• 제목/요약/키워드: Eczema(濕疹)

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기혈양허(氣血兩虛)와 간화(肝火)를 동반한 만성 유두 습진 1례 (A Case Report on Chronic Nipple Eczema with Deficiency of Qi Blood and Liver Fire Improved by Korean Medicine)

  • 이수빈;이해원;김혜원;하동림;김준형;서형식;최유민
    • 한방안이비인후피부과학회지
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    • 제35권4호
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    • pp.209-218
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    • 2022
  • Objective : This study assessed the effect of a combination of Korean medicine on a chronic nipple eczema patient complaining of stress and immunodeficiency due to long-term steroid use. Methods : Herbal medicine, moxibustion and acupuncture were performed for a year. Treatment outcomes were evaluated with DLQI(Dermatology Life Quality Index), EQ-5D-5L(The 5 level of EuroQol 5 Dimensio scale), EQ-VAS(EuroQol-Visual Analog Scale), ADSI(Atopic Dermatitis Severity Index), pruritus NRS(Numeral Rating Scale), pictures and patient's statements. Results : After the treatment, symptoms have been alleviated, the quality of life has increased, and it has been maintained without further nipple eczema for three months. Conclusion : We suggest that Korean medicine is effective for chronic nipple eczema patient.

아토피 피부염의 東西醫學的 文獻 考察 (A literature study about the comparison of Oriental-Occidental medicine on the Atopic dermatitis)

  • 박민철;김진만;홍철희;황충연
    • 한방안이비인후피부과학회지
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    • 제15권1호
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    • pp.226-252
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    • 2002
  • The results of a literature study about the comparison of Oriental-Occidental medicine on the Atopic dennatitis were as follows. 1. In Oriental medicine, Atopic dermatitis belongs to the category of the Naesun(내선), Taeryumchang(胎斂瘡), Eczema(濕疹), Chimumchang(浸淫瘡). In Occidental medicine, the other names of Atopic dermatitis are allergic eczema, IgE dermatitis, flexual eczema etc. 2. In Oriental medicine, the definition of atopic dermatitis includes chang(瘡), sun(선), and pung(風). Occidental medicine, is one of the intrinsic eczema classifications. In fact eczema term circumscribes dermatitis in atopic patients. 3. In Oriental medicine, the etiology and pathogenesis of Atopic dermatitis arose from the state of cogenital defect(稟賦不足), internal accumulation of damp and heat(濕熱內蘊) at first, and then invaded pathogenic wind, damp, heat factors again, and combined endo-exoteric pathogenic factors. So it appears in skin. In Occidental medicine, the etiology and pathogenesis of Atopic dermatitis approaches in genetic, allergic and immunologic, pharmacophysioloic aspects. It is only a hypothesis but there is no known facts about radical aetiology. 4. In Oriental medicine, differentiation of syndromes classifies manifestation aspects, etiology and pathogenesis, and invasion period. In Occidental medicine, it divides into an invasion period, and clinical aspect etc. 5. In Oriental medicine, Internal theraphys of Atopic dermatitis are decoction of ingredients(湯劑), pills(丸), and tablet(片). So, it prescribes as treatments on the ground of differentition of syndrome. In Occidental medicine, there is no radical therapy because Atopic dispositions don't change. But steroid, antihistamine as symptomatic tre atments are generally used in Occidental medicine. 6. In Oriental medicine, external therapies are wet dressings(濕敷), lotion(洗劑), powder(散劑), adhesive plasters(膏劑), oil(油劑), smoking(烟薰法), warm over fire therapy(熱烘療法), acupunture and moxibustion therapy(鍼灸療法).

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한약 및 침치료 후 피부습진의 SCORAD 점수를 호전시킨 성인 아토피성 피부염 환자 증례보고 (A Case Report of an Adult Atopic Dermatitis Patient Whose Eczema and SCORAD Index Were Improved by Herbal Medicine and Acupuncture Therapy)

  • 홍승철;김영지;송주연;박송원;이찬솔;정지천
    • 대한한방내과학회지
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    • 제39권5호
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    • pp.1004-1014
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    • 2018
  • This case reports the effect of herbal medicine and acupuncture therapy on the scoring atopic dermatitis (SCORAD) index for an adult atopic dermatitis patient. An adult male in his 30s with complaints of severe eczema on the whole body was diagnosed with heat toxin blazing exuberance pattern (熱毒內蘊) and treated with herbal medicine, including an orally-administrated decoction, externally-applied decoction, extracted powder capsule, and acupuncture for a total of 30 days. We observed skin symptoms, SCORAD index, follow-up photographs, and any adverse events. After treatment, SCORAD index decreased from 74.5 to 38.7 (51.9% from baseline). Skin symptoms such as redness, itching, and exudation were improved without any adverse events reported. This case suggests that herbal medicine and acupuncture therapy could be effective in improving eczema in adult atopic dermatitis patients.

