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의학 논문

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화병에 의해 악화된 본태성 진전증 환자 치험 1례
초록 본 증례에서는 상기한 바와 같이 화병을 주로 한 심리상태 변화에 의해 악화된 진전증을 주소로 본원 한방신경정신과에 입원한 환자에게 한약치료와 침치료,한방정신치료를 병행한 결과 제반증상 및 심리 상태 상 양호한 효과를 보여 이에 보고하는 바이다. 1. 18일간의 한약치료, 침치료, 정신요법 및 부항, 뜸의 기타치료를 통해 전신의 본태성진전증과 화병의 증세의 동반 호전을 경험하였다.2. 화병 및 신체 상태를 심신불교(心腎不交)로 변증하고 황련아교탕(黃連阿膠湯) 처방을 기본 방제로서 증세변화에 따라 가감투여했으며,정서적 안정과 기타 신체증상과 함께 진전증이 호전됨을 확인하였다.[원문 보기]   
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 774
과체 토법 등 한방치료로 호전된 면경련을 동반한 화병환자 치험 3례
초록 Objectives : This case series aims to report the efficacy of using oriental medical treatment with Melonis Calyx Vomiting Therapy for Hwa-Byung. Methods : Patients were diagnosed with Hwa-Byung through Hwa-Byung Diagnostic interview schedule (HBDIS).They were treated with Oriental medical treatment (Acupncture, Herb-medication) and Melonis Calyx Vomiting Therapy (MCVT).MCVT is a traditional treatment, which induces vomiting by eating Melonis Calyx powder with water.We used VAS score and Scott scale for the symptoms of patients and IOMEHB (instrument of oriental medical evaluation for Hwa-Byung),BDI, STAI for the psychological conditions of the patients. Results : After treatment, the chief complaint and other symptoms of Hwa-Byung have improved. The scores of IOMEHB, BDI, and STAI have decreased. Conclusions : This result suggests that using MCVT with Oriental medical treatment have a positive efficacy for Hwa-Byung.[원문 보기]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 742
화병역학연구 자료를 기반으로 한 화병 환자의 특성
초록 Objectives :The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB,and provide the data as the basis for development of Clinical Guideline of HB. Methods :The study participants included 151 subjects who thought they have HB in 9 site.For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1),diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results :1. For all participants, 62 % of subjects were diagnosed with HB.These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%).But 22% of these patients had only HB.2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past.Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent.The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc.3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 753
매핵기(梅核氣)로 인해 음식을 삼키지 못하는 전환장애 환아 치험 1례
초록본 논문은 매핵기(梅核氣)로 인해 음식을 삼키지 못하는 전환장애 환아 치험 1례에 관한 것으로,주요 내용은 두 달간 히스테리구와 연하곤란으로 고통을 겪고 있는 10살의 남아를 대상으로 전환장애에 대한 전통 한약과 한방 심리치료의 효과를 조사하였다.환자는 27일간 한약 (반하후박탕)과 한방 심리치료를 하였다.치료 후 히스테리구와 연하곤란 증상이 감소하고, 식욕이 증가하였다.또한 심각했던 강박증상이 개선되었다.유아의 전환장애는 흔치 않으며 특히 10 살 이하의 경우에는 특히 드문 것으로 보고되어 있다.이 치험 사례에서 전통 한약과 한방 심리치료가 히스테리구와 연하곤란의 치료에 효과적이라는 내용이다. Objective : This study was designed to research the effect of the korean traditional herbal medicine and oriental psychotheraphy on globus hytericus and swallowing difficulty caused by conversion disorder. Methods : A 10 years old male patient suffer from globus sensation and swallowing difficulty for 2 months.We treated him with the korean traditional herbal medicine(Banhahubak-tang) and oriental psychotheraphy for 27 days. Results : After this treatment, globus sensation and swallowing difficulty were decreased and appetite were increased.In addition, compulsion had been severe and it was improved after this treatment. Conclusions : Psychiatrists have reported that conversion disorder is not common in children especially under 10 years old.Globus hystericus, dysphagia is symptoms of conversion disoder but globus hystericus is very rare in childhood.In this case, we recognized that the...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 765
노인 불면에 대한 EFT 불면 치료 프로그램(EFT-1)의 효과 평가를 위한 예비적 연구
