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주의력결핍 과잉행동장애(ADHD) 한의 변증 설문지 개발 연구
초록 Objectives: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by a persistent pattern of inattentionand/or hyperactivity impulsivity that interferes with function or development in children.In traditional Korean medicine (TKM) and traditional Chinese medicine (TCM),ADHD is classified by several patterns based on symptoms and signs.However, currently, there is no objective diagnostic tool for ADHD in traditional medicine.The objective of this study was to develop the Pattern Identification Questionnaire for ADHD (parents-survey style) to be used in Korean medicine,through a literature re-view and consultation with groups of experts. Methods: The types of pattern identifications of ADHD mentioned in 13 pieces of Korean and Chinese literatures and their symptoms and signs were analyzed.The advisory committee (15 Neuropsychiatrist and 11 Pediatrist in Korean Medicine) assessed the appropriateness of the literature selectionand the types of pattern identification selection and their symptoms and signs,and weighed the significance of the symptoms and signs.The Pattern Identification Questionnaire for ADHD was developed using the calculated weights by evaluated significance.The translation of symptoms and signs to the Korean language was achieved through consultation with expert translators. Results: 1. Four pattern identification types and their symptoms and signs were selected according to frequency of appearance in the Korean and Chinese literatures, and were...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 46
ADHD 변증 유형별 부주의 및 과잉행동-충동성 증상 특징 연구
초록 Objectives The purpose of this study was to investigate the pattern characteristics of symptoms for ADHD,the relationship between pattern identifications in TKM and TCM and three presentations of ADHD defined in the Diagnosticand Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Methods The pattern characteristics of symptoms for ADHD from the 13 Korean and Chinese literatures were analyzed.ADHD symptoms of each pattern were classified into 3 categories; symptoms of inattention, hyperactivity-impulsivity and others.The characteristics of patterns for ADHD in Traditional Medicine were compared with three presentations of ADHD defined in DSM-5. Results 1. The pattern of dual deficiency of the heart and spleen (心脾兩虛) showed predominant symptoms of inattentionand rarely showed those of severe hyperactivity and impulsivity.This characteristic of ADHD can be related to the predominantly inattentive presentation in DSM-5.2. The pattern of phlegm-fire harassing the heart (痰火擾心), and the pattern of deficiency of liver-yin and kidney-yin (肝腎陰虛),frequently showed symptoms of hyperactivity-impulsivity compared with those of inattention.This characteristic of ADHD can be related to the predominantly hyperactive-impulsive presentation in DSM-5.3. The pattern of spleen weakness and liver energy preponderance (脾虛肝旺) frequently showed both symptoms of hyperactivity,and this characteristic of ADHD can be related to the combined presentation in DSM-5....
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 41
강박장애 치료에 대한 중의학 임상연구 동향
초록 Objectives: The objective of this study is to analyze the Clinical reports of treatment of obsessive compulsive disorder (OCD)in traditional Chinese medicine (TCM). Methods: Clinical reports on obsessive compulsive disorder treatment from 2001 to 2017 were searched using the following key wordsin the China National Knowledge Infrastructure (CNKI). ‘OCD’, ‘qiangpo zheng’. Results: A total of 22 papers were selected, 12 of which were clinical research papers and 10 case report papers.The acupuncture and moxa treatment was more effective in relieving the clinical symptoms of OCD patients as compared to only using western medicine,and it was also possible to reduce the ad-verse effects of western medicine. Conclusions: It was established that Traditional Chinese medicine has some effect on the treatment of OCD,but there were limitations as follows.The selected papers were retrieved from only one site of CKNI and did not follow a systematic review methodology.Therefore generalized results could not be derived, further studies should therefore be carried out.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 42
성격검사 및 전산화신경심리검사를 활용한 사상체질별 성격, 인지 특성 연구
