• Parasites, Hosts and Diseases
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• v.26 no.1
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• pp.61-64
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• 1988

A human case of Echinostoma cinetorchii infection was found in Seoul Paik Hospital on August, 1987. Large trematode eggs, $98.9{\times}62.7{\mu\textrm{m}}$ in average size, were detected in stool examination. The eggs had a small.sired operculum and abopercular wrinkling. After treatment with praziquantel (single dose of 16.2mg/kg) and purgation with magnesium citrate, an adult fluke was collected. It was 8.0 mm long, equipped with 37 collar spines around head crown, and had only one testis just behind the Mehlis' gland. It was identified as E. cinetorchis Ando et Ozaki, 1923. The patient is an 18-year old man residing in Seoul, and was hospitalized due to nephritis. He had eaten raw meat juice of fresh water fishes such as top minnows (Orygias Satipes) and loaches, or tadpoles, which are considered possible source of this fluke infection. This is the 4th human case of E, cineterchis infection in Korea.

• Parasites, Hosts and Diseases
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• v.33 no.1
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• pp.61-64
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• 1995

Gymnopholloides seoi, a new intestinal trematode of humans transmitted by oysters on a southwestern island of Korea, dry medical attentions because of its possible relationship with evoking pancreatitis or other pancreatic diseases. We experienced ho interesting cases of G. seoi infection who were accompanied with diabetes mellitus. In routine stool examination, eggs of a gymnophallid were detected from two patients, and after treatment with praziquantel and purgation, 772 and 10 adult flukes were recovered respectively. They were identified as G. seoi The first patient was a 62-year old man who lived in Mokpo, nearby the known endemic area, and the second patient, a 54-year old woman who lived in Inchon. They used to eat raw oysters. It should be ruled out that G. seoi infection has some relationship with pancreatic diseases.

• Parasites, Hosts and Diseases
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• v.34 no.1
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• pp.87-90
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• 1996

The third human case of natural infection by Heterophvopsis continuo in Korea was found in Chinju, Kyongsangnam-do. The case was a 53-year-old mn. He used to eat raw brackish and fresh water fish. After praziquantel treatment and purgation, H. continua were collected from the diarrheal stool together with Metononimw vokognwai, Heterophves nocens and Echinostona hokense. His clinical complaints were indigestion, epigastric discomport, poor appetite and fatigue. The complaints were considered rather due to heavy M. Wokoscwci infection.

• Journal of Korean Medical classics
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• v.32 no.4
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• pp.91-107
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• 2019

Objectives : The purpose of this paper is to study how medical experts understood 'Specially Selecting Yangming' for clinical application. Methods : After collecting medical texts related to 'Specially Selecting Yangming', its meaning and clinical application were examined thoroughly. Results : 1. The meaning of 'Specially Selecting Yangming' was identified in different ways according to the meaning of 'Yangming.' It was perceived as Stomach, Yangming meridian, Stomach meridian of Foot Yangming, Spleen and Stomach, Intestine and Stomach by medical experts. 2. Chen Wu-ze and Liu Wan-su understood Wei disease as a form of consumption, and regarded 'Specially Selecting Yangming' as tonifying Yangming while Zhang Zi-he put emphasis on Communicating Stomach Qi(胃氣) through vomiting or purgation. Sun Yi-kui insisted on applying it as a precaution. 3. Li Dong-yuan emphasized the cause of Wei disease to be Damp-Heat in the Summer and suggested Qingshuyiqitang and Qingzaotang as remedy. 4. Zhu Zhen-heng's Purging the South and Reinforcing the North is a more fundamental way of treating Wei disease by stimulating the Water-Fire Axis. Conclusions : Through a diachronic study of 'Specially Selecting Yangming' and its remedy, most medical experts regarded 'Specially Selecting Yangming' as tonifying Yangming, but tonifying Liver and Kidney was thought to be a more fundamental treatment.

