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우상지(右上肢) 단마비(單痲痺)가 주증(主症)인 풍비 환자의 만금탕가미방(萬金湯加味方) 투여 호전 1례
정병주,우성호,김병철,김용호,서호석,황규동,장하정,남효익,김회영,김진원,Jeong, Byeong-Ju,Woo, Sung-Ho,Kim, Byung-Chul,Kim, Yong-Ho,Seo, Ho-Seok,Hwang, Gyu-Dong,Jang, Ha-Jeong,Nam, Hyo-Ick,Kim, Hoi-Young,Kim, Jin-Won 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.1
Background : Monoplegia is the paralysis of a limb. It is commonly caused by an injury to the cerebral cortex, and rarely caused by injury to the internal capsule, brain stem, or spinal cord. Most problems with cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. Objectives : This study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment of monoplegia on an upper extremity to test the validity of acupuncture and herbal treatment for it. Methods : By using Digital Infrared Thermographic Imaging(DITI), thermal differences$({\Delta}T)$ of acupoints on the upper extremity in a patient with monoplegia on the right upper extremity were measured after an attack of the disease. By giving Mangeum-tang(萬金湯) and treating the patient with acupuncture. the temperature changes of the upper extremity were examined through DITI and improvement was observed. Results : Compared with the left arm which suffered no such injury, the right recovered about 80% of sensation, and the grade of monoplegia improved from Grade O to Grade V. Also, the temperatures of right palmar-dorsal hand and the region of Weiguan(外關, Waiguan, TE5) were $1^{\circ}C$ and $1.45^{\circ}C$ higher than the same left region on admission day, but the thermal differences$({\Delta}T)$ narrowed to $0.5^{\circ}C$ by the last day. Conclusions : Results suggest that DITI screening is a reliable method of prognosis and that the time required for treatment can be estimated through this method in cases of monoplegia to an upper extremity. Also, progress in treatment is reflected in thermal differences of acupoints of the monoplegic upper extremity in accordance with the theory of meridian. This supports a role for acupuncture and herbal treatment for monoplegia.
침진통 효과에서 스트레스에 의한 진통 효과 개입 여부 평가 -침굵기, 침자극 부위를 중심으로-
정병주 ( Byeong Ju Jeong ),최일환 ( Il Hwan Choe ),신회섭 ( Hee Sup Shin ),임사비나 ( Sabina Lim ) 대한경락경혈학회 2008 Korean Journal of Acupuncture Vol.25 No.3
Objective: In recent years, many investigators have questioned whether the analgesic effect of acupuncture is simply related to the stress-induced analgesia (SIA). However, there has been Lack of studies on this issue. In this study, the stress Levels induced by manual acupunctures are compared with the stress in animal experiment models. The experiments have been carried out with Sprague Dawley (SD) rats. Method: For stress Level evaluation, Hot plate test has been used. Maximum Possible Effect (MPE) has been measured by checking the pre-test time and post-test time. Cortisol and corticosterone concentrations in serum were measured by enzyme-linked immunosorbent assay (ELISA). Results: In the hot plate test, MPE values of post-test time were significantly decreased after 10 minutes than after 5 minutes. Therefore, optimal time interval was chosen as 10 minutes. There was significant difference of MPE values between Suspension group and all other treatment groups. However, there were no significant differences of MPE values between Sham group and all other treatment groups. However, MPE values showed tendency to decrease when acupuncture needle diameter increased. MPE values of ST040, ST040(lido), NAP040(lido) groups were markedly decreased than that of Suspension group, while that of NAP040 group was substantially increased than that of Sham group increased in acupoint and nonacupoint models. Serum cortisol concentrations of treatment groups were not significantly different from that of Suspension and Sham groups. Serum corticosterone concentration of 0.25 mm group was substantially increased than that of compared with Sham group. Serum cortisol and corticosterone concentrations of treatment groups were not significantly different from those of Suspension and Sham groups in acupoint and nonacupoint models. Conclusion: From hot plate test and serum stress hormones concentrations, it is found that manual acupuncture treatment induces negligible stress or SIA on ST36. And the stress induced by manual acupuncture is more closely related to acupuncture point needlings than diameters of acupuncture needles.
