• Tuberculosis and Respiratory Diseases
• /
• 제64권1호
• /
• pp.39-43
• /
• 2008

저자 등은 종격동 림프절 비대를 동반한 비소세포폐암환자에서 발생한 지속성 딸꾹질을 경험하였기에 이에 대한 임상적 특성과 치료에 관한 문헌 고찰과 함께 보고하는 바이다.

• The Korean Journal of Pain
• /
• 제8권1호
• /
• pp.131-134
• /
• 1995

Hiccup is characterized by a myoclonus in the diaphragm, resulting in a sudden inspiration associated with an audible closure of the glottis. The reflex arc in hiccups comprises three pars: an afferent, a central and an efferent part. The afferent portion of the neural pathway of hiccup formation is composed of the vagus nerve, the phrenic nerve, and the sympathetic chain arising from T6 to T12. The hiccup center is localised in the brain stem and the efferent limb comprises phrenic pathways. All stimuli affecting the above mentioned reflex arc may produce hiccups. The pathogenesis of persistent hiccups is not known. Hiccup can present a symptom of a subphrenic abscess or gastric distention, and metabolic alterations may also cause hiccups. Numerous treatment modalities have been tried but with questionable success. We describe a patient whose persistant hiccups was treated successfully by a cervical epidural block.

• 동의생리병리학회지
• /
• 제22권1호
• /
• pp.222-225
• /
• 2008

Hiccup is one of common symptoms that remains poorly understood. The hiccups coordinating center is located in the brain-stem reticular formation. Hiccups may be derived from 400 medical origins. Stroke is an infrequent cause of intractable hiccups. Intractable hiccups in pontine infarction remain poorly understood. As for treatments of hiccups, physical stimulating methods, pharmacological therapies and surgery are occidental conventional methods. In Pharmacological therapies, antidepressants, gastric motility stimulants, antispastic drugs are commonly used. Oriental medicines and acupuncture are also used frequently to treat hiccups. We have treated a case of intractable hiccup induced by pontine infarction with herbal medication; Gwakhyangjeonggi-san gami, acupuncture and moxibustion, and successfully improved. This case showed oriental medicine therapy is effective in intractable hiccup induced by pontine infarction.

• 대한한방내과학회지
• /
• 제43권4호
• /
• pp.567-581
• /
• 2022

Objectives: The purpose of this study was to summarize current clinical study trends and results regarding acupuncture treatments for hiccups. Methods: Studies published from 2012 to 2022 were searched on PubMed and domestic databases (OASIS, scienceON, RISS, KISS, KCI) using the keywords "hiccup^*", "singultus", "singultation", "hiccupping", "intractable hiccup^*", "acupuncture", "auricular acupuncture", "scalp acupuncture", "acupuncture point", "acupoint", "needle", "dry needle", "딸꾹질", and "침." The studies were analyzed according to the year, language, study design, characteristics of patients, and acupuncture intervention. Results: In total, 12 studies were selected: 8 case series, 2 case-control studies, and 2 case reports. Manual acupuncture was administered with more than 15 minutes of retention time, most frequently using ST36 and CV12. The acupuncture treatment was effective for hiccup symptoms in all studies, as assessed by clinical symptoms, such as duration time, number of episodes, and recurrence. Conclusions: Acupuncture treatment can be an effective and safe method for treating hiccups and can be used in clinical practice.

• Tuberculosis and Respiratory Diseases
• /
• 제38권3호
• /
• pp.304-308
• /
• 1991

Corticosteroid has been extensively used for the treatment of many medical diseases caused by immune and inflammatory response. And recently it becomes the first choice of treatment for bronchial asthma in a point of it's anti-inflammatory effects. However, this therapy has been associated with many well-known complications including truncal obesity, diabetes mellitus, excerbation of hypertension, delayed wound healing, easy bruisy, atropy of proximal muscles, psychotic symptoms, and/or osteoporosis. We report a case of patient with bronchial asthma who developed an uncommon side reaction, intractable hiccup persisting longer than 48 hours after treatment with oral corticosteroid.

• Journal of Acupuncture Research
• /
• 제20권5호
• /
• pp.244-251
• /
• 2003

Objective: The main symptoms of the Wallenberg's syndrome are ataxia of gait, clumsiness of ipsilateral limbs, nausea and vomiting, vertigo, visual disturbance such as difficulty in focusing blurred vision diplopia, numbness, dysphagia, hoarseness, hiccup, nystagmus, Homer's syndrome. The purpose of this paper is to report the patient with the Wallenberg's syndrome who was improved by oriental medical treatment. Methods: In terms of exuberance of Yang(vital function) of the liver and stagnation of the liver Ki(energy), we let the patient take Chunghunhwadam-Tang, Hwangryeonhaedok-Tang and Dangkwihwalhyeol-Tang, at the same time, treated with acupuncture, Sa-Am and Dong-Si acupuncture therapy twice a day. Results: We could know that symptoms of the Wallenberg's Syndrome were improved after observing left sensory paralysis was almost recovered, hiccup was completely healed and vertigo was reduced to 1/10. Conclusions: We confirmed that oriental drugs and acupuncture by differentiation of syndromes make the patient with the Wallenberg's Syndrome reduce and improve symptoms he has.

