• 제목/요약/키워드: hwa-byung

검색결과 1,485건 처리시간 0.023초

자율훈련법을 시행한 화병 환자 치험 1례 (A Case Study of Hwa-Byung Has treated by Autogen Training)

  • 박세환;황정현;윤여국;김근우;구병수;김보람
    • 동의신경정신과학회지
    • /
    • 제21권3호
    • /
    • pp.139-149
    • /
    • 2010
  • Objectives : This study was performed to report the effect of Autogen training and Korean traditional treatment for Hwa-Byung. Methods : In this case, a 41 years old female patient has been suffered by Hwa-Byung symptoms for 20 years. We treated the patient with Korean traditional treatments(acupuncture, herb-medication and aroma theraphy), Autogen training and Korean traditional psychotherapy. The effects of treatment were measured by Beck Depression Inventory(BDI), Zung Depression Rating Scale(SDS), State-Trait Anxiety Inventory(STAI-X-1), SCL-90-R. Results : After treatment, the chief complaints and accompanying symptoms were subsided and improved. And BDI, SDS, STAI-X-1 score were decreased. Conclusions : According to this study, the Korean traditional treatment such as acupuncture, herb-medication and Autogen training are effective for the cure of Hwa-Byung.

화병 핵심증상 중 흉민에 대한 분심기음의 효능 : 무작위배정, 이중맹검, 위약대조군연구의 중간보고 - 피험자 특성을 중심으로 (Interim Report about The Effect of Bunsimgi-eum(Fenxinqiyin) on the Chest Discomfort of Hwa-byung's Major Symptom)

  • 임현주;김석환;이상룡;강위창;정인철
    • 동의신경정신과학회지
    • /
    • 제20권3호
    • /
    • pp.169-188
    • /
    • 2009
  • Objectives : The purpose of this research is to examine the effect of Bunsimgi-eum on the chest discomfort of Hwa-byung's major symptom. Methods : In this randomized, double blinded, placebo-controlled study, we planned to give Bunsimgi-eum or controlled medication for major symptoms of Hwa-byung. As preparatory research, 100 mm Visual Analogue Scale(VAS) for chest discomfort, the Hwa-byung' major symptom was measured as the 1st evaluative instrument, and Likert scale for major symptom of Hwa-byung, Korean State-Trait Anger Expression Inventory(STAXI-K), Korean State-Trait Anxiety Inventory(STAI-K), Korean Beck's Depression Inventory(BDI-K) and Heart Rate Variability(HRV) were also measured as the 2nd evaluative instrument at the before treatment. Results : Clinical characteristics-vital signs & demographic characteristics showed no significant difference between both groups. The characteristics of disease-chief complaint, pattern Identification, period, etiological factor, etc, also showed no significant difference between both groups. There were almost no Coincidence between pattern identification & weight of Hwa-byung's major symptoms. The results of Chest PA, EKG and clinicopathologic examination showed no significant difference between both groups. There were no significant difference between both groups in all valuation scales; 100 mm Visual Analogue Scale for chest discomfort, the Hwa-byung' major symptom was measured as the 1st evaluative instrument, and Likert scale for major symptom of Hwa-byung, STAXI-K, STAI-K, BDI-K and HRV. Conclusions : We considered that establishment of experimental group and controlled group was objective and worth conducting this research. And this methodology is expected to be applied to the subsequent research. And also, we hope to make up for this study through various study and discussion.

  • PDF

화병(火病)의 원인과 치료를 위한 사이코드라마의 활용 방안 연구 : 중년여성을 중심으로 (A Study on the Causes of Hwa-byung and Practical Use of Psychodrama for Treatment of Hwa-byung : (focused on middle-aged women))

