• 제목/요약/키워드: Qi Deficiency

검색결과 396건 처리시간 0.02초

이상지질혈증과 치료제 연구개발 경향 (Drug research and development tend to hyperlipidemia)

  • 설인찬
    • 혜화의학회지
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    • 제18권2호
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    • pp.1-12
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    • 2009
  • Most of the cholesterol is synthesized by liver in the body while about one of third is taken via dietary. The main functions of cholesterol is to protect membranes in cell surface, avoid the arterial bleeding by hypertension, and prolong the life of erythrocytes, and so on. However, overload of cholesterol leads to arteriosclerosis associated with leading death cause. Lack of physical activity, emotional and environmental stress, and low intake of protein or vitamin E induce the unbalance between HDL- and LDL-cholesterol so become a basis of ischemic disorders in heart, brain and elsewhere in the body. So far, four major classes of medications for hyperlipidemia are HMG-CoA reductase inhibitors (statins), bile acid sequestrants, nicotinic acid, and fibric acids. The statins can lower LDL and levels triglyceride, but may induce myopathy and an elevation of liver enzyme levels. The bile acid sequestrants lower LDL levels and raise HDL levels with no effect on triglyceride levels but side effects of gastrointestinal (GI) distress, constipation, and a decrease in the absorption of other drugs. Nicotinic acid and fibric acids lower LDL and triglyceride levels with showing flushing, hyperglycemia, hyperuricemia, GI distress, and hepatotoxicity dyspepsia, gallstones, myopathy, and unexplained noncardiac death as adverse effects. Above western drugs lower cholesterol by 15 to 30% while all have notable adverse effects. In traditional medicine, hyperlipidemia is regarded as retention of phlegm and fluid disease. Etiology and pathogenesis of hyperlipidemia is basically based on Spleen-Deficiency and Phlegm-Stagnation, accumulation and stasis of -heat, and Qi & blood stagnation induced by Phlegm-damp, water-dampness, and blood stasis. Thereby, strengthening Spleen and dissolving Phlegm, clearing away heat and diuresis, and supplementing Qi and activating blood circulation are commonly used therapeutic methods for hyperlipidemia. The traditional herbal medicine, have been used for patients with CVA, hypertension or hyperlipidemia in Oriental hospital or Oriental clinic. The lock and key theory is used to develop most of western medicine, however many diseases are caused by mixed factors in body-complex system. We expect that Oriental pharmacological theory could be newborn as a novel drug showing high advantage of blood levels of lipidsand QOL of performance without side effects.

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이진탕가미방(二陳湯加味方)을 투여한 불응성 위식도역류질환의 증례군 연구 (Case Series of Refractory Gastroesophageal Reflux Disease Treated with Lijin-tang-gamibang)

  • 하나연;한가진;김대준;고석재;박재우;김진성
    • 대한한방내과학회지
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    • 제38권6호
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    • pp.1085-1095
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    • 2017
  • Objectives: The purpose of this study was to investigate the efficacy of Lijin-tang-gamibang on refractory gastroesophageal reflux disease (GERD). Methods: This before-and-after study compared the first medical examination and examination at the end of medical treatment. Twelve refractory GERD patients who visited the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital from August 14th, 2017 to October 14th, 2017, were treated with Lijin-tang-gamibang for four consecutive weeks. The clinical characteristics of refractory GERD and the efficacy of herbal medical treatment was assessed by questionnaires, the Nepean Dyspepsia Index-Korean version (NDI-K), the Korean Gastrointestinal Symptom Rating Scale (KGSRS), the Numerical Rating Scale (NRS), the Korean version of the Perceived Stress Scale (KPSS-10), the Qi Stagnation Questionnaire (QSQ), the Spleen Qi Deficiency Questionnaire (SQDQ), and the Patient Global Impression of Change (PGIC). Prolonged effects were reported upon the follow-up telephone survey two weeks after treatment. Results: After treatment with the herbal medicine Lijin-tang-gamibang, the clinical characteristics of 12 refractory GERD patients were improved, especially in terms of the most common symptoms of acid regurgitation and heartburn. Each symptom score of NDI-K, KGSRS, NRS, SQDQ, and PGIC showed significant advances. Prolonged effects were reported in NDI-K, NRS and PGIC questionnaires two weeks after treatment. Conclusions: These results suggest that Lijin-tang-gamibang is an effective treatment for refractory GERD.

