회원학회

회원학회

번호 연구제목 연구자 연구기간 발표실적
내용
153 중성어혈 약침과 인삼백하오관중탕으로 호전된 비심인성 흉통 증례 1례 김서영, 최정우, 정혜선, 임태빈, 고창남, 박정미, 조승연, 박성욱 2020-01-01 ~ 학회지
■Objectives The purpose of this study is to report the effectiveness of Korean medicine in the treatment
of non-cardiac chest pain.
■Methods The patient with non-cardiac chest pain was treated with herbal medicine, Insambaekhaokwanjung-tang, and Jungsongouhyul pharmacoacupuncture. The severity of symptom was
assessed by daily chest pain frequency, Numerical Rating Scale(NRS) of chest pain.
■Results After the treatment, the severity of chest pain was reduced from NRS 9 to NRS 0 and the
palpitation intensity was reduced from 9 to 0. The chest pain frequency was reduced from
7 to 0. In addition, other symptoms such as anorexia, sleep disturbance, and fatigue have
shown improvements.
■Conclusion The findings of this study suggests that treatment with Korean medicine can be an effective
option in treating non cardiac chest pain.
152 열다한소탕가미를 활용한 2형 당뇨 환자 치험례 김세원, 하원정, 박호정, 조기호, 문상관, 권승원, 진 철, 정우상 2020-01-01 ~ 학회지
■Objectives The purpose of this study is to report on a case that showed improvement in type 2 diabetic
patients by using herbal medicine, Yeoldahansotang-gami.
■Methods Yeoldahansotang-gami was given to patients with type 2 diabetes for 71days. To evaluate the
effect, blood glucose was measured 4 times a day. As measured blood sugar, the frequency
of hyperglycemia, changes in fasting blood sugar, changes in postprandial blood sugar, and
changes in glucose variability were analyzed. The patient\'s insulin injection dose change was
observed, and HbA1c and glycated albumin were measured. Follow-up was performed for 7
months to observe whether the treatment effect was maintained.
■Results During treatment, the patient\'s blood sugar control, glucose variability, and HbA1c were improved, and insulin injection dose was gradually reduced and stopped. HbA1c and glycated
albumin levels maintained improvement without insulin injection during the follow-up period.
■Conclusion ? This study showed the effect of yeoldahansotang-gami on type 2 diabetes patient.
151 당귀작약산이 정상인의 총경동맥 탄력도에 미치는 영향 : 무작위대조군 교차시험 김수현, 서유나, 배인후, 조기호, 문상관, 정우상, 권승원, 진 철 2020-01-01 ~ 학회지
■Objectives 당귀작약산 단회 복용으로 정상인의 총경동맥 탄력도에 미치는 영향을 평가하고자 하였다.
■Methods 본 연구는 정상인 남성을 대상으로 한 전향적 무작위 대조군 교차시험연구다. 모든 대상자들은 임
의로 당귀작약산 복용군과 비복용군인 대조군으로 나누어졌다. 1주일 간격으로 총 2회 방문하며,
첫 번째 방문 시에 당귀작약산 복용군은 당귀작약산 1포(2.5g)과 물을 제공받고, 대조군은 물만 제
공받아 복용하였다. 두 번째 방문 시 첫 번째 방문과 반대로 당귀작약산을 복용했던 복용군은 물만
제공받고, 물만 복용했던 피험자들은 당귀작약산 1포와 물을 제공받았다. 물은 100 cc로 매번 동일
하게 제공되었다. 모든 대상자들은 복용 직전과 복용 2시간, 4시간 후에 총경동맥 탄력도, 혈압, 총
경동맥 내막-중막 두께와 맥박수를 측정하였다.
■Results 총 20명의 정상인 남성이 모집되었으며, 시간에 따라 당귀작약산 복용 후의 총경동맥 탄력도가 대
조군에 비하여 유의하게 상승한 것이 확인되었다. 내막-중막 두께, 혈압 및 맥압, 맥박은 유의한 변
화가 나타나지 않았다.
■Conclusion ? 당귀작약산의 단회 복용으로 총경동맥 탄력도가 즉시 개선되는 것을 확인하였고, 이로써 당귀작약
산이 동맥 경직도 완화 및 탄성의 개선에 영향을 미친다는 것을 알 수 있었다
150 전신 근간대성 경련을 호소하는 정신성 비간질성 경련 환자에 대한 억간산 및 황련해독탕 병용 투여 치험 1례 배인후, 하원정, 서유나, 이현규, 김수현, 조기호, 문상관, 정우상, 권승원, 진 철 2020-01-01 ~ 학회지
■Objectives This case report is reported to show the effect of Ukgansan and Hwangnyeonhaedok-tang
on a patient who complaining myoclonic seizure due to psychogenic non epileptic seizure,
occurred after traumatic stress event.
■Methods A female patients with myolconic seizure was treated with Ukgansan and Hwangnyeonhaedok-tang during 5 days. Then we assessed dyskinesia severity by AIMS(Abnormal Involuntary Movement Scale) every two days til discharge.
■Results Seizure decreased two days after hospitalization, then disappeared third day. There was no
recurrence till discharge. When she revisited outpatients clinic, there was no symptom.
■Conclusion ? This case showed the effect of Ukgansan and Hwangnyeonhaedok-tang on psychogenic epileptic seizure.
149 군발 두통 환자에게 한의치료를 적용했던 1례 이현규, 배인후, 하원정, 김수현, 조기호, 문상관, 정우상, 권승원, 진 철 2020-01-01 ~ 학회지
■Objectives The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM)
on a patient with Cluster Headache.
■Methods A patient diagnosed as Cluster Headache was treated with herbal medication(Sihogyejitang
plus Oryungsan), acupuncture, electro-acupuncture. Then we evaluated the improvement
with NRS(Numeral Rating Scale) of headache, number of headache attack and O2 inhalation.
■Results We could observe decrease NRS of headache and number of headache and O2 inhalation
after 10 days of the TKM treatment and there was no reattack after treatment for 43days follow up period.
■Conclusion ? This case showed the effect of TKM treatment on Cluster headache.
148 주간 졸림을 호소하는 少陽人 환자에 대한 荊防導赤散 치험 1례 전규리, 임태빈, 최정우, 김하리, 박성욱, 박정미, 고창남, 조승연 2020-01-01 ~ 학회지
■Abstract This case study is to report the effectiveness of Hyungbangdojeock-san in the treatment of
daytime sleepiness. The patient was diagnosed as a Soyangin, one of the 4 constitution types
in Korean medicine, and treated with herbal medicine, Hyungbangdojeock-san and acupuncture treatment for 14 days. The severity of symptom was assessed using Epworth Sleepiness
Scale (ESS). After treatment, the severity of daytime sleepiness was reduced. ESS score was
decreased from 11 to 2. As a result this case showed the effect of Hyungbangdojeock-san on
daytime sleepiness.
