• Title/Summary/Keyword: Journal of Korean Oriental Internal Medicine

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Korean Medical Treatment for Prolonged Central Hyperthermia Following Pontine Hemorrhage: A Case Report (뇌교 출혈 이후 발생한 지연된 중추성 고체온증에 대한 한방치료 1례)

  • Yi, Chan-sol;Park, Song-won;Hong, Seungcheol;Kim, Youngji;Song, Juyeon;Lee, Jeong-yun;Shin, Gil-cho;Choi, Dong-jun
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.1061-1067
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    • 2018
  • A patient had central fever following pontine hemorrhage. Central hyperthermia caused by stroke is a rare case, and it is difficult to control. There are few case reports about central hyperthermia in Korean medical treatment (KMT). The patient suffered central hyperthermia accompanied by tachycardia, dyspnea, and irritability. However, there was no evidence of infection. Thus, hypnotics, sedatives, and a minor tranquilizer (Lorazepam and Midazolam) was prescribed. Despite a temperature peak of $39.9^{\circ}C$, most of the symptoms were alleviated. The patient's average body temperature was about $37^{\circ}C$, which is higher than most people at $36.5^{\circ}C$. His symptoms were diagnosed as ascendant hyperactivity of liver Yang (肝陽上亢), and the patient was prescribed Shihogayonggolmoryo-tang. During the 44 days of KMT, there was no change in his average body temperature and no central hyperthermia over $39^{\circ}C$. This case report demonstrates the possibility of controlling central hyperthermia caused by pontine hemorrhage using KMT.

A Case of a Patient of Pontine Hemorrhage with Clinical Features of Cerebellar Dysfunction (소뇌기능이상의 임상양상을 특징으로 보인 뇌교부출혈 환자 1례)

  • Lee, You-Kyung;Kong, Kyung-Hwan;Yong, Hyung-Soon;Ko, Seong-Gyu;Bu, Song-Ah
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.889-895
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    • 2000
  • I experienced a case of a patient with clinical features of cerebellar dysfunction in the intracranial hemorrhage which encroached the basis of lower pontine and all parts of pontine tegmentum. So I report this case with bibliographical inquiry. In addition, I applied the treatment of Oriental medicine to sequelae of intracranial hemorrhage like disorders of eye movement, central dizziness, cerebellar tremor and ataxias but the effect did not meet my expectation. I anticipate more clinical studies and reports on this hereafter.

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A Case Report of Traditional Korean Medicine for Left Anterior Cerebral Artery (ACA) Infarction and Hemorrhagic Transformation with Hemiplegia and Urinary Disturbance (한방치료로 호전된 반신부전마비, 배뇨장애를 동반한 좌측 앞대뇌동맥 출혈성 뇌경색 환자의 치험 1례)

  • Yang, Jee-yun;Kim, Min-sung;Jeong, Taek-su;Bang, Chan-hyuck;Mo, Min-ju;Kwon, Do-ick;Choi, Min-gi
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.786-795
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    • 2016
  • Objective: To evaluate the effectiveness of traditional Korean medicine treatment (TKM) on a patient with ACA infarction and hemorrhagic transformation with hemiplegia and urinary disturbance. Methods: A patient diagnosed with left anterior cerebral artery (ACA) infarction and hemorrhagic transformation was treated with electroacupuncture, moxibustion, and herbal medicine. Results: Improvements in the Manual Muscle Test (MMT), modified Barthel Index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin scale (mRS), and K-MMSE were observed following the TKM treatment [MMT Gr. (3/0)→Gr. (4+/4+), MBI 20→89, NIHSS 8→2, mRS 5→1, MMSE-K 21→28]. Conclusion: TKM treatment could help improve the symptoms of patients with ACA infarction and hemorrhagic transformation.