  • 변상해;어지성
    • 벤처창업연구
    • /
    • 제4권2호
    • /
    • pp.1-19
    • /
    • 2009
  • 미국 정신 의학회 에서는 화병(火病, hwa-byung)이 우리 민족에게서만 나타나는 정신질환으로 한국문화 특유의 분노증후군이라고 등재하였다. 이처럼 우리 민족의 문화에서 파생된 화병은 남성보다는 여성에게 월등하게 나타나며, 특히 중년여성들이 주로 경험하게 된다. 이런 중년여성에게 나타나는 화병의 원인은 우리 민족의 유교문화에서의 전통적인 가족구조로 인해 나타난다. 또한 화병이 중년여성에게 나타나는 이유는 중년여성의 우리 사회에서 잘못 인식된 위치로 인해 자신의 억울하고 화나는 마음을 다스리는 능력의 부족이 나타나는 사회 심리적 원인이 있으며, 자녀의 독립으로 인한 가정 내에서의 역할상실과 중년여성에게 나타나는 생리적 변화인 폐경으로 여성다움의 상실로 인한 우울증과 스트레스도 화병이 주로 중년여성에게 나타나는 원인이 되는 것이다. 그래서 본 연구를 통해 중년여성의 화병으로 인한 부정적인 감정들을 사이코드라마를 활용하여 안전하게 표출함으로써 감정 정화의 과정을 경험하고, 감정의 정화를 통해 긍정적인 정서를 고취시킴으로 화병으로 인한 증상들을 완화시키며, 개인이 아닌 집단 차원에서 공감대를 형성하고 감정과 생각을 나눔으로 자기이해와 보편성을 갖게 하고, 역할연기와 역할교대를 통한 역할 균형과 확장으로 현실에서의 적절한 역할을 찾는 기회를 제공하고자 한다.

  • PDF

한국남성노인의 화병에 대한 주관적 원인지각 (A Study on the Subjective Causal Perception of Hwa-Byung among the Korean Elderly Men)

  • 정미경
    • 한국노년학
    • /
    • 제31권4호
    • /
    • pp.1015-1027
    • /
    • 2011
  • 본 연구에서는 Q-방법론을 적용하여 한국남성노인의 화병에 대한 주관적인 원인지각의 유형을 확인하고 그 유형의 특성을 알아보고자 하였다. 만 65세 이상 25명의 한국남성노인을 대상으로 31개의 Q-표본 진술문을 9점 척도로 하여 분석한 결과 한국남성노인의 화병에 대한 주관적인 원인지각의 유형은 4개의 유형 즉, 공감적 관계의 부재, 자신의 무능함과 박복함, 노화로 인한 무력감, 과거 삶에 대한 후회로 나타났다. 이러한 연구결과는 한국여성노인과는 차별적으로 한국남성노인들의 심리적 부적응에 대처할 수 있는 개인적 사회적 지원의 개입내용을 구체화하는데 활용될 수 있을 것이다. 이를 바탕으로 본 연구의 의의와 노인상담에서의 시사점에 대해 논의하였다.

전광(癲狂) 유사 증상을 나타낸 화병(火病) 환자 치험 1례 (A one case of hwa-byung patient showed similar symptoms of schizophreniform disorder.)

  • 양동호;김보라미;김보경
    • 동의신경정신과학회지
    • /
    • 제17권3호
    • /
    • pp.143-155
    • /
    • 2006
  • Hwa-byung is said as a Korean folk syndrome in DSM- N,and that is translated into ,Anger syndrome', In Oriental Medicine, Hwa-Byung is related with clonic emotional-stress, and include symptoms having the character of 'fire', In this case, the patient had symptoms similar with schizopmenifonn disorder, We treated the patient with Sihoukan-tang, Ssanghwa-tang and Ziunkoron. And her condition was improved through these oriental medical treatment.

  • PDF

화병에 의해 악화된 본태성 진전증 환자 치험 1례 (A Case Report of a Essential Tremor Patient Aggravated by Hwa-byung)

  • 고인성;류호선;박세진;안효진
    • 동의신경정신과학회지
    • /
    • 제23권3호
    • /
    • pp.129-142
    • /
    • 2012
  • 본 증례에서는 상기한 바와 같이 화병을 주로 한 심리상태 변화에 의해 악화된 진전증을 주소로 본원 한방신경정신과에 입원한 환자에게 한약치료와 침치료, 한방정신치료를 병행한 결과 제반증상 및 심리 상태 상 양호한 효과를 보여 이에 보고하는 바이다. 1. 18일간의 한약치료, 침치료, 정신요법 및 부항, 뜸의 기타치료를 통해 전신의 본태성진전증과 화병의 증세의 동반 호전을 경험하였다. 2. 화병 및 신체 상태를 심신불교(心腎不交)로 변증하고 황련아교탕(黃連阿膠湯) 처방을 기본 방제로서 증세변화에 따라 가감투여했으며, 정서적 안정과 기타 신체증상과 함께 진전증이 호전됨을 확인하였다.

