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외상성 뇌손상 후 불안장애 양상이 발생한 환자 1례에 대하여 영계감조탕을 투여한 증례보고
추홍민,김철현,박찬란,문연주,류호선,김미혜,이상관,성강경 대한한방내과학회 2018 大韓韓方內科學會誌 Vol.39 No.6
Introduction: The aim of this study is to report the effect of Ling-Gui-Gan-Zao-Tang (LGGZT) effectively improves anxiety disorder following traumatic brain injury (TBI). Case Presentation: 50-year-old female with traumatic brain injury after falling down from golf cart. After injury, symptoms like anxiety disorder, diarrhea, dizziness, headache were occurred. She took medications like antidepressants, antianxiety drugs and antipsychotic agent, but symptoms deteriorated consistently. After being prescribed LGGZT, patients' symptoms were significantly improved. Result of Impact Event Scale-Revised (IES-R-K) was changed from 24 to 5 and Beck Anxiety Inventory (BAI) was changed from 21 to 3. Also, side effects were not observed during the treatment period. Conclusion: LGGZT can be considered as an effective treatment for anxiety disorder following traumatic brain injury.
인진오령산 투여가 상승된 간화학 수치에 미치는 영향: 후향적 차트 리뷰
추홍민,신혜령,문연주,김철현,김광호,이영웅,류호선,성강경,이상관 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.3
Purpose: This work is a retrospective clinical case study evaluating the efficacy of Injinoryung-san granule administration to patients who showed an abnormal hepatic function test level. Methods: We analyzed the chart records of seven patients with elevated levels of the hepatic function test treated with Injinoryung-san granules. Results: The patients who were treated with Injinoryung-san showed a significant improvement in their elevated hepatic function test levels. Conclusion: In patients with elevated hepatic function test levels, Injinoryung-san granules can improve the hepatic level without adverse effects or changes in existing drugs.
한의 복합 치료를 통해 시야결손에 개선을 보인 후대뇌동맥 폐색에 의한 뇌경색증 환자 1례에 대한 증례 보고
추홍민,김철현,이영웅,김광호,문연주,신혜령,안재윤,성강경,이상관 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.5
Introduction: The aim of this study was to report the effect of Korean medicine treatments on a stroke patient with homonymous hemianopsia. Case Presentation: A 50-year-old male with a posterior cerebral artery infarction had continuously deteriorating symptoms of right homonymous hemianopsia, fatigue, dizziness, and light sensitivity. Treatment with Korean medicine therapy, including acupuncture and herbal medicine significantly improved the patient’s symptoms. The result of a visual field test (VFI) was also improved after treatment, and no side effects were observed during treatment. Conclusion: Korean medicine treatment can be considered an effective treatment for homonymous hemianopsia in stroke patients.
石膏의 淸熱瀉火 의미 분석 : 《傷寒論》과 《溫病條辨》을 중심으로
추홍민,신윤섭,박찬종,이금산,황의형,김정훈 한약정보연구회 2014 한약정보연구회지 Vol.2 No.2
In the eastern traditional medicine, Gypsum Fibrosum ( ) has been used in a fever 石膏 by its characteristic effect of heat-clearing and fire-purging (淸熱瀉火). This study was aimed to investigate the effect of heat-clearing and fire-purging effect of Gypsum through investigating literatures. The descriptions of medicinal effect of Gypsum Fibrosum were collected from 16 kinds of medical books as well as Treatise on Febrile Diseases (傷寒論) and Detailed Analysis of Epidemic Warm Diseases (溫病條辨). The results of this study suggest that Gypsum Fibrosum was used to treat fever-related symptoms initially in the traditional Chinese medicine. However, the concept of fever was further divided into two categories: fever (熱) and fire (火), which make the concept of fire-purging (瀉火) separated form heat-clearing (清熱). Therefore, the meaning of ‘heat-clearing’ effect should cover diseases caused by pathologic heat and that of ‘fire-purging’ effect should cover severe diseases or mental disorders.
성향정기산가미방을 중심으로 한 한의약 치료를 통해 단기간에 호전을 보인 전순환계 뇌경색 후 발생한 지남력장애 및 현훈을 주소로 한 환자 1례에 대한 보고
추홍민,김광호,이영웅,임현서,신희라,양무학,강건희,박찬종,김철현,성강경,이상관 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.6
Introduction: The aim of this study was to report the effect of Korean medicine treatments on a stroke patient with acute cerebral infarction. Method: A 63-year-old male with anterior and middle cerebral artery infarction had symptoms of dizziness and disorientation. The patient was treated with Korean medicine therapy, including the herbal medicine “Sunghyuangjunggi-san-gamibang.” Treatment progress was assessed using the Korean version of the Modified Barthel Index (K-MBI) and the Korean dizziness handicap inventory (K-DHI). Results: After 14 days of treatment, the K-DHI score decreased from 78 to 7 and the K-MBI score increased from 18 to 24. The patient’s main symptoms were improved after the treatment, and no side effects were observed. Conclusion: Korean medicine treatment, including Sunghyuangjunggi-san, might be a recommended therapeutic option for dizziness and disorientation in stroke patients.
