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      • KCI등재

        口眼와斜에 대한 臨床的 考察

        안수기,황충연,An, Su-Gi,Hwang, Choong-Yeon 대한한방안이비인후피부과학회 1991 한방안이비인후피부과학회지 Vol.4 No.1

        Clinical study on the 114 facial paralysis patients, visited Won Kwang University Oriental Medical Hospital in Kwang ju from July 1990 to Jun 1991, was carried out. The results obtained are as follows. 1. Prevalence was almost same in both sexes and high in the age of 3 and 4 decades but distributed in an age group. 2. Majority of the patients were nomotensive, which meant blood pressure did not affect the incidence. 3. The incidence distributed in every occupations but high in housewife as 37 cases ($32\%$) and decreased gradually in office employee, labor worker, student and merchant in order. 4. Overwork, wind and cold, emotional stress, and numerous implicated agents were etiological factor. 5. The paralysis mostly occured in summer and winter as 40($35\%$) and 37 cases($32\%$) respectively, 18($16\%$) and 19cases($17\%$) were recorded respectively in spring and autumn. 6. The majority of patients showed only facial muscle paralysis without other complications, whose cure rate was $60\%$ (47 cases). The patients with auditory impairment or taste loss was less common and cure rate was low. 7. The number of the patients with migraine or mastoid pain was 81($71\%$), which was more than 33 patients($29\%$) with such pain. The cure rate was high in the patients without migraine than with migraine as a raito of 64 to $46\%$. 8. Most of duration from attack to admission were in a week as 86 cases($75\%$) and the patients with duration over 4 weeks 11 cases($10\%$). The cure rate of the patients in a week, was 54 cases($60\%$) and the patients over 4 weeks was none($0\%$), which meant shorter the duration was, the beter the result was. 9. Response on electro acupuncture on initiating therapy showed good in 39 cases($34\%$) the majority group, moderate in 37 cases, exellent in 29 cases and poor in 5 cases. 10. The results of treatment were as follows : asymptomatic in 58 cases($51\%$), improved n 40cases($35\%$), effective in 10 cases($9\%$) and ineffective in 6 cases($5\%$). 11. Cure rate according to the response on electro acupuncture showed $72\%$ in exellent group, $59\%$ in good group, $27\%$ in moderate groop, and $0\%$ in poor group. These show the better the response on the electro-acupuncture is, the higher the cure rate is, which will be able to indicate the prognosis of facial paralysis.

      • KCI등재

        黃芩芍藥湯 煎湯液이 血漿Cortisol 및 鎭痛에 미치는 影響

        오춘근,황충연,이기남,Oh, Chun-Keun,Hwang, Choong-Yeon,Lee, Ki-Nam 대한한방안이비인후피부과학회 1990 한방안이비인후피부과학회지 Vol.3 No.1

        In order to investigate the effects of Hwang Keum Jag Yag Tang (HJT) water extract on the plasma cortisol concentration in the rabbit and on the analgesic effect in the mouse were administered. The results were summarized as follow: 1. Intravenous administration of HJT water extract at the dose of 0.2ml/kg remarkably increased plasma cortisol concentration after two hour. 2. Intravenous administration of HJT water extract at the dose of 0.4ml/kg significantly increased plasma cortisol concentration after one hour. 3. Intravenous administration of HJT water extract at the dose of 0.2ml/kg, all the experimental period, significantly increased plasma sodium concentration. 4. Intravenous administration of HJT water extract at the dose of 0.4m1/kg significantly decreased plasma potassium concentration. 5. Intravenous administration of HJT water extract at the dose of 0.2ml/kg and 0.4ml/kg, all the experimental period, significantly decreased plasma calcium concentration. 6. The analgesic effect of HJT water extract showed inhibitory effect more than at 0.1ml/20g. According to the results, Hwang Keum Jag Yag Tang water extract remarkably increased plasma cortisol concentration and showed analgesic effect.

      • KCI등재

        DITI 진단을 통한 Bell`s palsy의 임상적 고찰

        박경화,김종한,황충연,Park, Kyung-hwa,Kim, Jong-han,Hwang, Choong-yeon 대한한방안이비인후피부과학회 1998 한방안이비인후피부과학회지 Vol.11 No.1

