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신양허(腎陽虛)로 변증된 소편빈삭(小便頻數)에 삼부탕(蔘附湯)삼기탕가부자(蔘?湯加附子) 투여 2례
윤상필,이차로,정우상,문상관,김태경,Yun Sang-Pil,Lee Cha-Ro,Jung Woo-Sang,Moon Sang-Kwan,Kim Tai-Kyung 대한한방내과학회 2003 大韓韓方內科學會誌 Vol.24 No.2
Patients with neurogenic bladder undergo morphometric and functional changes of their bladder and urethra. As a result, voiding symptoms such as frequency, nocturia, urgency and incontinence appear. We experienced two cases of the urinary incontinence treated with Samboo-tang(Sanfu-tang). In the point of Differentiation of Syndrome, two cases were diagnosed as Deficiency Syndrome of Yang of the kidneys. After Samboo-tang(Sanfu-tang) administration, the frequency of the urinary incontinence were decreased and the accompanied symptoms also improved. So, we report two cases with a brief view of related literatures.
정선영,이차로,Jeong, Seon-Yeong,Lee, Cha-Ro 척추신경추나의학회 2015 척추신경추나의학회지 Vol.10 No.1
Objectives : The aim of this systemic review was to summarize and compare adverse effect of spinal manipulation at domestic and abroad. Methods : We searched articles in Korean databases and Pubmed. We selected and analysed the articles met inclusion criteria. Results : 51 cases were included. 32 cases in Pubmed show that adverse effect related to cervical rotation and high velocity low amplitude(HVLA) thrust manipulation. It leads to severe adverse effect and sequela about vascular. While, 19 cases in Korean articles shows that domestic spinal manipulation is more safe becase of lower use of high velocity low amplitude(HVLA) thrust. It leads to low incidence of vascular adverse effect and no sequela. Conclusions : We concluded that Chuna is difficult manipulation because of possibility of adverse effect. Chuna is recommended to be taken by licensed medical practitioners who are skilled and complete the regular curriculum. Further studies like meta analysis about spinal manipulation are needed to estimate incidence of adverse effect. And adverse effects are going to be collected continually through randomized controlled trials(RCT) related to spinal manipulation.
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.
Intercrestal line 높이와 요추 추간판 탈출증의 상관관계에 대한 영상학적 연구
추원정,김민영,서민수,이차로,최희승,최영일,남항우,Choo, Won-Jung,Kim, Min-Yeong,Seo, Min-Soo,Lee, Cha-Ro,Choi, Hee-Seung,Choi, Young-Il,Nam, Hang-Woo 척추신경추나의학회 2011 척추신경추나의학회지 Vol.6 No.2
Objectives : The purpose of this study is to find out the relation between the height of intercrestal line, and HIVD(Herniated Intervertebral Disc)of Lumbar spine. Methods : We investigated 445 cases (208 male, 237 female) of patients who were diagnosed as HIVD of L-spine at either L4/5 or L5/S1 level. We analysed the relation between the height of intercrestal line and the level of HIVD. Results : 1. Among 445 cases, the level of intercrestal line with HIVD of L-spine at the specific location was different between male and female. In male, the intercrestal line is more likely to be located at L4 level, while in female more likely to be located at L5 level. 2. Among 445 cases, L5/S1 HIVD patients(272, 61.1%) were more than L4/5 HIVD patients(173, 38.9%). At L4 body area, L4/5 HIVD patients were more than L5/S1 HIVD patients, however, at L4/5 intervertebral area and L5 body area, L5/S1 HIVD patients were more than L4/5 HIVD patients. (p<0.01) 3. When the line is located at higher level, HIVD of L-spine tends to be occurred at L4/5 level. Contrastly, when the line is located at lower level, HIVD of L-spine tends to be occurred at L5/S1 level. (p<0.01) Conclusions : High intercrestal line leads to L4/5 HIVD, while low intercrestal line leads to L5/S1 HIVD. Possibly, it is caused by different length and thickness of the iliolumbar ligament.
