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팔미지황탕가미 및 침, 뜸 치료를 이용한 당뇨병성 신경병증 치험 1례
우지명,강아름,이미림,김수빈,정우상,문상관,조기호,Woo, Ji-myung,Kang, Ah-reum,Lee, Mi-rim,Kim, Su-bin,Jung, Woo-sang,Moon, Sang-kwan,Cho, Ki-ho 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: Diabetic neuropathy is a common complication of diabetes mellitus. Patients with this disease suffer from various peripheral sensory symptoms that are not easily alleviated. We report on a case of a patient with diabetic neuropathy whose symptoms were alleviated after traditional Korean medical treatment.Methods: A patient with hand and foot numbness and coldness diagnosed with diabetic neuropathy was treated with Palmijihwang-tang (Bai Wei Di Huang Wa, 八味地黃湯) three times a day. The progress was evaluated with the numerical rating scale (NRS), neuropathy disability score (NDS), and neuropathy symptom score (NSS).Results: The improvement of symptoms appeared to be faster and more effective than that of conventional treatment. The improvement was observed from the second day of the treatment.Conclusions: This case study shows that Palmijihwang-tang may be an effective treatment for diabetic neuropathy.
뇌경색 후 발생한 마비성 장폐색 환자에 보류관장과 대시호탕 병행 치험 1례
이한결,정윤경,정민호,정우상,문상관,조기호,Lee, Han-gyul,Jeong, Yun-kyeong,Jung, Min-ho,Jung, Woo-sang,Moon, Sang-kwan,Cho, Ki-ho 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: Paralytic ileus is a common complication of cerebral infarction. This study reports on the effect of Daeseunggi-tang and Daeshiho-tang on a cerebral infarction patient with paralytic ileus.Method: This patient was treated with herbal medicine (Daeshiho-tang and two applications of Bo-ryu enema), acupuncture, electro-acupuncture, and moxibustion therapy for 17 days.Results: The symptoms of paralytic ileus appeared to improve after treatment.Conclusions: Traditional Korean medical treatment may be effective in paralytic ileus.
이유리,손정화,박민정,조기호,문상관,정우상,Ey, Yoo-lee,Son, Jeong-hwa,Park, Min-jeong,Cho, Ki-ho,Moon, Sang-kwan,Jung, Woo-sang 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: This study presents a case of a 56-year-old Korean male with right-side hemianopia due to stroke. Homonymous hemianopia represents a visual field defect related to loss of vision in all or part of the left or right visual field in both eyes; treatment options for this condition are limited.Method: The patient was treated with acupuncture, moxibustion, herbal medicine (Yangguksanhwa-tang), and electroacupuncture around the eyes. We executed a confrontation visual field exam (the Donders test) to evaluate any visual field defectsResults: The visual field area showed improvement after the management of traditional Korean medical treatments.Conclusion: Based on this case, traditional Korean medical treatments may be effective in treating hemianopia due to stroke.
한수련,박건,권오용,Han, Su-ryun,Park, Gun,Kwon, O-yong 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: This study reports on the effects of CheonPae-hwan among asthma patients.Method: This case study was conducted with two asthma patients who had visited a traditional Korean medicine clinic. CheonPae-hwan was prescribed to the two patients; we then evaluated the objective symptom changes through forced vital capacity (FVC) and forced expiratory volume at one second (FEV<sub>1</sub>). Dyspnea-subjective symptom change was evaluated with the visual analog scale (VAS).Results: In case 1, FVC increased from 2.24 to 2.55 after treatment, FEV<sub>1</sub> increased from 1.86 to 1.99, and VAS decreased from 2 to 0. In case 2, FVC increased from 1.51 to 2.79 after treatment, FEV<sub>1</sub> increased from 1.12 to 2.22, and VAS decreased from 8 to 5.Conclusion: CheonPae-hwan appeared to be effective for treating the two asthma patients in our study.
모야모야병으로 인한 출혈성 뇌졸중 환자 1례에 대한 증례보고
박종일,김근엽,고흥,신선미,김기태,Park, Jong-il,Kim, Geun-yeob,Ko, Heung,Shin, Son-mi,Kim, Ki-tae 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: This case report examined a patient to determine if traditional Korean medicine treatment was effective for treating acute intracerebral hemorrhage (ICH) diagnosed with moyamoya disease.Method: The patient was treated with herbal medicine, acupuncture, and Western medicine and was followed up with for symptoms, vital signs, and brain computed tomography (CT) scans.Results: During the treatment, the patient’s mental state was mostly alert. The patient’s headaches were improved after the use of painkillers; the patient’s fever and blood pressure were well controlled. The cerebral hematoma was removed smoothly.Conclusion: Traditional Korean medical therapy (herbal medicine and acupuncture) along with Western methods appeared to be effective in managing the acute phase of ICH diagnosed with moyamoya disease.
