• 한국직업건강간호학회지
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• 제17권1호
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• pp.45-54
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• 2008

Purpose: This study was conducted to compare and estimate sleep patterns and health status of the shift and non-shift factory workers. Methods: The subjects of this study were 290 male workers in 13 companies, which manufacture automobile parts in Daegu, Korea. Survey data were collected from March 5th, 2007 to April 5th, 2007. PSQI was scored to check the quality of sleep, ESS for excessive daytime sleep disorder, ISI for insomnia, and SF-36 for health status. The data were analyzed by $X^2$ and t-test using SPSS 12.0 for windows. Results: There was a difference in quality of sleep patterns between shift and non-shift workers (p=.033). A difference in the pattern of excessive daytime sleep (P=.005) and in the degree of insomnia (p=.030) were observed between the two groups. However, there were no significant difference in health status between the two groups. Conclusion: Based on these results, shift workers are in need of careful and continuous monitoring regarding sleep disorders and we need to develop health promotion programs including sleep hygiene for shift workers.

• 동의신경정신과학회지
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• 제20권3호
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• pp.65-88
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• 2009

Objectives : There has not been the comparison research of medication on the Insomnia as the complementary significance of the Oriental-Western Cooperative Therapeutic Viewpoint so far. The aim of this preliminary research is to study Eastern and Western Medication Model for the Insomnia through the comparison of Oriental Medication based on "Sang Han Lon" and "Dong yui bo gam". Methods : The author researched oriental-western viewpoints and the present treatment condition of Sleep and Sleeping Pills with reference to Korean articles issued since 1975, dissertations, journals registered or candidated on KCI, alternative medicine journals on Pubmed, and books concerning Neuropsychiatry. In the field of Oriental medical study, this study was demonstrated on "The Oriental Medical textbook of neuropsychiatry", "Sang han lon", "Dong yui bo gam" and the present research trend. Results : In Oriental Medicine, Insomnia is treated according to si-jie-bu-shui-zung (思結不睡證) type, rong-xie-bu-zu-zung (榮血不足證) type, yin-her-nae-re-zung (陰虛內熱證) type, xin-dan-her-qie-zung (心膽虛怯證) type, dam-xian-yu-jie-zung (痰涎鬱結證) type, and wei-zhong-bu-he-zung (胃中不和證) type etc. In Western Medicine, Insomnia has been treated by Barbiturate over 60's and BZ over 70's. According to recent treatment on Insomnia, Zolpidem or Zaleplon, which is short-lived and has less side effects, is used much, and tri-cyclic antidepressants are prescribed on a chronic psycho-physiological insomnia. Conclusions : Generally, Insomnia is being treated by controlling whole ways. The oriental medication is less effective for sleep induction. On the contrary, that of western medication is very effective for sleep induction, but there are many possibilities of side effects. If this two mutual therapy is conducted cooperatively, more effective medical care might be expected. Therefore, it is considered that not only the oriental medical study for sleep induction, but the study of Oriental-Western Cooperative Therapy should be preceded to treat Insomnia from now on.

• 동의신경정신과학회지
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• 제29권3호
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• pp.145-163
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• 2018

Objectives: The study was designed to provide clinical evidence of homogeneity in analysis of the herbal medicine, Guipi decoction in treating insomnia, using a t-test of randomized controlled trials (RCTs). Methods: This study included RCTs that verified homogeneity of Guipi decoction in treating insomnia. Literature studies of CNKI (Chinese National Knowledge Infrastructure Database) were performed. The basic components group was made to the Guipi decoction of the Yixuerumen?s text. The excluded group was created with the number of herbs excluded from the basic components group. T-test performed that the effective rate in the basic components group and excluded groups. Results: The basic components of Guipi decoction contain Atractylodis Rhizoma Alba, Poria Sclerotium (Poria Sclerotium Cum Pini Radix), Polygalae Radix, Astragali Radix, Zizyphi Semen, Angelicae Gigantis Radix, Aucklandiae Radix, Glycyrrhiza uralensis Fischer, Ginseng Radix (Codonopsis Pilosulae Radix), Longanae Arillus. Herbs excluded from the basic components group were Longanae Arillus, Ginseng Radix (Codonopsis Pilosulae Radix), Glycyrrhiza uralensis Fischer and herbs added to the basic components group were Polygonum multiflorum Thunberg, Schisandrae Fructus, Salviae Militiorrhizae Radix, Paeoniae Radix Alba (in order from the most used to the least). T-test revealed the effective rate in the basic components group was not statistically significant compared to the excluded groups (p=0.161/p=0.162/p=0.103). Conclusions: Effectiveness in treatment of basic components of Guipi decoction and excluded groups were revealed to be homogeneous in treating insomnia. As the number of herbs in the basic components group decreased, mean value in effectiveness of treatment also decreased consequentially. However, there were no statistical significances.

