• 제목/요약/키워드: Insomnia symptoms

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두통(頭痛)을 주소(主訴) 입원한 환자 25명에 관한 임상적(臨床的) 고찰(考察) (A Clinical Study of Twenty-five Patients Admitted with Headache)

  • 김지윤;홍현우;김재연;이성도;박동일;감철우
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.34-44
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    • 2004
  • Objective : The purpose of this study is to investigate clinical characteristics with 25 patients who have suffered from headache and were treated. Methods : We classified 25 patients into several groups by IHS classification and evaluated the effects of oriental medical therapy on headache. Results : 1. According to the statistics, instances of migraine were more prevalent than tension headache, especially among women. 2. 28% of patient had entered for treatment within one month of onset. 3. Common associated symptoms included dizziness, nausea, dyspepsia, palpitation and insomnia. 4. In classification by the oriental medical differentiation of symptoms and signs, the rate of stagnation of the humid dam and deficiency of qi, these two types were highest. 5. 56% of patients said they were satisfied with the treatment, reporting half the frequency of headache or better from before treatment. Conclusions : The present results suggest that oriental medical therapy has effects on headache. Further clinical comparative studies on herb-medication versus acupuncture therapy for headache are urged.

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폐쇄성 수면 무호흡 증후군과 상기도 저항 증후군의 진단적 및 임상적 차이 (Diagnostic and Clinical Differences in Obstructive Sleep Apnea Syndrome and Upper Airway Resistance Syndrome)

  • 최영미
    • 수면정신생리
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    • 제18권2호
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    • pp.63-66
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    • 2011
  • It has been controversial whether upper airway resistance syndrome (UARS) is a distinct syndrome or not since it was reported in 1993. The International Classification of Sleep Disorders classified UARS under obstructive sleep apnea syndrome (OSAS) in 2005. UARS can be diagnosed when the apnea-hypopnea index (AHI) is fewer than 5 events per hour, the simultaneously calculated respiratory disturbance index (RDI) is more than 5 events per hour due to abnormal non-apneic non-hypopneic respiratory events accompanying respiratory effort related arousals (RERAs), and oxygen saturation is greater than 92% at termination of an abnormal breathing event. Although esophageal pressure measurement remains the gold standard for detecting subtle breathing abnormality other than hypopnea and apnea, nasal pressure transducer has been most commonly used. RERAs include phase A2 of cyclical alternating patterns (CAPs) associated with EEG changes. Symptoms of OSAS can overlap with UARS, but chronic insomnia tends to be more common in UARS than in OSAS and clinical symptoms similar with functional somatic syndrome are also more common in UARS. In this journal, diagnostic and clinical differences between UARS and OSAS are reviewed.

산후(産後) 우울증(憂鬱症)을 자하거(紫河車) 약침(藥鍼)을 활용하여 치료(治療)한 1례(例) (A case report of the postpartum depression with Hominis Placenta Herbal acupuncture therapy)

  • 이철웅;김진우;조진형;이순이
    • 대한한방부인과학회지
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    • 제19권2호
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    • pp.282-294
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    • 2006
  • Purpose : The purpose of this study is to report the effect of oriental treatments to postpartum depression Methods : We treated the patient who had postpartum depression and visited Joong-hwa oriental hospital. The patient in this case, 36-years-old female, was admitted for 15days(161th/May/2005-30th/May/2005) due to postpartum depression which was measured by EPDS(Edinburgh Postnatal Depression Scale) and BDI(Beck's depression Inventory). The symptoms of patient are insomnia, anxiety, palpitation, chest discomfort and depression. This patient was treated with Hominis Placenta Herbal acupuncture at CV4(Kwanwon, Guanyuan), CV6(Kihae, Qihai), B23(Shinsu, shenshu), GVl5(Amun, Yamen), herb medication, acupuncture, auricular acupuncture, moxa treatment, and so forth. Results : As a result, symptoms are remarkably alleviated. Conclusions : Hominis Placenta Herbal acupuncture is expected to have an effect on postpartum depression. After this, further approach and study on postpartum depression might be needed.

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자궁적출술 후 증후군 (Post-hysterectomy syndrome) 환자 1례에 대한 임상 보고 (Treatment of the post-hysterectomy syndrome: a case report)

  • 박관우;김송백;유심근;서윤정
    • 대한한방부인과학회지
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    • 제18권3호
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    • pp.225-233
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    • 2005
  • Purpose : Hysterectomy is the most common gynecologic operation in women. Recent research has been directed towards understanding the symptoms after hysterectomy. But the study for treating them was rarely investigated. The purpose of this study was to report a case associated with treatment of the post-hysterectomy syndrome. Methods : A 52-year-old woman, who suffered from headache, dizziness, indigestion, lumbargo, insomnia, hyposthenia et al after total abdominal hysterectomy (TAH), was enrolled in this study. She received oriental treatments such as herbal medicine, acupuncture, moxibustion and dry cupping therapy for 8 days. Results : The symptoms after hysterectomy were markedly reduced by oriental treatments. Conclusion : The present study suggests that oriental treatments have a significant effect on the post-hysterectomy syndrome.

