麻痺性 腸閉塞 患者 治驗 1例

안효명,이은숙,고현,황규동 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

The results were as follows ; 1. Adynamic ileus is a condition in which there is neurogenic failure or loss of peristalsis in the intestine in the absence of any mechanical obstruction. 2. The symptoms of Adynamic ileus are abdominal pain, abdominal distension, nausea, vomiting and constipation etc. 3. The Adynamic ileus was improved with Insamyangyoung-tang and Majain-hwan which have the effect of Onbi-ikwi, Yunjang-tongbyun.

VEGA의 FACTOR AA 중 구역 1, 2, 3에서의 두부 질환에 대한 연구

국윤형,민재영,오상덕,임승만,백은탄,이재혁,방대건,라수연 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

Objective : This study was to investigate the patterns among the normal people, the patients with non-brain diseases, such as headache, dizziness, Tou-feng(頭風), Feng-tou-xuan(風頭旋), etc and the patients with brain diseases, analysing the lead 1, 2, 3 of AA, FACTOR in VEGA. Methods : We analysed perspectively the lead 1, 2, 3 of AA, FACTOR in VEGA of 84 patients who undertook the VEGA during July and August, 2000. We evaluated the VEGA results by using Mann-Whitney U test. Results : This study showed that the mean of the patients with non-brain diseases was the highest, and the mean of the patients with brain diseases was the lowest, but there was no particular significance, when using the test. Conclusion : The chief point was that VEGA has no meaning in determining the difference among the normal people, the patients with headache, dizziness, Tou-feng, Feng-tou-xuan, etc and the ones with brain diseases.

中風前兆證에 對한 考察 : TCD의 활용을 중심으로 For the purpose of using TCD

정승현,辛吉祚,李源哲 대한한방성인병학회 1996 韓方成人病學會誌 Vol.2 No.1

A study on the Jungpung (中風)'s Prodromal syndrome for the purpose of using TCD on jungpung(中風) prophylaxis showed the following results. 1. The Jungpung(中風)'s Prodromal syndrome of traditional doctor was summarized four ; the motor and the sense disorders of limbs and facialis, the sense disorders of the head, disorders of the heart and the spirit, diffculty in urination and defecation. 2. Diagnosis of the Jungpung(中風) 's Prodromal syndrome may be support by TCD. 3. TCD for Jungpung(中風) prophylaxis allows the diagnosis of cranial artery stenosis, cranial artery embolism, intracranial aneurysm, moyamoya disease and cerebrovascular spasm. 4. The patients with preceding diseases(hypertension, diabetes, heart diseases, brain arteriosclerosis) and the Jungpung(中風)'s Prodromal syndrome will be primary examinated by TCD.

手足汗症에 荊防地黃湯과 韓方 燻蒸方을 투약한 증례

이시우,박혜선,주종천,김경오 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

Though thoracic sympathectomy is widely used to treat essential hyperhidrosis or plantopalmar hyperhidrosis, many patients are not willing to be operated for its side effect such as compensatory hyperhidrosis, pneumothorax, Horner's syndrome, etc. A case of patient suggested palmoplantar hyperhidrosis who was recommended for sympathectomy from a university hospital showed favorable progress by Hyungbangjihwang-tang[荊防地黃湯] and herbal fumigation therapy.

뇌낭미충증으로 진단된 반신무력 및 경련 화자 1례에 대한 보고

장인수,손동혁,이영구,윤희식,변덕시,강현철 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

The authors report neurocysticercosis with seizure and mild hemiplegia. Neurocysticercosis is a pleomorphic parasitic disease that may confused with almost any other condition affecting the central nervous system. Therefore it needs more attention to diagnose this disease distinguished from others. Neurocysticercosis is occured by infection of pork tapeworm, Taenia Solium. and then there was some mentions "tapeworm caused by raw meat of pork and beef' in Kumkueyoryak [금궤요약], an old chinese medical literature in AD 2C-3C, maybe it must be one of the oldest records.