• Parasites, Hosts and Diseases
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• v.24 no.1
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• pp.71-76
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• 1986

Eggs of Echinestoma sp. were found from two patients who were hospitalized between Oct. and Dec. 1985. Single dose of 10 mg/kg of praziquantel was prescribed to each patient and after purgation with magnesium salt seuen and two adult worms of Echinostoma cinetorchis in respect were recovered from patients. The first case was a 54-year-old male residing at Chungju City in Chungbuk Province. He was hospitalized because of severe weight loss and frequent urination. The second case was a 71-year-old male residing at Chungsun-Kun in Kangwon Province, and hospitalized due to suspected lung cancer. The average size of the eggs found in the stools was $98{\times}63{\mu}m$ (the first case) and $100{\times}67{\mu\textrm{m}}$ (the second case) respectively, and total nine worms collected were identified as E. cinetorchis.

• Parasites, Hosts and Diseases
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• v.24 no.1
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• pp.82-88
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• 1986

Two human cases of Heterophyes heterophyes and H. dispar infections were proven by the recovery of their adult worms. The cases were 38-year and 40-year old Korean workers who had been in Saudi Arabia for 4~6 years and returned home in 1983 or 1984 with gastrointestinal troubles. In Saudi Arabia they had eaten raw brackish water fishes such as the mullet. After the treatment with 10 mg/kg praziquantel and purgation with magnesium salt, a total of 19 specimens of H. heterophyes and 140 of H. dispar were collected. It is of interest that the worms persisted in a patient although he had been back in Korea for 14 months. This is the first report on imported heterophyiasis in Korea. Human infection by H. dispar is the first record in the literature.

• Parasites, Hosts and Diseases
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• v.24 no.1
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• pp.77-81
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• 1986

Two cases of human Echinostcma hortense infection were found in Seoul Paik Hospital. Their stools revealed echinostomatid eggs. After treatment with prasiquantel (single does of 10∼12mg/kg) and purgation with magnesium salt, total 21 flukes were collected in one case. The flukes were 5.9∼7.5mm long, had 27∼28 collar spines around their head, laterally deviated ovary and two tandem testes. They were identified as 5. hortense Asada, 1926. The cases are 38-year and 20-year old men residing in Seoul, whose hometown is Chungsonggun and Seungju-gun, Kyongsangbuk-do respectively. They had eaten raw mesh of various kinds of fresh water fishes (both cases) and/or salamander (latter case) , which are considered possible sources of this fluke infection. They experienced abdominal discomfort and/or diarrhea. Hematology revealed 22% eosinophilia in the latter case, but it became 5% after the treatment. Echinostomatid eggs were not found after the treatment in both cases. These are the 4th and 5th human cases of 5. hortense infection in Korea.

• The Journal of Korean Medical History
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• v.27 no.2
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• pp.99-120
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• 2014

Purpose : There are two types of sleep disturbance: inability to sleep (不眠) and somnolence (多眠). This study is to examine treatments of the two types of sleep disturbance in the Books of Cold Damage and how those theories were established and formed. Methods : 1. Verses including the words related to inability to sleep and somnolence were extracted from "Treatise on Cold Damage Diseases" (傷寒論). 2. Among the Books on Cold Damages that are classified according to the symptoms, 17 books with contents related to inability to sleep and somnolence were selected to collect and classify data in three perspectives: mechanism of disease (病機), method of treatment (治法) and disease pattern (病證). 3. Data collected through the above methods were compared and diagramed. Results & Conclusions : 1. On Cold Damage, inability to sleep is mostly rooted when human body lacks yin energy while having excessive yang energy (陽盛陰虛) due to fire and heat (火熱). The reason could be misuse of perspiration inducing method (汗法) or purgation (下法) on the doctors' part. 2. On Cold Damage, somnolence is rooted when pathogen (邪氣) is spread to yin meridians (陰經) and the human body lacks yang while having excessive yin energy (陰盛陽虛) or when heat (熱邪) is invaded into interior parts (裏部). 3. Many scholars of Cold Damage in later periods had copied the "Treatise on Cold Damage Diseases" for treatments of sleep disturbance but many others have applied the verses from "Treatise on Cold Damage Diseases" or added new treatments. Do jeol-am (陶節庵) and Wang Geung-dang (王肯堂) particularly had deep understanding on "Treatise on Cold Damage Diseases" and utilized the content freely or suggested new remedies because they had thorough knowledge on relating formula as well.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.18 no.3
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• pp.149-174
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• 2014