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류마티스성 승모판 협착증을 동반한 뇌경색 환자의 치험 1예 (One Case Treated Cerebral Infarction with Rheumatic Mitral Stenosis)

  • 전종철;감철우;박동일;정광식
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.463-469
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    • 2001
  • Valvular heart disease is one of the main current of cardiac problems and has many problems must be solved by sequelae and complications, etc. Rheumatic Mitral Stenosis is mainly attacked by rheumatic fever and developed by process of treatment of mitral valve or formation of trace. The purpose of this study is to examine the efficacy of oriental treatment for Cerebral Infarction with Rheumatic Mitral Stenosis. At the time of visiting ER, he was shown the symptoms of dull mentality, Rt. hemiplegia, global aphasia, dysphagia, chest discomfort, insomnia, dyspnea, etc, It showed that Atrial fibrillation in EKG monitoring, Atrial fibrillation, Rheumatic Mitral Stenosis, Ejection-Fraction slope 60% in Cardiac echography, Lt. atrial hypertrophy, Rt. atrial hypertrophy, Rt. ventricular hypertrophy with pulmonary congestion in chest X-ray. From the view of oriental diagnostic criteria. We classified the patient's clinical conditions and treated accordingly. As a result of treatment, symptoms were markedly improved and he was discharged. Further elaboration of oriental diagnostic classification could possibly lead to the fundamental treatment.

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화병(火病)을 시하차(柴河車) 약침(藥鍼)을 사용(使用)하여 치료(治療)한 1례(例) (A clinical report of Hwa-byeong with Jahageo Herbal acupuncture therapy)

  • 안대종;이순이;왕덕중;이지영;강형원;김진우
    • 동의신경정신과학회지
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    • 제16권1호
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    • pp.211-220
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    • 2005
  • Hwa-byeong, the syndrome usually found in Korean society, is a culture-related disease. The common symptoms of Hwa-byeong are flushed face with fever, chest discomfort, palpitation, insomnia, headache, dizziness, and dyspepsia. In this case, we diagnosed Hwa-byeong by HBDIS(Hwa-Byeong Diagnostic Interview(Schedule) and treated the patient with Jahageo Herbal acupuncture at Shindo(Shendao) Yongdae(Lingtai), Chiyang(Zhiyang), Kumi(Jiuwei) and Chonjung(Shanzhong). After that, her subjective symptoms improved. With this result, It was considered that Jahageo Herbal acupuncture was very effective for treatment of Hwa-byeong.

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『강평상한론(康平傷寒論)』 '표(表)'에 대한 고찰 : 마황탕(麻黃湯)으로 호전된 양극성 장애 2례를 바탕으로 (A Conceptual Study of "Pyo (表)" in Gangpyeong-Shanghanlun Based on Two Cases of Bipolar Disorder Improved with Mahwang-tang)

  • 최운용;이성준
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.81-98
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    • 2021
  • Objective : We explored the meaning of "Pyo (表)" in Gangpyeong-Shanghanlun through two cases. Methods : We analyzed the original form of 表 and its context in Shanghanlun. We also analyzed 2 clinical cases of bipolar disorder treated with Mahwang-tang (麻黃湯) according to the newly deduced definition of 表. Results : 表 can be interpreted as "pursuing something high-class seen from the outside." Both cases had various psychological symptoms including insomnia, mood swings, anxiety, and depression. We determined that the diseases in both cases occurred when 表 had not been achieved. We also found that 麻黃湯 can improve psychological status. Conclusions : 表 is different from "surface," which is the most widely used definition. After diagnosing these two patients with bipolar disorder using the Diagnostic and Statistical Manual of Mental Disorders (5th edition), we found that symptoms could be improved by administration of 麻黃湯 (46條). Although its potential for neuropsychiatric diagnosis has been suggested through etymological interpretation of 表 and analysis of two cases, more advanced clinical studies are needed in the future.

