麻痺性 腸閉塞 患者 治驗 1例

안효명,이은숙,고현,황규동 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

The results were as follows ; 1. Adynamic ileus is a condition in which there is neurogenic failure or loss of peristalsis in the intestine in the absence of any mechanical obstruction. 2. The symptoms of Adynamic ileus are abdominal pain, abdominal distension, nausea, vomiting and constipation etc. 3. The Adynamic ileus was improved with Insamyangyoung-tang and Majain-hwan which have the effect of Onbi-ikwi, Yunjang-tongbyun.

大造丸에 대한 문헌적 고찰

이동원,이경애,辛吉祚,李源哲 대한한방성인병학회 1997 韓方成人病學會誌 Vol.3 No.1

In the literatual study on the Dazaowan(大造丸), the results were as follows. 1. Dazaowan(大造丸) is named for effect of creation(有尊造化之功) is composed of Placenta hominis(紫河車), Rhizoma rehmanniae(熱地黃), Carapax testudinis(龜板), Cortex phellodendri(黃柏), Cortex eucommiae(사충), Radix achyranthis(牛膝), Radix asparagi(天門冬), Radix ophiopogonis(麥門冬), Radix ginseng(人蔘) etc. 2. On qi(氣,) of the prescriptions, more or less, the han(寒) drug abound, but han(寒) and re(熱) drug is balanced. The taste(味) of the prescriptions is composed of sweet, bitter and salt; a sweet is effective of bu(補), he(和) and huan(緩); a bitter is effective of xie(泄), zao(燥) and jian(堅); a salt is effective of xia(下), ruan(軟). 3. Target organs of drug is kidney, lung, liver and heart, besides pericardium, bladder and stomach. 4. A drug is parched and burnt for a promotion of supplement and a decrease of cold characteristics (冷性). For preservation of effect, Placenta hominis(紫河車) is not used boiling but steaming. 5. When Dazaowan(大造丸) is used for supplement, Carapas testudinis(龜板) is not general use but have to use on a neuropsychiatric and cardiovascular disease. Because that Carapas testudinis(龜板) have an effect of removal of fever, a sedatives, a cordials and urinations. Because that Carapas testudinis(龜板) is a part of animal, we have to discover alternations. 6. Because that Dazaowan(大造丸) have an effect of dabugixie(大補氣血), zibufeishen(滋補肺腎), yangyinzhenjing(養陰鎭靜), ziyinbuyang(滋陰補陽), yannianyishou(延年益壽) is implicated of xiegishuairuo(血氣裏弱), yinxuxiere(陰虛血熱), ganshenbuzu(肝腎不足, deficit of kidney and liver function), xusunlaoshang(虛損勞傷), impotence, zuwei(족위, atropy of lower extremity), infertility, involuntary emission of semen and night sweeting, guzhengchaore(骨蒸潮熱), palpitation and amnesia, tuberculosis, asthma. 7. Because of Dazaowan(大造丸) have an effect of a supplement of immune system, a nourishment and robustness, a promotion of growth and a decrease of blood sugar can treat a disease of nutritions, metabolism, endocrine and reproductive system; an effect of anti -tuberculosis, anti-allergic responses, anti -infections, a cough remedy medicine and an expectorant can treat pulmonary diseases; an effect of cordials, urinations, a promotion of recovery of damaged heart muscle can treat cardiovascular disease; an effect of a removal of fever, sedatives, anti-convulsants, analgesics and anti-stress can treat neuropsychiatric diseases.