147 호중구 감소를 동반한 길랑바레 증후군에 대한 한의 복합 치료 증례보고 1례 정은선, 유호룡, 김윤식, 설인찬 2020-01-01 ~ 학회지
■Objectives This study reports a case of improvement in a patient with neutropenia after Guillain-Barr?
treatment through combined Korean medicine treatment.
■Methods This patient was hospitalized for 22 days and was treated by herbal medicine, electroacupuncture, and physical therapy. Symptom improvement was evaluated through periodic clinical
pathology examination, manual muscle test(MMT), yanagihara scale, and numeric rastic sclae(NRS).
■Results The clinical symptoms and absolute neutrophil counts of this Guillain-Barr? patient improved after the combined Korean medicine therapy treatment.
■Conclusion ? This study suggests that Korean Medicine can be effective in reducing Guillain-Barre syndrome symptoms and improving intravenous immunogloubulin induced neutropenia, but
more research is required to confirm these results.
146 보행장애를 호소하는 초기 다계통 위축증(MSA-C) 환자 한의 치험 1례 최정우, 김서영, 김하리, 전규리, 조승연, 박성욱, 박정미, 고창남 2020-01-01 ~ 학회지
■Objectives The purpose of this case is to report the effectiveness of Korean medicine in the treatment
of early stage multiple system atrophy-cerebellar ataxia(MSA-C)
■Methods The patient was treated with acupuncture, bee venom, and herbal medicine. The clinical
symptoms was assessed using unified multiple system atrophy rating scale(UMSARS) and
20M gait time and steps.
■Results After treatment, UMSARS score and 20M gait time and steps showed improvement.
■Conclusion This study suggested that Korean medical treatment could be an effective option for treating
early stage MSA-C.
145 쌍합탕 투약 후 수족부 저림증이 호전된 지주막하 출혈 환자 증례보고 홍승철, 민선우, 문지성, 김학겸, 김영지, 송주연, 안 립, 신길조, 최동준 2020-01-01 ~ 학회지
■Objectives This case is to report the effect of Ssanghap-tang on paresthesia of a subarachnoid hemorrhage patient.
■Methods A male Korean patient was treated with Ssanghap-tang and acupuncture, moxibustion for total 30 days. We observed limbs numbness, circumferences, other symptoms such as weakness
and any adverse event.
■Results After treatment, numeric rating scale of limb numbness was improved to 5 from 8 at admission without any adverse event. However, we could not find any significant differences on
hand circumference and limb weakness.
■Conclusion ? This case suggests that Ssanghap-tang and acupuncture, moxibustion therapy could be effective in improving paresthesia of subarachnoid hemorrhage patient.
144 불면을 호소하는 뇌실질내출혈 환자 치김경묵 교신저자 : 권승원, 서울특별시 동대문구 경희대로 23 경희대학교 한방병원 순환신경내과학교실 TEL: 02-958-9127, FAX: 02-958-9132 E-mail: kkokkottung@naver.com , 김세원, 서유나, 정우상, 문상관험1례 김경묵, 김세원, 서유나, 정우상, 문상관, 진철, 조기호, 권승원 2019-01-01 ~ 학회지
A case of a 46-year-old Korean male with post-stroke insomnia that induced by intracranial hemorrhage was presented. He was treated with Transcutaneous electric acupoint stimulation (TEAS) at BL62 and KI6 once per a day for 17 days. We recorded the patient’s sleep time and time of asleep, and used PSQI-K to assess severity of patient’s insomnia symptom. After using TEAS, there was improvement in patient’s insomnia severity and the time of sleep. From the result of this case, electrical stimulation at acupoint can may be effective in treating post-stroke insomnia.
143 뇌졸중 이후 수면관련 행동장애를 보이는 환자에 대한 억간산가미 치험 2례 김수현, 이유진, 양정윤, 조기호, 문상관, 정우상, 권승원, 진철 2019-01-01 ~ 학회지
Objective : This case study is to report the two cases of Ukgansan-gami on sleep-related behavior disorder after stroke.
Methods : Two patients who had sleep-related behavior disorder after stroke were treated by Ukgansan-gami about a month. We evaluated these patients with the frequency and severity of symptoms.
Results : During treatment period, decreases in both frequency and severity of symptoms were observed in two cases.
Conclusions : Two patients who were suffered from sleep-related behavior disorder due to sequelae of stroke showed significant improvement of their symptom after taking Ukgansan-gami.
142 뇌졸중 환자에서 항생제 투여에도 반응이 없는 반복적 요로감염과 동반되는 무뇨 및 배뇨통에 대한 보중익기탕 치험 1례 서유나, 김세원, 김경묵, 조기호, 문상관, 정우상, 권승원, 진철 2019-01-01 ~ 학회지
Objective : The purpose of this case report is to show the effect of Bojungiki-tang on a patient complaining dysuria and urinary pain caused by repeated urinary tract infection(UTI) occurred after onset of cerebral infarction.
Methods : A cerebral infarction patient with repeated UTI was treated with herbal medication, Bojungiki-tang. Then we evaluated the improvement with amount of total urine output, nelaton catheterization urine output and self voiding urine output.
Results : Increase in amount of total and self voiding urine output and decrease in amount of nelaton urine output were observed after taking Bojungiki-tang.
Conclusions : This case showed the effect of Bojungiki-tang on dysuria and urinary pain caused by repeated UTI.
141 인진오령산가감이 유효했던 자가면역성 간염의증 환자 1례 이유진, 김수현, 양정윤, 조기호, 문상관, 정우상, 권승원, 진철 2019-01-01 ~ 학회지
Objective : In this case report, we address a case of a 83-year-old female patient diagnosed with suspicious autoimmune hepatitis.
Methods : A patient was treated with herbal medication, Injinoryung-san gagam. We evaluated the improvements of symptoms by AST,ALT,GGT,ALP and total score of Fatigue Severity Scale(FSS).
Results : After 4 weeks of taking Injinoryung-san gagam, there were decrease in abnormal liver enzyme levels with improvement of the patient\'s fatigue.
Conclusions : This study suggested that Injinoryung-san gagam might be effective in autoimmune hepatitis patient’s liver enzyme levels and fatigue recovery.
140 밀러피셔 증후군 환자에 대한 한방 치험 1례 이현규, 서원주, 김재학, 조기호, 문상관, 정우상, 권승원, 진 철 2019-01-01 ~ 학회지
Objective : The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with Miller Fisher Syndrome.
Methods : A patient with Ataxia, Diplopia, Mydriasis diagnosed as Miller Fisher Syndrome was treated with herbal medication, acupuncture, electro-acupuncture, and press needles. Then we evaluated the improvement with the size of pupil, NRS(Numeral Rating Scale) of Diplopia, Assessment for Gait disturbance .
