여성 난임과 한의학 (다낭성난소증후군으로 인한 난임의 한양방 치료)

황덕상,Hwang, Deok-sang 경희대학교 동서간호학연구소 2022 동서간호학연구지 Vol.28 No.2

Korean medicine has traditionally provided a lot of medical care for the treatment of infertility. The combination treatment of Korean medicine and Western medicine can be effective for infertility to improve the problems caused by the extremely low fertility rate and the aging of pregnant women. In relation to female infertility, we reviewed the evidence for Korean medicine treatment for polycystic ovary syndrome, which has recently been increasing interest in female infertility, and the evidence for the collaboration between Korean and Western medicine in the treatment of polycystic ovary syndrome and infertility. Because polycystic ovary syndrome is closely related to metabolic diseases related to endocrine abnormalities, hormone treatment alone has limited therapeutic effects and has side effects. In domestic and international research, herbal medicine and acupuncture in the treatment of infertility have shown good clinical effects based on the hypothesis of various mechanisms of effect, and many cases of successful pregnancy have been reported. Although continuous research through large-scale randomized clinical studies is needed to prove efficacy, the importance of combined treatment of Korean medicine and Western medicine in infertility treatment is increasing in order to solve the extremely low fertility rate. Combining artificial insemination or in vitro fertilization with Korean medicine treatment is highly likely to be effective in increasing pregnancy success and fertility rates. In women with polycystic ovary syndrome, which is recognized as a metabolic disease due to endocrine abnormalities among the causes of female infertility, Korean medicine treatment can increase the pregnancy rate with herbal medicines and acupuncture, etc. Although well-designed large-scale clinical studies are currently lacking and meta-analysis has not provided sufficient evidence, the combination treatment of Korean medicine and Western medicine is more active to increase the pregnancy rate for solving the problem of low fertility.

초음파 자궁형상진단을 이용한 자궁후굴증의 변증 진단 연구

황덕상,이재성,정은정,이윤재,장준복,이경섭 대한한방부인과학회 2012 大韓韓方婦人科學會誌 Vol.25 No.3

Objectives: We have studied the syndrome differentiation of ultrasound of retroverted uterus(RU) as the inspection in traditional Korean medicine. Methods: Eighty-four patients, who visited H clinic for infertility treatment,were recruited and evaluated by questionnaires and ultrasound, from April, 2012 to May, 2012. We used ultrasound(Logiq C3; GE Health care) for examination of RU. For statistics, we used Fisher’s extract test to evaluate the RU and symptoms,and Chi-square test to evaluated the RU and syndrome differentiations, and Student T-test for the relationship between RU and each score of syndrome differentiation,using PASW Statistics(version 18.0.0) and GraphPad Prism(version 5.01). Results:1. RU was correlated with moderate or severe dysmenorrhea and premenstrual lower abdominal pain. 2. In syndrome differentiation, blood stasis questionnaire was correlated with RU. 3. RU was related with dysmenorrhea, mass of low abdomen, pressure pain, clod of menstrual blood, dyspareunia. Conclusions: The ultrasound of RU might be related with the syndrome of blood stasis.

월경전증후군 환자의 적외선 체열영상 소견에 관한 후향적 연구

황덕상,조정훈,이창훈,이진무,장준복,이경섭,Hwang, Deok-Sang,Cho, Jung-Hoon,Lee, Chang-Hoon,Lee, Jin-Moo,Jang, Jun-Bock,Lee, Kyung-Sub 대한한방체열의학회 2008 대한한방체열의학회지 Vol.6 No.1

Purpose: Although premsnstrual syndromes(PMS) have long been recognized, there has been difficulty to evaluate the symtoms. Usually the questionnaire has been used to dignose the PMS. Objective is to investigate the relationship of body temperature between women with PMS and without PMS. Methods: We studied 23 patients visiting OO hospital from 26th December 2005 to 26th April 2006. The Questionnaire for PMS was used to evaluate physical, emotional, and behavioral symptoms accompanying the menstrual cycle of the subjects. The subjects were categorized in two groups, non-PMS(11) and PMS group(12). Body temperature was assessed by Dorex spectrum 9000MB (DOREX Inc., USA). We measured CV4, CV3, CV12 and CV17 to evaluate the distribution of body temperature, compared the difference of temperature(${\Delta}T$) between CV17-CV4, CV17-CV3, CV17-CV12 and CV12-CV3. We investigated the of temperature and ${\Delta}T$ between two groups by Mann-Whitney U-test. Results: The temperature of CV3 and CV4 of PMS located in low abdomen were lower than those of non-PMS located in chest. But there was no statistical significance of temperature between two groups. There was lower temperature of low abdomen in PMS group than non-PMS group without statistical significance. Conclusion: The results suggest that DITI could be useful to assess the PMS objectively. But more research should be needed.

