• Title/Summary/Keyword: Clinical allergic rhinitis

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Research of Pattern Identification and Outcome Measurement in Allergic Rhinitis (알레르기성 비염의 변증과 평가방법에 대한 고찰)

  • Kim, Ji Eun;Baek, Jung Han
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.1
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    • pp.32-39
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    • 2016
  • Objectives To evaluate the effectiveness of allergic rhinitis treatment, and to set the ground in clinical studies, adequate outcome measures must be established. Thus, this study was designed to develop useful criteria based on those that have been suggested, and those that we are using today. Methods To assess outcome measures used in allergic rhinitis in Korean medicine, related articles found in Korea Traditional Knowledge Portal from 2000-2015 were evaluated. Then pattern identification and outcome measures were reviewed in each study. Results Among 27 studies, we have found 24 studies used subjective symptoms as outcome measures, 9 studies used quality of life, and most of allergic rhinitis were caused by Spleen-Gi deficiency. Conclusions It is necessary to develop outcome measures that directly reflect pattern identifications in Korean medicine, and those measures need to be further evaluated for their applicability, validity and sensitivity.

The Clinical Study on the Effects of BOM Gunbisoyeom-tang(Jianbixiaoyan-tang) Gamibang for Allergic Rhinitis (알레르기 비염에 대한 BOM건비소염탕(健脾消炎湯) 가미방의 치료효과 연구)

  • Kim, Ki-Joon;Lee, Joon-Suk
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.1
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    • pp.141-147
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    • 2009
  • Objective : We investigated the effects of BOM Gunbisoyeom-tang(Jianbixiaoyan-tang) Gamibang having prescribed clinically to patients with perennial allergic rhinitis. Methods : We prescribed BOM Gunbisoyeom-tang(Jianbixiaoyan-tang) Gamibang for 1 month to 77 patients visiting to KimKiJoon Orentalclinic BOM from January 1 to December 31, 2008 with perennial allergic rhinitis and analysised the questionnaire(symptom severity assessment) before and after treatment. Results : BOM Gunbisoyeom-tang(Jianbixiaoyan-tang) Gamibang improved significantly all nosal symptoms(sneezing, runny nose, congestion, itchy nose and postnasal drip), some non-nasal symptoms(eye and throat symptoms, headache and mental function) except chromic cough and ear symptoms and quality of life. Conclusion : BOM Gunbisoyeom-tang(Jianbixiaoyan-tang) Gamibang cured effectively patients with perennial allergic rhinitis by 1 month treatment but not perfectly. So further studies are needed for treatment duration and changes of pathological index before and after treatment.

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A Clinical Study on the Effect of Traditional Korean Treatment on Pediatric Rhinitis (소아 알레르기비염 환자의 한방치료 효과에 대한 임상적 연구)

  • Ko, Min-Jung;Lee, Yu-Jin;Baek, Jung-Han
    • The Journal of Pediatrics of Korean Medicine
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    • v.25 no.3
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    • pp.12-26
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    • 2011
  • Objectives: The purpose of this study is to investigate the effect of traditional Korean medical treatment; acupuncture and herb therapy in pediatric allergic rhinitis patients. Methods: This study population was 69 pediatric allergic rhinitis patients who had been treated in ${\bigcirc\bigcirc}$ hospital. All the patients were asked to answer the questionnaires that consist of 10 questions about symptoms of allergic rhinitis. Results: 1. The total scores from the same questionnaire about allergic rhinitis symptoms were significantly improved after the treatment compared to the scores before the treatment(p<0.01). 2. The Nasal symptom, especially, nasal obstruction rhinorrhea had significantly improved in all groups of patients(p<0.01). 3. The effect of the treatment was better with spending more time with acupuncture. Conclusions: Traditional Korean medical treatment is relatively effective in treating pediatric allergic rhinitis.

The Clinical Study of the Efficacy of Lizhongtang plus Baidusan(理中湯合敗毒散) on Allergic Rhinitis (理中湯合敗毒散의 알레르기성 비염 치료효과에 대한 임상적 연구)