        The clinical data and thermographic imaging were analyzed on the 100 cases of Bell's palsy who were treated in the Kwang-Ju Oriental Medical Hospita! of Wonkwang University from February to October 1997. All the cases were taken Digital Infrared Thermograph Imaging(DITI) before treatment and 30 cases of them were taken follow up imaging again after recovery. And the following results were obtained. 1. Of 100 cases, under teenager occupied $1\%,\;teenager\;8\%,\;2nd\;decade\;14\%,\;3rd\;decade\;11\%,\;4th\;decade\;16\%,\;5th\;decade\;26\%,\;6th\;decade\;16\%,\;7th\;decade\;7\%\;and\;over\;80\;occupied\;1\%$. 2. Male occupied $48\%$ and female occupied $52\%$. 3. $42\%\;of\;male\;and\;23\%$ of female had the affected side at left side. And right facial nerve palsy occured at $29\%\;of\;male\;and\;29\%$ of female. 4. The most common cause of Bell's palsy was cold wind $18\%$, and the next were excessive labor $15\%,\;stress\;12\%,drinking\;2\%\;and\;cold\;food\;1\%$. 5. Thermal pattern were present as hyperthermal pattern in $44\%$ and hypothermal pattern in $22\%$. 6. The DITI showed hyperthermal pattern as close as to the onset day and changes to hypothermal pattern as times passed. 7. The DITI pattern and post-auricular pain, the most common prodomal syndrome, showed no significant relationship. 8. The relationship between the grade of paralysis and thermal patttern of DITI showed no significance. 9. Mean temperature of loci in affected side indicrtted $30.27^{\circ}C\;at\;Yang\;baek,\;30.02^{\circ}C\;at\;Taeyang,\;29.25^{\circ}C\;at\;Geoyo,\;29.62^{\circ}C\;at\;Jichang,\;29.78^{\circ}C\;at\;Hakwan,\;29.61^{\circ}C\;at\;Hyupgeo,\;and\;30.59^{\circ}C$at Yeopoong. 10. Mean temperature of loci in unaffected side showed $30.16^{\circ}C\;at\;Yang\;baek,\;30.02^{\circ}C\;at\;Taeyang,\;29.61^{\circ}C\;at\;Geoyo,\;29.68^{\circ}C\;at\;Jichang,\;29.70^{\circ}C\;at\;Hakwan,\;29.57^{\circ}C\;at\;Hyupgeo,\;and\;29.89^{\circ}C$at Yeopoong. 11. Of 30 cases who were taken follow up imaging again after recovery, the relationship between delta T at loci and symptoms showed no significance. It should be needed further investigation in order to apply them for clinical evaluation.

      • KCI등재

        알레르기성 鼻炎 患者에 對한 臨床的 考察

        김남권,임규상,황충연,Kim, Nam-Kwen,Lim, Gyu-Sang,Hwang, Choong-Yeon 대한한방안이비인후피부과학회 1997 한방안이비인후피부과학회지 Vol.10 No.1

        The author analyzed 46 cases of allergic rhinitis patients, who were treated in the Kwang-ju Oriental Medical Hospital of Wonkwang University from January 1997 to April 1996. I've examined the 46 cases in the view of age and sex distribution, seasonal distribution, distribution of the job, duration of the disease, past history, family history, distribution of complicated signs, the degree of recovery about the total patient, the relationship of the ages and the remedial value, the relationship of the duration of disease and the remedial value. The following results are obtained. 1. The ratio of under teenagers was $32.61\%$(15 cases), teenagers was $30.43\%$(11 cases), 2th decade was $17.39\%$(8 cases), 3th decade was $17.39\%$(8 cases), 4th decade was $4.35\%$(2 cases), 5th decade was $2.17\%$(1 case), over sixty was $2.17\%$(1 case). 2. The ratio of the male was $58.70\%$(27 cases) and femal was $41.30\%$(19 cases). 3. The ratio of spring was $21.74\%$(10 cases), summer was $8.70\%$(4 cases), fall was $43.48\%$(20 cases), winter was $43.48\%$(20 cases) and unknown was $10.87\%$(5 cases). 4. The ratio of the students was $45.65\%$(21 cases), house-wives was $15.22\%$(7 cases), office men was $10.87\%$(5 cases), farmers was $4.35\%$(2 cases), driver was $2.17\%$(1 case) and unemployed was $21.74\%$(10 cases). 5. The ratio of the under six months was $8.70\%$(4 cases), under 1 year was $17.39\%$(8 cases), under 3 years was $32.60\%$(15 cases), over 3 years was $41.31\%$(19 cases). 6. The ratio of atopic dermatitis was $32.61\%$(15 cases), allergic dermatitis was $21,74\%$(10 cases), the asthma was $17.39\%$(8 cases), digestion disorder was $6.52\%$(3 cases) and etc. 7. The ratio of paternal line was $21.74\%$(10 cases), maternal line was $13.04\%$(6 cases), paternal and maternal lines was $4.35\%$(2 cases), brother or sisters was $13.04\%$(6 cases) and non-significant was $47.83\%$(22 cases). 8. The ratio of sneezing was $100\%$(46 cases) , nasal discharge was $100\%$(46 cases), nasal obstruction was $86.96\%$(40 cases), pruritus was $45.65\%$(21 cases), headache was $13.04\%$(6 cases), asthma was $10.87\%$(5 cases), digestion disorder was $6.52\%$(3 cases), light phovia was $6.52\%$(3 cases), tears was $4.35\%$(2 cases), nosebreeding was $2.17\%$(1 case). 9. The total remedial value of the 46 patients was revealed $52.17\%$. 10. The remedial value of under teenagers, teenagers were higher than the total remedial value($52.17\%$). 11. The remedial value of under 6 months, under 1 year were higher than the total remedial value($52.17\%$). These results demonstrated that in the point of remedial view, the patients who were younger and shorter of the duration of disease, would be well recovered.