동의보감 풍문 내 중풍증과 비병증, 역절풍증, 파상풍증 처방의 본초 조합 네트워크 비교
추홍민,김철현,문연주,성강경,이상관 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.6
Objectives: This study was carried out to investigate whether a prescription’s composition varies according to the disease being caused by wind, which is one of the migratory pathogenic factors. Methods: An initial database and binary matrix of Pungmun in Dongui-Bogam, including its herbs and prescription, was constructed. With this data, a network map about wind stroke, arthralgia, acute arthritis, and tetanus in Dongui-Bogam was constructed. Results: Analysis of the network map about Pungmun in Dongui-Bogam revealed that the complete prescription network has more isolated nodes than does each disease’s network map. Conclusions: The composition of prescriptions in Dongui-Bogam Pungmun differ according to the disease being caused by wind.
한의약 치료로 FT4 수치에 개선을 보인 갑상선기능항진증 환자 1례에 관한 증례보고
추홍민,문연주,김철현,박경태,원진희,Chu, Hongmin,Moon, Yeon-ju,Kim, Cheol-hyun,Park, Kyungtae,Won, Jin-hee 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.4
Objective: This study evaluated the effects of traditional Korean medicine on a patient with hyperthyroidism, who could not use antithyroid medication due to an adverse reaction to methimazole. Methods: Herbal medicine was administered and acupuncture was carried out. A thyroid function test was used to evaluate the effects of the treatment. Results: After treatment with traditional Korean medicine and therapy, the patient showed significant improvements in symptoms and FT4 levels. Conclusion: This case proved that traditional Korean medicine can be used for patients who have adverse reactions to antithyroid medication; however, studies of larger populations are required in the future.
한의약 치료를 통해 급성 혈변 및 빈혈이 개선된 노인 환자 1례에 대한 증례 보고
추홍민,이영웅,김광호,김철현,이상관,성강경 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.6
Introduction: The aim of this study was to report the effect of Korean medicine treatments on an elderly patient with acute hematochezia and anemia Case presentation: An 81-year-old female with chronic multifocal middle cerebral artery infarction had symptoms of acute hematochezia and anemia. Method: The patient was treated with Korean medicine therapy. Results: Treatment with Korean medicine, including herbal medicine, significantly improved the patient’s symptoms. After treatment, her hematochezia was improved and the results of a complete blood count (CBC) also improved. No side effects were observed during treatment. Conclusion: Korean medicine treatment can be considered an effective treatment for acute hematochezia and anemia in an elderly patient.
소뇌경색 환자의 운동기능 회복에 따른 보행 척도의 변화 관찰 연구 : 피질척수로 손상환자와의 비교를 중심으로
추홍민,이영웅,김광호,임현서,류호선,박신혁,김철현,성강경,이상관 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.2
Objectives: This study aimed to compare the gait patterns of cerebellar infarction patients with those of corticospinal tract stroke patients through a follow-up of patients with ataxic gait due to cerebellar infarction and corticospinal tract stroke. Methods: We investigated two cases of patients with cerebellar infarction and two cases each of acute or chronic corticospinal tract stroke who were hospitalized at Wonkwang University Gawangju Medical Center from September 1, 2017 to February 15, 2020 based on medical records and gait analyses. The spatiotemporal gait parameters of each patient were measured three times at 2-week intervals except those of the chronic corticospinal tract stroke patients, which were measured twice at a 1-month interval. Results: Spatiotemporal gait parameters, which include velocity, cadence, step length, stride length, and single support, were consistently increased in the cerebellar infarction patients in comparison to the corticospinal tract stroke patients. The stance phase was decreased in all the patients. Conclusions: The cerebellar infarction patients’ gait spatiotemporal parameters were found to consistently improve. Moreover, gait analysis can be used to effectively measure improvement of ataxic gait.
복와위에서 경추 회전 시 관찰되는 경추 협척혈의 심도 변화 비교: 초음파를 활용한 경추 협척혈 관찰 프로토콜 및 예비연구 결과
추홍민,박경태,장종원,신희라,양무학,김두리,류원형,류호선,염승룡,이상관,김철현 한방재활의학과학회 2019 한방재활의학과학회지 Vol.29 No.4
Objectives This study is a preliminary study for safe and accurate cervical Hyeopcheok acupuncture by comparing the depth of cervical Hyeopcheok acupoint with cervical spine rotation. Methods Researchers took ultrasonographic images of cervical Hyeopcheok acupoint during full rotation of cervical spine, 45 degree rotation and neutral condition in a prone position. 4 healthy volunteers were recruited. Results No significant difference in needling depth of cervical Hyeopcheok acupoint was observed. However, there were a differences in anatomical structures’ shape such as muscles. Conclusions There are no significant difference in needling depth, but anatomical structures’ shape were changed. This result mean that if patient rotate cervical spine during acupuncture treatment, it can occur complications. Thus, when acupuncture treatment on cervical Hyeopcheok acupoint, practioner should make subject’s cervical spine alignment corrected and be careful not to change posture during the procedure. (J Korean Med Rehabil 2019;29(4):81-88)