전신 재발성 화폐상 습진 시기별 한의 유형(습열형(濕熱型), 혈조형(血燥型))에 따른 한방 복합 치료 치험 1례 (A Case of Complex Treatment according to the Type of Korean Medicine Diagnostic System by Period of Recurrent Nummular Eczema on Whole-body)

  • 윤석영;강도영;전현준;전형선;최정화;박수연;정민영;김종한
    • 한방안이비인후피부과학회지
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    • 제34권4호
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    • pp.210-227
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    • 2021
  • Objectives : The purpose of this study is to report the Korean medicine treatment on whole-body nummular eczema. Methods : This case study was conducted with a 66-year-old female patient who has whole-body nummular eczema treated by Korean medicine. She was treated from 2021.3.30 to 2021.6.28. During the treatment, the two herbal medicines were changed depending on the patient's condition. We treated her with herbal medicine, herbal external preparations and acupuncture treatment. For the evaluation of the results, we used photo comparison, VAS, and DLQI. Results : After the treatment, the nummular eczema lesions of patient was remarkably improved. Also, the VAS grade of other symptoms such as pruritus, burning sense, oozing, crusting and erythema were decreased and DLQI score changed from 27 to 2. Conculsions : This study suggests that Korean medicine treatments are effective for patient with recurrent nummular eczema.

아토피 피부염 치료 처방에 대한 방제학적(方劑學的) 고찰(考察) (Study for treatment of Atopic dermatitis in Oriental Medical Prescription)

  • 이상현;윤용갑
    • 한방안이비인후피부과학회지
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    • 제19권3호통권31호
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    • pp.103-117
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    • 2006
  • In Oriental Medicine, Atopic dermatitis(AD) belongs to the category of the Naseun, Taesun(胎癬), Taeryumchang(胎斂瘡), Eczema(濕疹), Seupchang(濕瘡), Samanpung(四彎風), Chimumchang(浸淫瘡). The Basic Prescriptions which have been used for treatment of Atopic dermatitis are saengryusamultang(生料四物湯), Onchungeum(溫淸飮), Seungmagalgeuntang(升麻葛根湯),Hoichunryangkyuksan(回春凉膈散), Doghengsan(導赤散), Pyungweesan(平胃散), Heungbangpaedoksan(荊防敗毒散), Goomigangharltang(九味羌活湯), Baekhotang(白虎湯), Gaegytang(桂枝湯), Yukmigihyuangtang(六味地黃湯). AD can divide three groups, Acute-Type, Semiacute-Type, Chronic-Type, according to it's condition. This study shows that it can be applicate Seungmagalgeuntang(升麻葛根湯), Hoichunryangkyuksan(回春凉膈散), Doghengsan(導赤散), Heungbangpaedoksan(荊防敗毒散), Goomigangharltang(九味羌活湯), Baekhotang(白虎湯), Gaegytang(桂枝湯) for treatment of Acute-Type, Pyungweesan(平胃散) for treatment of Semiacute-Type, and saengryusamultang(生料四物湯), Oncungeum(溫淸飮) for treatment fo Chronic-Type.

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아토피 피부염 치료 처방에 대한 방제학적(方劑學的) 고찰(考察) (Study for Treatment of Atopic Dermatitis in Oriental Medical Prescription)

  • 이상현;윤용갑
    • 한국전통의학지
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    • 제15권1호
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    • pp.56-69
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    • 2006
  • In Oriental Medicine, Atopic dermatitis(AD) belongs to the category of the Naesun, Taesun(胎癬), Taeryumchang(胎斂瘡), Eczema(濕疹), Seupchang(濕瘡), Samanpung(四彎風), Chimumchang(浸淫瘡). The Basic Prescriptions which have been used for treatment of Atopic dermatitis are saengryusamultang(生料四物湯), Onchungeum(溫淸飮), Seungmagalgeuntang(升麻葛根湯),Hoichunryangkyuksan(回春凉膈散), Doghengsan(導赤散), Pyungweesan(平胃散), Heungbangpaedoksan(荊防敗毒散), Goomigangharltang(九味羌活湯), Baekhotang(白虎湯), Gaegytang(桂枝湯), Yukmigihyuangtang(六味地黃湯). AD can divide three groups, Acute-Type, Semiacute-Type, Chronic-Type, according to it's condition. This study shows that it can be applicate Seungmagalgeuntang(升麻葛根湯), Hoichunryangkyuksan(回春凉膈散), Doghengsan(導赤散), Heungbangpaedoksan(荊防敗毒散), Goomigangharltang(九味羌活湯), Baekhotang(白虎湯), Gaegytang(桂枝湯) for treatment of Acute-Type, Pyungweesan(平胃散) for treatment of Semiacute-Type, and saengryusamultang(生料四物湯), Onchungeum(溫淸飮) for treatment of Chronic-Type.

