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위축성 질염으로 진단받은 폐경 여성 환자에 대한 한방치료 치험 2례
강나훈 ( Na-hoon Kang ),김준호 ( Joon-ho Kim ),박남춘 ( Nam-chun Park ),유은실 ( Eun-sil Yoo ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bok Jang ),황덕상 ( Deok-sang Hwang ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.4
Objectives: Atrophic vaginitis is common disease in menopausal women. There are some studies about effective of the Korean medicine therapies to treat this disease, but cases are still deficiency. This study aims to report the effects of Korean medicine therapies on atrophic vaginitis in menopausal women. Methods: 2 menopausal women patients, who are suffered from atrophic vaginitis, were enrolled in this study. They received Korean medicine therapies such as herbal medicine, moxibustion, and acupuncture. Results: After Korean medicine therapies, severity of symptoms of atropic vaginitis were reduced. Conclusions: The present study suggests that Korean medicine therapies have a effect on atrophic vaginitis in menopausal women.
원발성 월경통의 전침 치료 연구에 관한 체계적 문헌 고찰
박남춘,강나훈,유은실,이진욱,윤준걸,이진무,이창훈,장준복,황덕상,Park, Nam-Chun,Kang, Na-Hoon,Yoo, Eun-Sil,Lee, Jin-Wook,Yoon, Jun-Geol,Lee, Jin-Moo,Lee, Chang-Hoon,Jang, Jun-Bok,Hwang, Deok-Sang 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.18 No.4
Objectives: This review aims to report the efficacy and safety of electroacupuncture in the treatment of primary dysmenorrhea. Methods: We searched for randomized controlled studies (RCTs) using electroacupuncture on primary dysmenorrhea up to Dec 2016. The following databases were searched : OASIS, PubMED, EMBASE, CENTRAL. The results of the studies were analyzed and the risk of bias was assessed. Results: Five studies were included in this review. In most studies, the effect of electroacupuncture at Sameumgyo (SP6) was better than that of electroacupuncture at Hyeonjong (GB39), nonacupoint and no intervention about Visual analog scale (VAS), Verbal rating scale (VRS) and Retrospective symptom scale (RSS). But there were no significant effects on Resistance Index (RI) and S/D ratio (the ratio between peak systolic to end-diastolic flow velocity in uterine arteries). Serous adverse events were not reported. Conclusions: This review shows that electroacupuncture is effective on primary dysmenorrhea with no serious adverse events.
자궁난소질환에 대한 봉독(Bee Venom)을 활용한 국내외 연구 동향 분석
이진욱,강나훈,유은실,박남춘,양혜린,김남훈,박경선,이진무,이창훈,장준복,황덕상,Lee, Jin-Wook,Kang, Na-Hoon,Yoo, Eun-Sil,Park, Nam-Chun,Yang, He-Rynn,Kim, Nam-Hoon,Park, Kyoung-Sun,Lee, Jin-Moo,Lee, Chang-Hoon,Jang, Jun-Bok,Hwang, Deok- 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.4
Objectives: Bee Venom has been used to relieve pain and to treat various diseases, such as arthritis, cancer and skin disease. Although Bee Venom has used extensively in gynecological fields, we don't have enough evidence with it. This study is to investigate efficacy and safety of Bee Venom on women by investigating papers, then we are going to suggest the direction of research. Methods: We searched for papers which had Bee Venom from Pubmed, OASIS, Journal of Korean Obstetrics & Gynecology, Journal of Korean Medicine up to August 2017, then classified according to the type of studies. Results: Eleven papers have been finally selected. One paper was a case report about atypical squamous cells of undetermined significance. Four papers were in vivo studies about 1 endometriosis and 1 polycystic ovarian syndrome and 2 human cervical cancer. Among eight papers that were in vitro studies, four papers were reported about ovarian cancer and four papers reported about human cervical cancer. Among ten papers that were experimental studies, two papers have been studied both in vivo and in vitro. Most of studies have shown that Bee Venom is useful for gynecological disorders. Conclusions: It has been identified that Bee Venom could be a good treatment for female disorder. However, more clinical reports and well-designed studies will be needed.
원인불명의 혈뇨를 호소하는 만성골반통 여성 환자에 대한 치험 1례
박남춘 ( Nam-chun Park ),강나훈 ( Na-hoon Kang ),김준호 ( Joon-ho Kim ),유은실 ( Eun-sil Yoo ),박연경 ( Yeon-kyoung Pak ),황덕상 ( Deok-sang Hwang ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bok Jang ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.3
Objectives: Hematuria can occur frequently for various reasons, but there are so many patients who suffered from unexplained hematuria. This study aims to report the clinical effect of Korean medicine on unexplained hematuria with chronic pelvic pain. Methods: The patient received Korean medicine therapies such as herbal medication, acupuncture, moxibustion, cupping therapy, and Korean medicine steam therapy (about 20 days). Results: Urine occult blood and urine micro red blood cell of the patient were noticeably reduced during the treatment. The clinical symptoms about chronic pelvic pain were also improved. Conclusions: This case shows that Korean medicine is effective on unexplained hematuria with chronic pelvic pain.