초록 Objectives: The purpose of this study is to study the personality traits and cognitive characteristics of the Sasangconstitution by comparing the Personality Test and Neuropsychological Test. Methods: A total of 121 subjects were analyzed with the results of a Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD).Among them, the Personality Tests (SPQ, EPQ, TCI) and the NeuropsychologicalTests (A-VLT, CPM, Stroop-CWIT, WCST) were processed and analyzed for Soyangin, Taeeumin, Soeumin. Results:1. In the results of the SPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Behavior,Emotionality, Cognition, as well as the Total Score.The SPQ-C score and SPQ-T were significantly higher for Soyangin, Soeumin and Taeeumin, in that order.2. In the results of the EPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Extraversion – introversion.Soeumin showed a significantly higher score than did the Soyangin and Taeeumin in NeuroticismSoyangin also showed a significantly higher score than Taeeumin in Venturesomeness.3. For the results of the TCI, the Soyangin showed a significantly lower score than did Taeeumin and Soeumin in Harm-Avoidance,but a significantly higher score in Persistence and Self-Directedness.Soyangin and Taeeumin showed a significantly higher score than did Soeumin for...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 45
불면장애에 대한 혈부축어탕의 체계적 문헌 고찰 및 메타분석 연구
초록 Objectives: The present study aimed to provide clinical evidence on the effect of herbal medicineHyeolbuchukeo-tang or Xuefu Zhuyu decoction for the treatment of primary insomnia using a sys-tematic reviewand meta-analysis of randomized controlled trials (RCTs). Methods: This study included RCTs that verified the effects of Hyeolbuchukeo-tang or Xuefu Zhuyu decoction for the treatment of primary insomnia.Literature searches of English, Chinese and Korean databases were performed, and the selected literature was assessed for investigating the risk of bias. Results: The analysis included 10 RCTs.The Chinese Classification of Mental Disorders-3 was most fre-quently used to define the diagnostic criteria for Hyeolbuchukeo-tanor Xuefu Zhuyu decoction inter-vention in patients with primary insomnia.The effective rate was the most commonly used outcome measure.A meta-analysis revealed that the effective rate,the Pittsburgh Sleep Quality Index, and the Athens Insomnia Scale in the Modified Xuefu Zhuyu decoction (MXZD) groupwere higher compared to Western Medicine (WM) group(RR: 1.17, 95% Cl: 1.08 to 1.26, p＜0.0001, I2=0 / MD: −1.29, 95% Cl: −2.09 to −0.49, p=0.002, I2=0% / MD: −0.99, 95% Cl: −1.81 to −0.18, p=0.02, I2=15%).The effective rate of the MXZD＋WM group was significantly different compared to the WM group(RR: 1.28, 95% Cl: 1.11 to 1.47, p=0.0006, I2=2%).The included RCTs...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 42
불면장애에 사용된 귀비탕의 동질성 연구-CNKI에서 검색한 무작위배정 임상연구를 중심으로
초록 Objectives: The study was designed to provide clinical evidence of homogeneity in analysis of the herb-al medicine,Guipi decoction in treating insomnia, using a t-test of randomized controlled trials (RCTs). Methods: This study included RCTs that verified homogeneity of Guipi decoction in treating insomnia.Literature studies of CNKI (Chinese National Knowledge Infrastructure Database) were performed.The basic components group was made to the Guipi decoction of the Yixuerumenʼs text.The excluded group was created with the number of herbs excluded from the basic components group.T-test per-formed that the effective rate in the basic components group and excluded groups. Results: The basic components of Guipi decoction contain Atractylodis Rhizoma Alba, Poria Sclerotium (Poria Sclerotium Cum Pini Radix),Polygalae Radix, Astragali Radix, Zizyphi Semen, Angelicae Gigantis Radix, Aucklandiae Radix, Glycyrrhiza uralensis Fischer,Ginseng Radix (Codonopsis Pilosulae Radix), Longanae Arillus.Herbs excluded from the basic components group were Longanae Arillus,Ginseng Radix (Codonopsis Pilosulae Radix),Glycyrrhiza uralensis Fischer and herbs added to the basic compo-nents group were Polygonum multiflorum Thunberg,Schisandrae Fructus, Salviae Militiorrhizae Radix, Paeoniae Radix Alba (in order from the most used to the least).T-test revealed the effective rate in the basic components group was not statistically significant compared to the excluded groups (p=0.161/p=0.162/p=0.103). Conclusions: Effectiveness in treatment of basic...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 43
어혈로 변증된 불면증 환자의 치험례
초록 Objectives: Insomnia is a common disease in the general population.The purpose of this paper was to suggest that insomnia subtype of blood stasis can be effectively treated with Danggwisu-san and acupuncture. Methods: This is a clinical case report of a patient with chronic insomnia that was diagnosed with blood stasis subtype.I treated him with Danggwisu-san (Dangguixu-san) two to three times daily and with acupuncture and moxibustion two to three times weekly. Results: After short-term treatment, the patient was gradually recovering from deteriorating chronic insomniaand multiple accompanying symptoms such as severe constipation, spontaneous bleeding and edema, darkened face, depressive moods, etc. Conclusions: Results revealed a possibility that chronic insomnia subtype of blood stasis may be suc-cessfully treatedwith Danggwisu-san and acupuncture and moxibustion.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 46
