• Title/Summary/Keyword: Insomnia symptoms

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Diagnosis of Sleep Disorders Through Sleep Questionnaires (수면 설문지를 통한 수면장애의 진단)

  • Lee, Sung-Hoon
    • Sleep Medicine and Psychophysiology
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    • v.2 no.1
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    • pp.44-54
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    • 1995
  • It is very difficult to evaluate sleep disorders by simple history taking, because which covers very comprehensive areas such as psychobiosocial fields. Although polysomnography is used for the method of final diagnosis, systemic history taking and sleep question-aires are still critically important especially in evaluation of insomnia. Proper informations through sleep questionnaires can provide very precise data for effective treatment as well as exact diagnosis. Sleep questionnaires consist of largely four kinds of questionnaires, which are screening questionnaire of sleep disorders, sleep diary and questionnaire of sleep hygine, diagnostic questionnaire for specific sleep disorder and questionnaire of special symptoms of sleep disorders including insomnia, daytime sleepiness, cognitive function, mental symptom and personality, parasomnia, physical illness and sexual function. However, for more conclusive diagnosis especially in excessive daytime sleepiness nocturnal polysomnography and multiple sleep latency test should be performed.

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A Clinical report on Panic Disorder with Nausea treated by Shihosogantang-gami (시호소간탕 가미방의 구역감 동반 공황장애 환자 치험 1례)

  • Oh, Kichul
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.3
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    • pp.59-68
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    • 2012
  • The purpose of this study is to report the effects of oriental demonstration treatment for Panic Disorder. Panic Disorder is an anxiety disorder, characterized by panic attacks which are recurring episodes of fear accompanied by somatic symptoms such as shortness of breath, palpitations, chest pain, choking, dizziness, trembling and/or faintness. Objectives: We experienced one case of Panic Disorder treated with Asian medical treatment, acupuncture and herbal medication. 20-year-old female patient suffered from Panic Disorder with nausea and insomnia. Methods: Shihosogantang-gami had been applied to the patient. Results: After treatment her Panic Disorder was improved. Conclusions: Shihosogantang -gami of Asian medical treatment could be safe and effective.

COVID-19 and Sleep (코로나바이러스감염증-19와 수면)

  • Jaegong, Cyn
    • Sleep Medicine and Psychophysiology
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    • v.29 no.2
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    • pp.29-34
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    • 2022
  • Coronavirus disease 2019 (COVID-19), which was a global pandemic caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2), is still a serious public health problem. COVID-19 causes various symptoms not only in the respiratory system but also in various parts of the body and has a significant effect on sleep. Insomnia and poor sleep quality were observed at high rates in patients with COVID-19 as well as in the uninfected general population. Obstructive sleep apnea is also considered a risk factor in patients with severe COVID-19. Virus-induced central nervous system damage is likely to be the cause of many sleep disorders in COVID-19, but psychosocial influences also seem to have played a significant role. Sleep problems persisted at high rates for a considerable period after the infection phase was over. More attention and research on the effect of COVID-19 on sleep is needed in the future.

A Case Study of Korean Medical Treatment for Epigastric Pain and Insomnia after Gastrectomy (인후부 이물감 및 상복부 통증과 수면불량을 호소하는 위절제술 후 증후군 환자의 한의 치험 1례)

  • Ji-yoon Lee;On-you Jo;Sang-min Park;Sae-rom Choi;Jae-wook Shin;Jee-hoon Baek
    • The Journal of Internal Korean Medicine
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    • v.43 no.6
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    • pp.1301-1310
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    • 2022
  • Objective: The purpose of this case study was to report the effects of Korean medicine treatment on a patient diagnosed with postgastrectomy syndrome (PGS). Methods: The patient was treated with herbal medicine, acupuncture, and moxibustion in combination with Western medicine for 3 months. Results: Though abdominal tenderness was maintained at a similar level, other clinical symptoms (epigastric pain, globus pharyngis, and epigastric pain) were improved after Korean medicine treatment. Conclusions: These results suggest that the need to promote practical research on PGS, should receive greater attention in the Korean medical community.

