• 제목/요약/키워드: pregnancy pulse

검색결과 23건 처리시간 0.029초

습수(濕嗽)의 원인(原因)과 증상(症狀)에 대(對)한 문헌적(文獻的) 고찰(考察) (The bibliographical study on the cause and symptom of Seup-Su(濕嗽))

  • 오영욱;임일규
    • 대한한방내과학회지
    • /
    • 제13권1호
    • /
    • pp.110-116
    • /
    • 1992
  • This study has been carried out to investigate the cause and symptom of Seup-Su(濕嗽) by referring to 23 literatures. The results were as follows; 1. The factors causing Seup-Su(濕嗽) are divided into 3 groups. The 1st inner factor is lung affected by wetness(濕勝肺). The 2nd outer factors are wetness-evil(濕邪), syndrome caused by summer heat and wetness evils(暑濕), clothe after bath, sit down along the long time, symptoms caused by rain. The 3rd non-innwer and outer factor is the pholegm accumulated. 2. The symptom of Seup-Su(濕嗽) is as follows. arthralgia hidrosis difficulity in micturition pregnancy small tense pulse.

  • PDF

A successful management after preterm delivery in a patient with severe sepsis during third-trimester pregnancy

  • Ra, Moni;Kim, Myungkyu;Kim, Mincheol;Shim, Sangwoo;Hong, Seong Yeon
    • Journal of Yeungnam Medical Science
    • /
    • 제35권1호
    • /
    • pp.84-88
    • /
    • 2018
  • A 33-year-old woman visited the emergency department presenting with fever and dyspnea. She was pregnant with gestational age of 31 weeks and 6 days. She had dysuria for 7 days, and fever and dyspnea for 1 day. The vital signs were as follows: blood pressure 110/70 mmHg, heart rate 118 beats/minute, respiratory rate 28/minute, body temperature $38.7^{\circ}C$, and oxygen saturation by pulse oximetry 84% during inhalation of 5 liters of oxygen by nasal prongs. Crackles were heard over both lung fields. There were no signs of uterine contractions. Chest X-ray and chest computed tomography scan showed multiple consolidations and air bronchograms in both lungs. According to urinalysis, there was pyuria and microscopic hematuria. She was diagnosed with community-acquired pneumonia and urinary tract infection (UTI) that progressed to severe sepsis and acute respiratory failure. We found extended-spectrum beta-lactamase producing Escherichia coli in the blood culture and methicillin-resistant Staphylococcus aureus in the sputum culture. The patient was transferred to the intensive care unit with administration of antibiotics and supplementation of high-flow oxygen. On hospital day 2, hypoxemia was aggravated. She underwent endotracheal intubation and mechanical ventilation. After 3 hours, fetal distress was suspected. Under 100% fraction of inspired oxygen, her oxygen partial pressure was 87 mmHg in the arterial blood. She developed acute kidney injury and thrombocytopenia. We diagnosed her with multi-organ failure due to severe sepsis. After an emergent cesarean section, pneumonia, UTI, and other organ failures gradually recovered. The patient and baby were discharged soon thereafter.

조경종옥탕가미방(調經種玉湯加味方)을 병용(併用)한 습관성 유산환자 치험4례 (4 Cases of Habitual abortion treated by Jokyungjongok-tang gamibang)

  • 구진숙;서부일
    • 대한본초학회지
    • /
    • 제33권4호
    • /
    • pp.87-93
    • /
    • 2018
  • Objectives : The prevalence of infertility is reported to be 23.3%, which is a serious social problem. Habitual abortion is one of the important complications during pregnancy. The purpose of this study is to help the treatment of habitual abortion by observing and reporting the process in which four women who did not have children due to habitual abortion make healthy birth through treatment. Methods : We administered Jokyungjongok-tang gamibang as a herbal medicine treatment method and treated with acupuncture, moxibustion and uterine steam treatment. Treatment was done once or twice a week but it was also varied depending on the patient's circumstances. The herbal medicines were taken 30 minutes after meals and 3 times a day. While taking the Korean medicine, they were prohibited from eating flour, pork, liquor, tobacco and coffee. Patient status was assessed by consultation through pulse, tongue and abdomen. A detailed questionnaire was performed for each treatment. In some cases, they have tested hormone levels at the hospitals to know ovulation dates. The diagnosis of pregnancy was confirmed by ultrasonography at hospitals and the treatment for habitual abortion was judged based on healthy birth. Results : As a result of herbal medicine, acupuncture, moxibustion and uterine steam treatment, the coldness of the body became weak, the fatigue decreased and the digestive condition gradually began to improve. The bad condition of the uterus caused by the repeated administration of heritage has been improved with Boheosaenghwa-tang gamibang. After administration of Jokyungjongok-tang gamibang, they became pregnant and overcame the condition of addictive abortion and gave birth to healthy children. Conclusion : Jokyungjongok-tang gamibang is effective in overcoming the symptoms of habitual abortion and giving birth to a healthy child for a woman who had no children due to her habitual abortion

