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이동혁,이영은,이보윤,두경희,김수경,조승연,박성욱,박정미,고창남,Lee, Dong Hyuk,Lee, Young Eun,Lee, Bo Yun,Doo, Kyung Hee,Kim, Soo Kyung,Cho, Seung Yeon,Park, Seong Uk,Park, Jung Mi,Ko, Chang Nam 대한중풍순환신경학회 2014 대한중풍.순환신경학회지 Vol.15 No.1
■ Objectives The purpose of this case report is to show an effect of korean medicine for patient with bilateral abducens nerve palsy. ■ Methods This patient was 58 year-old man who was diagnosed with bilateral abducens nerve palsy. The patient had Diabetes Mellitus, hypertension, benign prostatic hyperplasia and dyslipidemia as underlying diseases. The patient had symptoms of limited eye movement to lateral, diplopia, dizziness and mild headache. He was treated by korean medicine, containing electroacupuncture, pharmacoacupuncture, moxibustion and herb medicines during 13 days of hospitalization and following outpatient department. His eye movement was evaluated by the method of Scott and kraft and discomfort from his symptoms was scored by the Numerous Rating Scale. And other general conditions were measured. ■ Results After that period, patient's abduction deficit was improved and subjective discomfort from his symptoms was getting better. His other conditions were also better, compared with his admission. ■ Conclusion This study suggests that Korean medicine could have a therapeutic effect for bilateral abducens nerve palsy. So, It could help to relieve patient's symptoms and make general conditions better.
가미쌍화탕과 양의공진단 투여로 호전된 양하지 속 상연축 환자 1례
김수경,여서원,이현중,이동혁,두경희,조승연,박성욱,고창남,박정미,Kim, Soo-Kyung,Lu, Hsu-Yuan,Lee, Hyun-Joong,Lee, Dong-Hyuk,Doo, Kyeong-Hee,Cho, Seung-Yeon,Park, Seong-Uk,Ko, Chang-Nam,Park, Jung-Mi 대한중풍순환신경학회 2014 대한중풍.순환신경학회지 Vol.15 No.1
■ Objectives This clinical study is to report the effect of Korean medicine on patient with chronic benign fasciculation syndrome on a both legs. ■ Methods A patient who suffered from involuntary fasciculation of Quadricepts femoris and Gastrocnemius was treated with herbal medicine Gami SSanghwa-Tang and Yang Eui Gongjin-dan, acupuncture and moxibustion. Degree of fasciculation and general condition was measured. ■ Results After taking Gami Ssanghwa-Tang and Yang Eui Gongjin-Dan, degree of fasciculation have reduced and patient's general condition improved. ■ Conclusion This clinical case study showed the effect of Korean medicine on symptom of fasciculation.
감각장애를 동반한 Thalamic Ataxia 환자 치험 1례
이보윤,이현중,이동혁,두경희,김수경,조승연,박정미,고창남,배형섭,박성욱,Lee, Bo-Yun,Lee, Hyun-Joong,Lee, Dong-Hyuk,Doo, Kyung-Hee,Kim, Soo-Kyung,Cho, Seung-Yeon,Park, Jung-Mi,Ko, Chang-Nam,Bae, Hyung-Sup,Park, Seong-Uk 대한중풍순환신경학회 2014 대한중풍.순환신경학회지 Vol.15 No.1
This report is about a case of an ataxia patient with sensory loss diagnosed with thalamic Infarction. The patient had symtoms of gait disturbances and dysmetria. We used Korean medicine treatment modalities including acupunture, electroacupuncture, moxibustion and herb medicines. The improvement of ataxia was evaluated by International Cooperative Ataxia Rating Scale and Balance master<sup>Ⓡ</sup> system. After treatment, decreased scores of International Cooperative Ataxia Rating Scale and change of the trace of Balance master<sup>Ⓡ</sup> system showed that symtoms of ataxia were improved. Sensory deficits and other conditions were also getting better. This report suggests that Korean medicine could have a therapeutic effect for Thalamic ataxia.
김학주 ( Hak Ju Kim ),김수경 ( Soo Kyung Kim ),최일환 ( Il Hwan Choi ),정철 ( Chul Jung ),여서원 ( Hsu Yuan Lu ),두경희 ( Kyeong Hee Doo ),김민경 ( Min Kyung Kim ),조승연 ( Seung Yeon Cho ),박정미 ( Jung Mi Park ),고창남 ( Chang 대한면역약침학회 2012 대한면역약침학회지 Vol.1 No.1
Objectives: CS has been used as effective pain reducing pharmacoacupunture in clinical fields, however its constituents and physiological activity have not been yet certified by experiment. This experimental research was to analyze the component of CS Yakchim and prove its anti-oxidant and anti-inflammatory effect. Methods: Content of protein, glucose, crude fat and crude ash was calculated. Anti-oxidant effect was measured using 1,1-diphenyl-2-picryl hydrazyl(DPPH) free radical scavenging activity. Anti-inflammatory effect was measured with COX-2 kit and RAW 264.7 macrophage. the concentration of TNF-α and IL-6 was measured by Enzyme-linked immuno-sorbent assay. Results: CS Yakchim is consist of 0.17% of protein, 0.32% of glucose, 95.19% of crude fat and 0.32% of crude ash. CS showed better anti-oxidant effect than its control sample. CS COX-2 inhibiting capacity was better than its Indomethacin control sample. Inflammatory cytokine production was reduced but not at transcription level. Conclusions: These results showed that CS Yakchim is consist protein, glucose, crude fat and crude ash. CS Yakchim anti-oxidant and anti-inflammatory effect.