만성 요통환자에서 성별에 따른 고관절 내회전 각도의 비교
이재영,한상엽,남항우,정벌,이차로,한상욱,Lee, Jae-Young,Han, Sang-Yup,Nam, Hang-Woo,Chung, Bul,Lee, Cha-Ro,Han, Sang-Wook 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2
Objectives : This study is planned to classify different biomechanics of men and women, from the comparison of normal range and hip internal rotation angle in chronic low back pain patients. Methods : We measured the hip internal rotation angle of the 30 men and 30 women patients with low back pain that has been over 3 months in BuCheon Jaseng Hospital of Oriental medicine. We set 35-45 degrees as normal range, and found the patients with exceeding normal range, the patients with normal range, and the patients with under normal range. Results : Men appeared to have less hip internal rotation angle than women. Especially, the men's left hip internal rotation angle was less than normal range. On the other hand, women's right hip internal rotation angle was often larger than normal range which was stastically significant. Conclusions : Contraction of hip external rotation muscle including gluteus maxius muscle and piriformis muscle in men, or relaxation of posterior gluteus medius, gluteus maxius and piriformis muscle with contraction of tensor fasciae latae, a part of hip internal rotation muscle, in women seems to be the basis for biomechanics of chronic low back pain.
어혈, 담음으로 변증된 요추부 추간판 탈출증 환자들의 특성에 관한 연구
엄태웅 ( Tae Woong Eom ),이차로 ( Cha Ro Lee ),김호준 ( Ho Jun Kim ),이명종 ( Myeong Jong Lee ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.4
ObjectivesIn this study, we wanted to find out the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of lumbar disc herniation being classi-fied as blood stasis and phlegm-retained fluid.MethodsWe surveyed 42 patients suffering from lumbar disc herniation using the diag-nosis blood stasis syndrome, water retention syndrome of the comprehensive diagnosis of QI blood water. Blood stasis and phlegm-retained fluid are identical with blood stasis syn-drome, water retention syndrome. Then we analyzed the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of the patients suffering from lum-bar disc herniation who were diagnosed as blood stasis and phlegm-retained fluid.ResultsPatients were sorted into two groups: 18 blood stasis patients and 30 phlegm-retained fluid patients. Gender (Woman), acute phase and night pain are related to blood stasis. Acute phase, positive of SLR test is related to phlegm-retained fluid. There was no correlation between blood stasis and SLR test, valsalva test, duration, ESR, CRP. Also no correlation between phlegm-fluid and gender, valsalva test, duration, ESR, CRP and night pain.ConclusionsBy Considering the characteristics - gender, SLR test, valsalva test, dura-tion, ESR, CRP and night pain - of lumbar disc herniation patients, it can help to analyze the pattern of its symptoms. (J Korean Med Rehab 2013;23(4):159-167)
엄봉군,조태영,정영훈,이차로,이재영,안영태,Uhm, Bong-Kun,Cho, Tae-Young,Jung, Young-Hun,Lee, Cha-Ro,Lee, Jae-Young,Ahn, Young-Tae 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.1
활락탕을 처방하여 편타성 손상으로 경부 및 상지에 극심한 통증이 호전된 2례를 통해 편타성 손상의 초기 단계인 경우(1-10 일(日)) 활혈거어지제(活血祛瘀之劑)를 사용하게 되는데 초기 극심한 통증 제어 및 치료에 활락탕이 유효한 효과가 있었음을 확인하였다. 이에 저자는 본원에 편타성 손상증후군으로 입원하여 활락탕을 복용 한 뒤 호전된 2케이스를 보고하고자 한다. Objectives: The Purpose of this study is to investigate the clinical application of Whallak-tang(Huoluo-tang) to two patients with Whiplash injury. Methods: Patients are hospitalized at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as Whiplash injury and treated mainly with herbal medine; Whallak-tang(Huoluo-tang). This study was measured by NDI(Neck Disability Index) and VAS(Visual Analogue Scale) score. Results: After taking Whallak-tang(Huoluo-tang), the patient's pain was controlled and slept well after treatment. VAS & NDI score were decreased. Conclusions: As seen in this two cases of whiplash injury, Whallak-tang(Huoluo-tang) has a positive effect to control pain with whiplash injury.
