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상세불명의 마비성 장폐쇄 환자의 한의 치료 증례보고 1례
김보성,안선주,박윤령,노준용,남우진 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.1
Objectives: This study examined a clinical case of a paralytic ileus patient diagnosed with Soeumin. Methods: The patient was treated with herbal medicine (Hyangsayangwi-tang, Baekhaogunja-tang, Palmulgunja-tang), infusion solution treatments, acupuncture, moxibustion, and rehabilitative therapy. Their effects were evaluated using the visual analog scale (VAS). Results: After receiving Korean medical treatment for 38 days, the VAS score for dyspepsia was reduced from 8 to 2, the VAS score for nausea and vomiting was reduced from 8 to 2, and the VAS score for abdominal pain was reduced from 7 to less than 1. Conclusions: Korean medicine could be effective in relieving the symptoms of paralytic Ileus.
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공원호,남우진,김보성,박여빈,박윤령,백지원,김원일 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.2
Objectives: This case report presents the management of a paralytic ileus patient who was diagnosed with Soyangin. Methods: The patient was treated with Korean herbal medicine (Jihwangbaekho-tang, Hyeongbangsabaek-san, Ganghwajihwang-tang), acupuncture, and moxibustion therapy. Results: After undergoing Korean medical treatment, the patient's complaints of symptoms such as constipation, dyspepsia, anorexia decreased and improvements were shown on X-ray. Conclusions: This case report shows that Korean medical treatment is effective for treating paralytic ileus.
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재발성 난소암 환자의 화학적 항암요법 후유증 치험 1례
백지원,남우진,김순아,공원호,박여빈,박윤령,공복철 대한한방부인과학회 2019 大韓韓方婦人科學會誌 Vol.32 No.2
Objectives: Most of the time after chemotherapy for ovarian cancer, the immune system is getting even worse with reduction of whole blood cell. The purpose of this study is to report the effect of korean medical treatment on Sequela including pancytopenia after chemotherapy for recurrent ovarian cancer after hysterectomy. Methods: The patient having treated with hospital management from June 8th in 2017 until July 5th in 2017, participated. Her chief complaints were fatigue, tinnitus, dizziness, decreased appetite due to glossodynia and constipation. We diagnosed her as pancytopenia based on her whole blood test result. We treated the patient with acupuncture, herbal medicine, cupping and moxibustion. The efficacy of treatment was evaluated with Numerical Rating Scale (NRS) and blood test. Results: During hospitalization period, the symptoms including fatigue, tinnitus, dizziness, decreased appetite, constipation and pancytopenia were reduced. After discharging, we identified that her blood levels are maintained and ovarian cancer no longer recurred. Conclusions: To recover from Sequela including pancytopenia following chemotherapy for recurrent ovarian cancer after hysterectomy, Korean medical treatment is considered to be effective.
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곤륜(BL60) 자침 후 발생한 족부의 봉와직염 및 족관절 윤활막염: 증례 보고
도현정 ( Hyun Jeong Do ),이은주 ( Eun Ju Lee ),박경훈 ( Gyung Hun Park ),박윤령 ( Yun Leong Park ),서종철 ( Jong Cheol Seo ),김철홍 ( Cheol Hong Kim ),윤현민 ( Hyun Min Yoon ) 경락경혈학회 2021 Korean Journal of Acupuncture Vol.38 No.4
훈침 등 침 시술의 이상 반응은 대부분 경미하고 일시적인 경과를 보이므로 그 위험성을 간과하기 쉽다. 하지만 20만분의 1의 확률로 침 시술 이후 감염이나 신경계 손상 등의 심각한 합병증이 발생하며 이는 치명적인 경과로 진행하기도 한다. 따라서 시술후 이상반응이 발생할 시에는 예방적 차원의 적극적 처치를 고려하는 것이 합당할 것으로 사료된다. 본 증례 또한 자침 직후의 이상반응이 가벼운 동통으로 나타나며, 발생 당시 뚜렷한 피부증상을 확인하지 못하였으므로 그 위험성을 낮게 판단하여 진단 및 처치가 늦어진 사례로 볼 수 있다. 환자가 고령 혹은 만성 질환자로 염증을 발전시킬 수 있는 소인이 있는 경우 침첨이 피부를 자극하는 수준의 가벼운 자침을 시행하더라도 피부 상재균주에 의한 봉와직염 발생의 위험성이 높다. 따라서 반드시 시술 전 소독 등의 감염예방을 철저히 하고, 시술 후하지 및 족부에 발적이나 열감, 통증 등의 이상반응 발생 시 적극적인 양방 처치 또한 고려할 필요가 있다. 본 증례가 동료 임상의들의 주의를 환기시키는 데 도움이 되었으면 하는 바이다. The purpose of this study is to report a case diagnosed with cellulitis and ankle joint synovitis after acupuncture treatment. An 85-years old female suffering from low back pain was managed by acupuncture including BL60. After treatment, unintended ankle pain occurred. The pain was diagnosed with cellulitis and synovitis by MRI. The patient was transferred to the Western medical hospital, and ankle joint arthroscopic synovectomy was performed. It was difficult to find a clear relationship between acupuncture and ankle joint synovitis. But it would be reasonable to assume that cellulitis was associated with acupuncture needling and synovitis was followed. Serious adverse effects, such as septic arthritis, are rare, but need significant attention. For acupuncture treatment on the ankle, especially using BL60, the depth and manipulation should be carefully performed along with sterilization.
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