• 동의생리병리학회지
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• 제26권1호
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• pp.137-141
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• 2012

Although dysphagia and globus is a common comlication in Functional gastrointestinal disorder, there are few studies or reports about its treatment in oriental medicine. This study was to report the effect of Bokryungyeum-tang in Functional gastrointestinal disorder patients with dysphagia. Functional gastrointestinal disorder patients with dysphagia hospitalized in our hospital were treated by Bokryungyeum-tang every day. three times a day for two weeks. The patient showed constant improvement during the two weeks. Not only their objective measure, but also their subjective symptoms such as chest discomfort, insomnia, and depression improved too. This suggests that Bokryungyeum-tang is quite effective when treating functional gastrointestinal disorder patients with dysphagia.

• 수면정신생리
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• 제27권1호
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• pp.24-31
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• 2020

목 적 : 주관적-객관적 수면시간의 차이는 불면증의 흔한 증상이자 주요한 유형이다. 본 연구는 주관적-객관적 수면시간 차이가 있는 불면증군, 주관적-객관적 수면시간 차이가 없는 불면증군, 건강대조군을 대상으로 전반적 불안-유발 자극에 대비하여 불면-관련 자극에 대한 뇌활성의 군간 차이가 있는지를 밝히고자 하였다. 방 법 : 모든 피험자들은 수면일기와 임상척도로 주관적 수면상태를, 수면다원검사와 활동기록기로 객관적 수면상태와 불면증 외의 수면장애를 확인하였다. 기능적 뇌영상 촬영동안 불면증-관련 문장 자극과 일반 불안-유발 문장자극을 피험자들에게 주어 유발되는 뇌활성의 세 군간 차이가 있는지를 비교하였다. 뇌활성은 전체 불면증군(주관적-객관적 수면시간의 차이 여부에 상관없이)과 건강대조군 두 군간에도 비교되었다. 결 과 : 주관적-객관적 수면시간 차이가 없는 불면증 군에 비해 차이가 있는 불면증 군에서 일반적 불안-유발 자극 대비 불면-관련 자극에 대해 우측 설전부와 보조운동영역에서 유의하게 증가된 blood oxygen level dependent (BOLD) 신호를 보였다. 또한, 같은 자극에 대해 통합 불면증군이 대조군 보다 좌측 앞 대상회 영역에서 유의하게 증가된 BOLD 신호를 보였다. 결 론 : 본 연구의 결과는 주관적-객관적 수면시간 차이를 가지는 불면증이 주관적-객관적 수면시간 차이가 없는 불면증에 비해 일반적 불안-유발 자극보다 불면-관련 자극에 대해 더 선택적인 집중과 불안을 가지고 증가된 뇌활성을 보인다는 결과로 수면상태 오지각이 증가된 불면증 자극에 선택적인 불안을 보임을 시사한다.

• 수면정신생리
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• 제8권1호
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• pp.18-21
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• 2001

The change of sleep pattern is one of the most often altered normal physiological functions in elderly people. Besides normal change of sleep, insomnia and sleep apnea syndrome (SAS) are (one of) the main complaints. In addition, parasomnia is also frequent in this age group. Several parasomnias frequently found in the elderly are reviewed. Periodic limb movements in sleep (PLMS), restless legs syndrome (RLS), and REM sleep behavior disorder are the most frequent parasomnias in old age. Most parasomnias could be diagnosed by polysomnography, and be treated easily. Therefore, early and precise diagnosis and management for parasomnia in aging people are needed.