'울(鬱)' 개념에 대한 역대의가들의 인식에 대한 고찰 - 장자화(張子和)의 논의를 중심으로 (A Study on the Concept of Ul(鬱) in Medical History - Focused on the theory submitted by Zhang-Zihe(張子和))

  • 은석민
    • 대한한의학원전학회지
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    • 제24권1호
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    • pp.73-84
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    • 2011
  • In the pathological theory of Oriental medicine, the concept of Ul(鬱) largely comprises the two meanings as follows. One is the concept used as the meaning of pathological state originated from stasis in Qi-Xie(氣血) or the function of internal organs. The other is the concept used as the meaning of Ul-disease(鬱病), which is a group of symptom that is mostly characterized by stasis in function of Qi system. The concept of Ul in the medical classics was originated from "Neijing(內經)", and in this book it was depicted as five-Ul(五鬱). Since the concept of Ul was depicted in "Neijing", many relevant theory about it had been developed on the basis of the theory in "Neijing", and in the theoretical development like this, the concept of Ul had become a little bit complicated. With regard to the historical change like this, this study is going to focus on some argument in Ming(明) dynasty, which asserted the existence of deficiency[虛證] in Ul that had opposed the general thought of that time usually recognizing the concept of Ul as [實證]. In this point of view, this study regards Zhang-zihe(張子和) as a doctor who had made an important role in the theoretical development of Ul after "Neijing", and will newly analyze the theoretical development of Ul on the basis of the Zhang-zihe's Ul theory, which is seemed to have played the main role in the formation of concept of Ul as excessive state[實證].

요로결석(尿路結石) 연구동향(硏究動向)에 대한 분석(分析) - 난치(難治)와 재발(再發)의 판증(辦證)을 중심으로 - (The analysis about the course of studying renal stones -On the basis of incurable and relapse renal stones' differentiation of symptoms and signs-)

  • 이정원;김철중;조충식
    • 혜화의학회지
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    • 제14권2호
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    • pp.143-151
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    • 2005
  • Gobjectives and Methods to investigate into the course of incurable and relapse renal stones' differentiation of symptoms and signs and to effectively improve treatment of incurable and relapse renal stones through Oriental Medicine. To search for the papers about treatment of incurable and relapse renal stones from 1994 till 2004, and re-search papers about treatment for indicated differentiation of disease. Result and conclusions : 1. It is the kidney vacuity additionally the deficiency of qi(氣) in middle-burner that the incurable and relapse renal stones' differentiation of disease. 2. The cause is taking an overdose of attacking renal stones to eliminate dampness and heat medicine, aging, chrome disease. a sex act excess, insufficiency of congenital qi(氣), insufficient exercise, wrong treatment and stress. 3. Herb medicines are constituted supplementing kidney drugs for inhibition of renal stone's creation, drugs to diuresis and dissolve calculi, and drugs 10 exclude stasis blood(瘀血) on account of renal stones. 4. Anti-renal stone measures me sufficiently drinking water, not eating greasy food. taking medicine for supplementing kidney, diuresis and dissolve calculi by periods, and drinking substitute water to boll down medical herb as Lysimachiae Herba (金錢草) Polygoni Avicularis Herba(篇蓄).

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설진(舌診)의 진단적 의의에 대한 문헌고찰 (A Literature Review on Diagnostic Importance of Tongue Diagnosis)

  • 신윤진;김윤범;남혜정;김규석;차재훈
    • 한방안이비인후피부과학회지
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    • 제20권3호
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    • pp.118-126
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    • 2007
  • Tongue diagnosis is a profound and special part of the whole Oriental Medicine. We examined the method, the principle and the meaning of tongue diagnosis according to a literature cited, considered a meaning of tongue diagnosis. As a result, we come to a conclusion like that. 1. Tongue is related with internal organs by meridian system, especially has a direct connection with heart and spleen. 2. The heart, a master of internal organs, has its specific opening in the tongue. The spleen, source of nutrients for growth and development, has its specific body opening in the mouth. So tongue reflects states of internal organs, Qi, blood, the constructive energy and the defensive energy. 3. When doing tongue diagnosis, we must pay attention to the position and the order of inspection of the tongue. We must diagnose by referring to a ray of light, diet, season, age, physical constitution, habit and taste, can make a accurate diagnosis. 4. We can classify constitutions, distinguish syndromes, suppose prognosis, make a prescription by using tongue diagnosis. 5. Reddened tip of the tongue represents flaring-up of the heart fire, and it means psychologic stress. Dental identations on the tongue edges represents deficiency of Qi of the spleen, and it means physiologic fatigue. 6. Through observing humidity of fur of the tongue, we can guess psychologic stress and physiologic fatigue. Through observing thickness of fur of the tongue, we can guess function of spleen and stomach.