  • Lee, Sang-moon;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.3
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    • pp.185-199
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    • 2003
  • Objectives : The purpose of this clinical report was to estimate the efficacy of Lizhongtang plus Baidusan(理中湯合敗毒散) on allergic rhinitis. Methods : We prescribed Lizhongtang plus Baidusan(理中湯合敗毒散) for 15 patients who visited Kabsan oriental clinic with allergic rhinitis. We inquired into distribution of age, case history period, improvement of symptoms, etc. We used the statistical methods of student t-test in order to analysis of the different of symptom before and after treatment(p 〈0.05). Results : 1. The distribution of sex & age was as follows; Total patient were women. 10-19 years 2 cases, , 30-39 years 5 cases, 40-49 years 6 cases and 50-59 years 2 cases. 2. The case of history period was as follows; under a year 1 case, 1-3 years 3 cases, 3-5 years 2 cases, 5-10 years 4 cases and over 10 years 5 cases. 3. The amount of herbal medicine they took as follows: 1 je(劑) 1 case, 2 je(劑) 7 cases, 3 je(劑) 5 cases and 4 je(劑) 2 cases. 4. The frequency of acupuncture and moxibustion was as follows; under 5 times 1 case, 6-10 times 10 cases, 11-15 times 3 cases, over 16 times 1 case. 5. The nasal symptoms except the nasal mucosa color(pale) were improved significantly after treatment(p 〈0.05). 6 The general symptoms except menstruation pain were improved significantly after treatment(p 〈0.05). 7. The curative influence of rhinitis by Lizhongtang plus Baidusan(理中湯合敗毒散) was as follows excellent 2 cases. good 11 cases, ineffectiveness 2 cases. Conclusion: If we administer Lizhongtang plus Baidusan(理中湯合敗毒散) to allergic rhinitis patients with cold in the Zhong Jiao of deficiency type (中焦虛寒), it improves not only allergic symptoms such as the watery rhinorrhea, turbinate swelling, sneeze, nasal obstruction, etc but also coldness of the limbs(手足冷症), dyspepsia, dysmenorrhea, etc. Therefore, we consider that administration of Lizhongtang plus Baidusan(理中湯合敗毒散) to allergic rhinitis patients with cold in the Zhong Jiao of deficiency type (中焦虛寒) improves in quality of life, as removes inconvenience of life and stress.

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Assessment of Concordance Rate in Pattern Analysis between Pattern Diagnosis of KiFDA on Allergic Rhinitis in 2008 and Doctor of Korean Medicine (알레르기 비염의 한의학적 분류를 위한 진단 평가지와 한의사 변증의 일치도 평가)

  • Lee, Kyu-Jin;Kim, Hee-Taek;Jang, Bo-Hyeong;Choi, In-Hwa;Ko, Seong-Gyu
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.1
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    • pp.91-98
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    • 2014
  • Objective : This study aimed to assessment for concordance rate in pattern analysis between pattern diagnosis of KiFDA on allergic rhinitis in 2008 and doctor of Korean medicine. Methods : Data were obtained from 35 patients with allergic rhinitis(AR). They were asked to perform the questionnaires and had been interviewed by specialist of Korean Medicine. For correlation analysis, we used Cohen's Kappa. Results : The pattern diagnosis was done only 15 patients(42.9%). Correlation between pattern diagnosis of questionnaires and specialist showed 0.2105 in Kappa and 0.1993 in weighed Kappa. Conclusions : The result may provide the basis of modification in Pattern Diagnosis of KiFDA on allergic rhinitis in 2008.

Correlation between Metabolic Syndrome and Allergic Rhinitis (대사증후군과 알레르기 비염의 상관관계)

  • Kim, Min A;Kim, In Sik;Lee, Ji-Sook
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.2
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    • pp.134-144
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    • 2019
  • Metabolic syndrome and allergic rhinitis are two important chronic diseases that affect people all over the world. Metabolic syndrome very often induces other diseases and the prevalence of allergic rhinitis is currently increasing. Aging is known to affect the pathogenesis of various diseases such as metabolic syndrome and allergy. This study examined the effects of metabolic syndrome and the prevalence of allergic rhinitis depending on different age groups and several general characteristics. This study was conducted by using the data from the Korea National Health and Nutrition Examination Survey from the 4th, 5th, 6th, and 7th-1 (2007~2016). The data used for this study was obtained from 51,854 people. In all age groups, our studies have shown that people without metabolic syndrome have a higher prevalence of allergic rhinitis than those people with metabolic syndrome, and the younger age group had the higher prevalence of allergic rhinitis (P<0.05). Overall, the results of this study found a significant effect on the prevalence of allergic rhinitis in each category of age, general characteristics (physical activity, smoking and drinking) and the presence or absence of metabolic syndrome (P<0.05). The evidence found in this study will help to understand the correlation between metabolic syndrome and allergy, and specifically allergic rhinitis.

The effect of GyejitangGamibang(G.G.) on allergic rhinitis (桂枝湯 加味方의 알레르기 鼻炎에 對한 治驗報告)

  • Kim, Gyung-Jun;Chae, Bhung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.10 no.1
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    • pp.332-339
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    • 1997
  • This study evaluates the effect of G.G.(桂枝湯 加味方) in patients with allergic rhinitis which deteriorates with cold, who visited Oriental hospital of Kyungwon University from march to september in 1996 and found the symptoms were inproved significantly. 1. G.G.(桂枝湯 加味方) was prescribed for the patients with sneezing and more than $80\%$ of patients showed improvement 2. Oriental treatments of allergic rhinitis have been showed relative good results and more constructive study and clinical report are necessary.