Ultraviolet-B(UV-B)가 폐경기 여성의 혈중 Calcium, Vitamin D3 및 total Cholesterol에 미치는 영향에 대한 연구

황덕상,김용석,이경섭 대한한방부인과학회 2004 大韓韓方婦人科學會誌 Vol.17 No.4

Objectives : Osteoporosis is the lose of bone mass due to the malabsorption of calcium into the bone. Bone fragility results in increased risk of bone fracture in many parts of the body, including the hips, spinal vertebrae, and ribs. Social and economic impact of osteoporosis is growing. Prevention deserves more attention than at present. One of the best ways to get adequate vitamin D3 is moderate exposure to the sun. The present study investigates whether UV-B can increase the level of calcium and vitamin D3 in serum. Methods : In total, 50 postmenopausal women were included in this study. The first group, 25 patients were irradiated with UV-B alone, 12 times over a period of 2 weeks. The second group, 25 patients were irradiated with UV-B, 12 times over a period of 2 weeks and a daily allowance of 1,500 mg calcium. The serum concentrations of calcium, T-cholesterol and Vitamin D3 were measured 2 days before the first, and after the last, dose of radiation. Statistical significance (P<0.01) was determined using the Wisconsin Signed Ranks test. Results : After 2 week therapy the significant increase of the vitamin D3 and calcium levels of all groups were obvious and the significant decrease of total cholesterol of all groups was obvious. No noteworthy side effects from treatment were observed. Conclusion : The results demonstrated the necessity of UV-B radiation, in case of the prevention of osteoporosis caused by Calcium or Vitamin D deficiency.

월경통과 Electroacupuncture According to Voll(EAV)의 측정값의 경락학적 연관성에 관한 연구

황덕상,조정훈,장준복,이경섭 대한한방부인과학회 2004 大韓韓方婦人科學會誌 Vol.17 No.3

Purpose : The aim of this study wast was to investigate correlation between dysmenorrhea and EAV values by using non-invasive EAV system. Methods : The sample was consist of 29 women who took EAV(Meridian-Ⅱ) test in Kangnam Korean Hospital, Kyunghee Univ. from Jan. 1, 2003 to Oct. 30. 2003. They were asked the menstrual intensity of the pain (- : no pain, : a little pain, + : mild pain, ++ : moderate pain, +++ : severe pain). 10 women who answered (-) and ( ) were classified ascontrol group, 19 women who answered (+), (++) and (+++) were experimental group. Results : There was statistically significant correlation between dysmenorrhea and CMP values of Rt. EAV in the Lungs, Heart and Large intestine. There was statistically significant correlation between dysmenorrhea and CMP values of EAV in the Lt. Heart, Circulation, Small intestine, CNS and Allergy. Conclusion : EAV measurement value(CMPs) is useful to make a diagnosis and treatment based on overall of symptoms and signs of dysmenorrhea.

적외선 체열영상을 이용한 최신 해외 임상연구 동향

황덕상,박경선,김은경,이창훈,장준복,이경섭,Hwang, Deok-Sang,Park, Kyoung-Sun,Kim, Eun-Gyung,Lee, Chang-Hoon,Jang, Jun-Bock,Lee, Kyung-Sub 대한한방체열의학회 2010 대한한방체열의학회지 Vol.8 No.1

Purpose : This study is to the recent trends of clinical trial using infrared thermography and to review its application in medicine. Methods : We searched for papers which had used infrared thermography in Medicine within 5 years, using English. Results : A total of 23 papers were but 8 were found, but 8 were not related to non-invasive infrared thermography. The other 15 papers were clinical trials about the effect of acupuncture and therapeutic massage, evaluation of post-hepatic neuralgia, sleep disorder, and regional circulation. Conclusion : These results suggest that infrared thermography can be used as a reliable and helpful method in many clinical trials.

