• 제목/요약/키워드: Clinical allergic rhinitis

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보중익기탕가미방(補中益氣湯加味方)을 투여한 비염환자 50예에 대한 분석 (The Analysis of 50 Patients with Allergic Rhinitis Administerd by Bojungikgitang-Gamibang)

  • 정순영;서형식
    • 한방안이비인후피부과학회지
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    • 제19권2호
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    • pp.233-241
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    • 2006
  • Background : Bojungikgitang is a typical prescription that helps to replenish the spleen and stomach, and its effect proved positive on allergic rhinitis by experiment. But there is only a few clinical thesis on allergic rhinitis to which Bojungikgitang was administered. Objective : The prevalence of allergic rhinitis appear to be increasing. The experimental study on allergic rhinitis has occasionally been reported, but the clinical study on various cases on treatment of using herbal medicine is not many. The aim of this study was to investigate effect of Bojungikgitang-Gamibang on allergic rhinitis. Methods : The treatment effect was analyzed over fifty patients who visited and had treatment with Bojungikgitang-Gamibang on allergic rhinitis in the hospital of Sangji University from June, 2003 to September, 2005. Result : After we analyzed 50 cases of allergic rhinitis by administering Bojungikgitang-Gamibang, we concluded that the shorter duration of disease and high dosage were the main factors which improved the symptoms effectively. Conclusion : Bojungikgitang-Gamibang was the effective treatment of allergic rhinitis.

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알레르기성 비염의 한의학 및 보완대체의학적 치료에 대한 국내 임상 연구 동향 (Review of Clinical Studies on Korean Medicine and Complementary and Alternative Medicine Treatment for Allergic Rhinitis in the Korean Literature)

  • 구은진;한재경;김윤희
    • 대한한방소아과학회지
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    • 제29권4호
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    • pp.77-89
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    • 2015
  • Objectives The purpose of this study is to analyze Korean clinical studies in Korean medicine and complementary and alternative medicine for allergic rhinitis and to propose for better methods of clinical studies and effective treatments on allergic rhinitis. Methods Electronic researches were performed with NDSL, RISS, KISTI, KISS, OASIS by keyword 'Allergic rhinitis'. Results The treatments used in 36 studies were herbal medicines, acupuncture, pharmacopuncture, moxibustion, cupping, inject medicine to nasal cavity, aroma therapy, ointment, nasal cleansing solution, laser treatment, infra-red therapy, oxygen nebulizer, diet treatment, moxa-pellet treatment, mindfulness meditation and space-spine manipulation techniques. The most common acupoints were LI4 and LI20 (Large Intestine Meridian). The most common methods of assessment is subjective nasal symptoms. All studies using subjective nasal symptoms and quality of life as assessment methods to show valid results on the improvement of allergic rhinitis. Conclusions This study shows that Korean medicine and complementary and alternative medicine on allergic rhinitis are effective. It will be expected to use that various methods for allergic rhinitis and more clinical studies for allergic rhinitis and pediatric patients needed in the future.

알레르기 비염의 한의학적 관리를 위한 최신 지견 (Current update on allergic rhinitis for Korean Medicine management)

  • 정창운;조희근;김혜화;송민영
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.95-113
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    • 2016
  • Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNKI, JStage, KISTI. And in order to reflect clinical situation, we also reviewed some profession's writing for practitioners. Results : This review discussed allergic rhinitis's epidemiology, pathophysiology, diagnosis, treatment, prognosis. We found many standardized clinical practice guideline have been published in this field. And some guideline reflected accumulation of medical evidence on interventions in Korean medicine. It suggested that acupuncture, herbal medicine, herbal patch are useful to prevention and alleviate allergic symptoms. But some interventions have heterogeneity due to each nation's medical background. Conclusions : Acupuncture therapy is now recommended world widely for treating allergic rhinitis. But other interventions of Korean medicine are not well recognized in the same manner. We need more research to identify mechanism and rigorous clinical trials to clarify efficacy and safety of Korean medicine intervention.

소아 알레르기성 비염에 대한 통규탕(通竅湯) 증류추출액을 이용한 치료의 임상적 연구 (A clinical study on the effect of Tongkyu-tang distillate on pediatric allergic rhinitis)

  • 백정한;구진숙
    • 대한한방소아과학회지
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    • 제17권2호
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    • pp.103-114
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    • 2003
  • Objective : Prevalance of allergic rhinitis in pediatric population appear to be rising. About acupuncture and herbal medicine treatment on allergic rhinitis is occasionally reported, but few treatment of using herbal medicine distillate was reported. The aim of this study was to investigate effect of Tongkyu-tang distillate on pediatric allergic rhinitis. Methods : Twenty patients treated in our hospital between January 2002 and December 2002, treated with Tongkyu-tang distillate were studied. Result : We treated pediatrc allergic rhinitis with Tongkyu-tang distillate spray on nasal cavity. and so the symptoms of allergic rhinitis were improved effectively Conclusion : We had effective results of Tongkyu-tang distillate on pediatric allergic rhinitis comparatively. And we wish that much more new treatment methods of allergic rhinitis are investigated.

