headach, postnasal drip and cough. 5. The improvement rate in symptom were $31.3\%\;excellent\;and\;53.1\%$ good.

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통규탕가미방(通竅湯加味方)의 비질환(鼻疾患) 치료에 대한 임상고찰 (A Clinical study on the Treatment of Nasal disease using TonggyutangGamibang)

  • 김기훈;조형준;이진용;조백건
    • 대한한방소아과학회지
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    • 제18권1호
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    • pp.153-163
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    • 2004
  • Objective: For last 20 years our living environment has been changed rapidly. Accordingly. there have been many changes in prevalence of diseases; In nasal disease of the pediatrics, the number of children suffering from chronic rhinorrhea and nasal obstruction has been increased. And respiratory symptoms suggesting rhinitis and sinusitis also were increased. Allergic disease is considered as an important cause of this phenomenon while importance of infection as pathogen is fading today. The aim of this study is to investigate the effect of TonggyutangGarnibang on the nasal disease of children. Methods: Children with nasal disease answer the questionnaires on their chief complaints and medical past history on their first visit to our clinic. They were treated 'With TonggyutangGarnibang for 4weeks. After treatment they answered the questionnaire on improvement of their symptoms. Results: Among treated patients, 70 were male(69%) and 32 were female(31%); sex ratio was 2.2.3:l(male:female). And children from 3-8 years old took majority of patients(64%). Major symptoms of children with nasal disease were as follows; nasal obstruction 9lchildren(62%), rhinorrhea 86children(84%), sneezing 63children(62%), cough 63children(62%), snoring 48children (47%), poor appetite 44children(43%), itching 39children(38%), headache 32children(31%), stomache 25children(25%), epistaxis 23children(23%), constipation 17children(17%), diarrhea 12children(12%). Past history and impression of the disease of the patients were as follows; allergic rhinitis(66%), atopic dermatitis(42%), sinusitis(40%), asthma(25%), urticaria(12%). Severity of symptom improved after TonggyutangGamibang treatment, it showed high treatment efficacy as follows; sneezing 70%, cough 70%, rhinorrhea 63%, nasal obstruction 59% Conclusion: This study shows TonggyutangGamibang has distinctive treatment effect on children with nasal disease.

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KAAACI Evidence-Based Clinical Practice Guidelines for Chronic Cough in Adults and Children in Korea

  • Song, Dae Jin;Song, Woo-Jung;Kwon, Jae-Woo;Kim, Gun-Woo;Kim, Mi-Ae;Kim, Mi-Yeong;Kim, Min-Hye;Kim, Sang-Ha;Kim, Sang-Heon;Kim, Sang Hyuck;Kim, Sun-Tae;Kim, Sae-Hoon;Kim, Ja Kyoung;Kim, Joo-Hee;Kim, Hyun Jung;Kim, Hyo-Bin;Park, Kyung-Hee;Yoon, Jae Kyun;Lee, Byung-Jae;Lee, Seung-Eun;Lee, Young Mok;Lee, Yong Ju;Lim, Kyung-Hwan;Jeon, You Hoon;Jo, Eun-Jung;Jee, Young-Koo;Jin, Hyun Jung;Choi, Sun Hee;Hur, Gyu Young;Cho, Sang-Heon;Kim, Sang-Hoon;Lim, Dae Hyun
    • Allergy, Asthma & Immunology Research
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    • 제10권6호
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    • pp.591-613
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    • 2018
  • Chronic cough is common in the community and causes significant morbidity. Several factors may underlie this problem, but comorbid conditions located at sensory nerve endings that regulate the cough reflex, including rhinitis, rhinosinusitis, asthma, eosinophilic bronchitis, and gastroesophageal reflux disease, are considered important. However, chronic cough is frequently non-specific and accompanied by not easily identifiable causes during the initial evaluation. Therefore, there are unmet needs for developing empirical treatment and practical diagnostic approaches that can be applied in primary clinics. Meanwhile, in referral clinics, a considerable proportion of adult patients with chronic cough are unexplained or refractory to conventional treatment. The present clinical practice guidelines aim to address major clinical questions regarding empirical treatment, practical diagnostic tools for non-specific chronic cough, and available therapeutic options for chronic wet cough in children and unexplained chronic cough in adults in Korea.

