• 대한상한금궤의학회지
• /
• 제9권1호
• /
• pp.37-45
• /
• 2017

Objective : The purpose of this paper is to report the improvement of patient with pitting edema treated by herb 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 with Taeyang-byung, number 96 provision, and took Soshiho-tang herb medication 30days. The changing symptom of pitting edema is reported depended on the edema scale and the statement of patient during treatment. Results : The pitting edema of patient disappeared by 96 provision of Soshiho-tang seclected according to Shanghanlun provisions. Conclusions : This case report suggests that two words on the 96 provision of Shanghanlun, '或 心下悸, 小便不利'(palpitations below the heart, inhibited urination) indcate close relationship between palpitation and decrease of genital secretions, which affected the edema in this case.

• 한국동물위생학회지
• /
• 제39권2호
• /
• pp.87-92
• /
• 2016

Porcine edema disease (ED) is a communicable disease of pigs caused by infection with Shiga toxin (Stx)-producing Escherichia coli (STEC) which expresses F18 fimbriae and/or Stx type 2e (Stx2e). While STEC causes a severe illness including hemorrhagic colitis and hemolytic-uremic syndrome in humans, it induces damage to the vascular endothelium, which results in edema, hemorrhage, and microthrombosis, leading in high mortality in pigs. In the present study, we cultured Stx2e-producing E. coli field isolates from conventional pig farms that experienced sudden deaths previously with symptoms similar to porcine edema disease, which were further investigated with Shiga toxin profiles. A total of 43 strains were identified from the collected samples by F18 or Stx2e specific PCR. Based on the PCR, 42 isolates out of 43 isolates were proved to carry one of F18 or Stx2e genes and 14 isolates to carry both F18 and Stx2e genes. All of the 30 isolates that harbored Stx2e gene induced the cytopathic effect (CPE) in vero cells and especially, the isolate 150229 produced the highest level of Shiga toxin. Therefore, we identified the virulence genes (F18 and Stx2e) and demonstrated Shiga toxin-producing abilities from porcine edema disease causing E. coli filed isolates. These results suggested that one of the isolates could be a vaccine antigen candidate against STEC through further investigating to elicit an immune response.

• 대한수의학회지
• /
• 제38권4호
• /
• pp.837-842
• /
• 1998

The present study describes the effectiveness of egg yolk antibodies (IgY) against enteric colibacillosis and edema disease in piglets. The antibodies were gained from the egg yolk of hens immunized with k88, k99, 987p fimbrial adhesin and heat-labile toxin antigens of enterotoxigenic Escherichia coli (ETEC). Orally-administered egg yolk antibodies solution protected against experimental challenge with ETEC $K88^+$ and $k99^+$ strains in neonatal piglets and mice. In field trial, a total of 598 diarrheal piglets were orally treated with 3ml of antibody once a day to determine for the therapeutic effect. Of them, 582 (97.3%) piglets were recovered from diarrhea in 3 days. We also experimentally treated with the egg yolk antibodies twice a day for 5 consecutive days for 94 weaning piglets with edema disease for the determination of therapeutic effects. Seventy four piglets (78.7%) were recovered from clinical edema signs. Theses findings indicate that egg yolk antibodies against k88, k99, 987p and LT of ETEC are useful source of passive immunity for enteric colibacillosis and edema disease of piglets.

• 대한한방성인병학회지
• /
• 제10권1호
• /
• pp.39-45
• /
• 2005

Objectives It is the case study of a critically ill patient with cerebral infarction and acute edematous change at femur due to a hematoma, of whom taken care with herb medicine according to the diagnosis of SCM(Sasang Constitutional Medicine). Methods The syndrome of the patient was diagnosed as a superficial disease of Taeumin. So after the on-set of the femoral edema, Jowiseungchung-tang added Castanea mollissima(Gunyul) and Maladera castanea(Jejo) was used. And we checked the change of the circumferencial size her thigh and followed up the sonography. Results and conclusions The therapy was significantly effective, and the edema was rapidly absorbed. The circumferential size was 83cm at on-set time, but got smaller to 57cm almost same to the healthy side of her thigh, and there was no more hematoma or systemic hemorrhagic sign on the body.

• 대한상한금궤의학회지
• /
• 제11권1호
• /
• pp.103-111
• /
• 2019

Objective : The purpose of this study was to report the improvement in a patient with edema treated by herb medication based on Shanghanlun provisions. Methods : According to 'A disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS)', a patient was diagnosed with Taeyang-byung, no. 46 provision and was administered with Mahwang-tang herbal medication for 30 days. The Numeric rating scale (NRS) was used to estimate the response. Results : The NRS score changed from 10 to 1 and the edema disappeared by 46th provision of Mahwang-tang selected according to Shanghanlun provisions. Conclusions : This case report suggests that the two words in the 46th provision of Shanghanlun, '陽氣重, 無汗' (Yang qi heavy, Absence of sweating) indicate a close relationship between photosensitivity and absence of sweating, thereby affecting edema in this case.

