• 제목/요약/키워드: Neuropsychiatry

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화병의 한의학적 치료에 대한 연구동향 (Current Trends in Intervention Studies of Hwabyung in Korean Medicine)

  • 서효원;최은지;김상호;김동희;김락형;김종우;이재혁;임재환;최우진;정선용
    • 동의신경정신과학회지
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    • 제27권4호
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    • pp.261-274
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    • 2016
  • Objectives: To determine the general characteristics of clinical studies about Hwabyung and assess their limitations and alternatives. Methods: Clinical studies that examined the effects of traditional Korean medicine intervention on Hwabyung were included in this study. A systematic search of English, Chinese, Japanese, and Korean databases was performed. The characteristics of included articles were described and those articles were assessed by Risk of Bias (RoB) tool or Risk of Bias for Nonrandomized Studies (RoBANS) tool. Results: Sixteen articles were selected from 1,826 articles. Most clinical studies about Hwabyung were published in Korea. The number of conducted trials was insufficient. The prevailing study design was randomized controlled trial. Traditional Korean medicine intervention used in the trials were acupuncture, herbal medicine, counselling, meditation, emotional freedom technique (EFT), music therapy, art therapy, and multi intervention program. Herbal medicine study used placebo as control while non-pharmacological intervention study mostly used no treatment as control. Most of the trials were supported by the government. Therefore, financial conflict of interest might not exist for results. We judged that some studies had a high risk of bias. In general, most of the studies with a high risk of bias were non-pharmacological intervention studies, and the risk of bias was mainly due to lack of blinding. Conclusions: More clinical studies of Hwabyung are needed. There are some issues about a suitable comparison and effective blinding strategy for non-pharmacological study. Improving methodological quality is required.

지황음자와 가미지황음자 유출액이 XO/HX로 손상된 배양 해마신경세포에 미치는 효과 (The Effects of Jihwangyeumja and GamiJihwangyeumja water extract on The Cultured Primary Hippocampal Cell Damaged by XO/HX)

  • 이용근;김상호;민상준;양희숙;장현호;김태헌;강형원;유영수
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.989-1000
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    • 2002
  • The purpose of this study is to examine the toxic effects caused by xanthine oxidase/hypoxanthine(XO/HX) and the effects of herbal extracts such as JHYJ and GJHYJ on the treatment of the toxic effects. For this purpose, experiments with the cultured hippocampal cells from new born mice were done. The results of these experiments were as follows. 1. XO/HX, a oxygen radical-generating system, decreased the survival rates of the cultured cells on XTT assay and INT assay, the amount of DNA syntheses, and the amount of neurofilaments, and increased the lipid peroxidation. 2. JHYJ and GJHYJ have the efficacy of increasing the survival rates of the cultured cells. 3. JHYJ and GJHYJ have the efficacy of increasing the amount of neurofilaments and of decreasing the lipid peroxidation. 4. JHYJ and GJHYJ have the efficacy of increasing the amount of DNA syntheses. From the above results, it is suggested that Jihwangyeumja and Gamijihwangyeumja have marked efficacy as a treatment for the damages caused by the XO/HX-mediated oxidative stress. And Jihwangyeumja and Gamijihwangyeumja are thought to have certain pharmacological effects. Further dinical study of this pharmacological effects of Jihwangyeumja and Gamijihwangyeumja should be complemented.

외상 후 스트레스 장애에 대한 한방정신요법 기반 심리치료 개발 및 예비적 임상시험 (Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder)

  • 김진형;서주희;이고은;김남권;최성열;유영수;강형원
    • 동의신경정신과학회지
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    • 제26권1호
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    • pp.49-61
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    • 2015
  • Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.

두통처방에 대한 문헌 예비연구 (Preliminary Documents Study on Herb Medicines of Headaches)