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Clinical Study of MAST CLA and Sasang Constitution in Allergic Rhinitis Patients (알레르기비염 환자의 체질분포 및 특이적 IgE 측정법(MAST CLA)의 임상적 의의)

  • Kim, Chan-Jung;Kim, Hae-Jung;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.15 no.2
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    • pp.210-219
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    • 2002
  • Background and Objectives The diagnosis of allergic rhinitis includes detailed clinical history, physical examination and the use of either in vivo or vitro tests for relevant allergens. Skin test has been used the most commonly. Recently MAST CLA is used for determination of serum spcecific IgE, This study attempted to find out the distribution of Sasang Constitution and to compare the MAST CLA with skin tests in allergic rhinitis patients. Methods Skin tests, MAST CLA and Sasang Constitution study were performed for 35 allergic rhinitis patients who visited Kyunghee Oriental Medical Center from Sept. 2001 to Nov. 2001. Results 1. The ratio between male and female was 1:1.5. the peak age was the thirties(42.9$\%$) 2. 45.7$\%$ of patients had family history of allergic diseases and allergic rhinitis was the most common. 3. 51.4$\%$ of patients lived in A.P.T. and in preference of cool and warm, 54.3$\%$ of patients prefered both of cool and warm. 4. Among 24 cases who were consulted to dept. of Sasang, 45.8$\%$ was Taeumin. 5. 65.7$\%$ of patients reacted positive to skin test and the common offending allergen was D. pteronyssinus(82.6$\%$). 6. 25.7$\%$ of patients reacted positive to MAST CLA and the common offending allergen was D. farinae(88.9$\%$). 7. Among 22 cases who was performed skin test and MAST CLA the sensivity and specificity of MAST CLA was 27.4$\%$ and 94.9$\%$. There was significant correlations between MAST CLA and skin test(p=0.005, r=0.574, 1, spearman correlation coefficienct).

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Effects of Saposhnikoviae Radix on allergic responses in OVA-induced Allergic rhinitis mice (방풍(防風)의 난알부민 유도 알레르기 비염 마우스에서의 항알레르기 효능 연구)

  • Jung, Jin-Ki;Park, Yong-Ki
    • The Korea Journal of Herbology
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    • v.27 no.5
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    • pp.85-91
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    • 2012
  • Objectives : In this study, we investigated the effect of Saposhnikoviae Radix on allergic responses in ovalbumin(OVA)-induced Allergic rhinitis(AR) mice. Methods : BALB/c mice were orally administrated with Saposhnikoviae Radix water extract (SRW, 50 mg/kg) or anti-histamine drug, Ketotifen (10 mg/kg) as a reference drug, followed by sensitization and challenge of OVA. Mice were measured clinical symptoms and the serum levels of histamine, IgE, IL-4, and IFN-${\gamma}$, and observed histopathological changes of nasal mucosa H&E staining. Results : SRW significantly decreased rubs and the serum levels of histamine, IgE, and IL-4, and then increased the serum levels of IFN-${\gamma}$ in OVA-induced AR mice, and inhibited histopathological changes of nasal mucosa with inflammation and the eosinophils infilteration. Conclusions : These data suggest that SRW has anti-allergic effect through the inhibitory property of Saposhnikoviae Radix against allergic responses in allergic rhinitis.

Phototherapy in Allergic Rhinitis: From In Vitro Studies to Clinical Trials

  • Yoo, Shin Hyuk;Chung, Young-Jun;Bae, Jun-Sang;Mo, Ji-Hun
    • Medical Lasers
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    • v.9 no.2
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    • pp.95-102
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    • 2020
  • Phototherapy has a profound immunosuppressive effect and is widely used for the treatment of inflammatory skin diseases. Since allergic rhinitis (AR) shares several common pathologic features with atopic dermatitis, intranasal phototherapy is a novel approach for treating AR. Phototherapy reduces the antigen presenting capacity of dendritic cells, induces apoptosis of immune cells, and inhibits synthesis and release of pro-inflammatory mediators from inflammatory cells. The effectiveness of phototherapy for AR has been extensively researched: from in vitro studies to several clinical trials. Data indicates the potential of intranasal phototherapy as an alternative treatment for AR as well as other inflammatory mucosal diseases. In this review, we introduce the in vitro, in vivo studies, and clinical trials which demonstrated the effect of phototherapy on AR.