• 제목/요약/키워드: Journal of Korean Oriental Internal Medicine

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비기질적 원인에 의한 신경학적 증상 감별법에 대한 고찰: 사례를 중심으로 (A Review of Diagnostic Methods on Neurologic Symptoms by Non-organic Causes: A Case of a Patient)

  • 조민경;임정화;박승찬;김도형;김소연;최준용;한창우;박성하;홍진우;권정남;이인
    • 동의신경정신과학회지
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    • 제25권1호
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    • pp.63-72
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    • 2014
  • Objectives: The objective of this study is to review the diagnostic methods of neurologic symptoms by non-organic causes. Methods: We experienced a case of a motor and sensory disturbance patient without abnormal findings in the diagnostic tests. Using this process, we became aware that it is important to remember some of the methods when treating patients who are suspicious of neurologic symptoms by non-organic causes. Results: First, we should perform a variety of diagnostic tests to exclude the organic causes. Second, we should persistently observe a consistency of the patient's symptoms and attitude. Finally, we should perform a neurological examination in order to acquire the objective physical findings. Conclusions: Because there are limitations in the methods above, we have to be aware of making a mistake regarding the disability by organic causes as that by non-organic causes.

현훈(眩暈)을 동반한 보행장애(步行障碍)를 가진 환자에 형방사백산과 형방도적산 투여 경과 치험 1례 - 부제 : 소양인(少陽人) 비수한표한병(脾受寒表寒病) 결흉증(結胸證) 환자에 대한 치험례 (A Case Study of a Soyangin Suffering Chest Knotting Syndrome Who Took Hyungbangsabaek-san(荊防瀉白散) and Hyungbangdojeock-san(荊防導赤散))

  • 임주혁;소형진;허홍;민경륜;이혜영;최순영;류재환;조인영
    • 대한한방내과학회지
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    • 제28권3호
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    • pp.615-623
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    • 2007
  • We made a comparative study, A patient who had suffered dizziness and ataxia took Hyungbangsabaek-san(荊防瀉白散) at first and next took Hyungbangdojeock-san(荊防導赤散). He was diagnosed as a Soyangin suffering chest knotting syndrome(結胸證) by Sasang constitutional medicine(四象醫學) and took two kinds of herbs in a row. We observed his phase of dizziness and ataxia with the conditions of stool and urine excavation, pink eye, sweating, and tongue color and tongue coating. When he took Hyungbangdojeock-san these conditions improved more than when he took the other one and his dizziness and ataxia also improved. Hyungbangdojeock-san was more useful when the severity of the disease was shallower and he had more exterior syndromes than Hyungbangsabaek-san.

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한방치료로 호전된 Tolosa-Hunt 증후군 치험 1례 (A Case Report of Tolosa-Hunt Syndrome Improved with Oriental Medical Therapy)

  • 오재준;조민정;신초영;조은영;주예진;정혜미;윤철호
    • 대한한방내과학회지
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    • 제30권2호
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    • pp.431-437
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    • 2009
  • Tolosa-Hunt syndrome is an idiopathic syndrome characterized by the formation of granulation tissue in the anterior cavernous sinus or superior orbital fissure, producing a painful ophthalmoplegia. We experienced a 66-year-old woman whose conditions improved through oriental medical treatment. We treated the patient with herbal medicine Liqiqufeng-san (理氣祛風散) and electro-acupuncture at Cuanzhu (瓚竹, BL2) and Yuyao (魚腰, Extra) acupuncture points with 1${\sim}$50Hz for 15min. After treatment, the patient's symptoms improved considerably. This result suggests that oriental medical treatment has good effect on Tolosa-Hunt syndrome.

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두통(중추성뇌졸중후통증 의증)을 호소하는 뇌경색 과거력이 있는 한방병원 입원 환자에 대한 한방 치료 1례 (Case Report on Headache (Suspected CPSP) Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction)

  • 박진훈;공건식;송진영;김소원;왕연민;김상윤;강만호;박성환;엄국현;이형철;이지영
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.893-903
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    • 2021
  • Objectives: This study investigated the efficacy of Korean medical treatment for a headache (suspected CPSP) patient with a history of cerebral infarction. Methods: We treated the patient using Korean medical treatments (herbal medicines-Kamiseokyong-tang, acupuncture, pharmacopuncture, and chuna). The treatments were measured using the Numerical Rating Scale (NRS) and the Neck Disability Index (NDI) for headache and post neck pain. General health status was evaluated using the European Quality of Life Five Dimensions (EQ-5d) Scale. Results: We observed improvements in the NRS, NDI, and EQ-5d scores after the treatments. Conclusions: This study suggests that Korean medicine may effectively treat headaches (suspected CPSP) with accompanying cerebral infarction.