초록 Objectives :The aim of this study was to evaluate the effects of EFT-I(EFT program for insomnia) for insomnia in the elderly as a preliminary study. Methods :This study was a single group pre-post comparative study that involved 10 elderly women(mean age=76.3±4.29),who visited a senior welfare center, complained of insomnia symptoms. Subjects received 8 sessions(twice a week for 4 weeks and 1 hour for each session) of EFT-I group training.Insomnia severity, depression, state-anxiety,and life satisfaction of each subject were evaluated twice at pre and post of EFT-I. Korean Sleep Scale,Short form of Geriatric Depression Scale(SGDS), State-Trait Anxiety Inventory(STAI),and life satisfaction scale were used as evaluation tools. The data were analyzed using paired-samples T-test. Results :Insomnia severity, life satisfaction, depression, and state-anxiety were significantly improved by EFT-I. Conclusions :Result of this study showed that EFT-I can be a useful treatment program for elderly insomnia.Larger clinical trials are needed to verify effect of EFT-I as a community based insomnia management program for the elderly.[원문 보기]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 732
심박변이도 지표에 나타난 자율신경 상태와 우울, 불안 및 분노 설문검사 척도 간의 상관성 평가
초록 Objectives :This study aims to evaluate the relationship between HRV indices and scores of emotional questionnairesand to find out the effective way to assess patients emotional and physical condition. Methods :We selected 144 patients who had both HRV data and BDI, STAI and STAXI scores on the chart among outpatients from July 2006 to December 2010.The relationship between the scores rated from the questionnaires and HRV indices are analyzed.And the HRV indices of patients included in the top 30 percent group and the bottom 30%group are compared. Results :1. There were no significant correlations between HRV indices and scores of BDI, STAI and trait anger of STAXI.2. SDNN and TP of HRV significantly decreased with higher state anger scores of STAXI.The top 30 percent group of state anger had lower SDNN, TP, LF, HF and HRV-index and higher pNN50 than the bottom 30percent group.3. RMSSD of HRV significantly decreased with higher anger-in scores of STAXI.The top 30 percent group of anger-in had lower RMSSD than the bottom 30 percent group. Conclusions :HRV can be used to evaluate emotional and physical changes related to state anger and inappropriate anger expression.[원문 보기]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 722
한약(韓藥) Extract제제의 투여로 호전을 보인 광장공포증을 동반한 공황장애 환자 1례(例) -계지가룡골모려탕(桂枝加龍骨牡蠣湯)과 작약감초탕(芍藥甘草湯)-
초록 Objectives :This case report presents a 33-year-old male patient who complained chest pain and anxiety,diagnosed with panic disorder with agoraphobia improved by Herbal Extracts, SRP(Stress Reduction Program) and Acupuncture treatment. Methods :In early treatment period, we evaluated his general psychological state through interview and self-questionnaires(STAI, SCL-90-R, STAXI, BDI) for treatment planing.And then we had prescribed herbal extracts for 20 weeks with applying SRP and acupuncture treatment.After 20 weeks we assessed his psychological symptoms with same evaluation tools. Results :After 20 weeks, We found that patient's somatic and psychological symptoms(anxiety, depression, anger) were alleviated.Frequency and severity of panic attacks were reduced also. Conclusions :Herbal extracts, especially Gyejigayonggolmoryo-tang(桂枝加龍骨牡蠣湯) and Jakyakgamcho-tang(芍藥甘草湯),may be useful therapeutic tool for control of panic attack symptoms and anxiety.[원문 보기]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 747
치매 환자의 임상증상에 대한 조사 연구
