• Clinical and Experimental Pediatrics
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• 제58권2호
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• pp.64-68
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• 2015

Purpose: The purpose of this study was to investigate the importance of initial screening tests for depression and anxiety disorders in children with headache. In addition, this study evaluated whether the Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS) are suitable for screening symptoms of depression and anxiety. Methods: A retrospective chart review was conducted of 720 children aged 7-17 years who had visited a pediatric neurology clinic for headaches and were referred to a pediatric psychiatric clinic for psychiatric symptoms from January 2010 to December 2011. All patients completed the CDI and RCMAS. Among them, charts of patients with clinically significant total scores (cutoff>15) for psychiatric symptoms, as defined by the CDI and RCMAS scoring scales, were reviewed. Results: Nineteen patients had headaches and clinically significant total scores for psychiatric symptoms. The mean age at headache diagnosis was 11.7 years, and 57% were male. Mean duration of headache was 11.5 months. Two point eight percent of the patients were diagnosed with psychiatric disorders including major depression (1.7%), generalized anxiety disorder (1.1%), and bipolar disorder (0.1%). Four patients (0.6%) were diagnosed with attention deficit/hyperactivity disorder (ADHD). Total mean CDI and RCMAS scores of patients referred to the psychiatric clinic were 18.8 and 22.2, respectively. There was no correlation between CDI or RCMAS total scores and headache frequency, duration, or severity. Conclusion: We recommend that all patients with headache should be screened for depression and anxiety by CDI and RCMAS scores.

• The Korean Journal of Pain
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• 제11권2호
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• pp.338-342
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• 1998

Postural headache due to spontaneous intracranial hypotension occurs without any diagnostic lumbar puncture, myelography, cranial or spinal injury, or spinal anesthesia. The clinical characteristics of the syndrome are disappearance of the headache or a notable decrease in its severity with recumbency, the finding of meningeal enhancement and subdural fluid collection on brain MRI, the pleocytosis and the increased CSF protein concentration. We report a case of a 40-year-old woman who exhibited the signs and symptoms of postural headache due to low CSF pressure. Her headache started suddenly at the occiput and radiated to frontal head. Magnetic resonance imaging (MRI) of her brain showed enhancement of the meninges and subdural fluid collection. Intrathecal radionuclide cisternography showed the delayed appearance of the isotope in the cranium and the minimal CSF leak at the left upper thoracic region. Her headache was relieved completely after a lumbar (L2-L3) epidural injection of 12 ml of autologous blood and remained asymptomatic.

• 사상체질의학회지
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• 제22권2호
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• pp.123-134
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• 2010

1. Objectives: This study reports two cases of repetitive episodic tension-type headache patients who were each constitutionally typed as the Taeeum type and the Soyang type and respectively treated with Yanggyeoksanhwa-tang and Galgeunhaegi-tang. 2. Methods: The patients' subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout hospitalization period. When deemed necessary, other assessment tools were engaged (Migraine-Specific Quality of Life questionnaire, Migraine Disablity Assessment questionnaire, Headache Impact Test-6, etc.). 3. Results: The Soyang Type patient's headache improved by the end of hospitalization, with a dramatic drop in the VAS score from VAS 10 to VAS 2. The Taeeum Type patient's headache also showed improvement, with an equally dramatic decrease in the VAS score from VAS 10 to VAS 2. 4. Conclusion: Although the two patients were experiencing the same symptoms of repetitive episodic tension-type headache, they were each given different medicinal interventions in accordance to their respective constitutional types. This series of cases is notable in that the two widely different medications (Yanggyeoksanhwa-tang and Galgeunhaegi-tang) were applied to specifically conforming pathologies (the Sogal symptomatology and the Ganyeol symptomatology, respectively) to produce equally dramatic improvements.