• 대한한방내과학회지
• /
• 제27권4호
• /
• pp.975-983
• /
• 2006

Degenerative arthritis is characterized by progressive degenerative change, particularly change occurring to the joint due to the burden of body weight. Arthritis means inflammation occurring to the joint: it causes pain and limits exercise involving movement of the joint. Edema is not a disease but a condition which is accompanied by progression of a certain disease. Degenerative arthritis patients also have various diseases and mostly brings edema. Even though the cause is known to be abrasion of the joints, there are many cases in which walking difficulties are caused by pressure and pain due to edema. We found patients with walking difficulties caused by pain and increase of pressure in the joints walk better after treatment of both the pain and edema.

• 대한두개안면성형외과학회지
• /
• 제24권3호
• /
• pp.124-128
• /
• 2023

Morbihan disease (MD) is a very rare condition characterized by rosaceous or erythematous lymphedema on the upper two-thirds of the face. A definitive management strategy for MD is lacking, and treatment is challenging. Herein, we present a case of persistent bilateral eyelid edema treated by lymphaticovenular anastomosis (LVA) and lymph node-vein bypass surgery. The patient experienced persistent bilateral eyelid edema. Indocyanine green lymphography was performed, and the diagnosis of bilateral facial lymphedema was confirmed. On the right side, a preauricular lymphatic vessel was anastomosed to a vein. On the left side, lymphostomy on the preauricular lymph node was done, with anastomosis to the transected proximal end of the concomitant vein of the transverse facial artery. Furthermore, a preauricular lymphatic vessel was anastomosed to a vein. Eyelid edema decreased and progressively improved on both sides. The outcome of this case suggests that LVA and lymph node-vein bypass surgery are appropriate for treating persistent eyelid edema related to MD.

• 사상체질의학회지
• /
• 제12권1호
• /
• pp.265-270
• /
• 2000

뇌졸중을 일으키는 환자들에서 있어서 심폐의 기능적 및 기질적 이상이 선행요인으로 작용하거나 질병을 악화시키는 요인 및 합병증으로 병발되는 경우가 많다. 심폐질환이 동반된 경우 병의 진행과정이 급격히 악화될 가능성이 크며 예후가 불량한 경향을 띠므로 심폐질환에 주안점을 두어 급히 치료해야 한다. 상지대학교 한방병원 입원환자 중 뇌경색과 함께 울혈성 심부전으로 인하여 폐부종을 동반한 소음인 부종환자를 사상의학적으로 변증하고 치료하는 과정 중에 좋은 결과를 얻었기에 이에 증례보고를 하고자 한다. 68세 여환으로 우반신불수(右半身不遂) 연부장애(嚥不障碍) 어순(語純)의 중풍으로 내원하였으며 병의 진행 과정에 울혈성 심부전으로 진단되었고 폐부종의 소견과 함께 전신부종이 심하였다. 이를 소음인 부종이 태음증(太陰證)에 속한다고 하였으나 식(食) 변(便) 면(眠) 맥(脈) 설태(舌苔) 증상(症狀) 등을 종합하여 소음증(少陰證)으로 변증하고 건비이강음(建脾而降陰)의 치법(治法)에 준하여 궁귀총소이중탕(芎歸蔥蘇理中湯)을 투여하여 증상의 호전을 확인하였다.

• 사상체질의학회지
• /
• 제14권3호
• /
• pp.160-166
• /
• 2002

A clinical case study of a shaoyangin patient diagnosed as congestive heart failure Congestive heart failure is dysfunction of heart that can't supply sufficient mount of blood required of tissue metabolism as a result of myocardial hyposystole. We treated 80 year-old female congestive heart failure patient with edema, dyspnea, chest discomfort, and dysuria. We have diagnosed her as shaoyangin(少陽人) pyohan(表寒) disease, infirmity, edema and have prescribed hyungbangjihwangtang(荊防地黃湯). In the result we had the improvement of the symptoms of CHF and general depressed condition. This report described the process and contents about the way the patient was cured.

• Childhood Kidney Diseases
• /
• 제1권1호
• /
• pp.79-81
• /
• 1997

Minimal change nephrotic syndrome is characterized by proteinuria, hypoproteinemia, edema, and hyperlipidemia. Children with onset of nephrotic syndrome between the age of 1 and 8 year are likely to have steroid response to minimal chage disease, but we experienced one case of minimal change disease which failed to respond to steroid therapy at beginning and subsequently developed acute renal failure. It was seen in a 5 year-old male child that presented with edema and gross hematuria. Peritoneal dialysis was performed for acute renal failure for 11 days. Patient was completely recorvered from acute renal failure and renal biopsy was done at 27th day after onset of disease which revealed typical picture of minimal change disease complicated by acute tubular necrosis. We beleive this case is very unusual and it may be the first case in the literature in terms of pediatric cases.