• Title/Summary/Keyword: Pain disorder

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Clinical study on a case of Pain Disorder with MMPI (MMPI를 통해 관찰한 동통장애 환자 증례)

  • Seo, Joo-Hee;Sung, Woo-Yong;Lim, Ho-Jea;Son, Chi-Hyoung;Sul, Jae-Uk;Jang, Ha-Jeong
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.301-308
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    • 2005
  • Pain disorder is the chronic syndrome that onset and change of pain is associated with mood change. But the patient of pain disorder can't perceive their inner conflict. We experienced a 58 year-old woman who had general pain, and whose condition was improved through oriental medical treatment. In this case, we assessed the pain disorder patient at MMPI. So we learned out the patient's inner conflict and dynamic. The applicability of understanding with MMPI has positive effects on the patient with Panic disorder.

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One Case Report of GuQiJakTongJung patient with a Retina rupture (망막파열이 동반된 구기작통증(九氣作痛症) 환자 1례(例) 증례보고)

  • Jang, Ha-Jeong;Kim, Ja-Young;Sung, Woo-Yong;Lim, Ho-Jea;Kim, Ju-Won;Seo, Joo-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.199-207
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    • 2006
  • Pain disorder is a category of somatoform disorder that be diagnosed when the pain is starting and getting worse associated with psychological factors. At the recent study, it revealed that stress might be more strong factor in occurring and sustaining the somatoform disorder. In this case, a 42 years old female patient had a chronic pain disorder 3 years ago, suddenly complained of an eyeball pain due to retina rupture induced by severe stress. In the view of oriental medicine, pain disorder belongs to GuQiJakTongJung. So, we diagnosed her state as GuQiJakTongJung and treated her such as herbal medicine, acupuncture and phlebotomy therapy. In result, the chronic pain of the patient was improved, and also general condition was getting better.

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A Case report of menopausal disorder patient who had back pain treated with Kamisoyosan-gamibang (간울형(肝鬱形)으로 변증된 갱년기 배통(背痛)환자의 가미소요산가미방(加味逍遙散加味方) 치험 1례)

  • Lee, Gui-Hee;Yoo, Dong-Youl
    • Journal of Haehwa Medicine
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    • v.19 no.2
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    • pp.195-199
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    • 2011
  • Purpose: This paper is aim to report the effects of Kamisoyosan-gamibang (加味逍遙散加味方) on the back pain patient who was diagmosed gan-ul(肝鬱) Methods: A Woman, 48 years old, who had back pain, was enrolled in this study. She received herbal medicine for several months. During the treatments, we requested her to visit hospital every two weeks. Results: After the treatments, back pain was decreased. Conclusion: This clinical case indicate that Kamisoyosan-gamibang is effective in treatment of menopausal disorder patient who had back pain. More clinical data and studies are requested for the treatment of menopausal disorder.

Somatoform Disorders of Children and Adolescents (소아 및 청소년의 신체형장애)

  • Kim, Seung-Tai P.
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.277-285
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    • 1996
  • Somatoform disorders do occur among children and adolescents. Among the seven disorders under the grouping of somatoform disorders of DSM-IV, three disorders, namely somatization disorder, pain disorder and conversion disorder are seen relatively more often than one can expect in childhood and adolescence. Pain disorders are more prevalent among children before adolescence, whereas conversion disorder and somatoform disorder are seen more often during adolescence and early adulthood. Diagnoses of somatofram disorders should not be made by the process of exclusion, but based on positive findings that positive evidence that normal functioning is possible and that a positive history of psychosocial stress and or intrapsychic conflict exists. Treatment strategy should be mindful of including collaboration with primary care health professionals and family therapy staff in addition to all the basic treatment modalities essential for the treatment of children and adolescents.