• 수면정신생리
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• 제14권1호
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• pp.5-12
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• 2007

Sleep changes substantially with age. There is a phase advance in the circadian sleep cycle and increased waking after sleep onset. The elderly people wake more frequently during the night and experience fragmented sleep and excessive daytime sleepiness. The prevalence of sleep disorders increases with age, and the composition of sleep disorders in the elderly differs from that in the young. The most frequently encountered sleep disorders are psychophysiologic insomnia, sleep disturbance due to dementia, sleeprelated respiratory disorder, restless legs syndrome and periodic limb movement disorder, and REM sleep behavior disorder. To treat the elderly sleep problem appropriately, it is important to know how sleep pattern changes as we age and to understand the cause of sleep-related symptoms. This article will review the sleep physiology and common sleep disorders in the elderly.

• 사상체질의학회지
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• 제12권2호
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• pp.210-216
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• 2000

The Yangdokbalban(陽毒發斑) of Taeumin(太陰人) is classed as Gansuyoilliyoilbyung(肝受熱裏熱病). This is a kind of dermatitis caused by Ganyoilpaejo(肝熱肺燥) what was risen from disorder of Simyok(心慾). In the treatment, we should temper the Simyok and recover Hosanjigy(呼散之氣) of Lung by Cheongganjoyoil(淸肝燥熱). In this study, it is experienced that Yangdokbalban of Taeumin patient mistreated with Soyangin, got sick by Korean medical treatment, and also it came to improve the psychosomatic disorder(心身症) generally. The patient was 52 years old, female. She entered our hospital for Yangdokbalban, including serious itching, insomnia, chest discomfort, dyspepsia, pantalgia, and she had neutropenia in the blood test. We classified this as Taeumin-liyoiljung(太陰人 裏熱證) and prescribed Galgunhaegitang(葛根解肌湯) and Chungsimyoinjahabopaewontang(淸心蓮子合補肺元湯) in according to the principle of Cheongganjoyoil. In the result, we had the general improvement of Yangdokbalban and psychosomatic disorder.

• 대한한방소아과학회지
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• 제19권2호
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• pp.153-163
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• 2005

Objectives : The purpose of this study is to find out whether Ondam-tang has any effects on adolescence with anxiety disorder Methods : The subject is in regard to 1 case with anxiety disorder who adnutted at ${\bigcirc}{\bigcirc}$ Oriental Medical hospital from 29th of June to 7th of July. The herbal therapy (Acupuncture, Moxa, Aroma therapy) is applied. Results : After treatment, in a week, most of symptoms (insomnia, anxiety, the problem of verbal expression, chest discomfort, palpitation, anorexia, digestion, headache, dizziness, thirst, eye discomfort, etc) were subsided. Conclusion : Anxiety disorder is similar to Simdamhugup in Oriental medicine. Ondam-tang has been used for long time for treatment on Simdamhugup. Ondam-tang is effective medication for adolescence with anxiety disorder, but more studies about adolescence and Oriental approach of psychiatries are needed.

• 혜화의학회지
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• 제26권1호
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• pp.58-67
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• 2017

Objectives:This study was designed to report treatment by Sasang Constitutional Medicine to the patients with Major Neurocognitive Disorder(Dementia) from various causes. Methods:These two patients were diagnosed as Taeeumin and Soyangin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications. The progress was evaluated with the Korean version of Mini-Mentel State Exam(KMMSE) and Global Disorientation Scale(GDS). Result:The symptoms like wandering, insomnia, cognitive disorder was improved in these patients. Also, KMMSE and GDS score were highly improved. the one patient was cured with Cheongsimyeonja-tang and and the other was cured with Jihwangbaekho-tang and Yanggyuksanhwa-tang. Conclusion:This cases show that Sasang constitutional herbal medications are an effective treatment for the patients with Major Neurocognitive Disorder.