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사지마비를 주소로 하는 길랑바레 증후군 환자에 대한 증례보고 1례
허기윤,이찬,조임학,강희경,김민화,김소연,박성하,윤영주,이인,최준용,한창우,홍진우,권정남,Heo, Gi-yoon,Lee, Chan,Cho, Im-hak,Kang, Hee-kyung,Kim, Min-hwa,Kim, So-yeon,Park, Seong-ha,Yun, Young-ju,Lee, In,Choi, Jun-yong,Han, Chang-woo,Hong, 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5
Purpose: The aim of this study was to report the improvement of Guillain-Barre syndrome after long-term combination treatment with Korean medicine. Methods: A patient was diagnosed with Guillain-Barre syndrome and treated with herbal medicine, acupuncture, pharmacopuncture, moxibustion, and exercise, including quadruped walking after three hospital admissions. To evaluate muscle strength and weakness, we measured manual muscle function, gait pattern, and the speed of quadruped walking. Results: The patient's muscle weakness in the extremities and gait stance were improved. The speed of quadruped walking was increased. Conclusion: We consider that combined treatment with Korean medicine might be effective for the muscle weakness of Guillain-Barre syndrome with a poor prognostic factor. To verify the effectiveness of this treatment, further research is needed.
한방 치료로 호전된 근위축성측색경화증에 대한 증례 1례 : 증례보고
허기윤,강희경,김민화,남이랑,김마리아,김소연,박소정,윤영주,이인,최준용,한창우,홍진우,권정남,Heo, Gi-yoon,Kang, Hee-kyung,Kim, Min-hwa,Nam, Irang,Kim, Mariah,Kim, So-yeon,Park, So-jung,Yun, Young-ju,Lee, In,Choi, Jun-yong,Han, Chang-woo,Hong 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.5
Purpose: The purpose of this paper is to report the improvement of a patient with amyotrophic lateral sclerosis after long-term combined Korean medical treatment. Methods: A patient diagnosed with amyotrophic lateral sclerosis was treated with herbal medicine, acupuncture, pharmacopuncture, moxibustion, and rehabilitation for four separate hospital stays. To evaluate their respiratory discomfort and limb weakness, we used Manual Muscle Testing, the Pulmonary Function Test, and the Korean Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised. Results: The weakness of the muscles of the lower extremities and respiratory function was improved. Conclusion: We consider that combined Korean medicine treatments might be an effective treatment for muscle weakness and respiratory discomfort of amyotrophic lateral sclerosis. To verify the effectiveness of these treatments, further research is required.
기관절개술 후 발생한 기관내 육아종에 대한 십육미유기음(十六味流氣飮)의 치험 1례 : 증례보고
남이랑,허기윤,강희경,김민화,김마리아,권정남,김소연,박소정,윤영주,최준용,한창우,홍진우,이인 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.5
Purpose: The purpose of this study is to report the improvement of tracheal granuloma after herbal medicine treatment. Methods: A patient with tracheal granuloma was treated with Sipyukmiyuki-eum, and we checked laryngoscopy images to observe the improvement of this condition. Results: After treatment with Sipyukmiyuki-eum and Korean medicine therapy, we found that tracheal granuloma showed improvements in the laryngoscopy image. Conclusion: This case suggests that Sipyukmiyuki-eum might be effective for patients who develop tracheal granuloma after tracheostomy. However, additional studies with more patients are required to verify this finding.
한방 치료로 호전된 지속체위 - 지각어지럼에 대한 증례 1례
김민화,허기윤,강희경,남이랑,김마리아,이인,권정남,김소연,윤영주,최준용,한창우,박소정,홍진우 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.4
Objectives: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of persistent postural-perceptual dizziness. Methods: A patient with dizziness was treated with Banhabackchulchunma-tang and Gongjin-dan herbal medicines. The severity of symptoms was assessed with a daily visual analog scale (VAS) for dizziness and the frequency of subjective trembling feelings (over 30 minutes). Results: After the treatment, the severity of dizziness was reduced from VAS 5 to VAS 2, and fatigue was improved from VAS 5 to VAS 1. The frequency of subjective trembling feelings was reduced from once every 3-4 days to once every 10 days. Other symptoms, such as dyspepsia, sleep disturbance, and hot flashes, also showed improvement. Conclusion: Treatment with Korean medicine may be an effective option for the treatment of persistent postural-perceptual dizziness.
