소아(小兒)의 체질적(體質的) 특성(特性)과 사상의학적(四象醫學的) 고찰(考察)

민상연,장규태,김장현,Min Sang-Yeon,Jang Gyu-Tae,Kim Jang-Hyun 대한한방소아과학회 2001 대한한방소아과학회지 Vol.15 No.2

Investigating the past and present literatures of west and east about pediatric constitutions and Dong-Eu-Su Se-Bo-Won $\ll$東醫壽世保元$\gg$, we obtained such conclusions : 1. In ancient literatures about pediatric constitution, physiologic and histologic characteristics are considered as pediatirc constitution. 'Pure Yang(純陽)' 'Yang is overabundant, Yin is insufficient(陽有餘陰不足)' are used for definitions of pediatric characteristics. 2. In recent literatures about pediatric constitution, adding to definitions of ancient constitution, more scientific, objective and rational criterion are intrduced. 3. In Sa-Sang(四象), limits of pediatrics is defined to children below sixteen years. 'Yu(幼)' in Dong-Eu-Su-Se-Bo-Won $\ll$東醫壽世保元$\gg$. 4. In Dong-Eu-Su-Se-Bo-Won $\ll$東醫壽世保元$\gg$, the writings about 'So-Yang-In(少陽人)' is most, those about 'So-Eum-In(少陰人)', 'Tae-Eum-In(太陰人)' and 'Tae-Yang-In(太陽人)' are in sequence. 5. In conclusion, Je-Ma Yi(李濟馬), inventor of Sa-Sang(四象), consider that pediatric constitutions are not different from those of adult.

보건소 한방육아교실 참여 부모들의 육아 및 한방에 대한 인식 조사

민상연,김장현,Min, Sang-Yeon,Kim, Jang-Hyun 대한한방소아과학회 2011 대한한방소아과학회지 Vol.25 No.3

Objectives: The purpose of this survey is to investigate the recognition of parents' attending oriental childcare class, as a part of an oriental health promotion programs in a health center. Methods: During 2010, 74 parents participated in the pre-survey and 61 parents participated in the post-survey at the Kimpo, Kyeongju and Ganghwa health center. Results: 1. 77% of the participants didn't recognize the existence of Oriental childcare center. 49% of participants were informed by health center. 2. In terms of preferences on oriental versus western medicine, 76% of participants preferred western medicine as compared to the oriental medicine but, some wanted to use both medical treatments 3. Recognition levels in importance of childcare education on post-survey were significantly elevated to the pre-survey(p<0.05), and the childcare education helped parents to breed children better. Participants want to recommend neighbors to participate in childcare class. 4. Levels of common senses about childcare on post-survey were significantly elevated compared to pre-survey(p<0.05), but levels of common senses about oriental childcare were not elevated. 5. 77% of the participants satisfied with the childcare class. Conclusions: The oriental childcare class sessions in health center have helped parents to recognize the importance of childcare education and common senses about childcare.

신경섬유종증(Neurofibromatosis) 환아(患兒) 1예(例)에 대한 증례보고(症例報告)

민상연,장규태,김장현,Min Sang-Yeon,Jang Gyu-Tae,Kim Jang-Hyun 대한한방소아과학회 2001 대한한방소아과학회지 Vol.15 No.2

The neurofibromatosis (NF) are a set of genetic disorders which cause tumors to grow along various types of nerves and, in addition, can affect the development of non-nervous tissues such as bones and skin. NF causes tumors to grow anywhere on or in the body. It also leads to developmental abnormalities. For example, individuals with NF have a higher incidence of learning disabilities. Neurofibromatosis(NF) has been classified into two distinct types: NF-I and NF-II. neurofibromatosis 1(NF-I), also known as von Recklinghausen NF or Peripheral NF, occurring in 1:4,000 births, is characterized by multiple cafe-au-lait spots and neurofibromas on or under the skin. Enlargement and deformation of bones and curvature of the spine (scoliosis) may also occur. Occasionally, tumors may develop in the brain, on cranial nerves, or on the spinal cord. About 50% of people with NF also have learning disabilities. Neurofibromatosis 2(NF-II), also known as Bilateral Acoustic NF(BAN), is much rarer occurring in 1:50,000 births. NF-II is characterized by multiple tumors on the cranial and spinal nerves, and by other lesions of the brain and spinal cord. Tumors affecting both of the auditory nerves are the hallmark. Hearing loss beginning in the teens or early twenties is generally the first symptom. We reported a 10-year-old female patient with NF-I, she has pain and edema in left leg, no symptoms of NF.