초록 Objectives :The aim of this survey study is to analysis clinical symptoms and patterns of dementia patients.The results of this study will be used to support development of the oriental herbal medicine for dementia. Methods :Clinical data were collected from 41 dementia patients and 20 aged persons who have no cognitive impairment in 3 sites including 2 hospitals and 1 sanatorium.‘The instrument of oriental medical evaluation for dementia’ is used to evaluate clinical symptoms and patterns of all subjects. Results :1. Subjects of deficiency syndrome patterns were nearly three times more than subjects of excess syndrome patterns.2. In dementia patient group, the average rate for 4 clinical symptoms, related with treatment principle of clear heat, was 26.9%.3. The average rate for 4 clinical symptoms, related with condition of urine and feces, was 15.6%.4. The average rate for 5 clinical symptoms, related with anger, irritation, anxiety and restlessness, was 40.0%. Conclusions :1. It is needed to develop new herbal medicine for dementia focuing on clear heat, anger, irritation, anxiety, restlessness, and condition of urine and feces.2.‘The instrument of oriental medical evaluation for dementia’ has strong tendency that excessively reflects general geriatric symptoms,related to deficiency syndrome patterns. so, more clinical symptoms...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 712
한의학 정신요법을 이용한 소아 전환장애 환자 1례 -지언고론요법(至言高論療法), 지지적 정신치료와 행동치료-
초록 통제적이고 강압적인 부모의 양육태도로 유발된 내면의 불안 및 갈등이 '항문의 이상 감각'이라는 신체화 증상으로 상징화되어 표출된,전환장애로 의심되는 7세 여환아(女患兒)에게 한약(韓藥)치료와 더불어 지언고론요법(至言高論療法)을 적용하여 약 2개월간 치료하였다.지언고론요법(至言高論療法)은 한의학 정신요법 중 하나로 현재 임상에서 행해지고 있는 지지적 정신치료 및 행동치료와 유사하다.의료진은 이를 본 증례의 환아(患兒)에게 2개월간 적용하여 증상이 80%이상 소실되는 긍정적인 치료 결과를 얻을 수 있었다.아동의 심리 발달과정에서 부모의 양육태도 등과 같은 중요한 심리 환경적 요인들이 부적절하여 아동의 내면에 갈등이 생기면 심인성의 신체증상이 유발되기도 한다.이는 전환장애의 심리기제와 매우 흡사하다 할 수 있다.그러므로 아동의 심인성 신체 증상을 치료하는 장면에서, 우선 성장 환경의 문제점 혹은 환아(患兒)의 성격 기질적 특성을 정확히 파악하고그에 따라 지언고론요법(至言高論療法)등과 같은 한의학 정신요법을 이용해 적절한 치료적 개입을 한다면 이른 시간 안에 효과적인 치료가 가능할 것이다.본 증례는 그 좋은 예라 사료된다. Objectives : This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy,the Giungoroen.Her chief complaint was dysesthesia of anal. Methods : Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11,we assessed her psychological state and seek for the psychological reason induced her physical symptom,dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents.So we decided to use...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 722
체질특성과 화병의 상관관계에 대한 연구 - 화병역학연구 자료에 기반하여
초록Objectives :The aim of this study was to find correlations between characteristics of Four constitution and Hwa-byung. Methods :Clinical data were collected from Hwa-byung Epidemiologic study data. we selected 130 self-labelled Hwa-byung patients data and 83 of them were diagnosed as Hwa-byung by SCID. We used Hwa-byung SCID, Hwa-byung scale, CES-D, STAI, STAXI and Personality and Physiological Symptom Questionnaire(PPSQ) as evaluation tools. We performed statistical analysis of each 2 groups, self-labelled Hwa-byung group(N=130) and diagnosed Hwa-byung group(N=83). Results :1. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with 3 indices of Hwa-byung scale and significant positive correlation with 1 index. Lesser yin score showed significant positive correlation with 6 indices. In diagnosed Hwa-byung group, Greater yin score showed significant negaitive correlation with 5 indices. In both groups, Lesser yang score showed no significant correlation with any indices of Hwa-byung scale. 2. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with both trait anger score and state anger score of STAXI. Lesser yin score showed significant positive correlation with trait anxiety score, state anxiety score and CES-D score self-labelled Hwa-byung group. Lesser yang score showed significant positive correlation with anger-out score of STAXI. But Lesser...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 799
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