임산(臨産) 의론(醫論)과 의방(醫方)에 대한 문헌고찰(文獻考察) - 불수산(佛手散)을 중심으로 - (A Literature Review about Labor theory and practice - Focused on Bulsusan(佛手散) -)

  • 류정아;정창현
    • 대한한의학원전학회지
    • /
    • 제25권1호
    • /
    • pp.173-196
    • /
    • 2012
  • Object : From the ancient times, the importance of childbirth has been well recognized by Korean Traditional Medicine. Numeral methods have been developed to ease the labor process and keep the mother and child healthy from conception to labor. Bulsusan(佛手散) is one of the main remedies to healthy labor in KTM, both widely known and applied as well. Method : This paper examines the labor theory and practice of KTM focused on Bulsusan which is composed of Angelica gigas Nakai(當歸) and Cnidium officinale MAKINO(川芎). Result : 1. From the ancient times until the Q$\bar{i}$ng period, much attention was placed to the handling of the placenta, as it was conceived as bearing much relation to the health of the mother and her fate, and thus included in the labor process. 2. There was a recognition of the 'birth pulse[離經脈]', an intense change in the pulse that presents itself prior to somatic signs of labor. 3. There were numerous prescriptions that were administered beforehand to ease the process. They are mostly constituted with medicinals that nurture Gi(氣) and stimulate its flow, which in turn makes the fetus firm and reduces the volume, easing the labor process. 4. The medical practice of labor-induction was called 'Choesaeng(催生)'. The prescriptions which functioned as such were mostly constituted with blood medicinals such as Angelica gigas Nakai and Cnidium officinale MAKINO, those which nurture both Gi(氣) and blood, and medicinals that physically lubricate the labor pathway such as honey, oil and Talcum(滑石). Conclusion : Bulsusan can be used in most problems concerning pregnancy and labor, and cases of emergency blood loss due to injury. The term 'bulsu(佛手)' infers to the medical ability of the great doctor who takes care of major blood-loss situations resulting from discharge of dead fetus, cesarean delivery, etc. The prescription name takes after this meaning, as it deals with similar conditions in its effect.

우발성 고위경막외차단 경험 1예 -증례보고- (Accidental High Epidural Block -A case report-)

  • 박정구;전재규
    • The Korean Journal of Pain
    • /
    • 제8권1호
    • /
    • pp.159-163
    • /
    • 1995
  • Accidental high epidural block is a rare but serious complication. It can result from many factors, which include the volume and concentration of drug, posture, puncture site, age, pregnancy or intra-abdominal mass, and patients' height and weight. We had a case of accidental high epidural block recently. This is a case report which was confirmed by an epiduragram. A healthy 50-year-old woman with a huge uterine myoma was scheduled for a total abdominal hysterectomy under continous epidural analgesia. Epidural catheterization was carried out smoothly. However, an unexpected hypotension was noticed after an epidural injection of 2% lidocaine 25 ml. Thereafter, the patient was intubated and her respiration was controlled during the operation. Using the 5mg of ephedrine, her blood pressure and pulse were well maintained. The scheduled operation was carried out for one hour uneventfully, but after the operation, she felt paresthesia on her hands in the recovery room. To differentiate between the high epidural and the subdural blocks. We injected 5 ml of a water soluble Niopam 300 through the catheter postoperatively. It was observed on the epiduragram that the catheter was placed in the epidural space. It was suggested that the high epidural block was induced from the widespread diffusion through the narrowed epidural space due to the engorgement of the epidural venous plexus by the patient's huge uterine myoma.

