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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.
윤창준,문기학,정희창 영남대학교 의과대학 2006 Yeungnam University Journal of Medicine Vol.23 No.1
The frequency of a bladder foreign body in the female is lower than in the male, and bladder stones attached to foreign bodies such as non-absorbable suture material are not common. Moreover, vesicovaginal fistulas due to migration of puncture of suture materials into the bladder are rare. In this report, we present a case of bladder stone and vesicovaginal fistula formation in a 29-year-old female patient who had been treated with the McDonald operation for an incompetent internal os of the cervix (IIOC) during pregnancy. The patient was successfully treated by cystoscopic removal of the bladder stone with suture material and conservative treatment for the vesicovaginal fistula.
윤창준,문기학,박동춘 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2
Background: The role of obesity in prostate cancer etiology remains controversial. The aim of this study was to evaluate the relationship between obesity and prostate caner risk Material and methods: Between January 2000 and June 2005, 286 patients suspected of having prostate cancer underwent prostate biopsy. The clinical records of the 286 study patients were retrospectively reviewed with regard to age Body Mass Index (BMI), serum PSA, TRUS, and prostate biopsy results. They were stratified by BMI into three groups according to the cutoffs recommended for Asian population: normal. BMI less than 23 Kg/m^(2), overweight , BMI 23 to 25 Kg/m^(2), and obese, BMI greater than 25 Kg/m^(2). Results: As for BMI, 132 (46.2%) were normal, 95 (33.2%) overweight and 59 (20.6%) were obese. A total of 99 (34.6%) patients were diagnosed as having prostate cancer. In multivariate logistic regression analyses, no significant association was observed between BMI and prostate cancer detection. Conclusion: We initially hypothesized that obesity may be biologically associated with increased prostate cancer development. However, our study did not show a significant association between BMI prostate cancer.