• 제목/요약/키워드: nasal disease

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 당귀사역가오수유생강탕(當歸四逆加吳茱萸生薑湯) 투여 후 호전된 만성 비염 증례 1례 (Chronic Rhinitis Treated by Dangguisayeokgaosuyusaengang-tang Based on Shanghanlun Provisions)

  • 류희창
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.189-196
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    • 2021
  • Objective : This study aimed to report the improvement of a patient with chronic rhinitis treated with herbal medication using the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods : According to the Shanghanlun DPIDS and an etymological interpretation of Chinese characters, the patient was diagnosed with Reverting yin disease (provision 352) and took Dangguisayeokgaosuyusaengang-tang herbal medication for 50 days. The change in symptoms of chronic rhinitis were estimated using the Total Nasal Symptom Score (TNSS), the Rhinitis Control Assessment Test (RCAT), and a visual analog scale (VAS). Results : The TNSS score decreased from 8 to 3, the RCAT score decreased from 14 to 24, and the VAS decreased from 10 to 2. Conclusions : The main causes of the disease were 厥 and 內. This is the first case report of describing the treatment of chronic rhinitis with Dangguisayeokgaosuyusaengang-tang.

The first virus isolation and partial characterization of equine herpesvirus-4 in a horse, South Korea

  • Choi, Eun-Jin;Lee, Hyun-Kyoung;Lee, Kyoung-Hyun;So, Byoung-Jae;Song, Jae-Young;Do, Jae-Chul;Yang, Seon-Joo;Lee, Hyun-Chul;Yang, Young-Jin
    • 한국동물위생학회지
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    • 제38권2호
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    • pp.141-144
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    • 2015
  • An equine herpesvirus-4 (EHV-4) was isolated in nasal swabs collected in a horse showing respiratory clinical signs. Equine dermis cells inoculated with the sample were observed with characteristic viral cytopathic effects after 3 days of postinoculation and the infected cells exhibited bright intracelluar fluorescence by indirect immunofluorescence assay. At the nucleotide level, the partial glycoprotein B gene of the Korean EHV-4 isolate (K001) had 99.9% identity to 1942 strain (GenBank No. M26171). To author's knowledge, the report describes the first isolation and partial characterization of EHV-4 in Korea. The virus can be used for further study of EHV-4.

방풍통성산(防風通聖散)에 대한 문헌적(文獻的) 고찰(考察) (The Literatural study of Bangpungtongsungsan)

  • 이우열;윤일지;오민석
    • 혜화의학회지
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    • 제14권1호
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    • pp.155-165
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    • 2005
  • I have come to conclusion as follows about Bangpungtongsungsan after literatural study. 1. Bangpungtongsungsan is the medical treatment of heat, wind and dryness. 2. Bangpungtongsungsan is used in head-wind, dizziness, both eye disease, tinnitus, both ear deafness, nasal polyp, uriticaria, sajuabi, beard and hair falling, apoplexy, paralysis of hands and feet, dull mentality, tetanus, epidemic disease characterized by swelling and redness of face, carbuncle, daepungchang, pustule, syphilis, tinea capitis and so on. 3. Bangpungtongsungsan is used in the disease of cerebral hemorrhage, hypertension, arteriosclerosis, constipation, rosacea, hemorrhoids, cutaneous disease, empyema, eye disease, diabetes, asthma, obesity, beriberi, erysipelas, baldhead, fatty heart, chronic nephritis and so on. 4. Bangpungtongsungsan fits in Taeumin who has much wetness-heat and those who have much heat or have much heat but don't give off well. And it doesn't fit in the disease of intolerance to cold and fever in the form of weakness headache, asthenia of the spleen and stomach, cold by internal disorder and so on.

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A diagnostic dilemma in pediatric osteomyelitis: a case report

  • Mandrekar, Pooja Narendra;Gavhane, Sanket;Fernandes, Trishala Bhadauria;Dhupar, Vikas;Dhupar, Anita
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제48권2호
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    • pp.117-121
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    • 2022
  • Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied presenting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital involvement, nasal congestion, and emesis, as well as other standard hallmarks of infection. Furthermore, the maxilla is a highly vascular and porous bone and the occurrence of osteomyelitis in an infant maxilla is highly uncommon. In addition, routine blood work is not suggestive of the presence of this disease. Thus, prompt diagnosis of this condition poses a challenge to surgeons due to the confusing array of symptoms combined with the rarity of the disease. One such case of osteomyelitis of the maxilla in a young child is presented. The dilemma encountered by the surgeon during the diagnosis and treatment of the disease is discussed.

