• Title/Summary/Keyword: The Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology

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A Proposal and Considerations for Treatment Approaches of Psoriasis (건선의 치료 접근법에 대한 고찰 및 제언)

  • Kang, Dong-Won;Han, Chang-Yi;Kim, Jun-Dong;Kim, Kyu-Seok;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.3
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    • pp.99-114
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    • 2020
  • Objectives : To investigate treatment approaches of psoriasis, and to provide universal and holistic standards to assist in optimizing patient care and future research. Methods : Review articles of psoriasis regarding pathophysiology, risk factor or treatment were searched from Pubmed (January 2016 to June 2020). Treatment approaches were investigated based on the searched articles. Additional data collecting was done for further discussion by searching Pubmed and Google scholar with keywords relevant to the approaches, and the relevant references of articles retrieved were manually inspected to be included. Results : Modalities to directly regulate the relevant helper T cell or inflammatory cytokines can constitute the treatment approaches of psoriasis. Modalities to treat gastrointestinal tract inflammation, to correct metabolic syndrome and to improve epidermal lipid abnormality via whole body lipid metabolism can also constitute the treatment approaches of psoriasis. Probable adverse effects of long term use of western medication should be addressed carefully, and alleviating the hazards of western medication can be a treatment approach of psoriasis. Conclusion : Treatment of psoriasis should take account of systemic aspects such as gastrointestinal tract and lipid metabolism. Treatment approaches of psoriasis established on the pathophysiological basis can serve as universal standards.

The Study on Trend of Domestic and Overseas Oriental Medical Research for Visual Impairment (시력장애에 관한 국내외 한의학적 임상 연구 경향 고찰)

  • Lee, Su-Kyung;Hong, Hyeon-Jin;Lee, Hyun-Bum;Lee, Chang-Won
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.3
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    • pp.84-96
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    • 2018
  • Objectives : This study is designed for trend analysis of oriental medicine treatment for visual impairment. Methods : Research studies related to objectives were gathered through OASIS, KTKP, PUBMED with keywords such as "visual impairment", "myopia", "hyperopia", "presbyopia", "astigmatism" and analyzed. Results : As a result of searching domestic and overseas research on oriental medical treatment for visual impairment, 7 domestic research papers and 11 overseas research papers have been selected. Among those research papers, 15 of those are studies related to childhood or juvenile myopia. Acupuncture, ear acupuncture, herb medicine, periocular massage, eye muscle exercise and habit correction are used as treatment methods for visual impairment. 14 out of 17 research papers which mentioned treatment effect of oriental medicine reported oriental treatment of visual impairment is effective. Conclusions : Various types of oriental medical treatment could be effective in treating visual impairment. Thus, related in-depth research must be proceeded.

A Case Report of Patient with Idiopathic Glossopharyngeal Neuralgia (특발성(特發性) 설인신경통(舌咽神經痛) 환자 치험 1례)

  • Lee, Chang-Won;Kang, Ju-Young;Lee, Seung-Hee;Kim, Chang-Hwan
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.2
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    • pp.102-111
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    • 2015
  • Objective : This study reports the effect of Korean medicine on one case diagnosed as idiopathic glossopharyngeal neuralgia. Methods : We experienced one case with idiopathic glossopharyngeal neuralgia treated with acupuncture, herbal medicine and gargling. Associated symtoms had been estimated with change of VAS(Visual Analogue Scale), severity of dysphagia, and diet type. Result : After the treatment, symptoms were decreased and almost disappered. In this case, VAS and severity of dysphagia decreased from 10 to 1 and from severe to subsided, and diet type changed from unable to DD4(Dysphagic Diet 4) during 21 days. Conclusion : This study suggests that Korean medicine is effective on idiopathic glossopharyngeal neuralgia.