Results : We could observe decrease in pupil size and NRS of Diplopia and improve in assessment for gait disturbance after the TKM treatment.
Conclusions : This case showed the effect of TKM treatment on Miller Fisher syndrome.
139 뇌졸중 후 양안의 동측 상방 수평반맹을 호소하는 환자 한의 치험 1례 최정우, 김서영, 김하리, 신희연, 양승보, 조승연, 박성욱, 고창남, 박정미 2019-01-01 ~ 학회지
Objectives: The purpose is to report the case of Korean medicine in the treatment of bilateral superior altitudinal hemianopia after a stroke.
Methods: The patient was treated with acupuncture, electroacupuncture, bee venom, and herbal medicine. The visual field defect was assessed using humphrey visual field analyzer and confrontation visual field test.
Results: After treatment, humphrey visual field analyzer and confrontation visual field test showed improvement in field of vision
Conclusion: This study suggested that Korean medical treatment could be an effective option for treating visual field defect after stroke.
138 少陰人 과민성 장 증후군 설사형 증례 1례 김하리, 정혜선, 최정우, 신희연, 조승연, 박성욱, 고창남, 박정미 2019-01-01 ~ 학회지
Objectives: The purpose of this case is to report the effectiveness of Korean medicine in the treatment of irritable bowel syndrome with diarrhea.
Methods: The patient was diagnosed as a Soeumin, one of the 4 constitution types in Korean medicine, and treated with herbal medicine, Osuyubujaijung-tang and acupuncture treatment. The severity of symptom was assessed using daily defecation frequency, Numerical Rating Scale (NRS) of abdominal pain, Gastrointestinal Symptom Rating Scale (GSRS) score and Irritable Bowel Syndrome - Quality of Life (IBS-QOL) score.
Results: After treatment, the defecation frequency was reduced from 6 to 2 times a day, and the severity of abdominal pain was reduced from NRS 6 to NRS 2. Also, GSRS score was decreased from 18 to 4 and IBS-QOL score was improved from 70.59 to 81.18.
Conclusion: This study suggested that Korean medical treatment could be an effective option for treating irritable bowel syndrome with diarrhea.
137 탁리소독음과 황련해독탕 약침을 병용하여 호전된 4도 욕창 1례 정혜선, 김하리, 김서영, 이상화, 조승연, 박성욱, 고창남, 박정미 2019-01-01 ~ 학회지
Objectives: The purpose of this case study is to report the effectiveness of Korean medicine and pharmacopuncture in the treatment of pressure ulcer.
Methods: The patient with pressure ulcer was treated with herbal medicine, Hwangryunhaedoktang pharmacopuncture, acu-moxi treatment. We started herbal medicine mainly Taklisodok-um for pressure ulcer, but changed to Paljung-san due to urinary tract infection on Day 67. During the daily dressing, we inject pharmacopuncture solution subcutaneous ulcer area and spray solution on the cavity of right pressure ulcer. The severity of pressure ulcer was assessed using[NPUAP] pressure ulcer stage, healing rate of pressure ulcer and depth of right side ulcer cavity on Day1, Day15, Day40, Day73, Day95.
Results: After treatment, the total size of the pressure ulcer was reduced from 90(10*9) to 56(8*7)cm2, healing rate of pressure ulcer increased to 37.8%, depth of pressure ulcer was reduced from 3.5 to 2cm. Though NPUAP stage(Gr 4) was not changed, size and color of pressure ulcer definitely improved compared to Day1.
Conclusion: This study suggested taht Korean medical treatment could be effective option for treating grade 4 pressure ulcer.
136 심양허증으로 변증한 확장성 심근병증 환자 치료 1례 하유빈, 신길조 2019-01-01 ~ 학회지
Objectives : The purpose of this study is to report the improvement of dilated cardiomyopathy after traditional Korean medical treatment; herb-med, acupuncture, moxibustion.
Methods : A patient with cardiomyopathy whose chef complaint was oversleep, shortness of breath, fatigue and coldness of hand-foot received inpatient treatment from September 2nd 2019 to September 23rd 2019. And we analyzed treatment progress and result.
Results : We observed that traditional Korean medical treatment decreased symptoms; Fatigue by 30% and Coldness of hand-foot by 100%. And The patient’s general condition is improved.
Conclusions : We report this clinical study to be helpful in treating patients of dilated cardiomyopathy by traditional Korean medicine.
135 뇌졸중 후 요저류 환자 치험 1례 김세원, 김경묵, 정민호, 조기호, 문상관, 정우상, 권승원, 진철 2018-01-01 ~ 학회지
Objective: The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with poststroke urinary retention
Methods: A stroke patient with urinary retention was treated with herbal medication(paljungsan), acupuncture, electro-acupuncture and moxibustion. To evaluate the effect of TKM on poststroke urinary retention, we observed voiding pattern and residual urine after voiding.
Results: Maintenance of regular self voiding and decrease of residual urine after voiding were observed after the TKM treatment.
Conclusions: This study showed the effect of TKM treatment on Urinary retention of stroke patient.
134 시상출혈 환자의 불면에 대한 한방 치험 1례 김수현, 김재학, 박민정, 조기호, 문상관, 정우상, 권승원, 진철 2018-01-01 ~ 학회지
Objective : The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with insomnia occurred after onset of thalamic hemorrhage.
Methods : A patient with insomnia diagnosed as thalamic hemorrhage was treated with herbal medication, acupuncture, electro-acupuncture, cupping and moxibustion. Then we evaluated the improvement with the number of times the patient woke up, PSQI-K(Pittsburgh Sleep Quality Index-Korean), ISI-K(Insomnia Severity Index-Korean) and KESS(Korean version of Epworth sleepiness scale).
Results : Decrease in scores of PSQI-K, ISI-K, KESS and the number of times the patients woke up were observed after the TKM treatment.
Conclusions : This case showed the effect of TKM treatment on poststroke insomnia.
133 가미귀비탕을 포함한 한방치료로 회상기억이 향상된 뇌졸중 후 인지저하 환자 2례 김정화, 이형민, 신희연, 김하리, 양승보, 조승연, 박성욱, 고창남, 박정미 2018-01-01 ~ 학회지
Objectives: This case study is to report the two cases of Gami-Guibitang on cognitive impairment after stroke with improved recall memory.
Methods: We used Korean medicine treatments including Gami-guibitang, acupuncture and moxibustion to treat patients who had cognitive impairment after stroke for at least two months. We observed the changes of symptoms by measuring Korean version of Mini-mental status examination (MMSE-K), Clinical Dementia Rating (CDR) and Global Detration Scale (GDS).
