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장하정 ( Ha Jeong Jang ),서주희 ( Joo Hee Seo ),김자영 ( Ja Yeong Kim ),성우용 ( Woo Yong Sung ),임호제 ( Ho Jea Lim ),김진원 ( Jin Won Kim ),김수연 ( Su Yeon Kim ) 대한한방신경정신과학회 2006 동의신경정신과학회지 Vol.17 No.2
Objective : We aimed to study the relationship between the post-stroke depression and acceptance of the stroke. Method : For this study, 80 stroke patients were surveyed by using questionnaires for CES-D, acceptance for stroke, and social support. Result & Conclusion :1. Acceptance for stroke varied inversely as the post-stroke depression. 2. The acceptance for the stroke appeased the negative influence caused by the stress of the stroke, and the post-stroke depression was the biggest predictable variant. And location of the stroke were the predictable variants of the post-stroke depression.3. When the gender, location of the stroke, motor power, age, period of stroke, and social support were controlled, the group with depression and the one without depression had a significant difference in the acceptance of the stroke.
망막파열이 동반된 구기작통증(九氣作痛症) 환자 1례(例) 증례보고
서주희 ( Joo Hee Seo ),장하정 ( Ha Jeong Jang ),김자영 ( Ja Young Kim ),성우용 ( Woo Yong Sung ),임호제 ( Ho Jea Lim ),김주원 ( Ju Won Kim ) 대한한방신경정신과학회 2006 동의신경정신과학회지 Vol.17 No.2
Pain disorder is a category of somatoform disorder that be diagnosed when the pain is starting and getting worse associated with psychological factors. At the recent study, it revealed that stress might be more strong factor in occurring and sustaining the somatoform disorder. In this case, a 42 years old female patient had a chronic pain disorder 3 years ago, suddenly complained of an eyeball pain due to retina rupture induced by severe stress. In the view of oriental medicine, pain disorder belongs to GuQiJakTongJung. So, we diagnosed her state as GuQiJakTongJung and treated her such as herbal medicine, acupunture and phlebotomy therapy.In result, the chronic pain of the patient was improved, and also general condition was getting better.
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.