• 대한상한금궤의학회지
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• 제5권1호
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• pp.101-111
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• 2013

Objective : The purpose of this study is to find out the proper dosage of Ma-huang for clinical use of Shanghanlun(傷寒論) Methods : To achive the purpose of this study, web-databases(pubmed, naver, google) were searched with the keywords including 'dose of Ma-huang Ephedra Ephedrine','dosage of Ma-huang Ephedra Ephedrine', and 'water extract of Ma-huang Ephedra'. The searched 30 papers and articles were reviewed. Results & Conclusions : 1. Proper dosage of Ma-huang 1) Adult: up to 9-12g/day 2) Adolescent: up to 6g/day 3) Hypertension disorder patient: up to 6g/day 4) lactating women: up to 6g/day 5) child: <2 years 0.7-2.5g/day, $${\geq_-}2$$ years 2.6-6g/day (Different from body weight) Although administration of Ma-huang to hypertension disorder patient, lactating women, child is safe on the paper, It is not recommended to these people because Ma-huang is one of toxic herbs. 2. Dosage form of Ma-huang There's no safety paper about pill or powdered Ma-huang(麻黃). There's not pill or powdered prescription of Ma-hunag in Shanghanlun(傷寒論), either. So it is recommended to administrate water exetract of Ma-huang.

• 대한상한금궤의학회지
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• 제5권1호
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• pp.61-73
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• 2013

Objective : The purpose of this report is to submit a case study on a patient of developmental disabilities with ADHD by taking "Sihogayonggolmoryeo-tang". Methods : We gave herbal medicine to a patient and observe the progress as the way of Cornners Abbreviated Rating Scale(CARS), ADHD Rating Scale (K-ARS), The ADD-H Comprehensive Teacher's Rating Scale(ACTeRS), Child Attention Problem(CAP), IOWA Conners Rating Scale, Conners Teacher Rating Scale(CTRS), Conners Parents Rating Scale (CPRS), Home Situation Questionnaire(HSQ), School Situation Questionnaire(SSQ). Results : The total score of CARS, ACTeRS and other scales were decreased by taking herbal medicine, and especially hyperactive scores were significantly decreased. Conclusions : Patient's symptom was significantly improved by using "diagnostic system based on Shanghanlun six meridian patterns and provisions" and analyzing patient's psychological and physical conditions.

• 대한상한금궤의학회지
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• 제11권1호
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• pp.1-9
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• 2019

Objective : The purpose of this study was to analyze the origin of Meretrix. Method : Bibliographies about Meretrix were examined focusing on the origin. Based on this analysis, the list and characteristics of the origin-mineral were presented. Results : Based on the Meretrix, the Korean and foreign literature were investigated to make a list, and the process of changing the origin was organized in chronological order. Based on these results, the shape of the currently cultivated or distributed drugs, the status of the distributed drugs and the status of the distributed products were summarized. In addition, the results of summarizing the adverse effects and sensitivities of the efficacy and prestige are as follows: 1. The origin of the Meretrix corresponded to the fall of the mollusks Merethrix metrix L. and Cyclina sinensis Gmelin, which are mollusks belonging to the reference family Veneridae. Their Herbal name is CONCHA CYCLINAE SEU MERETRICIS and they have therapeutic effects on cough, asthma, thirsty and chest heavies. 2. Munhap (文蛤) is a different name of GALLA CHINENSIS. It has therapeutic effects on various skin diseases. Conclusions : The Meretrix means two herbs. The first one is CONCHA CYCLINAE SEU MERETRICIS, the other is GALLA CHINENSIS. They should be used separately according to their clinical use.

• 대한상한금궤의학회지
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• 제11권1호
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• pp.11-26
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• 2019

Objective: The purpose of this study was to report the improvement of two children with attention deficit hyperactivity disorder (ADHD) following herbal treatment according to the provision of Shanghanlun. Methods: We diagnosed patients on methylphenidate for ADHD as no. 26 provision in Taeyangbyung, and analyzed the improvement from the medical records, teachers' statements, The Korean Version of Inattentive/overactive with Aggression-Conners Rating Scale(K-IOWA CRS). Results: We found a change in the symptom after Baekhogainsam-tang administration. In the first case, the K-IOWA-CRS score changed from 12 to 8 during the previous 70 days of treatment, however, surged to 21 without Baekhogainsam-tang treatment. The score stabilized to 8 after 49 days later. In the second case, the score changed from 9 to 3 following Baekhogainsam-tang treatment. Conclusions: These cases show behavioral improvements with Baekhogainsam-tang treatment in ADHD children, who were diagnosed with no. 26 provision according to Shanghanlun.