A Case Report of patient with epileptic seizure (간질발작(癎疾發作)환자 치험 1예)

  • Lee, Jung-Eun;Hwang, Ji-Ho;Lim, Do-Hee;Han, Young-Joo;Bae, Han-Ho;Jeong, In-Chul;Park, Yang-Chun
    • The Journal of Internal Korean Medicine
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    • v.26 no.2
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    • pp.453-458
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    • 2005
  • Epilepsy is a neurological condition that from time to time produces brief disturbances in the normal electrical functions of the brain, Normal brain function is made possible by millions of tiny electrical charges passing between nerve cells in the brain and to all parts of the body. They may affect a person's consciousness, bodily movements or sensations for a short time. These physical changes are called epileptic seizures. These clinical data, gathered an epileptic seizure whose main symptom was convulsion, was analyzed. This clinical report pertains to a 51 year-old man who suffered an epileptic seizure and after effects of weakness. He was treated with ChongsimOndamTang(淸心溫膽湯). The cheif symptom, epileptic seizure, disappeared and general conditions improved after Korean medical treatments, so this is reported as a potential treatment.

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The Effects of Hyulbuchukotang (HCE) on the Thrombosis Related Factors (혈부축어탕(血府逐瘀湯)이 혈전생성관여인자(血栓生成關與因子)에 미치는 영향(影響))

  • Park, Jong-Hyung;Han, Yang-Hi;Jun, Chan-Yong;Kim, Dong-U;Park, Se-Gi;Lee, Chung-Jung-Hye;Go, Seung-Hi;Go, Jae-Chul;Choi, You-Kyung;Kim, Young-Sun
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.819-827
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    • 2000
  • Purpose : To investigate the inhibitory effect of HCE on platelet aggragation and erythrocyte deformiability, we performed following experiments. Methods : Concentrated Hyulbuchukotang (HCE) was fed to rats for 10days. We compare normal group with $500{\beta}{\Sigma}/{\beta}{\Sigma}$-high dose group and $100{\beta}{\Sigma}/{\beta}{\Pi}$-low dose group. Results : HCE enhanced the blood filtration rate, erythrocyte deformiability, reduced the platelet aggreablilty and inhibited granule release from collagen stimulated platelet, the prostaglandin synthesis in platelat. Conclusion : HCE should inhibit thrombos formation due to platelet hyperaggraeability and reduction of erythrocyte defonmiability.

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The Effects of Boyanghwanotang on the Thrombosis Related Factors (보양환오탕(補陽還五湯)이 혈전생성관여인자(血栓生成關與因子)에 미치는 영향(影響))

  • Park, Jong-Hyung;Han, Yang-Hi;Jun, Chan-Yong;Kim, Dong-U;Park, Se-Gi;Lee, Chung-Jung-Hye;Go, Seung-Hi;Go, Jae-Chul;Choi, You-Kyung;Park, Sun-Young
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.829-837
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    • 2000
  • Purpose : To investigate the inhibitory effect of BHE on platelet aggregation and erythrocyte deformability, we performed following experiments. Methods : Concentrated Boyanghwanotang (BHE) was fed to rats for 10days. High dose group was treated with $500{\beta}{\partial}/kg$ and low dose group with $500{\beta}{\partial}/kg$. Results : BHE enhanced the blood filtration rate, reduced the platelet aggregability, inhibited granule release from collagen-stimulated platelet, the prostaglandin syn-thesis in platelet and enhanced erythrocyte deformability. Conclusion : BHE should inhibit thrombos formation due to platlete hyperaggregabili-ty and reduction of erythrocyte deformabi-lity.