Results: After treatment, the patient\'s symptoms were improved including MMSE-K, CDR and GDS. Improvement appeared to be prominent in recall memory. The general condition were also improved after treatment.
Conclusion: This clinical case study suggests that Korean medicine including Gami-guibitang could be used to treat patients who had cognitive impairment after stroke especially suffering from degraded recall memory.
132 少陰人 亡陽病으로 진단한 만성 다한증 증례 1례 김하리, 정혜선, 신희연, 김정화, 양승보, 조승연, 박성욱, 고창남, 박정미 2018-01-01 ~ 학회지
Objectives: The purpose of this case study is to report the effectiveness of Korean medicine in the treatment of chronic hyperhidrosis.
Methods: The patient was diagnosed as a Soeumin Mang-yang Syndrome, and treated with Korean medical treatment such as Sungyangikgibuja-tang and acupuncture treatment. The severity of symptom was assessed using Numerical Rating Scale (NRS) and follow-up of Hyperhidrosis Quality of Life Index (HidroQOL).
Results: After treatment, the severity of hyperhidrosis was decreased from NRS 10 to NRS 2, HidroQOL score was also decreased from 32 to 19.
Conclusion: Korean medical treatment for hyperhidrosis was effective in decreasing the NRS and HidroQOL score. The results suggest that Korean medical combined treatment including Sungyangikgibuja-tang and acupuncture treatment can be a effective option for treating hyperhidrosis.
131 포비유증후군을 호소하는 남성 한방 치험 1례 서원주, 김수빈, 양정윤, 조기호 문상관, 정우상, 권승원 2018-01-01 ~ 학회지
Objective : The purpose of this case report is to show the effect of Traditional Korean Medicine (TKM) on a patient with horizontal eye movement disorder due to Foville syndrome.
Methods : A patient with horizontal eye movement disorder as Foville syndrome was treated with herbal medication, acupuncture, electro-acupuncture and transcutaneous electrical nerve stimulation. Then we evaluated the improvement with mobility impairment, length of movement and House-Brackmann scale before and after treatment.
Results : Improvements of mobility impairment, distance at left gaze and House-Brackmann scale were observed after the TKM treatment.
Conclusions : This case report shows the effect of TKM treatment on horizontal eye movement disorder due to Foville syndrome.
130 소뇌천막에 발생한 경막하출혈 환자의 오령산 치험 1례 양정윤, 김수빈, 서원주, 조기호, 문상관, 정우상, 권승원, 진철 2018-01-01 ~ 학회지
A case of a 73-year-old male patient who fell down, presented with unusual traumatic subdural hematoma localized on the lesion of tentorium cerebelli. He was treated with acupuncture, electroacupuncture and herbal medicine ? 五?散(Oreong-san). To evaluate the progress, we followed up computed tomography imaging and checked up changing of symptoms. After 17days of treatment, there were notable improvement in computed tomography imaging and symptoms. Oreong-san might be effective in treating tentorium cerebelli subdural hematoma.
129 우측 상지 소력감을 주소로 하는 특발성 다발신경병증 남환 치험 1례 이상화, 신희연, 이형민, 정혜선, 조승연, 박성욱, 박정미, 고창남, 양승보 2018-01-01 ~ 학회지
A patient with right upper limb weakness was diagnosed with idiopathic polyneuropathy and received a series of Korean Medicine including acupuncture, electroacupuncture, bee venom acupuncture, and administration of herbal medicine BacJung-hwan for 17 days of hospitalization period. The progression of the weakness was measured by Hand grip tester, neuralgia and numbness were measured by the NRS(Numerical Rating Scale) scores. After treatment, the right grip strength improved from 12kg to 35kg and the right upper limb neuralgia of the NRS5 was improved to NRS2. The present case study suggests that the potential effects of Korean Medicine treatment for idiopathic polyneuropathy.
128 사지말단의 냉감을 호소하는 수족냉증 환자 치험 1례 김경묵, 정민호, 손정화, 정우상, 문상관, 권승원, 조기호 2017-01-01 ~ 학회지
A case of a 66-year-old Korean male with coldness of both extremity that ruled out another mechanical and endocrinologic problem is presented. He was treated with acupuncture, electroacupuncture and herbal medicine - 十全大補湯(Sipjundaebo-tang, Juzentaihoto) and 柴胡桂枝乾薑湯(Sihogyejigungang-tang, Saikokeishikankyouto) We used SF-MPQ grading scale to assess severity of patient’s symptom and DITI to measure patient’s temperature. After Korean medical treatment, there was improvement in subjective symptom of patient and gap of lower extremity temperature. Korean medical treatment may be effective in treating coldness patients.
127 육군자탕을 이용한 뇌졸중 후 침상안정 상태의 변비 환자 치험 3례 정민호, 김경묵, 손정화, 조기호, 문상관, 정우상, 권승원 2017-01-01 ~ 학회지
Case series of 3 post stroke bed-ridden patients with constipation is presented. They were treated with dietary herbal medicine - 六君子湯(Yukgunja-tang, Liujunzi-tang, Rikkunshi-to) After Yukgunja-tang treatment, there was notable improvement in constipation. Yukgunja-tang treatment may be effective in treating post stroke bed-ridden patients with constipation
126 혈전색전증으로 인한 좌상지의 통증 및 냉감을 호소하는 환자 치험 1례 양정윤, 박민정, 이미림, 조기호, 문상관, 정우상, 권승원 2017-01-01 ~ 학회지
A case of a 47-year-old male patient with Lt.hand pain & cold sensation due to Thrombotic occlusion of Lt. brachial a. is presented. He was treated with acupuncture, electroacupuncture and herbal medicine - 桂枝茯?丸(Gyejibongnyeong-hwan, Keishibukuryo-gan). We used NRS of pain and Digital Infrared Thermal Image(DITI) to evaluate the progress. After 11days of treatment, there were notable improvement in pain scale, DITI. Korean medical treatment may be effective in treating thrombotic occlusion.
125 오령산 투여 및 침치료 후 당뇨병성 신증의 혈청 크레아티닌 수치가 호전된 뇌경색 환자 증례보고 홍승철, 박송원, 이찬솔, 노현석, 하유경, 최동준 2017-01-01 ~ 학회지
OBJECTIVES
This case is to report the effect of Oryeong-san and acupuncture therapy on serum creatinine level of a cerebral infarction patient with diabetic nephropathy.

METHODS
A female Korean patient was treated with Oryeong-san, acupuncture for total 32 days. We observed renal function test, input/output balance, body weight, hand and foot circumferences, and other symptoms like edema, urination, and any adverse event.

