Guillain-Barre Syndrome으로 진단받은 환자의 비증(痺證) 치험 2례

남효익,김회영,김지원,최은영,Nam, Hyo-Ik,Kim, Hoi-Young,Kim, Ji-Won,Choi, En-Young 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.3

Guillain-Barre Syndrome is a disorder caused by nerve inflammation. The inflammation damages portions of the nerve cells, resulting in pain, numbness, muscle weakness or paralysis and sensory loss. The damage can also leads to denervation (killing the axon part of the nerve cell), which stops nerve function entirely. Without the axon, messages cannot be transferred from one nerve cell to another, but the causes and mechanism of this syndrome are unknown. This is a clinical report about two patients diagnosed with Guillain-Barre Syndrome. The patients, a 54-year-old woman and a 37-years-old man, had pain, and weakness in both legs and arms. After about 4 weeks of Korean medicine and acupuncture treatment, most of their symptoms improved. Therefore, Korean traditional therapy has potential for treatment of Guillain-Barre Syndrome.

전극 내 고분자 바인더 함량에 따른 접착력 및 전기화학 성능 평가

노영준,변승우,김용주,이용민 한국공업화학회 2019 한국공업화학회 연구논문 초록집 Vol.2019 No.1

전기자동차의 경우, 내연기관 자동차와 동일 수준의 일 충전 주행거리를 확보하기 위해 전지의 고에너지밀도가 요구되고 있다. 해당 조건을 만족시키기 위해 전극 내 활물질의 함량을 높여 에너지밀도를 높이는 연구가 진행되고 있으나, 동일 로딩레벨 및 밀도에서 전극의 기계적 특성 및 전지의 장기 신뢰성이 상이할 수 있다. 이러한 기계적 특성이 확보되지 않은 전극은 전지 수명에 치명적이며, 이를 해결하기 위해 전극 내 기계적 특성 및 전기화학 성능의 최적화가 필수 선행되어야 한다. 본 연구에서는 전극 내 고분자 바인더의 함량을 1, 2, 4 wt%으로 조절하고 동일한 로딩레벨, 밀도를 갖는 복합전극을 제조하였다. 전극의 기계적 특성을 SAICAS를 통해 분석한 결과, 바인더 함량이 2wt%인 전극은 4wt% 전극에 비해 절반정도의 접착력을 보였으며, 실제 수명 평가 이후 해당 전극이 집전체에서 대부분 박리되는 것을 확인할 수 있었다. 본 연구를 통해 기계적특성과 전지 수명간의 상관관계를 확인하였으며, 이를 보고하여 전극 내 접착 특성이 면밀히 분석되어야 함을 제안한다.

과민성장증후군 환자의 정전가미이진탕(正傳加味二陳湯) 투여(投與) 1례(例)

김회영,남효익,손현수,박상무,Kim, Hoi-Young,Nam, Hyo-Ik,Son, Hyun-Soo,Park, Sang-Moo 대한한의학방제학회 2007 大韓韓醫學方劑學會誌 Vol.15 No.2

The irritable bowel syndrome(IBS) is the most common gastrointestinal disorder in clinical practice and is characterized by abdominal pain associated with a chronic disturbance of defecation. The subject is a-69-year-old man who has abdominal pain, chronic diarrhea. anorexia. general weakness and has been diagnosed as irritable bowel syndrome. We diagnosed this patient as the Gastrointestinal Phlegm(食痰) and prescribed Jengjengamiyijin-tang (Zhengchuanjiaweierchen-tang). In the result, we had improvement of his symptoms.

정전가미이진탕(正傳加味二陳湯)이 흰쥐의 위배출능(胃排出能)에 미치는 영향(影響)

김회영,손현수,임성우,남효익,Kim, Hoi-Young,Son, Hyun-Soo,Lim, Sung-Woo,Nam, Hyo-Ik 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.2

Background & Objective : The herbal medicine JGT has been used for the treatment of functional dyspepsia, generally categorized as a gastric disease. However, its effect and mechanism are not yet well known. Therefore, the effects of JGT on gastric emptying in rats was investigated to know its effectiveness and mechanism. Methods : Gastric emptying effect was measured by the number of glass beads expelled from the stomach within an hour after glass beads and test drugs were administered. In another series of experiments to evaluate the mechanisms of JGT under delayed conditions, the rats were treated with atropine sulfate Results : Intragastric administration of JGT significantly increased gastric emptying of glass beads Under the gastric emptying delayed with atropine sulfate, JGT insignificantly increased gastric emptying of glass beads. Conclusions : These suggest that JGT has a significant effect to stimulate gastric emptying. Results are indicative of JGT as an especially effective remedy for dysmotility-like functional dyspepsia with impaired reservoir function such as gastric adaptive relaxation.

