• Title/Summary/Keyword: Old patient

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A Clinic Study on Soyangin Lower Limb Edema Caused by Deep Vein Thrombosis (심부정맥혈전증으로 인한 소양인(少陽人) 하지부종(下肢浮腫) 치험 1례)

  • Kim, Hyun-Ho;Hong, Sor-I;Lim, Eun-Chul;Kim, Tae-Hwan
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.3
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    • pp.202-209
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    • 2006
  • 1. Objectives The purpose of this study is to evaluate the effects of Sasang Constitutional medical diagnosis and treatment on Soyangin Edema caused by Deep Vein Thrombosis. 2. Methods The Subject is a 75 years old woman who has a left lower limb edema caused by Deep Vein Thrombosis, we had diagnosed her as Soyangin and prescribed Sasang Constitutional Medicine. We evaluated with length of patient's calf, thigh, ankle circumference and pitting edema, skin flare after medication. 3. Results Lower limb edma of a Soyangin patient responded well to the treatment with Dojeokganggi-tang(導赤降氣湯). 4. Conclusions This case study shows an efficient result by using Dojeokganggi-tang in treatment of Soyangin edema patient.

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A Case Report of Delirium and Cognitive Decline Caused by Traumatic Subarachnoid Hemorrhage in Soeumin Alzheimer Patient (소음인 알츠하이머 환자의 외상성 지주막하 출혈로 인한 섬망과 인지저하 치험 1례)

  • Park, Gyung-hun;Kim, Jong-Won;Jeon, Soo-Hyung
    • Journal of Sasang Constitutional Medicine
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    • v.31 no.4
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    • pp.57-64
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    • 2019
  • Objectives This study is to investigate the effect of sasang constitutional medicine on the delirium and cognitive decline caused by traumatic subarachnoid hemorrhage in a soeumin alzheimer patient Methods We have treated a 79-year-old Soeumin patient mainly with Doksampalmul-tang. She was already suffering from Alzheimer's disease. After traumatic subarachnoid hemorrhage, there were symptoms of delirium and cognitive decline. The degree of improvement was checked by K-MMSE and K-MOCA scores. Results The K-MMSE score improved from 0 to 11 and the K-MOCA score from 0 to 3. Conclusions Sasang constitutional medicine has been effective in the treatment of delirium and cognitive decline caused by traumatic subarachnoid hemorrhage.

A Case Report of Patient with Recurrent Aphthous Stomatitis and Pompholyx Treated with Modified Palmulgunja-tang (팔물군자탕 가미방으로 호전된 재발성 아프타성 구내염 및 한포진 환자 치험 1례)

  • Kim, Ji Hwan
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.2
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    • pp.80-95
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    • 2020
  • Introduction This study is the first case report to observe a significant improvement of clinical symptoms of both Recurrent Aphthous Stomatitis(RAS) and pompholyx treating with modified Palmulgunja-tang for Soeum-type. Case presentation A 37-year-old female patient complained of pain by ulcers on her mouth and tongue, and of itching caused by vesicles on her palms and soles was diagnosed with RAS, pompholyx, and, especially moderate pattern of 'Congestive Hyperpsychotic symptomatology' according to the theory of Sasang Constitutional Medicine(SCM). During inpatient and outpatient treatment, she took modified Palmulgunja-tang, and was treated with acupuncture, moxibustion, and cupping therapy. The effectiveness of these therapies was assessed with subjective Neumeral Rating Scale(NRS) and Dyshidotic Eczema Area and Severity Index(DASI). Conclusion After the treatment according to the theory of SCM, NRS, and DASI score about RAS and pompoholyx was decreased, and the general condition of the patient also has improved.

A Case of Advanced Malignant Pleural Mesothelioma Treatment with Chemotherapy and Photodynamic Therapy

  • Ryu, Jae-Wook;Kim, Youn Seup
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.1
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    • pp.36-40
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    • 2015
  • Malignant pleural mesothelioma (MPM) is an aggressive, treatment-resistant, and generally fatal disease. A 68-year-old male who was diagnosed with MPM at another hospital came to our hospital with dyspnea. We advised him to take combination chemotherapy but he refused to take the treatment. That was because he had already received chemotherapy with supportive care at another hospital but his condition worsened. Thus, we recommended photodynamic therapy (PDT) to deal with the dyspnea and MPM. After PDT, the dyspnea improved and the patient then decided to take the combination chemotherapy. Our patient received chemotherapy using pemetrexed/cisplatin. Afterwards, he received a single PDT treatment and then later took chemotherapy using gemcitabine/cisplatin. The patient showed a survival time of 27 months, which is longer than median survival time in advanced MPM patients. Further research and clinical trials are needed to demonstrate any synergistic effect between the combination chemotherapy and PDT.