  • PDF

복제 산양(진순이)의 체세포 핵이식에 의한 Re-Cloning에 관한 연구 (Re-Cloning by Somatic Cell Nuclear Transfer from a Cloned Korean Native Goat)

  • 정수영;박희성
    • 한국수정란이식학회지
    • /
    • 제22권2호
    • /
    • pp.89-95
    • /
    • 2007
  • 본 연구는 재래 산양의 체세포 핵이식에 의하여 생산한 복제 산양(진순이)의 조직으로부터 공여 핵을 배양하여 다시 핵이식을 실시하여 재복제에 따른 융합율과 분할율, 이식 후의 수태율 등을 조사하여 재복제 가능성 여부를 검토하기 위하여 실시하였다. 공여 세포는 귀 유래 섬유아세포를 분리 배양하여 사용하였으며, 체내 성숙 난자는 성숙한 미경산 재래 산양에 과배란을 유기하여 외과적인 방법으로 난관 관류를 통해 회수하여 핵이식을 실시하였다. 핵이식란의 융합은 전기 자극 방법으로 실시되었으며, 융합이 완료된 핵이식란의 활성화 처리는 핵이식 3시간 후에 Ionomycin과 6-DMAP를 병용 처리하여 실시하였다. 복제 수정란의 체외 배양은 0.8% BSA가 첨가된 mSOF 배양액으로 $2{\sim}4$ 세포기까지 체외 배양을 실시한 다음 수란 산양의 난관에 외과적으로 이식하였다. 임신 진단은 발정일로 부터 제 30일과 60일째에 초음파 임신 진단기로 임신 진단을 실시하고, Progesterone농도는 이식 후 21일째와 63일째의 혈액을 채취하여 RIA 방법으로 검사하였다. 체세포 핵이식에 의한 재복제란(2nd)을 전기 자극에 의한 융합을 1회 실시하였을 때 융합율은 65.9%로서 복재란(1st)의융합을 51.0%보다 유의적(p<0.05)으로 높았으며, 2회 전기자극을 실시하였을 때는 각각 77.4 및 63.9%로서 차이가 없었으나, 3회 재복제란 융합율도 87.5%로서 복제란의 70.1%와 유의적인 차이는 없었다. 재복제 융합란의 분할율은 56.0%로j 복제 융합란의 77.7%보다 낮았다. 재복제란을 수란 산양에 이식을 실시하여 임신 제21일과 63일째 임신 진단을 실시하였을 때 수태율을 수란 산양의 발정유기 방법에 따른 수태율에 있어서 재복제란의 21일째 수태율은 39.3%로서 복제란의 17.4%보다 높았으며, 63일째는 각각 14.3 및 13.0%로서 복제 회수에 따른 수태율의 차이는 없었다. 수란 산양의 발정 유기 방법에 있어서 제 21일째에 자연발정이 발현된 수란 산양의 수태율은 45.4%로서 인위적으로 발정 동기화를 유도한 수란 산양의 35.3%보다 높았다. 제 63일째는 각각 18.2 및 11.8%로서 차이가 없었다. 이상의 결과로 볼 때 재래 산양의 체세포 핵이식에 의한 복제효율에 있어서는 복재와 재복제간에 차이가 없었으며, 수란산양의 발정 동기화 방법에 따른 수태율에 있어서도 차이가 없었다. 그러나 앞으로 재래 산양의 복제 효율 개선을 위해서는 양질 난자의 다량 확보, 산양 수정란의 체외 배양 체계 확립, 이식 기법의 개발 등에 관한 후속 연구가 이루어져야 할 것으로 생각된다.

