• 제목/요약/키워드: qi depression

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유산 후 산후풍 환자 1례에 대한 임상보고 (A Case Report of Postabortal Syndrome Patient)

  • 김세화;황덕상;이진무;이경섭;이창훈;장준복
    • 대한한방부인과학회지
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    • 제27권4호
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    • pp.97-108
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    • 2014
  • Objectives: This study is to report the clinical effect of oriental medicine on a patient suffering from postabortal syndrome with somatic pain disorder, Qi deficiency and depression. Methods: The patient had a miscarriage by cervical incompetence in 24 weeks' gestation even though she had operated cervical cerclage in 20 weeks' gestation. The patient received herbal medication, acupuncture, moxibustion during 20 days of outpatient treatment. The clinical effects were evaluated through VAS (Visual Analogue Scale) and EPDS (Edinburgh Postnatal Depression Scale Test). Results: The clinical symptoms of somatic pain and Qi deficiency were reduced during the treatment. The EPDS score also decreased from 19 points (high risk level) to 8 points (low risk level). Conclusions: This case study showed that herbal medicine, acupuncture and moxibustion treatment appeared to effectively reduce postabortal syndrome. Since patients previously experienced cervical incompetence tend to have habitual abortion for next pregnancy, further long term observation and preventive treatment are needed in this case for next safe pregnancy and childbirth.

청주시 한방난임지원사업에 참여한 난임환자의 한의학적 변증 특성 연구 (A Study on Pattern Identification of Patients Who Participated in Korean Medical Infertility Support Program of CheongJu-City)

  • 권나연;박용연;김형준;이동녕
    • 대한한방부인과학회지
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    • 제31권4호
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    • pp.147-164
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    • 2018
  • Objectives: This study was performed to analyze the pattern identification in infertile women who participated in infertility support program of Cheongju-city. Methods: The project proceeded from October, 2016 to June 2017. Participants filled in the questionnaire which is composed of 33 symptoms before korean medical treatments. Data were collected from 17 participants. We classified symptoms into six pattern identifications based on previous research and rated each answer to score. Results: Throughout the study, the average age of 26 patients was $34.88{\pm}3.19$ years old, the average height was $162.51{\pm}4.99cm$, and average weight was $58.41{\pm}7.88kg$. The average duration of acupuncture treatment was $121.03{\pm}52.73$ days and the average times of acupuncture treatment was $27.42{\pm}10.77$ times. The average number of herbal medicine treatment was $2.65{\pm}0.69$, the majority of it was Chokyungjongok-tang. After the treatment, 3 patients of infertility became pregnant (11.54%) in twenty six patients. By analyzing pattern identification survey papers, We can classify infertile women into 6 pattern identification based on previous research. The majority of participants was identified as Blood deficiency and the other participants were identified as Kidney deficiency, Liver depression, Dampness-phlegm, Qi deficiency and Static blood in order of priority. Most of patients' pattern identification were combined with two kind of pattern identification. In terms of priority, Liver depression combined with Kidney deficiency, Blood deficiency combined with Kidney deficiency, Liver depression combined with Qi deficiency, Liver depression combined with Dampness-phlegm. Conclusions: After the study we confirmed that Korean traditional medicine is a safe treatment for infertile women. Further clinical study about herbal medicines of patients who have combined pattern identification is needed.

우울증 치료의 중의학 최신 임상연구 동향-무작위 대조군 임상연구와 체계적 문헌 고찰을 중심으로- (Review of Recent Clinical Trials for Depression in Traditional Chinese Medicine-Based on Randomized Controlled Trials and Systematic Reviews-)

