• 제목/요약/키워드: physiological symptom

검색결과 250건 처리시간 0.031초

천연물 항암제제 임상시험 평가지표 개발연구 (Study on Development of Assessment Guideline and Endpoints for Clinical Trial with Antitumor Natural Products)

  • 남궁미애;장유성;정승기;김진성;윤성우;장기영;유화승;정면우;이성호;김성훈
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1678-1727
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    • 2006
  • This study was perfromed to develop the assessment guideline and endpoints for clinical trial with anticancer herbal medicine. The botanical products used to humans for long time may be applied to phase 3 clinical trial after submitting the evidences for safety and efficacy of them or completion of basic requirement of phase 1 and phase 2 for safety confirmation and dose determination. Syndrome improvement was chiefly evaluated by Zubrod and karnofsky(%) methods. We suggest the general clinical trial assessment with botanical products, by following assessment points, that is, tumor size for 50 points, survival fate for 10 points, major syndromes for 40 points. It is recommendable that the each symptom of Qi deficiency syndrome, blood deficiency syndrome and Qi stagnation syndrome was allocated by assessment points, Similarly, the each symptom was given the assessment points according to the severity of symptom, for example, slight for 3 points, moderate for 2 points and severe for 1 point in hepatocelluar carcinoma and lung cancer. Then, the efficacy of botanical products was evaluated by the difference between pre-treatment and post-treatment. Asking the neoplastic patients of questionnaire on physical, emotional, cognitive, social and role subjects availability, three more syndromes (Fatigue, Pain and Nausea/Vomit), quality of life(QOL) will be evaluated by GLM statistics. In addition, in case of lung cancer, 13 questions will be asked by the EORTC QLQ-C13 forms. As the assessment of endpoints for efficacy to reduce side effects induced by chemotherapy and radiotherapy, the data of image scanning and hemato-urinalysis can be usefully applied on immune response, weight loss, indigestion, hemopoietic damage and injury of liver and kidney, while the changes of syndromes of side effect can be evaluated by differentiation methods of Qi and blood and five viscera. However, it is still necessary to determine the ratio between scientific analytical method and Oriental differentiation method as well as confirm the Oriental assessment endpoints by clinical trial. In addition, we suggest the continuous development of assessment endpoints on other carcinomas except of hepatocelluar carcinoma and lung cancer in future.

병성에 대한 소고 (Consideration of the Nature of Disease)

  • 조성연;이광규
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.857-866
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    • 2002
  • The main current in the pathology of oriental medicine is composed of etiologic factor, pathogenesis and clinical manifestation. The access of a disease is consist of etiologic factor, location of the lesion, nature of the disease and patient's condition. The nature of disease and the property of a drug are inseparably related to each other. The nature of disease is composed of six exogenous factors, cold and heat, deficiendy and excess, Yinyang and pain. Cold nature is divided into cold symptom due to excess and asthenia cold, fever nature is divided into sthenic fever and asthenic fever. According to the location, cold and heat can be subdivided into heat in the upper and cold in the lower, cold in the upper and heat in the lower, exterior cold and interior heat, exterior heat and interior cold. Yin syndrome characterized by hypofunction of the viscera is generated from insufficiency of yang-qi, excess of yin-coldness, deficiency of both qi and the blood.

메니에르 증후군 의증의 현훈 환자 1례에 대한 팔체질침을 사용한 증례 보고 (A Clinical report on 8 Constitutional Acupuncture Therapies for Treatment One Case of Dissiness Suggested Menieres Syndrome)

  • 이형호;김진규;정명걸;김용찬;김종대
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.1079-1083
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    • 2002
  • Dizziness is a common and often vexing symptom. But the cause of dizziness is very various and generally divided into peripheral and central. Although there are some clinical reports about dizziness. there isn't any report by Constitutional therapy. In this study, the author reports a case of recurrence and persistent vertigo. he was consulted to local E.N.T. and clinically suggested Menier's disease with tinnitus, mild deafness, and vertigo. By using the method of 8 Constitutional Acupuncture therapy and herbal medication(Mihudungsikjang-tang) regarding him as COLONOTONIA. After he regarded and treated as GOLONOTONIA, the symptoms disappeared.

