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중풍환자(中風患者)의 연하장애(嚥下障碍)에 전중혈 구치료(灸治療)가 미치는 효과(效果)
나병조,이준우,이차로,박영민,최창민,선종주,정우상,문상관,박성욱,조기호,김태훈,Na, Byong-Jo,Rhee, Jun-Woo,Lee, Cha-Ro,Park, Young-Min,Choi, Chang-Min,Sun, Jong-Joo,Jung, Woo-Sang,Moon, Sang-Kwan,Park, Sung-Wook,Cho, Ki-Ho,Kim, Tae-Hun 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.2
Objectives: Dysphagia is a common in stroke patients. Dysphagia often affects the rehabilitation of stroke patients by increasing the risk of nutritional deficits and aspiration pneumonia. Despite the proliferation of physical therapies including swallowing training, much controversy remains regarding the application and benefit of them. Therefore, in this study, the clinical effect of moxibustion at Chonjung(CV17, Shanzhong) on post-stroke dysphagia were assessed using Swallowing Provocation Test(SPT). Methods: Dysphagia subjects were selected by Dysphagia Screening Test. Swallowing function was tested by Swallowing Provocation Test(sec). Direct moxibustion was applied to the acupoint, Chonjung, five times and Swallowing Provocation Test was performed before and after 30 minute. The Latency Time of Swallowing Reflex (LTSR) was checked by SPT. To find factors related with improving swallowing function, Cold-Heat and Excess-Deficiency Diagnosis were considered. Results: A total of 42 patient were included, but two of them were excluded due to severe coughing. Overall, the swallowing reflex improved significantly. In subgroup analysis on brain lesion, non-brain stem lesion patients significantly improved. Moxibustion was more effective in the cold group than in the heat group, but there were no differences between the Excess and the Deficiency groups. Conclusions: The result of this clinical study suggest that moxibustion at Chonjung(CV17, Shanzhong) is an effective treatment for the dysphagia patients after stroke, especially in non-brain stem lesion and the cold diagnosed patients.
기능성 소화불량증에 대한 적외선 체열검사(DITI)의 임상 지표적 의의 연구
정승환,임인환,엄은진,이범준,나병조,Jeong, Seung-Hwan,Im, In-Hwan,Um, Eun-Jin,Lee, Beom-Jun,Na, Byong-Jo 대한한방체열의학회 2008 대한한방체열의학회지 Vol.6 No.1
Objective: To investigate the significance of temperature differences on two different acupuncture points between functional dyspepsia(FD) group and non-functional dyspepsia(non-FD) group respectively. Methods: We performed this research on 40 patients who came and took D.I.T.I in Kang-nam korean hospital kyung-hee university. We analyzed the averaged temperature of Zhongwon(CV12), Indang(HN1) and, also, investigated the significance of subtraction from Indang to Zhongwon temperature statistically. Results: The temperature differences from Indang to Zhongwon between functional dyspepsia group and non-functional dyspepsia group was significant, it meant that patients who have functional dyspepsia have more significant temperature difference from Indang(HN1) to Zhongwon(CV12). The direct comparisons of mean temperature between Indang and Zhongwon in the FD group and non-FD group were not significant. Conclusion: The study provide hypothesis on the temperature difference from Indang(HN1) to Zhongwon(CV12) and its association with functional dyspepsia. This study can provide a foundation for future studies on the evaluation of functional dyspepsia by using D.I.T.I.
대뇌반구의 병변과 동측에 반신마비 발생한 중풍 환자의 1례
조승연,곽자영,홍진우,나병조,박성욱,정우상,문상관,박정미,고창남,Cho, Seung-yeon,Gwak, Ja-young,Hong, Jin-woo,Na, Byong-jo,Park, seong-uk,Jung, Woo-sang,Moon, Sang-kwan,Park, Jung-mi,Ko, Chang-nam 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1
Stroke is a disease which results in impairment of body functions and affects everyday life. The ability of cerebral neurons to become reorganized and restore function after damage is called plasticity. Motor impairment typically appears contralateral to the affected cerebral hemisphere in patients with cerebral lesions. The authors report a case of a patient with hemiplegia ipsilateral to affected cerebral hemisphere, along with its conjectured mechanism.