RESULTS
After treatment, serum creatinine level was improved to 2.48mg/dL from 3.45mg/dL at admission, and foot circumference was decreased to 18.5~18.9cm from 22.0~22.5cm without any adverse event. However, we couldn’t find any significant differences on input/output balance, body weight, or symptoms of urination.

CONCLUSIONS
This case suggests that Oryeong-san and acupuncture therapy could be effective in improving serum creatinine clearance of cerebral infarction patient with diabetic nephropathy.
124 한의학의 발전 방향 검토 신길조 2017-01-01 ~ 학회지
It is difficult to combine oriental and western medicine. Each medicine has a different academic background, perspective on the world, and studying methodology. The claim that two paradigms can not be combined is not obtained from an actual verification, but this means it is so hard to combine two medicines having different backgrounds.
The amalgamation of oriental and western medicine should be phased in on the basis of the continuous reciprocal understanding and commitment.
First, the strength and weakness of each medicine over the treatment and research are required to be identified. Then, a few complementary areas can be chosen enabling a trial of fusion on a small scale. A cycle of problem solving and a new research can be set by analyzing research results obtained through the implementation over a period of time. In other words, the researchers of oriental and western medicine should repeat a continuous and gradual complementary research process by identifying issues to be improved and complemented through a consensus. Once the methodology obtained through the process of problem solving and proficient implementation is established in a stable condition, a method to widen the fusion area by expanding the operating area and implementation method can be chosen.
However, the integral system of oriental medicine shouldn't be substituted by mechanical idea or reductionism. What should be done primarily for oriental medicine is to objectify things through quantification. In particular, the oriental treatment should accept the microscopic diagnosis to determine the structure and observe the biochemical change.
123 뇌경색으로 인한 편마비 환자의 완고한 견통에 대한 한방치험 1례 서희정, 조재현, 배고은, 최진용, 심소현, 한창우, 김소연, 최준용, 박성하, 윤영주, 이인, 홍진우, 권정남 2017-01-01 ~ 학회지
Objectives: The purpose of this clinical study is to evaluate the effect of Korean Medical Treatment on a 79 years old Korean female with shoulder pain after stroke.

Methods: She was treated with moxibustion, acupuncture, electroacupuncture and herbal medicine. We evaluated the improvement by Numeric Rating Scale(NRS) of shoulder pain and frequency of awakening due to shoulder pain

Results: After 24 Days, total score of NRS was decreased from 7 to 2.1. Average sleep time was increased and waking up due to shoulder pain was decreased during the night.

Conclusions: This study suggests that Korean medical treatment, especially Moxibustion could be effective to reduce shoulder pain and alleviate sleep disturbance. Further studies are needed.
122 가미쌍화탕으로 호전된 뇌졸중 후 중추성 통증 환자 치험 1례 신희연, 이상화, 이형민, 양승보, 조승연, 박성욱, 고창남, 박정미 2017-01-01 ~ 학회지
Objectives: The purpose of this case study is to report the effect of Gami SSanghwa-Tang on a patient with central post-stroke pain.
Methods: The patient was treated with herbal medicine Gami SSanghwa-Tang, acupuncture, pharmaco-acupuncture, and moxibustion. The treatment effect was evaluated by Numerical Rating Scale(NRS), Neuropathic Pain Symptom Inventory(NPSI), and 36-item Short-form Health Survey(SF-36).
Results: After the treatment, the NRS score of pain intensity was reduced from moderate to mild degree. The total NPSI score and subscores also decreased, as the various features of the pain were relieved. The SF-36 score increased, as the patient's quality of life improved.
Conclusion: This case study suggests that Gami SSanghwa-Tang could be effective in reducing pain and improving quality of life of patients suffering from central post-stroke pain.
121 단안 외전신경마비를 보이는 뇌경색 환자 치험 1례 이형민, 김정화, 양승보, 신희연, 조승연, 박정미, 고창남, 박성욱 2017-01-01 ~ 학회지
Objective : This is a case report about monocular abducens nerve palsy in a patient with pontine infarction.
Method : At the time of onset, the patient had eye movement impairment in right eye and diplopia. Brain MRI image showed that there was an infarction in the right pons where the nucleus of abducens nerve is located. There was no obvious improvement in the eye movement before he received Korean medicine treatment. He recieved Korean medicine including acupuncture, electroacupuncture, pharmacoacupuncture and herb medicines for fifty three days.
Result : After treatment, the movement of right eye was improved to a normal range. The difference in distance from 'center of the pupil' to 'external canthus of the eye' at maximum abducent in both eye changed 0.9cm to 0.1cm at the discharge. In addition, Diplopia was improved at the discharge.
Conclusion : This case report demonstrated that the Korean medicine treatment is effective to diplopia and eye movement impairment from abducens nerve palsy caused by pontine infarction.
120 한방병원에 입원한 심인성 뇌색전증 환자에 대한 고찰 박영화, 임보라, 전경륭, 권도익 2017-01-01 ~ 학회지
1. Objectives : Atrial fibrillation is the most common cause of cardioembolic stroke. Of the 44 ischemic stroke patients with atrial fibrillation who were hospitalized in hospital of Korean Medicine from July 1, 2014 to June 30, 2017, we selected 39 patients who have had Magnetic Resonance Angiography. We divided them into Atrial Fibrillation group with no stenosis or less than 50% stenosis in the ipsilateral artery of the lesion and Artery to Artery Embolism group with more than 50% stenosis or occlusion in the ipsilateral artery of the lesion.
2. Methods : Clinical characteristics, examination and evaluation tools were collected from the patient's electronic medical records. CHADS2, Initial National Institutes of Health Stroke Scale, 8-item Stroke Scale and Improved 8-item Stroke Scale Number were checked.
3. Results & Conclusions : Atrial Fibrillation group showed differences in age, brain lesion location, vascular lesion, initial National Institutes of Health Stroke Scale, initial 8-item Stroke Scale and progress compared to Artery to Artery Embolism group.
119 뇌경색 후 경직에 저빈도 전침을 적용한 호전 증례보고 김재학, 김수빈, 정윤경, 조기호, 문상관, 정우상, 권승원 2017-01-01 ~ 학회지
?Objectives The purpose of this clinical study is to evaluate the effect of Low-frequency Electroacupuncture on a patient with spasticity due to cerebral infarction.

?Methods A patient with spasticity with cerebral infarction was treated with herbal medication, acupuncture, electroacupuncture. Then we evaluated the improvement by modified Ashworth scale(MAS).

?Results Decrease of MAS was observed after low-frequency electroacupuncture for 3 weeks.

?Conclusion This study proved the effect of Low-frequency electroacupuncture on spasticity due to cerebral infarction.
