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비위(脾胃)와 간(肝)과의 상관성(相關性)에 관한 문헌고찰(文獻考察)
공경환,지현철,백태현,하장,Kong, Kyung-Hwan,Jee, Hyun-Chol,Baek, Tae-Hyun,Ha, Jang 대한한방내과학회 2001 大韓韓方內科學會誌 Vol.22 No.4
Objectives : It was designed for making theoretical base about the relation of the Spleen, Stomach and the liver which could be used in clinic. Methods : Including Huang Di Nei Jing(黃帝內經), the 22 kinds of books written about the relation of the Spleen, Stomach and the Liver, and 2 kinds of papers were referenced. They were divided and studied according to physiology, pathology, meridian system and treatment. This study is focused on internal organ theory. Conclusion 1. In physiology, the Liver has the function of smoothing and regulating the flow of vital energy(Ki), while the Spleen is in charge of digestion and transportation. 2. In pathology, there can be informed disharmony of the Spleen, Stomach and the Liver, blood deficiency in the Liver and Spleen, jaundice, and bleeding etc. 3. In meridian system, the junction points of Spleen Meridian and Liver Meridian are Liv14, SP6, SP12, SP13. 4. In treatment, 1) If there is disharmony of the Liver and Spleen, the Liver must be soothed and the function of Spleen invigorated. 2) If there is disharmony of the Liver and Stomach, the Liver must be soothed and the function of Stomach invigorated.
단시간의 경련성 실어증을 반복적으로 보이는 초점성 경련환자의 치험 1례
유희정,공경환,경혁수,Yoo, Hee-Jeong,Kong, Kyung-Hwan,Kyung, Hyuk-Su 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.4
Seizure can be categorized in various ways. Seizures are divided into those that are generalized and those affecting only part of the brain (focal seizure). Focal (partial) seizures are subdivided into simple seizures and complex seizures. Simple focal seizures may be manifested by focal motor, sensory or autonomic symptoms and consciousness is preserved. The above symptoms may be preceded, accompanied or followed by, and consciousness is impaired in, complex focal seizures. Ictal aphasia can arise from epileptiform discharge on cortical language areas. Generally next to the ictal aphasia, generalized seizures occur, but without losing consciousness, only aphasia takes place. A 61-year-old woman was admitted due to ictal aphasia and facial spasm, and she showed a little palpitation and was startled easily. We diagnosed her as Shimdamgiheo (心膽氣虛) and Damhwashimyo (痰火心擾), so we prescribed Chungsimondam-tang. It was effective on that case. so we report.
췌장 효소 상승을 동반한 급성 신손상 환자의 복통 치험 1례
김도현,공경환 대한한방내과학회 2023 大韓韓方內科學會誌 Vol.44 No.5
Objectives: The aim of this study is to report the effectiveness and safety of herbal medicine treatment for abdominal pain with acute kidney injury. Methods: A 80-year-old female patient presented with abdominal pain. Blood test results showed increased blood urea nitrogen, serum creatinine, amylase, and lipase. The patient was treated with acupuncture and herbal medicine, specifically Hyangsayukgunja-tang-gahwangryeon for 4 days and Gagam-gunbi-tang for 11 days. Gastrointestinal symptoms were assessed using the Numerical Rating Scale, Gastrointestinal Symptom Rating Scale, and abdominal examination. Results: Gastrointestinal symptoms improved after taking Korean herbal medicine. Additionally, blood urea nitrogen, serum creatinine, amylase, and lipase levels showed improvement compared to values before treatment. Conclusions: Korean medicine treatment can improve clinical symptoms without damaging the kidneys of patients with acute kidney injuries.
Schizencephaly(분열뇌증)환자에 있어 구음 장애 치험 1례
김동조,공경환,경혁수,Kim, Dong-Jo,Gong, Gyeong-Hwan,Kyung, Hyuk-Su 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.4
Schizencephaly is a form of the porencephaly in which there is a cystic cavity in the cerebral hemispheres. Schizencephaly is a congenital disease which consist of clefts that extend through the entire hemisphere from the ependymal lining of the lateral ventricles to the pial covering of the cortex. The etiology and the pathogenesis of this malady are not clearly estalilished. Typical symtoms is seizures, mental retardation, spastic tetraplegia and blindness. A case of schizencephaly which was treated through methods of the Oriental Medicine, and that met with good results, is reported.
