전환장애(轉換障碍)에 의한 실성증(失聲症) 환자의 치험 1례

변석미,신상호,김미보,윤화정,고우신,Byun, Seok-Mi,Shin, Sang-Ho,Kim, Mi-Bo,Yoon, Hwa-Jung,Ko, Woo-Shin 대한한방안이비인후피부과학회 2008 한방안이비인후피부과학회지 Vol.21 No.2

Objective : Conversion disorder is a psychiatric condition in which people express emotional distress through physical signs and symptoms involuntarily. Aphonia is one of the frequent symptoms of conversion disorder. The premise of this study is that oriental medical treatments would alleviate the symptoms of a patient with aphonia caused by conversion disorder. Methods : In this study, the subject is a patient with conversion disorder who afflicted aphonia after her travel. The patient was treated in Ulsan Oriental Medical Hospital of Dong-Eui University. Herbal medicine, acupuncture, and other oriental treatments were diagnosed to her. Results : Oriental medical treatments have an effect on a patient experiencing aphonia caused by conversion disorder.

Wallenberg 증후군(症候群) 환자 1례의 증례 보고

변석미,김미보,탁명림,윤화정,고우신,Byun, Seok-Mi,Kim, Mi-Bo,Tark, Myoung-Rim,Yoon, Hwa-Jung,Ko, Woo-Shin 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.2

Objectives : Wallenberg's syndrome is dorsolateral medullary syndrome. The main symptoms of it are ataxia of gait, nausea, vomiting, vertigo, diplopia, numbness, dysphagia and other major symptoms. By use of Oriental medical treatment, we could improve symptoms on one patient with Wallenberg's syndrome. Methods : We conducted one patient with Wallenberg's syndrome after overwork seen at Dong-Eui University Ulsan Oriental Medical Hospital. We treated symptoms from Wallenberg's syndrome by oriental medical treatment such as herb and acupuncture. Results and Conclusion : We suggest that the oriental medical treatment by differentiation of symptoms make the patient with the Wallenberg's syndrome recovery.

$\ll$소문(素問).영추(靈樞)$\gg$에 나타난 이명(耳鳴)에 대한 연구(硏究)

변석미,탁명림,강나루,고우신,윤화정,Byun, Seok-Mi,Tark, Myoung-Rim,Kang, Na-Ru,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.1

Objective : The purpose of this study is to investigate tinnitus of Plain Questions $\ll$素問$\gg$ and Miraculous Pivot $\ll$靈樞$\gg$. Methods : We conducted a study on the original text paragraphs of Internal Classic $\ll$內經$\gg$ containing the tinnitus and analysis of Yang, Ma, Zhang, Wang etc. We drew a parallel between tinnitus from Internal Classic $\ll$內經$\gg$ and matching diagnoses from western medicine. Results : The results were as follows. 1. Tinnitus in Plain Questions $\ll$素問$\gg$Tong Pyeong Heo Sil Ron <通評虛實論> was similar to the symptoms of diabetes mellitus complication and schizophreniform disorder in western medicine. 2. Liver fire tinnitus in Plain Questions $\ll$素問$\gg$ Yuk Won Jeong Gi Dae Ron <六元正紀大論> was similar to the symptoms of psychological distress in western medicine. 3. Phlegm fire tinnitus in Plain Questions $\ll$素問$\gg$ Ji Jin Yo Dae Ron <至眞要大論> was similar to the symptoms of meniere's disease and malfunction of autonomic nervous system in western medicine. 4. Blood deficiency tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Sa Gi Jang Bu Byeong Hyeong <邪氣藏府病形> was similar to the symptoms of anemia in western medicine. 5. Tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Gyeong Geun <經筋> was similar to the myofacial pain syndrome of the sternocleidomastoid muscle and the masseter muscle in western medicine. 6. Gallbladder deficiency tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Gwol Hyeong <厥病> was similar to the symptoms of otitis media and labyrinthitis in western medicine. 7. Kidney deficiency tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Gyeol Gi <決氣> and Hai Ron <海論> was similar to the symptoms of degenerative auditory organ in western medicine. 8. Tinnitus in Internal Classic $\ll$內經$\gg$ showed close relations with the symptoms of the wind character. Conclusion : We analyzed the original text paragraphs of Internal Classic $\ll$內經$\gg$ and explanations about tinnitus. Further studies are needed to compare oriental medicine and western medicine diagnoses to develop better treatments for tinnitus.

