재발된 아급성 갑상선염 2예

윤효중,황용하,이기영,김홍규,박혜영,강문호 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.1

Subacute thyroiditis is a self-limited inflammatory disease of viral etiology. Patients of subacute thyroiditis usually recover completely with no sequelae and recurrences are infrequent. We report two cases of recurrent subacute thyroiditis. Case 1) A 21-year-old female visited the hospital for evaluation of neck pain. She had a history of antecedent upper respiratory infection, which had been followed for 10 days. She experienced heat intolerance, sweating, palpitation and tremor. On physical examination, her heart rate was 108/min and diffuse, firm and tender goiter was palpated. Thyrotoxicosis and decreased uptake on thyroid scan were found. We diagnosed subacute thyroiditis and she recovered with salicylate and beta blocker treatment. Two years later, she revisited our hospital with the same complaint. Typical findings of subacute thyroiditis were noticed. She recovered once more with the same treatment regimen. Case 2) A 54-year-old female visited the hospital for evaluation of neck pain. She had a history of antecedent upper respiratory infection, which was followed for 14 days. She experienced heat intolerance, sweating, palpitation and weight loss. On physical examination, her heart rate was 112/min and diffuse, firm and tender goiter was palpated. Thyrotoxicosis and decreased uptake on thyroid scan were found. We diagnosed subacute thyroiditis and recovered with prednisolone and beta blocker treatment. About eight months later, she revisited our hospital with the same complaint. Typical findings of subacute thyroiditis were noticed. We report two subjects who experienced recurrent episodes of subacute thyroiditis separated by periods of 24 and 8 months. These cases serve as a reminder that recurrence of subacute thyroiditis can occur

桂枝加附子湯을 이용하여 호전된 요실금 치험 1례

윤효중,이숭인 대한한의학방제학회 2018 大韓韓醫學方劑學會誌 Vol.26 No.4

Objective : The purpose of this case report is to offer an unprecedented target for Gyejigabuja-tang by analyzing a case in which the symptoms were improved by the herbal decoction therapy, and to accumulate a fundamental knowledge in herbal medicine therapy for urinary incontinence. Method : We studied a patient’s chart with the patient’s consent and displayed patient’s timeline and adherence in a figure according to the CARE guideline. The progress of urination symptoms were assessed with the frequency of urination and how long the patient can stand urine. The accompanied lower limb pain was estimated with Numerical Rating Scale(NRS) Results : The patient’s adherence was good during the medication period and symptoms related with urination and accompanied lower limb pain were improved with no specific side effects. NRS of the lower limb pain decreased from 7 to 2, the frequency of urination also improved from over 10 times to 6~8 times per day, and the patient can stand urine from less than 1 second to 2~3 minutes. Conclusions : Gyejigabuja-tang was effective for an urinary incontinence patient which corresponds to the provision No.20 in Shanghanlun.

기면증

윤효중 대한상한금궤의학회 2021 대한상한금궤의학회 학술대회자료집 Vol.2021 No.-

주의력결핍 과잉행동장애(ADHD)아동에게 白虎加人蔘湯을 투여하여 호전된 2례

윤효중,이숭인,변성희 대한상한금궤의학회 2019 대한상한금궤의학회지 Vol.11 No.1

Objective: The purpose of this study was to report the improvement of two children with attention deficit hyperactivity disorder (ADHD) following herbal treatment according to the provision of Shanghanlun. Methods: We diagnosed patients on methylphenidate for ADHD as no. 26 provision in Taeyangbyung, and analyzed the improvement from the medical records, teachers' statements, The Korean Version of Inattentive/overactive with Aggression-Conners Rating Scale(K-IOWA CRS). Results: We found a change in the symptom after Baekhogainsam-tang administration. In the first case, the K-IOWA-CRS score changed from 12 to 8 during the previous 70 days of treatment, however, surged to 21 without Baekhogainsam-tang treatment. The score stabilized to 8 after 49 days later. In the second case, the score changed from 9 to 3 following Baekhogainsam-tang treatment. Conclusions: These cases show behavioral improvements with Baekhogainsam-tang treatment in ADHD children, who were diagnosed with no. 26 provision according to Shanghanlun.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 접촉성피부염 1례

