• 동의신경정신과학회지
• /
• 제21권3호
• /
• pp.65-75
• /
• 2010

Objectives : The aim of this study is to validate the correlation between Pain Face Scale(PFS) and Numerical Rating Scale(NRS), and to find out the methods to assess headache by PFS. Methods : The study participants included 28 headache patients. All patients answered questionnair, which include PFS, NRS, and other questions for measurements headache. It is analyzed by frequency, correlation with spss windows 14.0. Results : 1. PFS include the strength of headache, and feelings. 2. PFS express strength of headache more than NRS. 3. There was no significant relationship between aspect and regions of headache. Conclusions : Therefore PFS is objective measurement scale of headache.

• 대한한방내과학회지
• /
• 제25권4호
• /
• pp.34-44
• /
• 2004

Objective : The purpose of this study is to investigate clinical characteristics with 25 patients who have suffered from headache and were treated. Methods : We classified 25 patients into several groups by IHS classification and evaluated the effects of oriental medical therapy on headache. Results : 1. According to the statistics, instances of migraine were more prevalent than tension headache, especially among women. 2. 28% of patient had entered for treatment within one month of onset. 3. Common associated symptoms included dizziness, nausea, dyspepsia, palpitation and insomnia. 4. In classification by the oriental medical differentiation of symptoms and signs, the rate of stagnation of the humid dam and deficiency of qi, these two types were highest. 5. 56% of patients said they were satisfied with the treatment, reporting half the frequency of headache or better from before treatment. Conclusions : The present results suggest that oriental medical therapy has effects on headache. Further clinical comparative studies on herb-medication versus acupuncture therapy for headache are urged.

• 대한한방내과학회지
• /
• 제38권5호
• /
• pp.834-841
• /
• 2017

Objectives: To report the clinical application and effects of ByeolGab (Trionycis Carapax) pharmacopuncture in patients with primary headache. Method: Three patients who suffered from primary headache were treated with ByeolGab pharmacopuncture and acupuncture for 2 weeks. We used the Henry Ford Headache Disability Inventory (HDI), a six point scale, and a visual analogue scale (VAS) three times and analyzed the results. Result: After treatment with ByeolGab pharmacopuncture, the VAS, HDI, and six point scale scores were improved in all three patients. The symptoms of headache and other symptoms were also improved. Conclusion: ByeolGab pharmacopuncture is an effective treatment for patients complaining of primary headache.

• 동의신경정신과학회지
• /
• 제11권1호
• /
• pp.83-96
• /
• 2000

Objectives: In order to study the effect of the oriental medical therapy on the patients who visited Neuropsychiatry and oriental medical differentiation of symptoms and signs with ABR (Autonomic Bioelectric Response recorder)-2000, these clinical studies were performed. Methods: Sixty six patients with headache were classified into three groups; the first is tension headache, the second is migraine headache, the last is the others, each group was investigated of a various characteristic, the effect of the oriental medical therapy and stress was measured by ABR-2000. Result: 1. According to the statics, the tention headache's rate was higher than migraine; on the whole woman's rate was higher than man's. however in the migraine the rate of sex was equal. 2. According to the cause facter, oversensitiveness, overexertion, dyspepsia, etc. were numorous in the order. 3. According to the oriental medical differentiation of symptoms and signs, the rate of stagnation of the liver-qi' s fire-transmission(肝鬱化火) and deficiency of qi(氣虛), these two types were highest. result of analyzing ABR-2000 is that stagnation of the liver-qi's fire-transmission(肝鬱化火) is the highest stress. 4. According to treatment rate, 80.3 percent of patients satisfied of treatment.