肩臂痛에 대한 Trigger Point 刺鍼과 遠位取穴의 治療效果에 대한 臨床的 比較 硏究

이진석,송계화,이성노,김대중,유정석,남효익,김회영,손현수 대한침구의학회 2007 대한침구의학회지 Vol.24 No.5

Objectives : This report is to compare Remote Acupuncture Point Needling group with Trigger Point Needling group about Shoulder pain treatment. Methods : From November 11th 2006 to May 10th 2007, 30 cases of shoulder pain patients were divided into 2 groups ; one group(test Ⅰ group) took remote acupuncture point needling, and the other group(test Ⅱ group) took trigger point needling. For evaluating change of pain, Visual Analog Scale(VAS) and clinical evaluation grade and Range of Motion was checked before and after Treatment. Results : Both acupuncture therapy showed good effect on shoulder pain. And test Ⅱ group showed better effect on decreasing pain than test Ⅰ group. It was proved by the difference between VAS and ROM checked before treatment and what checked after treatment. But it was only significant statistically for adduction, inversion and eversion of shoulder joint motion. Conclusion : Trigger point needling can be recommended as a useful therapy to treat shoulder pain.

우상지(右上肢) 단마비(單痲痺)가 주증(主症)인 풍비 환자의 만금탕가미방(萬金湯加味方) 투여 호전 1례

정병주,우성호,김병철,김용호,서호석,황규동,장하정,남효익,김회영,김진원,Jeong, Byeong-Ju,Woo, Sung-Ho,Kim, Byung-Chul,Kim, Yong-Ho,Seo, Ho-Seok,Hwang, Gyu-Dong,Jang, Ha-Jeong,Nam, Hyo-Ick,Kim, Hoi-Young,Kim, Jin-Won 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.1

Background : Monoplegia is the paralysis of a limb. It is commonly caused by an injury to the cerebral cortex, and rarely caused by injury to the internal capsule, brain stem, or spinal cord. Most problems with cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. Objectives : This study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment of monoplegia on an upper extremity to test the validity of acupuncture and herbal treatment for it. Methods : By using Digital Infrared Thermographic Imaging(DITI), thermal differences$({\Delta}T)$ of acupoints on the upper extremity in a patient with monoplegia on the right upper extremity were measured after an attack of the disease. By giving Mangeum-tang(萬金湯) and treating the patient with acupuncture. the temperature changes of the upper extremity were examined through DITI and improvement was observed. Results : Compared with the left arm which suffered no such injury, the right recovered about 80% of sensation, and the grade of monoplegia improved from Grade O to Grade V. Also, the temperatures of right palmar-dorsal hand and the region of Weiguan(外關, Waiguan, TE5) were $1^{\circ}C$ and $1.45^{\circ}C$ higher than the same left region on admission day, but the thermal differences$({\Delta}T)$ narrowed to $0.5^{\circ}C$ by the last day. Conclusions : Results suggest that DITI screening is a reliable method of prognosis and that the time required for treatment can be estimated through this method in cases of monoplegia to an upper extremity. Also, progress in treatment is reflected in thermal differences of acupoints of the monoplegic upper extremity in accordance with the theory of meridian. This supports a role for acupuncture and herbal treatment for monoplegia.

뇌경색 환자의 당뇨병성 고지혈증에 대한 오적산가감방(五積散加減方) 호전 1례

한승혜,정병주,우성호,김병철,김용호,서호석,황규동,조철준,남효익,김진원,Han, Seung-Hea,Jeong, Byeong-Ju,Woo, Sung-Ho,Kim, Byung-Chul,Kim, Yong-Ho,Seo, Ho-Seok,Hwang, Gyu-Dong,Cho, Cheol-Jun,Nam, Hyo-Ick,Kim, Jin-Won 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.1