  • 박보라;박인숙;김지훤;류영수;강형원;김태헌
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.15-33
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    • 2009
  • Objectives : To study for classifying indications and procedure of historical changes, as a preliminary study, we collected and arranged prescriptions of headaches in medical documents after "Hwang-Je-Nae-Gyeong". Methods : 1. The researcher reviewed books, as a bibliography, recording to associate with a headaches in "UI-Bu-Jeon-Rok". 2. In reference books, we collected and arranged the herb medicines related to headaches in chapter of them. 3. In case of no chapter associated with headaches in books, we found prescriptions related to headaches and rearranged them. 4. Applied or added herb medicines were excluded, if the chief virtue was not primarily for headaches. 5. Prescriptions for signs to headaches related to dizziness were excluded. 6. Prescriptions for signs to associated with tremor were excluded. 7. We excluded prescriptions of headaches for dermatological disease. Results and conclusions : 1. Thirty seven documents were referred to the section of a headche in "UI-Bu-Jeon-Rok". 2. Prescriptions of "Sang-Han-Ron", which were related to headaches, were repeatedly quoted in chinese medical publications. 3. Nameless prescriptions of headaches were recorded from earlier books to later publications. 4. It started to record prescriptions of headaches separately from "Hawl-In-Seo" in 1107. 5. Described how to discriminate Naesang from Oegam, but prescriptions of headache were not listed in Dongwon Yi's "Nae-Oe-Sang-Byeon-Hok-Ron" which was published in 1247.

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뇌졸중으로 인한 안검하수와 복시 증상에 조간익뇌탕을 투여한 치험 2례 (Two Cases of Diplopia and Ptosis from Cerebrovascular Disease Treated with Joganiknoe-tang)

  • 유윤선;박장호;배달빛;이고은;강형원;유영수
    • 동의신경정신과학회지
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    • 제23권3호
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    • pp.117-128
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    • 2012
  • Objectives : The purpose of this study is to evaluate the effects of Joganiknoe-tang on diplopia and ptosis from cerebrovascular disease. Methods : We recruited 2 patients who have diplopia and ptosis because of cerebrovascular disease. In addition, the patients had been administrated by Joganiknoe-tang. Diplopia and ptosis of patients had been estimated with VAS (Visual Analogue Scale) and difference of both eye's interpalpebral fissure. We measured VAS (Visual Analogue Scale) and difference of both eye's interpalpebral fissure for every five days Results : After the treatments, symptoms were decreased and almost disappeared. In both cases, diplopia patients complained decreased from VAS 10 to VAS 1, and difference of both eye's interpalpebral fissure disappeared Conclusions : This study suggests that Joganiknoe-tang is significantly effective on diplopia and ptosis because of cerebrovascular disease.

치매 환자의 매선 요법 치료에 관한 치험 3예 (The Case Report of 3 Dementia Patients Treated by Needle-Embedding Therapy)

  • 배달빛;박장호;유윤선;이고은;정현국;강형원;유영수
    • 동의신경정신과학회지
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    • 제23권3호
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    • pp.99-116
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    • 2012
  • Objectives : The purpose of this study is to evaluate the effects of Needle-Embedding Therapy on dementia patients. Methods : We recruited 3 dementia patients who have been experiencing memory disorder and orientation disorder. The patients had been evaluated with Mini-Mental State Examination-K (MMSE-K), Global Deterioration Scale (GDS) and Clinical Dementia Rating (CDR). The patients were treated with herbal medication (Sunghyangjunggi-san) and acupuncture. After 15 days, the patients were added to Needle-Embedding Therapy. We measured MMSE-K, GDS and CDR for every 15 days. The effects of additional Needle-Embedding Therapy were compared with the effects of acupuncture and herbal medicine. Results : After Needle-Embedding Therapy was added, Patients' memory and orientation have been improved and the score of MMSE-K ascended. The grade of GDS and CDR were maintained or decreased. Conclusions : This study suggests that Needle-Embedding Therapy is significantly effective on Dementia patients.

불안장애로 진단된 환자의 심(心) 대소(大小) 관련성에 관한 연구 (The Study about Correlations of Heart Sizes in Patients with Anxiety Disorder)

  • 정찬수;국윤재;최성열;강형원;류영수;김태헌
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.35-42
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    • 2005
  • Objective : The relations of the heart size and seven emotions were described in Dong Yi Bo Gam, and we aimed to identify the correlations of the patients with anxiety disorder and their heart sizes. Methods : The subjects were 15 patients with anxiety disorder and 20 control groups. Chest radiography were performed. We measured patients' heart sizes and compared with control groups. Results : 1. The signigicant difference of somatization, anxiety, depression scale and Panic anxiety scale in SCL-90-R in patients with anxiety disorder from controls was confirmed. 2. The difference of thoracic sizes in patients with anxiety disorder and controls had no correlations. 3. The difference of heart sizes in patients with anxiety disorder and controls had no correlations. 4. The difference of cardiothoracic ratio in patients with anxiety disorder and controls had negative correlations. Conclusions : Based on these results, the patients with anxiety disorders and their heart sizes had no correlations. But in cardiothoracic ratio had negative correlations. So heart size and seven emotions have significant correlation.