불면장애에 대한 천왕보심단의 체계적 문헌 고찰 및 메타분석 연구
초록 Objectives: The objective of this study was to provide clinical evidence to support the use of a herbal medicine(Cheonwangbosim-Dan/Tianwangbuxin-Pellet (TWBXP)) for insomnia. Methods: Randomized controlled trials that verified effects of Herbal Medicine(Cheonwangbosim- Dan, Tianwangbuxin-Pellet) treating primary insomnia were carried out.A literature search of English, Chinese, Korean databases was also performed.The selected literature were assessed by Risk of Bias (RoB). Results: The total number of selected trials was 13 RCTs.Among the 13 RCTs, 10 were meta-analyzed.The Chinese Classification of Mental Disorders-3 (CCMD-3) was frequently used as the diagnostic criteria for interventions during the analysis ofthe use of herbal medicine (Cheonwangbosim-Dan/ Tianwangbuxin-Pellet) for management of primary insomnia.As for outcome measurement, the effective rate was used. From the Meta-analysis of the studies,it was established that the insomnia cure effective rate in the TWBXP group was higher thanthat in the Western Medicine (WM) group (RR: 1.15, 95% CI: 1.07 to 1.24, p<0.0001, I2=33%).Also, the effective rate in the TWBXP+ACU group was significantly different compared to the WM group (RR: 1.32, 95% CI: 1.13 to 1.54, p=0.0004, I2=0%).The quality of the selected RCTs was low. Conclusions: Herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet) is effective for treating primary insomnia.It is worth noting that this studies were of relatively...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 42
화병의 한의학적 치료에 대한 연구동향
초록 Objectives: To determine the general characteristics of clinical studies about Hwabyung and assess their limitations and alternatives. Methods: Clinical studies that examined the effects of traditional Korean medicine intervention on Hwabyung were included in this study.A systematic search of English, Chinese, Japanese, and Korean databases was performed. The characteristics of included articles were described and those articles were assessed by Risk of Bias (RoB) tool or Risk of Bias for Nonrandomized Studies (RoBANS) tool. Results: Sixteen articles were selected from 1,826 articles.Most clinical studies about Hwabyung were published in Korea. The number of conducted trials was insufficient.The prevailing study design was randomized controlled trial.Traditional Korean medicine intervention used in the trials were acu-puncture, herbal medicine, counselling, meditation,emotional freedom technique (EFT), music ther-apy, art therapy, and multi intervention program.Herbal medicine study used placebo as control while non-pharmacological intervention study mostly used no treatment as control.Most of the trials were supported by the government.Therefore, financial conflict of interest might not exist for results.We judged that some studies had a high risk of bias.In general, most of the studies with a high risk of bias were non-pharmacological intervention studies, and the risk of bias was mainly due to lack of blinding. Conclusions:...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 42
간비불화증(肝脾不和證)으로 변증된 체중감소 환자 치험례
초록 Objectives: The aim of this report is to suggest that severe weight loss diagnosed with a pattern of liv-er-spleen disharmony can be effectively treated with Korean Medicine (acupuncture and herbal medi-cation). Methods: This is a clinical case report of a patient with severe weight loss diagnosed with a pattern of liver-spleen disharmonyThe patient was treated with Samryungbeakchul-san (Canlingbaizhu-san), Hyangsayangyi-tang (Xiangshayangwei-tang), and Haewoolhwajoong-tang (Jieyuhezhong-tang) two to three times a day and with acupuncture and moxibustion two to three times a week. Results: After the short-term treatments described above, the patient was gradually recovering from severe weight loss and many accompanying symptoms, such as diarrhea, insomnia, insufficient food intake, and others. Conclusions: The results show the possibility that severe weight loss diagnosed with a pattern of liv-er-spleen disharmony could be effectively treated with Korean Medicine (acupuncture and herbal medication).[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 45
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