118 加味淸心湯으로 호전된 설통 환자 2례 김연진, 양승보, 김정화, 이보윤, 조승연, 박성욱, 박정미, 고창남 2016-01-01 ~ 학회지
Objectives: This clinical study is to report the effect of Korean medicine on two patients with glossodynia
Methods: Two patients who suffered from glossodynia were treated with herbal medicine 'Gami Cheongsim-tang', acupuncture, and pharmaco-acupuncture. The intensity of symptoms were measured using Visual Analog Scale(VAS)
Results: After treatment, the patients' symptoms including pain, burning, tingling, and numbness of tongue were improved.
Conclusion: These case reports suggest that Korean medicine could be effective in the treatment of Glossodynia.
Key words : Glossodynia, Burning mouth syndrome, Gami Cheongsim-tang, Korean medicine.
117 사경증 환자의 한방 치험 1례 김정화, 이형민, 김연진, 이보윤, 조승연, 박정미, 고창남, 박성욱 2016-01-01 ~ 학회지
Objectives: This clinical study is to report the effect of Korean medicine on a patient with torticollis.
Methods: We used herbal medicine, acupuncture, moxibustion, pharmaco-acupuncture and bee venom acupuncture to treat a torticollis patient during hospitalization and Out Patient Department treatment for 3months. We observed the changes of symptoms using Toronto Western Spasmodic torticollis Scale (TWSTRS).
Results: After treatment, the patient's symptoms including torticollis, pain and the general condition were improved. The TWSTRS scores were also improved after treatment.
Conclusion: This clinical case study suggests that Korean medicine treatment could be effective in the treatment of torticollis.
Key words : torticollis, pharmaco-acupuncture, bee venom acupuncture, Korean medicine
116 소시호탕을 사용하여 호전된 교뇌출혈로 인한 중추성 발열 환자 치험 1례 김수빈, 정윤경, 이한결, 조기호, 문상관, 정우상 2016-01-01 ~ 학회지
Abstract
Objective : The purpose of this clinical study is to evaluate the effect of Sosiho-tang(小柴胡湯) on a patient with Central fever due to pontine hemorrhage.
Methods : A patient with central fever diagnosed with pontine hemorrhage was treated with herbal medication, acupuncture, electro-acupuncture(EA). Then we evaluated the improvement by average and peak of each day’s body temperature.
Results : Decrease of average and peak of each day’s body temperature were observed after taking Sosiho-tang(小柴胡湯).
Conclusions : This study proved the effect of moxibustion treatment on left side paresthesia due to central post-stroke pain.
115 청혈플러스로 호전된 이상지질혈증 환자 4례 보고 정은선 김현태 최고은 오정민 조현경 유호룡 김윤식 설인찬 2016-01-01 ~ 학회지
Dyslipidemia is a major risk factor for cardiovascular accidents (CVA) and heart disease, especially the ischemic type. Lowering of serum low-density lipoprotein cholesterol (LDL-C) levels is a primary measure for preventing atherosclerosis. Many medications are available for the treatment of dyslipidemia; however, these drugs have some side effects. Therefore, we treated dyslipidemia patients with Chunghyul-plus. Before treatment, patients’ levels of total cholesterol, triglyceride, high-density lipoprotein cholesterol (HDL-C), and LDL-C were measured on an empty stomach. Thereafter, patients were administered 1000 mg (2 capsules) of Chunghyul-plus two or three times a day for 2 weeks. After treatment with Chunghyul-plus, patients’ serum triglyceride, LDL-C, and total cholesterol levels decreased. The results of this study suggest that Chunghyul-plus might be useful in the treatment of dyslipidemia.
114 정상압수두증에 의한 보행장애 환자 치험 1례 정민호, 이미림, 이유리, 조기호, 문상관, 정우상 2016-01-01 ~ 학회지
A case of a 75-year-old Korean female with gait disturbance due to Normal pressure hydrocephalus (NPH) is presented. She was treated with acupuncture, electroacupuncture and herbal medicine - 柴?湯(Shirhyung-Tang, Chai-ling-tang, Sairei-to) We used iNPH grading scale, and specified further the grade of gait disturbance category. After Korean medical treatment, there was notable improvement in gait disturbance on our specified scale. Cognitive impairment, tremor and rigidity were improved on each scale alongside. Korean medical treatment may be effective in treating NPH patients.
113 변형편두통을 호소하는 환자 치험 1례 손정화, 박민정, 우지명, 조기호, 문상관, 정우상 2016-01-01 ~ 학회지
Abstract
Objectives : A case of a 44 years old Korean female with left side headache due to Transformed migraine is presented.
Methods : He was treated with electroacupuncture around eyes and dry cupping on shoulder, moxibustion , acupuncture and herbal medicine, Chai Ling Tang. Then we evaluated the improvement by Pain area comparison and Numerical Rating Scale(NRS).
Results : Headache was improved after the administration of Korean medical treatments.
Conclusions : Korean medical treatment may be effective in treating headache due to Transformed migraine.
112 일산화탄소 중독 이후 지연성 뇌손상에 대한 보신익뇌탕가미방의 효과 1례 : case report 배고은, 박혜림, 홍미나, 조재현, 최진용, 홍진우, 권정남, 김소연, 최준용, 한창우, 윤영주, 박성하, 이인 2016-01-01 ~ 학회지
This case report is to show the effects of Traditional Korean medicine (TKM) on the patient with delayed encephalopathy after carbon monoxide poisoning. A patient with delayed encephalopathy after carbon monoxide poisoning occurs rarely and only a few cases have been reported. We treated a patient with cognitive deficit, gait disturbance was treated with herbal medicine(Boshiniknoe-tang-gami), acupuncture, moxibustion. We evaluated the improvements of symptoms by Korean Version of Mini Mental Status Examination score(K-MMSE), Modified Barthel Index(MBI) and Glasgow Coma Scale(GCS). After 3 weeks, total score of K-MMSE was increased from 12 to 17 and it was maintained to week 6. After 6 weeks, total score of MBI was increased from 30 to 86. And GCS was increased from 11 to 14. This report proved effect of Traditional Korean medicine on the improvement of delayed encephalopathy after carbon monoxide poisoning.
111 위천공 수술 후 발생한 난치성 딸꾹질을 호소하는 환자 치험 1례 박민정, 손정화, 우지명, 조기호, 문상관, 정우상 2016-01-01 ~ 학회지
Abstract
Objectives
The purpose of this clinical study is to evaluate the effect of Korean Medical Treatment on a 71 years old Korean male with Intractable hiccup for 40 years after gastric perforation operation.
Methods
He was treated with acupuncture, electroacupuncture, moxibustion and herbal medicine, Jakyakgamcho-tang and Banhasasim-tang. We evaluated the improvement by frequency of hiccup and NRS of hiccup
Result
Hiccup disappeared at sixth day of treatment and NRS of hiccup also decreased.
Conclusion
Korean medical treatment may be effective in treating intractable hiccup.