Hyperlipidemia is one of the major factors causing the atherosclerosis of coronary arteries and well-documented modifiable risk factors of stroke, especially of the ischemic type. For Insulin-Dependent Diabetes Mellitus sufferers, if blood sugar is appropriately maintained, lipid and lipoprotein are normal, but if blood sugar is inappropriately maintained or clinical Diabetic nephropathy induces metabolic disorder of lipid, then Total cholesterol, low density lipoprotein cholesterol, triglyceride and very low density lipoprotein cholesterol levels go up and high density lipoprotein levels go down. The purpose of this study is to evaluate the effect of treatment with Ojeok-san and to observe the changes in Fasting Blood Sugar(FBS), 2 Hours Postprandial Blood Sugar(PP2h), Haemoglobin A1c(HbA1c), Total Cholesterol(T-Chol) and Triglyceride(TG). After the treatment, Fasting Blood Sugar decreased from 149mg/dl to 89mg/dl. 2 Hours Postprandial Blood Sugar decreased from l85mg/dl to 110mg/dl. Haemoglobin A1c decreased from 6.3% to 5.7%. Total Cholesterol decreased from 268mg/dl to 217mg/dl. And Triglyceride decreased from 438mg/dl to 265mg/dl. These results support a role for oriental medical therapy in treating Diabetic Hyperlipidemia. Further case studies of herbal treatment of this ailment are needed.

右上肢 單痲痺가 主症인 風? 환자의 萬金湯加味方 투여 호전 1례

김진원,정병주,우성호,김병철,김용호,서호석,황규동,장하정,남효익,김회영 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.1

Background : Monoplegia is the paralysis of a limb. It is commonly caused by an injury to the cerebral cortex, and rarely caused by injury to the internal capsule, brain stem, or spinal cord. Most problems with cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. Objectives : This study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment of monoplegia on an upper extremity to test the validity of acupuncture and herbal treatment for it. Methods : By using Digital Infrared Thermographic Imaging(DITI), thermal differences(⊿T) of acupoints on the upper extremity in a patient with monoplegia on the right upper extremity were measured after an attack of the disease. By giving Mangeum-tang(萬金湯) and treating the patient with acupuncture, the temperature changes of the upper extremity were examined through DITI and improvement was observed. Results : Compared with the left arm which suffered no such injury, the right recovered about 80% of sensation, and the grade of monoplegia improved from Grade O to Grade V. Also, the temperatures of right palmar-dorsal hand and the region of Weiguan(外關, Waiguan, TE5) were 1°C and 1.45°C higher than the same left region on admission day, but the thermal differences(⊿T) narrowed to 0.5°C by the last day. Conclusions: Results suggest that DITI screening is a reliable method of prognosis and that the time required for treatment can be estimated through this method in cases of monoplegia to an upper extremity. Also, progress in treatment is reflected in thermal differences of acupoints of the monoplegic upper extremity in accordance with the theory of meridian. This supports a role for acupuncture and herbal treatment for monoplegia.

뇌경색 환자의 당뇨병성 고지혈증에 대한 五積散加減方 호전 1례

김진원,한승혜,정병주,우성호,김병철,김용호,서호석,황규동,조철준,남효익 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.1

Hyperlipidemia is one of the major factors causing the atherosclerosis of coronary arteries and well-documented modifiable risk factors of stroke, especially of the ischemic type. For Insulin-Dependent Diabetes Mellitus sufferers, if blood sugar is appropriately maintained, lipid and lipoprotein are normal, but if blood sugar is inappropriately maintained or clinical Diabetic nephropathy induces metabolic disorder of lipid, then Total cholesterol, low density lipoprotein cholesterol, triglyceride and very low density lipoprotein cholesterol levels go up and high density lipoprotein levels go down. The purpose of this study is to evaluate the effect of treatment with Ojeok-san and to observe the changes in Fasting Blood Sugar(FBS), 2 Hours Postprandial Blood Sugar(PP2h), Haemoglobin A1c(HbA1c), Total Cholesterol(T-Chol) and Triglyceride(TG). After the treatment, Fasting Blood Sugar decreased from 149mg/dl to 89mg/dl. 2 Hours Postprandial Blood Sugar decreased from 185mg/dl to 110mg/dl. Haemoglobin A1c decreased from 6.3% to 5.7%. Total Cholesterol decreased from 268mg/dl to 217mg/dl. And Triglyceride decreased from 438mg/dl to 265mg/dl. These results support a role for oriental medical therapy in treating Diabetic Hyperlipidemia. Further case studies of herbal treatment of this ailment are needed.