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      • KCI등재

        봉독약침 후 발생한 Anaphylaxis 에 관한 임상적 연구

        황유진,이병철,Hwang, Yoo-Jin,Lee, Byung-Chul 대한침구의학회 2000 대한침구의학회지 Vol.17 No.4

        Bee-venom Acupucture has good effect on pain control but We may be anxious about the problem of side-effect. Bee-venom components are composed of phospholipase $A_2$, hyaluronidase, melitin, apamin, MCD peptide, citrate and so on. Especially Apamin, MCD peptide and histamine cause severe reacting that is named Anaphylaxis. Anaphylaxis is a clinical syndrome characterized by the acute system reaction of multiple organ systems to an IgE-mediated immunologic mediator release in previously sensitized individuals. Respiratory and dermatologic manifestations are the most commonly expressed clinical features of anaphylaxis, and a majority of anaphylactic reactions initially appear to be localized to these two systems. Anaphylatic reaction of bee-venom are expressed clinically ulticaria, itching sensation, erythema, dizziness, nausea, hypotension and so on. Especially ulticaria and erythema are end points of increased vascular permeability and vasodilatation at the other extreme of the clinical spectrum, Gastrointestinal mucosal edema and smooth muscle contraction can result in cramping abdominal pain, nausea, and vomiting. Therefore, we have observed anaphylatic reaction of bee-venom in 11 patients, who visited WonKwang University Kunpo Oriental Medical Center, treated bee venom. The results were summarized as follows : 1. The patient distribution ratio, in regard to sex, was shown to be 1 : 2.67 for male to females. In regard to age, it was shown that people in their 30's was the most predominant case, followed by people in their 20's, 30's, 50's and 60's, respectively. 2. When Anaphylaxis was occured, it was observed to abnormality of CBC, LFT, IgE, IgG. 3. In regard to patient condition, it was observed that fatigue was most frequent. 4. In regard to the number of times and quantity of bee venom inj., it was observed that anaphylaxis is most frequent at 7-10 times(1.6-2.0cc) 5. In regard to duration of reaction, it was observed that people in their l0min' was most frequent. In disappearing duration of anaphylaxic reaction, The results showed under 60min lcases(9%), 60-120min 7cases(64%) and 180-240min 3cases(27%). 6. In symptoms of anaphylaxis, The results showed hypotension 8cases(19%), itching sensation 7cases(16%), nausea 4cases(9%), erythema 4cases(9%) and dizziness 4cases(9%). In mentality, The results showed drowsy 8case(73%) and alert 3cases(27%). 7. Generally, patients were treated with Avil, Dexa IM and PDS, peniramine, cimetidine, Q-zyme per os after H/S, N/S inj. $O_2$ was supplied according to patient's symptom. In 1 severe case, Dopamine was iv injected.

      • KCI등재

        봉약침을 이용한 류마토이드 관절염의 임상적 연구

        황유진,이건목,황우준,서은미,장종덕,양귀비,이승훈,이병철,Hwang, Yoo-Jin,Lee, Geon-Mok,Hwang, Woo-Jun,Seo, Eun-Mi,Jang, Jong-Deok,Yang, Gui-Bi,Lee, Seung-Hoon,Lee, Byung-Chul 대한침구의학회 2001 대한침구의학회지 Vol.18 No.5

        Objective : To evaluate the effect of treatment for Rheumatoid arthritis by using Bee-venom Acupuncture that is well known for anti-inflammatory effect and function of activating immune system. Methods : Evaluated the result of Bee-venom Acupuncture treatment twice in a week for patients who diagnosised as rheumatoid arthritis by 7 criteria of US Rheumatism Academy. Results : 1. If you see the distribution chart, sexual rate of male and female was 1:2.75 and age distribution shows as age ascend it shows high. 2. If you see the duration distribution, it shows chronic tendency in order of more than 6 months (59.5%), 2 to 5 months, and 1 month. 3. If you see the invaded region distribution, it shows chronic tendency in order of finger(17 cases), wrist joint(16 cases), knee joint(16 cases), ankle joint(10 cases), elbow joint(8 cases), shoulder joint(7 cases), feet(7 cases), hip joint(5 cases), low back(3 cases) and neck(2 cases). 4. If you see the result of duration distribution treatment, the improvement index is rising in order of within a month, 2 to 5 months, and over 6 months. So it shows that it has good result of treatment within a month. 5. If you see the invaded region, it shows high improvement index in order of low back, hop joint, shoulder joint, wrist joint, feet, knee joint, finger, elbow joint, ankle joint and neck. 6. If you see the result of morning stiffness time before treatment, it shows good effect of treatment in order of 2-3hrs, 30min.-an hr, an hr to 2hrs, and 0-30min. 7. If you see the patients satisfaction after Bee-venom Acupuncture treatment, Excellent is 6 cases, Good is 7 cases, and Moderate 2 cases. Conclusions : It will have greater treatment effect if herbal medicine, moxibustion, and acupuncture are used together as patients whole body condition and symptoms with Bee-venom Acupuncture for rheumatoid arthritis that is chronic inflammatory disease.

