『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 접촉성피부염 1례

윤효중,하현이,노영범,Yun, Hyo-Joong,Ha, Hyun-yee,Rho, Yeong-Beom 대한상한금궤의학회 2016 대한상한금궤의학회지 Vol.8 No.1

Objective : The purpose of this paper is to report the improved contact dermatitis(CD) treated with the herbal medication based on Shanghanlun disease pattern identification diagnostic system. The level V steroid ointments were no use to the patient 3weeks before the treatment. Methods : In this case, the patient was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' and took Mahwang-tang for 36days since the final diagnosis was Taeyang-byung, number 46 provision. The photographs of patient's hands were taken to observe the process of the skin status and the discomfort from CD was measured with DLQI(Dermatologic Life Quality Index) and NRS(Numeric Rating Scale). Results : The DLQI score changed from 24 to 7 and NRS of itching changed form 8 to under 4. Conclusions : This case report shows that the herbal medication through the diagnostic system could be a remedy on CD, dealing with the skin status with no use of the level V steroid ointments. It is needed proving an alternative possibility of Korean Medicine, on other skin diseases, with later studies since there are many reports on the side-effects after some long-term steroid treatments.

『상한론(傷寒論)』 태음병(太陰病)으로 진단된 신체증상장애 환자 7례 증례 보고

윤효중 ( Hyo-joong Yun ),하현이 ( Hyun-yee Ha ),두인선 ( In-sun Doo ),이숭인 ( Sung-in Lee ),이성준 ( Sung-jun Lee ) 대한상한금궤의학회 2021 대한상한금궤의학회지 Vol.13 No.1

Objectives: This study was conducted to confirm the reproducibility of the diagnosis of greater yin disease (太陰病) and the efficacy of herbal treatment using Gyejigajakyak-tang or Gyejigadaehwang-tang in somatic symptom disorder (SSD). We also further refined the characteristics of greater yin disease in SSD. Methods: We analyzed the demographic and treatment data of seven patients with SSD from four Korean medical clinics. The reliability of diagnosis and the efficacy of the treatments were evaluated by the Beck Anxiety Inventory (BAI), a numerical rating scale (NRS), and the patients’ statements. Finally, we analyzed patients according to the diagnostic points of Shanghanlun provision 273. Results: Seven SSD patients took Gyejigajakyak-tang or Gyejigadaehwang-tang. The mean age of the patients was 52.1±15.8 years old, and the herbal medication period was 82.2±38.2 days. At the first visit, the patients showed hypochondriasis, obvious stress, and a severe BAI score (40.4±10.9). The NRS significantly decreased from 8.9±1.6 to 0.7±0.7 after the treatments. There were no side effects reported. As a result of analyzing these 7 cases, hypochondriasis, obvious stress, and anxiety were identified, which had been previously suggested as 自痛, 因爾, and 結硬. Conclusions: We confirmed the reproducibility of greater yin disease in 7 SSD cases from 4 medical institutions. These results imply that there could be a considerable relation between SSD and greater yin disease as defined by the Shanghanlun provisions.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황행인감초석고탕(麻黃杏仁甘草石膏湯) 투여 후 호전된 증례 2례 고찰

하현이,윤효중,이성준,Ha, Hyun-yee,Yun, Hyo-Joong,Lee, Sung-jun 대한상한금궤의학회 2016 대한상한금궤의학회지 Vol.8 No.1

Objectives: In this paper, two cases which showed the meaningful results on the patients' chief complaints were analyzed. The patients were treated with the Mahwang-Haengin-Gamcho-seokgo-tang herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods: The patients were diagnosed based on Shanghanlun, disease pattern identification diagnostic system. In case 1, the change of menstruation cycle was noted and pre-menstrual discomforts were measured with Menstrual Distress Questionnaire(MDQ). In case 2, Quality of life questionnaire for adult Korean asthmatics (QLQAKA) was used to estimate the quality of the patient's life. Results: All the symptoms were improved after the Mahwang-Haengin-Gamcho-seokgotang treatment. In case 1, the menstruation cycle decreased to 30 days average. MDQ score decreased 143 to 103. In case 2, the change of the QLQAKA score as 1.647 average point is considered as a meaningful improvement. Conclusion: With great difference to a 'Symptom-Medicine' diagnostic system, the disease pattern identification diagnostic system seeks the pathologic pattern through the patient's whole life. More studies and multiple cases based on the diagnostic system are needed to prove this possibility later.