Herbal Medicine for Functional Dyspepsia with Psychological Symptoms: A Systematic Review and Meta-Analysis (기능성소화불량 환자에서 나타나는 정신적 증상의 한약 치료 : 체계적 문헌고찰과 메타분석)

  • Cho, Yun-jae;Lee, Hanul;Jeong, Hae In;Lee, Hyun-Jin;Keum, Chang-Yul;Han, Aram;Ha, Na-Yeon;Kim, Jinsung
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.488-509
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    • 2021
  • Purpose: Functional dyspepsia (FD) is a chronic syndrome accompanied by repetitive digestive symptoms that appear in the upper gastrointestinal tract and are not caused by specific diseases. Psychological symptoms like anxiety, depression, insomnia, and somatization are frequently observed in FD. The purpose of this study was to review the effect of herbal medicine on the psychological symptoms that accompany FD. Methods: Database search (PubMed, EMBASE, KISS, Kmbase, KoreanMed, NDSL, OASIS, CNKI) was performed on February 24, 2021; a total of 1825 studies were searched. After the screening, 22 studies were included. Results: The studies were assessed by Cochrane RoB 2 and sorted into a table according to psychological symptoms. Meta-analysis was performed to estimate the effect of herbal medicine. Twenty of the twenty-two studies reported that herbal medicine was significantly more effective than the control group. Only three of the studies did not have a high risk of bias. Conclusion: Herbal medicine was significantly effective with or without Western medicine and had fewer adverse effects. Severe adverse effect was not reported. Psychological symptoms in FD affect onset and duration of FD, and some FD patients want to be treated for their anxiety before other symptoms. Reliable information about treatment for the psychological symptoms of FD is lacking. We reviewed the effect of herbal medicine treatment in this study, the results of which could be selected for primary or secondary treatment for FD.

A Clinical Report of Insomnia due to deficiency of Yang (양허(陽虛) 불면증(不眠症)환자 치험 1례)

  • Kim, Su-Youn;Kim, Eun-Jung;Lee, Dong-Won;Kim, Kyung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.1
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    • pp.121-126
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    • 2004
  • The Common Symptoms of insomnia are to be hard to sleep, often wake up at night, be easy not to fall asleep again after waking up. In serious conditions, an insomniac can never get to sleep overnight. This is the case that we diagnosed a 49-year-old patient who demonstrates insomnia, palpitation, anxiety, dizziness, distress in the stormach as Deficiency of Yang(陽虛) and treated her. At 1st stage we diagnosed the patient as Insufficiency of both the heart and the spleen(心脾兩虛) and prescribed Gwibi-tang(歸脾湯), and next stage we dispensed bogol-dan(補骨丹) to cure Deficiency of Kidney Yang. As the result of treatment, the patient made a good improvement. We considered that this case report to be a good prcedent of Insomia due to deficiency of Yang.

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A Case Report of Insomnia Improved by Jawon(Ziuan)'s Purgative Action (자원(紫圓)의 사하(瀉下)작용을 이용하여 호전된 불면 환자 치험 1례)

  • Park, In-Sook;No, Dong-Jin;Lee, Go-En;Jo, Hee-Geun;Kang, Hyung-Won;Ryu, Yung-Su;Park, Bo-Ra
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.125-134
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    • 2011
  • Objectives : This study was designed to report the effect of Jawon(Ziuan)'s purgative action for insomnia. Methods : A 60 year-old male patient has been suffered from insomnia for 2 years and has been on taking sleeping tablets during about a year and a half. We administered Sihogayonggolmoryeo-tang because we thougt that the disease was So-Yang-Bing Li Jeung. And Jawon was added for quick improvement. Results : 1. The score of PSQI(Pittsburgh Sleep Quality Index) decreased from 18 to 16 after the patient tooks Sihogayonggolmoryeo-tang. 2. After 23 days, the patient tooks Sihogayonggolmoryeo-tang with Jawon at the same time. With the purgative action with Jawon appearing, the score of PSQI decreased from 16 to 4 extremely and accompanying symptoms were also improved. Conclusions : In this case, for the patient taking Sihogayonggolmoryeo-tang with Jawon at the same time is far more effective than only doing Sihogayonggolmoryeo-tang. The result was more improved with appearing the effect of purgative action.