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알레르기 비염 한의표준임상진료지침 방향 제언 - 2018 중국 임상진료지침을 바탕으로 (Suggestions for developing Korean Medicine Clinical Practice Guideline for Allergic Rhinitis - Based on 2018 Chinese Clinical Practice Guideline)

  • 강정인;이동효
    • 한방안이비인후피부과학회지
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    • 제32권4호
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    • pp.130-140
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    • 2019
  • Objective : The purpose of this study is to examine the treatment of allergic rhinitis introduced in the Chinese guideline, and to find out the direction of evidence-establishment and applicability in developing Korean Medicine clinical practice guideline for allergic rhinitis. Method : We studied Traditional Chinese Medicine treatment of allergic rhinitis introduced in the 2018 Chinese society of allergy guidelines for diagnosis and treatment of allergic rhinitis. The treatment are classified into three categories; herbal medicines, acupuncture and the others. And we compared this guidelines with other guidelines for how they differ in description of the database, evidence of level, and strength of recommendation. Results : Herbal medicines are presented based on syndrome differentiation. The basic acupoints for allergic rhinitis are introduced as follows; Fengchi(GB20), Yingxiang(LI20), Feishu(BL13) and Taiyuan(LU9). And in comparison with other guidelines for allergic rhinitis, the Chinese guideline showed lack of description in the database, evidence of level, and strength of recommendation, though they used evidence-based models. Conclusions : Clinical practice guideline projects are also underway in Korea for benefit expansion and improving quality of medical services. It is important to develop guidelines which should be evidence-based and reflect Korean medical environment.

생강사심탕(生薑瀉心湯)으로 호전된 알레르기성 비염 2례 (Two Cases Report of Allergic Rhinitis Treated by Saengkangsasim-tang)

  • 김수정;임현택
    • 대한상한금궤의학회지
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    • 제5권1호
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    • pp.75-84
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    • 2013
  • Objective : This case report evaluated the effect of Saengkangsasim-tang(生薑瀉心湯) on allergic rhinitis. Methods : Two different patients of allergic rhinitis were treated with Saengkangsasim-tang (生薑瀉心湯) in accordance with diagnostic system based on Shanghanlun(傷寒論) six meridian patterns and provisions. Results : After a series of Saengkangsasim-tang treatments, the symptoms of allergic rhinitis patients improved in 2 cases. Conclusions : According to diagnostic system based on Shanghanlun(傷寒論) six meridian patterns and provisions, this case study shows that Saengkangsasim-tang is effective on allergic rhinitis. However further clinical studies in depth are needed.

Prevalence, comorbidities, diagnosis, and treatment of nonallergic rhinitis: real-world comparison with allergic rhinitis

  • Yum, Hye Yung;Ha, Eun Kyo;Shin, Yoon Ho;Han, Man Yong
    • Clinical and Experimental Pediatrics
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    • 제64권8호
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    • pp.373-383
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    • 2021
  • Rhinitis is among the most common respiratory diseases in children. Nonallergic rhinitis, which involves nasal symptoms without evidence of systemic allergic inflammation or infection, is a heterogeneous entity with diverse manifestations and intensities. Nonallergic rhinitis accounts for 16%-89% of the chronic rhinitis cases, affecting 1%-50% (median 10%) of the total pediatric population. The clinical course of nonallergic rhinitis is generally rather mild and less likely to be associated with allergic comorbidities than allergic rhinitis. Here, we aimed to estimate the rate of coexisting comorbidities of nonallergic rhinitis. Nonallergic rhinitis is more prevalent during the first 2 years of life; however, its underestimation for children with atopic tendencies is likely due to low positive rates of specific allergic tests during early childhood. Local allergic rhinitis is a recently noted phenotype with rates similar to those in adults (median, 44%; range, 4%-67%), among patients previously diagnosed with nonallergic rhinitis. Idiopathic rhinitis, a subtype of nonallergic rhinitis, has been poorly studied in children, and its rates are known to be lower than those in adults. The prevalence of nonallergic rhinitis with eosinophilia syndrome is even lower. A correlation between nonallergic rhinitis and pollution has been suggested owing to the recent increase in nonallergic rhinitis rates in highly developing regions such as some Asian countries, but many aspects remain unknown. Conventional treatments include antihistamines, intranasal corticosteroids, and recent treatments include combination of intranasal corticosteroids with azelastin or decongestants. Here we review the prevalence, diagnosis, comorbidities, and treatment recommendations for nonallergic rhinitis versus allergic rhinitis in children.