적외선 체열진단을 이용한 안면마비와 안면과 상지에 분포한 경혈위와의 관계에 대한 임상고찰
김진원,정병주,김용호,서호석,황규동,손지형,한승혜,Kim, Jin-Won,Jeong, Byeong-Ju,Kim, Yong-Ho,Seo, Ho-Seok,Hwang, Gyu-Dong,Son, Ji-Hyung,Han, Seung-Hea 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.4
Objectives : this study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment period of facial paralysis and to substantiate the validity of acupuncture and moxibustion treatment for it. Methods : 1. By using DITI, thermal differences of acupoints on the face and the upper limbs of 13 Bell's palsy patients were measured around 3 days after an attack of the disease. These 13 patients, whose treatment progress was monitored up to 6 months after attack, were among the inpatients and outpatients of oriental internal medicine of National Medical Center from July 1 to August 31. 2. The patients were divided into 1month, 2-3months, 4months, 6months groups according to the occasion of improvement and thermal averages of each treatment period measured. Results : When it takes within 1 month for the condition of facial paralysis to change for the better, DITI image shows the temperature of the affected face parts and arms is higher than that of the non-affected parts. However, when it takes more than 4 months, the temperature of the affected face parts and arms on DITI image is lower than that of the non-affected parts. Conclusions : Hereby, prognosis of the disease and necessary time for the treatment can be presumed through DITI screening after an occurrence of facial paralysis. Also, condition of the disease is reflected by thermal differences of acupoints for Bell's palsy treatment that are in accordance with the theory of meridian on the face. This supports the efficacy of acupuncture and moxibustion treatment for this disease.
전환장애를 간양화풍(肝陽化風)으로 변증(辨證)한 치험 1례(例)
김진원,정병주,우성호,김병철,손지형,임호제,황규동,서호석,김용호,한승혜,Kim, Jin-Won,Jeong, Byeong-Ju,Woo, Sung-Ho,Kim, Byung-Chul,Son, Ji-Hyung,Lim, Ho-Jae,Hwang, Gyu-Dong,Seo, Ho-Seok,Kim, Yong-Ho,Han, Seung-Hea 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.2
Conversion disorder lacks temperamental grounds and is a type of somatoform disorder that includes alteration or loss of physical functions implicated in physical deficit suggestive psychological conflict. There is high incidence of return of conversion disorder and difficulty in producing exact approaches of cure and apparent effects of remedy with symptomatic treatment alone because of its complex clinical symptoms. The approach of Oriental Medicine in treatment of conversion disorder is to apprehend relative symptoms from the syndrome combined with several annexational symptoms centering around sequential symptoms. Thereupon, author made a Ganyanghwapung comprehensive diagnosis was conducted using Oriental Medicine measures by differential diagnostic methods in psychosomatic patients whose cases are diagnosed as conversion disorder. Then, Cheonmagudeungeum Gagambang was prescribed for them and it brought on satisfactory effects from the first or second treatment. There have been many cases reporting the application of Oriental Medicine treatment to conversion disorder to date and outcomes have also been favorable. Results of this study likewise suggest that this Oriental Medicine treatment for conversion disorder is effective.
어혈비로 변증한 Brown-Sequard Syndrome 치험 1예
왕덕중,정병주,장혜진,이지영,Wang, Teh-Chung,Jeong, Byeong-Ju,Jang, Hae-Jin,Lee, Ji-Young 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.2
Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by ipsilateral weakness, loss of proprioceptive and vibratory sensation on the same side. and loss of pain and temperature sensation on the contralateral side. This clinical case was analysed on a patient with Brown-Sequard syndrome. The patient was admitted on January 26th, 2005. and departed on March 28th, 2005. He was treated as Eo-Hyeol Bee-Jeung. After treatment, His motor grade and weakness were improved and sensory ability about pain and temperature were regaine. We suggest that oriental medicine therapy is effective in treatment on Brown-Sequard syndrome.