원발성 월경통의 전침 치료 연구에 관한 체계적 문헌 고찰
박남춘 ( Nam-chun Park ),강나훈 ( Na-hoon Kang ),유은실 ( Eun-sil Yoo ),이진욱 ( Jin-wook Lee ),윤준걸 ( Jun-geol Yoon ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bok Jang ),황덕상 ( Deok-sang Hwang ) 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.2
Objectives: This review aims to report the efficacy and safety of electroacupuncture in the treatment of primary dysmenorrhea. Methods: We searched for randomized controlled studies (RCTs) using electroacupuncture on primary dysmenorrhea up to Dec 2016. The following databases were searched : OASIS, PubMED, EMBASE, CENTRAL. The results of the studies were analyzed and the risk of bias was assessed. Results: Five studies were included in this review. In most studies, the effect of electroacupuncture at Sameumgyo (SP6) was better than that of electroacupuncture at Hyeonjong (GB39), nonacupoint and no intervention about Visual analog scale (VAS), Verbal rating scale (VRS) and Retrospective symptom scale (RSS). But there were no significant effects on Resistance Index (RI) and S/D ratio (the ratio between peak systolic to end-diastolic flow velocity in uterine arteries). Serous adverse events were not reported. Conclusions: This review shows that electroacupuncture is effective on primary dysmenorrhea with no serious adverse events.
열기훈법(熱氣熏法)및 침, 뜸, 한약 치료가 대하(帶下)를 주소로 내원한 환자의 증상변화에 미치는 영향에 대한 연구
채민수 ( Min Soo Chae ),강나훈 ( Na Hoon Kang ),김준호 ( Joon Ho Kim ),황덕상 ( Deok Sang Hwang ),이진무 ( Jin Moo Lee ),이창훈 ( Chang Hoon Lee ),이경섭 ( Kyung Sub Lee ),장준복 ( Jun Bock Jang ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.3
Objectives: This study aimed to investigate therapeutic effect of Korean Medicine Steam Therapy (KMST) for leukorrhea patients. Methods: From December 1st 2013 to Nov 31st 2014, 16 leukorrhea outpatients treated with KMST filled out questionnaire before and after treatments. The questionnaire was composed of 8 question items such as sleep, appetite & digestion, urination, defecation, emotion, cold hypersensitivity, menstrual pain, leukorrhea and patients were told to evaluate their symptoms as NRS score. We analyzed mean NRS score of each question item before and after KMST by using Wilcoxon``s signed rank test of SPSS ver. 19. Results: Mean age of participants was 40.8±13.0 years and mean value of treatment numbers per person was 3.8±1.8 times. 43.75% (n=7) of the patients had history of vaginitis caused by gardnella vaginalis, ureaplasma urealyticum or candida albicans. All patients were treated with acupuncture, moxibustion and Korean medicine. In addition, there was no side effect reported by participants. NRS score of quantity, odor of leukorrhea, perineal unpleasant sensation such as itching, dryness, burning sensation remarkably decreased (p<0.01, p<0.05, p<0.01 each). NRS score of symptoms including sleep, urination, cold hypersensitivity, menstrual pain also remarkably decreased (p<0.05). Conclusions: Symptoms of leukorrhea patients including sleep, urination, cold hypersensitivity, menstrual pain, leukorrhea showed significant decrease after treated with concurrent KMST.
김준호 ( Joon Ho Kim ),강나훈 ( Na Hoon Kang ),박강인 ( Kang In Park ),박연경 ( Youn Kyung Pak ),황덕상 ( Deok Sang Hwang ),이진무 ( Jin Moo Lee ),이창훈 ( Chang Hoon Lee ),이경섭 ( Kyung Sub Lee ),장준복 ( Jun Bock Jang ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.1
Objectives: Arrhythmia can occur frequently when state of pregnancy or after carriage, but it is rare that the symptom continues. We have a case of arrhythmia, which occurred after stillbirth and has lasted for about 4 months, treated by Korean medicine treatment, so we report a case on arrhythmia occurred after stillbirth. Methods: Patient, who suffered from arrhythmia after stillbirth, was enrolled in this study. She received Korean medicine therapies such as herbal medicine, acupuncture and negative cupping. Results: Discomfort and frequency of arrhythmia was reduced by Korean medicine therapies. Conclusions: The present study suggests that Korean medicine therapies have a effect on arrhythmia caused by stillbirth.