급성 Guiilain-Barre Syndrome 추정 환자 동서협진 치험 1례

소형진,손윤정,이범준,노병완,류재환,허홍,So, Hyung-Jin,Son, Yoon-Jung,Lee, Beom-Joon,Rho, Byoung-Wan,Lew, Jae-Hwan,Heo, Hong 대한한방성인병학회 2005 韓方成人病學會誌 Vol.10 No.1

Guillain-Barre syndrome (GBS) is a group of autoimmune syndromes consisting of demyelinating and acute axonal degenerating forms of the disease. Typically, Gullain-Barre syndrome can be diagnosed from the patient's symptoms and physical examination such as the rapid onset of weakness, paralysis and loss of reflexes. In most patients, resolution is complete or near complete. Treatment consists of supportive care, ventilatory management (in about one third of patients), and specific therapy with intravenous immunoglobulin or plasmapheresis. This clinical report is about suspected acute severe Guillain-Barre syndrome patient, 61-year-old man had quadriplegia, facial palsy, dysphasia, respiratory failure. After 5 weeks of East-West integrative medicine therapy - Conventional Conservative therapy(plasmaphresis and intravenous immunoglobulin) and Korean traditional medicine(Sasang medicine and acupuncture treatment) - most symptoms improved.

경희의료원 제3중환자실 입원 환자에 대한 임상적 고찰

소형진,허홍,이범준,류재환,손윤정,So, Hyung-jin,Heo, Hong,Lee, Beom-Joon,Rho, Byoung-Wan,Ryu, Jae-Hwan,Son, Yoon-Jung 대한한방성인병학회 2005 韓方成人病學會誌 Vol.10 No.1

We have analyzed 247 patients who were admitted to the 3rd ICU for intensive care between January 2003 and December 2003 to investigate characteristics of ICU patients and obtain better guidance and management in the ICU. The results are as follows: 1) The total number of patients was 247. The proportion of males was 59.1 %, of females was 40.9%, and the ratio of male to female was about 1.45:1. 2) The most prevalent age group is those in their seventies, the proportion is 33.6%. 3) The total admission days was 3,438days, and mean patient stay being 13.9days. 4) The total number of expired patients was 26, the mortality rate was 10.5%. The mortality in distribution by disease was higest in Cerebral infarction, rate was 53.8%. the proportion of raised intracranial pressure was 42.3%, of hemorrhagic transformation was 11.5%. 5) In distribution by admission channel, Oriental hospital E.R. was 60.7%, Oriental hospital ward was 38.5%, and etc. was 0.8%. 6) The number of patients of Cerebral infarction was 146(59.1%), being the highest in distribution by chief disease and the proportion of MCA territory infarction is highest in the Cerebral infarction(61.6%). 7) In distribution by Oriental Medicine therapy, the proportion of Acupuncture treatment was 15.8%, of Acupuncture treatment combination Herb medication was 78.5%, and of Acupuncture, Herb medication plus subcutaneous Acupuncture treatment was 5.7%.

