춘천한방병원에 내원한 이비인후과 및 호흡기계 질환 외래 환자의 통계적 고찰

허은정,김지현,강다혜,권강,Heo, Eun-Jung,Kim, Ji-Hyon,Kang, Da-Hye,Kwon, Kang 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.3

Objective : This study was performed to investigate the prevalence of otolaryngology and respiratory diseases and characteristics of the outpatients who had visited Chuncheon oriental medical hospital which located in Gangwon province with the diseases. Methods : We analyzed data from 627 patients, who had visited to the Department of ophthalmology & otolaryngology & dermatology of Chuncheon oriental medical hospital from November 1st, 2007 to May 31th, 2010. The data were analyzed and demonstrated by age, gender, season, period between the onset of disease and the first examination, times of treatment, and treatment methods. Results : The results of this study are summarized as follows. 1. Among the 627 outpatients, male patients outnumbered female patients, and the most frequent age group was 0-10 year-old group(24.9%) and it is followed by 31-40 and 41-50 year-old groups. The majority of outpatients, 79.7% of them were from Chuncheon, and Hongcheon and Gapyeong residents were respectively 4.7% and 3.8% of the patients. 2. The shares of outpatients by department were 47.4% in Rhinology disease, 29.8% in respiratory disease, 14.5% in Otology disease, and 8.3% in Laryngology disease. The seasons with the most frequent prevalence by department were spring and winter for otology group, autumn and spring for rhinology group, summer and spring for laryngology group, and winter and spring for respiratory disease group. Overall, most outpatients had visited the hospital for 1-5 times or 6-10 times. Acupuncture and herbal medicine were the most frequent treatment methods that these patients received. 3. The most prevalent diseases were rhinitis, common cold, tinnitus, and sinusitis. The most frequently visited age groups for tinnitus and hearing loss were 41-50 and 51-60 year-old groups, and for rhinitis and sinusitis 0-10 and 11-20 year-old groups. Irritation in larynx was almost evenly prevalent among 31-40, 41-50 and 51-60 age groups. Regarding the period between the onset of disease and the first medical examination, outpatients with tinnitus, rhinitis, sinusitis, and irritation in larynx came to the hospital after one year since the onset and outpatients with common cold first visited the hospital within one week since the onset of disease. Conclusions : This study shows that the most frequent diseases were rhinitis, common cold, sinusitis, tinnitus, and cough. In order to do better treatment for these diseases in the future, there is a need to investigate long-term, multifaceted studies, connected studies with other hospital in Gangwon province.

우울증상을 동반한 다발성 경화증 재발 환자의 치험 1례

허은정 ( Eun Jung Heo ),김지현 ( Ji Hyon Kim ),윤창준 ( Chang Jun Yoon ),류희영 ( Heui Yeong Lyu ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.2

Objectives: Multiple sclerosis (MS) is a demyelination disease of central nervous system, presenting a various neurological disorders depending on the lesion. In the view of oriental medicine, MS is similar to Flaccidity-syndrome(위證). Also, since MS is a chronic disease which repeats the recurrences with periods of remission of the symptoms in between, it may usually be accompanied by depression. However, the etiology, treatment, and cause of recurrence of MS remain unknown, and also, as the recurrences of MS have been repeated, disease burden has been accumulated, which aggravates disorder. This case of MS experienced depression after the patient had been diagnosed as bad consequence based on the past 5 times recurrences of multiple sclerosis. Methods: We saw the causes as vicera and bowels functional disorder which might have come from a poor diet. Thus, we diagnosed this case as dual deficiency of spleen and kidney(脾腎兩虛), stagnant qi transforming into fire(氣鬱化火) and liver-kidney deficiency(肝腎不足) and treated it with Herb medication, acupuncture therapy, and supportive therapy, making the patient better. Results: We have improved the patient`s condition to the time before 5th recurrence. Conclusions: This result suggests that our oriental medical treatments was effective on multiple sclerosis with depression.