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Nasopharyngeal Cancer with Temporomandibular Disorder and Neurologic Symptom: A Case Report

  • Hong, Jung-Hun;Kwon, Jeong-Seung;Ahn, Hyung-Joon;Kim, Seong-Taek;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.39 no.1
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    • pp.26-28
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    • 2014
  • Nasopharyngeal cancer is malignant tumor of nasopharyngeal area that is characterized of lymphadenopathy, pain, otitis media, hearing loss and cranial nerve palsy and may present symptoms similar to temporomandibular disorder such as facial pain and trismus. In this case, the patient with symptoms similar to temporomandibular disorder after surgery for otitis media presented with facial paresthesia and masticatory muscle weakness. Examinaion of trigemimal nerve was shown sensory and motor abnormaility. The patient was referred to a neurologist. Nasopharyngeal cancer was suspected on computed tomography and magnetic resonance imaging and was confirmed by biopsy. If the patient presenting with paresthesia and muscle weakness the cranial nerve examination should be performed regardless of typical temporomandibular disorder symptom. The neurologic symptom can be caused by neoplasm such as brain tumor and nasopharyngeal cancer. Nasopharyngeal cancer on rosenmuller fossa can develop otitis media. Therefore, the patient with otitis media history should be consulted to otorhinolaryngologist to examin the nasopharyngeal area.

Association between Temporomandibular Disorder and Masticatory Muscle Weakness: A Case report

  • Kim, Ji Hoo;Park, Hyun-Jeong;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.46 no.4
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    • pp.155-160
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    • 2021
  • The masticatory muscle disorder is the most common problem that patients with temporomandibular disorder often complain. For such complaints, treatment is directed towards reducing hyperactivity of muscles or effects of the central nervous system. However, if nonspecific occlusal change or pain persists, it is necessary to consider that muscle weakness might be the cause of the persistence of temporomandibular disorder. Stabilization of occlusion and improvement of the pain symptoms were achieved in both cases through the chewing gum exercise. This exercise may enable masticatory movements done in normal function by using muscle engram and achieve reinforcement of the masticatory muscles with balanced, simultaneous contacts of the teeth. In addition, it may be a viable method for treating temporomandibular disorders that do not respond well to conventional mandibular stabilization therapies.

A Study on Correlation between the Prevalence Rate of Temporomandibular Disorder and Oral Habits (측두하악장애 유병률과 구강관련 악습관과의 연관성에 관한 연구)

  • Kim, Hong-Sik
    • Journal of Technologic Dentistry
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    • v.37 no.4
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    • pp.261-270
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    • 2015
  • Purpose: This study is intended to survey male and female university students to see if there is correlation between temporomandibular disorder and oral habits known to cause temporomandibular disorder. Methods: A survey was conducted to 400 male and female university students attending two universities located in Daegu Metropolitan City and Gyeongsangbuk-do to examine if there is correlation between oral habits and temporomandibular disorder. Among total 400 questionnaire sheets, 334 (83.5%) sheets were used for final analysis except for those unreliably answered or containing error. Results: Female students showed a higher prevalence rate of temporomandibular joint pain than male students, and those having the habit of resting jaw on hand indicated a higher prevalence rate of temporomandibular joint pain, temporomandibular joint clicking, or trismus than normal students not having it. Also, those having the habit of tooth clenching showed a significantly higher prevalence rate of temporomandibular joint pain or temporomandibular joint clicking than normal students not having it. Conclusion: It can be concluded that the habit of resting jaw on hand is closely related with temporomandibular disorder like temporomandibular joint pain, temporomandibular joint clicking, or trismus, and the habit of tooth clenching is significantly correlated with such symptoms as temporomandibular joint pain and temporomandibular joint clicking.

Clinical Features of the Patients with Craniomandibular Disorders (두개하악장애환자의 임상양태에 관한 연구)

  • Myung-Yun Ko;Mi-Eun Kim
    • Journal of Oral Medicine and Pain
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    • v.18 no.2
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    • pp.29-41
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    • 1993
  • A prevalence study was carried out on 847 CMD patients who had visited the Department of Oral Medicine in Pusan National University from 1990 to 1993. To obtain the same type of information, all subjects were interviewed and examined clinically using a standardized examination form, The ratio of women to men was about 3:1 and all subjects were divided into acute and chronic groups on the basis of 6 months of duration. Diagnostic groups consisted of muscle disorder, joint disorder and muscle-joint disorder. As related to gender, duration and diagnosis subjective and objective symptoms in CMD were studied. The obtained results were as follows : 1. Muscle-joint disorder had the highest percent, followed by muscle disorder and joint disorder. 2. The most common reasons for CMD treatment were pain, joint noise and limited opening, while headache and neckache were relatively often reported as associated symptoms and dizziness, ringing in the ears also reported as secondary CNS excitatory effects. 3. Pain was more ofter seen in women, acute group and muscle-related disorder groups (p<0.05, p<0.01). Noise was significantly frequent in chronic group and joint-related groups (p<0.01). 4. Analysis of contributing factors presented that macrotrauma was found frequently in men (p<0.05), and that muscle-related groups were more related to stress than joint disorder grop (p<0.05). 5. Hard end feel was seen significantly often in joint-related disorder group (p<0.05). On the other hand, soft end feel was frequent in muscle disorder. 6. Reciprocal clicks and crepitation increased with chronicity. Subjects with joint-related disorder groups significantly often reported all kinds of noises (p<0.01). 7. Tender muscles and joints were more often reported in women and chronic group. Whereas muscle-related disorder groups revealed significantly more tender muscles (p<0.01). joint-related disorder groups presented significantly more tender joints (p<0.01).