뇌경색 환자의 당뇨병성 고지혈증에 대한 오적산가감방(五積散加減方) 호전 1례
한승혜,정병주,우성호,김병철,김용호,서호석,황규동,조철준,남효익,김진원,Han, Seung-Hea,Jeong, Byeong-Ju,Woo, Sung-Ho,Kim, Byung-Chul,Kim, Yong-Ho,Seo, Ho-Seok,Hwang, Gyu-Dong,Cho, Cheol-Jun,Nam, Hyo-Ick,Kim, Jin-Won 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.1
Hyperlipidemia is one of the major factors causing the atherosclerosis of coronary arteries and well-documented modifiable risk factors of stroke, especially of the ischemic type. For Insulin-Dependent Diabetes Mellitus sufferers, if blood sugar is appropriately maintained, lipid and lipoprotein are normal, but if blood sugar is inappropriately maintained or clinical Diabetic nephropathy induces metabolic disorder of lipid, then Total cholesterol, low density lipoprotein cholesterol, triglyceride and very low density lipoprotein cholesterol levels go up and high density lipoprotein levels go down. The purpose of this study is to evaluate the effect of treatment with Ojeok-san and to observe the changes in Fasting Blood Sugar(FBS), 2 Hours Postprandial Blood Sugar(PP2h), Haemoglobin A1c(HbA1c), Total Cholesterol(T-Chol) and Triglyceride(TG). After the treatment, Fasting Blood Sugar decreased from 149mg/dl to 89mg/dl. 2 Hours Postprandial Blood Sugar decreased from l85mg/dl to 110mg/dl. Haemoglobin A1c decreased from 6.3% to 5.7%. Total Cholesterol decreased from 268mg/dl to 217mg/dl. And Triglyceride decreased from 438mg/dl to 265mg/dl. These results support a role for oriental medical therapy in treating Diabetic Hyperlipidemia. Further case studies of herbal treatment of this ailment are needed.
복수 동반 간병변 환자의 평위산(平胃散) 합(合) 위령탕가미방 투여 호전 1례
김진원,정병주,우성호,심효주,나유진,김용호,서호석,이원희,김병철,Kim, Jin-Won,Jeong, Byeong-Ju,Woo, Sung-Ho,Shim, Hyo-Ju,Na, Eu-Jin,Kim, Yong-Ho,Seo, Ho-Seok,Lee, Won-Hui,Kim, Byung-Chul 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.4
Background : Liver cirrhosis is a disease of the liver in which normal cells are replaced by scar tissue. This condition results in the failure of the liver to perform many of its usual functions. Liver cirrhosis includes ascites, jaundice, portal hypertension, varices etc. Objectives : This study was to see if there is a decrease in ascites of liver cirrhosis to under acupuncture and herbal treatment to test their validity. Methods : Measuring the response to treatment of ascites by giving pyengwie-san hap wieryungtang gamibang and treating the patient with acupuncture, these clinical symptoms were observed: weight, abdominal circumference, abdominal SONO, chest X-ray, and lab findings. Results : Over 18 days the daily average loss of weight and abdominal circumference 0.43kg and 0.56cm, respectively. Lab findings of liver functions showed improvement. Conclusions : This report shows a role for acupuncture and herbal treatment for treating ascites in liver cirrhosis.
뇌경색 후유증 환자의 고지혈증과 변비에 대한 함초환(鹹草丸) 호전 1례
우성호,김병철,김진원,정병주,나유진,심효주,김용호,서호석,이원희,Woo, Sung-Ho,Kim, Byung-Chul,Kim, Jin-Won,Jeong, Byeong-Ju,Na, Eu-Jin,Shim, Hyo-Ju,Kim, Yong-Ho,Seo, Ho-Seok,Lee, Won-Hui 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.4
Hyperlipidemia is one of the major factors causing the atherosclerosis of coronary arteries and a well-documented modifiable risk factor for stroke, especially of the ischemic type. Constipation is the condition of being unable to empty the bowels frequently enough or effectively. However, it is usually temporary and not a serious disease. Salicornia herbacea is a sea coast plant that grows on the western and southern coastal beaches and salt flats of the Korean peninsula. Belonging to Chenopodiaceae by biological classification. Salicornia herbacea is not known from research except that it contains plenty of minerals. The purpose of this study was to evaluate the effect of treatment with Hamcho-hwanand to observe changes in total cholesterol (T-Chol) high-density lipoprotein cholesterol (HDL), triglyceride (TG) and constipation. After treatment, total cholesterol decreased from 273mg/dl to 235mg/dl. Triglyceride decreased from 201mg/dl to 126mg/dl. HDL cholesterol increased from 30mg/dl to 40mg/dl. Constipation changed for the better. These results support a role for oriental medical therapy in treating hyperlipidemia and constipation. Further case studies of herbal treatment of this ailment are needed.