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대뇌반구의 병변과 동측에 반신마비 발생한 중풍 환자의 1례
조승연,곽자영,홍진우,나병조,박성욱,정우상,문상관,박정미,고창남,Cho, Seung-yeon,Gwak, Ja-young,Hong, Jin-woo,Na, Byong-jo,Park, seong-uk,Jung, Woo-sang,Moon, Sang-kwan,Park, Jung-mi,Ko, Chang-nam 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1
Stroke is a disease which results in impairment of body functions and affects everyday life. The ability of cerebral neurons to become reorganized and restore function after damage is called plasticity. Motor impairment typically appears contralateral to the affected cerebral hemisphere in patients with cerebral lesions. The authors report a case of a patient with hemiplegia ipsilateral to affected cerebral hemisphere, along with its conjectured mechanism.
고혈압의 침치료에 대한 문헌고찰 : 국내 임상 연구를 중심으로
정상연,황예채,조승연,이한결,권승원,정우상,문상관,박정미,고창남,박성욱,Sang Yeon, Jung,Ye-Chae, Hwang,Seung-Yeon, Cho,Han-Gyul, Lee,Seungwon, Kwon,WooSang, Jung,Sang-Kwan, Moon,Jung-Mi, Park,Chang-Nam, Ko,Seong-Uk, Park 대한중풍순환신경학회 2022 대한중풍.순환신경학회지 Vol.23 No.1
■Objectives This study aimed to collect and analyze clinical studies on the significance of acupuncture in the treatment of hypertension among Korean patients. ■Methods Among Korean patients with a blood pressure (BP) of 120 mmHg or higher and a diastolic BP of 80 mmHg or higher, those, treated with acupuncture only, were included. A literature search was conducted through 'Embase', 'Medline', 'Science and Technology Information Integration Service (NDSL)', 'Traditional Korean Knowledge Portal (OASIS)', 'PubMed', and 'Scopus'. The search keywords were (hypertension OR 'blood pressure') AND acupuncture. The papers, published before the day of the search (02. January 2022), were included in this study. ■Results Among the 12 selected papers, seven involved randomized controlled trial (RCT), four before-and-after studies, and one case series. The number of RCTs has increased yearly. The treatment methods used in the studies included needle acupuncture in eight studies, auricular acupuncture in two, pharmacopuncture in one, and si-acupuncture in one. The average numbers of patients enrolled in RCTs, before-and-after studies, and case series were 21.1, 30, and 23 respectively. Six studies were conducted on prehypertensive patients, two on stage 1 hypertension patients, and four on stage 2 hypertension patients. The involved acupoints have been reported to be ST36 in eight papers, LI11 in four papers, and PC6 in three papers. The treatment period lasted for < 1 week in eight studies and 8 weeks in four studies. Acupuncture successfully lowered blood pressure in nine out of 12 studies ■Conclusions Acupuncture is a viable alternative treatment option for prehypertensive patients, who are not taking medications. Additionally, it is also useful in further lowering the BP of patients with stage 1 and stage 2 hypertension in the short term. Large-scale and long-term studies on acupuncture for hypertension should be conducted.
화열과 음허로 진단된 급성기 뇌질환 환자의 특성 비교 연구
김혜미,곽자영,조승연,신애숙,이인환,김나희,나병조,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Hye-mi,Gwak, Ja-young,Cho, Seung-yeon,Shin, Ae-sook,Lee, In-whan,Kim, Na-hee,Na, Byung-Jo,Park, Seong-Uk,Jung, Woo-sang,Mun, Sang-gwan 대한중풍순환신경학회 2009 대한중풍.순환신경학회지 Vol.10 No.1
Objects : This study propose to compare on general characteristics of acute stroke patients between Fire-Heat group and Deficiency of Yin group. Method : We recruited acute stroke patient within 4 weeks after stroke admitted to Department of Internal Medicine of Kyunghee University Oriental Medicial Center, Dongguk University Ilsan Oriental Medical Center, Kyungwon University Songpa Oriental Medical Centar and Kyungwon University Incheon Oriental Medical Center from April 2007 to August 2009. We investigate age, sex, type of stroke, past history, general characteristics, smoking, drinking alcohol, marriage sasang constitution, etc. Result : It was significant different in sex, smoking, dringking alcohol and marriage between Fire-Heat group and Deficiency Yin group. We need more cases for another result that could associate with diagnosis of stroke. Conclusion : We found that Fire heat group was more associated with lifestyle than deficiency yin group. Further study will be needed to analysis for the diagnosis and the treatments of stroke.