상한론(傷寒論) 15조(條)의 '기기상충(其氣上衝)'에 대한 고찰 (Study of 'Ji-Qi-Shang-Chong' in Shang-han-lun's 15th Text)

  • 이승준;김영목
    • 동의생리병리학회지
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    • 제25권6호
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    • pp.961-967
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    • 2011
  • This study is about 'Ji-Qi-Shang-Chong(其氣上衝)' in Shang-han-lun("傷寒論")'s 15th text. Shang-han-lun is a basic text about pathology of Traditional Korean Medicine written by Zhang-Zhong-Jing(張仲景). In that text, there are so many cases of people having some symptoms, how to treat them, and which herb medicine to give them, and the side effects of wrong treatments. In those cases, there is symptom said 'Ji-Qi-Shang-Chong(其氣上衝)' in the 15th text. But there is no detailed description about that. So this study is aimed at studying exactly meaning of the 15th text's 'Ji-Qi-Shang-Chong(其氣上衝)' by comparing historical medical practitioners and analyzing with the bibliography, pathology, herb pharmacology, herbal medicine, pharmacology part. In the bibliographical analysis, this sentence has been transmitted from original Shan-han-lun written by Zhang-Zhong-Jing(張仲景). Former part of this sentence "太陽病, 下之後, 其氣上衝者, 可與桂枝湯". is most correspondent part with Zhong-Jing(仲景)'s. And there is correctional possibility about latter part.

교뇌경색 후의 흡인성 폐렴에 병발된 지속성 딸꾹질 치험 1례 (Case of Persistent Hiccup that Ensued on Aspiration Pneumonia after Pontine Infarction)

  • 이슬희;정종진;김수연;송창훈;선승호;백태현
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1621-1625
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    • 2008
  • Generally, hiccup is a temporary symptom, however, persistent or intractable hiccup that repeats continuously or does not respond to medical treatments makes the patients very painful. In this case, a seventy-two years old patient with pontine infarction showed symptoms as aspiration pneumonia and persistent hiccup a few days after hospitalized. We considered him as excess heat pattern and prescribed Yangkyuk-san. In the result, not only the frequency and intensity of hiccup were remarkably decreased but also the inflammation and overall symptoms by pontine infarction were improved.

용담사간탕을 투여한 화농성 슬관절염 환자의 치검 1례 (The Effect of Youndamsagan-tang on a Case of Septic Knee: A Case Report)

  • 강대희;김영달;김창년;민지연
    • 동의생리병리학회지
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    • 제17권6호
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    • pp.1547-1551
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    • 2003
  • This study was carried out to characterized the effect of Youndamsagan-tang on a Case of Septic Knee. After we gave Youndamsagan-tang to a patient of septic knee, we examined not only symptom of patient but also the thickness and circumference of knee, the change of WBC, ESR, body temperature, VAS. As admission time passes, the pain, flare, swelling and movement of left-side knee joint were improved. The thickness and circumference of knee joint were decreased, and the count of WBC, ESR were decreased. And patient's pain by VAS was subsided. From the above result, administration of Youndamsagan-tang reduces the progressing of pain, flare, swelling and movement in knee joint.

궐(厥)의 문헌적 고찰 (Literature Review on the Reverse)

  • 곽재영;이용태
    • 동의생리병리학회지
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    • 제24권5호
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    • pp.737-747
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    • 2010
  • In Neijing(內經) the theory of Reverse(厥) was explained syncope causes by disharmony of emotions irregularity, deficient or excessive Qi(氣虛, 氣實) and blood disorder, it was the causes of cold hypersensitivity of hands and feet except coldness itself, include impairment of Qi circulation and the deficiency of the kidney weakened essence and blood, weakness and damage in the kidney essence, deficiency of the lower part and deficiency of the lower Qi as the major causes. In Shanghanlun(傷寒論) the theory of Reverse(厥) was divided into by disharmony of heat or cold reversal symptom. In Jingyue quanshu(景岳全書), causes of Reverse(厥) was Qi and blood disorder, damps(痰飮), alcohol and sex include syncope. In Dongeuibogam(東醫寶鑑), causes of Reverse(厥) was deficient or excessive Qi, impairment of blood circulation which means the deficiency of blood, essence(精) and blood stasis (瘀血), and disorder of gastrointestinal system which means malfunction of gastrointestine, damps(痰飮) and toxicity of alcohol. The rest of the causes include San syndrome(疝症), sun stroke(暑病) and heat reversal(熱厥).