미소안면침 시술 후 안면부 체온변화에 대한 임상적 고찰 : A case study

황덕상,송정화,김용석,이경섭 대한침구의학회 2008 대한침구의학회지 Vol.25 No.1

Objectives : To investigate changes in facial temperature generated by Miso Facial Rejuvenation Acupuncture treatment. Methods : One middle-aged woman with no diseases was recruited. Miso Facial Rejuvenation Acu- puncture was performed on only the right side of her face. We measured her facial temperature using digital infrared thermal imaging(DOREX Inc. Spectrum 9,000MB, USA, D.I.T.I.) before, immediately after, and 10 minutes after treatment. We also used the Wilcoxon signed rank test(p<0.05) to compare the dif- ferences in facial temperature from one side of the face to the other at each time. Results : Facial temperature on the right side(the area treated by acupuncture) increased immediately from 30.02±1.87℃ to 32.24±1.03℃, a statistically significant increase. Ten minutes after treatment, facial temperature on the right side decreased a little bit, but there was no statistical significance. Facial tem- perature on the left side increased a little, but there was no statistical significance. The difference between the right and left sides of the face increased after the Miso Facial Rejuvenation Acupuncture treatment. Conclusions : Miso Facial Rejuvenation Acupuncture could increase facial temperature.

미소안면침 시술 후 안면부 체온변화에 대한 임상적 고찰 : A case study

황덕상,송정화,김용석,이경섭,Hwang, Deok-Sang,Song, Jeong-Hwa,Kim, Yong-Suk,Lee, Kyung-Sub 대한한방체열의학회 2008 대한한방체열의학회지 Vol.6 No.1

Objective: To investigate the changes of facial temperature by Miso Facial Rejuvenation Acupuncture treatment. Methods: One middle-aged women who has no other disease was recruited. The Miso Facial Rejuvenation Acupuncture was performed on only right face. We measured the facial temperature using the Digital Infrared Thermal Imaging (DOREX Inc. Spectrum 9000 MB, USA, D.I.T.I.) before, immediate after and 10 minutes after treatment. And we used the Wilcoxon signed rank test (P<0.05) to compare the difference of facial temperature at each time. Results: Right facial temperature (the area treated by acpuncuture) increased immediately from $30.02{\pm}1.87^{\circ}C$ to $32.24{\pm}1.03^{\circ}C$, the change of temperature is statistically significant. At 10 minutes after treatment, right facial temperature decreased little, but there was no statistical significance. Left facial temperature increased little, but there was no statistical significance. The difference between right and left face increased after Miso facial rejuvenation acupuncture treatment. Conclusion: Miso facial rejuvenation acupuncture could make the facial temperature increase.

냉부하검사(CST)를 활용한 수부냉증의 침치료 효과에 대한 예비 연구

황덕상,조정훈,이창훈,장준복,김용석,이경섭,이윤재,Hwang, Deok-Sang,Cho, Jung-Hoon,Lee, Chang-Hoon,Jang, Jun-Bock,Kim, Yong-Seok,Lee, Kyung-Sub,Lee, Yoon-Jae 대한한방체열의학회 2006 대한한방체열의학회지 Vol.5 No.1

Purpose : There are many patients with cold hypersensitivity who want oriental medicine treatment. But there has been no study of acupucture treatment effect on patients. So we examined effects of acupuncture treatment at different acupuncture points and compared results of 1st cold stress test and 2nd cold stress test. Method : 8 patients with hand cold hypersensitivity applied for this study. To rule out an bias, we excluded the patients with skin diseases, spinal nerve disease of cervial spine, external wounds. We measured body temperature with D.I.T.I. We performed cold stress test(CST) by 6 thermographic observation using D.I.T.I ; the 1st was taken after 15 minutes-resting, the 2nd was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 3rd was taken at 10 minutes after the soak, and after a week, the 4th was taken after 15 minutes resting, the 5th was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 6th was taken after 10 minutes with acupunture treatment. There were two groups of patients. First group was acupuncture that performed acupuncture therapy on distal points. Second group was acupuncture that performed acupuncture therapy on proximal points. We compared first CST and second CST recovery rate result. Results : The recovery rate at distal points acupuncture therapy was higher than before of that. but not significantly different. The recovery rate at proximal points acupuncture therapy was significantly higher than before of that. The recovery rate of both the back, the palms, all fingers of after proximal acupuncture therapy was significantly higher than before of that. Conclusions : Acupuncture could be effective therapy method on cold hypersensitivity, especially using proximal acupuncture points could be good at cold hypersensitivity patients. This was pilot study of very small samples, results had limitations. For further results more examine would be needed.

3D 프린터를 이용한 프레스 금형 모형 제작

황덕상(D. S. Hwang),이기원(K. W. Lee),곽태수(T. S. Kwak) 한국기계가공학회 2017 한국기계가공학회 춘추계학술대회 논문집 Vol.2017 No.4