중풍 환자의 경직에 있어서 전침 치료 효과에 대한 체계적 고찰
고호연,공경환,신미란,장명웅,박선주,박정수,장보형,이주아,고성규,전찬용,Go, Ho-Yeon,Kong, Kyung-Hwan,Shin, Mi-ran,Jang, Myung-Woong,Park, Sun-Ju,Park, Jung-Su,Jang, Bo-Hyung,Lee, Ju-A,Ko, Seong-Gyu,Jeon, Chan-Yong 대한중풍순환신경학회 2011 대한중풍.순환신경학회지 Vol.12 No.1
Background : Prevalence of spasticity because of stroke are 40% patients after 12 month. Spasticity caused decrease of range of motor, motor function, and active daily living. Electroacupuncture widely used stroke. But it is been studied by systematic review between spasticity and electroacupuncture. This study is aimed to efficacy of electroacupuncture for spasticity because of stroke. Methods : We had used pubmed(www.pubmed.com) and cochrane library(www.thecochranelibrary.com) database. Limits are'human','randomized controlled trial'and'all adult 19+ years'in pubmed. The period was until 15, september, 2011. We used MeSH(Medical Subject Headings terms. The search words were'stroke'[mesh],'muscle spasticity'[mesh and 'electroacupuncture'[mesh]. In cochrane library, we used spasticity and electroacupuncture in cochrane library. We found 19 studies. But only 3 studies were included for inclusion criteria. Results : The appropriate 3 studies were different from subject, acupoint, duration of treatment, endpoint and etc. But these studies were effective for spasticity because of stroke. Conclusion : These studies were not meta analysis because of heterogeneity. But the above results might explain the electroacupuncture were effective for spasticity and further study needed to verify and standard electroacupuncture study for spasticity.
제7혈액응고인자 결핍증 환자에서 발생한 성인 장중첩증의 복강경보조 장절제술
서병선,공경환,조준호 대한내시경복강경외과학회 2012 Journal of Minimally Invasive Surgery Vol.15 No.2
Factor VII deficiency is a rare congenital bleeding disorder characterized by episodes of spontaneous bleeding in severely affected individuals. It is rare intussusception due to submucosal hematoma in coagulation factor deficiency patient. We recently experienced an adult small bowel intussusception in a patient with factor VII deficiency. A 36-yr old female patient with coagulation factor VII deficiency who was referred to our hospital underwent emergency surgery for treatment of the small bowel intussusceptions. Emergency laparoscopy- assisted small bowel resection was performed for treatment of small bowel intussusception caused by submucosal hematoma. The patient was successfully treated with close laboratory monitoring and laparoscopy-assisted small bowel resection.
고호연,공경환,신미란,박선주,정희,고성규,선승호,이승언,이규광,윤병숙,이은용,Go, Ho-Yeon,Kong, Kyung-Hwan,Shin, Miran,Park, Sunju,Jung, Hee,Ko, Seong-Gyu,Sun, Seung-Ho,Lee, Seung-Eon,Lee, Kyugwang,Yoon, Byungsook,Lee, Eun-Yong 대한중풍순환신경학회 2009 대한중풍.순환신경학회지 Vol.10 No.1
Background and Objects : The environment of hospital have been changed rapidly. To adapt changes, it is needed to boost customer satisfaction. This study aims to investigate satisfaction of customer satisfaction program participants Method : After the one week customer satisfaction program was completed, we surveyed 50 participants. The questionnaire method was used in this study. The questionnaires item were sex, age, department, satisfaction, positive change, necessity and interval in customer satisfaction program. Results : The major results of the analysis were as follows Positive change after customer satisfaction program were 6.90±1.94. Necessity further customer satisfaction program were 7.74±2.09. Conclusions : Customer program should be needed and keep teaching to the staff.
소뇌기능이상의 임상양상을 특징으로 보인 뇌교부출혈 환자 1례
이유경,공경환,용형순,고성규,부송아,Lee, You-Kyung,Kong, Kyung-Hwan,Yong, Hyung-Soon,Ko, Seong-Gyu,Bu, Song-Ah 대한한방내과학회 2000 大韓韓方內科學會誌 Vol.21 No.5
I experienced a case of a patient with clinical features of cerebellar dysfunction in the intracranial hemorrhage which encroached the basis of lower pontine and all parts of pontine tegmentum. So I report this case with bibliographical inquiry. In addition, I applied the treatment of Oriental medicine to sequelae of intracranial hemorrhage like disorders of eye movement, central dizziness, cerebellar tremor and ataxias but the effect did not meet my expectation. I anticipate more clinical studies and reports on this hereafter.