동병하치 확산을 위한 전략적 방향과 이행방안 (Strategic Direction and Road Map of Expanding Prevention of Winter Disease in the Summer)

  • 송호섭
    • Journal of Acupuncture Research
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    • 제27권3호
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    • pp.147-157
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    • 2010
  • Objectives : The purpose of this study was to propose appropriate strategic directions and road maps for successful achievement of programs preventing winter disease in the summer. Methods : Details on programs preventing winter disease in the summer such as clear concept, theoretical basis, current status, intervention or available prescriptions and indication/contraindication/caution were prepared through the related journal review, upon which an observational study was devised and done for simulation to find out even a trivial problem and to guarantee the safety beforehand. The experimental group was divided into 5 groups by the size of pill and the way ginger is treated; 1cm pill with ginger group, 3cm pill group without ginger, 3cm pill group dipped into ginger, 3cm pill group applying ginger to acupoints and 3cm pill group with ginger Results 1. program preventing winter disease in the summer was defined as representative winter diseases such as common cold, influenza, chronic asthma, chronic bronchitis, allergic rhinitis, emphysema, chronic gastritis and rheumatoid arthritis, and preventive care in the summer, reinforcing deficient yang qi of five viscera by using exuberant yang qi from summer heat. 2. It was based upon historically established theories which is 'nourishing yang qi in the spring and summer', 'long summer, namely rainy spell in the summer overwhelms the winter, because of earth winning water according to the five phases theory' and 'To replenish yang qi is major principle to treat winter diseases, which can be most appropriately and timely applied to the patient with deficient yang qi of five viscera inherently, especially in the three dog days of the summer, because of exuberant exterior yang qi and deficient interior yang qi in the five viscera'. 3. In the adjacent China and Taiwan, acupoint applying method in the three dog days named 'San Fu Tie' have been stirring a boom throughout the nation, in which Xiaochuan Gao was used as a basic prescription and it mainly was applied at bilateral $BL_{13}$, $_{15}$ and $_{17}$ for about 4 hours. As far as domestic current status, the necessity of adopting the above method prior to Herbal formula was also recognised, because not a few koreans have apprehension for the safety of it including medicinal herbs and are reluctant to take it any more due to negative advertisement of narrow minded doctors' association. 4. Indication of acupoint applying method in the three dog days included most of winter diseases such as common cold, influenza, chronic asthma, chronic bronchitis, allergic rhinitis, emphysema, chronic gastritis. contraindication was pregnant woman and the weak such as infants and the old. More attention was paid to grasp firmly the normal reaction following the treatment for preventing side effect and teasing blister. recommendation was also given to abstain from food inducing phlegm and dampness such as meat, shrimp and crab as well as cold drinks and foods 5. In the simulation observational study based upon the above findings following review the related articles, no blister was shown on the acupoints icluding bilateral $BL_{13}$, $_{15}$ and $_{17}$ in every experimental group during 24hr observation following the acupoint applying treatment with pills made by modified and devised prescription. At 4 hr, the effectiveness of it reached a peak showing redness and mild tenderness and there is little difference between groups 3cm pills groups regardless of the way ginger was treated. abdominal distention and growling was found in all the volunteers during the treatment at CV 8. Strategic directions and road maps : Through successful fulfillment of the program preventing winter disease in the summer, Korean traditional medicine should be integrated into mainstream national health care services. Cultural access was thought to be as important as Scientific EBM approach. First of all, To evoke potential cultural homogeneity from campaigns and press advertisement was needed for promoting public awareness about preventing winter disease in the summer by enhancing immunity via acupoint applying treatment in the three dog days, and then indigenous name as Sambokcheop, protocol, Clinical Research Form for data collection of it should be developed and prepared. Once the first step was taken this summer, through a thorough data collection and scrutinized scientific evaluation, drawbacks should be compensted for and the efficacy and safety should be substantiated.

비중격 만곡증 및 만성 비후성 비염 환자에서 비중격 성형술고 하비갑개 수술의 치료효과 (Treatment Outcomes of Septoplasty with Turbinate Surgery in Septal Deviation with Chronic Hypertrophic Rhinitis)