뇌동맥류의 스텐트 보조 코일색전술 후에 발생한 동안신경 마비에 대한 한방치험 1례
김민화,허기윤,강희경,남이랑,김마리아,이인,권정남,김소연,윤영주,최준용,한창우,박소정,홍진우 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.6
Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [參苓白朮散變方] and Uwhangchungsim-won [牛黃淸心元]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.
임상연구에서 사용되고 있는 NRS에 대한 분석 : 무작위대조군연구를 중심으로
이찬,조임학,허기윤,강희경,김민화,한창우,김소연,최준용,박성하,윤영주,홍진우,권정남,이인,Lee, Chan,Cho, Im-hak,Heo, Gi-yoon,Kang, Hee-kyung,Kim, Min-hwa,Han, Chang-woo,Kim, So-yeon,Choi, Jun-yong,Park, Seong-ha,Yun, Young-ju,Hong, Jin-woo 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.4
Objectives: The purpose of this study was to review the status of numeric rating scale (NRS) usage and suggest the potential for use in multicenter retrospective studies of various diseases. Methods: Articles published from 2011 to 2021 that used the keywords "NRS", "Multi-center", and "RCT" were identified in foreign databases, including EMBASE, PubMed, CENTRAL. The articles were analyzed according to their use of "NRS" by symptoms and by disease group using the major classifications of the Korean Standard Classification of Diseases (KCD-7). Results: Classification by symptom in a total of 288 articles illustrates that the NRS was not only commonly used in pain evaluation but also for non-pain symptoms. In usage with non-pain symptoms, chief complaint of patients was the most common at 79%, and other factors included treatment satisfaction, evaluation of daily life, and sleep quality. In disease classification according to the KCD-7, the NRS was commonly used in connection with musculoskeletal and connective tissue diseases but was also utilized in various other disease groups. Conclusions: This study confirms usage of the NRS in multi-center RCTs, as the NRS was widely used in all types of diseases and symptoms. Considering the result and the advantages of the NRS, it is recommended for use as a daily evaluation tool for the collection of common data in multicenter retrospective studies.
편평상피세포 폐암 환자의 항암화학요법에 의해 유발된 말초신경병증에 대한 한방치험 1례
김균하,김민화,허기윤,이찬,조임학,강희경,김소연,박성하,윤영주,이인,한창우,홍진우,권정남,최준용,Kim, Kyun Ha,Kim, Min-hwa,Heo, Gi-yoon,Lee, Chan,Cho, Im-hak,Kang, Hee-kyung,Kim, So-yeon,Park, Seong-ha,Yun, Young-ju,Lee, In,Han, Chang-woo,Hong 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.6
The purpose of this study is to report the effect of Korean medicine on a squamous cell lung cancer patient with chemotherapy induction peripheral neuropathy (CIPN). A 61-year old male patient, who had received 4 cycles of chemotherapy after lung surgery from squamous cell lung cancer, was treated with acupuncture and herbal medicines, including Uchasingi-hwan and Samchilchoongcho-capsule, to control CIPN and dyspnea on exertion. The degree of pain was assessed by a numeric rating scale (NRS). After receiving acupuncture and herbal medicines, the NRS score for CIPN symptoms was reduced from 4 to 1 and the NRS score for dyspnea on exertion decreased from 3 to less than 1. Korean medicine could therefore be useful in reducing peripheral neuropathy occurring after chemotherapy and dyspnea after lobectomy.