      • KCI등재

        지역문제해결을 위한 리빙랩 주민참여 경험에 관한 질적 사례연구

        황유진(Yoo Jin Hwang),서재복(Jae Bok Seo) 교육종합연구원 2023 교육종합연구 Vol.21 No.1

        본 연구는 완주군 지역문제해결을 위한 리빙랩 지원사업에 참여한 주민들이 어떤 경험을 하였는지 살펴보고, 그 경험의 본질을 심층적으로 이해하는데 있다. 연구방법은 질적 사례연구로 연구대상자는 리빙랩을 수행한 지역주민 중 참여 의사를 밝힌 9명을 대상으로 심층 면담을 하였다. 연구결과는 Amedeo Giorgi의 현상학적 분석 방법을 활용하여 9명의 연구참여자의 인터뷰 내용을 의미단위, 범주, 주제 순으로 범주화하여 정리한 결과 경험에서 드러나는 95개의 단어를 찾았고, 이에 따른 의미단어를 정리하여 하위요소인 22개로 표현하였다. 마지막으로 하위요소들을 같은 의미끼리 묶어서 14개의 주제로 분류, 그 주제를 다시 범주화하여 6개의 주제를 끌어낼 수 있었다. 이를 통해 6개의 본질적 주제와 14개의 드러난 주제가 도출되었다. 6개의 본질적 주제는 ‘개선을 위한 용기있는 선택’, ‘생소한 리빙랩 극복하기’, ‘교육을 통해 바로 알게 된 리빙랩’, ‘좌충우돌 리빙랩 활동 현장’, ‘실패을 통해 얻은 교훈’, ‘도전을 통한 배움의 의미실현’으로 나타났다. 본 연구는 지역문제를 해결하기 위해 자발적으로 참여한 지역주민들이 생활실험인 리빙랩을 수행한 경험을 이해함으로써 현장에서 지역주민들의 상향식(bottom-up)방식 참여가 주는 의미가 리빙랩 운영의 기초자료로 활용될 수 있을 것이다. This study examines the experiences of the residents who participated in the Living Lab support project to solve local problems in Wanju-gun, and understands the essence of the experience in depth. The research method was a qualitative case study, and in-depth interviews were conducted with 9 people who expressed their intention to participate among the local residents who performed the living lab. The research results were analyzed through Amedeo Giorgi's phenomenological method. Through this, 6 essential themes and 14 revealed themes were derived. The six essential themes are 'Courageful Choice for Improvement', 'Overcoming Unfamiliar Living Lab', 'Living Lab that I learned properly through education', 'Learnings from Living Lab', 'Learnings from Experiment', 'Learning Lab' Meaning realization through challenge.” This study understands the experiences of local residents who voluntarily participated in solving local problems in the Living Lab method, which is a life experiment. It can be used as basic data.

