• Title/Summary/Keyword: patient global assessment

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The Clinical Study on the Effect of Sulguanjul-bang No.1 on Osteoarthritis of Knee Joint (퇴행성 슬관절염 환자에서 슬관절방(膝關節方) 1호(號)의 유효성 연구)

  • Park, Min-jung;Lee, Kyung-yun;Park, Koae-hwan;Chung, Ae-kyung;Shin, Dae-hee
    • Journal of Acupuncture Research
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    • v.21 no.3
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    • pp.249-264
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    • 2004
  • Objective : This study is designed to find out the effects of Sulguanjul-Bang No.1 on osteoarthritis in knee joint. Methods : 45 patients with symptomatic osteoarthritis of the knee joint were enrolled in a short term 8-week open clinical trial. The 45 patients were taken Sulguanjul-bang No.1 two times a day before meals for 8 week. After 8 week treatment period, the following parameters were analyzed ; Visual analogue Scale(VAS) as first effective parameter, Lysholm index score, patient's global assessment, passive movement range of the knee joint. Results : Sulguanjul-bang No.1 treatment led to significant improvement in the pain and symptoms of osteoarthritis as determined by all efficacy measures. After 8 weeks of therapy, there was significant improvement in VAS and Lysholm index; squat, sit down and up, crepitaion, swelling. The range of motion was improved in 6 of 9 cases. The improvement in patient's global assessment was seen in 84%. Conclusion : Sulguanjul-bang No.1 was very beneficial effect in pain relief and improvement functions on osteoarthritis.

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Utilization of a Scored Patient-Generated Subjective Global Assessment in Detecting a Malnourished Status in Gynecologic Cancer Patients

  • Chantragawee, Chompunut;Achariyapota, Vuthinun
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4401-4404
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    • 2016
  • Purpose: To assess the prevalence of malnutrition in gynecologic cancer patients using the Scored Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire. Materials and Methods: A total of 97 gynecologic cancer patients who never had any treatment but were planned for surgery were enrolled. The patients were asked to complete the scored PG-SGA form before the treatment was started. Attending physicians were also asked to complete other information in the PG-SGA form. Total scores were calculated and the patients were classified into 3 nutritional status levels. Results: Mean age was 54 years. Postoperative diagnoses were endometrial cancer in 42 cases (43.2%), ovarian cancer in 29 cases (29.9%), and cervical cancer in 26 cases (26.8%). Mean PG-SGA score was 5.2+4.7. Malnutrition (PG-SGA B and C) was found in 52 patients (53.6%, 95% CI 43.7% - 63.2%). Preoperative BMI, hemoglobin, serum albumin, and cancer stage were not significantly associated with nutritional status. Malnutrition was significantly more common among patients diagnosed with ovarian cancer, compared to other types of cancer (79.3% vs. 42.6%, p 0.004). Conclusions: Prevalence of malnutrition among gynecologic cancer patients was 53.5%, according to the scored PG-SGA. Malnutrition was significantly more common among patients with ovarian cancer.

Clinical Study on the Effect of Gyebongnyeong capsule in the Treatment of Primary Dysmenorrhea (계지복령환(桂枝茯笭丸) 제제의 원발성 월경통에 대한 임상적 효과)

  • Nam, Eun-Jung;Lee, Yeon-Kyeong;Lee, Dong-Nyung;Kim, Hyung-Jun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.5
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    • pp.1364-1368
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    • 2006
  • The purpose of this study is to identify the clinical effects of Gyebongnyeong capsule in the treatment of primary dysmenorrhea patients. We studied ten patients visit Se-Myung University Oriental Medical Center from February, 2005 to March, 2005. Women with organic disease such as ut. myoma, ov. cyst and pelvic inflammatory disease were excluded from this study. We treated them with Gyebongnyeong capsule for two menstrual cycles. The severity of dysmenorrhea were measured by VAS (Visual Analog Scale) and Patient's Global Assessment. Gyebongnyeong capsule significantly decreased the severity of dysmenorrhea. Gyebongnyeong capsule did not show hepatic and renal virulence. This study shows that Gyebongnyeong capsule has remarkable effects on dysmenorrhea patients.

Effects of Bee Venom Acupuncture on the Rehabilitation and Quality of Life in Rheumatoid Arthritis Patients (봉독약침이 류마티스 관절염 환자의 기능회복 및 삶의 질에 미치는 영향)

  • Lee, Sang-Hoon;Lee, Hyun-Jong;Park, Sang-Min;Kim, Su-Young;Park, Jae-Kyung;Hong, Seung-Jae;Yang, Hyung-In;Choi, Do-Young;Kim, Keon-Sik;Lee, Doo-Ik;Lee, Yun-Ho;Lee, Jae-Dong
    • Journal of Pharmacopuncture
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    • v.5 no.2
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    • pp.63-70
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    • 2002
  • Objective: To evaluate the effects of bee venom acupuncture(BVA) on the rehabilitation and quality of life in rheumatoid arthritis(RA) patients Methods: Patients with RA were treated with the BVA therapy twice a week for 3 months. Tender joint counts, swollen joint counts, morning stiffness, Erythrocyte Sedimentation Rate(ESR), C-reactive protein(CRP), patient global assessment, physician global assessment, Korean health assessment questionnaire(KHAQ) were estimated and analyzed before and after BVA therapy. Results: Tender joint counts, swollen joint counts, morning stiffness showed significant decrease after BVA therapy. But, as acute inflammatory reactants, ESR showed no significant difference and CRP showed significant increase after BVA therapy. Patient global assessment, physician global assessment, and KHAQ index showed significant improvement after BVA therapy. Conclusions: BVA therapy can improve rehabilitation and health-related quality of life in RA patients as well as clinical symptoms and signs. Further study is required in more population with large scale including acute inflammatory reaction of BVA therapy.