반코마이신 내성 장알균(Vancomycin Resistant Enterococci)이 검출된 뇌졸중 환자의 집락 해제에 대한 한방치료 1례 : 증례보고
서형범,이찬,조임학,허기윤,강희경,한창우,김소연,최준용,박성하,윤영주,홍진우,권정남,이인 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.6
We studied the effect of Korean medicine treatment on the clearance of vancomycin-resistant enterococcus (VRE) colonization and on improvement in symptoms in a stroke patient. The patient was continuously followed up with stool VRE cultures while being treated with herbal medicine, Chunglijagam-tang, acupuncture, and oxygen therapy. We also checked the coccygeal pressure sore condition and the oxygen levels during therapy. No VRE colonization was found after treatment and the oxygen levels and pressure sores had improved. This study proved that Korean medicine treatment could be effective for the clearance of VRE colonization and improvement of symptoms. We studied the effect of Korean medicine treatment on the clearance of vancomycin-resistant enterococcus (VRE) colonization and on improvement in symptoms in a stroke patient. The patient was continuously followed up with stool VRE cultures while being treated with herbal medicine, Chunglijagam-tang, acupuncture, and oxygen therapy. We also checked the coccygeal pressure sore condition and the oxygen levels during therapy. No VRE colonization was found after treatment and the oxygen levels and pressure sores had improved. This study proved that Korean medicine treatment could be effective for the clearance of VRE colonization and improvement of symptoms. We studied the effect of Korean medicine treatment on the clearance of vancomycin-resistant enterococcus (VRE) colonization and on improvement in symptoms in a stroke patient. The patient was continuously followed up with stool VRE cultures while being treated with herbal medicine, Chunglijagam-tang, acupuncture, and oxygen therapy. We also checked the coccygeal pressure sore condition and the oxygen levels during therapy. No VRE colonization was found after treatment and the oxygen levels and pressure sores had improved. This study proved that Korean medicine treatment could be effective for the clearance of VRE colonization and improvement of symptoms.
로바젯정으로 유발된 간수치 상승 환자의 한방 치료 증례 보고
강희경,조임학,이찬,허기윤,김민화,권정남,김소연,박성하,윤영주,이인,최준용,홍진우,한창우,Kang, Hee-kyung,Cho, Im-hak,Lee, Chan,Heo, Gi-yoon,Kim, Min-hwa,Kwon, Jung-nam,Kim, So-yeon,Park, Seong-ha,Yun, Young-ju,Lee, In,Choi, Jun-yong,Hong, 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.5
Objective: This study evaluated a clinical case of a patient with Rovazet-induced abnormal liver function treated with intradermal acupuncture. Method: A 59-year-old woman with abnormal liver function induced by Rovazet ceased taking the drug and instead received intradermal acupuncture treatment. After 15 days, clinical symptoms and laboratory test results were evaluated. Results: Aspartate aminotransferase and alanine aminotransferase levels decreased, and clinical symptoms such as nausea and fatigue improved after treatment with intradermal acupuncture and cessation of the Rovazet. Conclusion: This study meaningfully examined a clinical case of a patient with abnormal liver function induced by a lipid-lowering agent, which is uncommon in Korea. Unfortunately, the lack of clear evidence and the use of only one case are limitations of the study.
조임학,서형범,이찬,강희경,허기윤,권정남,박성하,윤영주,이인,최준용,한창우,홍진우,김소연 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.5
Objectives: This study presents a case of a 53-year-old Korean male with rumination after meals. The aim was to assess the effectiveness of Korean medical treatment. Methods: The outpatient was treated with acupuncture, electroacupuncture, and herbal medicine (Hwangryun-tang, Hyangsapyungwi-san-gami, Anjung-san granules, and Hyangsapyungwi-san granules) for 3 months. We evaluated the patient’s symptoms whenever he visited the clinic. Results: The patient showed significant improvements after Korean medical treatment. In particular, regurgitation of food disappeared after herbal medicine treatment. Conclusions: This case report suggests that Korean medical treatment could be effective in treating rumination syndrome. Further studies are needed.