  • 우정아;남유진;박윤진;권영규
    • 동의생리병리학회지
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    • 제29권6호
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    • pp.458-466
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    • 2015
  • The purpose of this study was to review the research on treating depression in Traditional Chinese Medicine(TCM) over the last 5 years to set the foundation for further studies. We searched for and analyzed articles about depression in CNKI(China National Knowledge Infrastructure) from January 2010 to December 2014. The results were as follows : The most frequently used diagnostic criteria was CCMD-3(The Chinese Classification of Mental Disorders-3), and the most used evaluation criteria was HAMD(Hamilton Depression Rating Scale). Prescription of decoction of medical herbs was most frequently used as a therapeutic method. Acupuncture, traditional Chinese psychotherapy, and music therapy were also used for some studies. The most frequent TCM Syndrome Differentiation Type was stagnation of liver-QI. For decoction of Chinese herbs, Soyo-san(Xiaoyao-san) and Sihosogan-san(Chaihushugan-san) were most often prescribed, and Bupleuri Radix, Paeoniae Radix Alba, Curcumae Radix, Poria cocos wolf, Angelicae Gigantis Radix, Atractylodis Rhizoma Alba were mainly used for medical herbs. BaekHoi(GV20) and Yindang(Ex-HN3) were often used as acupuncture sites. Post-Stroke Depression was the most common case of intercurrent or secondary depression. According to the Jadad Quality Assessment Scale, the quality of the reports was not high as most of the reports had a score of 3 or below. Most systematic reviews on depression were conducted by Chinese researchers. The problem with Clinical research on depression, according to those reviews, was that there were no standardized criteria for the diagnosis and treatment and the trials were usually not randomized nor controlled. We found out there are various clinical methods for treating depression in TCM, and hope that this research could provide the preliminary data for designing and conducting clinical trials for depression.

한방치료와 심리치료를 통한 강박장애 환자 치험례 (A Case Report of a Patient with Obsessive-Compulsive Disorder (OCD) Treated by Korean Medical Treatments and Psychotherapy)

  • 김동욱;황선혜;박아름;김태윤;박세진
    • 동의신경정신과학회지
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    • 제27권2호
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    • pp.67-76
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    • 2016
  • Objectives The purpose of this study is to report that a patient with obsessive-compulsive disorder (OCD) significantly responds to Korean medical treatments and psychotherapy.Methods We treated the patient with Korean medical treatments (acupuncture and herbal medication) and Melonis Calyx Vomiting Therapy. We also used psychotherapy including Li-Gyeung-Byun-Qi therapy. The patient was diagnosed by DSM-IV diagnostic criteria for OCD. We used Obsessive-Compulsive Inventory-Revised-Korean (OCI-R-K), Visual Analogue Scale (VAS), Beck’s Depression Inventory (BDI), and Beck’s Anxiety Inventory (BAI) to evaluate the patient.Results OCI-R-K score was decreased from 39 points to 9 points. BDI score was decreased from 14 points to 6 points. BAI score was decreased from 25 points to 13 points.Conclusions This study suggests that Korean medical treatment is an effective way to treat patients who suffer from OCD.

혈허증(血虛證)의 임상 질환 범위에 대한 고찰 (Study on Clinical Diseases of Blood Deficiency Pattern)

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제27권4호
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    • pp.343-349
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    • 2013
  • This article is a study on to which categories of modern diseases blood deficiency pattern types are assigned by reference to modern clinical papers. Clinical papers were searched in China National Knowledge Infrastructure(CNKI) from 1994 to 2013. Results are as follows. First, diverse diseases classified in qi-blood depletion pattern and pattern of blood deficiency and wind-dryness are reported and pattern types designated by the name of viscera are the minority. Second, among pattern types in Korean Standard Classification of Diseases(KCD), diseases classified in heart blood deficiency pattern, liver blood deficiency pattern and heart-liver blood deficiency pattern are a few. Third, the level of designation by the combined patterns such as qi deficiency, fluid deficiency, yin deficiency, kidney deficiency, essence deficiency, wind-cold, cold-dampness, dampness-heat, liver hyperactivity, liver depression and static blood is more specific than KCD, which makes pattern types more useful to clinical application. The detailed relation between modern diseases and pattern types can be an another topic.