최신(最新) 임상연구(臨床硏究)를 중심으로 한 아토피 피부염에 관한 방법론적(方法論的) 연구(硏究)

민상연,김장현,김기봉,Min, Sang-Yeon,Kim, Jang-Hyun,Kim, Ki-Bong 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.1

Objective : The objective of this study is to analyze an increasing rate, difference of attack rate in age, relationship between atopic dermatitis and breast-feeding, the relationship between atopic dermatitis and the Sasang constitution, and various treatments of atopic dermatitis. Methods : This clinical study was carried out with 22 theses which are related with diagnosis, treatments, prognosis and control of atopic dermatitis. The 22 theses are carried on J Korean Oriental Pediatrics, J Korean Oriental Ophthalmology, J Korean Oriental Med, J Korean Academy of Pediatric Allergy and Respiratory Disease, J Korean Acad Fam Med and Korean J Food & Nutr. Results : The prevalence rate, attack rate and diagnosis rate of atopic dermatitis are increased in the year of 2000, compared with those of 1995. Comparing age of patient between the year of 1992 and 2002, the attack rate of atopic dermatitis is increased quickly over 7 years old. Specific immunoglobulin E(IgE) antibodies detected in patients under 1 year old was exclusively caused by food. But for the age over 7 years old, food and inhalant allergen are detected in the year of 2002 in compare with that of 1992. Because of breast-feeding, intemperate diet adjustment during the period of maternity of family history of atopic dermatitis, the attack rate of atopic dermatitis is increased in infant. The types of patients are categorized according to Sasang constitution and Soeumin group was largest. The Oriental medicine treatments of atopic dermatitis are bath & skin hydration, avoidance from antigen, dietetic treatment, external treatment, medication and phototherapy. Conclusion : The atopic dermatitis is associated with breast-feeding, Sasang constitution types. More active approach for the treatment and prevention of Atopic dermatitis in children are needed.

소아(小兒) 다용(多用) 정유(精油)의 효능(效能) 및 본초약물(本草藥物)에 대(對)한 비교연구(比較硏究)

민상연,김장현,Min Sang-Yeon,Kim Jang-Hyeon 대한한방소아과학회 1998 대한한방소아과학회지 Vol.12 No.1

Recently, Many people begin to be interested in aromatherapy and as the effects of aromatherapy(or essential oils) are being known widely. as aromatherapy is regarded as a new effective method of natural therapy in treatment of human Aromatherapy is defined, 'therapy that methods of inhalation, massage, drink is used, to medical effects, physical effects, psychologic effects.' In this paper, By investigating differences and commons between useful essential oils that are used frequently in children's aroma care and herb medicine, digesting several aromathrapy books and 'Boncho(Herbs)'books, I can obtain such conclusions. 1. Most essential oils mainly can cure skin trobles, psychological troubles. 2. Systemic curing ability of essential oils in human body are urination in reproductive system, sediation in psychological system, sweating in circulation system, anti-inflammation in respiratory system, tonic in digestive system, pain-killing in musclular system, stimulating-immunity in immune system, menstruation in OB & GY3. Herb medicine correspond to essential oils are Chamomile(母:菊: Moguk), Ginger(生畺: Saengang), Frankinsense(乳香: Yuhyang), Eucalyptus(按葉: Anyup), Rosemary(迷迭: Mizil), Rose(薔薇: Jangmi), Sandalwood(檀香: Danhyang), Thyme(麝香草: Sahyangcho) Ylang Ylang(依蘭: Eulan), Lemon(??皮: Ryungmongpi), Madarin(陣皮: Zinpi), Orange(枳殼: Zigak). 4. There are differences of curing ability in human between herb medicine and essential oils because of curing mechanism, but effect on human body are so simular.

불명열(不明熱)을 주소(主訴)로 하는 환아(患兒)의 임상예(臨床例) 보고(報告)

민상연,김장현,Min Sang-Yun,Kim Jang-Hyun 대한한방소아과학회 2000 대한한방소아과학회지 Vol.14 No.1

Recently, By the climatic change and increased resistance to antibiotics, diseases with atypical fever are increasing. FUO(Fever unknown origin) is defined' as fever persisting for $1{\sim}3weeks$ which origins are not found. through the reports of two clinical cases presenting FUO, I pretend to show the orient-medical and west-medical approachs to FUO.