한약 투여후 발생한 급성담즙정체성(약제유인성)간염 치험 1례 (One Case Report of Acute Cholestatic-Hepatitis(Drug Induced Hepatitis) After Taking Herbal-Medicine)

  • 이지연;김관식;정용준;김형균;이언정;최우정;한상칠;오명진;오로사;양재훈
    • 대한한방내과학회지
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    • 제22권2호
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    • pp.251-256
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    • 2001
  • In western medicine, there are some reports about herbal medicine induced hepatitis, but in oriental medicine, there are few reports about that. We experienced one case of drug acute cholestatic-hepatitis in the treatment of oriental medicine for HNP. We treated the patient with acupuncture, physical therapy and herb medicine. The patient's symptoms improved after two weeks of treatment. In the course of treatment, the patient intermittently complained of general weakness, nausea, yellowish urin, dyspepsia, and abdominal discomfort. We recognized that total bilirubin(7.2mg/dl), direct bilirubin(5.5mg/dl), serum transaminase(AST 360U/L, ALT 354U/L), alkaline phosphatase(16.6 K/A), urobilinogen(++) and bilirubin(++) were elevated. We diagnosed drug induced hepatitis. We stopped giving herb medicine and began giving Saeng gan gunbi-tang and Injin-oryung-san. Saeng gan gunbi-tang and Injin-oryung-san have been used to treat hepatic disease and have been known to have beneficial effects. After 3weeks on medication, the clinical symptoms and liver function improved. So, we report this case to bring more attention to the safety and toxicity of herbal medicine.

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Moya moya disease 환자(患者) 2례(例)에 대한 임상적(臨床的) 고찰(考察) (A Clinical Report on two cases of Moya moya disease patients)

  • 김행진;이경환;김용진;김방울;전상윤;홍석;노영만
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.1030-1036
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    • 2003
  • Objectives: This study was designed to analyze the effectiveness of the diagnosis and treatments of Moya moya disease in oriental medicine. Results: This study showed that clinical symptoms of two Moya moya patients were improved by the diagnosis and treatments of oriental medicine. Conclusions: Diagnosis and treatment of two patients with Moya moya disease are accurate and effective. However, more cases are required to study in oriental medicine in order to prove the availability and to be applied universally.

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노인성 폐렴환자 1례에 대한 증례보고 (A Clinical Report of One old aged patient with Pneumonia)

  • 현민경;정병무;최은영;윤철호;정지천;신원용
    • 대한한방내과학회지
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    • 제26권1호
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    • pp.229-235
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    • 2005
  • Pneumonia is an inflammation that forms at the mesopulmonum and alveolus that is also an acute infection with fever and cough. It is difficult for doctors to diagnose pneumonia in elderly patients, due to the variety of symptoms. For this reason, it, with its complications, is a major cause of death for the elderly. In this case, improvement was seen in an elderly patient diagnosed with pneumonia by X-ray, and by using Si-Kyung-Ban-Ha-Tang-Ka-Mi-Bang as a way of Kong-Bo-Kyum-Si, because in this case pneumonia was presumed Dam-Yel-Ong-Pye and Ki-Eum-Yang-Huh due to the weakness associated with old age. This thesis proposes that the elderly are better treated differently from other pneumonia patients due to the weakness that comes with old age.

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전환장애 환자에 개결서경탕(開結舒經湯)을 투여한 치험례 (A Case of Conversion Disorder Treated with Gaegyeolseogyeong-tang)

  • 윤지원;김홍준;김우성;심국진;심하나;이상관;강세영
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.590-595
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    • 2004
  • Conversion Disorder is a disorder whose predominant feature is a loss or alteration in physical functioning that suggests a physical disorder but that is actually a direct expression of a psychological conflict or need. The Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) guidelines for Conversion Disorder include these definitions: A psychosocial stressor produces a psychological conflict that is believed to help initiate or exacerbate the illness The symptoms are not under conscious control, etc. While functional disabilities are common with conversion disorders, physical and laboratory abnormalities are absent or minor in comparison with the patient's subjective complaints. Symptoms of Conversion Disorder are similar to those of stroke. But the mechanism of Conversion Disorder is similar as that of Stagnation Syndrome of Ki (氣鬱證) in Oriental medicine. Gaegyeolseogyeong-tang has been used to treat women who suffer from Conversion Disorder induced by the Stagnation Syndrome of Ki (氣鬱證). After application of the Gaegyeolseogyeong-tang for 7 days, symptoms and signs improved dramatically.

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청신경 종양 수술 이후 발생한 안면마비 환자에게 매선요법을 이용한 치험1례 (Clinical Study of 1 Case of Facial Paralysis after Acoustic Neuroma Surgery using Needle-Embedding Therapy)

  • 정순대;이혜진;박혜진;김윤식;유호룡;조현경;설인찬
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.976-979
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    • 2012
  • The purpose of this study was to examine the effect of needle-embedding therapy to facial paralysis patient after acoustic neuroma surgery. The patient was treated by basic oriental medicine treatment. We evaluated the effect of Needle-Embedding Therapy by using Yanagihara's unweighted grading system and subjective satisfaction score. The final Yanagihara's score was higher than before the treatment. The patient was satisfied after Needle-Embedding Therapy. Needle-Embedding Therapy was effective against facial paralysis after acoustic neuroma surgery. Further studies will be required to identify the beneficial effect of Needle-Embedding Therapy in facial paralysis after acoustic neuroma surgery.

연하장애를 주소로 하는 기능성 식도장애 환자의 복령음 치험1례 (Clinical Study of 1 Case Of Functional Gastrointestinal Disorder Patient with Dysphgia Treated by Bokryungyeum-tang)

  • 정순대;김진희;김정현;유호룡;김윤식;설인찬;조현경
    • 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.