오혜경,이지영,류한성,윤성우,Oh, Hye-kyung,Lee, Jee-young,Ryu, Han-sung,Yoon, Seong-woo 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: Because the number of geriatric cancer patients is on the rise but information on treatments for this population is limited, this study aimed to analyze clinical characteristics and the factors that influence treatment decisions among elderly cancer patients.Method: Data on elderly cancer patients (≥65 years of age) who were admitted to a traditional Korean medicine hospital from March 2014 to February 2016 were collected. We compared the clinical characteristics and overall survival rates of the chemotherapy group and the non-chemotherapy group.Results: Nineteen patients were included in this study. Nine people received chemotherapy, and ten people did not receive chemotherapy due to concerns about quality of life. Age, activities of daily living (ADL) score, and Eastern Cooperative Oncology Group (ECOG) performance status all showed differences between the two groups, although median survival times did not differ significantly between the two. Compared with chemotherapy alone, traditional Korean medicine combined with chemotherapy prolonged median survival times.Conclusion: Old age and low ECOG performance status and ADL scores appear to be influential factors for the decision to undergo chemotherapy. Further studies are needed to confirm that these factors influence decisions about cancer treatment methods among geriatric cancer patients.
박성운,김민지,서윤정,강다현,김영기,노현인,배재룡,이재원,이진원,최근욱,류재환,Park, Sung-woon,Kim, Min-ji,Seo, Yoon-jeong,Kang, Da-hyun,Kim, Young-ki,Noh, Hyun-in,Bae, Jae-ryong,Lee, Jae-won,Lee, Jin-won,Choi, Geun-wook,Lew, Jae-hwan 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objectives: This clinical study reports on the effects of Yukgunja-tang on aspiration pneumonia.Method: This case examined a comatose male patient who suffers from continuous regurgitation. He showed symptoms of aspiration pneumonia with accompanying gastroesophageal reflux. We gave the patient Yukgunja-tang for 28 days and observed any changes in symptoms.Results: During the period when the patient was given Yukgunja-tang, he defecated on his own without glycerin enema, regurgitation occurred less frequently, and the aspiration pneumonia symptoms improved.Conclusion: Yukgunja-tang helped the patient's bowel movements move more quickly and smoothly through his colon. As a result, Yukgunja-tang appears to have prevented regurgitation and aspiration pneumonia.
이준수,홍상훈,김강산,박상은,Lee, Jun-su,Hong, Sang-hoon,Kim, Gang-san,Park, Sang-eun 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: This study was designed to assess the clinical effect of traditional Korean medicine on primary biliary cirrhosis.Method: We provided herbal medicine and acupuncture therapy to a 38-year-old male patient who complained about jaundice, itching, and fatigue. During a six-day hospital stay, we checked any changes in symptoms and conducted liver function tests (such as aspartate aminotransferase [AST], alanine aminotransferase [ALT], alkaline phosphatase [ALP], and gamma-glutamyl transferase [GGT], among others) to evaluate any improvement.Results: We observed that herbal medicine and acupuncture therapy appeared to decrease the symptoms of primary biliary cirrhosis. During each hospital stay, the symptoms and liver function test both showed improvement, especially in ALP.Conclusion: Based on the therapeutic results of the six-day hospital stay, we report improved primary biliary cirrhosis symptoms and a decreasing tendency in ALP and GGP levels following treatment with traditional Korean medicine.
이동근,손아현,강미정,신현수,Lee, Dong-keun,Son, Ah-hyun,Kang, Mi-jung,Shin, Hyeon-su 대한한방내과학회 2016 대한한방내과학회지 Vol.37 No.2
Objective: This study evaluates the effects of traditional Korean medicine (including Guibi-tang) on a psychogenic urinary incontinence patient with hypersomnia disorder.Method: Herbal medicine, acupuncture, and moxibustion were carried out. The effect of the treatments was then evaluated via the Beck depression inventory (BDI), the Beck anxiety inventory (BAI), the symptom checklist-90-revised (SCL 90-R), the Epworth sleepiness scale (ESS), and the revised urinary incontinence scale (RUIS), as well as the number of urinations, incontinence levels, and sleeping times during the day.Results: After the treatments, both the urinary incontinence and hypersomnia symptoms showed improvement.Conclusion: This study suggests that traditional Korean medicine treatments are effective in caring for patients who suffer from psychogenic urinary incontinence with hypersomnia disorder.