痴呆의 寒熱虛實 辨證을 위한 지표 문항 개발에 관한 기초 연구

허은정(Eun Jung Heo),강형원(Hyung Won Kang),전원경(Won Kyung Jeon) 한의병리학회 2013 동의생리병리학회지 Vol.27 No.5

치매의 한열허실 변증 지표문항에 대한 예비분석

허은정 ( Eun Jung Heo ),이상원 ( Sang Won Lee ),전원경 ( Won Kyung Jeon ),류영수 ( Yeoung Su Lyu ),강형원 ( Hyung Won Kang ) 대한한방신경정신과학회 2015 동의신경정신과학회지 Vol.26 No.3

Objectives: The study aimed to test the validity and reliability of the questionnaire for cold-heat & deficiency- excess pattern identification of dementia and establish a new version of the questionnaire. Methods: Mean, standard deviation, skewness, internal consistency, correlation and t-test of the 26 items derived from previous study was analyzed in 20 dementia patients. The items with Cronbach-α coefficient below 0.7 were modified. Thus, we established a new version of the questionnaire consisting of 20 items. Results: Cronbach-α of each cold, heat, deficiency and excess questionnaire was 0.662, -0.229, 0.722 and 0.778, respectively. The correlation coefficient between cold, heat, deficiency and excess was less than 0.4 and correlation coefficient between dementia and cold, deficiency was 0.518. On t-test, the t-value of cold, deficiency and dementia was -2.196. Conclusions: The results indicated that cold-heat, deficiency-excess questionnaires showed satisfactory discriminant validity. In addition, there was correlation between dementia and cold, deficiency. Finally, we established a new version of the questionnaire for cold-heat, deficiency-excess pattern identification that consisted of 20 items.

치매 치료용 한약 처방의 연구성과에 대한 정성평가

허은정 ( Eun Jung Heo ),강종석 ( Jong Seok Kang ),강형원 ( Hyung Won Kang ),전원경 ( Won Kyung Jeon ) 대한한방신경정신과학회 2012 동의신경정신과학회지 Vol.23 No.1

Objective : This study aimed to review the performance of traditional herbal prescriptions for treating dementia and present a strategy for research on dementia therapy utilizing herbal medicine. Methods : A definition was made to clarify the technology regarding the development of herbal prescriptions for treating dementia. The queries were compounded based on the initial keywords provided by experts in the field, then applied to the Web of Science database search engines from January 1986 to September 2011 to search related scientific articles. Before performing the analysis, papers were extracted from the initial search reviewed by experts and 80 articles were selected. Then, the selected papers were analyzed in terms of publish year, country, and type of herbal prescriptions. Furthermore, the research performance evaluation for treating dementia by herbal prescriptions was also created in terms of country and organization based on forward citation analysis. In addition to, for the evaluation regarding research quality, we classified and reviewed papers into two types: clinical studies and experimental studies. Results : According to the quantitative information analysis of 80 articles, the number of papers has increased by 21.9% per the yearly mean from 1995, and Japan had the largest portion within this research field. There were 34 kinds of traditional herbal prescriptions, among them Ukgansan had the highest number of studies followed by Jodeungsan, Dangkisoosan and so on. In addition, quality index as calculated by cites per paper is higher than average in Switzerland, Turkey and Japan. In the view of the evaluation on quality there were 12 clinical studies, 8 RCT reported that herbal prescriptions had efficacy at cognition, behavioral & psychological symptoms (BPSD) and activity of daily life (ADL) in various type of dementia. In experimental studies most of the studies were performed using animal models. The studies using Ukgansan were aimed at improving BPSD. The papers studied with Jodeungsan and Dangkisoosan targeted vascular dementia. Conclusions : In this study, research to develop traditional herbal prescriptions for treating dementia has the potential to improve symptoms since herbal medicines work as both multi-function and multi-target in dementia with multiple pathological or neurotoxic pathways. Therefore, the results of the research should be used in order to establish strategies to develop technology for treating dementia with traditional herbal prescriptions in the future.

정신병리를 가진 청소년의 등교거부 사례보고

허은정 ( Eun Jung Heo ),이상언 ( Sang Eon Lee ),류희영 ( Heui Yeong Lyu ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.4

Objectives: School refusal is usually considered as individual`s behavioral problem. These days, however, the adolescents` school refusal needs some kind of medical approaches because it is related to mental disorder of the adolescents. Due to too much pressure and stress from the competition between classmates and from good performance in school, the number of adolescents who refuse to go to school is increasing. Despite this circumstance, school refusal is neither regarded as a single independent disorder nor endorsed as an officially classified disease, which makes difficult to conduct research on this issue and to establish standardized treatment for it. In addition, there is a lack of research on this topic, especially in oriental medicine, so there is no a case report or study on school refusal. This study is trying to comment on school refusal from the perspective of oriental medicine. Methods: We tried to examine the effect of oriental medicine treatment for school refusal with four adolescent cases. The patients commonly have at least more than one mental disorder (including depression disorder, anxiety disorder, and anorexia nervosa), have some problem with the relationship with their family, in particular with mother, do not have father or not be loved by their father, and have irregular eating habits. Thus, we diagnosed them as qi transforming into fire(氣鬱化火,) spleen-stomach deficiency cold(脾胃虛寒,) and heart blood deficiency(心血虛) due to stress from the family issues and unhealthy eating habits. The patients received supportive therapy, family therapy, etc among many oriental mental treatments and their progress had been observed through hospitalization and outpatient treatment. Results: All four cases were reported positive progress on their symptoms and started coming back to school. We also examined whether they were well fitting into the school while they received outpatient treatment, and the results show that all four patients continue to settle down in normal school life. Conclusions: This study closely reviewed the mental disorder of school refusal cases and showed that the Oriental medical treatment was effective in helping the patients come back to school. More future research is required to better treatment for school refusal cases in oriental medicine.