Transfer of Porcine Embryos Injected with Sperm Carrying with Exogenous DNA

  • Cho, Seong-Keun;Cho, Hwang-Yun;Park, Mi-Ryung;Park, Jong-Sik;Yoo, Jae-Gyu;Kim, Jin-Hoi
    • 한국동물번식학회:학술대회논문집
    • /
    • 한국동물번식학회 2001년도 춘계학술발표대회
    • /
    • pp.61-61
    • /
    • 2001
  • The main goal of this study was to produce transgenic piglets by the method of injection of sperm-mediated exogenous DNA. Spermatozoa (1$\times$106 sperm of final concentration) obtained from caudal epididymis were mixed with pBC1-hEPO (20 ng/${mu}ell$) or pcDNA3 LAC Z (20 ng/${mu}ell$), and followed by electroporation (500 V, 25 ㎌). Matured oocytes having the first polar body and dense cytoplasm were selected and centrifuged at 12,000g for 6 min. After sperm injection, the oocytes were activated electrically (1.7 ㎸/cm, 30 $\mu$ sec, single pulse) in 0.3 M mannitol solution. Eggs injected sperm were cultured in NCSU 23 medium (0.4% BSA) at 39$^{\circ}C$, 5% $CO_2$ in air for 192 h. This study were comprised 3 experiments. Experiment 1 compared the developmental efficiencies between the sperm-injected oocytes (Group 1) and further activated electrically (Group 2). Experiment 2 compared the expression of pcDNA3 LAC Z in the embryos produced by Group 1 and Group 2. Finally, experiment 3 carried out transfer of embryos (1-8 cell stage) transfected with pBC1 -hEPO into surrogate recipients synchronized by injection of combination of PG600 with hCG. The rates of cleavage and development into blastocyst stage in Group 2 were significantly higher than those of Group 1 (71.3% and 28.1% vs. 43.3% and 10.3%, respectively, p<0.05). Thirty (24.2%) out of 124 embryos analyzed in Group 2 were positive by X-gal. Similarly, in Group 1, 16.3% (8/49) were positive. After transfer of 789 embryos to 7 recipient gilts, three out of them examined by ultrasound became pregnant. One recipient is in day 50 pregnancy. On day 54 of gestation, two were carried out uterotomy in order to confirm the pregnancy One had 7 and another had 2 fetuses. We conclude that injection of sperm-mediated gene transfer will be used as a valuable tool for the production of transgenic piglets.

  • PDF

식도염(食道炎)에 대(對)한 동서의학적(東西醫學的) 고찰(考察) (The study on oriental and western medicine of esophagitis)

  • 최창우;손창규;조종관
    • 혜화의학회지
    • /
    • 제10권2호
    • /
    • pp.91-96
    • /
    • 2002
  • We arrived at the following conclusions after we have studied esophagitis through the literatures of oriental and western medicine. 1. The western medical causes of acute esophagitis are corrosiveness chemical material, esophageal or gastric disease, trauma, blister stomatitis, filamentous fungus infection and uremia of chronic patient etc, and the oriental medical causes are qi and blood stagnation, blood stasis and stagnation, stagnant phlegm by coldness, heating, dyspepsia and food poisoning etc. 2. The western medical causes of chronic esophagitis are malfunction of lower esophageal sphincter, esophageal tom chink and hernia, increase of gastric pressure by overeating, fatness, pregnancy and ascites etc, and the oriental medical causes are asthenic cardiac qi, hepatic qi attacking stomach by seven kinds of depression, cold-damp stagnation and insufficiency of gastric qi by overeating, excessive drinking and sexual indulgence etc. 3. The main symptoms of acute esophagitis are severe chest pain, instantly vomiting, swallowing pain etc, and chronic esophagitis are occasionally light chest pain, heart bum, anorexia, dysphagia, dizziness, general body weakness etc. These symptoms are come under thoracic obstruction, acid regurgitation, vomiting and chest pain of oriental medicine. 4. The western medical diagnoses of acute and chronic esophagitis have used radiation test, esophageal endoscopy, esophageal pressure test and biopsy etc, and the oriental medical diagnoses have used syndrome differentiation by four examination of inspection, listening and smelling examination, inquiring, pulse-taking and palpitation. 5. The western medical treatments of acute esophagitis have regarded preservation stability of esophagus as a principle, and the oriental medical treatments mainly have used expelling pathogen of expelling cold and regulating qi, cooling and removing stasis, promoting blood circulation to remove blood stasis, eliminating phlegm and regulating qi. 6. The western medical treatments of chronic esophagitis have regarded decrease flowing backward of gastric juice as a purpose, and the oriental medical treatments mainly have used strengthening body resistance of replenishing and strengthening cardioqi, dispersing stagnated hepatoqi, expelling cold and dehygrosis, invigorating stomach and nourishing qi.