      • KCI등재
      • KCI등재
      • KCI등재
      • KCI등재

        龍膽瀉肝湯의 抗바이러스 活性 및 免疫反應에 對한 實驗的 考察

        김남권,김종한,임규상,황충연,Kim, Nam-Kwen,Kim, Jong-han,Lim, Gyu-sang,Hwang, Choong-yeon 대한한방안이비인후피부과학회 1998 한방안이비인후피부과학회지 Vol.11 No.1

        During the last few years, nitric oxide(NO) as a potent macrophage-derived effector molecule against a variety of bacteria, parasites, and tumors has received increasing attention. More recent studies suggest that NO also has antiviral effects in both murine and human cells. The objective of the current study was to determine the effect of Yongdamsagantang(YST) on the production of NO. Stimulation of mouse peritoneal macrophages with YST after the treatment of recombinant $interferon-{\gammer}(rlFN-{\gammer})$ resulted in the increased NO synthesis. YST had no effect on NO synthesis by itself. When YST was used in combination with $rIFN-{\gammer}$, there was a marked cooperative induction of NO synthesis in a dose-dependent manner. The optimal effect of YST on NO synthesis was shown 6 hour after treatment with $rIFN-{\gammer}$. This increase in NO synthesis was reflected as increased amount of inducible NO synthase(iNOS) protein. NO production was inhibited by $N^G-monomethyl-L-arginine$. The increased production of NO from $rIFN-{\gammer}$ plus YST-stimulated cells was decreased by the treatment with staurosporin. In addition, synergy between $rIFN-{\gammer}$ and YST was mainly dependent on YST-induced tumor necrosis $factor-{\alpha}(TNF-{\alpha})$ secretion. These results suggest that the capacity of YST to increase NO production from $rIFN-{\alpha}-primed$ mouse peritoneal macrophages is the result of YST-induced $TNF-{\alpha}$ secretion.

      • KCI등재
      • 胃癌의 東西醫 治療에 관한 文獻的 考察

        黃忠淵 圓光大學校 韓醫學硏究所 1997 원광한의학 Vol.7 No.1

        癌(惡性新生物)은 오늘날 우리나라 成人死亡原因 1, 2위를 차지하며 전세계적으로 가장 무서운 疾病중의 하나이다. 癌의 治療는 지금까지 西洋醫學 위주로 手術療法, 化學療法, 免疫療法등의 治療가 행해지고 있으나 副作用과 毒作用이 심하여 필요한량의 治療를 끝까지 받지 못하는 경우가 많다. 또 免疫治療는 費用이 너무 많이들며 患者의 苦痛도 심하다. 最近에는 癌에 대한 東·西의 結合治療는 中半期 胃癌患者에 있어서 生存期間을 年長하고 化學治療 및 放射線療法의 독·부작용을 경감시켜 삶의 질을 높이고 體內의 건강상태와 면역기능을 높여 胃癌患者의 삶의 질을 높이고 生存期間을 年長시켰다. The following conclusions were obtained after bibliographic investigation on the therpy of gastric cancer by western oriental, and intergrated oriental and western medicine. 1. The major causes of gastric cancer are geographical environment, meal habit, inheritance and other diseases in the stomach, and its pathogenesis is stagnation of qi(氣滯鬱結), intemperance of food(飮食不節), weakness and coldness in spleen and stomach(脾胃虛寒), and stagnation of qi and blood(氣滯血瘀). 2. Treatment of gastric cancer by western medicine includes surgery, chemotherapy, radiotherapy and immunotherapy. 3. Treatment of gastric cancer by oriental medicine based on differentiation of symptom which classified into six types such as disharmony between liver and stomach(肝胃不和), impairment of yin by evil heat in stomach(胃熱傷陰), weakness and coldness in spleen and stomach(脾胃虛寒), obstruction of poisonous stagnant blood(瘀毒內阻), coagulation of dampness and phlegm(痰濕疑結), debility of qi and blood(氣血傷虧) with single recipe or empirical prescription. 4. Treatment by intergrated oriental and western medicine improved survival rate and quality of life as proper therapy such as herb medicine, surgery, chemotherapy or radiotherapy was applied according to the stage of the disease. Herb medicine promoted recovery and improved survival rate after surgery. Radiotherapy and intergrated therapy reduced adverse effect by radiotherapy and improved therapeutic effect and survival rate. Chemotherapy and intergrated treatment reduced side effect by chemotherapy and improved quality of life and survival rate. These results suggest that therapy of gastric cancer should be applied with intergrated oriental and western medicine from diagnosis to all the stage of treatment for promoting therapeutic effect. And further investigation on this therapy should be ensued.

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