한방병원에 입원한 외상성 뇌손상으로 발생한 신경정신학적 장애 환자 1례
여서원,심소라,조승연,박성욱,고창남,박정미,Lu, Hsu-yuan,Shim, So-ra,Cho, Seung-yeon,Park, Seong-uk,Ko, Chang-nam,Park, Jung-mi 대한중풍순환신경학회 2012 대한중풍.순환신경학회지 Vol.13 No.1
Neuropsychiatric disorder is one of the symptoms developed after traumatic brain injury. The main symptoms of neuropsychiatric disorder are delirium, anxiety, depression and so on. We treated the patient with herbal medicine, acupuncture, moxibustion and other appropriate traditional Korean medical treatment. The patient only appeared neuropsychiatric disorder, not another neurologic symptoms. We consider it is the rare case in traditional Korean medicine hospital. So we report the patient with the review of literatures regarding neuropsychiatric disorder induced by traumatic brain injury.
급성기 중풍환자의 재발군과 초발군에 대한 단면조사연구 - 다기관 임상연구
이인환,곽자영,조승연,신애숙,김나희,김혜미,나병조,박성욱,정우상,문상관,박정미,고창남,조기호,임영석,배형섭,Lee, In-Whan,Gwak, Ja-Young,Cho, Seung-Yeon,Shin, Ae-Sook,Kim, Na-Hee,Kim, Hye-Mi,Na, Byung-Jo,Park, Seong-Uk,Jung, Woo-Sang,Moon, Sang-Kwan 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.4
Objective : We designed this study to investigate differences between stroke reattack and stroke first attack group to establish fundamental data and prevent a secondary stroke. Methods : 826 subjects were recruited from the patients admitted to the department of internal medicine at Kyung Hee University Oriental Medical Center, Kyung Hee University East-West Neo Medical Center, Kyungwon University Incheon Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Dongguk University Ilsan Oriental Medical Center from 1 April 2007 to 31 August 2009. We compared general characteristics, classification of diagnosis, subtypes of cerebral infarction, risk factors, Sasang constitution, diagnostic classifications between stroke reattck and stroke first attack groups. Results : 1. In general characteristics, age differed significantly between the reattck and first attack groups. 2. Classification of diagnosis differed significantly between reattck and first attack groups. 3. In risk factors, hypertension, diabetes mellitus, alcohol drinking, and stress were significantly different between reattck and first attack groups. 4. Diagnostic classifications were significantly different between reattck and first attack groups. Conclusion : To prevent recurrence of stroke, education on stroke risk factors associated with recurrence is needed. In addition, those who are diagnosed as Dampness-Phlegm need to be well-controlled.
급성기 중풍 환자들의 위험요인 및 중풍유형과 변증분형의 관련성 연구
신애숙,이인환,곽자영,조승연,박성욱,박정미,고창남,조기호,배형섭,Shin, Ae-Sook,Lee, In-Whan,Gwak, Ja-Young,Cho, Seung-Yeon,Park, Seong-Uk,Park, Jung-Mi,Ko, Chang-Nam,Cho, Ki-Ho,Bae, Hyung-Sup 대한중풍순환신경학회 2008 대한중풍.순환신경학회지 Vol.9 No.1
Objectives : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we assessed what categories of stroke diagnosis these three most common risk factors of cerebro-vascular attack(CVA), hypertension(HTN), diabetes mellitus(DM) and hyperlipidemia(HL) fall into. Also we looked into stroke subtypes and its diagnosis in Korean medicine. Methods : 806 patients with acute stroke from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo Medical Center, Kyungwon university Incheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university Ilsan oriental medical center) across the country were involved from April, 2007 til August, 2008. We had data of 482 patients to be analyzed and diagnosed by a Korean medicine training doctor and a professor. Results : All three major stroke risk factors were diagnosed as being dampness-phlegm pattern, but no significant difference was observed except in hyperlipidemia patients. Stroke subtypes such as hemorrhage and infarction showed no significant difference in this study. Conclusions : This study provides evidence that hyperlipidemia can be diagnosed as dampness-phlegm by Korean medicine. Further studies with various subtypes of stroke patients are required to prove solid evidence with other stroke risk factors.
김연진,양승보,김정화,이보윤,조승연,박성욱,박정미,고창남,Kim, Yeon-jin,Yang, Seung-bo,Kim, Jeong-hwa,Lee, Bo-yun,Cho, Seung-yeon,Park, Seong-uk,Park, Jung-mi,Ko, Chang-nam 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.2
Objective: This clinical study reports on the effect of Korean medicine on a patient with drug-induced Parkinsonism.Method: We used herbal medicine (Yigan-san), acupuncture, moxibustion, pharmacopuncture, and bee venom acupuncture to treat a patient with drug-induced Parkinsonism during hospitalization for 11 days. We observed the changes of symptoms using the unified Parkinson’s disease rating scale (UPDRS), the abnormal involuntary movement scale (AIMS), and the Beck depression inventory (BDI).Results: After treatment, the patient’s symptoms showed improvement in tremor, gait disturbance, and general condition. The UPDRS, AIMS, and BDI scores were also improved after treatment.Conclusion: This clinical case study suggests that traditional Korean medicine treatment could be effective in the treatment of drug-induced Parkinsonism.