• Journal of Chest Surgery
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• 제31권4호
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• pp.388-392
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• 1998

자율신경계의 이상질환 중 하나인 다한증은 과거로부터 피부과적 치료와 개흉술을 통한 흉부 교감신경 절제술이 이용되었으나, 효과적이지 못하거나 침습적이어서 그 결과가 만족스럽지 못하였다. 최근 비디오 흉강경을 이용한 수술이 흉부외과 영역에 광범위하게 적용되었고 수장부와 액와부 다한증에도 비디오 흉강경을 이용한 교감신경절 절제술이 시행되어 그 증례가 늘고 있다. 인제대학교 부속 부산백병원 흉부외과학 교실에서는 1995년 8월부터 1997년 2월까지 양측 수장형 다한증 환자 52명에 대하여 비디오 흉강경을 이용한 양측 흉부 교감신경절 절제술을 시행하였다. 그 중 남자가 27명, 여자가 25명이었으며 평균 연령은 22세였다. 평균 수술시간은 172분이었고, 그 중 1례에서는 심한 늑막 유착으로 소개흉절개를 통해 일측 흉부 교감신경절제술만을 시행하였다. 평균 12.5개월의 추적기간 중 재발은 없었으며, 30례(57.7%)에서 보상성 발한을 나타내었으나 그 정도가 점차로 감소하였다. 전체 환자의 83.8%가 수술 결과에 만족하였다.

• 대한한의학원전학회지
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• 제32권4호
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• pp.1-15
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• 2019

Objectives : To broaden understanding of "Shanghanlun", this paper analyzes and interprets its Post-formula instructions(方後注文). Methods : From the contents of Post-formula instructions that follow formulas in "Shanghanlun", the effects, administration instructions, decocting methods are examined specifically. Based on annotators's interpretations, the author provides his understanding. Conclusions & Results : The treatment principle of sweat inducive formulas is 'to induce subtle sweating(微似汗)'. Meanwhile, in the case of Inner water and fluid retention(水飮內停), 'sweating(汗出)' is expressive of healing. Among the emetic formulas in the "Shanghanlun", the meaning of 'vomiting(得吐者)' in the descriptions of Zhizichitang(梔子豉湯), is that the stagnated heat in the chest area has been relieved, letting the Qi communicate upwards. In terms of formula administration, besides the usual 2~3 times a day method, there is '頓服法' for immediate effects; three times within six hours application method in cases where the exterior symptoms are extremely severe or the stagnation of exterior pathogen is severe; 6 times a day or continuous application day and night regardless of frequency. In terms of decocting methods, there is '再煎法' to have the formula's effects not be biased or too strong; the decocting method of Dahuanghuanglianxiexīntang where the formula is brewed momentarily in order to cool the immaterial pathogenic heat. Moreover, when there is disease in the chest, Dahuang is brewed first to soften its effects. When there is disease in the abdomen area, Dahuang is added later to quicken its effects. In the case of Guizhirenshentang, to maximize the effect of Guizhi, it was suggested that Guizhi is added later.

• 사상체질의학회지
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• 제30권4호
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• pp.33-52
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• 2018

Objectives The purpose of this study was to analyze the clinical characteristics of patients with hyperhidrosis who visited a Korean medicine hospital, and provide information on treated hyperhidrosis, based on Sasang Constitutional medicine. Methods A retrospective review was made of the electronic medical record (EMR) charts for 157 Korean patients with hyperhidrosis (90 male, 67 female), who first visited hospital from January 1, 2013 to December 31, 2017. The following information was collected: sex, age, height, weight, body mass index (BMI) and clinical data (diagnosis, area of onset, duration of illness, aggravating factors, medication, healing process, et al). Results There were many patients with hyperhidrosis, in the other of So-Yang type (57.3%), Tae-Eum type (35.0%) and So-Eum type (7.6%). The proportion of male was higher than female. The most common area of hyperhidrosis was hands and feet (44.0%), followed by generalized whole body (27.4%) and head and face (25.5%). The cure rate of hyperhidrosis was 32.2%, and effectiveness rate of that was 72.7%. In individual patients, the better the usual health condition expressed by original symptoms, the higher the possibility of treatment success, with shortened duration of treatment and reduced total drug dose. The most frequent treatment modality in patients was that consistently improved, and this duration of treatment was statistically significantly shorter than that experienced worsening of excessive sweating during treatment period (p<0.001). Conclusions This study provides some original information on the Korean patients with hyperhidrosis, and suggests the suitability of Sasang Constitutional medicine as treatment methods for hyperhidrosis.

• 대한두개안면성형외과학회지
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• 제20권3호
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• pp.176-180
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• 2019

Background: Parotidectomy is the treatment of choice in many parotid tumors. Due to the extensive nature of the procedure, unfavorable complications such as gustatory sweating, surgical site depression are common. Various techniques using fascia, muscle or AlloDerm have been developed but debate still remains regarding its availability and affordability. We applied a newly developed acellular dermal matrix (Insuregraf) to the parotidectomy field to act as a physical barrier and to provide adequate filling effect for prevention of functional and aesthetic complications. Methods: From March 2010 to March 2017, 30 patients with parotid tumors underwent superficial parotidectomy. Twenty patients underwent only superficial parotidectomy. Ten patients had Insuregraf applied to the surgical site after superficial parotidectomy. We evaluated the incidence of Frey's syndrome, surgical site depression, and patient satisfaction rate in both groups. Results: The incidence of Frey's syndrome was lower in the Insuregraf group (0 vs. 2). Surgical site depression was also lower in the Insuregraf group (2 vs. 20). Satisfaction score for facial contour in Insuregraf group was 9.2 out of 10, which was comparable to 6.2 out of 10 in the control group. Conclusion: Application of Insuregraf after superficial parotidectomy is an effective surgical procedure to prevent complications such as Frey's syndrome and surgical site depression. This technique is affordable and safe with no immune reactions. Above all this surgical method should be considered as an option for patients who are concerned about the contour of the face after surgery.