大造丸에 대한 문헌적 고찰

이동원,이경애,辛吉祚,李源哲 대한한방성인병학회 1997 韓方成人病學會誌 Vol.3 No.1

In the literatual study on the Dazaowan(大造丸), the results were as follows. 1. Dazaowan(大造丸) is named for effect of creation(有尊造化之功) is composed of Placenta hominis(紫河車), Rhizoma rehmanniae(熱地黃), Carapax testudinis(龜板), Cortex phellodendri(黃柏), Cortex eucommiae(사충), Radix achyranthis(牛膝), Radix asparagi(天門冬), Radix ophiopogonis(麥門冬), Radix ginseng(人蔘) etc. 2. On qi(氣,) of the prescriptions, more or less, the han(寒) drug abound, but han(寒) and re(熱) drug is balanced. The taste(味) of the prescriptions is composed of sweet, bitter and salt; a sweet is effective of bu(補), he(和) and huan(緩); a bitter is effective of xie(泄), zao(燥) and jian(堅); a salt is effective of xia(下), ruan(軟). 3. Target organs of drug is kidney, lung, liver and heart, besides pericardium, bladder and stomach. 4. A drug is parched and burnt for a promotion of supplement and a decrease of cold characteristics (冷性). For preservation of effect, Placenta hominis(紫河車) is not used boiling but steaming. 5. When Dazaowan(大造丸) is used for supplement, Carapas testudinis(龜板) is not general use but have to use on a neuropsychiatric and cardiovascular disease. Because that Carapas testudinis(龜板) have an effect of removal of fever, a sedatives, a cordials and urinations. Because that Carapas testudinis(龜板) is a part of animal, we have to discover alternations. 6. Because that Dazaowan(大造丸) have an effect of dabugixie(大補氣血), zibufeishen(滋補肺腎), yangyinzhenjing(養陰鎭靜), ziyinbuyang(滋陰補陽), yannianyishou(延年益壽) is implicated of xiegishuairuo(血氣裏弱), yinxuxiere(陰虛血熱), ganshenbuzu(肝腎不足, deficit of kidney and liver function), xusunlaoshang(虛損勞傷), impotence, zuwei(족위, atropy of lower extremity), infertility, involuntary emission of semen and night sweeting, guzhengchaore(骨蒸潮熱), palpitation and amnesia, tuberculosis, asthma. 7. Because of Dazaowan(大造丸) have an effect of a supplement of immune system, a nourishment and robustness, a promotion of growth and a decrease of blood sugar can treat a disease of nutritions, metabolism, endocrine and reproductive system; an effect of anti -tuberculosis, anti-allergic responses, anti -infections, a cough remedy medicine and an expectorant can treat pulmonary diseases; an effect of cordials, urinations, a promotion of recovery of damaged heart muscle can treat cardiovascular disease; an effect of a removal of fever, sedatives, anti-convulsants, analgesics and anti-stress can treat neuropsychiatric diseases.

中風患者의 24時間 活動血壓 動態에 關한 考察

姜秉宗,文祥官,高昌男,曺基湖,金永錫,裵亨燮,李京燮,高成奎 대한한방성인병학회 1997 韓方成人病學會誌 Vol.3 No.1

Background Most patient with stroke have hypertnesion and the stroke accidental rate is very closely connected with hypertension. So, the proper diagnosis and treatment of the hypertension play very important roles the treatment and the prognosis of stroke as well as on the prevention of recurrent stroke. The goal of this study is to improve the treatment of hypertension in stroke-inpatients by investigating the 24-hours blood pressure using the ambulatory blood pressure monitoring. Methods 52 inpatient with stroke were randomly selected in the 2nd internal medicine department, Kyunghee oriental hospital and devided into normotensive and hypertensive groups by the standard-whether he/she takes the blood pressure drugs. We set the machine (ambulatory blood pressure monitoring) to check the blood pressure (including systolic and diastolic blood pressure) and pulse rate every 30 minutes from 06:00 to 22:00 and every 1 hour from 22:00 to 06:00. And the frequency percentage of systolic blood pressure over 140mmHg and the diastolic blood pressure over 90mmHg makes the blood pressure load. Results The mean systolic blood pressure during 24 hours were 129±10.3㎜Hg at normotensive group and 140 14.9㎜Hg at hypertensive group and the mean diasolic blood pressure were 79 7.0㎜Hg at normotensive group and 83 8.2㎜Hg at hypertensive group. The blood pressure loads were 30.0 22.0% (systolic) and 21.1 18.2(diastolic) at normotensive group. That were 51.2 30.3%(systolic) and 36.0 24.1%(diastolic) at hypertensive group. The pattern of circardian blood pressure was lowest at the time from 00:00 to 06:00 and made the rapid increase temporalily to reach the turning point at 07:00. After that time it decreased a little bit and continued with no significant change and made the highest point at 19:00 and it decreased rapidly after 22:00. The patter of circardian pulse rate was similar to blood pressure pattern. In systolic and diastolic blood pressure, there was no significant difference between ambulatory and casual blood pressure. Conclusions These results show that the diagnosis of hypertension with casual blood pressure is available as well as ambulatory blood pressure and that more intensive control of blood pressure is required in stroke-inpatients with hypertension. And the change of pulse rate can be another useful standard to diagnosis hypertension and to rule out the inappropiate things among the datas from ambulatory blood pressure monitoring. Key words: Ambulatory blood pressure, Stroke

東醫學的으로 본 肝膽系疾患類의 臨床的 考察

盧正祐 대한한방성인병학회 1995 韓方成人病學會誌 Vol.1 No.1