전립선암환자의 수술 후 발생한 후유증에 대한 한방치료 2례 (Traditional Korean Medicine Treatment for Sequelae After Surgery in Prostate Cancer Patients: Two Case Report)

  • 장권준;양정민;황우석;이범준
    • 대한한방내과학회지
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    • 제43권5호
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    • pp.795-808
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    • 2022
  • Objectives: The purpose of this study is to report two cases of prostate cancer patients whose side effects after surgery were treated with traditional Korean medicine. Methods: Two prostate cancer patients underwent robot-assisted laparoscopic prostatectomy, and both patients were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. Daily life vitality was evaluated by the Eastern Cooperative Oncology Group. Results: After treatment with traditional Korean medicine, discomfort symptoms that occurred after surgery, such as frequent urination, nocturia, insomnia, and depression, all gradually improved, and Eastern Cooperative Oncology Group scores also improved from two points to one point. Additionally, there were no hematologic side effects from the traditional Korean medicine treatment. Conclusions: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by robot-assisted laparoscopic prostatectomy, quality of life, and immunity.

Drug-Induced Dyskinesia Treated with Korean Medicine: A Case Report

  • Soo Min Ryu;Jung Won Byun;You Jin Heo;Eun Yong Lee;Cham Kyul Lee;Na Young Jo;Jeong-Du Roh
    • Journal of Acupuncture Research
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    • 제40권2호
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    • pp.150-155
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    • 2023
  • Drug-induced dyskinesia is an involuntary muscle movement caused by various dopamine receptor-blocking drug exposure, such as antipsychotics, antidepressants, and antiemetics. Causative drug removal is the main treatment for drug-induced dyskinesia whenever possible because its pathophysiology lacks a universally accepted mechanism; however, the symptoms can persist for years or decades in many patients even after causative drug removal. Herein, we present a case of drug-induced dyskinesia in a 61-year-old female patient who consumed medication for approximately 10 years for her depression, anxiety, and insomnia. Cervical and facial dyskinesia was suggested to be related to perphenazine and levosulpiride administration. The patient received acupuncture, pharmacopuncture, herbal medicine, and chuna treatment for 81 days during hospitalization. The symptoms were evaluated using the Abnormal Involuntary Movement Scale, Toronto Western Spasmodic Torticollis Rating Scale, Tsui's score, and Numeric Rating Scale, which revealed remarkable improvement, suggesting the effectiveness of combined Korean medicine for drug-induced dyskinesia.

전환장애(轉換障碍)로 입원(入院)한 환자(患者) 41례(例)에 대(對)한 임상적(臨床的) 고찰(考察) (Clinical Study for Conversion Disorder in 41 Admission Cases)

  • 김명진;최병만;이상룡
    • 동의신경정신과학회지
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    • 제11권2호
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    • pp.131-140
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    • 2000
  • The clinical study was carried out the 41 patients with conversion disorder who were treated in Dae Jeon University Oriental Hospital from 26 september 1998 to 21 september 2000.The results were summarized as follows.1. The ratio of male and female was 4:37 and in the age distribution, the highest frequence was 40s, in descending order over 50s, 30s, 20s, 10s and mental attack was the most inducing factor.2. In distribution of the period of the clinical history. within one day was the highest percentage and in admission period most of the patients were from four days to seven days.3. In symptoms and signs, physical symptoms were more than mental symptoms, physical symptoms had many muscle-skeleton-system symptoms and they were in descending order general body weakness. headache, anorexia, chest discomfort, dyspepsia, dizziness, four extremities numbness, insomnia, dysarthria, anxiety, four extremities tremor. palpitation. nausea, vomiting, facial numbness.4. In classification of Four Human coporeal constitution the number of patients, Sho-Eum-In(少陰人) was remarked mostly and most of female patients had no past history of the conversion disorder.5. In distribution of the prescription, drugs of regulating gi such as BUNSIMGIEUM(分心氣飮) were many, in descending order drugs of growing heart and warming gall bladder such as ONDAMTANGGAMI(溫膽湯加味), drugs of maintaining patency for the flow of gi such as CHUNGGANSOYOSAN(淸肝逍遙散), drugs of decomposing food and asending gi such as PYUNGJINGUNBITANG(平陳健脾湯), drugs of storing blood and relaxing the mind such as SAMULGUIBITANG(四物歸脾湯). drugs of removing sputum and cooling heart such as CHUNGSIMDODAMTANG 淸心導痰湯).6. In distribution of the treatments, the group of drug and acupuncture and aroma-therapy was many, in acup uncture TAEGUKCHIMBUP(太極針法) was mainly used. in therapy inhalation type of Lavender and Rosewood was many and the type of Peppermint and Rosemary massaging epigastric-chest, and neck was many.7. In distribution of the treatment result, in 15 patients(36.6%) symptoms were eliminated from four to seven days, in 13 patients(31.7%) symptoms were not changed. in 12 patients(29.3%) symptoms were eliminated from two to three days. in 1 patients(2.4%) symptoms were eliminated whin one day.

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