분만손상으로 인한 상완신경총마비 환아의 치험 1례

유선애,Yu, Sun Ae 대한한방소아과학회 2014 대한한방소아과학회지 Vol.28 No.1

Objectives The purpose of this study is to know the effect of acupuncture on brachial plexus palsy due to birth injury. Methods We decided to treat one week of Vojta therapy and occupational therapy, but other were combined, and then add three weeks of acupuncture treatment as well. Results Right clavicle fracture at birth brachial plexus injury due to decreased locomotion of the right upper extremity, muscle weakness in children aged 7 months to Vojta therapy, occupational therapy and acupuncture, when performed in conjunction mobility increase of the shoulder joint, elbow support improvement, recovery of motor function of the hand grip, etc. to obtain a significant motor function recovery improvement. Conclusion Acupuncture was a good treatment of choice for the better shoulder, joint and hands movements.

모야모야병 환아(患兒) 1예(例)에 대한 증례(症例)

유선애,이승연,Yu Sun-Yae,Lee Seung-Yeon 대한한방소아과학회 2000 대한한방소아과학회지 Vol.14 No.2

Moyamoya is a chronic cerebrovascular disease chracterized by progressive stenosis or occlusion of the terminal parts of both internal carotid arteries with telangiectatic vascular network of collateral circuration at the base of the brain and leptomeningeal arteries. The etiology and pathophysiology of this disease are still unknown. The clinical course in those whose first symptoms occur in childhood is different from those in whom symptoms develop in adult life. The term moyamoya disease should be resserved for those cases in which the chracteristic angiographic pattern is idiopathic; moayamoya syndrome is used when the underlying condition is known. we have experienced a case of moyamoya syndrome in a 5-year-2-month-old boy who presented right-sided hemiparesis. A cerebral angiogram revealed occlusion of abnomal collateral network. Moyamoya disease is applicable to stroke of an infant from oriental medicine point of view, and The symptoms is similar to adult stroke, we have treated adult stroke patint with herb medicine and acupuncutre and physical treatment. The acute stage of stroke is applied to the external treatment(標治), and The recovery stage is applied to the basic treament(本治).

강직성 뇌성마비의 침자치료에 대한 문헌고찰 - 최근 중의잡지를 중심으로 -

유선애,조성우,이승연,Yu, Sun Ae,Cho, Sung Woo,Lee, Seung Yeon 대한한방소아과학회 2015 대한한방소아과학회지 Vol.29 No.4

Objectives The purpose of this study is to look into the methods of acupuncture for spastic cerebral palsy. Methods 27 cases of the clinical literature were selected from 43 studies about cerebral palsy and spastics. Theses literature were published between the January 2010 to September 2015 by using the China Academic Journal (CAJ) of China National Knoweldge Infrastructure (CNKI). Results Most studies mentioned the effect of acupuncture (scalp, general) or acupoint-injection, derma needle, warm acupoint. It was more effective with other herbal complex rehabilitation therapy such as acupuncture, physical therapy occupational therapy, rehabilitation, and the complex speech therapy than just the herbal therapy alone. Acupuncture of acupoint-injection has overall 86~96% of rehabilitation rate. The acupuncture was often used with the general acupuncture and scalp acupuncture. Commonly used major acupuncture points were sishencong (四神總), bohui (百會), yundongqu (運動區), and pinghengqu (平衡區), Li11, Li04, Gb39, St41. The main acupoint-injection points were fengchi (Gb21) and jiexi (St41). For the injection, brain actiator, astragalus injection, cerebroprotein hydrolysate, Vit B1, Vit B2 were commonly used. Conclusion Acupuncture and acupoint-injection have been shown as an effective treatment on spastic cerebral palsy. The acupuncture was used often with the general acupuncture and scalp acupuncture all together.