• Journal of Acupuncture Research
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• 제17권4호
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• pp.130-138
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• 2000

Objectives : When sweating factor is excluded, to know the influence of acupuncture stimulation on electrical resistance. Methods : Regional anaesthesia(Lidocane 2%, 1ml, Subcutaneous injection) is applied to measured regions, 4cm round area including left Neiguan P6. So we can make adiaphoresis. Before and after acupucnture stimulation to Laogong P8, we measured the electrical resistance of anesthetized left Neiguan P6, anesthetized non-acupoint, normal left Ximen P4, and normal right Neiguan P6. For measurment, we use the 1.2V, DC system that has 100$k{\Omega}$ internal resistance Results : Under the adiaphoresis, Acupuncture stimulation makes the significant decrease of electrical resistance. In normal regions, so does it. Conclusions : When the acupuncture stimulation is applied to human boby, the decrease of electrical resistance is due not only to sweat secretion but also to other internal resistance.

• 대한한의학원전학회지
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• 제19권4호
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• pp.257-270
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• 2006

In yang brightness disease, Capillaris dedoction, Phellodendron dedoction and Ephedra forsythia rice bean dedoction treat generallized yellowing yellow inhibited urination, absence of sweating, thirst, and abdominal fullness. Basic lesser yang disease pattern with bitter taste in the mouse dry throat dizzy vision alternating aversion to cold and heat effusion chest and rib-side fullness taciturnity with no desire to eat heart vexation frequent retching and pulse that is fine and stringlike treat with Minor bupleurum dedoction. Three yin disease should be treated by warming the spleen and drying dampness, requiring urgent warming, using formulae such as Center-rectifying dedoction, Aconite dedoction and Counterflow cold dedoction.

• 대한한방내과학회지
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• 제33권4호
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• pp.558-571
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• 2012

Objectives : The purpose of this study was to verify the difference in diet, digestion, sweat, feces and urination characteristics according to body shape characteristic. Methods : 1,302 participants were divided into 4 body types and were assessed through the questionnaire about Sasang constitution's ordinary symptoms such as diet, digestion, sweat, feces and urination characteristics. Results : Hyeong-keum type had active characteristics in the size of their meal and speed of taking meal. Hyeong-keum type got the most in the amount of sweating. And Yo-wi type reported the greatest urinary frequency. Conclusions : The difference of body type influences Sasang constitution's ordinary symptoms such as diet, sweat and urination. In digestion and feces, there was no statistical significance in the difference.

• 사상체질의학회지
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• 제29권3호
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• pp.271-279
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• 2017

Objectives The purpose of this study is to investigate the efficacy of Sasang constitutional herb medicine for the treatment in postmenopausal women having various complaints. Methods From December 2016 to July 2017, four cases of women having climacteric complaints were extracted. Results Their main symptoms were hot flush, insomnia, sweating, cold sensation, and excitation. Their Sasang constitutional types were 2 Soyangin and 2 Taeeumin. Main symptomology of Soyangin was Chest-heat congested symptomology and that of Taeeumin was Esophagus-cold symptomology or Esophagus-cold Lung-dry Symptomology. Conclusions Their symptomolgies of Soyangin and Taeeumin lied in the Interior disease rather than Exterior disease, in the Advanced disease rather than Mild disease. It could show that Sasang constitutional medicine and management is possible to be indicated in climacteric disorders.

• 사상체질의학회지
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• 제26권1호
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• pp.11-26
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• 2014

Objectives This research was proposed to present Clinical Practice Guideline(CPG) for Soeumin Disease of Sasang Constitutional Medicine(SCM): Diagnosis and Algorithm. This CPG was developed by the national-wide experts committee consisting of SCM professors. Methods We searched the literature and articles related to Soeumin Symptomatology diagnosis and algorithm. For developin diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Soeumin Symptomatology Results & Conclusions We classified the Soeumin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern, initial-intermediate-advanced pattern. And at the unfavorable pattern, ordinary symptom is very important. So Doctors focuss on the symptom of unfavorable's ordinary symptom such as temperament inclined symptom, excessive sweating, diarrhea, and vexation.

• 대한한방부인과학회지
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• 제20권4호
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• pp.217-224
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• 2007

Purpose: The purpose of this study is to report the effect of oriental treatments for the postpartum disease caused by abortion in an elderly gravida. Methods: The patient in this case, 40 years-old female was admitted at You-Min oriental medicine hospital for 26days($3rd/Jan/2007{\sim}29th/Jan/2007$) due to postpartum disease caused by abortion. Her chief complains were chilling, vertigo, nausea, whole body pain, and sweating. This patient was treated with oriental treatment such as herb medication, acupuncture and moxibustion therapy. Results: After the oriental medical treatment, the patient was improved in the clinical symptom of postpartum disease caused by abortion and the aging process. Conclusion: This case study shows that the postpartum disease caused by abortion in an elderly gravida would be treated more carefully in oriental medicine considering women#s aging.