Case Report Combined Therapy of Acupuncture and Fire Needling is Effective to Treat Frozen Shoulder (일반침과 화침의 병용 요법의 동결견 환자에 대한 응용 증례 보고)

  • Hong, Seung Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.122-127
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    • 2014
  • Fire needling is an acupuncture procedure involving the swift pricking of diseased part with a red hot needle. The purpose of the present study is to report the therapeutic effect of acupuncture and fire needling combined therapy on the frozen shoulder patients. Each of patient received combined therapy of acupuncture and fire needling. Fire needling was carried out 2 or 3 times a week. Shoulder pain was evaluated by measuring visual analoge scale (VAS), range of movement (ROM), and global assessment and grade. All of the patinets treated with combined therapy exhibited decreasing of VAS and grade, increasing of ROM and global assessment.

A Case Study of a Taeeumin Patient with Olivopontocerebellar Atrophy Improved with Jowisengcheong-tang (조위승청탕(調胃升淸湯)으로 호전된 올리브교소뇌위축증 환자 1례)

  • Lee, Mi-Suk;Bae, Na-Young
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.3
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    • pp.243-253
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    • 2013
  • Objectives The aim of this study was to examine significant improvement of dizziness, gait disturbance, insomnia and xerostomia after treatment with Jowisengcheong-tang in a Taeeumin patient with olivopontocerebellar atrophy (OPCA). Methods The patient's subjective and objective symptoms were observed daily throughout the hospitalization period using global assessment (G/A), and the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results The symptoms of dizziness and xerostomia decreased from G/A 100 to G/A 10~30 for five days, and the UMSARS score decreased in Part I,II. Conclusions This case showed that Sasang constitutional medicine treatment can be effective treatment method for OPCA. We consider that consistent treatment can contribute to improve the patient's quality of life.

A Case Report of a Soyangin Patient with Chest Discomfort of Unknown Cause (원인불명의 흉부불편감을 호소하는 소양인(少陽人) 치험례)

  • Kang, Min-Su;Yang, Sung-Pil;Kim, Jin-Young;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.3
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    • pp.280-287
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    • 2017
  • Objectives The purpose of this study is to investigate the effect of Jihwangbaekho-tang on chest discomfort of unknown cause in a 52-year-old male patient diagnosed with Soyangin. Methods Patient had chest discomfort. But, the cause of this symptom was not identified by various cardiac examinations. The patient was treated with Soyangin Jihwangbaekho-tang for 2 weeks on the basis of Sasang Constitutional Medicine and the symptoms were evaluated by GAS(Global Assessment Scale). Results After using Jihwangbaekho-tang, GAS score has been decreased from 7 to 3. Conclusions This case study suggests that chest discomfort, whose cause is unknown, can be treated when using Sasang Constitutional Medicine.

A Case Report of Impulse Control Disorder treated by Daecheongryong-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대청룡탕(大靑龍湯) 투여 후 호전된 충동 조절 장애 1례)

  • Doo, In-Sun;Lee, Sung-Jun
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.57-67
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    • 2018
  • Objective : This case report presents the effect of Daecheongryong-tang on Impulse Control Disorder. The patient was diagnosed with Taeyang-byung based on Shanghanlun provisions. Methods : According to Shanghanlun six meridian patterns diagnostic system, we diagnosed the patient as Taeyang-byung and she has been suffering from impulse control disorder. The patient was treated with Daecheongryong-tang. And it was provided for 60 days.The changing symptom was estimated by Global Assessment of Functioning and Visual Analogue Scale. Results : After the treatment, the patient's functioning got better from 65 to 85 on GAF. And the degree of pain was reduced from 10 to 2 on VAS. Conclusions :This case study shows an effectiveness of using Daecheongryong-tang according to Diagnostic system based on Shanghanlun provisions on Impulse Control Disorder.

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A Case Study of a Dysgeusia in a Soyangin Patient (이상미각을 호소하는 소양인 치험 1례)

  • Park, Se-Won;Keum, Na-rae;Bae, Hyo-Sang;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.4
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    • pp.53-58
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    • 2018
  • Objective The purpose of this case study was to report improvements of a Soyangin patient with dysgeusia which a salty taste persisted in the mouth. Methods This patient was identified as Soyangin and treated by Yangkyuksanwha-tang-gamibang, acupuncture and moxa. Patient's symptom was assessed G/A(Global Assessment). Results and Conclusions The symptom of a lasting salty taste in the mouth was improved remarkably after using Korean medicine treatment, especially Yangkyuksanwha-tang-gamibang.

Nummular Eczema Treated by Hoeyeok-tang Based on the Shanghanlun Disease Pattern Identification Diagnostic System (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 회역탕(回逆湯) 투여 후 호전된 화폐상 습진 증례 1례)

  • Lim, Eunkyo
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.155-164
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    • 2021
  • Objective: This study aimed to report the improvement of a patient with nummular eczema treated with Hoeyeok-tang based on Shanghanlun provisions. Methods: According to the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions, the patient was diagnosed with lesser yin disease according to the 324th provision. The patient was treated with Hoeyeok-tang for 90 days. The severity of pruritus decreased, and changes in symptoms were estimated by a visual analog scale, Scoring Atopic Dermatitis Index and the Validated Investigator Global Assessment for Atopic Dermatitis. Results: The patient's symptoms were improved. The severity of pruritus decreased and they recovered from abrasions. Conclusions: This study suggests that the 324th provision of Shanghanlun refer directly to nummular eczema.