《素問·靈樞》에 나타난 耳鳴에 대한 硏究

변석미,탁명림,강나루,고우신,윤화정 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.1

Objective : The purpose of this study is to investigate tinnitus of Plain Questions《素問》 and Miraculous Pivot《靈樞》. Methods : We conducted a study on the original text paragraphs of Internal Classic《內經》 containing the tinnitus and analysis of Yang, Ma, Zhang, Wang etc. We drew a parallel between tinnitus from Internal Classic《內經》and matching diagnoses from western medicine. Results : The results were as follows. 1. Tinnitus in Plain Questions《素問》Tong Pyeong Heo Sil Ron〈通評虛實論〉was similar to the symptoms of diabetes mellitus complication and schizophreniform disorder in western medicine. 2. Liver fire tinnitus in Plain Questions《素問》Yuk Won Jeong Gi Dae Ron〈六元正紀大論〉was similar to the symptoms of psychological distress in western medicine. 3. Phlegm fire tinnitus in Plain Questions《素問》Ji Jin Yo Dae Ron〈至眞要大論〉was similar to the symptoms of meniere`s disease and malfunction of autonomic nervous system in western medicine. 4. Blood deficiency tinnitus in Miraculous Pivot《靈樞》Sa Gi Jang Bu Byeong Hyeong〈邪氣藏府病形〉was similar to the symptoms of anemia in western medicine. 5. Tinnitus in Miraculous Pivot《靈樞》Gyeong Geun〈經筋〉was similar to the myofacial pain syndrome of the sternocleidomastoid muscle and the masseter muscle in western medicine. 6. Gallbladder deficiency tinnitus in Miraculous Pivot《靈樞》Gwol Hyeong〈厥病〉was similar to the symptoms of otitis media and labyrinthitis in western medicine. 7. Kidney deficiency tinnitus in Miraculous Pivot《靈樞》Gyeol Gi〈決氣〉and Hai Ron〈海論〉was similar to the symptoms of degenerative auditory organ in western medicine. 8. Tinnitus in Internal Classic《內經》showed close relations with the symptoms of the wind character. Conclusion : We analyzed the original text paragraphs of Internal Classic《內經》 and explanations about tinnitus. Further studies are needed to compare oriental medicine and western medicine diagnoses to develop better treatments for tinnitus.

조선 역대 왕의 피부병에 대한 고찰 -"조선왕조실록(朝鮮王朝實錄)"을 중심으로

변석미,탁명림,강나루,윤화정,고우신,Byun, Seok-Mi,Tark, Myoung-Rim,Kang, Na-Ru,Yoon, Hwa-Jung,Ko, Woo-Shin 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.3

Objective : The purpose of this study is to investigate kings' skin diseases of The Annals of the Choson Dynasty. Methods : We conducted a study on the text paragraphs of The Annals of the Choson Dynasty containing kings' skin diseases. Results : The results were as follows. 1. The successive kings in the Choson Dynasty are total 27, and 19 kings of them are suffered from skin disease. 2. The most frequent skin disease that the kings of the Choson Dynasty suffered from is Abscess. 3. According to the Annals of the Choson Dynasty, King Moonjong, King Hyeonjong, King Sukjong mainly suffered from skin disease. 4. According to the Annals of the Choson Dynasty, King Moonjong, King Sungjong, King Hyojong, King Chungjo, King Soonjo died of skin disease. Conclusion : We expect this study could be helpful for understanding past state of oriental medicine, re-evaluating present state, and singposting future state.

한방 진단 시스템(DSOM)를 통한 이명(耳鳴) 환자와 건강대조군의 변증 비교분석

김미보,변석미,신상호,고우신,윤화정,Kim, Mi-Bo,Byin, Seok-Mi,Shin, Sang-Ho,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2008 한방안이비인후피부과학회지 Vol.21 No.3