번조(煩躁)를 동반한 턱떨림 환자 2례에 대한 증례 보고 (Jaw Tremors with Agitation : Two Cases Report)

  • 한인식;선승호;오현석;이득수;이용현;정종진;이원철
    • 동의생리병리학회지
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    • 제27권1호
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    • pp.142-147
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    • 2013
  • The purpose of this study was to report the effect of Korean medicine and acupuncture in jaw tremor with Agitation. We studied two inpatients who had jaw tremor with agitation in the OO University Korean medicine hospital. They was treated with acupuncture (LU8, LR4, HT3, LR2) and herbal medicine. The effect of treatment was evaluated by Visual Analog Scale(VAS) and motor examination of Unified Parkinson's Disease Rating Scale(UPDRSIII). Both VAS of jaw tremor symptom and agitation and UPDRSIII score of tremor were decreased. The result suggest the combination treatment of herbal medicine and acupuncture might be effective for the jaw tremor with agitation.

중국의 맥상파(脈象波) 연구동향 II: 임상활용 분야 (A Study of the Pulse Diagnosis Research Trend in China II: Clinical Application)

  • 신상훈;김기왕;임혜원;박영재;박영배
    • 대한한의진단학회지
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    • 제9권1호
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    • pp.47-58
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    • 2005
  • Background and purpose: The purpose of this study is to review the recent 10 year Chinese achievements on the objectification of traditional pulse diagnosis in clinical area. Methods: From the China Journal Full Text Database (中國學術期刊全文數据庫) we searched papers on pulse diagnosis by the keyword 'Maizhen'(脈診) Resulls: The researches are summarized into four parts; (1) the researches on the normal pulse in the physiological state (2) the clinical researches of pulse diagnosis on the symptom and disease diagnosis (3) the clinical researches of pulse diagnosis on the acupuncture treatment (4) the application of pulse diagnosis on the functional evaluation of the athlete. Conclusion: The undoubted principles of the traditional pulse diagnosis are evaluated by the objective clinical researches. And the researchers are trying to find a new application area over the traditional one.

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보혈안신탕(補血安神湯), 가미보혈안신탕(加味補血安神湯)의 항(抗) stress효과(效果)에 관(關)한 실험적(實驗的) 연구(硏究)

  • 이동진;김지혁;황의완
    • 동의신경정신과학회지
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    • 제4권1호
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    • pp.77-97
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    • 1993
  • Human and animals are living by acclimation to environmental changes like high and cold temperature, nose, confinement, etc. If the above changes reach a defined levels, some physiological abnormal state could appear, which we call them as stress state. Catecholamines are excreted by the sympathetic-adrenomedullary system in free from in urine. Catecholamines are derived from the adrenal medulla and urinary epinephrine can be taken as a rough estemation of the activity of this gland. Many scientist reported the endocrinological change, excretion of catecholamine and its metabolites, stomach ulcer formation, etc. under the condition of the confinement and high temperature. In this study author gave restraint, electric shock and immersion stress to rats by administrating by HPLC and got the following results. 1. In the restriant experiment, epinephrine contents in control rat was 194.7 ng, but in Bohyulanshintang administered rat urine 198.9 ng of epinephrine was found. 2. In the electrical shock experiment, 199.5 ng of epinephrine was found in the control rat urine, but in Bohyulanshintang administered rat urine epinephrine content was 142.4 ng. 3. Dopamine contents in control rat urine the immersion environment was 118.9 ng, but in Bohyulanshintang administered rat urine only 55.2 ng of dopamine was found. 4. Incontrol rat stomach there appeared focal erosion and inflamatory exudate, but in experimental group these symptom were turned to mild condition.

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