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卵巢囊腫을 漢藥內服 및 藥物保有灌腸法으로 治療한 治驗 1例
嚴殷奭,林垠美 대한한의학회 부인과학회 2000 大韓韓方婦人科學會誌 Vol.13 No.1
卵巢襄腫은 婦人科 임상에서 흔히 보게 되는 疾病으로서 주로 卵巢腫瘤로 표현되는데^1.2.3), 이미 오래전에 腫瘤에 관하여 《靈樞·水脹》에서는 "寒氣客於腸外, 與衛氣相搏, 氣不得榮, 因有所繫, 癖而內著, 惡氣乃起, 식육내생. 其始生也, 大如鷄卵, 稍以益大, 至其成, 如懷于之狀, 久者離歲, 接之則堅, 推之則移, 月事以時下, 此其候也." 라 하였다. 卵巢襄腫은 크게 양성과 악성으로 분류되는데, 그 원인은 아직 명확하지 않고, 대부분 무증상인 경우가 많기 때문에 조기진단의 어려움이 있으며, 이미 발견된 후에는 절제수술 외에는 효율적인 치료법이 없기 때문에 비수술요법 측면에서 한의학적으로 적극적인 접근이 필요한 실정이다. 한편 藥物保留灌腸法은 韓藥을 煎湯하여 만든 灌腸液을 直腸으로 직접 투여하는 外治法의 一種으로 경원대학교부속 서울한방병원 婦人科에서는 이미 子宮內膜症 및 慢性骨盤炎으로 인한 績發狀痛經 환자에게 이 방법을 시행하여 痛症의 緩和 등 제반 증상이 호전되는 것을 경험한 바가 있으며^5), 이번에는 卵巢襄膽 환자에 대하여 藥物保留灌賜法을 內服藥과 지속적으로 竝行療하여 良好한 治療結果를 나타내었기에 이에 報告하는 바이다. Ovarian tumors are very common clinically, and can be largely classified as benign or malignant. However, the cause of it is not clear and the effective cure for it is mainly surgical operation. Thus, oriental medicine care is needed for the patients who wish no surgical therapy. This study is performed to evaluate the effectiveness of herbal medication and retention enema on one patient with an ovarian tumor. For approximately two months, the patient was treated with just herbal medication. After this two-month period, the patient was treated with both herbal medication and retention enema for two additional months. After this time, the patient was then treated with only retention enema for the following seven months. The size of the right ovarian tumor was 6 ㎝ before treatment, but after treatment it was reduced to 4.83 cm. This result indicates that the combination treatment of herbal medication and retention enema is effective on the patient with an ovarian tumor, but continuous observation and study are needed.
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嚴殷奭,李東寧,林垠美 대한한의학회 부인과학회 2001 大韓韓方婦人科學會誌 Vol.14 No.1
The purpose of this study is to investigate the various postpartum symptoms, and provide fundamental data about postpartum health care. The subjects of the present study were 148 women (74 women who completed vaginal delivery and 74 women who delivered by cesarean section) who completed labor between January 1 and June 30, 1999, at the department of OB & GYN in Dong-Inchon Gil Hospital. We investigated the various symptoms which occurred from the moment of hospital discharge to 5 months after parturition, and examined the frequency of symptoms. Then we systemically classified the symptoms. Next, we subdivided the major categories of symptoms. After that, we classified the symptoms by the age of patients, the obstetric history of patients, and the method of delivery. Finally we compared the symptoms of these results and the standard textbook (Textbook of Oriental Gynecology edited by Byoung-Key Song, 1994). The results of this investigation were summarized as follows: 1. Systemic classification of various postpartum symptoms: (1) Nervous and psychiatric symptoms accounted for 14.2% of the postpartum symptoms; (2) circulatory symptoms, for 23.7%; (3) respiratory symptoms, for 7%; (4) gastrointestinal symptoms, for 10%; (5) musculoskeletal symptoms, for 7.3% of which waist and hip joint accounted for 33% of the arthralgia; knee joint, for 25%; wrist joint, for 13.7%; (6) urinary symptoms, for 2.7%; (7) reproductive symptoms, for 23.3%; (8) the rest, for 11.8%. 2. Subdivision the major categories of various postpartum symptoms: (1) Discomfort at the incision site accounted for 92.6% of the 148 women; (2) increase of sweating, for 77%; (3) arthralgia, for 66.9%; (4) common cold, for 63.5%; (5) hair loss, for 62.2%; (6) dizziness, for 52.7%; (7) depression, for 47.3%; (8) toothache, for 43.2%; (9) coldness of the extremities and lower abdomen, for 37.8%; (10) edema, for 37.2%. 3. There were no remarkable differences in the frequency of symptoms according to the age of patients, the obstetric history of patients, and the method of delivery. 4. We observed some symptoms not mentioned in the textbook. On the other hand, we did not observe some of the textbook symptoms. Thus, if we continue investigation about various postpartum symptoms by other methods (incidence duration, symptoms' degree, etc) and compare with the textbook, we can update the textbook. There will be significant data which are helpful for diagnosis and oriental medical treatment of the patient after parturition.
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Uom, E. S.,Min, B. I.,Kim, J. H.,Cho, Y. W. 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2001 No.-
The method of quick insertion and withdrawal of the needle (QIW) in acupuncture is a technique of stimulation not retaining the needle in the acupuncture point. We examined the analgesic effects of five different types of QIW along with the changes of stimulation quantity, time, and depth, and then compared the analgesic effect of the most effective QIW to that of plain acupuncture (PA). When tail-flick latency values between the strongest QIW-1 group and PA group were compared, there was no significant difference (analyzed by t-test). These results indicate that QIW technique has an analgesic effect similar to PA technique and that the conditions, which for the QIW-1 was shown the most effective analgesia, are a duration of 5 s at intervals of 1 s and at the depth of 3 mm.ⓒ 2001 Elsevier Science lreland Ltd. All rights reserved.
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