  • 김용대;서보수;조길성;송시연;윤석근;송계원
    • Journal of Yeungnam Medical Science
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    • 제18권2호
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    • pp.199-207
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    • 2001
  • 1999년 11월에서 2000년 4월까지 본 교실에서 비중격 성형술과 하비갑개 절제술 혹은 하비갑개 성형술을 시행 받고 3개월이상 추적 관찰이 가능하였던 45명의 성인환자를 대상으로 비중격 성형술 및 하비갑개 수술의 결과를 전향적으로 분석하였다. 수술 전 증상접수는 코막힘이 가장 높았으며 수술 후 전체적으로 모든 증상에서 통계학적으로 의미 있게 호전되었다(p<0.05). 수술 전 후의 음향비강통기도 검사에서 비강수축전의 경우에서 최소비강단면적은 큰 변화가 없었으나, C-절혼 면적과 비강체적은 의미 있게 증가되었다. 또한 증상의 호전도와 음향비강통기도 검사치의 변화와는 통계학적 연관성이 없었으나, 증상이 호전됨에 따라 최소비강단면적, C-절혼 면적, 비강체적이 증가하는 경향을 볼 수 있었다. 결론적으로 바중격 성형술 및 하비갑개 수술 후 결과 판정방법으로서 수술 전 후의 환자의 주관적인 증상을 접수화하여 어느 정도 객관성을 부여하였으며 수술 전 후의 음향비강통기도 검사를 이용하여 음향비장통기도 검사결과를 구하고 이를 바탕으로 증상접수의 호전도와 음향비강통기도 검사결과를 비교 분석함으로써 증상의 호전을 객관적으로 증명하였다.

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한방병원 외래에 내원한 COPD환자 대한 후향적 임상 분석 (A Retrospective Clinical Analysis of Chronic Obstructive Pulmonary Disease (COPD) Outpatients Who Presented To a Korean Medicine Hospital: Symptoms and Treatment Effects)

  • 백현정;방연희;김재효;김상진;김관일;이범준;정희재;정승기
    • 대한한방내과학회지
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    • 제37권4호
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    • pp.624-630
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    • 2016
  • Objective: This study was designed to analyze the symptoms of chronic obstructive pulmonary disease (COPD) patients who attended a Korean medicine hospital and treatment effects through retrospective chart reviews.Methods: The medical records of 192 outpatients who had been diagnosed with COPD and visited the Allergy, Immune, and Respiratory System Department of Kyung Hee Korean Medicine Hospital from 1 February 2006 to 1 February, 2016 were retrospectively reviewed.Results: The study group consisted of 112 and 80 females. The median age of the patients was 59.80±15.46 y. Fifty of the patients had been diagnosed with chronic upper respiratory diseases, such as chronic rhinitis, nasopharyngitis, or sinusitis. The chief complaints were cough (n=136), sputum (n=124), and dyspnea (n=82). Other frequent symptoms were fatigue (n=11), hyperhidrosis (n=8), and a bad taste in the mouth (n=7). All the patients were prescribed Korean herbal medicine. In the study, 61 (31.77%) patients were treated with acupuncture, moxibustion, cupping therapy, or herbal steam therapy. Symptoms improved in 126 (65.63%) patients 141±272.82 d after the first treatment.Conclusions: Some of the COPD patients had chronic upper respiratory disease. The chief complains were cough, sputum, and dyspnea. Oher frequent symptoms related to body malfunction and pain. The symptoms improved in 126 (65.63%) patients 141.00±272.82 d post-treatment.

알레르기 치료를 이용한 비용증을 동반한 부비동염의 치험 2례 (Two Cured Cases of Nasal Polyposis Combiend with Chronic Sinusitis by Allergy Therapy)

  • 박정열;임원호;이영환;임현준;김형곤
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.16.3-17
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    • 1982
  • E. N. T. Clinic에 내원하는 환자중 nasal symptoms을 호소하는 환자의 높은 비율에서 알레르기 질환이 있는 것을 느끼게 되며 특히 nasal cavity내에 오는 질환의 원인 중 알레르기가 놀라울 정도로 많은 것을 생각하면 이비인후과 영역에서의 알레르기에 대한 관심도 높다고 하겠읍니다. 일반적으로 비용증, 만성비염. 만성부비동염의 치료 방법으로는 약물요법과 수술요법을 병행하여 시행하는데 치료후 증상이 호전되다가 다시 계속적인 치료전의 증상이 재발되는 경우를 흔히 경험하게 된다. 특히 비용증 환자의 치료에서는 높은율의 재발을 경험하게 되는데 nasal symptoms을 일으키는 질환의 많은 원인이 allergy 라는데 착안하여 allegy symptoms은 호소하지 않았으나 비용증을 동반한 만성부비동염 환자에 수술 및 일반치료를 시행하였으나 얼마후 증상이 재현되어 Rinkels technique의 allergy test를 시행 하였다. 특정한 allergen에 양성을 보이지는 않았으나 일반적으로 nasal allergy의 많은 원인이 되는 House dust와 Mold groups의 allergen을 이용 (#2 ∼ #3 Solution)하여 계속적인 Desensitization을 시행함으로서 근치에 가까운 효과를 얻었기에 문헌고찰과 함께 보고하는 바이며 이러한 환자들에게 계속적인 allergy test상 양성반응을 보이지 않더라도 위의 방법을 적용하여 치료한 결과를 추후 발표드릴 것을 약속드립니다.