만성 기도폐쇄환자에서 급성 호흡 부전시 BiPAP 환기법의 치료 효과 (The Effect of Nasal BiPAP Ventilation in Acute Exacerbation of Chronic Obstructive Airway Disease)

  • 조영복;김기범;이학준;정진홍;이관호;이현우
    • Tuberculosis and Respiratory Diseases
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    • 제43권2호
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    • pp.190-200
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    • 1996
  • 연구배경 : 장기간 진행된 심한 만성 기도 폐쇄질환 환자에서 합병된 급성 호흡부전의 치료로 기관삽관과 기계호흡이 필요한 경우가 있다. 그러나 기계호흡을 거부하거나 기계호흡의 이탈이 불가능할 것으로 예측되는 환자에서 기관삽관과 기계호흡을 대신할 수 있는 환기법이 필요할 것으로 생각된다. 최근 수면 무호흡질환 환자의 치료로 개발되었던 지속적 기도 양압 치료가 급성 혹은 만성 호흡부전의 치료로 시도되고 있다. 본 연구에서는 급성 호흡부전이 합병된 만성 기도 폐쇄환자에서 비강 마스크를 통한 BiPAP 치료를 실시하여 그 효과를 평가하였다. 방법 : 영남대학교 의과대학 부속병원 내과에 내원한 만성 기도 폐쇄환자 22명을 대상으로 하여, BiPAP 치료군으로 10명의 만성 폐쇄성 폐질 환자와 1명의 기관지 천식환자에게는 대증적 치료 및 BiPAP 치료를 동시에 실시하였고, 대조군으로 11명의 만성 폐쇄성 폐질환자에게는 대증적 치료만 시행하였다. 대증적 치료는 산소 요법, 아미노필린, 부신피질 호르몬 흡입, 베타 agonist 등의 약물을 투여하였고 BiPAP 치료시 mode는 spontaneous timed, 호흡 빈도는 분당 12회에서 20회, IPAP는 $6cmH_2O$에서 $8cmH_2O$, EPAP는 $3cmH_2O$에서 $4cmH_2O$로 설정하였고 사용 기간은 3일간이었다. 치료 효과는 호흡 빈도, modified Borg scale 및 동맥혈 가스소견으로 비교하였다. 결과 : BiPAP 치료군과 대조군 사이에 나이, 치료 시작전 호흡 빈도 동맥혈 가스소견, modified Borg scale 그리고 안정 상태에서 시행한 환기 기능검사 소견은 양군 사이에 차이가 없었다. 호흡빈도와 modified Borg scale은 BiPAP 치료군과 대조군에서 시간의 경과에 따라 모두 유의하게 호전되었으나 두군간의 차이는 없었다. 동맥혈 산소 BiPAP 치료군과 대조군에서 다 같이 치료전에 비해 치료 1일 및 3일후에는 시간에 경과에 따라 호전되었으나 BiPAP 치료군에서는 치료 1일후와 치료 3일후의 소견에도 뚜렷한 호전이 있었던 반면에 대조군에서는 의미있는 차이가 없었다. BiPAP치료군에서는 동맥혈 이산화탄소분압은 치료전과 비교하여 치료 1일후 및 3일후에는 각각 유의하게 감소되었으나 대조군에서는 유의한 감소가 없었다. pH는 BiPAP 치료군에서 치료전과 비교하여 3일후에 의의있게 증가하였으나 대조군에서는 뚜렷한 차이가 없었다. 대조군과 BiPAP치료군의 치료 전후의 평균 동맥혈가스 차이로 두 군간의 비교에서도 동맥혈 산소분압은 치료 3일째, 동맥혈 이산화탄소 분압은 치료 1일째와 3일째, pH는 치료 3일째에 각각 의미있는 (p<0.05) 차이를 보였다. 결론 : 이상의 결과로 중증 만성 폐쇄성 폐질환 환자에서 급성 호흡부전이 발생시 BiPAP 치료는 호흡곤란과 동맥혈 호흡성 가스 소견을 향상시킬 수 있는 보조적인 환기법이 될 수 있겠으며 기관 삽관에 의한 인공호흡을 대신할 수도 있을 것으로 생각된다.

