• 제목/요약/키워드: Qi regurgitation

검색결과 4건 처리시간 0.023초

서울 중랑구 소재 어린이집 소아의 아토피 피부염 이환 여부에 따른 기혈수(氣血水) 변증(辨證) 유형 관찰 (Correlation Study between Atopic dermatitis and Comprehensive diagnosis of Qi Blood Water in Seoul Jungnang-gu nursery school children)

  • 신윤진;김규석;김윤범
    • 한방안이비인후피부과학회지
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    • 제22권2호
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    • pp.176-185
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    • 2009
  • Objective: The aim of this study was to investigate the correlation between atopic dermatitis and a comprehensive diagnosis of Qi Blood Water in children with or without atopic dermatitis. Methods: We surveyed 206 children in Seoul Jungnang-gu nursery by reviewing the questionnaires following a medical examination. Comprehensive diagnosis of Qi Blood Water was investigated by questionnaires and composition scores and total scores were calculated from the symptom scores. Atopic dermatitis was diagnosed by ophthalmo.otolaryngo.dermatologist and atopic dermatitis symptom was measured by a Visual analogue scale(VAS). Comparisons between the atopic and non-atopic groups were made based on the atopic dermatitis symptom scale, composition scores and total scores. Results : 1. Of the 206 patients, 153(74.27%) were included in the non-atopic group, while 53(25.73%) were included in the atopic group. There was no difference in average age between the two groups. 2. The atopic dermatitis symptom scale of atopic group(3.21$\pm$2.018) was significantly higher than that of non-atopic group(0.04$\pm$0.28). 3. Qi deficiency, Qi stagnation, Blood stasis and Water congestion scores and the total scores of the atopic group were higher than those of the non-atopic group, but it was not significant. 4. The Qi regurgitation and Blood deficiency scores of atopic group were significantly higher than those of the non-atopic group. 5. There was a highly significant correlation between the atopic dermatitis symptom scale and Qi regurgitation scores, and between the atopic dermatitis symptom scale and Blood deficiency scores. Conclusion : Atopic dermatitis seems to have a special feature reflecting the state of comprehensive diagnosis of Qi regurgitation and Blood deficiency in children.

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식도염(食道炎)에 대(對)한 동서의학적(東西醫學的) 고찰(考察) (The study on oriental and western medicine of esophagitis)

  • 최창우;손창규;조종관
    • 혜화의학회지
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    • 제10권2호
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    • pp.91-96
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    • 2002
  • We arrived at the following conclusions after we have studied esophagitis through the literatures of oriental and western medicine. 1. The western medical causes of acute esophagitis are corrosiveness chemical material, esophageal or gastric disease, trauma, blister stomatitis, filamentous fungus infection and uremia of chronic patient etc, and the oriental medical causes are qi and blood stagnation, blood stasis and stagnation, stagnant phlegm by coldness, heating, dyspepsia and food poisoning etc. 2. The western medical causes of chronic esophagitis are malfunction of lower esophageal sphincter, esophageal tom chink and hernia, increase of gastric pressure by overeating, fatness, pregnancy and ascites etc, and the oriental medical causes are asthenic cardiac qi, hepatic qi attacking stomach by seven kinds of depression, cold-damp stagnation and insufficiency of gastric qi by overeating, excessive drinking and sexual indulgence etc. 3. The main symptoms of acute esophagitis are severe chest pain, instantly vomiting, swallowing pain etc, and chronic esophagitis are occasionally light chest pain, heart bum, anorexia, dysphagia, dizziness, general body weakness etc. These symptoms are come under thoracic obstruction, acid regurgitation, vomiting and chest pain of oriental medicine. 4. The western medical diagnoses of acute and chronic esophagitis have used radiation test, esophageal endoscopy, esophageal pressure test and biopsy etc, and the oriental medical diagnoses have used syndrome differentiation by four examination of inspection, listening and smelling examination, inquiring, pulse-taking and palpitation. 5. The western medical treatments of acute esophagitis have regarded preservation stability of esophagus as a principle, and the oriental medical treatments mainly have used expelling pathogen of expelling cold and regulating qi, cooling and removing stasis, promoting blood circulation to remove blood stasis, eliminating phlegm and regulating qi. 6. The western medical treatments of chronic esophagitis have regarded decrease flowing backward of gastric juice as a purpose, and the oriental medical treatments mainly have used strengthening body resistance of replenishing and strengthening cardioqi, dispersing stagnated hepatoqi, expelling cold and dehygrosis, invigorating stomach and nourishing qi.

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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.

기능성 소화불량 환자의 한방치료 전후의 주관적 평가지표와 Electrogastrography Parameters를 이용한 객관적 지표의 변화 관찰 (Clinical Observation of Changes in Subjective Evaluation Index and Electrogastrography Parameters of Patients with Functional Dyspepsia before and after Oriental Medical Interventions)

  • 한가진;김진성;류봉하
    • 대한한방내과학회지
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    • 제32권4호
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    • pp.584-598
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    • 2011
  • Objectives : Functional dyspepsia is a type of disease characterized by bothersome postprandial fullness, early satiation, epigastric pain and burning without structural gastrointestinal disease. The aim of this study was to analyze the characteristics of functional dyspepsia patients and evaluate changes in symptoms, quality of life, and electrogastrography parameters before and after oriental medical interventions. Methods : We recruited forty-six functional dyspepsia patients who visited gastroenterology clinic in the oriental medicine hospital of Kyung Hee University between November 2009 and February 2011. Patients were assessed for their frequency of dyspepsia (based on short form-Leeds Dyspepsia Questionnaire: SF-LDQ), quality of life (based on functional dyspepsia-related quality of life questionnaire: FD-QoL), gastric motility (based on electrogastrography: EGG) on the first visit. Then, the effect of oriental medical interventions was evaluated using EGG on the second visit. Results : The majority of patients had symptoms of nausea and indigestion. The largest decrease in EGG parameters was found in the indigestion group. The frequency of regurgitation and postprandial EGG power % bradygastria showed a significant correlation. Also, significant correlations were found between some items of FD-QoL and some EGG parameters. Compared to the EGG parameters before oriental medical interventions, some parameters after treatment had positive results, implying the improvement of gastric motility disorder. We also found improvement of EGG parameters in both digestant medicinal group and digestant combined with qi-tonifying medicinal group. Conclusions : The results of this study suggest that clinical application of EGG can be an objective diagnostic tool in functional dyspepsia patients visiting oriental medical hospital.