『상한론(傷寒論)』 궐음병(厥隂病)에 대한 고찰: 변병진단체계(辨病診斷體系)에 입각해 치료한 증례 2례에 근거하여

조성환,윤효중,이성준,Cho, Seong-Hwan,Yun, Hyo-Joong,Lee, Sung-Jun 대한상한금궤의학회 2017 대한상한금궤의학회지 Vol.9 No.1

Objective : This study is to propose a new hypothesis about the interpretation of Jueyinbing in Shanghanlun by studying 2 Jueyinbing cases. Methods : We analyzed the original form of the chinese characters 'Jue(厥)', 'Jueyin(厥陰)' and 'Huoluan(?亂)' and tried to understand their contexts in Shanghanlun. At the same time, we analyzed 2 clinical cases diagnosed and treated as Jueyinbing according to newly hypothesized definition. Results : Both patients suffered from eye diseases which caused by concentrating on a sophisticated work by straining their hands, feet and chest during the night time. After the herbal intervention, their eye diseases are improved firstly. The National Eye Institute 25-item Visual Function Questionnaire (NEI-VFQ) score increased on both patients. Not only all the patients' chief complaints relieved but their other clinical problems such as limb pain, hand tremble also improved. Conclusions : These results highly insist that, at least in 15 characters provision of Shanghanlun, Jueyinbing had had the different usage from the conventional terminology, and it is assumed that Jueyinbing means the disease made by concentrating on a sophisticated work by straining hands, feet and chest during night time.

정신과질환 4례를 통한 강평본(康平本) 『상한론(傷寒論)』의 태음병(太陰病) 진단 고찰

하현이 ( Hyun-yee Ha ),윤효중 ( Hyo-joong Yun ),이성준 ( Sung-jun Lee ) 대한상한금궤의학회 2020 대한상한금궤의학회지 Vol.12 No.1

Objectives : This study aimed to suggest distinct signs of Greater yin disease (tàiyīnbìng, 太陰病) by researching the etymology of three terms: zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), which are exclusive found only in Greater yin disease (太陰病) in Gangpyeong-shanghanlun, but not in other categories. Methods : We studied the etymologies of the three terms that are unique in Greater yin disease, then found some pathological signs that are related with them through the four mental illness cases, which include somatization, obsessive-compulsive behavior, delusion, and panic disorder. Results : Based on the definitions of each term, we diagnosed the four patients who had mental illnesses as having Greater yin disease, and we observed meaningful improvements after administering herbal medication. After Gyejigajakyak-tang administration, the Insomnia Severity Index (ISI) score decreased from 18 to 7 and the Beck’s Anxiety Index (BAI) score decreased from 36 to 18 in the first case, the ISI score decreased from 27 to 16 and the BAI score decreased from 50 to 33 in the second case, and the ISI score decreased from 23 to 4 and the BAI score decreased from 34 to 5 in the third case. In the last case, the ISI and BAI scores were 16 and 22, respectively, at the first visit, and it was found that the scores had changed to 6 and 22, respectively, at the last visit. Conclusions : We found that the unique terms in Greater yin disease, including zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), can be interpreted as groundless arbitrary assumption, resting strong tension, and psychological projection based on the etymological hypothesis. Therefore, we suggest these as specific signs of Greater yin disease.

구음장애, 필기장애를 중심으로 한 중풍후유증에 소함흉탕(少陷胸湯)을 투여하여 호전된 1례 보고

김창식 ( Changsig Kim ),윤효중 ( Hyo-joong Yun ),이숭인 ( Soong-in Lee ) 대한상한금궤의학회 2018 대한상한금궤의학회지 Vol.10 No.1

Objective : The purpose of this paper is to report the improvements of a patient who has suffered from aftereffects following stroke such as dysgraphia and articulation disorder, which is treated by herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to ‘Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’, the patient was diagnosed as Taeyang-byung Gyeolhyung and number 138 provision, and was administered Sohamhyung-tang for 90 days. We recorded the progress of improvements based on the patient's statement and documented the patient's writing Results : The patient can write the letters such as U, 2, ㄹ,ㅇ more clearly and become confident on both writing and speaking. Conclusions : This case shows the effects of Sohamhyung-tang on aftereffects following stroke such as dysgraphia and articulation disorder. It was induced according to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’ so that it suggest a potential interpretation, which is different with it of the text books Herbal Formula Science and Sanghallonjeonghae, on the provision no. 138. Also the usage of Sohamhyung-tang in this case may support the way far from the diagnosis of oriental neurological medicine, which explain the pathology of stroke as fire-heat(火熱), dampness-phlegm(濕痰), static blood(瘀血) and dual deficiency of qi and blood(氣血兩虛).

『상한론(傷寒論)』 태양병(太陽病) 12條에 근거하여 계지탕(桂枝湯) 투여 후 호전된 산후풍(産後風) 1례

정연일 ( Yeon-il Jeong ),윤효중 ( Hyo-joong Yun ) 대한상한금궤의학회 2018 대한상한금궤의학회지 Vol.10 No.1

Objective : The purpose of this paper is to report the improvement of a patient who had a postpartum disease treated with herb medication based on Shanghanlun provisions. Methods : According to ‘Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’, the patient was diagnosed with TaeYang-byung, number 12 provision, and was administered herb medication for 4 months. Visual Analogue Scale(VAS) was used to estimate the patient's status. Results : The VAS changed 10 to 0. These results suggest that cold pain and weakness in the legs have improved. Conclusions : The patient had an experience of miscarriage 3 times and finally got a baby but with postpartum disease. She treated with the herb medication for 4 months and the outcome was found effective and economical due to the diagnostic system based on Shanghanlun provisions.