110 한방치료로 호전된 진전 치험 1례 이한결, 손정화, 예영철, 조기호, 문상관, 정우상 2015-01-01 ~ 학회지
- Objective : The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(TKM) on a patient with tremor.
- Methods : A patient with tremor of one side hand diagnosed with Parkinson's disease was treated with herbal medication, acupuncture, electro-acupuncture(EA), and herbal medical injection. Then we evaluated the improvement by Unified Parkinson's Disease Rating Scale(UPDRS), Parkinson's disease Quality of Life(PDQL) and Visual Analog Scale(VAS).
- Results : Decrease of UPDRS, VAS score and improvement of PDQL score were observed after the TKM treatment.
- Conclusions : This study proved the effect of TKM treatment on tremor due to Parkinson's disease.
109 導痰活血湯으로 호전된 뇌경색으로 인한 진전 환자 치험 1례 최고은, 김현태, 오정민, 엄태민, 조현경, 유호룡, 김윤식, 설인찬 2015-01-01 ~ 학회지
- Objectives: The purpose of this case study is to report that a tremor patient after Acute Cerebral infarction was treated with 'Dodamhwalhul-tang' and then the symptoms were improved.
- Methods: This patient was 81 years old woman who was diagnosed with Acute cerebral infarction. This patient had Hypertension and symptoms of tremor on left lower limb, both side weakness, both lower limb numbness, dizziness, and low back pain. She was treated with herb medicines, acupuncture, moxibustion during 22 days of hospitalization. Her tremor was evaluated by the tremor frequency and period and other general conditions were measured.
- Results: After taking Dodamhwalhul-tang, symtoms of tremor and patient's general conditions were improved.
- Conclusion: The result shows that Dodamhwalhul-tang is effective for tremor with Acute cerebral infarction.
108 보행장애 및 현훈을 호소하는 진행성핵상마비 환자 치험 1례 조재현, 박혜림, 홍미나, 이혜윤, 이지혜, 김소연, 최준용, 한창우, 윤영주, 박성하, 홍진우, 이 인, 권정남 2015-01-01 ~ 학회지
- Objectives: The purpose of this case report is to show the effect of korean medicine on a progressive supranuclear palsy patient with gait disturbance and dizziness.
- Methods: A patient with gait disturbance and dizziness diagnosed as progressive supranuclear palsy was treated with herbal medicine, acupuncture, electro-acupuncture, moxibustion. The period of admission is 16 days and we evauated the improvements of symptoms by the Unified Parkinson's Disease Rating Scale(UPDRS), Numeric Rating Scale(NRS) and Global Assessment(G/A).
- Results: After taking Modified Bosimhwan and being treated by acupuncture therapy, improvements of gait disturbance and dizziness are observed.
- Conclusions: This case report proved the effect of Korean medicine on progressive supranuclear palsy.
107 Qi-deficiency in the Patients with Allergic Disorders Young Chul Yei, Chul Jin, Won Woo Choi, Jae Woong Hwang, Hyeung Jin Jang, Bum Joon Kim, Kook Jin Lim, Seungwon Kwon, Seung Yeon Cho, Seong Uk Park, Jung Mi Park, Chang Nam Ko, Sang Kwan Moon, Ki Ho Cho, and Woo Sang Jung 2015-01-01 ~ 학회지
-Introduction: Allergy refers a hypersensitive immune response to the various environmental factors and Qi is considered as vital energy to defend oneself from environments in Traditional Chinese Medicine. Therefore, this study was performed to assess the relationship between allergy and Qi-deficiency.
-Methods: We enrolled the subjects with allergic disorders and the healthy controls without allergic disorders. We got the information on the general characteristics, and the score of Qi-deficiency from all of the subjects, and measured their total Immunoglobulin E (IgE) level.
-Results: There were one hundred forty three subjects with allergic disorders and 211 of the control. The educational level, total IgE, and the scores of the Qi-deficiency were higher in the allergy group than in the control.
-Conclusions: Allergic subjects tend to have more severe Qi-deficiency. This could suggest the clinical effectiveness of some herbal medicines for Qi-deficiency on allergic disorders.
106 뇌졸중 후 중추성 통증으로 인한 좌반신비증 치험 1례 이미림, 이유리 , 민경동, 조기호, 문상관, 정우상 2015-01-01 ~ 학회지
- Objective : The purpose of this clinical study is to evaluate the effect of moxibustion on a patient with left side paresthesia induced by central post-stroke pain.
- Methods : A patient with left side paresthesia diagnosed with central post-stroke pain was treated with moxibustion, herbal medication, acupuncture, electro-acupuncture(EA). Then we evaluated the improvement by Mcgill pain score and Questionnaire of BiJeung.
- Results : Decrease of Mcgill pain score, Questionnaire of BiJeung were observed after the moxibustion treatment.
- Conclusions : This study proved the effect of moxibustion treatment on left side paresthesia due to central post-stroke pain.

105 안전백호탕 가미방으로 호전된 상열감 및 안면홍조를 호소하는 환자 1례 김연진, 양승보, 이보윤, 이동혁, 조승연, 박성욱, 고창남, 박정미 2015-01-01 ~ 학회지
- Objectives: This clinical study is to report the effect of Korean medicine on patient with hot flushing
- Methods: A patient who suffered from hot flushing was treated with herbal medicine 'Gami Ahnjeonbaekho-tang', acupuncture, moxibustion and pharmaco-acupuncture. Degree and frequency of flushing were measured. Digital Infrared Thermal Imaging (DITI) was used to estimate the temperature of skin surface for the outcome assessment
- Results: After taking Gami Ahnjeonbaekho-tang, degree and frequency of hot flushing reduced and skin temperature of patient was reduced on DITI.
- Conclusion: This clinical case study showed the effect of Korean medicine on hot flushing
104 안면통을 호소하는 환자 치험 1례 손정화, 이한결, 예영철, 조기호, 문상관, 정우상 2015-01-01 ~ 학회지
- Objective : The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(TKM) on a patient with pain induced by Trigeminal neuralgia.
- Methods : A patient with pain of one side face diagnosed with Trigeminal neuralgia was treated with herbal medication, acupuncture, electro-acupuncture(EA), and moxibution. Then we evaluated the improvement by Pain area comparison and Visual Analog Scale(VAS).
- Results : Decrease of Pain area, VAS score were observed after the TKM treatment.
- Conclusions : This study proved the effect of TKM treatment on pain due to Trigeminal neuralgia.