중풍환자(中風患者)의 불면증(不眠症)에 피내침(皮內針)의 유효성(有效性) 및 적응증(適應證) 평가(評價)
이상호,김은주,김이동,윤상필,이차로,홍진우,정동원,문상관,조기호,김영석,Lee Sang-Ho,Kim Eun-Ju,Kim Lee-Dong,Yun Sang-Pil,Lee Cha-Ro,Hong Jin-Woo,Jeong Dong-Won,Moon Sang-Kwan,Cho Ki-Ho,Kim Young-Suk 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.1
Objective : Insomnia is the disorder of initiation or maintenance in sleeping that results in daytime sleepiness and dysfunction, and it arises from multiple psychological, physiological and environmental factors. A number of stroke patients suffer from insomnia are classified as sleep disorder patients with physical illness. In addition, insomnia may have profound deleterious effects on the natural course of stroke. We are to assess the effectiveness of intradermal acupucture on stroke combined with insomnia. Methods : We recruited hospitalized patients with insomnia after stroke. Then, the subjects were allocated into a treatment group and a control group by randomization. The treatment group received intradermal acupuncture therapy at He-7(神門), EH-6(內關) correctly. However in control group, intradermal acupuncture were just attached to He-7(神門), EH-6(內關) without insertion. Treatment over time at first day and second day a various indexes were repeatedly checked such as sleep latency, total sleep time, sleep quality, condition on awakening, ability of concentration, morning sleepiness, Insomnia Severity Index, and Athens Insomnia Scale. In the second analysis, we divided the treatment group into a response and a non-response group by their response to intradermal acupuncture. With the acupuncture treatment, accompanied symptoms were checked Results : Among thirty two subjects, two of them were dropped out: One complained the pain from needle insertion, and the other underwent the change of his herbal medication. At baseline investigation with the residual 30 subjects, the control and the treatment group were assessed to have an equal comparability. In the treatment group, sleep latency, total sleeping time, a number of awakenings, sleep quality and ability of concentration showed improvement significantly compared with the control group. The non-response Group showed symptoms such as nausea and halitosis, belching and acid regurgitation, abundant expectoration, while Responder Group showed palpitation, oppressed feelings in chest and sleep disorder. Conclusions: The result of this clinical study suggests that the intradermal acupuncture at He-7(神門), EH-6(內關) is one of the effective treatments for the insomnia after stroke.
교통사고 후 발생한 경항통에 대한 약침과 추나의 치료효과 비교 연구
이재훈 ( Jae Hoon Lee ),김준수 ( Jun Soo Kim ),양기영 ( Kee Young Yang ),한상엽 ( Sang Yeob Han ),이차로 ( Cha Ro Lee ),신홍균 ( Hong Kyun Shin ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.1
Objectives :The purpose of this study is to compare the effect of pharmacopuncture treatment with chuna treatment for neck pain caused by traffic accidents. Methods :This study was carried out on the 82 patients with neck pain caused by traffic accidents. The patients were divided into 2 groups; Pharmacopuncture(PA) group was treated by pharmacopuncture treatment. Chuna(CN) group was treated by chuna treatment. Also both groups treated by general acupuncture and herb-medicine treatment. We measured visual analog scale(VAS) before the treatment and 2, 4 weeks later. Also neck disability index(NDI) measured before the treatment and 4 weeks later. Results :In results, NDI and VAS scores were improved after 4 weeks later in both groups. There were no significant difference between NDI and VAS scores after 4 weeks later in both groups. However, in the second period(from 2 to 4 weeks treatment) CN group showed significant diffrence as compared to PA group in VAS scores. Conclusions :In this study, there were no significant difference between pharmacopuncture treatment and chuna treatment for neck pain caused by traffic accidents. However, in the second period(from 2 to 4 weeks treatments) chuna treatment was more effective than pharmacopuncture treatment for neck pain by traffic accidents.