      • KCI등재

        요추추간판탈출증의 동·서의학적 협진연구

        이건목,이강창,황유진,Lee, geon-mok,Lee, kang-chang,Hwang, yoo-jin 대한침구의학회 2000 대한침구의학회지 Vol.17 No.2

        Herniated lumbar intervertebral disc(HIVD) is the most common reason causing low back pain and leg radiating pain. The purpose of this study is to see the good of Oriental-Western medicine on HIVD. In order to this syudy, HIVD patients divided into two groups: Group with Oriental medicine(GOM) and Group with Oriental-Westem medicine(GOWM). The results of treatments were summarized as follows. 1. If We investigate a state of patients, GrIII type is 17 cases in GOM and is 16 cases in GOWM. In the GOM, Gr II shows better than the others and in the GOWM, GrI, III shows better than the others. 2. The results of treatments in GOM and GOWM is the good in a general way. It shows excellent type at 10 cases in the GOM, and shows excellent type at 14 cases in GOWM. 3. In Acute stage(in one month), subacute stage(one month~six months) and chronic stage(over six months), the therapic point of GOM and GOWM is 2.9~3.5 on the average. 4. If we notice the effect point of HIVD, in GOM, the point of bulging type is 3, protruded type is 3.5 extruded type is 3. But in GOWM, the point of bulging type is 3.7, protruded type is 3.5 extruded type is 2.7.

      • KCI등재후보
      • KCI등재

        원저 : 경추성 두통에 대한 임상적 연구

        이건목(Geon Mok Lee),조은희(Eun Hee Cho),황유진(Yoo Jin Hwang),유동수(Dong Soo Lyu),윤민영(Min Young Yoon),김현중(Hyun Jung Kim),진신영(Sin Young Jin),조남근(Nam Geun Cho),이병철(Beung Cheul Lee),이인(In Lee) 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

        Objective : To evaluate the effect of treatment for cervical headache by using Cathami Flos herbal acupuncture that are known for anti-inflammatory and function of relieving the pain. Methods : Evaluated the result of Cathami Flos herbal acupuncture treatment twice in a week for patients who have cervical headache with cervical MRI abnormality at Gun-Po Oriental medical hospital in affiliation with wonkwang university. Results : 1. In the distribution of sex; Female rate was 45.9% and male rate was 54.1%., In the distribution of age, Thirties and forties group was the largest group by each 32.8%. 2. In the distribution of Cervical MRI abnormality; Abnormality of C2/3, C3/4, C4/5 was 94.6%, disk bulging and disk protrusion was 94.5%. 3. The effect of treatment by age was as follows; Thirties and forties group were each 31.1%, total 62.2%. 4. In the distribution of treatment period and curative value; "Two weeks to four weeks" was 63.9%. Conclusion : These results shows that it is possible for headache to be occurred by cervical abnormality and that the effect of treatment by Cathami Flos herbal acupuncture is exellent by relaxing contracted muscles, strengthening weakened` ligaments and improving inflammatory parts.

      • KCI등재
      • KCI등재
      • KCI등재

        합곡 침자가 뇌혈류에 미치는 영향에 대한 핵의학적 고찰

        이건목,황유진,양유선,김성진,유동수,김민자,조은희,김현중,양명복,이인,이병철 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

        Objective : To localize and compare the cerebral regions- activated by the the stimulation of traditional and burning acupunctures in right Hap-Kok (LI4) acupoints. Methods : Thirty-four healthy normal volunteers (19 males, 15 females, age 31±11 years) were studies by rest/acupuncture Tc-99m HMPAO SPECT using same-dose sequential injection method using right Hap-Kok(LI4), traditional and burning acupunctures. All images were spatially normalized and the differences between rest and acupuncture activation state were statistically analyzed using SPM 96. Results : Statistical analysis of the effect by the stimulation using traditional acupuncture in right L14 showed regional cerebral perfusion increase in right inferior frontal lobe, right straight gyrus, left anterolateral frontal lobe, left anteroinferor temporal lobe, left posterior temporal lobe, and left cerebellum. In the stimulation using burning acupuncture in right L14, regional cerebral perfusion increased in right posterior prefrontal lobe, right precental gyrus, right postcentral gyrus, right poteroinferior temporal lobe, left precentral gyrus, left Broca's area, left anterior parietal lobe, left posterior prefrontal lobe, and left cerebellum. In right LA, diffuse perfusion increase were noted in the both inferior frontal lobe by traditional acupuncture compared to burning acupuncture. Conclusion : The results localized the cerebral areas showed the effect of the acupuncture on cerebral blood flow. The effects of traditional and burning acupunctures on cerebral blood flow were similar in right Hap-Kok (L14) acupoints. But the effects of traditional acupunctures on cerebral blood flow are stronger than those of burning acupunctures on cerebral blood flow.

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