윤효중,하현이,노영범,Yun, Hyo-Joong,Ha, Hyun-yee,Rho, Yeong-Beom 대한상한금궤의학회 2016 대한상한금궤의학회지 Vol.8 No.1

Objective : The purpose of this paper is to report the improved contact dermatitis(CD) treated with the herbal medication based on Shanghanlun disease pattern identification diagnostic system. The level V steroid ointments were no use to the patient 3weeks before the treatment. Methods : In this case, the patient was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' and took Mahwang-tang for 36days since the final diagnosis was Taeyang-byung, number 46 provision. The photographs of patient's hands were taken to observe the process of the skin status and the discomfort from CD was measured with DLQI(Dermatologic Life Quality Index) and NRS(Numeric Rating Scale). Results : The DLQI score changed from 24 to 7 and NRS of itching changed form 8 to under 4. Conclusions : This case report shows that the herbal medication through the diagnostic system could be a remedy on CD, dealing with the skin status with no use of the level V steroid ointments. It is needed proving an alternative possibility of Korean Medicine, on other skin diseases, with later studies since there are many reports on the side-effects after some long-term steroid treatments.

공황장애의 진단적 규정에 따른 고방(古方) 활용 변천사

윤효중 대한상한금궤의학회 2020 대한상한금궤의학회 학술대회자료집 Vol.2020 No.-

포스터 전시 : 기타 ; 간경변 환자에서 상부위장관 수면내시경의 전처치에 사용한 Propofol과 Midazolam 병용투여의 안전성

윤효중,김상균,나현식,맹주희,한상훈,장재영,고봉민,홍수진,유창범,김영석,문종호,이문성,심찬섭,김부성 대한소화기학회 2006 대한소화기학회 추계학술대회 Vol.2006 No.-

세일앤리스백을 통한 중소기업 구조조정에 관한 사례 연구

윤효중,정찬식,김순호 한국경영컨설팅학회 2019 경영컨설팅연구 Vol.19 No.2

This study investigates the use of sale-and-leaseback in the SME restructuring process. Sales-and-leaseback allows companies to sell assets at market value, reduce debt, improve financial structure, and maintain the rights to use assets by leasing. It can be an alternative to satisfy both creditors and management at the same time, and also can increase the possibility of successful corporate rehabilitation. The Korea Asset Management Corporation (KAMCO) supports restructuring of SMEs by introducing sales-and-leaseback and providing support via financial institutions. This study examines three case studies conducted by the KAMCO and shows the role of sale-and-leaseback in the course of corporate restructuring and rehabilitation. 본 연구는 세일앤리스백(sale-and-leaseback)을 중소기업의 구조조정목적으로 활용한 사례를 조사하였다. 세일앤리스백은 일시적으로 재무적 곤경에 처한 기업의 시장가치가 있는 핵심 영업자산을 매각하여 부채를 감축하고 재무구조를 개선하면서 동시에 임대를 통해 해당 자산의 사용권을 유지할 수 있어 차질 없이 경영활동을 지속할 수 있다는 점에서 기업과 채권자를 동시에 만족시킬 수 있는 기업구조조정 대안이 될 수 있고 이를 통해 기업의 회생 가능성을 높일 수 있다. 한국자산관리공사는 세일앤리스백을 도입하여 중소기업 구조조정을 지원하고 있는데 자산의 매각 및 임대와 함께 사전에 협약이 체결된 금융기관을 통해 추가적인 지원을 실시하여 기업구조조정과 회생을 중층적으로 지원하고 있다. 본 연구는 한국자산관리공사에서 실시한 세 건의 사례를 구체적으로 살펴보고 회생 가능성 있는 기업이 회생하여 정상 기업으로 진행하는 과정에서 세일앤리스백의 역할을 보여주고 있다.