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A Case Report of Acute Hepatitis B (급성 B형간염 환자에 대한 치험 1례(例))

  • Sim, Kuk-Jin;Shim, Ha-Na;Kim, Yu-Kyung;An, Ki-Young;Lee, Jin-Goo;Song, Bong-Keun;Park, Hyoung-Jin
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.212-220
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    • 2004
  • A 36 year-old female patient with acute hepatitis B was treated with modified Chunggangunbi-tang. The patient complained of right arm and numbness, chest pain and discomfort, pain in the right chest, fever, athalpia, indigestion, fatigue, pruritus, jaundice and other minor problems. Two weeks later, symptoms has gone from severe to mild and transaminase level was lower. The medicine was prescribed for four more weeks and symptoms disappeared. The transaminase level fell to within normal range with no side effect. The Chunggangunbi-tang showed desirable effect on indigestion and more rapid recovery of liver function than previous reports on treatment for hepatitis. Finally results from clinicopathological examinations(about AST, ALT, total bilirubin, direct bilirubin, etc.) were promising. o we hope that this clinical study is helpful in treating patients with hepatic disease. Result suggests that oriental medical therapy is useful in treating acute hepatitis type B. More study and development of approach and application of this treatment for acute hepatitis type B are necessary.

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A Case of Cerebellar Infarction Patient with Ataxia and Vertigo prescribed by Chukdam-tang (운동실조와 현훈을 주소로 한 소뇌경색 환자의 척담탕 치험 1례)

  • Choi, In-Young;Kim, Mi-Kyung;Kim, Bo-Ram;Choi, Dong-Jun;Han, Chang-Ho;Jung, Seung-Hyun;Shin, Gil-Jo;Lee, Won-Chul
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.9 no.1
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    • pp.33-39
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    • 2008
  • Ataxia and vertigo are frequent clinical findings in cerebellar infarction patients. In severe cases, they cannot achieve normal activity in daily life. A 65-year-old man was admitted with ataxia and vertigo diagnosed as acute cerebellar infarction. We prescribed for Chukdam-tang to treat the phlegm disease. After this treatment, ataxia and vertigo improved. We suggest Chukdam-tang is significantly effective on the treatment of cerebellar infarction.

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A Case of Wei Symptom Treated with Chungsangboha-tang (청상보하탕(淸上補下湯)으로 호전된 위증환자 치험(治驗) 1례(例))

  • Song, Kwang-Kyu;Cho, Dong-Hee;Choi, Hae-Yun;Kim, Jong-Dae;Jeon, Kwi-Ok
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.708-714
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    • 2005
  • Wei symptom is muscle relaxation to the point of no contraction and occurs in the limbs. Several cases have led to death. This is a clinical report of a Wei symptom patient diagnosed with impairment of body fluid due to lung heat(肺熱傷津). This patient was treated with Chungsangboha-tang(Qingshangbuxia-tang) and had significant improvement in Wei symptom. Results suggest that oriental medicine is an effective treatment for Wei symptom. But more clinical case reports are needed.

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Clinical Acoustic Study of Acupuncture Therapy Effects on Post-Stroke Dysarthria (침치료가 뇌졸중으로 인한 구음장애에 미치는 음향적 특성에 대한 증례보고)

  • Lee, Min-Goo;Park, Sae-Wook;Lee, Sun-Woo;Ryu, Hyun-Hee;Lee, Seung-Eon;Kim, Yong-Jeong;Son, Ji-Woo;Rhim, Eun-Kyung;Kim, Sung-Nam;Lee, In;Moon, Byung-Soon;Yun, Jong-Min
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.660-669
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    • 2005
  • Objectives : The aim of this study is to find the acoustic characteristics of acupuncture therapy effects on post-stroke dysarthria. Methods : Acupuncture therapy was applied for four to six weeks by inserting needles into eight acupuncture points, CV23, CV24, bilateral 'Sheyu' and ipsilateral ST4, ST6 and contralateral LI4, ST36 on facial palsy side. All the speech samples were collected, pre-treatment and post-treatment, using Computerized Speech Lab. VOT and TD of each speech sample and vowel formant(F1&F2) were analyzed on spectrogram. Result : VOT and TD were decreased after treatment. F1 was decreased, and F2 was increased after treatment. Conclusions : This suggests that acupuncture therapy improves symptoms of post-stroke dysarthria by stimulating articulation organs such as tongue, lips, cheeks, larynx and pharynx.

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