• 대한한의학원전학회지
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• 제21권2호
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• pp.87-99
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• 2008

From pathological view, Gwoleumbyeong(厥陰病) may be explained as extreme reduction of Gwoleumgyeonggi(厥陰經氣) due to immoderate Wihan(胃寒). Also, concerning regions of human body, Gwoleumbyeong has close relation to lower abdomen and genital, which are the origins of Gwoleum meridian[厥陰經]. Therefore, it is appropriate that the nature of Gwoleumbyeong be described as Hangeukyangul(寒極陽鬱), rather than Sangyeolhahan(上熱下寒), Hanyeolchakjap(寒熱錯雜). Sangyeolhahan, Hanyeolchakjap does not represent Gwoleumbyeong to the full extent, in a sense that the term views Hanyeol(寒熱) as two equal rank, whereas pathogenesis of Gwoleumbyeong depends on the sole extremity of Wihan(胃寒). The reason that the nature of sanghallon(傷寒論) be regarded as Sangyeolhahan, Hanyeolchakjap has been lying on the presupposition that whole symptoms of Hangwol (寒厥), Yeolgwol(熱厥), diarrhea[下利], vomiting[嘔吐] and hiccup, from "Gwoleumpyeon(厥陰篇)",may be categorized into Gwoleumbyeong. However, the symptoms described above do not show Gihwa(氣化) characteristic of Gwoleum(厥陰) and follow the regional distribution of Gwoleumbyeong, from which it can be pointed that those symptoms have no relation with Gwoleumbyeong. Ever since the theory of Yukgigihwa(六氣氣化) was used to comprehend and interpret "Sanghallon", Gwoleumbyeong has been thought as equivalence of Gwol(厥), which led to misunderstanding of Sangyeolhahan, Hanyeolchakjap. However, Gwoleumbyeong from "Sanghallon" has been argued in specific, through the historical practice of Sanghan(傷寒) as pathogen, particular state of meridian and correlation of meridian and Byeongjeung(病證).

• 대한상한금궤의학회지
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• 제10권1호
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• pp.115-124
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• 2018

Objective : The purpose of this paper is to report the improvements of a patient who has suffered from aftereffects following stroke such as dysgraphia and articulation disorder, which is treated by herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient was diagnosed as Taeyang-byung Gyeolhyung and number 138 provision, and was administered Sohamhyung-tang for 90 days. We recorded the progress of improvements based on the patient's statement and documented the patient's writing Results : The patient can write the letters such as U, 2, ㄹ,ㅇ more clearly and become confident on both writing and speaking. Conclusions : This case shows the effects of Sohamhyung-tang on aftereffects following stroke such as dysgraphia and articulation disorder. It was induced according to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' so that it suggest a potential interpretation, which is different with it of the text books Herbal Formula Science and Sanghallonjeonghae, on the provision no. 138. Also the usage of Sohamhyung-tang in this case may support the way far from the diagnosis of oriental neurological medicine, which explain the pathology of stroke as fire-heat(火熱), dampness-phlegm(濕痰), static blood(瘀血) and dual deficiency of qi and blood(氣血兩虛).

• 대한상한금궤의학회지
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• 제12권1호
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• pp.61-70
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• 2020

Objective: The aim of this study was to analyze the origin and characteristics of Allii Macrostemi Bulbus. Methods: Bibliographies on Allii Macrostemi Bulbus that focused on the origin of the material were examined. Based on this analysis, an inventory was prepared and the characteristics of the original material are presented. Results: Korean and foreign literature were reviewed to prepare an inventory, and Based on these results, the state of plants either currently cultivated or distributed as medicines, , and are summarized. 1. The origin of Allii Macrostemi Bulbusis the scaly stem of Allii macrozoon Bunge or Allii bakeri Regel. 2. The current white water mark in circulation is the scaly stem of the sandalae Allii macromoleon Bunge. 3. Scilla sinensis(Lour.) Merr. is. 4. The properties of Scilla sinensis(Lour.) Merr. are cool and bitter, healing the forests, mowing the ointment, stopping the oxen, and curing the absence of distractions and stuffy symptoms and removal of the placenta after childbirth. Conclusions: The origin of Allii Macrostemi Bulbusis the scaly stem of Allii macrozoon Bunge or Allii bakeri Regel.