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만성기침 환자의 원인적 고찰 및 기관지 과민성 (Airway hyperresponsiveness and etiology in patients with chronic cough)

  • 김경호;이규택;박성우;오제호;기신영;문승혁;정성환;김현태;어수택;김용훈;박춘식;진병원
    • Tuberculosis and Respiratory Diseases
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    • 제44권1호
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    • pp.146-153
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    • 1997
  • 연구배경 : 만성기침은 비흡연 성인호흡기환자의 14% - 23%에서 관찰되는 흔한 호흡기 증상이다. 만성기침의 원인으로는 후비루증후군이 가장 흔하며 기침형 천식도 만성기침 환자의 29%에서 보고되고 있지만 우리나라의 정확한 통계는 없다. 이에 저자들은 기관지과민성을 측정하여 만성기침의 원인이 되는 후비루 증후군, 기침형 천식, 단순 기관지염의 빈도를 조사하였고, 각 질환군에서 아토피와 흡연의 영향을 분석하였다. 대상 및 방법 : 3주이상의 만성기침을 주소로 내원하여 흉부청진과 단순 흉부사진에서 정상소견을 보이는 46명의 만성기침 환자와 기관지천식 환자 45명, 알레르기성비염 환자 16명, 정상대조군 25명을 대상으로 병력의 문진, 진찰소견, 폐기능 검사, 비특이적 기관지 유발검사, 즉시형 피부반응검사를 시행하였고 단순 흉부사진 및 부비동 사진을 촬영하였다. 결 과 : 만성기침 환자에서 기침형 천식은 17.4%, 단순기관지염은 21.7%, 후비루 증후군은 35%, 원인을 규명하지 못한 경우가 25.9% 였다. 만성기침환자중 기관지 과민반응의 양성율은 35% 로 정상 대조군과 알레르기성 비염군과 비교하여 의미있게 기관지 과민성이 증가되어 있었고, 후비루 증후군이 있는 환자중 44% 에서 기관지 과민반응에 양성이었다. 만성기침환자에서 기관지 과민성에 영향을 주는 요인으로 동반된 호흡기 증상의 유무와 관련성 있는 경향을 보일뿐, 후비루 증후군, 코증상, 흡연, 폐환기 기능이상, 피부반응검사, 부비동염의 유무와는 무관하였다. 또한 각 질환군에서 아토피나 흡연과의 연관성은 없었다. 결 론 : 만성기침환자는 정상대조군과 알레르기성 비염에 비해 기관지 과민성이 증가되어 있었으나 기관지 과민성에 영향을 주는 요인은 호흡기 증상의 유무만이 관련성 있는 경향을 보였으며 아토피와 흡연과의 연관성은 관찰할 수 없었다.

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동병하치 개념의 삼복구법을 평가하기 위한 질환 발굴과 평가도구 활용방안 (Selections of Diseases Related with Dongbeong- Hachi(冬病夏治) and Developing its Assesement Tools to Evaluate Sambokgu-Therapy(三伏灸法))

  • 홍권의;송호섭
    • Journal of Acupuncture Research
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    • 제27권4호
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    • pp.203-222
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    • 2010
  • Objectives : There was propose of development of tool for evaluation of Sambokgu-Therapy(三伏灸法) and concept of DongbeongHachi(冬病夏治) for preventing winter disease in the summer. Methods : Details on programs preventing winter disease in the summer such as clear concept, theoretical basis, current status, intervention or available prescriptions and indication/contraindication/caution were prepared through the related journal review, upon which an observational study was devised and done for simulation to find out even a trivial problem and to guarantee the safety beforehand. This study was to understand DongbeongHachi(冬病夏治), to find out the diseases related to DongbeongHachi(冬病夏治) and to develop evaluation tools of each diseases. In addition we meaned to understand Sambokgu-Therapy(三伏灸法) sorts and necessity and to discover side effects or validity related factors. Results : We selected air-conditioningitis, asthma, chronic bronchitis, common cold and allergic rhinitis as DongbeongHachi(冬病夏治) related diseases. And some questionnaires are developed, which they could show the general characteristics and each diseases specifics Discussions : I expects to enhance status of the oriental medicines as preventive medicine, if we continue to supplement effectiveness and safeties about Sambokgu-Therapy(三伏灸法) through clinical reserches based on this study.