소풍보심도담탕(疎風補心導痰湯) 합(合) 생맥산(生脈散) 투여 후 임상증상 및 심전도 상 심방조동이 호전된 환자 1례
김동현,임인환,유경환,나병조,이범준,Kim, Dong-Hyun,Im, In-Hwan,Rheu, Kyoung-Hwan,Na, Byong-Jo,Lee, Beom-Jun 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.3
Most of the atrial flutter occurs in patients who have an organic disease of the heart. The symptoms of atrial flutter include anxiety with palpitation. sleep disorder and fatigue. For a long time, oriental medicine has clinically treated these symptoms, and the diagnosis has been usually based on the doctor's judgment on the subjective clinical symptoms. However, if oriental medicine includes new diagnostic aids like electrocardiogram or other various methods or combinations of techniques, the accuracy and objectivity of diagnosis and clinical data can be improved. In this case, a 65 year-old male patient who had anxiety with palpitation and abnormal P wave (atrial flutter) on the EKG was treated with Xiaofengbusindaotantang (疎風補心導痰湯) and Shengmaisan (生脈散). Significant improvement in the clinical symptoms and EKG results was observed. This result suggests that oriental medical treatment can be used for treatment of organic heart disease like an atrial flutter. In addition, subsequent studies should be followed to ensure the appropriateness of new diagnostic aids, such as EKG, and other various modalities.
우황청심원(牛黃淸心元)이 정상인의 혈압(血壓), 맥박수(脈搏數), 뇌혈류(腦血流) 및 뇌혈관반응도(腦血管反應度)에 미치는 영향(影響)
윤상필,이상호,김은주,나병조,정동원,신원준,문상관,배형섭,김이동,Yun, Sang-Pil,Lee, Sang-Ho,Kim, Eun-Ju,Na, Byong-Jo,Jung, Dong-Won,Shin, Won-Jun,Moon, Sang-Kwan,Bae, Hyung-Sup,Kim, Lee-Dong 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.3
Objectives: Uwhangchungsim-won(UC) has been used in the treatment of a wide variety of conditions including stroke, hypertension, arterosclerosis, autonomic imbalance, and mental instability, in Korean traditional hospitals. The aim of this study was to evaluate the effect of DC on cerebral hemodynamics and to determine the appropriate dosage. Methods: We studied changes in hyperventilation-induced cerebrovascular reactivity and mean blood flow velocity of the middle cerebral arteries(MCAs) were studied by means of transcranial Doppler ultrasound. Changes in mean blood pressure, pulse rate and expiratory CO2(PECO2) were observed using Cardiocap TM/5. Six healthy young volunteers who were administrated with full doses of DC for group A, and half doses for group B. Six other healthy subjects comprised the control group. The evaluation was performed during basal condition, and repeated at 20, 40, 60, 120, and 180 minutes after administration. Results: Increases of cerebrovascular reactivity and mean blood flow velocity in the middle cerebral artery in group A were significantly different compared with group B and the control group (p<0.1). Mean blood pressure, pulse rate and expiratory CO2 did not change during the observation and were not different among these three groups. We observed that in cerebrovascular reactivity induced hyperventilation, group A was most effective at 40 minutes after administration, and its effectiveness lasted for 120 minutes. Conclusions: This study provides evidence for UC, in full doses, as an agent for dilation of the cerebral arteriols to increase hyperventilation-induced cerebrovascular reactivity as a consequence of faster recovery of blood flow velocity.
내관(內關)(PC6).공손(公孫)(SP4) 자침이 정상인의 자율신경계에 미치는 영향 연구
유경환,임인환,김동현,나병조,이범준,박성욱,고창남,Rheu, Kyoung-Hwan,Im, In-Hwan,Kim, Dong-Hyun,Na, Byong-Jo,Lee, Beom-Jun,Park, Seong-Uk,Ko, Chang-Nam 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.3
Objectives : This study was designed to investigate the effect of PC6 and SP4 on autonomic nerve system in healthy adults. Methods : 22 healthy adults were recruited and randomized into the study group or control group. The study group (real acupuncture group) was acupuncturcd on PC6 and SP4. The control group (sham acupuncture group) was acupunctured superficially near PC6 and SP4 but not the exact points. The subjects rested for 10 minutes, and were then acupunctured. After 15 minutes, acupuncture needles were removed and the subjects rested for another 15 minutes. Heart rate variability(HRV) was continuously measured during the study period by FM-150 (digital Holter ECG recorder). Results : In the real acupuncture group. LF(low frequency) significantly decreased during the acupuncture period(p<0.05). LF/HF ratio also had a significant decrease during acupuncture period and the decrease was maintained during the post-treatment period as compared with the pre-treatment period. In the sham acupuncture group. LF significantly increased during the acupuncture period but LF/HF ratio had no significant changes. Conclusions : The results suggest that acupuncture on PC6 and SP4 can increase parasympathetic activity and balance autonomic nervous system.