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Analysis of Public and Researcher Interests in Suicide and Related Illnesses, and Acupuncture and Acupressure: Utilizing Google Trends and Major Electronic Database (자살 및 관련 질환과 침치료 및 혈위지압에 대한 대중과 연구자의 관심도 분석: Google Trends와 주요 전자 데이터베이스를 이용하여)

  • Sung-Hyun Kang;Jung-Gyung Lee;Chan-Young Kwon
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.3
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    • pp.235-245
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    • 2023
  • Objectives: The aim of this study was to analyze public and researcher interests in suicide and related illnesses and acupuncture and acupressure treatment using Google Trends and some electronic databases. Methods: Search results for keywords "suicide," "acupuncture," "acupressure," and several illnesses related to suicide were analyzed in Google Trends from January 2004 to June 2023. Illnesses included anxiety, depression (including major depressive disorder), schizophrenia, bipolar disorder, post- traumatic stress disorder (PTSD), eating disorder (including anorexia nervosa and bulimia nervosa), substance use disorder, autism spectrum disorder, personality disorder (including borderline person- ality disorder), and chronic pain. Search results were extracted using relative search volume (RSV) scores between 0 and 100. Search terms were also searched in online databases, including PubMed, CNKI, and OASIS, to estimate the number of related studies, and descriptive analysis was conducted. Results: Google Trends analysis showed a strong positive correlation between the RSVs of "suicide and depression," "acupuncture and chronic pain," and "acupressure and PTSD." The electronic database search results produced numerous studies published on "suicide and depression," "acupuncture and depression," and "acupressure and anxiety." High interest in "suicide and depression," "acupuncture and chronic pain," and "acupressure and anxiety" was seen among the public and researchers. Interest in "suicide and chronic pain," "acupuncture and eating disorder," and "acupressure and PTSD" was higher in the public than among researchers, while "anxiety and suicide" and "anxiety and acu- puncture" showed opposite trends. Conclusions: The results of this research enable an understanding of public and researcher interest in suicide, acupuncture, acupressure, and suicide-related illnesses. The results also provide a basis for fu- ture research and examining public health implications in Korean medicine.

The Study on Chronic Pelvic Pain in Orietal and Occidental Medicine (만성골반통의 동서의학적 고찰(부인과 질환으로 중심으로))

  • Kim, Soon-Youl;Yoon, Jong-Won
    • The Journal of Dong Guk Oriental Medicine
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    • v.5
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    • pp.15-31
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    • 1996
  • The purpose of this study was to generalize the conception of chronic pelvic pain(CPP)through the literature of oriental medicine and occidental medicine. The results are obtained as follows. First, chronic pelvic pain(pain of more than 6 months duration) may include pain of gynecologic, gastroenterologic, urologic, neurologic, and musculoskeletal origin. In this study, the etiology of chronic pelvic pain may remain obscure and the relationship between certain types of pathology, such as endometriosis or adhesions, and the pain response may be inconsistent and often inexplicable. Second, the causes of CPP through the literature of oriental medicine were reviewed as pains due to a wind-pathogen, a cold, disorder of Qi, disorder of blood stasis, a improper diet, disorder of fluid, and deficiency type etc... And the charateristic pains were concerned with a aching pain, a heavy pain, a distending pain. a pain due to mass in the abdoman, a pain likes pulling etc... The degree and classification of charateristic pains in current of time were dependent on subjective factors. Third. in oriental medicine, it wasn't to be suggested concretely recognition of etiological factor in pain. But they recognised that facters were influenced by pain. For example, diretic peripheral demages were concerned with a blood stasis, a phlegm, a damp phlegm, heart, and the pains that were occurrenced by sevn emotions were concerned with a stagnancy of Qi or a stagnancy of liver-Qi.

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