A case of Yangdokbalban(陽毒發斑) of Taeumin patient mistreated with Soumin (소음인(少陰人) 오치(誤治)로 병발(倂發)한 태음인(太陰人) 환자(患者)의 양독발반(陽毒發斑)에 대한 증례보고(症例報告))

  • Kim, Jong-Won;Kim, Young-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.2
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    • pp.210-216
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    • 2000
  • The Yangdokbalban(陽毒發斑) of Taeumin(太陰人) is classed as Gansuyoilliyoilbyung(肝受熱裏熱病). This is a kind of dermatitis caused by Ganyoilpaejo(肝熱肺燥) what was risen from disorder of Simyok(心慾). In the treatment, we should temper the Simyok and recover Hosanjigy(呼散之氣) of Lung by Cheongganjoyoil(淸肝燥熱). In this study, it is experienced that Yangdokbalban of Taeumin patient mistreated with Soyangin, got sick by Korean medical treatment, and also it came to improve the psychosomatic disorder(心身症) generally. The patient was 52 years old, female. She entered our hospital for Yangdokbalban, including serious itching, insomnia, chest discomfort, dyspepsia, pantalgia, and she had neutropenia in the blood test. We classified this as Taeumin-liyoiljung(太陰人 裏熱證) and prescribed Galgunhaegitang(葛根解肌湯) and Chungsimyoinjahabopaewontang(淸心蓮子合補肺元湯) in according to the principle of Cheongganjoyoil. In the result, we had the general improvement of Yangdokbalban and psychosomatic disorder.

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Japanese-B Viral Encephalitis with a Biphasic Illness Pattern and Recovery after Intravenous Immunoglobulin Therapy (이상성 경과를 보이고 정맥면역글로불린 치료 후 호전된 일본뇌염)

  • Lee, Byung-Chan;Jeon, Ji Ye;Moon, Hye-Jin;Lim, Jeong Geun;Cho, Yong Won
    • Annals of Clinical Neurophysiology
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    • v.16 no.1
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    • pp.35-38
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    • 2014
  • Japanese-B viral encephalitis (JE) usually has a monophasic illness pattern. A 45-year-old woman in an altered mentality had improved over 1 month. About 1 week after the initial improvement, the patient became comatose with aggravated EEG and MRI findings. Assays of cerebrospinal fluid and serum were positive for the IgM antibody to Japanese-B virus. After intravenous immunoglobulin (IVIG) infusion, the patient recovered. We report a patient with JE who showed a biphasic illness pattern and recovered after IVIG therapy.

Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence

  • Raj, Neerja;Raj, Vineet;Aeran, Himanshu
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.243-247
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    • 2012
  • The velopharynx is a tridimensional muscular valve located between the oral and nasal cavities, consisting of the lateral and posterior pharyngeal walls and the soft palate, and controls the passage of air. Velopharyngeal insufficiency may take place when the velopharyngeal valve is unable to perform its own closing, due to a lack of tissue or lack of proper movement. Treatment options include surgical correction, prosthetic rehabilitation, and speech therapy; though optimal results often require a multidisciplinary approach for the restoration of both anatomical and physiological defect. We report a case of 56 year old male patient presenting with hypernasal speech pattern and velopharyngeal insufficiency secondary to cleft palate which had been surgically corrected 18 years ago. The patient was treated with a combination of speech therapy and palatal lift prosthesis employing interim prostheses in various phases before the insertion of definitive appliance. This phase-wise treatment plan helped to improve patient's compliance and final outcome.

Gastric Cancer with Peritoneal Tuberculosis: Challenges in Diagnosis and Treatment

  • Alshahrani, Amer Saeed;Lee, In Seob
    • Journal of Gastric Cancer
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    • v.16 no.2
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    • pp.111-114
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    • 2016
  • Herein, we report a 39-year-old female patient presenting with gastric cancer and tuberculous peritonitis. The differential diagnosis between advanced gastric cancer with peritoneal carcinomatosis and early gastric cancer with peritoneal tuberculosis (TB), and the treatment of these two diseases, were challenging in this case. Physicians should have a high index of suspicion for peritoneal TB if the patient has a history of this disease, especially in areas with a high incidence of TB, such as South Korea. An early diagnosis is critical for patient management and prognosis. A surgical approach including tissue biopsy or laparoscopic exploration is recommended to confirm the diagnosis.

A CASE OF PALATAL GUNSHOT WOUND OPERATED BY LANGENBECK METHOD (Langenbeck씨 수술법에 의한 구개총상치험례)

  • Yu, Gwang-Hui;Sim, Yeong-Seop;Yong, Ho-Taek
    • The Journal of the Korean dental association
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    • v.13 no.7
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    • pp.629-632
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    • 1975
  • The clinical investigation and operation procedure were described on the gunshot wound which involved on soft, hard palate and nasal cavity. The patient, 19 years old, female, admitted in Han Yang Medical Center with clinical diagnosis of maxillofacial injuries on Nov. 1973. No Significant signs include of airway obstruction, Oro-nasal bleeding were revealed only exception of rupture and perforation on the soft, hard palate. For closure and reduction of destructed palatal wound, operation was done in out patient dental clinic under local anesthesia by means of Langenbeck method. And to control of post-operative inflammation and reactive swelling, administration of accurate antibiotics and physical therapy were performed for 5 days after operation. On the 10th day after administration, patient was discharged with satisfactory result of operation.

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REPORT OF (CASE OF TAURDONTISM (TAURODONTISM의 증예보고)

  • Kim, Gyu-Taek
    • The Journal of the Korean dental association
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    • v.14 no.3
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    • pp.263-267
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    • 1976
  • The author detected rare taurodontisms shown in full mouth standard films of a 21-years-old male patient for the chief complaint of hypersensitivity caused by cervical area to cold and came to the folloeing conclusions through an asthropolpgical and geographic study. 1. Anomaly of this kind was also found ina korean, a mongoloid descent. 2. This study shaw that two cases of hypertaurodont molars and nine cases of hypotaurodont molars were found in one single patient. 3. No particular relationship was found between the occurrence of dental caries and the anomaly of this kind. 4. The genetical study on the case was out of the question because the family of the patient did not offer co-operation.

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