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자음건비탕 가지각ㆍ천마가 뇌허혈동물의 뇌혈유력학 변동 개선에 미치는 작용기전 (Mechanism of Jaeumgenby-tang adding Aurantii FructusㆍGastrodae Rhizoma on the Improvement against Changes of Cerebral Hemodynamics in Cerebral Ischemia Rats)

  • 정현우
    • 동의생리병리학회지
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    • 제17권5호
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    • pp.1194-1201
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    • 2003
  • Jaeumgenby-tang(JGT) have been used in oriental medicine for many centries as a therapeutic agent of vertigo caused by deficiency of qi(氣) and blood(血). Effect of Aurantii Fructus(AF) take off the phlegm by promoting the circulation of qi, Gastrodae Rhizoma(GR) has effects treating for headarch, vertigo by calming the liver and suppressing hyperactivity of the liver-yang (陽). I investigated whether injection of JGT adding AFㆍGR extract(JTG) affects cerebral hemodynamics [regional cerebral blood f1ow(rCBF), pial arterial diameter(PAD) in cerebral ischemia rats by MCA occlusion method, and I designed to make manifest whether JTG is mediated by adrenergic β-receptor, cyclooxygenase or guanylate cyclase. The changes of rCBF was determinated by laser-doppler flowmetry(LDF), and the changes of PAD was determinated by video microscope and width analyzer. The results were as follows in cerebral ischemic rats; The changes of rCBF and PAD were increased stabilizly by treatment with JTG(10 ㎎/kg, i.v.) during the period of cerebral reperfusion, and pretreatment with propranolol and indomethacin were increased JTG induced increase of rCBF and PAD during the period of cerebral reperfusion. Pretreatment methylene blue was decreased JTG induced increase of rCBF and PAD during the period of cerebral reperfusion. In conclusion, JTG causes a diverse response of rCBF and PAD, and action of JTG is mediated by adrenergic β-receptor and cyclooxygenase. I suggest that JTG has an anti-ischemic effect through the improvement of crebral hemodynamics.

동의보감(東醫寶鑑)에 나타난 경계(驚悸) 정충(怔忡)에 관한 고찰 (A Study on KeongKe(驚悸) and Cheongchung(怔忡) in Donguibogam(東醫寶鑑))

  • 이효경;김태헌;류영수;강형원
    • 동의신경정신과학회지
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    • 제20권1호
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    • pp.215-233
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    • 2009
  • Objectives : The aim of this study was to help treatment of Anxiety disorder patients through the study on Keongke(驚悸) and Cheongchung(怔忡) in "Donguibogam" Methods : Author searched the contents of Keongke(驚悸) and Cheongchung(怔忡) in "Donguibogam" and classfied them by concept, pathogenesis and treatment. Results : 1. Concepts of Keongke(驚悸) and Cheongchung(怔忡) are to leap up, be nervous and fear something. Keongke(驚悸) and Cheongchung(怔忡) are same kinds of disease but they are only distinguished as their seriousness. 2. There are four main causes of Keongke(驚悸) and Cheongchung(怔忡) such as phlegm and fluid retention(痰飮), insufficiency of the heart(心虛), being blocked of qi(氣鬱) and Hwa(火). Additionally the diseases are caused by astonishment(驚) excessive thought(思慮過度), insufficiency of the liver(肝虛), excessive perspiration and dirarrhea (汗,下過多) insufficiency of qi(氣鬱) 3. the number of herbal medicines which treat Keongke(驚悸) and Cheongchung(怔忡) are 68. In result of analyzing them, the number of herbal medicines to treat phlegm(痰) are 22 and the number of herbal medicines to treat deficiency of the heart blood(血心虛) are 18. 4. The number of herbs which treat Keongke(驚悸) and Cheongchung(怔忡) are 25. They stabilize Hon-Baek(魂魄), spirit(精神) and mind(心神), supplement the heart blood, and treat Damhwa(淡火) and Hwa(火). Poria(茯神) take a rule of leading to the causes of Keongke(驚悸) and Cheongchung(怔忡).