Objectives to study definition and treatment of dizziness in the books of Cold damage which are classified as symptoms of all time. Methods 1. Quote provisions related to dizziness in "Sanghanlon(傷寒論)" 2. Among the books of Cold damage which are classified as symptoms, select 19 literatures on dizziness with table of contents and collect data and categorize in two perspectives on theories and disease pattern. 3. Compare and draw a chart all data collected in above methods. Results & Conclusions 1. In the books on Cold damage, dizziness is expressed in 2 ways such as head dizziness(頭眩) and fainting(鬱冒). fainting is much more several symptoms than head dizziness and it is the difference that it has mental confusion. 2. The cause of head dizziness after promoting sweating, vomiting and purgation is that source qi(元氣) of upper energizer(上焦) is deficiency, and cause of head dizziness before using method of treatment is wind(風), heat(熱), phlegm(痰), blood deficiency(血虛) and etc. 3. Main cause of fainting is that deficiency is getting severe so that cold invades, and symptoms are blood deficiency, after giving birth and excess pattern of fire and heat. 4. Remedies for head dizziness are using Yeonggyechulgam-tang(苓桂朮甘湯), jinmu-tang(眞武湯), sosiho-tang(小柴胡湯), sagunja-tang(四君子湯), samul-tang(四物湯) and etc. 5. Insamsambaek-tang (人蔘三白湯) and Sayeok-tang(四逆湯) are used for deficiency pattern of fainting, and Dojeok-san(導赤散), Daeseunggi-tang(大承氣湯), and Hwangryeonhaedok-tang(黃連解毒湯) are used for excess pattern(實證).

• Parasites, Hosts and Diseases
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• v.28 no.4
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• pp.221-234
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• 1990

The present study was performed to know the epidemiological statug of echinostomiasis in the Chungju Reservoir and upper streams of Namhan River, together with an experimental study on the life history o( Echinostoma hortense. The stool specimens of 169 inhabitants and 473 junior high school students from 5 different villages revealed 3(0.5%) echinostomatid egg Positive cases. E. hortense adult worms were recovered from one patient after a treatment and purgation. For the other two patients, it was presumed that one had 2. hortense and another E. cinetorchis infection, based on the morphology of eggs. Five kinds of freshwater snails(168 Radix auricularia coreane, 534 Physa arutp, 144 Hippeutis cnntori, 56 Cipcngopaludina chinensis malleata and 125 Semiiulcospira nediila glebus) examined for the cercariae of echinostomes showed negative results. Ten kinds of freshwater fishes examined for E. herten-'emetacercariae revealed positive rates as Misgurnus anguillicaudatus 40.5%, Odentobutis obscura interrupta 20.3%, Moroco onycephalus 3.9%, and Coreoperca hawamebari 2.0%. In the experimental study, the metacercariae of E. horlense were infected to rats, eggs were collected from adult worms and cultivated, and miracidia were obtained. The miracidia were artificially infected to freshwater snails (R. auricularia), and cercarial shedding was studied. It was revealed that, when the snails were kept at a low temperature ($24^{\circ}C$), only 523 cercariae (on average) were produced during 24 hrs, while they were at a high temperature ($30^{\circ}C$), as many as 9, 990 cercariae (on average) were shed during the same time. The experimental infection of E. hortense cercariae to freshwater fishes was successful in 0. obscura interrupta 52.0%, M. anguillicaudatus 30.3%, C. kawamebari 27.0%, Cobitis lutheri 15.0%, M. cxycephazus 7.3%, Pseudogobio esocinus 4.3%, Squalidus cereanus 2.0%, Zccco platypus 1.3%, and Pungtungia herzi 1.3%. However, infection was not successful to snails, C. chinensis. It has been proved that the Chungju Reservoir and upper streams of Namhan riyrr are endemic areas of echinostomiasis, especially of E. horfense, and snails such as R. auritulerie coreana and fishes such as O. obscura interrupts, M. gnguillicgudgtus, and others are taking the role of 6rst and second intermediate hosts, respectively.