• 제목/요약/키워드: Korean Acne Grading System

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소음병(少陰病) 오수유탕(吳茱萸湯)을 투여한 후 호전된 구진성·결절성 여드름 증례 1례 (A Case Report of a papule and nodule acne patient Treated with Osuyu-tang Based on Shanghanlun Provisions)

  • 최재영;이숭인;이성준
    • 대한상한금궤의학회지
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    • 제12권1호
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    • pp.137-147
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    • 2020
  • Objective: In this study, we aimed to inform people that acne can be improved with Osuyu-tang (OSYT) based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: We evaluated the progress of symptoms, patient compliance, and presence of side effects after the patient took OSYT. The progress of acne treatment was evaluated using the Korean Acne Grading System (KAGS), visual findings, and patient statements. Results: According to the DPIDS, the patient was diagnosed with provision 309 of soyinbing. After administration of OSYTfor 50 days, KAGS decreased from grade 3 to grade 1. Cold hands and feet improved significantly. Conclusions: Through this case study, we showed the possibility of the clinical interpretation and application of OSYT and suggested further case studies in the future.

사상(四象) 처방(處方)으로 치료한 여드름 환자 81례의 임상보고(臨床報告) (A Clinical Report of Sasang Constitutional Prescription Treatment on 81 Acne Patients)

  • 탁미진;탁명림;윤화정;고우신
    • 한방안이비인후피부과학회지
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    • 제22권2호
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    • pp.210-222
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    • 2009
  • Objectives : This study is to investigate the effect of the sasang constitutional prescription with peeling and MTS on Acne patients. Methods : We treated 81 acne patients with sasang constitutional prescription with peeling and MTS. After treatments we compared the before and after photos, and estimated by Korean Acne Grading System. Results & Conclusions : 1. Patients were comprised of 59 females and 22 males. And there were 30 adolescent and 51 postadolescent acne patients. Out of 81 acne patients, there were many 41 postadolescent female acne patients. 2. Sasang constitutional distribution was comprised of 74 Soyangin, 5 Soeumin and 2 Taeeumin 3. Yangkyuksanhwa-tang(48.1%) and Yangdokbackho-tang(40.7%) were used much in 81 acne patients. 4. Before the treatment, 92.3% of Yangkyuksanhwa-tang group and 63.6% of Yangdokbackho-tang group had mild acne symptom and acne grade mean of Yangdokbackho-tang group was higher than another groups. 5. Peeling times mean of 81 acne patients was 2.54 times and MTS times mean was 4.57 times. Acne grade was improved when peeling times were higher. 6. Before the treatment, 81 acne patients were comprised of 81.5% mild symptom and 18.5% severe symptom patients and acne grade mean was 2.75. After the treatment. there were only mild symptom patients and acne grade mean was 1.04.

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여드름의 치료예후에 영향을 미치는 인자들에 대한 상관성 고찰 (Correlation between Prognosis and Factors on Acne Patients)

  • 손병국;최인화
    • 한방안이비인후피부과학회지
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    • 제21권1호
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    • pp.113-120
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    • 2008
  • Objective : The purpose of this study was to explore the correlation between efficacy and various factors of the acne patients. Method : We reviewed 30 acne patients who visited Allergy/Derma-cosmetic Clinic at Kyung Hee Neo Medical Center from June, 2006 to December, 2007 and were treated with herbal medicine and acupuncture for 4 weeks. We investigated premenstrual aggravation of acne, facial burning sensation, constipation, Heart Rate Variability(HRV) results and regional distribution of acne. And we evaluated inflammatory acnes according to the Korean Acne Grading System(KAGS). Results & Conclusions : 1. The average age of total patients was 23.0 years old. The most frequent age group was 21-25 years old. Patients evaluated as KAGS Grade 2 were most common. 2. In total patients, inflammatory acne were reduced significantly after 4 weeks of treatment. 3. The result of analysis on premenstrual aggravation of acne, facial burning sensation and constipation, there weren't any difference of treatment results on statistical meaning. 4. The results show that there were significant correlations between the Low Frequency at HRV and the rate of acne reduction. (Pearson correlation = -0.565) 5. If the distribution of acne did not involve the T-zone of the face, chest, or back of the body, inflammatory acne were significantly decreased after 4 weeks of treatment.

