• 대한상한금궤의학회지
• /
• v.12 no.1
• /
• pp.113-125
• /
• 2020

Objective: This study aimed to report the improvement of patients with hyperhidrosis treated using Gyejigajagyak-tang based on the Shanghanlun provisions. Methods: Two patients were diagnosed with Greater-yin disease based on the 279^th provision of Shanghanlun, and Gyejigajagyak-tang was used to treat hyperhidrosis. The result was evaluated using the Hyperhidrosis Disease Severity Scale and Visual Analogue Scale. Results: An analysis of results of the two cases showed that the patients' conditions had improved. The amount of sweat produced was decreased in both cases. Conclusions: These results suggest that the medicines defined in Shanghanlun are clinically effective when Shanghanlun is properly interpreted, considering the origins of the Chinese characters in the text, and the Shanghanlun disease pattern identification diagnostic system is applied.

• 대한상한금궤의학회지
• /
• v.13 no.1
• /
• pp.121-132
• /
• 2021

Objective: This study aimed to report the improvement in a patient with allergic contact dermatitis treated with Sihogyeji-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: According to the Shanghanlun DPIDS, the patient with allergic contact dermatitis was diagnosed with greater yang disease chest bind (Shanghanlun provision 146), and was administered Sihogyeji-tang for 90 days. The results were evaluated using the Dermatological Life Quality Index (DLQI) and a visual analog scale (VAS). Results: After taking Sihogyeji-tang for 90 days, the DLQI decreased from 28 points to 8 points and the VAS decreased from 10 points to 3 points. Conclusions: This case shows the potential of treatment through herbal medicine for allergic contact dermatitis using the Shanghanlun DPIDS.

• 대한상한금궤의학회지
• /
• v.11 no.1
• /
• pp.11-26
• /
• 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.

• 대한상한금궤의학회지
• /
• v.10 no.1
• /
• pp.115-124
• /
• 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
• /
• v.6 no.1
• /
• pp.1-25
• /
• 2014

Objective : The purpose of this study is exploring value of Shanghanlun six diagnostic system as Narrative Medicine by analyzing cases. Methods : In the article, we examined the theory of narrative medicine and current studies. And then key elements of narrative medicine was defined. On the basis of these, two medical cases were analyzed by reordering in accordance with time sequences and causality for confirming narrative factors. Results : The narrative approach to analyzing cases shows us that different diseases could be the result of same pathological patterns based on Shanghanlun. This tells us following four aspects. [1] Shanghanlun is the causes-oriented records and the text includes narrative factors. [2] Shanghanlun six diagnostic system is a process of constructing plot of medical case history through the clinical interpretation of contextual meaning of patient's life. [3] In the process of diagnosis, Schemata and script are engaged in assuming and confirming six patterns diseases. [4] The subjective factors of an individual can be applied universally through the provision of Shanghanlun. Conclusions : Narrative factors of Shanghanlun six diagnostic system suggest the possibility and value of Shanghan Medicine as Narrative Medicine in terms of Medical Humanities, essence of medical diagnosis and therapeutic action.

• 대한상한금궤의학회지
• /
• v.7 no.1
• /
• pp.127-132
• /
• 2015

Objectives: The purpose of this case is to report the effects of Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed as Gwoleum-byung(厥陰病). Visual analogue scale was used to check the symptoms while the patient taking herbal medicine Baekho-tang for 12 weeks. Results : After taking Baekho-tang, Visual analogue scale in hot flashes markedly decreased 9 to 1. Conclusions : This paper shows an efficient result of using Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Further studies should be needed to validate the effects of Baekho-tang.

• 대한상한금궤의학회지
• /
• v.9 no.1
• /
• pp.101-113
• /
• 2017

Objective : Patients complaining of severe chills and dizziness who were diagnosed and treated with the Shanghanlun disease pattern identification diagnostic system were analyzed to report cases Methods : Based on the Shanghanlun disease pattern identification diagnostic system, we analyzed two cases treated with the Chijabackpi-tang and counseling. Results : Chijabackpi-tang showed a rapid improvement in patients. During the period of more than 2 months, all of the chief complaints were greatly improved. Conclusions : The Chijabackpi-tang, which is not well known yet, can show rapid effect and can be diagnosed frequently through the Shanghanlun disease pattern identification diagnostic system.

• 대한상한금궤의학회지
• /
• v.11 no.1
• /
• pp.139-151
• /
• 2019

Objective : The purpose of this study is to report the improvement of patient with Dyshidrotic Eczema 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 diagnosed as 'Jueyinbing Huoluan' number 388 provision and took herbal medication Hoiyeok-tang for 28days. The changing symptom progress of Dyshidrotic Eczema was evaluated by DLQI(Dermatology Life Quality Index) and VAS(Visual Analogue Scale). Results : The DLQI score changed 24 to 0 and VAS changed 8 to 0. Conclusions : Patient who suffered from Dyshidrotic Eczema caused by concentrating on sophisticated work using her eyes and hands was treated by Hoiyeok-tang in Shanghanlun. Skin disease on hands or feet can be closely related to conception of 手足厥 in Shanghanlun. Further studies are needed to validate the conception of 手足厥 and the effects of Hoiyeok-tang.

• 대한상한금궤의학회지
• /
• v.9 no.1
• /
• pp.59-73
• /
• 2017

Objectives : The purpose of this case report is to report the effect of Daesiho-tang on adult acne by Shanghanlun provisions with extrusion therapy. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung Gyeolhyung and treated by Daesiho-tang with extrusion therapy. The result of administrations were evaluated by Korean Acne Grading System(KAGS), Korean Skindex-29, and change of clinical symptoms. Results : After administration of Daesiho-tang for 150 days with weelky extrusion therapy, KAGS improved from grade 4 to grade 1, Skindex-29 improved from 67.93 to 15.51, and patient was very satisfied with the treatment. No serius treatment-related adverse events were reported. Limitations : This case is only one case that the level of evidence is weak. Two interventions were used together and the duration of photo was uneven. Conclusions : The patient almost recovered from acne treated by Daesiho-tang according to diagnostic system based on Shanghanlun provisions with extrusion therapy. This is the first case report that suggests '熱結在裏' on the number 136 provision of Shanghanlun means fever that is always present in chronic skin lesions.

• 대한상한금궤의학회지
• /
• v.10 no.1
• /
• pp.15-35
• /
• 2018

Objectives : This study is to propose a new hypothesis about the interpretation of 'Ming (明)' in Shanghanlun and the direction of future research about Yangmingbing(陽明病). Methods : We analyzed the original form of the chinese characters 'Ming(明)' and tried to understand their contexts in Shanghanlun. At the same time, we analyzed 2 clinical cases diagnosed and treated as Yangmingbing according to newly hypothesized definition. Results : From etymology, 'Ming(明)' means becoming distinct. Patients in 2 cases suffered from cold hypersensitivity of hands and feet, overactive bladder syndrome and dizziness, all of which became distinct and problematic. For this reason, we diagnosed patients with Yangmingbing(陽明病) and administered herbal medicine then they improved. Conclusions : The disease names in Shanghanlun have clinical message by the name itself. From etymology, at least in 15 characters provision of Shanghanlun, Yanmingbing means the disease made by becoming conscious about symptoms. Future research about Yangmingbing (陽明病) should start from here.