• 대한한방내과학회지
• /
• 제26권4호
• /
• pp.806-819
• /
• 2005

Objective : The purpose of this study is to investigate clinical characteristics and remedial value oriental medical therapy for sufferers of severe headache. Methods : On the authority of DongEuiBoCam, patients were classified into three groups: migraine, qi-syncope headache and phlegm-headache. All patients wert treated with acupuncture therapy and herb medicines. After that inquiry was made into the extent of improvement of headache. Results : 1. In accordance with the statistics, 56 cases(50.5%) had phlegm-syncope headache, 28 cases(25.2%) had qi-syncope headache and 27 cases(24.3%) had migraine. 2. The ratio between males and females was about 1:4. Most patients were in their forties. 3. 12 cases(31.6%) with migraine had pain only on the right side of the head, 20 cases(26.3%) with phlegm-syncope and 17 cases(45.6%) with qi-syncope headache suffered from the frontal lobe headache. 4. 8 cases(29.6%) with migraine had been suffering for a week or less, 12 cases(21.4%) with phlegm-syncope headache had been suffering for over six months and under one year and 6 cases(21.4%) with qi-syncupe headache had suffered over one year and under five. 5. Overwork and stress was deemed the main cause of migraine. Phlegm-syncope headache was also attributed to stress and tense situations. Qi-syncope headache was believed to be variously caused by traffic accident, noise, blood pressure and other reasons. 6. 46 cases(30%) felt dull headache and 32 cases(20.9%) felt dizzy. The common associated symptoms of migraine and qi-syncope headache included back, neck and shoulder pain and other pains. Dizziness was an especially prevalent symptom of phlegm-syncope headache. 7. After the oriental medical therapy, 12 cases(10.8%) almost entirely recovered, 50 cases(45%) were in about half as much pain, 45 cases(40.5%) improved little and 4 cases(3.6%) felt no improvement. Conclusions : The results support a role for oriental medical therapy in treatment of headache.

• Clinical and Experimental Pediatrics
• /
• 제58권2호
• /
• pp.64-68
• /
• 2015

Purpose: The purpose of this study was to investigate the importance of initial screening tests for depression and anxiety disorders in children with headache. In addition, this study evaluated whether the Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS) are suitable for screening symptoms of depression and anxiety. Methods: A retrospective chart review was conducted of 720 children aged 7-17 years who had visited a pediatric neurology clinic for headaches and were referred to a pediatric psychiatric clinic for psychiatric symptoms from January 2010 to December 2011. All patients completed the CDI and RCMAS. Among them, charts of patients with clinically significant total scores (cutoff>15) for psychiatric symptoms, as defined by the CDI and RCMAS scoring scales, were reviewed. Results: Nineteen patients had headaches and clinically significant total scores for psychiatric symptoms. The mean age at headache diagnosis was 11.7 years, and 57% were male. Mean duration of headache was 11.5 months. Two point eight percent of the patients were diagnosed with psychiatric disorders including major depression (1.7%), generalized anxiety disorder (1.1%), and bipolar disorder (0.1%). Four patients (0.6%) were diagnosed with attention deficit/hyperactivity disorder (ADHD). Total mean CDI and RCMAS scores of patients referred to the psychiatric clinic were 18.8 and 22.2, respectively. There was no correlation between CDI or RCMAS total scores and headache frequency, duration, or severity. Conclusion: We recommend that all patients with headache should be screened for depression and anxiety by CDI and RCMAS scores.

• 성인간호학회지
• /
• 제23권2호
• /
• pp.170-179
• /
• 2011

Purpose: The purpose of this study was to identify the effect of combined Western and Oriental medicine headache massage program for chronic headache patients. Methods: This study was designed using the Nonequivalent control group pretest-posttest design. The forty nine patients were divided into an experimental group (25 patients) and a control group (24 patients). Collected data were analyzed by Chi-test, t-test, Fisher's exact test, Repeated measures ANOVA using SPSS/WIN 14.0 program. Results: After treatment in this program, the experimental group had no significan difference in scores for headache intensity and frequency as the length of time in treatment increased compared to the control group. But there were significant decreases in the use of medication (F=4.209, p=.046) and disturbances in the quality of life related to headaches (F=13.097, p=.001) after providing the combined Western-Oriental massage program. Conclusion: This program could have a positive effect on using medication for pain controllers and headache related quality of life. Based on the results of this study, further research focusing on the effectiveness of unique nursing intervention for chronic headache patients is suggested.