초등, 중학교 비만 아이들의 한의학적(韓醫學的) 기(氣), 혈(血), 수(水) 변증(辨證) 분석 (Analysis of Symptom Pattern through Obesity of Qui Xui Shui in Adolescent School Students)

  • 조성민;김덕곤
    • 대한한방소아과학회지
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    • 제22권3호
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    • pp.1-15
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    • 2008
  • Objectives : This study was designed to evaluate completely the relationship between obesity and Qui Xue Shui diagnostic procedure in primary and middle school students. Methods : The study participants were the 1, 2nd grade students of middle school and 5, 6th grade students of primary school in Kang dong Gu of Seoul (1134 Students). The participants were measured for their height and weight etc, and they were also surveyed by questionnaire. We diagnosed the students as when they scored 10 points or behind on Qui Xue Shui(QXS) question problems from Japan education academy. Results and Conclusions : The mean QXS score in the obese group was significantly higher than that of the normal body weight group and the obeser they are, the higher QXS score is. The Qi xu, Qi yu, Xue xu, Shui chi score of the QXS questions the obese group was higher than the normal group. The total QXS score was significantly higher in the obese group. It is shown that the total score of using the Qui Xue Shui diagnostic procedure is mainly dependent on obesity.

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여성 과민성 방광의 한방 임상에 관한 고찰 (A Study on Korean Medical Clinical Management of Female Overactive Bladder)

  • 최민선;김동일
    • 대한한방부인과학회지
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    • 제27권2호
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    • pp.83-102
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    • 2014
  • Objectives: This study aimed to review Korean medical clinical management of female overactive bladder (OAB). Methods: We reviewed domestic and foreign papers related to Korean Medicine Treatment for OAB and literatures on Korean Medicine added clinical views of authors. Results: OAB is usually diagnosed to Deficiency pattern (Kidney qi deficiency-cold, Spleen-Lung qi deficiency et al.). The primary treatment goals of OAB is improvement of urinary symptom. But a comprehensive treatment approach including improvement of accompanied symptoms such as depression, insomnia, sexual dysfunction and improvement of quality of life is needed. Warming and tonifying herbal medicine, electro-acupuncture and moxibustion using acupoints specially acting bladder function in lower abdomen and lumbar-sacral area and behavioral therapies such as lifestyle modification, bladder training are usually primary treatments. Treatment period is recommended about 3~6 months to recover and stabilize bladder function. Conclusions: OAB is a clinical area that Korean Medicine tend to be more effective. but additional research about Korean Medical Clinical Management of OAB is needed.

임신(姙娠)으로 유발된 황갈반(黃竭斑) 환자(患者) 치험(治驗) 1례(例) (A Clinical study of melasma patient occurred by pregnancy)

  • 김윤상;강솔;임은미;문영춘
    • 대한한방부인과학회지
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    • 제15권4호
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    • pp.208-217
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    • 2002
  • We had treated one melasma patient occurred by pregnancy with oriental medicine's method and got a good result. Melasma is often occured in pregnancy and dysmenorrhea. Most common pathology of melasma in oriental medicine is Yin deficiency with Fire and Blood Stasis. The Fire and Blood Stasis are made by Qi stagnation which is occurred by depression and stress. So we used the methods of promoting Qi and Blood, increasing Yin with clearing heat, and the result is very successful. We found out that Oriental Gynecologic therapy is most appropriate for treating woman's melasma, and could provide the treatment model.

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기공 운동이 비만인의 건강관련 삶의 질(SF-36)과 심리적 요인에 미치는 영향 (The Effect of Qigong Exercise on SF-36 and Psychological Factors of Middle-aged Obese)