• 대한상한금궤의학회지
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• 제13권1호
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• pp.1-19
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• 2021

Purpose : Sayeok-tang (Sini decoction, SND) is a cold-dispelling formula used for cold deficiency syndrome and is composed of Aconiti Lateralis Radix Preperata, Zingiberis Rhizoma, and Glycyrrhizae Radix et Rhizoma. It is used for diseases such as myocardial infarction, heart failure, acute and chronic gastroenteritis, and gastric effusion. This study proposes the possibility of expansion of basic research and clinical applications for ischemic heart disease (IHD) through systematic analysis of domestic and foreign studies on SND. Methods : We collected studies within the last 10 years on the use of SND in IHD and excluded those lacking relevance. Selected studies were classified by research method and the main themes of the studies were analyzed for each classification. Result: Out of 15 studies, there were 5 animal studies, 8 metabolite analyses in animals, 1 in vitro study, and 1 systematic review. Our review suggests that SND may be used as an adjuvant to nitroglycerin and percutaneous transluminal coronary angioplasty, and may improve symptoms and quality of life of patients with IHD. Myocardial protective effects through antioxidant, anti-inflammatory, anti-apoptotic, and anti-hypertensive actions were confirmed through these studies. Effects on carbohydrate, protein, and lipid metabolism were also reported. Conclusions : This study suggests that SND has potential as a treatment for IHD.

• 대한상한금궤의학회지
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• 제12권1호
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• pp.23-48
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• 2020

Objectives : This study aimed to suggest distinct signs of Greater yin disease (tàiyīnbìng, 太陰病) by researching the etymology of three terms: zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), which are exclusive found only in Greater yin disease (太陰病) in Gangpyeong-shanghanlun, but not in other categories. Methods : We studied the etymologies of the three terms that are unique in Greater yin disease, then found some pathological signs that are related with them through the four mental illness cases, which include somatization, obsessive-compulsive behavior, delusion, and panic disorder. Results : Based on the definitions of each term, we diagnosed the four patients who had mental illnesses as having Greater yin disease, and we observed meaningful improvements after administering herbal medication. After Gyejigajakyak-tang administration, the Insomnia Severity Index (ISI) score decreased from 18 to 7 and the Beck's Anxiety Index (BAI) score decreased from 36 to 18 in the first case, the ISI score decreased from 27 to 16 and the BAI score decreased from 50 to 33 in the second case, and the ISI score decreased from 23 to 4 and the BAI score decreased from 34 to 5 in the third case. In the last case, the ISI and BAI scores were 16 and 22, respectively, at the first visit, and it was found that the scores had changed to 6 and 22, respectively, at the last visit. Conclusions : We found that the unique terms in Greater yin disease, including zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), can be interpreted as groundless arbitrary assumption, resting strong tension, and psychological projection based on the etymological hypothesis. Therefore, we suggest these as specific signs of Greater yin disease.

• 대한상한금궤의학회지
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• 제13권1호
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• pp.45-59
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• 2021

Objectives: This study was conducted to confirm the reproducibility of the diagnosis of greater yin disease (太陰病) and the efficacy of herbal treatment using Gyejigajakyak-tang or Gyejigadaehwang-tang in somatic symptom disorder (SSD). We also further refined the characteristics of greater yin disease in SSD. Methods: We analyzed the demographic and treatment data of seven patients with SSD from four Korean medical clinics. The reliability of diagnosis and the efficacy of the treatments were evaluated by the Beck Anxiety Inventory (BAI), a numerical rating scale (NRS), and the patients' statements. Finally, we analyzed patients according to the diagnostic points of Shanghanlun provision 273. Results: Seven SSD patients took Gyejigajakyak-tang or Gyejigadaehwang-tang. The mean age of the patients was 52.1±15.8 years old, and the herbal medication period was 82.2±38.2 days. At the first visit, the patients showed hypochondriasis, obvious stress, and a severe BAI score (40.4±10.9). The NRS significantly decreased from 8.9±1.6 to 0.7±0.7 after the treatments. There were no side effects reported. As a result of analyzing these 7 cases, hypochondriasis, obvious stress, and anxiety were identified, which had been previously suggested as 自痛, 因爾, and 結硬. Conclusions: We confirmed the reproducibility of greater yin disease in 7 SSD cases from 4 medical institutions. These results imply that there could be a considerable relation between SSD and greater yin disease as defined by the Shanghanlun provisions.