Objective : The purpose of this study is to investigate the difference of pathogenesis between tinnitus patients group and healthy volunteers group by using DSOM (Diagnostic system of Oriental Medicine). Methods : Patients group is consisted of people who do not have any disorder except tinnitus, and healthy volunteers group is consisted of people who do not have any special symptom and past history. DSOM was used for pathogenesis investigation of these two groups. Results : There were significant differences between volunteers group and patients group in blood (血虛), dampness (濕), phlegm (痰) (p<0.05), In gender of patients group, deficiency of blood (血虛) was shown with female group statistically more than male group (p<0.05). On the other hand, with volunteers group, there was negligible difference between male and female. In age (over and below 50years), noticeable deficiency of blood (血虛) was shown in patients group. Especially, the old people who are over 50 years showed more deficiency of blood (血虛) than younger group (under 50 years) (p<0.05). With volunteers group, there was only negligible difference. Conclusion : This result showed definite difference in the pathogenesis between tinnitus patiensts group and healthy volunteers group.

말초성 안면마비 입원환자 250례에 대한 임상적 고찰

강나루,탁명림,변석미,고우신,윤화정,Kang, Na-Ru,Tark, Myoung-Rim,Byun, Soek-Mi,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.3

Objectives : This study was performed to analysis the effect of oriental medical care for inpatients with facial paralysis that had visited Dept. of Otolaryngology Oriental medical hospital Dong-eui university. Methods : From January 2008 to September 2010, a clinical study was done on 250 inpatients who were treated as facial nerve paralysis at the Dept. of Otolaryngology Oriental medical hospital Dong-eui university. This study was assessed using the chart analysis. Results : 1. The distribution of sex : female 54.8%, male 45.2%. The distribution of age was pregented that fifty to sixty was the most in 67 cases(26.8%). 2. The distribution of the period of admission : female 12.5 days, male 9.9 days. 3. The distribution of past history : hypertention(18.8%), diabetes-mellitus(10.85%), facial paralysis(9.25%), cerebrovascular disease(4.4%), liver disease(5.6%), hyperlipidemia(1.2%), otitis media(1.2%), herpes zoster(1.2%), cardiac disease(2.45%), thyroid disease(1.2%). 4. The distribution of the region of facial paralysis : Rt(55.36%), Lt(56.52%). 5. Check the mastoid pain : 66.8%(female 73.91%, male 58.04%). 6. Out of prescription(Ko-Bang, 古方), Galgeun-Tang(葛根湯) and Gaejigeogaegayoungchul-Tang was used most in each 34 cases, Daesiho-Tang(大柴胡湯) 30 cases, Galgeungabanha-Tang(葛根加半夏湯) 27 cases, Sihogaeji-Tang(柴胡桂枝湯) 14 cases, Hwanggigaejiomul-Tang 12 cases, Odu-Tang(烏頭湯) 10 cases, Chijadaehwangsi-Tang 10 cases, Gaejigagalgeun-Tang(桂枝加葛根湯) 7 cases, Banhasasim-Tang(半夏瀉心湯) 5 cases, Injinho-Tang(茵蔯蒿湯) 5 cases in order. 7. The distribution of herb group : Mahwang-Jae(麻黃劑) 31.72%, Gaeji-Jae(桂枝劑) 26.00%, Siho-Gae(柴胡劑) 20.70%, Chija-Gae(梔子劑) 7.49%, Buja-Jae(附子劑) 4.41%, Banhahwanggeum-Gae(半夏黃芩劑) 3.08%, Daehwang-Gae(大黃劑) 2.64%, Bockryeong-Gae(茯笭劑) 1.76%, Jisil-Gae(枳實劑) 1.32%, Insam-Gae(人蔘劑) 0.88% in order. 8. The distribution of House-Brackmann grade of admission : Gr Ⅳ 74.85%, Gr.III 13.6%, Gr.V 11.6% in order. 9. The distribution of House-Brackmann grade of discharge : Gr.III 56%, Gr.IV 38.4%, Gr.II 5.6% in order. 10. The average number of OPD follow up is 6.46. Conclusion : This results indicated that oriental medical treatment with Ko-bang(古方) can be an effective way to treat facial paralysis. The more patients we treat with Ko-bang(古方), the more clinical report is accumulated. Then it would be helpful to map out a systematic treatment on facial paralysis.