• The Korean Journal of Pain
• /
• 제23권3호
• /
• pp.198-201
• /
• 2010

Persistent and intractable hiccups (with respective durations of more than 48 hours and 1 month) can result in depression, fatigue, impaired sleep, dehydration, weight loss, malnutrition, and aspiration syndromes. The conventional treatments for hiccups are either non-pharmacological, pharmacological or a nerve block treatment. Pulsed radiofrequency lesioning (PRFL) has been proposed for the modulation of the excited nervous system pathway of pain as a safe and nondestructive treatment method. As placement of the electrode in close proximity to the targeted nerve is very important for the success of PRFL, ultrasound appears to be well suited for this technique. A 74-year-old man suffering from intractable hiccups that had developed after a coronary artery bypass graft and had continued for 7 years was referred to our pain clinic. He had not been treated with conventional methods or medications. We performed PRFL of the phrenic nerve guided by ultrasound and the hiccups disappeared.

• 정보처리학회논문지A
• /
• 제11A권7호
• /
• pp.547-554
• /
• 2004

연속매체(Continuous Media : CM)와 같은 데이터를 온라인으로 상영해야 하는 멀티미디어 시스템에서는 연속매체의 시간제약성을 만족시켜 줄 수 있는 실시간 디스크 스케줄링 기법이 요구되며 이를 통해 상영중인 CM 스트림(stream)의 끊김현상(hiccup)을 막을 수 있다. 이런 디스크 스케줄링을 위해 주기성을 가지는 프리팻칭(prefetching) 기법이 널리 쓰이고 있으며, 이는 연속매체가 상당기간 동안 계속 상영된다는 특성에 기반한 것이다. 본 논문에서도 효과적인 디스크 프리팻칭을 위해, 정시도착채널이란 실시간 디스크 채널을 이용한 스케줄링 기법을 제안한다. 이런 디스크 채널의 생성을 위해 bulk-SCAN 기법이 사용되며 유연한 채널 할당을 위해 실시간 알고리즘인 EDF(earliest-deadline-first) 알고리즘이 이용된다. 제안한 기법은 기존 방법에서와 같이 끊김현상 없는 상영을 제공함은 물론이고, I/O 처리율과 서비스 응답시간 면에서 우수성을 가진다. 논문에서는 이런 성능상의 장점을 시뮬레이션을 통해 보인다.

• 정보처리학회논문지A
• /
• 제12A권5호
• /
• pp.355-364
• /
• 2005

컴퓨터 성능 및 네트워크 기술의 발전으로 웹 상에서 연속매체(Continuous Media: CM)의 온라인 스트리밍(streaming) 서비스가 일반화 되었다. 이런 서비스를 위해서는 다양한 종류의 CM 스트림을 효과적으로 처리할 수 있어야 하며 이를 위해 Sweep 기법이 연구되었다. 이 기법은 끊김현상 없이 스트리밍 서비스를 할 수 있고 탐색지연 시간을 최적화 할 수 있다는 장점을 가지고 있다. 하지만 서비스 하고 있는 스트림의 스케줄링 주기를 사이클이라고 하는 단일한 크기로 맞춰야 하기 때문에 스케줄링의 유연성이 떨어지며, 이로 인해 발생하는 디스크 대역폭의 낭비가 매우 커질 수 있다는 문제를 가지고 있다. 논문에서는 이런 문제점을 해결하기 위해 CM 스트림의 스케줄링 주기를 동적으로 확장할 수 있는 기법을 연구하며, 이 기법에 적합한 새로운 승인제어 방식을 이용하여 끊김현상을 막는다. 논문에서는 제안된 기법의 성능상의 우수성을 보이기 위해 모의실험이 수행되었으며, 모의실험 결과를 통해 제안된 동적 Sweep 기법이 디스크 이용효율과 스케줄링 유연성의 측면에서 기존 Sweep 기법에 비해 우수한 특성이 있음을 알 수 있다.

• Korean Journal of Acupuncture
• /
• 제20권4호
• /
• pp.99-119
• /
• 2003

Objectives : The Jap Byoung(雜病) of the Young Chu(靈樞), one of the classical book of oriental medicine contains symptoms and remedies for various diseases that can be seen on human body. But it is too difficult to understand the Jap Byoung(雜病), because it is written in old chinese and there are many printer's error and omissions or adds in this book. As a consequence of above reason, the writer of this article has researched to find out the exact meaning of that. Methods : So in this part we study a woodblock-printed book of successive generation and view of annotators, and add adding notes, adjustment, translation to exact comprehension of the original text. Results & conclusions : The principle ideas of the thesis can be summarized as follows: The Jap Byoung(雜病) is consist of five part. In chapter 1, we present symptoms occurred by the upstream current of Qi(氣逆) and their treatments by taking meridian flowing the body parts on which the symptoms occur. In chapter 2, we deal with symptoms such as ikgun(?乾), a pain of the knee(膝中痛), huby(喉痺), epistaxis(?血), lumbago(腰痛), anger(怒), a pain of the jaw(痛), a pain of the nape(項痛) and their remedies. In chapter 3, since abdominal inflation occurs when the Qi(氣) of the five viscera(五臟) is damaged or go upstream, I discussed that the treatment should be given by taking the meridian accordingly. In chapter 4, we deal with the remedy for heartache, and different meridians to be taken by symptom, and parts on which needle to be used, and detailed remedies. In chapter 5, we present other diseases, detailed body parts to be cured and remedies by referring symptoms for a pain of the jaw(痛), the upstream current of Qi(氣逆), hiccup, etc. Especially, we introduce a part of Doinbup(導引法) for wegurl(?厥) and remedies for hiccup such as inducing sneeze by stimulating nostrils, holding one's breath, etc.