  • PDF

일부지역 항생제 소비자의 올바른 투약에 영향을 미치는 요인에 관한 연구 (A Study on Factors Influencing upon Right Medication of Antibiotic for Antibiotic Consumers)

  • 이미영;김명
    • 보건교육건강증진학회지
    • /
    • 제11권2호
    • /
    • pp.48-56
    • /
    • 1994
  • In order to study the factors influencing upon right medication of antibiotic for the consumers who can easily buy antibiotic from pharmacy, the study carried out questionnaires to 568 consumers who bought antibiotics from pharmacies located in Seoul And Kyung-gi do from the 1st of February, 1994 to the 28th of the same month. Materials have been analyzed with $X^-test$ of SAS, and its results are as follows. 1. Among 568 objects of this study, the group which can medicare antibiotic properly (the right use group of antibiotic) is 45.5% with 258, while the group which does not recognize correctly the use of antibiotic or does not have any information about it (the abuse group of antibiotic) is 54.6% with 310. 2. Knowledge for advantage of antibiotic the right use group has is high in comparing with that of the abuse group (p<0.001), and also in case of pregnancy, understanding for an adverse reaction of antibiotic is high (p<0.001). The right use group has had many chances to take health education (p<0.001), and the way to buy antibiotic is very safe (p<0.001). But there is no outstanding difference for recognition of an adverse reaction of antibiotic between two groups. 3. In comparing with the abuse group, the right use group keeps well taking time of antibiotics as directions (p<0.001), and keeping rate of antibiotic dosage is high (p<0.001). Also the experiences of an adverse reaction of antibiotic is low (p<0.001). 4. In comparing with the abuse group, the right use group has high educational backgrounds (p<0.001) and many experiences of the education for health promotion (p<0.001), while there is no difference in age, sex, and economic status. 5. In comparing with the abuse group, the right use group has taken antibiotic many times (p<0.001), and there are many antibiotic takers of his/her family (p<0.01). 6. In comparing with the abuse group, the right use group has made much effort not only to check blood pressure and the pulse (p<0.05) but also for food habits (p<0.05). But there is no outstanding difference in the effort to get health information and the effort for regular exercises between these two group. 7. In comparing with the abuse group, the right use group has made an exertion in buying foodstuffs (p<0.001). But there is no big difference in efforts to keep the good attitude for physical health and mental heath, and sleeping hours between these two group.

  • PDF

금궤요략${\cdot}$부인잡병맥증병치제이십이(婦人雜病脈證幷治第二十二)에 대(對)한 연구(硏究) (Study on the 'Diagnosis and Treatment of the Woman Various Diseases' in Synopsis Golden Chamber)

  • 이태호;임동국;고승욱;정헌영;금경수
    • 동의생리병리학회지
    • /
    • 제22권1호
    • /
    • pp.32-50
    • /
    • 2008
  • This study is concerned with examining the causes and symptoms of Woman various diseases and clearing up the situations of pulses and their treatment. Woman various diseases are said to be various kinds of diseases including the disorder of menstruation and genitals except pregnancy and postpartum diseases. The main contents are the penetration of heat into worm, the discharge of much blood, stomachache, and the postpartum cyst diseases. Among them, the nature of the diseases which often occur in the gynecology, such as the menstrual diseases and stomachache, were described comparatively in detail. The reason why heat penetrates into the worm is that the external germs come into it under its weakness. To treat it, heat should be removed and lumping blood should be sent out of body. Especially only after whether the disease is serious or not is examined, and just after the process of the disease is examined, the lumping blood can be eliminated. The ways to cure it by sweating a patient too much, getting him or her to vomit, or forcing him or her to be urinated too much, should be avoided. The disorder of menstruation, as the disease which most often occur among the diseases of gynecology, includes menstrual irregularity and blood discharge, and non-menstruation. Among them, non-menstruation and blood discharge are comparatively often discussed. When they are treated, lumping blood and cold energy should be cured well through getting rid of the lumping blood and making the blood vessel flow well. The difficult urination after childbirth, which comes from the weak urinary cist, makes symptoms such as the stuffy chest, the difficulty of lying down, and breathing with his or her back something. To urinate better, the ability of the urinary cist should be supplemented and improved. The principle of the treatment for Woman various diseases is to examine the situation of the pulse closely, then set up the way to treat it, and prescribe a patient. In this study, besides the treatment of Chinese herb medicine, the medicine for washing genitals and the medicine placed in the worm were used to cure Woman various diseases. This treatment is the beginning of the surgical treatment in the gynecology.