뇌졸중 환자 의 예후를 결정하는 요인에 대한 연구

崔恩禎,申吉祚,李源哲 대한한방성인병학회 1997 韓方成人病學會誌 Vol.3 No.1

THE BACKGROUND AND PURPOSE The purposes of this study were to analysis predictors influenting the clinical course of stroke. METHODS We studied documentations in the latest journals about predictors of stroke. CONCLUSIONS The prognostic factors about cerebral infarction were the location of infarction, the years, the history of CVA, diseases precendent, and whether rehabilitaion therapy or not , etc.. Especially, thalamic infarction was under the influence of anatomical position of infarction in thalamus, and post cerebral artery infarction was under the influence of the CVA history. In lacunar infarction, there were many different studies about prognostic factors. The prognostic factors of cerebral hemorrhage were the location of hemorrhage, amount of hemorrhage, a patient's mental state at the time of attack, the ventricular hemorrhge or not, and the methods of therapy, etc.. If the amounts of hemorrhage would be 20∼30cc, conservative therapy comes out better results. But if the patient would be stupor or above, and amount of hemorrhage would be 80∼100cc over, prognosis are bad regardless therapy. In the case of middle level patients, there were different results according to reporters. The other's prognostic factors were old ages, hypertension, diabetes, heart and kidney disease, perception, recognition, intelligence, exercise function, history of CVA, delay from attack to therapy, early rehabilitation, complications, and early hematocrit, etc.. The sex, and left or right of paralysis didn't affect prognosis. We have to study with the method of connecting neurology with rehabilitation, and of investigation about prognostic factors according to the anatomical locations in brain and operation therapy. And we have to appraise the clinical course with objective recovery apprasing methods.

中風患者의 24時間 活動血壓 動態에 關한 考察

姜秉宗,文祥官,高昌男,曺基湖,金永錫,裵亨燮,李京燮,高成奎 대한한방성인병학회 1997 韓方成人病學會誌 Vol.3 No.1

Background Most patient with stroke have hypertnesion and the stroke accidental rate is very closely connected with hypertension. So, the proper diagnosis and treatment of the hypertension play very important roles the treatment and the prognosis of stroke as well as on the prevention of recurrent stroke. The goal of this study is to improve the treatment of hypertension in stroke-inpatients by investigating the 24-hours blood pressure using the ambulatory blood pressure monitoring. Methods 52 inpatient with stroke were randomly selected in the 2nd internal medicine department, Kyunghee oriental hospital and devided into normotensive and hypertensive groups by the standard-whether he/she takes the blood pressure drugs. We set the machine (ambulatory blood pressure monitoring) to check the blood pressure (including systolic and diastolic blood pressure) and pulse rate every 30 minutes from 06:00 to 22:00 and every 1 hour from 22:00 to 06:00. And the frequency percentage of systolic blood pressure over 140mmHg and the diastolic blood pressure over 90mmHg makes the blood pressure load. Results The mean systolic blood pressure during 24 hours were 129±10.3㎜Hg at normotensive group and 140 14.9㎜Hg at hypertensive group and the mean diasolic blood pressure were 79 7.0㎜Hg at normotensive group and 83 8.2㎜Hg at hypertensive group. The blood pressure loads were 30.0 22.0% (systolic) and 21.1 18.2(diastolic) at normotensive group. That were 51.2 30.3%(systolic) and 36.0 24.1%(diastolic) at hypertensive group. The pattern of circardian blood pressure was lowest at the time from 00:00 to 06:00 and made the rapid increase temporalily to reach the turning point at 07:00. After that time it decreased a little bit and continued with no significant change and made the highest point at 19:00 and it decreased rapidly after 22:00. The patter of circardian pulse rate was similar to blood pressure pattern. In systolic and diastolic blood pressure, there was no significant difference between ambulatory and casual blood pressure. Conclusions These results show that the diagnosis of hypertension with casual blood pressure is available as well as ambulatory blood pressure and that more intensive control of blood pressure is required in stroke-inpatients with hypertension. And the change of pulse rate can be another useful standard to diagnosis hypertension and to rule out the inappropiate things among the datas from ambulatory blood pressure monitoring. Key words: Ambulatory blood pressure, Stroke