• 대한약침학회지
• /
• 제14권3호
• /
• pp.91-97
• /
• 2011

Objectives : The purpose of 29 case series is to report the possibility that a hand acupuncture is effective in relieving headache. Methods : After approval from the Institutional Review Board (IRB), I analyzed 29 cases medical records of outpatients with headache, who visited ${\bigcirc}{\bigcirc}$ oriental medical hospital from December 2008 to December 2010, who have taken a hand acupuncture's treatment without other intervention, and who were diagnosed with one disease of international classification of headache disease second version (ICHD-2). The data was analyzed with Wilcoxon signed rank test to determine whether a hand acupuncture's treatment differed between before and after treatment's Visual Analogue Scale(VAS) according to types of headache and syndrome differentiation. Statistics program was used SPSS 18.0. Differences were considered significant at P<0.05. Results : The VAS of patients with headache was reduced after treatment of hand acupuncture from $6.57{\pm}2.04$ to $2.90{\pm}2.04$ for overall headache, from $6.32{\pm}2.05$ to $2.47{\pm}2.03$ for tension-type headache(P<0.001), from $7.10{\pm}2.18$ to $3.70{\pm}1.77$ for migraine(P<0.001), and from $6.00{\pm}1.41$ to $2.50{\pm}3.54$ for headache unspecified. A hand acupuncture produced a decrease in VAS of both ascendant hyperactivity of liver yang(P<0.001) and phlegm turbidity according to syndrome differentiation(P=0.002). No adverse event were encountered in any of the patients. Conclusions : It is suggested that a hand acupuncture may be effective in relieving headache, and could be applicable to first choice of acupuncture treatment for headache.

• Clinical and Experimental Pediatrics
• /
• 제50권8호
• /
• pp.761-766
• /
• 2007

목 적 : 소아에서 진단 목적으로 척수액 검사를 시행한 환아에서 천자 후 부작용으로 발생하는 두통의 발생 빈도와 영향을 끼치는 인자들에 대해 알아보고자 본 연구를 하였다. 방 법 : 2005년 3월부터 2006년 2월까지 조선대학교 병원 소아과에서 진단 목적으로 요추천자를 시행한 4세에서 13세 사이의 환아 중 뇌수막염이 의심되었던 44명을 대상으로 하였다. 요추천자 후 두통의 발생빈도와 성별, 연령, 요추 천자 횟수, 척수액 양, 두통의 과거력, 척수액 압력, 척수액내 백혈구 수의 각 인자들과 두통 발생사이의 상관성, 두통의 발생 시작시간과 지속시간 및 치료에 대해서 조사하였다. 결 과 : 천자 후 두통의 발생빈도를 보면 전체 44명 중 16명(36.4%)에서 발생했으며, 남녀가 각 39.4%(13명), 27.2%(3명)로 성별에서는 유의한 차이는 없었다. 두통의 과거력이 있는 6명중 50%(3명)에서 두통이 발생하였고, 과거력이 없는 38명 중 36.1 %(13명)에서 발생하여 두통의 과거력이 있는 경우 두통이 의의 있게 많이 발생하였다(P=0.037). 척수액내 백혈구 세포수가 많을수록 요추 천자 후 두통의 발생은 통계학적으로 의의 있게 많았다(P=0.012). 그 외 연령, 척수액 검사 횟수, 척수액 양, 척수액 압력과 천자 후 두통 발생 사이에는 통계학적 상관성이 없었다. 결 론 : 요추 천자 후에 두통은 기존의 다른 연구에서 보다 발생 빈도가 더 높았으며 두통의 과거력이 있는 경우와 척수액내 백혈구 세포수는 소아에서 척수액 검사 후 발생한 두통에 영향을 주는 인자로 생각된다.

• Journal of Acupuncture Research
• /
• 제17권3호
• /
• pp.1-9
• /
• 2000

Chronic headache is one of the most common symptoms of outpatients. There are many approaches to treat chronic headache, but it is difficult to be resolved completely. So analgesics-addicted patients are increased in numbers. Acupuncture and ear-acupuncture have been used for relief headache. But it is not sufficient to compare the effect of acupuncture on several chronic headache groups. Thus we investigate the effect of acupuncture and ear-acupuncture on several chronic headache groups and analgesics-abused groups. We researched 36 patients who were treated at Department of Acupuncture & Moxibustion, Kyung Hee Medical Center from August 1998 to July 1999. The chronic headache patients were classified into tension-type headache group, migraine group and unclassified headache group by Guide of IHS. Each group was treated with acupuncture and ear-acupuncture. The effect was assessed through questionnaires and self-rating headache index.