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『황제내경(黃帝內經)』의 희(噫)에 대한 고찰 (A Study on the Meaning of 'Yi(噫)' in 『Huangdineijing』)

  • 윤기령;백유상;장우창;정창현
    • 대한한의학원전학회지
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    • 제33권2호
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    • pp.77-90
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    • 2020
  • Objectives : To determine the meaning of 'yi(噫)' from verses containing the character in 『Huangdineijing』. Methods : First, examples of the usage of 'yi(噫)' in Huangdineijing were collected and analyzed, followed by examples from the other books of the time when 『Huangdineijing』 was written. Finally the term 'ai' which surfaced in a later period than Huangdineijing to refer to eructation was examined. Results & Conclusions : Based on analysis of the usage of 'yi(噫)' in the 『Huangdineijing』, out of a total of 20 cases, 14 cases could be categorized as referring to eructation, 4 cases were difficult to categorize as eructation, and 2 cases were indeterminable. At the time of publication of 『Huangdineijing』, the character 'yi(噫)' was generally used to refer to eructation when used in a medical context, while in non-medical contexts it referred to sigh, or groan. The appearance of 'ai(噯)' is predicted to be during the Song period, but its appearance did not take away the meaning of eructation from 'yi(噫)' and both were used. Based on the change of meaning of 'yi(噫)', we can determine the approximate time when certain contents of the 『Huangdineijing』 were constructed. In the case of '心爲噫[Heart makes 'yi(噫)']', we can understand it as the pectoral qi leaking through the throat manifesting as a sigh in order to relieve stagnation of the excessiveness of the Heart. In cases of deficiency, when the Stomach function is weak, the body is likely to let out a sigh. The term meaning sighing which is 'taixi(大息)' was understood as symptomatic of problems of the Gallbladder as well as the Heart.

구취 환자의 특성 및 관련 인자에 대한 연구 (Studies on Characteristics and Related Factors in Halitosis Patients)

  • 윤상협;류봉하;류기원;김진성
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.252-259
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    • 2004
  • Objectives : Halitosis is a common human condition, exact pathophysiological mechanisms of which are unclear. This study, which investigates halitosis patients' characteristics and their related factors, was done with intent to establish a foundation for the Oriental Medical treatment of halitosis. Methods : 329 patients were surveyed by reviewing medical charts and questionnaires from the East-West Halitosis Clinic of Kyunghee Medical Center from May 1, 2001 to December 31, 2002. Sex, age, illness duration, coating on the tongue, postnasal drip, globus pharyngeus, indigestion, condition of feces, halimeter measurements and results of the salivary scans were analyzed. Results : The thick and yellowish coating on the tongue was not a major cause of halitosis in the patients studied. Among the halitosis patients, 21.6% complained of postnasal drip, 15.6% of globus pharyngeus, 37.4% of indigestion, and 23.8% of diarrhea or constipation, suggesting the possibility of extra-oral origin in oral malodor. Conclusions : This study suggests that, when treating halitosis patients, intra-oral causes of halitosis aside, Oriental Medical treatments such as solving qi-stasis(氣鬱), augmenting deficiency of the spleen qi(碑氣虛) and treating gastric fever(胃熱) constitute effective management for oral malodor patients.

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자음건비탕가지각ㆍ천마가 뇌혈류역학 변동에 미치는 작용기전 (Mechanism of Jaeumgenby-tang adding Aurantii FructusㆍGastrodae Rhizoma on the Improvement and Changes of Cerebral Hemodynamics)

  • 임광모;박철훈;정현우
    • 동의생리병리학회지
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    • 제17권2호
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    • pp.416-422
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    • 2003
  • Jaeumgenby-tang(JGT) have been used in oriental medicine for many centuries as a therapeutic agent of vertigo caused by deficiency of qi(氣) and blood(血). Effect of Aurantii Fructus(AF) take off the phlegm by promoting the circulation of qi, Gastrodae Rhizoma(GR) has effects treating for headache, vertigo by calming the liver and suppressing hyperactivity of the liver-yang(陽). And, We reported that JGT adding AFㆍGR extract(JGTAG) was significantly increased regional cerebral blood f1ow(rCBF) by dilating pial arterial diameter(PAD). Therefor we designed to investigate whether JGTAG is mediated by adrenergic β-receptor, cyclooxygenase or guanylate cyclase in normal rats. The changes of rCBF and mean arterial blood pressure(MABP) were determinated by laser-doppler flowmetry(LDF), and the change of PAD was determinated by video microscope and width analyzer. The results were as follows in normal rats; Pretreatment with propranolol(1mg/kg, i.v.) was significantly inhibited JGTAG induced increase of rCBF, PAD and MABP, and pretreatment with indomethacin(1 mg/kg, i.v.) was significantly inhibited too. But pretreatment with methylene blue(10μg/kg, i.v.) were accelerated JGTAG induced increase of rCBF and MABP, but pretreatment with methylene blue was inhibited JGTAG induced increase of PAD. This results suggest that the mechanism of JGTAG is mediated by adrenergic β-receptor and cyclooxygenase.