Combination Treatment of Korean Medicine with Guibiondamtang-gamibang for Hwa-Byung Patients: 2 Cases Report (귀비온담탕 가미방을 포함한 한방치료로 호전된 화병 환자 2례 : 증례 보고)

  • Jeong, So-Mi;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Cho, Seong-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.3
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    • pp.157-174
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    • 2021
  • Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine with Guibiondamtang-gamibang on Hwa-byung patients. Methods: Case 1 experienced stress at work and complained of chest discomfort, nausea, dizziness, insomnia. Case 2 experienced huge stress about money, and complained of palpitation, chest discomfort, dizziness and insomnia. They received combination treatment of Korean medicine during hospitalization. The treatment included Guibiondamtang-gamibang, acupuncture, moxibustion, pharmacoacupuncture, and fumigation. The effects were evaluated through Hwa-byung scale, instrument of oriental medical evaluation for Hwa-byung, insomnia severity index (ISI) and heart rate variability (HRV) test. Results: After the treatment, the clinical symptoms such as chest discomfort, palpitation, dizziness, nausea and insomnia were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Guibiondamtang-gamibang may be effective for treating Hwa-byung patients.

The clinical study on 1 case of stroke patient with symptoms of Sang-So(上消) (중풍환자(中風患者)의 상소증(上消證) 치험(治驗) 1례(例))

  • Lee, Eun-Suk;An, Hyo-Myug;Hwang, Kyu-Dong;Ko, Hyun
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.873-876
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    • 2000
  • So-gal(消渴) is a oriental medical pathologic state that is characterized by 3 major symptoms - thirst, polyphasia, polyuria - of which especially thirst features Sang-so(上消). Diabetes mellitus and So-gal(消渴) have many points in common. But there are considerable differencies between them, because they have obviously different diagnostic bases from each other. That is, oriental medicine places more weight on symptoms than clinopathologic laboratory reports. This case of stroke patient complained of severe thirst and additional dryness in the mouth, choking sensation in the chest, hidrosis, insomnia, dark colored urine, constipation. The patient had no clinical history of diabetes mellitus. Based on oriental medical standards, we diagnosed the case as Sang-so(上消). Several herbal medicines were dispensed for 48 days. And considerably effective result were obtained. Object : 1 case of stroke patient who complained severe thirst. Medication : . Seonghyangjeonggisan for 5 days (2000. 6. 9 - 6. 13.) . Paljeongsan for 21 days (2000. 6. 14. -7. 5) . Ikwonsan for 8 days (2000. 7. 6 - 7. 13) . Okcheonsan for 14 days (2000. 7. 14 - 7. 27) Result : 1. After administration of Paljeongsan, dark colored urine turned normal. 2. After administration of Ikwonsan, dryness in the mouth improved. 3. After administration of Okcheonsan, thirst significantly improved. Constipation, choking sensation, hidrosis, insomnia also improved.

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Is Gwibitang and its modification beneficial for alleviating symptoms in chronic fatigue syndrome: A systematic review and meta-analysis (귀비탕과 그 변방의 만성피로증후군 증상완화에 대한 효용성: 체계적인 문헌고찰)

  • Nam, Donghyun
    • Herbal Formula Science
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    • v.28 no.2
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    • pp.199-209
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    • 2020
  • Objectives : The purpose of this systematic review is to confirm whether Gwibitang is beneficial in chronic fatigue syndrome (CFS). Methods : Clinical trials were searched from databases including Pubmed, Embase, Central Cochrane, CNKI, Wanfang, CQVIP, CiNii, OASIS, Koreamed, and NDSL. The eligible study design was limited into randomized controlled trial, quasi-randomized controlled trial and controlled clinical trial. The outcomes included general effectiveness as nominal scale, and fatigue severity, insomnia severity and quality of life as interval or ratio scale. The meta-analysis and assessment of risk of bias was performed based on the data extracted from the selected trials. Results : The results of eight randomized controlled trials (n=596) were included in the meta-analysis. The results of the synthesis showed Gwibitang is beneficial substantially for relieving and managing the general symptoms, and its heterogeneity was not in important level (RR 0.26 [95% CI 0.17, 0.39], Z=6.47, P<0.00001, I2=0%). Gwibitang was beneficial for alleviating fatigue (SMD -0.78 [95% CI -1.27, -0.30], Z=3.17, P=0.002), but its certainty was low. In case of insomnia, too few trials had been found and their risk of bias was substantial, so no conclusions had been brought to. Conclusions : We found an evidence that Gwibitang could be beneficial for managing and alleviating main symptoms in CFS patients.