東醫學的으로 본 肝膽系疾患類의 臨床的 考察

盧正祐 대한한방성인병학회 1995 韓方成人病學會誌 Vol.1 No.1

고혈압과 ABO식 혈액형과의 상관성에 대한 임상적 연구

김재관,문상관,고창남,조기호,김영석,배형섭,이경섭 대한한방성인병학회 1998 韓方成人病學會誌 Vol.4 No.1

The cause of primary hypertension is not discernible in most instances and the development of hypertension has been known to have strong genetic and environmental components. To determine the relationship between the ABO blood groups and hypertension, we compared the ABO blood groups of 432 hypertension patients with those of 1000 normal subjects. In our results, 33.8% of hypertension patients indicated the type B blood while 27.3% in normal subjects, of which difference was significant (p<0.05). The frequency of type AB blood was 6.7% in hypertension patients which was significantly lower than 11.6% in normal subjects (p< 0.01). However there were no significan t differences of the frequencies of type A and 0 between hypertension and normal groups. These results indicate that the type B blood predominate in hypertension patients and the authors suggest that another studies related this subject should be needed.

뇌낭미충증으로 진단된 반신무력 및 경련 화자 1례에 대한 보고

장인수,손동혁,이영구,윤희식,변덕시,강현철 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

The authors report neurocysticercosis with seizure and mild hemiplegia. Neurocysticercosis is a pleomorphic parasitic disease that may confused with almost any other condition affecting the central nervous system. Therefore it needs more attention to diagnose this disease distinguished from others. Neurocysticercosis is occured by infection of pork tapeworm, Taenia Solium. and then there was some mentions "tapeworm caused by raw meat of pork and beef' in Kumkueyoryak [금궤요약], an old chinese medical literature in AD 2C-3C, maybe it must be one of the oldest records.

옻에 의한 全身性 接觸皮膚炎 1例에 대한 症例報告

조정연,원진희,강태희,이건업,송봉길,이상관 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

Systemic contact dermatitis may be produced by the systemic administration of a drug to an individual who has been previously sensitized by the topical application of the drug or related chemicals. Rhus is a hot and a warm property, and is toxic. In Korea, Combination of the rhus and chicken, as a traditional food, has been used for the treatment of diseases such as gastrointestinal disorders(peptic ulcer, gastritis etc), stomach chill, general weakness and so forth. We treated a 31 year-old male patient who complained of fever, chilling, itching, burning pain, edema and vesicle etc. he had frequent rhus dermatitis and took rhus with chicken before above symptoms occurred. He was diagnosed as systemic contact dermatitis due to rhus, and responded well to treatment with Hwabanhaedok-tang(化斑解毒湯) and steroid drug(predinisolone) etc.

韓方治療로 有意한 血糖降下를 나타낸 1例

김재흥,전성하,문상관,고창남,조기호,김영석,배형섭,이경섭 대한한방성인병학회 1997 韓方成人病學會誌 Vol.3 No.1

甲狀腺 機能亢進症에서 백강잠의 抗酸化 效果에 대한 硏究

손현주,박종혁,윤철호,정지천,강정준,서종은,신억섭 대한한방성인병학회 1999 韓方成人病學會誌 Vol.5 No.1

This study was carried out to examine if Bombycis Corpus (BOM) inhibits oxidant-induced lipid peroxidation and therby produces protective effect against thyroxine-induced hyperthyroid rats. In vivo, Triiodothyronine(T3) and thyroxine(T4) were increased in thyroxine treated group. However, they were decreased in BOM extract's pre-applied group. Lipid peroxidation was increased in thyroxine treated group. However, it was decreased in BOM extract's pre-applied group. Xathine oxidase activities and type conversion ratio were increased in thyroxine treated group. However, they were decreased in BOM extract's pre-applied group. Glutathione level and activities of glutathione peroxidase, glutathione S-transferase and glutathione reductase were decreased in thyroxine treated group. However, they were increased in BOM extract's pre-applied group. These results suggest that BOM, in thyroxine-induced hyperthyroid rats, has an increase in the activities of oxygen free radical scavenging enzymes and inhibition of xanthine oxidase activities and thereby prevents lipid peroxidation.