구영석 ( Young Suck Goo ),신현준 ( Hyun Joon Shin ),정재호 ( Jae Ho Chung ),경희두 ( Hee Doo Kyung ),손주혁 ( Joo Hyuk Sohn ),최성희 ( Seung Hee Choi ),박용범 ( Yong Beom Park ),신동환 ( Dong Whan Shin ),이수곤 ( Soo Kon Lee ) 대한류마티스학회 2001 대한류마티스학회지 Vol.8 No.2
Wegener`s granulomatosis (WG) is a multisystemic inflammatory disease characterized by necrotizing granulomatous inflammation and vasculitis of unknown etiology which classically affects the upper airway, lung, and kidney. Subglottic stenosis (SGS) is rare and occurs independently of other features of active WG. SGS can be a life-threatening manifestation of disease, and prompt diagnosis is essential. Since the presenting symptoms of SGS can be nonspecific, SGS should be considered in the differential diagnosis of any patient with WG who has increasing dyspnea, voice change, or cough. Although both surgical and medical treatments have been utilized, the optimal therapeutic approach to SGS in patients with WG has not been determined. So far, a case of WG with SGS has not been reported in Korea. Recently, we experienced a case of 59-year-old woman with SGS in WG. She responded to prednisolone and methotrexate therapy and did not require surgical intervention. So we report this case with a review of literatures.
구영석(Young Suck Goo),강이화(Ea Wha Kang),이상철(Sang Cheol Lee),한승혁(Seung Hyeok Han),경희두(Hee Doo Kyung),정재헌(Jae Hun Jung),윤수영(Soo Young Yoon),최소래(So Rae Choi),노현정(Hyun Jung Roh),박형천(Hyeong Cheon Park),강신욱(Sh 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.5
목 적 : 선택적 단백뇨지수(selective proteinuria index , SPI)는 신증후군 환자의 조직학적 변화 및 스테로이드 치료에 대한 반응을 알 수 있는 예후인자로 알려져 있다. 단백뇨를 보이는 IgA 신증 환자에서 사구체 기저막의 음전하 소실이 나타나고, 신기능이 저하된 IgA 신증 환자에서 안지오텐신 전환효소 억제제가 비선택적 공(pore)의 반경을 감소시키는 것으로 보고되고 있어 선택적 단백뇨지수의 개념을 적용할 수 있다. 또한 신증후군 환자에서 선택적 단백뇨지수가 사구체 손상 뿐만 아니라 세뇨관간질의 손상 정도를 반영하는 것으로 알려져 있고, IgA 신증의 예후가 사구체경화와 세뇨관간질의 손상 정도와 밀접한 관련이 있는 것으로 보고되고 있어 IgA 신증 환자에서 선택적 단백뇨지수가 사구체와 세뇨관간질의 손상 정도를 반영할 수 있을 것으로 생각하였다. 본 연구는 IgA 신증에서 선택적 단백뇨지수와 다른 예후인자들의 연관성을 살펴보고, 선택적 단백뇨지수가 예후인자로서 의미가 있는지 알아보고자 하였다. 방 법 : 1990년 1월부터 2000년 1월까지 연세의료원에 내원하여 신장 조직 검사로 IgA 신증을 진단 받은 환자들 중 진단 당시에 신기능이 정상이었으며, 24시간 소변검사와 선택적 단백뇨지수를 측정한 81명을 대상으로 후향적으로 분석하였다. 환자들을 선택적 단백뇨지수 정도에 따라 고선택성(SPI≤0.1, n =6), 중등도 선택성(0.1< SPI≤0.2, n =33), 비선택성(SPI> 0.2, n =42)군으로 나누어 임상 소견과 신부전의 발생 차이를 비교하였다. Kaplan - Meier 생존곡선을 이용하여 예후인자에 따른 신부전의 발생 차이를 알아보기 위해 혈청 크레아티닌이 1.5 mg/ dL 이상이고 진단 당시보다 혈청 크레아티닌이 2배 이상 증가한 경우를 신부전으로 정의하였다. 또한 IgA 신증에서 신증후군을 보인 28명을 대상으로 선택적 단백뇨지수에 따른 스테로이드나 세포 독성 약물 치료의 반응을 살펴보았다. 결 과 : 1) 선택적 단백뇨지수에 따라 분류한 세군에서 24시간 단백뇨(0.52±0.35, 1.85±1.55, 2.79±2.51 g/ day, p<0.05), 고혈압(0, 4, 11명, p< 0.05), Haas 분류법(Ⅰ+Ⅱ : 5명, 21명, 6명, Ⅲ : 1명, 9명, 13명, Ⅳ+Ⅴ : 0명, 3명, 23명, 각각 고선택성, 중등도 선택성, 비선택성, p=0.01)은 의미 있는 차이를 보였다. 그러나 연령, 성별, 추적관찰 기간, 혈뇨, 24시간 크레아티닌 청소율, 혈청 크레아티닌은 세군간에 통계학적인 차이가 없었다. 2) Cox의 비례위험 회귀모형으로 분석하였을 경우, 신부전으로의 진행은 혈청 크레아티닌 (Exp (B)=4.2, p<0.001), 24시간 크레아티닌 청소율(Exp (B)=2.1, p<0.05), 선택적 단백뇨지수 (Exp (B)=1.7, p<0.05), 고혈압(Exp (B)=1.6, p<0.05)과 연관이 있었다. 3) IgA 신증에서 신증후군 소견을 보인 환자는 28명으로 고선택성 단백뇨군에서는 신증후군의 발생이 없었다. 약물 치료 결과는 중등도 선택성 단백뇨군에서 신증후군 양상을 보인 9명 중 N/A