허약(虛弱)을 주소(住所)로 내원한 환아(患兒)의 설진(舌診)에 대한 임상적 고찰

유선애,이승연,Yu Sun-Ae,Lee Seung-Yeun 대한한방소아과학회 2001 대한한방소아과학회지 Vol.15 No.2

A clinical observation by the tongue change as a diagnostic method was made on 36 week children visited to Dongeui Oriental Medical Hospital from August. 2001 to December 2001 and the observed results were summarized as follows. 1. Their symptoms have been observed with sequences of Resparatory diseases, Digestive, Neuromotor, Psycho-neurological, Urogenital diseases 2. Distribution of sex : male 22 cases, female 14 cases 3. Distribution of age : 0-6 years 24 cases, 7-18 years 12 cases 4. The texture of tongue was resulted in tongue color in pink-28 cases, red-8 case, and shape in thin-18 cases, swelling-6 cases, a fissured patten-5 cases, a prickly patten-4 cases, and a map patten-3 cases, and fur of the tongue in thin-26 cases, moisten-8 cases, deep-2 cases, and coating color of the tongue in thin and whitish-15 cases, thin and yellowish-9 cases, lack-8 cases, deep and whitish-4 cases. 5. The texture of tongue in connection with weak children was come out mostly normal state and the rest red color, a fissured patten, a prickly patten, deep coating, thin and yellowish etc appeared to cause of slight damage due to exogenous pathogenic fators and due to internal injury.

한방소아과학 수업에서 PBL (Problem Based Learning) 모듈 개발 및 PBL 도입을 위한 사전 연구

유선애,이승연,Yu, Sun Ae,Lee, Seung Yeon 대한한방소아과학회 2015 대한한방소아과학회지 Vol.29 No.4

Objectives The purpose of this study is to examine the development of PBL Module and the possibility of the evaluation on the Korean medical Pediatrics class. Methods In this study, we examined the 32 case reports (four teams for three years) which were made by the Korean medicine school $4^{th}$ year students, who attended the discussion class. The student read the given materials and identified the purpose of the subjects and selected the learning issues, investigated them. After then they discussed the subjects and made the reports. Results The learning issues by students were similar, the students worked to study them with research papers, books, internet materials and personal subjects. After class, the students showed the change of their thoughts and they could accept the other one. Conclusions This study suggests it is possible that the development of PBL Module and the evaluation on the Korean medical Pediatrics Class.

허약(虛弱)을 주소(主訴)로 내원한 환아(患兒)의 임상적 특징과 진단법(診斷法)에 관한 연구 -안색(顔色)과 설진(舌診)을 중심으로-

유선애,이승연,Yu, Sun-Ae,Lee, Seung-Yeun 대한한방소아과학회 2002 대한한방소아과학회지 Vol.16 No.2

We have plenty of study of adults diseases, but not much has been said about children. 79 children who had visited in the weak children of Dongeui Oriental Medical Hospital from March, 2002 to October, 2002, were the respondents of the Weak Child Questionnaire. The results obtained were as follows: 1. Their symptoms have been observed with sequences of respiratory diseases, Digestive diseases, Psycho-neurological diseases. 2. Distribution of sex and ages : male 38 cases, female 41 cases. $0{\sim}6$ years 60 cases, $7{\sim}12$ years 17 cases, $13{\sim}18$ years 2 cases. 3. The texture of complexion was resulted in face color and the region of the face : whitish-2/ cases. yellowish-27 cases, darkish-22 cases, blue-2 cases, flushed face-l case. Sangeun(山根)-blue : 59 cases, a lower eyelid- dark or light brown : 54 cases. the rests of color on face region didn't mean. 4. The texture of tongue was ended in tongue state : tongue form-not plump not haggard patten(57 cases), a pricky patten(12), a map patten(7), a fissured patten(3). tongue color- pink (57 cases), red(16), light white(6). coating color- thin white(61 cases), thin yellow(l0), lack(6), deep and white(2). tongue coating substance-thin(72 cases), moisten(5), dry(1), deep(1).