補中益氣湯加味方이 흰쥐의 성장과 학습 및 기억에 미치는 영향

민상연(Sang Yeon Min),장규태(Gyu Tae Chang),김장현(Jang Hyun Kim) 한의병리학회 2005 동의생리병리학회지 Vol.19 No.2

알레르기성 자반증의 치료법에 관한 문헌고찰 -중의학 저널을 중심으로-

석연희,민상연,김장현,Suk, Yun Hee,Min, Sang Yoen,Kim, Jang Hyun 대한한방소아과학회 2013 대한한방소아과학회지 Vol.27 No.4

Objectives Allergic purpura is frequent disease in children. The purpose of this study is to analyze traditional Chinese medicine treatments of Allergic purpura in children through traditional Chinese medical journal research. Methods 22 studies were selected based on title keyword "Allergic purpura" "Child" published in CAJ (China Academic Journal). The studies were about clinical effect, herbs, injections, treatments, and nursing in Allergic purpura in children. Results & Conclusions There are so many treatments studied on purpura in children based on CAJ. A Single or combination traditional Chinese medicine treatment is effective in Allergic purpura in children. Therefore, we need to study more about Allergic purpura in children and should make more clinical cases about it.

비침습 레이저 조사기를 이용한 Osgood-Schlatter's disease의 치료 증례보고

석연희,민상연,김장현,Suk, Yun Hee,Min, Sang Yeon,Kim, Jang Hyun 대한한방소아과학회 2012 대한한방소아과학회지 Vol.26 No.4

Objectives: The purpose of this study was to assess the effect of Extravascular Laser System on Osgood-Schlatter Disease Methods: In this study, we treated the 6 cases of children who were diagnosed with Osgood-Schlatter disease with Extravascular Laser System. 4 of them were treated with acupuncture as well, the other 2 were given with combined acupuncture and Blood-pricking Treatment. For evaluation, 6 children explained the degree of pain relief by comparing with degree of pain before treatment. Results: Extravascular Laser System for Osgood-Schlatter Disease resulted in a significant decline in the subjective pain degree. All of them were almost cured. The average treatment times was 6.7 times, and the average treatment period was 26.7days. Conclusions We report the good result of the efficacy of extravascular laser system on Osgood-Schlatter Desease. Cases in this study, however, were small in number. Therefore more study is required.

소아의 난치성 신증후군의 한약 치료에 대한 최신 임상연구 동향

장은하,민상연,김장현 대한한방소아과학회 2020 대한한방소아과학회지 Vol.34 No.3

Objectives: The purpose of this study is to analyze clinical studies on effectiveness of herbal medicine in refractory nephrotic syndrome (RNS). Methods: We searched the randomized controlled trials (RCTs) with herbal medicine treatment on RNS from the Pubmed, CNKI, OASIS, NDSL, J-stage, and CiNii. The demographic data, duration of illness, intervention, treatment period, outcome, adverse events, and composition of herbal medicine were analyzed for this study. Results: 11 RCT studies were selected and analyzed. The children in the control group were given western medicine therapy, and the treatment group was given herbal medicine along with the same western medicine of the control group. The most commonly used herbal medicines were the prescriptions to treat ‘Kidney Deficiency with Blood Stasis (腎虛兼瘀血)’ which composed of ‘Promoting blood circulation (化瘀)’, ‘Diuresis-inducing (利水)’, or ‘Heating Yang (溫陽)’ medicine based on ‘Replenishing Kidney or Spleen (補腎, 補脾)’ medicine. In the treatment group, proteinuria and serum lipid was significantly decreased, serum albumin was significantly increased, and total effective rate was significantly higher than the control group. Hypercoagulation and relapse rate was also significantly reduced. Adverse events were significantly lower in the treatment group. Conclusions: Herbal medicine treatment on pediatric RNS can be suggested as a new treatment for children who have less response to the conventional therapy. It can also supplement the limitations of the western medicine by reducing adverse events from the steroids and immuno-suppressive agents, and lower the relapse rate as well.