A Review of the Latest Discussions on the Mechanism of Itching - A Study on Recent Research Trend and the Relationship between Gastrointestinal Tract and Itching (가려움증의 기전에 대한 최신 논의 고찰 - 최근의 연구 동향과 위장관계와의 연관성)

  • Kim, Jundong;Han, Chang-Yi;Seo, Gwang-Yeel;Kim, Kyu-Seok;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.3
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    • pp.55-69
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    • 2021
  • Objectives : The purpose of this study is to review the latest discussions on the mechanism of Itching. Methods : Articles that reviewed the mechanism of itching were searched from Pubmed (January 2016 to June 2021). In addition, review articles discussing the gastrointestinal tract and the mechanisms of pruritus were searched seperately. Results : The articles are classified into three categories. These categories are the classification according to the passage of time (acute, chronic), the immune factors involved (inflammatory, non-inflammatory), and the neurophysiological mechanism (pruritoceptive itching, neuropathic itching, neurogenic itching, psychogenic itching). In each category, the articles over the past five years are summarized and reviewed. Also, how the status of the gastrointestinal tract is reflected in itching was discussed in terms of leaky gut syndrome, neuro/gastrointestinal peptides, and gut microbiota. Conclusions : This review introduces the recently discussed mechanism of itching, and in particular, examines how the gastrointestinal tract is related to skin itching. Based on these considerations, it is expected that more diverse therapeutic approaches can be explored in the future.

The Clinical Study for Peripheral Facial Paralysis Treated with Herbal Stream Therapy (구안와사에 대한 훈증요법 복합치료 효과)

  • Kim, Ji-Soo;Park, Soo-Yeon;Choi, Chang-Won;Kim, Kyeong-Soo;Kim, Kyeong-Ok;Wei, Tung-Shuen;Yang, Seung-Joung
    • Herbal Formula Science
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    • v.23 no.1
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    • pp.151-159
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    • 2015
  • Objectives : This study was performed to investigate the effect of herbal steam therapy on peripheral facial paralysis. Methods : 55 patients with peripheral facial paralysis were treated with Korean Medicine therapy including herbal steam therapy. We evaluated the effect of Korean Medicine therapy including herbal steam therapy by Yanagihara grading system. Results : 1. 55 patients were treated with Korean Medicine therapy and 23.27±14.11 times of herbal steam therapy. 2. After treatment, Y-system score was significantly increased(p-value<0.001) from 18.00±6.5514 to 35.00±6.3404. Conclusions : Herbal stream therapy seem to be effective to improve symptoms of peripheral facial paralysis. Further studies will be needed to identify the beneficial of herbal steam therapy on peripheral facial paralysis.

3 Cases of Systemic Atopic Dermatitis Patients Improved by Korean Medicine Hospitalization Care (입원 치료로 호전된 전신 아토피 피부염 한방치험 3례)

  • Song, Ji-Hoon;Kim, Jong-Han;Choi, Jung-Hwa;Jung, Min-Yeong;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.66-88
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    • 2021
  • Objectives : This study aims to report 3 cases of systemic atopic dermatitis improved by Korean medicine hospitalization care. Methods : Unlike outpatients, inpatients were supervised their lifestyle including dietary habits by physicians every morning and daily treated with acupuncture, herbal medicine including Bangpungtongseongsan-gagam, and Hwangryunhaedok-tang wet dressing therapy during all week. For dressing preparation, Hwangryunhaedok-tang was used to skin lesion except face. Mixed decoction of Lonicerae Flos and Forsythiae Fructus was used to facial lesion. Hwangryunhaedok-tang pharmacopuncture was injected to 2 patients. Western oral medicine and injection such as antihistamine or corticosteroids were prescribed by physician depending on each patient's condition. Symptoms were assessed with SCORAD index, IGA, and taking photos. Results : All patients showed the decrease in SCORAD index, IGA, skin lesion amelioration, and patient-subjective improvement. As time passes, dependence on western treatment also decreased and patients were able to endure pruritus without antihistamine injection during hospitalization. Conclusions : This study suggests that Korean medicine hospitalization care including acupuncture, herbal medicine, external therapy is effective for improving atopic dermatitis through decrease SCORAD index, IGA and ameliorating skin lesion.