  • 소위영;서한교;최대혁;신현정;조은효;유병욱;전태원
    • 한국노년학
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    • 제30권1호
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    • pp.21-30
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    • 2010
  • 많은 비만인들은 사회적인 편견과 차별로 인하여 신체상에 대한 불만족, 우울, 불안 및 정서장애를 경험하고 있으며, 더 나아가 건강과 관련된 삶의 질의 저하를 나타내고 있다. 이러한 비만인들의 정신적 고통을 개선하기 위하여 운동요법은 하나의 긍정적인 치료 방법으로 권장되고 있다. 본 연구는 동양의 전통 운동형태 중 기공 운동이 비만인에게 건강관련 삶의 질(SF-36), 자기효능감, 우울, 불안, 피로의 심리적 요인에 어떠한 효과를 나타내는지를 살펴봄으로써 비만인을 위한 운동처방 지침을 제공하고자 한다. 본 연구의 피검자는 S시 G구에 소재한 S대학교 골든웰빙 운동프로그램에 참가하는 50-60대의 성인으로 통제군 16명, 운동군 17명으로 분류하였다. 기공 운동은 12주 동안 주2회의 빈도로 실시하여, 운동 전 후로 건강관련 삶의 질(SF-36), 신체적 자기효능감, 우울, 불안, 피로도 변인을 측정하였다. 12주간의 기공 운동 전 후 건강관련 삶의 질(SF-36)의 8항목 중 감정역할 제한(F=0.187, p=0.668), 정신건강(F=2.043, p=0.163)은 집단 간의 유의한 차이를 나타내지 못하였으나, 신체기능(F=15.151, p<0.001), 신체역할 제한(F=18.278, p<0.001), 사회적 기능(F=4.957, p=0.033), 활력/피로(F=11.485, p=0.002), 신체통증(F=6.623, p=0.015), 일반적인 건강(F=4.498, p=0.042)의 6가지 변인은 집단 간의 유의한 차이를 나타내었다. 불안(F=0.631, p=0.433)은 집단 간의 유의한 차이를 나타내지 못하였으나, 신체적 자기효능감(F=6.124, p=0.019), 우울(F=5.109, p=0.031), 피로(F=7.998, p=0.008)의 3가지 변인은 집단 간의 유의한 차이를 나타내었다. 비만인에게 있어서 기공 운동은 비록 느린 동작으로 수행되는 낮은 강도의 운동형태일지라도 운동자체가 가져다주는 정신 심리적인 개선효과가 분명하게 나타나는 운동임을 본 연구를 통하여 확인할 수 있었다.

우울증(憂鬱症)의 임상양상(臨床樣狀) 및 생체전기자율반응에 대(對)한 임상적(臨床的) 고찰(考察) (A Clinical Study of Depression in 43 Cases)

  • 박지운;이상룡;최병만
    • 동의신경정신과학회지
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    • 제12권2호
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    • pp.37-51
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    • 2001
  • The clinical study was carried out the 43 patients with Depression who were treated in Department of Neuropsychiatry, College of Oriental Medicine, Dae Jeon University from 22 February 2000 to 14 November 2001. The results were summarized as follows. 1. The ratio of male and female was 10:33, 60's(32.6%) was frequent, no inducing factor(38.3%) was seen in a lot of cases and many patients came to our hospital by way of west-neuropsychiatry(56.8%). 2. The period of clinical history was frequent from 3 to 10 years(23.2%), the most frequent preceding disease was cardiovascular systemic disease(18.4%). 3. The main clinical symptoms were apprehension alpitation(13.4%), anorexia(9.8%), headache nuchal region stiffness(9.8%), general body weakness(6.5%), chest discomfort(6.5%), dizziness(5.7%), febris(5.3%) and constipation(5.3%). 4. The patient's tongue aspect had pink tongue and empty fur(32.6%) and pulse type had thin and deficient pulse(39.5%). The prescription drugs were Chunggansoyo-san(30.0%), purging liver and alleviating depression to regulate qi, and Guibiondam-tang(15.8%) eliminating phlegm, cooling pericardium and warming gallbladder. 5. The curve was within normal range at Psychoneural system(81.4%), and Visceral system(90.1%). 6. The regulation was Normal(48.1%), RL(27.9%), RR(20.2%) at Psychoneural system and Normal(45.9%), RL(28.5%), RR(20.3%) at Visceral system. 7. Activity and Reactivity had much lower response at 1th, 2th, 3th, 4th, 7th SANGHAN, Polalization had much higher response at 1th, 4th, SANGHAN and much lower response at 2th, 3th, 7th SANGHAN.

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