• 한국의사학회지
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• 제24권2호
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• pp.57-67
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• 2011

The headache has various causes and symptoms in clinic. Therefore The headache and the stiff neck also can found in many articles of Shanghanlun(傷寒論) On Cold Damage. In the past, many doctors classified the headache and the stiff neck according to their own theories, and published some Shanghan books(傷寒書). In this study, I select ten Shanghan books which classified the headache and the stiff neck in table of contents, and compared with the articles of and , the first books of Shanghanlun(傷寒論) to found meanings of them. As a result, the Osuyutang(吳茱萸湯) was the most quoted herb medicine of . The second was Jowisunggitang(調胃承氣湯) and Sosunggitang(小承氣湯), the group of Sunggitang(承氣湯類). Mahwangtang(麻黃湯) and Gyejitang(桂枝湯) are substituted as Ganghwalchunghwatang(羌活沖和湯) in for simply prescribe medicine, or even not mentioned as in . This can be understand as a result of copy the previous generation doctor's writings, not as a study of and . The articles of the headache in was not quoted in that ten books. But the stiff neck was frequently quoted that Gyejigualutang(桂枝加括蔞湯), Dehamhyungtanghwan(大陷胸湯丸) articles includes chibyong(痓病) The Opisthotonos, gyongbyong(痙病) The Convulsions, Yuchi(柔痓) Opisthotonos With Sweat And Fever.

• 동의신경정신과학회지
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• 제15권2호
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• pp.159-172
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• 2004

Objective : There are many treatments for Headache. We suggested the clinical effect and utilization of Rainbow Theraphy on functional headache. Methods : 1. Setting up of Groups : A Group is 29 people being used Herb remedy, acupuncture and Rainbow Theraphy, B Group is 23 people being used only Rainbow Theraphy. 2. Operation of Rainbow Theraphy : By using RP-UM103(Umax Medical, Korea), we regulated ki and stimulated important acupuncture’s spots of headache. 3. We examined improvement of headache by giving marks about symptoms - occipital pain, Pressure, dyspepsia, anxiety, fatigue, attention deficiency - through interviewing before treatment and after 3 weeks' treatments. Results and Conclusions : 1. There was a significantly effect of Rainbow Theraphy on functional headache in both A Group and B Group. 2. In subjective appraisee of groups, A group$(17.28{\pm}2.15)$ is more effective than B group$(14.74{\pm}2.38)$. 3. In doctor's last appraisee of groups, A group$(3.83{\pm}0.71)$ is more significantly improvement than B group$(2.70{\pm}0.47)$.

• Journal of Acupuncture Research
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• 제20권1호
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• pp.191-201
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• 2003

Objective : To research the trends of study related to tension-type headache and migrain with acupuncture in PubMed, and to establish the hereafter direction of acupuncture. for tension-type headache and migrain. Methods : We searched in PubMed, with tension-type headache, migrain and acupuncture limitted by abstract and enterz data 10 years. Results : 1. The pattern of the study was as follows: Review article(18), Clinical Trials(23), meta analysis(2) and rondomized controlled trials(16). We further estimated 23 articles. 2. Many of these studies provide equivocal results because of designs, sample size and the others, but in the majority of the trials were concludes that acupuncture offers benefits in the treatment of headache. 3. Acupuncture methods need individualization, a carefully selected placebo and cross-over design must have adequate time between the two treatment periods.

• 대한한방소아과학회지
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• 제17권2호
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• pp.161-171
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• 2003