알레르기성 비염환아들의 양도락 특성에 관한 연구 (The Study on the Characteristics of Ryodoraku Score in the Children with Allergic Rhinitis)

  • 안주현;이진용
    • 대한한방소아과학회지
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    • 제30권3호
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    • pp.31-41
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    • 2016
  • Objectives The purpose of this study is to investigate the characteristics of Ryodoraku Score in the children who visited department of pediatrics, hospital of Korean medicine with allergic rhinitis as the chief complaint. Methods Subjects were 80 children with allergic rhinitis. We calculated the average Ryodoraku Score (RS, ${\mu}A$), and compared the average of each meridian system. And we classified the children by several groups (depending on age, additional allergic disease), and accomplished a comparative analysis. Results 1. The average of Ryodoraku Score in 80 children was $76.36{\pm}22.72$. 2. The figure of H3 (心), H5 (三焦), F1 (脾), F2 (肝), F3 (腎), F4 (膀胱), F5 (三焦), F6 (胃) had significant statistical differences compared to the total average. 3. Comparing the group having only allergic rhinitis to group having allergic rhinitis and other allergic disease, showed significant statistical difference in H2 (心包), H3 (心). 4. Analyzed by age, there's a significant statistical difference in F1 (脾), F4 (膀胱). Conclusion We found that H5 (三焦), F1 (脾), F4 (膀胱) showed significant statistical difference in Ryodoraku Score, and F1 (脾) had the highest relevance. The research indicate meaningful difference depending on age, additional allergic disease.

통년성 알레르기성 비염에서의 ECP의 발현양상과 점액섬모수송기간과의 관계 (The Expression of ECP in the Perennial Allergic Rhinitis and Correlations with Mucociliary Clearance)

  • 오승철;김찬우;이상학
    • 대한기관식도과학회지
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    • 제4권1호
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    • pp.85-90
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    • 1998
  • The role of the ECP(Eosinophilic cationic protein) is still unknown in the allergic rhinitis. In bronchial asthma, ECP can induce the exposure of the neuropeptidergic nerve to environments destroying the bronchial mucosa, aggravating the bronchial hypersensitivity and delay the mucociliary clearance. In the clinical aspect, we can (md that patients with perennial allergic rhinitis sometimes have sinusitis. The purpose of this article is to evaluate whether mucosal damage by ECP can play a role to develop the sinusitis by delaying the mucociliary clearance, and relationship between long symptom duration of allergic rhinitis and mucociliary clearance. In 32 perennial allergic rhinitis patients, we elucidated there is correlation among ECP presence, mucociliary clearance, sinusitis, and symptom durations. The obtained results were as follows : 1. ECP appeared in all mucosa of each specimen. 2. Mean mucociliary clearance time is 6 mins. 12 sec. in allergic patients with sinusitis, 6 mins. 36 sec in allergic patients without sinusitis. 3. n out of 32 cases have mucosal destruction. 4. Symptom duration is not correlated with the development of sinusitis. This study suggests that ECP may destroy the mucosa in allergic rhinitis and the mucociliary clearance of allergic rhinitis is not related to sinusitis and symptom dotation. Therefore development of sinusitis in allergic rhinitis seems not to be caused by delaying of mucociliary clearance due to mucosal destruction, but by some other factors.

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비염을 동반한 틱장애 환아 치험례 보고 (A Clinical Study of a Child with Tic-disorder with Allergic Rhinitis)

  • 이승연;유선애
    • 대한한방소아과학회지
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    • 제30권1호
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    • pp.40-44
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    • 2016
  • Objectives The purpose of this study is to report a Tic-disorder child with allergic rhinitis. Methods The child was suffered from Tic-disorder and the allergic rhinitis, and there were two symptoms of all can last more than a year. sometimes the sniffling, as a sin of allergic rhinitis had caused tic disorder. I thought It was needed to control of both of the symptoms at the same time, so I applied the herbal medicine, CheongKanSoYoSan, for Tic-disorder, and carried out the Aromatherapy and the Laser acupuncture for allergic rhinitis. Results After this treatments, the symptoms of Tic-disorder were disappeared according to improving the symptoms of allergic rhinitis. Conclusions It was suggested that we tried to take care of the patient with Tic-disorder, had to considered the other symptoms that were capable of causing.