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불면 처방에 관한 문헌고찰 - 동의보감(東醫寶鑑) 몽문(夢門)을 중심으로 (The Literature Review on Medications of Insomnia in Chapter Mong(夢) of Donguibogam)

  • 박보라;박인숙;강형원;류영수
    • 동의신경정신과학회지
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    • 제22권2호
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    • pp.177-198
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    • 2011
  • Objectives : By analyzing and comparing indications, components and their doses of herb medicines, which were recorded in insomnia chapters of medical books, we examined historical changes and made clear documentary ground of medications. Methods : 1. 10 books which were noted in insomnia part of "The Eastern Medical Textbook of neuropsychiatry" and 13 books were mentioned in same part of "Uibujeonrok" were selected as reference. 2. We searched article database such as KISS, riss4U and journals issued by the Korean society of oriental neuropsychiatry. Finally, 39 books which were noted in 3 literature reviews, were chose as reference. 3. In reference books, we collected the herb medicines in chapters related to insomnia. 4. In case of no section associated with insomnia in books, we found prescriptions related to insomnia in whole chapters. 5. If the chief virtue of medication was not primarily for insomnia, we excluded applied or added herb medicines. 6. We classified prescriptions into small groups which had same name, and then rearranged them in chronological order. Results and Conclusions : 1. Banha-tang(banxiatang) of "Hwangjenaegyeong Youngchu" was the first-recorded prescription used for insomnia. 2. The chapter of insomnia appeared in "Chunkeumyobang" at first. 3. Ondam-tang(Wendantang) was most cited prescription in medical books. It was recorded totally 19 books from "Chunkeumyobang" to "Hyeoljeungron". 4. We suspects indications, components, dosage of medication of insomnia in Donguibogam were revised according to author's clinical experience and circumstances.

현운(眩暈) 환자의 체질 및 성격특성 연구 (The Study on Characteristics of Personality on Vertigo Patients)

  • 안대종;이순이;오용열;손영우;김진형;김태헌;강형원;류영수;김진우
    • 동의신경정신과학회지
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    • 제17권2호
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    • pp.147-158
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    • 2006
  • Objective : This Study is attempted to analyze characteristics of personality by Minnesota Multiphasic Personality Inventory responses in Vertigo patients. Method : 24 Vertigo patients and 28 control group were tested by MMPI and QSCCII. It is analyzed by one-way ANOVA, chi-square test, t-test, Duncan method is used as ex-post test. Result & Conclusion : 1. 24 Vertigo patients were classified into three constitutions by QSCCII. There were 6 of Soyangin(25.0%), 8 of Soeumin(33.3%) and 10 of Taeumin(41.7%) 2. In the analysis of personality disorder scale of MMPI, BDL scale score of Soyangin group was higher than that of other groups, and STY, AVD scale score of Soeumin group was higher than that of other groups. 3. In the analysis of personality disorder scale of MMPI, vertigo patients group showed higher scores than control in CPS, PAG, PAG, DEP, STY, SZD scale.

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만성 경추, 요추 추간판 탈출증 질환군의 우울 척도(BDI) 비교 연구 (Investigation of Beck's Depression Inventory Score of Patients with Cervical and Lumbar Herniation of Intervertebral Disc)

  • 권승로;김광호;김규태;안건상;유혜경;강만호;이진규;이제균
    • 동의신경정신과학회지
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    • 제17권2호
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    • pp.159-165
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    • 2006
  • Objective : It Is known that depression disorder has been related to chronic pains such as HIVD and physical harm. We propose that chronic cervical and lumbar herniations of intervertebral disc patients have emotional and psychiatric problems, therefore we compared it to Beck's Depression Inventory scores. Method : We divided them into two groups: The groups consisted of cervical and lumbar HIVD patients. We then requested them to fill out BDI research questionnaires, and evaluated patients according to the information and results. Result : The Beck's Depression Inventory mean score for the cervical - lumbar HIVD group was $14.00{\pm}5.80$, $10.83{\pm}$5.64 each. Higher Scores were recorded for cervical HIVD group than the lumbar HIVD group. Conclusion : There is statistical significance among two groups.(p<.05) however, the two groups' BDI score were lower than the defined boundary line of Depression disorder(16 points).

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