상부소화관 점막하 종양의 일괄 절제를 위한내시경 종양하 박리법의 유용성

윤효중,유창범,나현식,맹주희,한상훈,고봉민,홍수진,조주영,이준성,이문성,심찬섭,김부성 대한소화기내시경학회 2008 Clinical Endoscopy Vol.36 No.4

목적: 식도 및 위의 점막하 종양은 대부분 특별한 증상이 없어서 상부 위장관 내시경에서 우연히 발견되는 경우가 많다. 이들 대부분은 양성 경과를 보이지만 위장관 간질종양은 악성 변화를 할 수 있어서 종양의 크기에 따라 절제가 필요한 경우도 있으나 고유근층에 있는 경우 고식적인 방법의 내시경적 절제술로는 절제가 힘들다. 이에 본 교실에서는 점막하 종양의 절제에 내시경 종양하 박리법을 시행하여 이의 유용성에 대해 알아보고자 하였다. 대상 및 방법: 점막하 종양으로 진단된 15예(남자 10예, 여자 5예, 위 13예, 식도 2예)에서 일괄 절제를 위해 다양한 종류의 절개도로 종양의 변연부 점막하층과 기저부를 박리하였다. 시술 전 모든 환자에서 내시경 초음파를 시행하여 종양의 크기와 기원 그리고 종양의 성장 방향을 알아보았으며 절제 후 최종 조직형과 크기, 시술 시간과 시술 방법, 일괄 절제 여부와 합병증에 대해 후향적으로 분석하였다. 결과: 병리학적 진단으로 고유근층의 위장관 간질종양이 6예, 고유근층의 평활근종이 2예, 점막근층의 평활근종이 2예, 점막하층의 이소성 췌장이 3예, 점막하층의 지방종이 1예, 점막하층의 혈관종이 1예였으며 13예(86.7%)에서 일괄 절제가 가능하였다. 절제된 조직의 평균 크기는 29.5×21.1 mm이었고, 평균 시술 시간은 49.4분이었다. 고유근층 기원 종양을 가진 2예의 환자에서 천공이 발생되었으나 클립을 이용한 내시경적 봉합술로 외과적 수술 없이 치료되었다. 결론: 식도 및 위 점막하 종양에서 내시경 종양하 박리법은 비교적 큰 크기의 종양도 일괄 절제가 가능하므로 유용한 치료 방법이 될 수 있다. 그러나 고유근층과 같이 깊은 곳의 종양은 천공 등의 합병증 발생에 유의해야 한다.

『傷寒論』 辨病診斷體系에 근거하여 葛根黃連黃芩湯 투여 후 호전된 성인, 소아 ADHD 4례

윤효중,김민환,두인선,이성준 대한상한금궤의학회 2023 대한상한금궤의학회지 Vol.15 No.1

Objectives : This study reports on the cases of four ADHD patients who treated with herbal medication based on Disease Pattern Identification Diagnostic System (DPIDS). Methods : Two children and two adults were diagnosed with ADHD according to DSM-Ⅴ, and Galgeunhwangryeonhwanggeum-tang was administered. The parents of the two children completed the Korean ADHD Rating Scale (K-ARS) before and after treatment, while the other patients used the Korean ADHD Self Rating Scale (K-ASRS). The patients' somatic symptoms and other issues were evaluated through interviews. Results : In the first case, the K-ARS scale exhibited a change from 28 to 3. The patient demonstrated improvements in attention, concentration, and social behavior, along with the elimination of self-injurious behavior. In the second case, the K-ARS scale showed a change from 41 to 9. The patient in the third case demonstrated improved chronic fatigue, increased attention, work efficiency, and enhanced social skills, leading to maintaining employment for over six months for the first time in their life after the treatments. Additionally, the patient in the fourth case demonstrated improved work concentration and relief in nocturia. Conclusions : In this study, four patients exhibited improvements in symptoms of attention deficit, hyperactivity, and impulsivity before and after herbal treatment, leading to enhanced academic and social relationships. As the patients progressed in their health restoration, symptoms related to the genitourinary system also showed improvement.