귀비온담탕 가미방을 포함한 한방치료로 호전된 화병 환자 2례 : 증례 보고 (Combination Treatment of Korean Medicine with Guibiondamtang-gamibang for Hwa-Byung Patients: 2 Cases Report)

  • 정소미;황덕상;이진무;이창훈;장준복;조성희
    • 대한한방부인과학회지
    • /
    • 제34권3호
    • /
    • pp.157-174
    • /
    • 2021
  • Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine with Guibiondamtang-gamibang on Hwa-byung patients. Methods: Case 1 experienced stress at work and complained of chest discomfort, nausea, dizziness, insomnia. Case 2 experienced huge stress about money, and complained of palpitation, chest discomfort, dizziness and insomnia. They received combination treatment of Korean medicine during hospitalization. The treatment included Guibiondamtang-gamibang, acupuncture, moxibustion, pharmacoacupuncture, and fumigation. The effects were evaluated through Hwa-byung scale, instrument of oriental medical evaluation for Hwa-byung, insomnia severity index (ISI) and heart rate variability (HRV) test. Results: After the treatment, the clinical symptoms such as chest discomfort, palpitation, dizziness, nausea and insomnia were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Guibiondamtang-gamibang may be effective for treating Hwa-byung patients.

"소문현기원병식(素問玄機原病式)"에 기재된 중풍(中風)의 화열(火熱) 병인론(病因論)에 대한 저체온요법을 통한 실험적 고찰 (An experimental study of HwaYul(火熱) theory on the "SoMunHyunKiWonByungSik(素問玄機原病式)")

  • 최성훈
    • 대한한의학원전학회지
    • /
    • 제20권2호
    • /
    • pp.53-59
    • /
    • 2007
  • In Oriental medicine, different suggestions regarding how cerebrovascular accident(CVA) may develop have been offered by several physicians. In Jin(金)Yuan(元) dynasty, Liu Wan Su(劉完素) asserted that CVA was not developed by external PungSa(風邪) but internal HwaYul, which was noted in the "SoMunHyunKiWonByungSik". To verify experimentally Liu's HwaYul theory in rats, normothermic control group (37$^{circ}C$) and hypothermic test group (32$^{circ}C$) were subjected to transient middle cerebral artery occlusion(MCAO) of 1hour. In 7days after MCAO, the rats were sacrified and the volume of infarct and the size of edema were measured. The present findings expand our understanding of the pathophysiology as to the CVA which is related to the HwaYul theory.

  • PDF

화병의 핵심증상에 대한 사암침 치료의 효과 : 예비연구 (The Effect of Sa-am Acupuncture Treatment for Major Symptom of Hwa-byung : A Preliminary Study)

  • 이상룡;박양춘;홍권의;구영선;조정효;안정조;강위창;김종우;최선미;정인철
    • 동의신경정신과학회지
    • /
    • 제18권1호
    • /
    • pp.79-94
    • /
    • 2007
  • Objective : The Purpose of this research is to examine the effect of Sa-am acupuncture treatment(Sim-seungkyuk) for major symptoms of Hwa-byung. Method : In this randomized, single blind, placebo-controlled study, we compared active acupuncture with sham acupuncture in the treatment for major symptoms of Hwa-byung. likert scale(5 score) for major symptom of Hwa-byung was measured as the 1st evaluative instrument, and STAXI-K, STAI-K, BDI-K and HRV were also measured as the 2nd evaluative instrument at the before treatment and after treatment. Results : 26 volunteers participated in this study by dividing two groups, each 13 persons in trial group and control group at random. In comparison of likert scale for major symptoms, after treatment the total score of likert scale for major symptoms decreased significantly in both group than before treatment. And after treatment, the total score of trial group decreased less than those of control group in comparison between two groups. especially after 2 weeks from all treatment, there was significant difference between two groups. Conclusion : We considered that Shim-seungkyuk of Sa-am acupuncture treatment will be not recommended to treatment of Hwa-byung because this study could not prove effect of Shim-seungkyuk treatment for Hwa-hyung in spite of preliminary study. This study will be used to provide a fundamental data for development of clinical research as preliminary study of Hwa-byung.