The Retrospective Study for the Effect of Traditional Korean Medicine on Patients with Olfactory Disorder after Failure of Steroid Treatment (스테로이드 치료에 반응하지 않은 후각장애 환자에 대한 한방치료의 효과)

  • Park, So-Young;Kim, Min-Hee;Kang, Min-Seo;Kwak, Jae-Young;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.2
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    • pp.59-67
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    • 2019
  • Objectives : The purpose of this study was to analyze the effects of traditional korean medicine treatment on patients with olfactory disorder who did not respond to steroid treatment. Methods : A retrospective chart review was conducted on 16 patients who visited the outpatient clinic with olfactory disorder for over 1 month. The patients were treated with Herbal medicine, acupuncture, electronic moxibustion, intranasal pharmacopuncture, and olfactory training. The treatment effect was evaluated by KVSS I test. Results : There was no significant difference in KVSS I test score according to sex, age, duration of treatment, number of treatment, the days after onset. There was no significant difference in the KVSS I test scores before and after the treatment for the cases of sinonasal disease, head trauma, and idiopathic cases. However, there was a significant difference in cases of post-viral olfactory disorder. Conclusion : Traditional korean medicine may be effective for patients with post-viral olfactory disorder that did not show improvement in steroid treatment.

Ryodoraku pattern classifications of tinnitus patients using cluster analysis (군집분석을 이용한 이명환자의 양도락 패턴 분류)

  • Kim, Bong-Hyun;Hong, Eu-Gene;Shin, Jun-Hyuk;Nam, Hae-Jeong;Kim, Kyu-Seok
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.4
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    • pp.51-59
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    • 2013
  • Objective : The aim of this study is to classify the patterns of Ryodoraku using cluster analysis on tinnitus patients. Method : 261 patients with tinnitus and 159 patients with other disease were analyzed. We used cluster analysis with SPSS 20.0 to classify the pattern of Ryodoraku. We searched the cluster characteristics and tried to interpret the specific patterns from previous studies. Result : We divided tinnitus patients to four groups and control patients to five groups. There were some shared patterns between tinnitus group and control group. One group on tinnitus patients showed lower age than other groups. Time, sex, total average did not show any differences among groups. Conclusion : Cluster analysis on tinnitus patients showed the possibility of presenting the specific Ryodoraku patterns. But because of weak Ryodoraku studies, clinical usefulness is unknown. Further study is needed.

A Case of Allergic Contact Dermatitis Treated with Korean Medicine (알레르기성 접촉피부염 치험 1례)

  • Kim, Ji-Soo;Park, Soo-Yeon;Choi, Chang-Won;Kim, Kyeong-Soo;Kim, Kyeong-Ok;Wei, Tung-Shuen;Yang, Seung-Joung
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.2
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    • pp.115-124
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    • 2015
  • Objective This study is designed to investigate the effect of Korean medical therapy on Allergic contact dermatitis patient. Method This is a case report on a female patient who has been suffering from allergic contact dermatitis. To reduce her symptoms, we provided with internal herbal medicine 3 times a day, acupuncture therapy two time a day and Carbon phototherapy one time a day. Results After series of treatments, the symptoms of allergic contact dermatitis were remarkably improved. SCORAD Index was changed from 77.3 to 13.6. Conclusions This study shows us that Korean medical treatments has remedial values for dermatitis patients. Hence, more studies should be demanded in Korean medicine for elevation of treatment rate.

A Case of Atopic Dermatitis Patient with Exudate Using Korean Medicine Treatment and Western Treatment (한양방 치료를 병행한 삼출액을 주소로 하는 아토피피부염 치험 1례)

  • Kim, Hye-Hwa;Park, Soo-Yeon;Kim, Jong-Han;Jung, Min-Yeong;Choi, Jung-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.4
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    • pp.156-164
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    • 2015
  • Objectives : This study is clinical report of one atopic dermatitis patient with exudate.Methods : We treated a 16-year old woman patient with acupuncture, pharmacopuncture, herbal medicine, herbal bath, aroma cream therapy and western medicine. The improvement of the patient was evaluated by SCORAD INDEX and photography.Results : The SCORAD Index score of admission day at hospital was 73.5, and the SCORAD INDEX score of discharge day was 11.4. Amount of exudate and the score of oozing were decreased.Consults : The complex treatments of korean medicine and western medicine was effective to improve of atopic dermatitis patient with exudate. And the influence of weather condition to prognosis of atopic dermatitis with exudate was observated. It is necessary to have more observations and case reports.