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한방안이비인후피부과학회지에 게재된 여드름과 관련된 논문에 관한 고찰 (The Review on the Acne Related Articles Published in the Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)

  • 김지수;박수연;최정화;김종한;이두희
    • 한방안이비인후피부과학회지
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    • 제27권3호
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    • pp.26-39
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    • 2014
  • Objective : This study was carried out to analyze the trends of Acne related articles that have been published in the Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology(JKOOD). Method : We studied 29 research papers relevant to Acne that published in JKOOD from 1998 to 2013. All the paper were classified into three categories; original article, review article and case report. We sub-classified the original articles into three categories; descriptive study, analytic study and experimental study. We analyzed the case report according to various types of treatment. Results : 1. The number of searched journals is 29 papers; 17 original ordicles, 4 review articles, 8 case reports. 2. Classification of 17 original articles into three categories; 10 experimental studies, 7 descriptive studies, 0 analytic study. 3. Method of Evaluation; Korean Acne Grading System(KAGS) is used frequently in descriptive studies and experimental studies. 4. Treatment in Case reports; 7 Case reports used External medical treatments. Conclusions : It is needed to develop the methods of grading system in acne related to Oriental medicine to obtain objectivity of studies. The number of analytic study, clinical trial and experimental study is need to increase.

태음인 소음인 환자의 여드름 치험 2례 (Two Case Reports of Acne Patients who were Constitutionally Typed as Taeeumin and Soeumin)

  • 하진호;김성태;최애련;구덕모
    • 사상체질의학회지
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    • 제23권4호
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    • pp.548-556
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    • 2011
  • 1. Objective To review the effectiveness affecting to acne patients by Yeoldahanso-tang(熱多寒少湯) and Hyangsayangyi-tang(香砂養胃湯) who were constitutionally typed as Taeeumin and Soeumin 2. Methods The patient's subjective and objective symptoms were observed. After treatment's we compared the photos before and after, and estimated by Korean Acne Grading System(KAGS-2) 3. Results After we treated two cases of acne patient with constitutional prescription, their symptoms and result of KAGS-2 improved 4. Conclusions This case study showed an effectiveness of using Sasang Constitutional prescription in Taeeumin and Soeumin to Acne.

국내 한약 치험례 분석을 통한 한의학적 여드름 치료법에 대한 고찰 (A Review on Acne Treatment in Korean Medicine by Analyzing Case Studies with Herbal Medicine Treatment)

  • 조은채;김규석
    • 한방안이비인후피부과학회지
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    • 제31권4호
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    • pp.65-82
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    • 2018
  • Objectives : The purpose of this study is 1) to explore the general tendency of the herbs or herbal formula for acne treatment in clinical practice 2) and to provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism by analyzing the herbs or herbal formula using for acne treatment in clinical practice. Methods : In the domestic databases (Oriental medicine Advanced Searching Integrated System-OASIS, Korean Traditional Knowledge Portal-KTKP, National Discovery for Science Leader-NDSL, Research Information Sharing Service-RISS), we selected among the papers published using search terms related to "acne". Reports related to sasang constitutional medicine were excluded and a total of 23 papers were finally selected. Results : 29 prescriptions were retrieved from 23 papers. Chungan-tang (淸顔湯) notified formulas ranked first by Cheongsangbangpung- tang (淸上防風湯), Hwangnyeonhaedok-tang (黃連解毒湯), Dangguijakyaksan (當歸芍藥散) and Bipachungpe-eum (枇杷淸肺飮). Commonly used herbs are Forsythiae Fructus (連翹), Scutellariae Radix (黃芩), Gardeniae Fructus (梔子), Ligustici Rhizoma (川芎), and Angelicae Gigantis Radix (當歸). In most patients with inflammatory lesions or excessive flushing, exterior-releasing medicinal (解表藥) and heat-clearing medicinal (淸熱藥) were mainly prescribed for acne treatment, while in patients with acne accompanied hyperkeratinization, Excess sebum secretion, Dysmenorrhea or indigestion, qi-tonifying medicinal (補氣藥) or blood-tonifying medicinal (補血藥) were mainly used. KAGS (Korean Acne Grading System) was the most commonly used method for acne severity assessment. Conclusions : These findings suggest that the herbs or herbal formula for acne treatment in Korean Medicine is prescribed differently according to the cause and symptoms of acne in a unique way for control the whole body balance. Also, our findings could provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism in clinical practice.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 따른 대시호탕(大柴胡湯) 투여와 압출치료를 병행하여 호전된 성인 여드름 증례보고 (A Case Report for Adult Acne treated by Daesiho-tang based on Shanghanlun provisions with Extrusion therapy)

  • 김형섭
    • 대한상한금궤의학회지
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    • 제9권1호
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    • pp.59-73
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    • 2017
  • Objectives : The purpose of this case report is to report the effect of Daesiho-tang on adult acne by Shanghanlun provisions with extrusion therapy. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung Gyeolhyung and treated by Daesiho-tang with extrusion therapy. The result of administrations were evaluated by Korean Acne Grading System(KAGS), Korean Skindex-29, and change of clinical symptoms. Results : After administration of Daesiho-tang for 150 days with weelky extrusion therapy, KAGS improved from grade 4 to grade 1, Skindex-29 improved from 67.93 to 15.51, and patient was very satisfied with the treatment. No serius treatment-related adverse events were reported. Limitations : This case is only one case that the level of evidence is weak. Two interventions were used together and the duration of photo was uneven. Conclusions : The patient almost recovered from acne treated by Daesiho-tang according to diagnostic system based on Shanghanlun provisions with extrusion therapy. This is the first case report that suggests '熱結在裏' on the number 136 provision of Shanghanlun means fever that is always present in chronic skin lesions.