식욕부진을 주소로 내원한 환아의 현황 및 보호자 인식도 조사

유선애,이승연,Yu, Sun Ae,Lee, Seung Yeon 대한한방소아과학회 2014 대한한방소아과학회지 Vol.28 No.1

Objectives Many parents are stressed from their children with anorexia, so this study was planned to investigate the growth state of the children with anorexia and the main concerns of their parents. Methods We searched some medical documents regarding 21 children with anorexia and performed questionnaires on their parents. Results 21 children (male 14, female 7) were studied, the average age of children was $53.62{\pm}20.46$ months, the average height was $102.93{\pm}12.36cm$, the average weight was $16.37{\pm}1.31kg$, the average BMI was $15.26{\pm}1.31$. 16(76.10%) parents have experienced stress regarding their children's slow weight increase. There was no relationship between BMI of the children and the degree of stress of their parents. The parents tend to scold or to give nutrition supplement to their children to solve the anorexia. Many of the parents considered their children has anorexia just by looking at the children's attitude towards to the meals or when children had food whatever it given only. Conclusions The children with anorexia were mostly developed poorly. However, the parents who had children were developing nicely were also stressed because of their children's picky eating behavior and the difficults in coaching their children food.

발달장애 아동의 한약치료에 관한 치험 2례 - GMFM과 PEDI 중심으로

유선애,Yu, Sun-Ae 대한한방소아과학회 2011 대한한방소아과학회지 Vol.25 No.2

Objectives: The purpose of this study is to report clinical effect of herbal medicine on developmental disorder Methods: The patients were treated with herbal medicine and evaluated by gross motor function measure(GMFM), and pediatric evaluation of disability inventory(PEDI). Results: The patient's gross motor function measure, and pediatric evaluation of disability inventory were significantly improved after six months to nine months of herbal medicine treatment. Conclusions: This study shows that herbal medicine is effective on developmental disorder induced. However, further clinical studies are needed.

뇌성마비의 기능성평가도구에 대한 고찰 -GMFCS, GMFM 과 PEDI 중심으로-

유선애 ( Sun Ae Lyu ),김보경 ( Bo Kyong Kim ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.1

Objectives: This study is to investigate the method for assesment of cerebral palsy(CP), especislly focusing on function assesment Methods: We searched the recent date of the publication and paper in Cerebral Palsy Results: Measuring the function of children with cerebral palsy is mobility, self-care and social ability. Early adequate evaluation of motor development and prognosis of degree of long-term motor disability is very important not only for parents, but also for correct management of goal oriented rehabilitation treatment and for planning of preventive measures. 1. Gross Motor Function Classification System(GMFCS) is valuable to prognostication about gross motor progress in children with CP, using longitudinal observation. 2. Gross Motor Function Measure(GMFM) is the instrument most commonly used to measure gross motor function in children with cerebral palsy (CP). 3. Pediatric Evaluation of Disability Inventory(PEDI) is one of the most commonly used assessments for children with a disability. Conclusions: The functional Assesment of children with CP are used GMFCS, GMFM and PEDI.

소양증(瘙痒症)의 침구치료(鍼灸治療)에 관한 고찰(考察)

유선애 ( Sun Ae Yu ),김철홍 ( Cheol Hong Kim ),윤현민 ( Hyoun Min Youn ),이승연 ( Seung Yeun Lee ) 대한경락경혈학회 2005 Korean Journal of Acupuncture Vol.22 No.3

Objective: The purpose of this study is to review the acupuncture therapy and moxibustion on itching Method: We searched and reviewed chinese journals of and books of the acupuncture therapy and moxibustion on itching. Results & Conclusions: 1. Dermatopathy of itching is described as eczema, neurotic-dermititis, itching in oriental medical text. 2. According to text, itching causes were wind symptom produced by deficiency of blood, deficiency syndrom of the spleen, and damp-heat. 3. Frequently used acupoints were LI10(41 frequency), SP10(29), ST36(27), SP6(22), GB20(19), Asi point(18), BL(17), back Su acupoints(13), LI4(13), SP9(10), PC6(7), HT7(7). etc. 4. The practice of acupuncture was used by body acupuncture, auriculo-theraphy, loss of bleeding with needle, blum-blosson needle, dermal needle, fire needle. etc. 5. Moxibustions are mild moxibustion, non-scar producing moxibustion, herb- moxibustion. etc.