김준호 ( Joon Ho Kim ),강나훈 ( Na Hoon Kang ),채민수 ( Min Soo Chae ),황덕상 ( Deok Sang Hwang ),이진무 ( Jin Moo Lee ),이창훈 ( Chang Hoon Lee ),이경섭 ( Kyung Sub Lee ),장준복 ( Jun Bok Jang ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.2
Objectives: Chronic pelvic pain (CPP) is a common gynecologic symptoms. Various diseases, specially irritable bowel syndrome (IBS), ovarian cysts, and endometriosis, can occur CPP, but the medicines and the operations which used on these diseases have many side effects and even if patients get treatments, pain usually remain due to the pathology is not accord with the pain or the cause is not clear. There are some cases about effective of the Korean medicine therapies, but cases are still deficiency and case series has not been reported. We have a case series of CPP treated by Korean medicine treatment, so we report a case series on CPP. Methods: 6 patients, who suffered from CPP, were enrolled in this study. They received Korean medicine therapies such as herbal medicine, moxibustion, and acupuncture. Results: CPP was reduced by Korean medicine therapies. Conclusions: The present study suggests that Korean medicine therapies have a effect on CPP.
부인과영역 질환 수술 후 한방입원치료를 받은 환자에 대한 전반적 현황분석 및 통계적 고찰
이진욱 ( Jin-wook Lee ),강나훈 ( Na-hoon Kang ),유은실 ( Eun-sil Yoo ),박남춘 ( Nam-chun Park ),박경선 ( Kyoung-sun Park ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bok Jang ),황덕상 ( Deok-sang Hwang ) 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.3
Objectives: This study aims to analyze the current status of hospitalized patients and effects of Korean medical treatment after gynecological surgery. Methods: We analyzed the medical records of patients admitted to our hospital from January 2015 to May 2017 and categorized the pre-operative and post-operative contents. We performed statistical analysis using SPSS ver.20 for the patients` pains among symptoms. Results: Among total 87, patients 82.8% had hysterectomy. The most cause of the surgery were adenomyosis. The average duration of hospitalization was 10.4±5.7 days and all patients were treated with acupuncture. Gami-sibjeon-tang was used most frequently. Among the symptoms that occurred after the operation, abdominal pain, low back pain, pelvic pain were in the order of pain and statistically significant decrease in the mean NRS score. In the symptoms of system, general weakness, insomnia, digestive disorder were in the order of the frequency and were improved respectively. Conclusion: We were able to find out the effectiveness of post-operative Korean medical treatment through hospitalized patients. More data collection and systematic research designs are needed.
한의표준임상진료지침 개발을 위한 유방암 보완치료 실태조사
김남훈 ( Nam-hoon Kim ),강나훈 ( Na-hoon Kang ),유은실 ( Eun-sil Yoo ),박남춘 ( Nam-chun Park ),이진욱 ( Jin-wook Lee ),박경선 ( Kyoung-sun Park ),이진무 ( Jin-moo Lee ),이창훈 ( Chang-hoon Lee ),장준복 ( Jun-bock Jang ),장보형 ( 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.4
목 적: 한의사의 유방암 보완치료에 대한 실태를 조사하고 임상진료지침의 필 요성을 알아보고자 본 연구를 시행하였습니다. 방 법: 본 연구는 e mail 설문지를 사용하였으며 유방암 환자 치료 여부, 내원 환자들의 병기, 증상, 진단, 치료, 기타 의견 등을 설문하였습니다. 결 과: 322명이 응답하였으며 그 중 84명이 해당 기관에서 유방암 치료를 시행하고 있었습니다. 내원 환자들의 주된 호소는 피로 및 전신 소력감이었고 변증 및 맥진을 주된 진단법으로 한약 및 침뜸을 중심으로 치료하고 있다고 응답하였습니다. 유방암의 한의학적 보완치료로서 임상진료지침이 필요하다고 생각하며 개발된 다면 적극적으로 사용하겠다고 응답하였습니다. 결 론: 유방암 보완치료 실태조사를 통해 임상진료지침에 대한 필요성을 알 수 있었으며 추가적인 연구가 필요합니다. Objectives: To determine the current status of the treatment of breast cancer patients by Korean Medicine doctors (KMDs) and to examine the need for clinical practice guidelines (CPGs) for the supportive care of these patients. Methods: This cross-sectional study used a self-administered questionnaire. Participants were asked about their experience in treating breast cancer patients; the number of breast cancer patients they currently treat; the main complaints expressed by, diagnoses of, and treatments used for such patients; and their opinions about Korean Medicine (KM) as the basis for providing supportive care for breast cancer. Results: The data for this study were collected from 322 respondents. 84 of whom reported having ever treated patients with breast cancer. Most breast cancer patients who visited the KM clinic were classified as stage I or Ⅱ, and their major complaints were fatigue, general weakness and musculoskeletal pain. The major diagnostic strategies were syndrome differentiation and pulse diagnosis. The major treatments administered were herbal medicine, acupuncture, and moxibustion. KMDs cited a need for medical information, such as CPGs, as their most important concern with regard to the treatment of breast cancer patients. Conclusions: This survey determined the prevalence of the use of KM for Korean breast cancer patients. Our results underscore the need for clinical practice guidelines for using of KM as the basis of supportive care for breast cancer and for informing clinicians and patients about this approach.