• Title/Summary/Keyword: Korean medicine clinic

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Autologous Epidural Blood Patch for the Treatment of Headache in Post-Dural Puncture -Report of 37 cases- (요부경막천자후 발생된 두통치료 -자가혈액봉합 37예-)

  • Lee, Sung-Keun;Kim, Tae-Jung;Kim, Yong-Ik;Kim, Il-Ho;Song, Hoo-Bin;Kim, Soon-Im;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.89-93
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    • 1989
  • We performed the autologous epidural blood patch (AEBP) for the relief of headache and other related symptoms following dural punctures of the lumbar region during 8 years from 1981 to 1988. The total of 37 patients with the patching consisted of 9 cases in 3007 of spinal anesthesia, 12 accidental dural punctures in 4283 cases of lumbar epidural anesthesia, 12 cases in 4747 of epidural analgesia for back pain control, 3 cases of myelography and a case of diagnostic lumbar puncture. The headaches were relieved completely in 35 cases following the first AEBP and the remaining two were also relieved following the second AEBP. We think that the AEBP for postdural-puncture headache is the treatment of choice.

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Melkersson-Rosenthal Syndrome -Report of a Case- (Melkersson-Rosenthal Syndrome -증례보고-)

  • Kim, Tae-Jung;Park, Wook;Lee, Sung-Keun;Kim, Il-Ho;Song, Hu-Bin;Hwang, Kyung-Ho;Kim, Sun-Chong;Kim, Sung-Yul
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.57-60
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    • 1989
  • The Melkersson-Rosenthal (M-R) syndrome consists of a triad of (1) recurrent peripheral facial nerve paralysis which develops alternately on both sides of face, (2) non-inflammatory facial edema, and (3) fissuring of tongue. A 59 years old female patient developed the left facial palsy on September, 1988. Right facial palsy developed continuously 2 months later after the spontaneous remission of left facial palsy. On February, 1989, we have found out M-R syndrome which accompanied with migraine type of intermittent headache, and hypertension in one attack of cerebral stroke several years ago, there were no diabetes mellitus, pulmonary tuberculosis and brain tumor in clinical studies. Although the causes of this syndrome were not noted, we performed the stellate ganglion block and transcutaneous electrical nerve stimulation for treatment of the palsy, but the clinical effectiveness of these were not satisfactory.

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Experience with the Application of Magnetic Resonance Diagnostic Analyser and Stellate Ganglion Block -A case of facial palsy- (자기공명분석기와 성상교감신경절 차단요법을 병용한 안면신경마비의 치험)

  • Kwak, Su-Dal;Kim, Il-Ho;Cha, Young-Deog;Jin, Hee-Cheol;Lee, Jeong-Seok;Kim, Jin-Ho;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.69-73
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    • 1994
  • A 37 years old man who suffered from right facial palsy was treated successfully with the application of both magnetic resonance diagnostic analyser(MRA) and stellate Ganglion block(SGB). SGB is effective in treatment of facial palsy resulting from abolishing cerebral vascular spasm and increasing cerebral blood flow. Short daily period of exposure to appropriate MRA can also modulate the balance of autonomic nervous system that are responsible for sympathetic overflow resulting the edema and poor circulation on the course of the facial nerve. It was seemed that recovery of facial palsy by application of both MRA and SGB was faster than by SGB only.

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3 Cases of Postmenopausal Hot Flush Treated with Hwangryunhaedoktang-Gamibang (황연해독탕가미방(黃連解毒湯加味方)을 처방한 갱년기 안면홍조 환자 3례 증례 보고)

  • Lee, A-Rin;Son, Sang-Hyun;Park, Seon-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.4
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    • pp.176-183
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    • 2017
  • Objectives : The purpose of this study is to report the effect of Hwangryunhaedoktang-Gamibang on Postmenopausal Hot Flushes. Methods : This case study was done on 3 Postmenopausal Hot Flush patients who have visited Korean Medicine Clinic. Hwangryunhaedoktang-Gamibang was prescribed to all 3 patients and evaluated the symptom change through photographs and questionnaire. Investigator's Global Assessment(IGA) was used to evaluate the objective symptom and Visual Analogue Scale(VAS) was used to evaluate the subjective change. Results & Conclusions : The IGA and VAS were decreased in all patients. Most symptoms of 3 patients were improved. As a result of examining IGA, VAS scores and photographs, Hwangryunhaedoktang-Gamibang can be effective on Postmenopausal hot flush.