중풍 후 언어 장애에 대한 ☐☐의부집성(醫部集成)☐☐의 침구치료 고찰
정동원,민인규,문상관,나병조,홍진우,박성욱,정우상,박정미,고창남,조기호,배형섭,김영석,Jeong, Dong-won,Min, In-kyu,Moon, Sang-kwan,Na, Byong-jo,Hong, Jin-woo,Park, Seong-uk,Jung, Woo-sang,Park, Jung-mee,Ko, Chang-nam,Cho, Ki-ho,Bae, Hyung- 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1
Objectives and methods : The Euibujipsung is one of the huge-scale encyclopedias about Oriental Medicine. To search the most frequently used aupoints for dysarthria after stroke, we used Euibujipsung CD-ROM database with several chinese character keyword concerned with vernal function(語, 言, 音, 啞, 瘖, etc). Results : We found four popular acupoints(PC5, GV20, GV16, TE6), and five meridians (Governor vessel, Gall Bladder, Heart, Large Intestine and Triple Energizer). We also found that the extra meridians were used more frequently than other type of meridians. Conclusion : We think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.
소화불량을 주소(主訴)로 내원한 환자에서 탄산(呑酸)증상 유무와 심박변이도와의 상관성 연구
임인환,정승환,엄은진,이범준,나병조,Im, In-Hwan,Jeong, Seung-Hwan,Um, Eun-Jin,Lee, Beom-Jun,Na, Byong-Jo 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.4
Objectives : The objective of this study was to investigate the correlation between swallowing acid symptom and autonomic nerve system in dyspepsia patients. Methods : The test for heart rate variability (HRV) was done to 50 dyspepsia patients at the Department of Internal Medicine, Kang-Nam Kyung-Hee Korean Hospital. 21 among 50 patients had swallowing acid symptom and 29 didn't. We checked HRV and compared HRV index between the two groups. We also divided the patients into functional dyspepsia and organic dyspepsia groups, and then checked HRV respectively. Results were as follows : 1. In dyspepsia patients with swallowing acid, LF/HF ratio was higher than the dyspepsia patients without swallowing acid but the result was not statistically significant. 2. TP, LF, VLF, and LF/HF ratio was higher in the functional dyspepsia group than in the organic dyspepsia group. Average age in the organic dyspepsia group was significantly higher than in the other group. Both results showed statistically significant difference. 3. In the functional dyspepsia group, LF/HF ratio was significantly higher in patients with swallowing acid symptom than those without. However, in eructation and nausea symptoms, HRV index was not statistically significant. Conclusion : This study shows the ratio of sympathetic and parasympathetic nerve system increased in the swallowing acid patient group compared with the non-swallowing acid patient group in functional dyspepsia patients.
선종주,김석민,정재한,나병조,홍진우,정우상,문상관,조기호,김영석,배형섭,최창민,Sun, Jong-Joo,Kim, Seok-Min,Jung, Jae-Han,Na, Byong-Jo,Hong, Jin-Woo,Jung, Woo-Sang,Moon, Sang-Kwan,Cho, Ki-Ho,Kim, Young-Suk,Bae, Hyung-Sup,Choi, Chang-Min 대한한방성인병학회 2005 韓方成人病學會誌 Vol.10 No.1
When we prescribed Shiryungtang to a 65 years-old male patient with ARF after stroke, we could observe that his symptoms, I/O balance and laboratory findings were all improved. Therefore, we suggest that shiryungtang might be useful for ARF in the patient with stroke.
약진(藥疹)으로 심한 소양감을 보인 환자에 대한 온청음(溫淸飮) 투여 1례
김영지,김미영,이승엽,최원우,황재웅,정재한,홍진우,나병조,문상관,Kim, Young-jee,Kim, Mi-young,Lee, Seung-yeop,Choi, Won-woo,Hwang, Jae-woong,Jeong, Jae-han,Hong, Jin-woo,Na, Byong-jo,Moon, Sang-kwan 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1
Drug eruption is a relatively commin dermatological disorder and may cause significant problems. The treatment is to stop using a drug that may cuase a drug eruption. In some cases, steroids and antihistamines can be used supportively. According to some reports, Onchungeum(溫淸飮) has steroid-like effects and antihistaminic effects. We administered Onchungeum(溫淸飮) a patient with severe itching because of a drug eruption. After administration of Onchungeum(溫淸飮), itching decreased to much degrees. It can be suggested that Onchungeum(溫淸飮) can be used to treat symptoms of allergic skin disease like a drug eruption.