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불법 제조된 환약 복용에 의하여 발생한 연중독 증례 (Case Report of a Lead Poisoning by Home-made Herb Pills)

  • 김덕수;임현술;양창헌
    • 농촌의학ㆍ지역보건
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    • 제26권1호
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    • pp.57-64
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    • 2001
  • 증례는 2년 전부터 피부 습진으로 치료받아 증상의 호전과 재발을 경험하던 중 내원 2달전 피부 습진이 재발하여 이를 치료하고자 구입한 환약을 15일간 매일 6.4g씩 경구 섭취하였고 내원 10일 전부터 심한 복통을 경험하였다. 입원 후 실시한 이학적 검사에서 급성 연중독의 증상을 보였고, 혈액하학적 검사에서 호염기성 점적혈구를 동반한 빈혈소견이 있었다. 혈중 연농도가 $69{\mu}g/d{\ell}$로 높았고, 증례가 섭취한 환약의 성분 분석에서도 3.32%의 연성분 함유를 관찰할 수 있었다. 본 증례는 연성분이 다량 함유한 약제를 이용해서 만든 환약을 복용하여 발생한 연중독으로 판단되어 문헌 고찰과 함께 보고하는 바이다.

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습진 환자의 스테로이드제 반동 현상 관리 및 치험 1례 (Management of Steroid Rebound Phenomenon in Patients with Eczema)

  • 손소은;박혜진;최송;정민영
    • 한방안이비인후피부과학회지
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    • 제36권4호
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    • pp.196-205
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    • 2023
  • Objectives : We would like to report what symptoms appear in patients experiencing steroid rebound phenomenon and how to manage and treat them at Korean medicine hospital. Methods : A 20-year-old woman who had been using topical and oral steroids for more than 6 weeks presented to the hospital. She hospitalized for 5 weeks and stopped using steroid. The treatment applied was acupuncture, wet dressing therapy and herbal medicine including Yangdokbackho-tang, Sunbangpaedok-tang and Danguieumja. We assessed symptoms through Inflammation Index and Chronicization Index. Results : Right after she stopped using steroid, symptoms of skin got worse gradually. However, after 5 weeks of treatment, all symptoms except itching and dryness disappeared. When symptom was severe, Inflammation Index and Chronicization Index was 12 and 9 points and after the treatment they were 2 and 4 points. Conclusions : This study shows various symptoms in patients with topical steroid addiction and how to manage at Korean medicine hospital.

Erratum to : 전신 재발성 화폐상 습진 시기별 한의 유형(습열형, 혈조형)에 따른 한방 복합 치료 치험 1례 (Erratum to : A Case of Complex Treatment according to the Type of Korean Medicine Diagnostic System by Period of Recurrent Nummular Eczema on Whole-body)

황련아교탕(黃連阿膠湯) 투여로 호전된 만성 동전 모양 습진 1례 (A Case of Chronic Nummular Dermatitis Improved by Hwangryunagyo-tang)

  • 이주현;이상배;조은희;박민철
    • 대한한의학회지
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    • 제45권1호
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    • pp.215-224
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    • 2024
  • Objectives: This study aims to report a case of chronic nummular dermatitis improved by Hwangryunagyo-tang. Methods: The patient in this study was a 15-year-old female, who visited our hospital with symptoms such as redness, erythema, papule, excoriation, scale, exudation, crusting, lichenification, and pruritus of the extremities and trunk. Considering that the skin lesions were coin-shaped and persisted for more than 6 months, the patient's symptoms were diagnosed as chronic nummular eczema. Based on the patient's symptoms and overall condition, Hwangryunagyo-tang was prescribed. Results: Approximately 4 months after administration of Hwangryunagyo-tang, the exudate disappeared, and overall skin symptoms improved, from objective score 33.7 to 6.6, leaving only slight scale, dryness, and pigmentation. As the pruritus of the skin lesion decreased from numeric rating scale 8 to 1, the patient's sleeping condition also improved from numeric rating scale 9 to 0. Conclusion: This study is significant in that the symptoms of chronic nummular dermatitis were effectively improved after administration of Hwangryunagyo-tang.