• 동의신경정신과학회지
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• 제16권2호
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• pp.251-257
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• 2005

본 증례의 뇌경색 초피질감각실어증 환자는 한양방 치료 및 언어치료 시행을 통하여 K-WAB, K-BNT 등 표준화된 실어증 검사의 수행능력의 향상을 보였으며, 이야기 배열 과제에 대한 발화 분석에서 주제진술률의 향상, 의미착어와 음소착어의 감소 등 실제적 담화능력의 향상을 나타내었다. 실어증 환자의 경과관찰에서 이야기배열그림이 활용이 유용하리라 사료된다. 이후, 한방치료의 효과를 검증 및 이야기 배열과제 발화분석의 유용성에 대한 확대된 연구가 필요하다.

• 음성과학
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• 제10권3호
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• pp.37-45
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• 2003

This study attempted to determine the effects of a context-based drawing task on the language expression of a severe Wernicke's and Broca's aphasic. The subjects in this study showed a poor auditory comprehension and naming performance. They also showed paraphasia and perseveration. This study focused on improving language expression by a drawing task based on conversation at hand. Ten target words were chosen which were easily drawnable and familiar to the subjects. The results showed that the context-based drawing task was effective on improving the subjects' confrontation naming ability and expressive language ability in terms of explanation of sentences. In addition, the Broca's aphasic showed improved naming ability when the contextual cues were given and he was supposed to spontaneously name words.

• 동의신경정신과학회지
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• 제18권3호
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• pp.181-191
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• 2007

Jeon-zeong(癲證) is mostly caused by anxiety and melancholy, impairment of heart and the spleen, or stasis of phlegm-Gi and heart confused by phlegm. Its manifestation are characterized by depression, expressionlessness, inclination for quietness, self muttering and hallucinating, caprice in crying and laughing, paraphasia, loss of appetite, unawareness of filth and cleanness, etc. We experienced a 50year-old man who bad brief psycbotic disorder that specified with Marked Stressor and whose condition was improved through oriental medical treatment. We treated the patient with Herbal medications and Giungoroen (至言高論)-wise saying and lofty opinion) and Relaxation therapy. After being treated, the patient showed that symptoms (insomnia, anxiety, depression) was improved considerably. This result suggests that oriental medical treatment has good effect on brief psychotic disorder due to Marked Stressor.

• 음성과학
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• 제13권1호
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• pp.69-83
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• 2006

Speech characteristics of Wernicke's aphasia are characterized by such errors as empty speech, jargon, paraphasia, filler and others. However, not all the errors can be observed in each patient presumably due to diverse auditory comprehension (AC) abilities and/or lesion loci. The purpose of this study was, thus, to clarify the speech characteristics of Wernicke's aphasics according to the AC levels (i.e., better vs. worse) and lesion loci (i.e., Wernicke's area, WA vs. non-Wernicke's area, NWA). The authors divided 21 Wernicke's aphasic patients into four patient groups based on their AC levels and the lesion loci. The results showed that the four groups differed only in CIU (Correct Information Unit) rate. The patient groups with a better AC ability had higher CIU rates than the groups with a worse AC regardless of the lesion loci (e.g., WA or NWA). Therefore, it was concluded that CIU rate, the differentiating speech variable was most likely related to the AC levels, but not to lesion loci.

• 혜화의학회지
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• 제9권1호
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• pp.745-761
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• 2000

Literatural study for Delirious speech and Fading murmuring, the results were as follows. 1. Delirious speech and Fading murmuring are given at the speech impediment. Derious speech to be out of language's order and slur the end of his words, and Fading murmuring is to repeat in losing conscious. 2. In constrast with Delirious speech and Fading murmuring, Maniac speech is induced by a general term for manic-depressive psychosis. Luoyan is to say in a feeble voice and mumble in a sleeping condition, and Paraphasia and Solioquy are appeared in a clear mental condition. The speech impediment is caused by damages of the nervous system and speech organ, and Yuyancuoluan is appeared in a feverless condition. 3. The symptoms of Delirious speech are to utter ravings and have a loud and heavy voice, and these resemble the delirium which specially has a speech impediment and muddle in the western medical world. The symptoms of Fading murmuring are to speak ambigously, repeatedly, and illogically and so are similar to the Wernicke dysphasia which is caused by a incomprehensible conversation. 4. The causes of Delirious speech are to spread a stomach heat and the lungs pathogenic qi into heart, not to sweat in cold damage, the Three Yang Combination of syndrome, stomach repletion, yang collapse due to excessive sweat, diarrhea, after diarrhea, heat to enter the blood chamer, feces to remain in the stomach, stasis blood to enter the viscera, to carry anger to extremity, and to be constipated. the cause of Fading murmuring is to despair vacuity desertion of vital essence and energy after a serious illness. 5. The causes of delirium are general infection, postoperative states, and metabolism disorders and those of Wernicke dysphasia are disorders of the blood vessel, brain tumors and traumas. 6. Delirious speech is cured with the discrimination of vacuity and repletion. Baitong Tang(白通湯), Chaihu Guizhi Tang(柴胡桂枝湯), Chaihu Jia Longgu Muli Tang(柴胡加龍骨牡蠣湯) are prescribed in case of vacuity, while Chengqi Tang(承氣湯), Baihu Tang(白虎湯), Liangge San(凉膈散) are in case of repletion. Fading murmuring is treated with Xiao Chaihu Tang(小柴胡湯), Fuzi Tang Jiawei(附子湯加味), Shengmai San(生脈散), and Renshen Sanbai Tang(人蔘三白湯). 7. To acupunture Qimen-Xue(期門穴) is required when it is late to prescribe a medical decoction or the hyperactive liver qi attacking the spleen.