아토피 피부염의 외치법에 대한 고찰;국내 논문을 중심으로

신상호,김미보,변석미,이호섭,박선규,고우신,윤화정,Shin, Sang-Ho,Kim, Mi-Bo,Byun, Seok-Mi,Lee, Ho-Sub,Park, Sun-Gyoo,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2008 한방안이비인후피부과학회지 Vol.21 No.2

Objective : The purpose of this study is to investigate the results of preceding research related external treatment for Atopic dermatitis(AD). Methods : We studied the 13 research papers that had been published in The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology, The Journal of Korean Oriental Pediatrics, The Journal of Korean Oriental Internal Medicine, The Journal of Korean Oriental Medicine, Korean Journal of Oriental Physiology & Pathology and so on. Results : About 13 treatises, 3 treatises were for the literatual study, I treatise was for the clinical research about the effects of external therapy, 3 treatises were for the effects of herbal medicine along with external treatment on AD development in NC/Nga mice, 6 treatises were for the case of AD. Conclusion : These treatises showed that external treatment is effective method to improve AD. To develop the better external treatment on AD, we have need of studies on the well used prescriptions and herbs through double-blind, randomized, placebo-controlled methods, clinic research and so on.

고방(古方)으로 치료한 두드러기 환자 39례의 임상보고(臨床報告)

탁명림,김미보,변석미,고우신,윤화정,Tark, Myoung-Rim,Kim, Mi-Bo,Byun, Seok-Mi,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2009 한방안이비인후피부과학회지 Vol.22 No.3

Objectives : This study was designed to investigate the chronical features of urticaria and the effects of urticaria treatment with Ko-Bang(古方). Methods : We treated 39 patients for urticaria with Ko-Bang(古方), who visited to care urticaria at the Dept. of Dermatology Oriental medical hospital Dong-eui university from Jan, 2008 to Sep, 2009. This study was assessed using the chart analysis and the follow-up survey by telephone. Results & Conclusions : 1. 39 outpatients were surveyed, who were 20 males and 19 females. And patients who were ages 21-30 were the largest group, 11(28.21%). Among the 39 patients, acute urticaria patients were 8(20.5%), chronic urticaria patients were 31(79.5%), and contraction of a disease period between 6 weeks with 3 months was 17.9%. 2. The causes of urticaria were measured unknown 37.5%, foods 37.5%, drugs 25% in acute and unknown 35.5%, a change of temperature 29%, foods 16% in chronic. And suspected provocation factors were measured unknown and foods each 12 cases. The most of accompanied symptoms was itching sign(34 cases), the second most was self-conscious fever(10 cases). 3. Out of treat prescription(Ko-Bang,古方), Injinho-Tang(茵蔯蒿湯) was used most in 5 cases, Daehwanghwangryunsasim-Tang(大黃黃連瀉心湯), Hwangryun-Tang(黃連湯), Daesiho-Tang(大柴胡湯) were used in each 4 cases, Galgeun-Tang(葛根湯), Chijadaehwangsi-Tang(梔子大黃?湯), Sosiho-Tang(小柴胡湯) were used in each 3 cases, Gaemagakban-Tang(桂麻各半湯), Chijasi-Tang(梔子?湯),Oryeongsan(五笭散) were used in each 2 cases. 4. When the processes of treatment were classified by one poison(一毒), there were the 19 cases (48.7%) which was caused by Bun(煩), the 12 cases(30.8%) by Water(水) and the 4 cases(10.3%) by Gyur(結).

여드름의 한의학적 치료에 관한 고찰;국내 논문, 외용약을 중심으로

김민애,김미보,신상호,변석미,고우신,이호섭,박선규,윤화정,Kim, Min-Ae,Kim, Mi-Bo,Shin, Sang-Ho,Byun, Seok-Mi,Ko, Woo-Shin,Lee, Ho-Sub,Park, Sun-Gyoo,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2008 한방안이비인후피부과학회지 Vol.21 No.2

Background : The purpose of this study is to make the oriental medicine treatment useful and develop the way of acne cure. Object&Metbod : This study is based on analysis of Recent paper about Oriental medicine of acne, mainly for the external treatment. Results: We analyzed recent treatis about acne cure with external treatment in clinical and analytic study. For the first, there are various clinical approaches with: single use of external treatment, external treatment and herb medicine methods and acidic ionized water. The others are about practical applications on the external treatment, and traditional chinese medical approaches. Conclusion: To develop the better medical care on acne, development and verifications of various treatment methods are necessary on the basis of the merits of oriental treatment.