  • PDF

화병의 진단 및 변증유형에 관한 연구 (A study for diagnosis and pattern identification of Hwa-Byung)

  • 이희영;박종훈;황의완;김종우
    • 동의신경정신과학회지
    • /
    • 제16권1호
    • /
    • pp.1-17
    • /
    • 2005
  • Objective : This empirical research is performed to recognize diagnostic concept, pattern identification, and clinical features of Hwa-byung. In other words, the aims of this research are to examine the differences of the diagnosis between Hwa-Byung and the other psychiatric disorders, and to find out pattern identification, and clinical characteristics of Hwa-Byung for prescriptions of this syndrome. Method : In the experiment, there were participated 30 patients who were met for our criterions according to HBDIS (Hwa-Byung Diagnostic interview Schedule). These patients were diagnosed as Axis1 according to criterions of DSM-IV with administering SCID-I. OMS-prime was utilized for finding out pattern identification of oriental medicine. Symptom Check List-90-Revision(SCL-90-R), Hemilton rating Scale for Depression(HRSD), Heart Rate Variability(HRV), and Digital Infrared Thermographic imaging(D.I.T.I.) were also utilized to discover clinical characteristics of Hwa-Byung Patients. Results : 1. Regarding Sex-ratio, male subjects were 3(10%), and female subjects are 27(90%). The age of subjects ranged from 22 year old to 75 $(51.87{\pm}11.04;\:Mean{\pm}SD)$ 2. In the results of diagnosis on the basis of DSM-IV, the 17(56.67%) patients were MOD (Major Depressive Disorder), the 5(16.67%) patients were USD (Undifferentiated Somatoform Disorder), the 4(13.33%) patients were Dysthymic Disorder, the 3(10%) patients were GAD (Generalized Anxiety Disorder), and the 1(3.33%) was Panic Disorder. Two of the patients who diagnosed as MOD were diagnosed as Panic Disorder too, and one of them was diagnosed as Pain Disorder too. 3. Regarding pattern identification, Hwa-Byung is positively correlated to deficiency of Heart(心). and then to stagnancy of Liver-Gall bladder. Hwa-Byung is correlated deficiency symptom-complex rather than excessiveness symptom-complex. That is also correlated positively to Pathological heat and fire. 4. In SCL90-R, the mean of PSDI was $(75.3{\pm}10.7;\:Mean{\pm}SD)$. The each mean of the other 11 factors was distributed between50-70. 5. The mean of HRSD was $(17.9{\pm}5.6;\:Mean{\pm}SD)$ in the entire subject's group. Then the group of MDD was $20.9{\pm}4.4$ and the group of USD was $12.0{\pm}4.8$ 6. In the results of HRV. the mean of TP is $972.4{\pm}1174(Mean{\pm}SD)$, this is lower than normal range 1000-200. The other factors were within normal range. Then, there were no significant differences between them (p<0.05). 7. The temperatures of each acupoint have significant differences between HNl(印堂) and PC6(內關), between CV17(顫中) and PC6(內關), between HN1(印堂) and CV8(神闕), between CV17(顫中) and CV8(神闕) in comparison with the average of body temperature in the use of D.I.T.I. (p<0.01) 8. In the analysis of correlation between SCL-90-R, HRSD, HRV. and D.I.T.I. there were no significant results. According to results that the correlation was analyzed with only the MDD group as subjects, there was negative correlation between RMSSD of HRV and HRSD, between LF of HRV and PDSIof SCL-90-R, and between LF/HF of HRV and ANX, PSY, and PDSI of SCL-90-R. Conclusion : In the observation of clinical features of 30 cases of Hwa-Byung patients by using diverse structured tests, there could make diverse diagnosis as depressive disorder, anxiety disorder, and Somatoform Disorder. Particularly. MDD was highly distributed. Considering oriental medicine's pattern identification of Hwa-Byung, this syndrome is related strongly to Heart, and there were demonstrated deficiency symptom-complex, and Pathological heat and fire. One of the limits of this study is lack of control subject's group, therefore, in the future study, it requires reexamination through a comparative research with these data to complete this study.

  • PDF