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알레르기성 질환에 대한 한의학적 접근 (Oriental Medical Approach on the Allergic Disease)

  • 임광모;정현우;김희정;정우열
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.831-839
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    • 2002
  • Allergy has a born predominant cause of atopy in body and react oversenstively several meterial. The cause of allergy are tick, house dust, egg, milk, bean, cosmetics, virus, bacteria, flesh and meat in Western medicine. While, Oriental medicine did not have an application on the allergy, but recognized that allergy is connected with fetal toxicosis, heat-syndrome in new born, syndrome characterized by dyspnea, sneezing, stuffy nose, nasal discharge and phlegm. Therefor, We knowed method of medical treatment following cause of disease and pathogenesis against allergy. Allergic disease(atopic dermatitis, bronchial asthma, rhinitis) were related with lung, spleen, kidney. To prevent allergic disease in born, Oriental medicine taked a serious view of fetal education. In Western medicine, The cause of allergy applied to exopathogen of Oriental medicine. In Oriental medicine, Treatment of allergy used generally strengthening the body resistance to eliminate pathogenic factors.

동의보감(東醫寶鑑) 중(中) 승마(升麻)가 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (Studies on application of Cimicifuga heracleifolia blended Prescriptions from Donguibogam)

  • 박상남;국윤범;이장천;윤용갑
    • 대한한의학방제학회지
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    • 제10권2호
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    • pp.5-46
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    • 2002
  • This report describes the studies as follows through the research into the data of Cimicifuga heraclefolia Komarov blended prescriptions from Donguibogam. Cimicifuga heracleifola Komarov blended prescriptions are utilized for 39 therapeutic ranges. such as in dentistry, onclology, and 16 therapeutic ranges occupy over 84% totally, from dentistry to nasal disease. Cimicifuga heracleifola Komarov blended prescriptions use in the symptpms resulting from dentistry, intestine, internal disease, and they are used 22 disease also. The main pathologies of Cimicifuga heracleifola Komarov blended prescriptions found weakness in the digestive system, heat of stomach, wind of stomach in the splanchnology, and pathologies of wind-heat, wind-moisture, cold, excluding they are using for energy-blood, weakness, internal disease. The actual amount of Cimicifuga heracleifola Komarov blended has a wide capacity from 2 pun to 5 don, 1 don is broadlly used by 26%. Through the research into the main factors that we know Cimicifuga heracleifola Komarov blended prescriptions are listed in Yangmyungkyung, as they are regularly used as disease treatment and increasing the level of the general energy of the body, relaxing a skin, increasing stamina, detoxication, eliminating tumor, widely.

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Simultaneous infection with rabbit hemorrhagic disease virus and Pasteurella multocida in rabbits

  • Lee, Yun Chan;Oh, Yeonsu;Choi, Sang Ho;Chae, Mi Kyung;Na, Ki Bok;Yook, Sim Yong;Han, Jeong Hee
    • 한국동물위생학회지
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    • 제44권1호
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    • pp.35-43
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    • 2021
  • Rabbit infectious hemorrhagic fever has been reported in rabbits worldwide. The disease is also frequently reported on Korean rabbit farms, and the pathological study of 9 rabbits on such disease-occurring farms was attempted to identify the pathogen. Clinical signs were torticollis and ear ulceration. Most rabbit died with bloody nasal discharges. At necropsy, multiple hemorrhages and inflammation were observed in heart, lung, liver and uterus. The main histopathologic features were hemorrhagic suppurative meningoencephalitis, fibrinous bronchointerstitial pneumonia, bacteremia, liver cell necrosis, multifocal hemorrhages in kidney and disseminated intravascular coagulopathy. The viral VP60 gene of RHDV was identified by Reverse Transcriptase PCR. Pasteurella multocida organisms were cultured, identified by biochemical test and serotyped as A by multiplex capsular typing PCR. In conclusion, the fatal hemorrhagic disease was due to combined infection with both RHDV and P. multocida in rabbits. To our knowledge, this is the first case report about co-infection with both RHDV and P. multocida in rabbits in Korea.