여드름 관련 인자에 대한 임상적 고찰 (Clinical considerations on Factors related the Acne)

  • 이형기;옥영길;최용훈;정호
    • 한방안이비인후피부과학회지
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    • 제28권2호
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    • pp.13-22
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    • 2015
  • Objective : To investigate how general characteristics and life habits of patients affect severity of acne which was determined by Korean Acne Grading system(KAGS). To adress correlation between the severity of acne and subjective stresses from which patients suffer. Methods : 86 patients answered to questionaire sheet on their general characteristics and life habits and rated their level of stresses as a number in the range between 0 and 10. Then an oriental medical doctor evaluated subject's acne grades, based of KAGS, through observations on papules, nodules, and scars before (medical) treatments. All data (collected) were analyzed using SPSS 22 (software for windows). To clearly demonstrate association of subjects general characteristics, life habits with KAGS grades, Chi-square tests were performed. The correlation between the KAGS grades and the level of stresses was determined using one-way ANOVA followed by Scheffe's post-hoc analysis. Results & Conclusion : Majority of subjects were women, students between 15 and 25 years old, and patients with normal range of Body Mass Index(BMI). Dysmenorrhea presence and premenstrual exacerbation of acne had statistically significant relationship, suggesting their potential influences on KAGS grades as major factors.

청안탕과 침시술이 여드름 환자에 미치는 효과 (Effect of Chungan-tang and Acupuncture on Acne Patients)

  • 김우석;조순금;김민범;박지현;성미경;조혜린;유형천
    • 한방안이비인후피부과학회지
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    • 제28권4호
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    • pp.122-129
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    • 2015
  • Objectives : We performed a retrospective study to verify the effects of Chungan-tang and acupuncture in acne patients.Methods : This study included patients with facial acne who visited to six branch of clinics in 2014. They were evaluated by Korean Acne Grading System (KAGS) before and after treatment.Results : The average grade of KAGS was 4.02±1.120 at before treatment and 1.30±0.867 at after treatment. 64 patients were classified as three groups by treatment period and KAGS grade significantly decreased in all groups. Six skin symptoms such as heat, blush, dryness, itch, prick, pain also significantly improved.Conclusions : This results may provide that Korean medical treatments including Chungan-tang and acupuncture have effects on improving acne.

황련해독탕가미방(黃連解毒湯加味方) 발효한약으로 치료한 여드름 환자 증례 (Acne Treatment Cases with Hwangryeonhaedok-tang)

  • 오충선;김미선;김일;김혜윤;박성익;최승일;홍대성
    • 한방안이비인후피부과학회지
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    • 제22권3호
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    • pp.228-236
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    • 2009
  • Objectives : Acne, one of the most common disorders in dermatology clinic, is a chronic inflammatory disease which has the symptoms of comedones, papules, pustules, cysts, nodules and scars mainly on the face. Although some of pathologic findings are suggested, but the exact causes and mechanisms are not yet known in Western Medicine. Hwangryeonhaedok-Tang(HRHDT) is an antiinflammatory, antipyretic and detoxifying herb decoction. In this report, we would like to share our experience of acne treatment with HRHDT. Methods : We had treated several patients with acne, facial flushing and uprising febrile sensation on face using oral administration and external application of HRHDT. HRHDT is basically made up with Scutellariae Radix, Coptidis Rhizoma, Phellodendri Cortex and Gardeniae Fructus. In this trial, several other herbs were added according to the individual patient's accompanying symptoms. After the decoction of herbs in amount for 10 days, $Yogourmet^{(R)}$ Kefir Starter 10 g was added to the herbal solution that was then fermented in an incubator at $25^{\circ}C$ for 72 hours, and divided into 30 doses. Results : Photographies were taken before and after the treatment. The severities of acne were evaluated with these photos according to the Korean Acne Grading System(KAGS). As results, we observed dramatic clinical improvements and the decreases of KAGS grades after the average treatment period of 8 weeks. The medication was orally administered 3 times a day and the external treatment was applied average twice a week during the whole treatment period. Conclusions : From these results, HRHDT may be considered as a good prescription for the febrile and toxic type of acne patients.

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