Management of Complex Regional Pain Syndrome Type 1 with Barbiturate Coma Therapy -A case report- (Barbiturate 혼수 요법(Coma Therapy)을 이용한 제1형 복합부위통증증후군 치험 -증례보고-)

  • Park, Tae Kyu;Han, Kyung Ream;Shin, Dong Wook;Lee, Young Joo;Kim, Chan
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.213-217
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    • 2006
  • Although various treatments for complex regional pain syndrome (CRPS) have been proposed, no well recognized treatment for CRPS has been established. Herein, a case using barbiturate coma therapy for the refractory pain management of a 24-year-old male patient, who suffered from constant stabbing and burning pain, with severe touch allodynia in the left upper extremity following blunt trauma on his forearm is described. Interventional treatments, including permanent spinal cord stimulation and large doses of oral medications, were performed. However, the pain could not be controlled, which lead to frequent emergency room treatment for about 1 month prior to his therapy. He then underwent barbiturate coma therapy due to the uncontrollable pain, with repeated sedation therapy due to his outrageous behavior. His pain became increasingly tolerable and the allodynia was markedly decreased after 5 days of coma therapy.

Comparison of Gangji-hwan-1, 2, 3, 4 and Combination of Gangji-hwan-1 and Gamisoche-hwan in the Reducing Effects of Body Weight in a High Fat Diet-Fed Obese Mice (고지방식이 비만마우스 모델에서 파키스탄산 및 중국산 마황으로 조성된 강지환(降脂丸)-1, 2, 3, 4와 강지환(降脂丸)-1합가미소체환(合加味消滯丸)의 체중감량효과 비교)

  • Yoo, Jae Sang;Ku, Ja Ryong;Yoon, Ki Hyeon;Jo, Ju Heum;Jang, Du Hyon;Jung, Yang Sam;Kim, Jong Hoon;Kim, Byeong Chul;Seok, Hoa Jun;Yoon, Michung;Roh, Jong Seong;Shin, Soon Shik
    • Journal of Korean Medicine for Obesity Research
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    • v.15 no.1
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    • pp.9-23
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    • 2015
  • Objectives: This study was investigated the improvement effects of Pakistani Ephedra herba-containing Gangji-hwan-1, 2, 3 (Di-fatty; DF-1, 2, 3), Chinese Ephedra herba-containing Gangjihwan-4 (DF-4) and combination of DF-1 and Gamisoche-hwan (GSH) on obesity in a high fat diet-fed obese mouse model. Methods: Eight-week-old C57BL/6N mice were divided into seven groups: a normal lean group given a standard diet, an obese control group given a high fat diet, and DF-1, 2, 3, 4, and DF-1+GSH groups given a high fat diet with DF-1, 2, 3, 4 (40, 80, 160, 80 mg/kg), and DF-1+ GSH (80 mg/kg), respectively. After 8 weeks of treatment, body weight gain, feeding efficiency ratio (FER), blood lipid markers, liver histology, and fat weight and histology were examined. Results: Body weight gain was significantly decreased in DF and DF-1+GSH groups compared with control. The extent of decreases was eminent in DF-1+GSH group. FER and circulating concentration of leptin were decreased in DF and DF-1+GSH groups compared with control. Circulating concentrations of triglyceride, glucose and insulin were decreased in DF and DF-1+GSH groups compared with control. The size of adipocytes were decreased by DF and DF-1+GSH groups compared with control, whereas the adipocyte number per unit area was increased by them, suggesting that DF and DF-1+GSH groups decreased the number of large adipocytes. Conclusions: In conclusion, these results suggest that DF and DF-1+GSH groups decrease FER, plasma leptin concentration, blood anti-obesity biomarkers and fat mass, improves body weight gain. In addition, these effects were more effective in DF-1+GSH combination group than in DF-1, 2, 3, 4 groups.