IP 카메라 보안 취약점과 대응 방안에 관한 연구

허은정(Heo Eun Jung),고다원(Ko DaWon),오찬석(Oh Chan-Seok),이서연(Lee Seo-Yeon),최석환(Choi Seok-Hwan) 한국통신학회 2023 한국통신학회 학술대회논문집 Vol.2023 No.2

동의신경정신과학회지에 게재된 임상연구논문 동향분석 -2001년부터 2010년까지-

허은정 ( Eun Jung Heo ),전원경 ( Won Kyung Jeon ),김우영 ( Wu Young Kim ),한창현 ( Chang Hyun Han ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.3

Objectives: This study was aimed to review the trend of clinical studies in Journal of Oriental Neuropsychiatry since 2001 to 2010. Methods: We collected 260 clinical studies and analyzed them for publish year, sorts of disease or symptoms, pattern identification diagnosis, and classification of clinical studies. Among them, we selected 46 clinical experimental studies and these studies were further analyzed for publish year, research institution, sort of disease or symptoms, sorts of treatments, number of subject, and pattern identification diagnosis. Results: The number of clinical studies in Journal of Oriental Neuropsychiatry have increased since the year of 2001. There were 62 kinds of diseases and symptoms and Hwa-Byung had the highest number of studies followed by depression, headache, insomnia and so on. The clinical experimental studies, which took up 17% of the clinical studies, have increased since 2001 and was varied with year. There were 13 reserch institutions for clinical experimental studies and they studied about stress, dementia, Hwa-Byung, and so on. Most of studies researched treatment about acupuncture, herb medicine, and meditation treatment for persons under 144. There are only 22% of studies using pattern identification diagnosis. Conclusions: For the development of oriental medicine for psychiatric disease, we need more qualifying clinical studies like RCT. We hope more researchers for psychiatry disease of oriental medicine will be interested in the publication of clinical studies and this will serve to produce advance of oriental medicine as evidence based medecine.

한의학에서 신경정신과 질환의 증례논문 동향분석

허은정(Eun Jung Heo),한창현(Chang Hyun Han),김우영(Wu Young Kim),박상영(Sang Young Park),전원경(Won Kyung Jeon) 한의병리학회 2011 동의생리병리학회지 Vol.25 No.4

전증(癲證) 환자의 치험 1례

허은정 ( Eun Jung Heo ),김지현 ( Ji Hyon Kim ),류희영 ( Heui Yeong Lyu ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.2

Objectives: Jeon-Jeung(癲證) is one of negative symptoms from schizophrenia in Western medecine, which causes flattening of affect, emotional bluntness, and avolition. Compared with positive symptoms of schizophrenia, there is no established treatments that have been proved to be effective for negative symptoms, and since negative symptoms are chronically processed, they finally lead to devastate the mental health. Since Jeon-Jeung(癲證) is usually in set in adolescent period and tends to become chronic through life time, it is important to start getting treatments in early stage by being distinguished from other diseases, such as anxiety disorder. A patient in this case was affective blunting, general weakness, and delusion when sixteen years old. However, he refused to get Western medicine treatment and wanted oriental medicine treatment. Methods: The patient in this case had been suffered from severe stress from his family since he was young and had kept having irregular and unhealthy eating habits. Therefore, he diagnosed stagnant qi transforming into fire(氣鬱化火), heart blood deficiency(心血虛), and spleen-stomach deficiency cold(脾胃虛寒) and since then he had received several treatments including herbal treatment, acupumcture treatment, supportive therapy, and family therapy. These treatments were successful and reduced the level of symptoms. After discharged from the hospital, he had continued receiving outpatient treatment with his family for 8 months and his progress had been still observed after the discharge. Results: The symptoms of patient had been almost reduced and eliminated after he received 29days of admission treatment and the patient got better and better and now lives a normal life 8 months outpatient treatment. Conclusions: This result suggests that our oriental medical treatments and family treatments was effective on schizophrenia.