This study was to investigate the relationship of headache and back shape using the Moire interferometer and Questionnaire investigations. In this study the subjects consisted of 317 pupils[168 boys(53%), 149girls(47%)] attending S high school in Sungnamsi, Kyoungkido in 2002, and their ages ranged from sixteen to eighteen. The results are following. 1. In questionnaire investigation, we observed that the ratio of headache was more than 70% and the ratio of girls are more than that of boys. The inclination for ages was not shown. 2. In moire topography, the remainder values of scapular region were from 0.5 cm to 1.1 cm in boys, and from 0.45 cm to 1 cm in girls. The remainder values of gluteal region were from 0.2 cm to 0.8 cm in boys, and from 0.4 cm to 0.6 cm in girls. The reminder values of the vertical lines of cervical and buttock region were from 0.71 cm to 1.51 cm in boys, and from 0.96 cm to 1.43 cm in girls. More frequent findings of reminder value of the vertical lines of cervical and buttock region were observed that the vertical lines of cervical region were inclined to left than the vertical lines of buttock 3. Through the Pearson's Correlation analysis of headache and Moire topography, we found the close relationship of headache and the remainder values of scapular region(Pearson correlation coefficient : 0.116, P<0.05) and gluteal region(Pearson correlation coefficient : 0.153, P<0.01). But the relevances to headache and the remainder values of neck lines, sacral lines and neck-sacral lines were not found.

• 동의신경정신과학회지
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• 제23권2호
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• pp.129-146
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• 2012

Objectives : The purpose of this literature review was to clarify the procedure of historical changes centered on medications of 10 kinds of headache in "Donguibogam"(東醫寶鑑). Methods : We searched the database-China Academic Journals(CAJ). For papers published since 2007-2011, which are classified in categories. Results : 1. By searching medications of 10 kinds of headache in "Donguibogam"(東醫寶鑑), 32 prescriptions were selected. 2. We reviewed the books, which is clarified as the reference of the aforementioned 32 prescriptions in "Donguibogam"(東醫寶鑑). 3. 31 books mentioned in head part of "Uibujeonrok"(醫部全錄) were also selected as the reference, and we searched the aforementioned 32 prescriptions in the former 31 books. Conclusions : 1. The herb medications of 10 kinds of headache in "Donguibogam"(東醫寶鑑) were mostly affected by "Seuideukhyobang"(世醫得效方). 2. 21 prescriptions among 32 prescriptions in "Donguibogam" were directly quoted from the books that the prescriptions were firstly appeared and 11 prescriptions among the 32 prescriptions were re-quoted from other books that succeeded the source books. 3. We suspect that the components, dosages of the herb medications of headache in chapter Du(頭) of "Donguibogam" were revised, according to the author's clinical experience and circumstances. 4. Cheon-gungdajo-san(川芎茶調散) was the most cited prescription in medical books. A total of 12 books were recorded from "Hwajegukbang(和劑局方)" to "Donguibogam(東醫寶鑑)".

• 대한한방내과학회지
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• 제43권2호
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• pp.303-310
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• 2022

Objectives: This study reports the effects of Korean medical treatment, including the administration of Yanghyeolgeopung-tang, on tension headache. Case presentation: A 48-year-old man with headache and neck pain caused by tension-type headache was managed with Yanghyeolgeopung-tang, acupuncture, and pharmacopuncture for 15 days. To evaluate the improvements, a numeric rating scale (NRS), the Korean Headache Impact Test-6 (KHIT-6), and Neck Disability Index (NDI) were used. After treatment, the symptoms were relieved, and there were no particular side effects. The NRS scores reduced from 6 to 3, KHIT-6 from 64 to 48, and NDI from 46 to 22. Conclusion: These results suggest that Korean medicine may be effective for treating tension-type headache.

• 대한한방내과학회지
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• 제44권2호
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• pp.129-137
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• 2023

Objective: This study reports a clinical case of headache accompanied by epilepsy that showed improvement with Korean medicine treatments. Methods: A 67-year-old woman with headache was treated with Korean medicine therapies, including Cheongshimondam-tang, acupuncture, electroacupuncture, and cupping, for 14 days. The response before and after treatment was evaluated using the Numerical Rating Scale, Headache Impact Test-6 (HIT-6), and Quality of Life in Epilepsy-10 (QOLIE-10). Results: After the treatments, the headache was relieved from NRS 8 to NRS 1, and anxiety decreased from NRS 7 to NRS 2. The HIT-6 changed from 66 to 48, and the QOLIE-10 dropped from 44 to 30. Conclusion: This study suggests that combined Korean medicine treatments might be a therapeutic option for relieving headache with epilepsy.