Analysis of Korea Woman Filed Hockey Players' Sports Injuries during the game (To KT Cup international hockey game) (여자 국가대표 하키선수들의 시합 기간 중 스포츠 손상에 대한 분석 (KT컵 국제 하키대회 중심으로))

  • Han Sang Wan;Lee Myoung Hwa;Kim Jung Hyun;Cho Hyun Jung;Hong Sung Lim;Lim seung Kil
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.414-418
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    • 2003
  • The purpose of this study is to investigate the sports injuries of korea women hockey players before and during the international KT Cup game This study was done by survey questions about injuries of 20 players. The results were as follows: 1. Before game types of injuries are muscular strain ($51\%$), ligament injury ($25\%$), contusion ($8\%$), fracture ($8\%$), abrasion ($8\%$). But the types during game appeared as contusion ($50\%$), ligament injury ($33.3\%$), muscular strain ($16.7\%$). 2. Before game regions of injuries are lower limbs ($45.5\%$), back/torso ($36.4\%$), upper limbs ($18.2\%$). But the regions during game appeared as upper limbs ($71.4\%$), lower limbs ($28.6\%$). 3. During the game, the injuries were caused by ball ($66\%$), collision ($17\%$), that fall ($17\%$). These results indicate the importance that players need enough stretching before they start exercise. Also, in order to protect their upper limbs, players must wear gloves before games

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Treatment of Radiculopathy with Flexible Fiberoptic Epiduroscope Inserted through the Sacral Canal -A case report- (천골열공을 통하여 삽입된 Flexible Fiberoptic Epiduroscope을 이용한 신경근병증 환자의 치험 -증례 보고-)

  • Park, Jong-Wan;Lee, Jung-Soon;Lee, Ju-Chul;Kim, Yong-Ik;Hwang, Kyoung-Ho;Park, Wook
    • The Korean Journal of Pain
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    • v.10 no.2
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    • pp.270-273
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    • 1997
  • Caudal epiduroscopy has been introduced as an alternative technique for direct injection of epidural steroid and lysis of adhesion. Futher, it gives a better understanding of the role of epidural adhesion in recurrence of sciatica and low back disorder after surgery. We experienced a clinical application of flexible fiberoptic epiduroscope inserted through the sacral canal. A 37-year-old woman was suffering from right lumbar radiculopathy after an operation for a herniated disc. A series of volumetric caudal steroid injections and physical therapy had little effect on her symptoms. Patient was thought to be a good candidate for epiduroscopy. Flexible flberoptic epiduroscopy was as follows: 60 ml of normal saline irrigation and epidurogram, 40 mg of triamcinolone in 10m1 of normal saline was directed around right L5 nerve root. The following morning, patient reported reduced pain in her leg.

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A Clinical Experience of Facial Nerve Palsy Treated by Magnetic Resonance Analyser and Drug Therapy -A case of facial palsy- (자기공명분석기와 약물요법을 이용한 안면신경마비의 치험 -1예 보고-)

  • Chun, Sung-Hong;Shin, Jae-Hwan;Jeon, Yong-Sub;Yoon, Suk-Jun;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.347-349
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    • 1995
  • A 43 year old man who suffered from right facial palsy was treated successfully with the application of both magnetic resonance diagnostic analyser(MRA) and drug therapy. Treatment of facial palsy is generally composed of stellate ganglion block(SGB), drug therapy and operative intervention. Short periods of exposure to appropriate magnetic resonance can beneficially modulate the balance of autonomic nervous system that are responsible for sympathetic overflow. It was concluded that recovery of facial palsy by application of both MRA and drug therapy was effective in patient who refused SGB.

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Anesthesia Dolorosa following Retrogasserian Glycerol Injection for Trigeminal Neuralgia (삼차신경절액조내 순수 글리세롤 주입후 속발한 무지각성통증 -증례 보고-)

  • Lee, Jeong-Soon;Yoon, Jong-Soo;Lee, Jeong-Seok;Kim, Yong-Ik;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.371-373
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    • 1995
  • Percutaneous retrogasserian gangliolysis is suitable for treatment of trigeminal neuralgia because it is simple and effective. Further, it can avoid severe complications such as anesthesia dolorosa or dysesthesia that may develop after surgical procedure. However we have experienced an anesthesia dolorosa(pain in an area or region that is anesthetic) after percutaneous retrogasserian glycerol injection. This deafferentation pain is characterized by scratching, burning or itching sensation; and has shown to be of higher incidence in older and inemotionally unstable patients. Anesthesia dolorosa is relatively rare but difficult to treat. Consideration should be made for the complication which may develop during the procedure.

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