103 편마비를 동반하지 않은 뇌경색 후 실어증 환자 치험 2례 김동욱, 이루다, 이상원, 조혜원, 황선혜, 박세진 2015-01-01 ~
This report is about two cases of aphasia without hemiparesis after stroke. Most of aphasia after stroke accompanies hemiparesis. However, aphasia without hemiparesis after stroke occurs rarely and only a few cases have been reported. We used Korean herbal medication, acupuncture, language therapy. To evaluate speech ability we used K-WAB(Korean version of Western Aphasia Battery) and word span test. After treatment, patients' word span abilities and language abilities including reading, writing, speaking were improved. This report suggests that Korean medicine and language therapy could have a therapeutic effect for aphasia without hemiparesis after stroke.
102 오심, 구토, 복통으로 인해 급격한 체중감소를 보인 환자 치험 1례 김은서, 손종석, 신길조 2015-01-01 ~ 학회지
This patient was 18 year-old man who had severe nausea, vomiting, stomachache but medical examination revealed no abnormality. The symptom lasted for 2 months and he lost 15kilograms. The patient had no underlying diseases. He was treated by korean medicine, containing acupuncture, cupping therapy and herb medicines during 9 days. The severity of nausea was scored by the Numerous Rating Scale and the frequency of vomitng was evaluated by count. After that period, patient’s symptom was improved and his other conditions were also better, compared with his admission.
This study suggests that Korean medicine could have a therapeutic effect for nausea, vomiting, stomachache and rapid weight loss that the cause has not been diagnosed by Western medicine. It could help to improve patient’s symptoms and make general conditions better.

101 근위축성 측삭 경화증 환자의 한방치료에 대한 국내 연구 문헌 고찰 이혜윤, 박혜림, 이득주, 이인, 홍진우, 권정남 2015-01-01 ~ 학회지
- Objectives: This study aimed to investigate the domestic research trend about Amyotrophic Lateral Sclerosis (ALS) treated with Traditional Korean Medicine (TKM).
- Methods: Searches of two major TKM databases were conducted for articles published up to July 2015. Searching keyword was \"Lou Gehrig’s disease\" OR \"amyotrophic lateral sclerosis\". Studies dealt TKM for ALS were included.
- Results: 18 studies were met our inclusion criteria (two prospective studies, one retrospective study, one follow-up study, 14 case reports). Complex TKM intervention of herbal medication, acupuncture and pharmacopuncture was the most frequently used treatment. Individually, herbal medication was the most frequent followed by acupuncture. Short-term assessment showed improvement in ALS symptoms but long-term assessment showed progression of disease. Accessory symptoms including depression, anxiety and insomnia were improved in four studies.
- Conclusions: For more definite evidence, larger studies with long-term follow-up period are needed. Moreover, benefits that TKM can provide for ALS patients as a part of multi-disciplinary approach should be studied in depth.
100 Tolosa-Hunt syndrome 으로 인한 통증성 안구운동장애 치험 1례 정윤경, 우지명, 강아름, 조기호, 문상관, 정우상 2015-01-01 ~ 학회지
- Objective : The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(KM) on a patient with Tolosa-Hunt syndrome.
- Methods : We treated a 58 years old male patient with Tolosa-Hunt syndrome who had several clinical symptoms such as ocular pain, limitaion of ocular movement and unilateral ptosis. We used herbal medication, acupuncture, electro-acupuncture(EA), cupping, moxibustion, bee-venom injection. Then we evaluated the improvement by Numerical Rating scale(NRS), Distance of eye opening and ratio of pupil movement.
- Results : We demonstrated the decrease of pain score and improvement of equal ocular movement(EOM) and ptosis after the KM treatment.
- Conclusions : This study proved the effect of KM treatment on Tolosa-Hunt syndrome. It could cooperative treatment would be more effective than mono treatment of western medicine.
99 소경활혈탕 투여 후 호전된 중풍 후 하지통증 환자 1례 보고 김수민, 강아미, 노현석, 하유경, 안립, 최동준 2015-01-01 ~ 학회지
- Objectives : This clinical study is to report the effect of Korean medicine on patient with central post-stroke pain.
- Method : A patient who was treated with herbal medicine Sokyungwhalhyul-tang(SKWHT), acupuncture and moxibution. Degree of treatment was measured by Numbering Rating Scale and quality of sleep.
- Results : After taking herb medicine, acupuncture and moxibution, the patient’s pain was relieved and quality of sleep was improved before treatment.
- Conclusion : This clinical case study showed the effect of Korean medicine on symptom of pain.
98 중뇌 출혈 환자에서 나타난 단안의 부분 동안신경마비 여환 치험 1례 이현중, 이보윤, 이영은, 양승보, 조승연, 박정미, 고창남, 박성욱 2015-01-01 ~ 학회지
This report is about a case of monocular partial oculomotor nerve palsy in a patient with midbrain hemorrhage. The patient developed diplopia while driving. The Brain MRI film demonstrated a hemorrhage in the right midbrain and left corona radiata and microbleedings in both cerebral and cerebellar hemispheres, basal ganglia, midbrain, pons. We used Korean medicine treatment modalities including acupuncture, electroacupuncture, pharmacoacupuncture and herb medicines. As a result, limitation of upward gaze was recovered to about 90% of normal range.
97 麻黃 Hexane 분획물이 생쥐의 지질 대사에 미치는 영향 김경민, 김영균, 신길조 2014-01-01 ~ 학회지
- Objectives : This study was designed to investigate the effects of Ephedra Herba hexane fraction on lipid levels in serum and lipid accumulation in liver tissue in Hyperlipidemic mice.
- Methods : Hyperlipidemia was induced by providing high fat diet for 4 weeks. Normal group was provided with normal diet. CTL groupwas provided with high fat diet. Ephedra Herba hexane fraction group was provieded with high fat diet and administered orally in the concentration of 1.5mg/kg body weight/day for 2 weeks. In this experiment, effects on total cholesterol, HDL-cholesterol, triglyceride, AST, ALT, fasting blood glucose in serum were measured. In addition histopathological changes in liver tissue were also observed.
- Results : Ephedra Herba hexane fraction did not affects weight gain, serum AST and ALT in hyperlipidemic mice. Oral administration of Ephedra Herba hexane fraction lowered levels of total cholesterol and triglyceride, which were elevated by induction of hyperlipidemia. In addition, Ephedra Herba hexane fraction group showed downward tendency of lipid accumulation
compared with CTL group. Finally, administration of Ephedra Herba hexane fraction lowered fasting blood glucose significantly. And Ephedra Herba hexane fraction also ameliorates anti-oxidative stress systems in internal organs which play key role in disease prevention.
- Conclusion : These results suggest that Ephedra Herba hexane fraction can prevent lipid accumulation in liver tissue through regulation of dyslipidemia and hyperglycaemia.
96 五味子 헥산 분획 추출물이 고지방 식이에 의한 고지혈증 생쥐의 지질대사 및 간 조직 유전자 발현에 미치는 영향 김현영, 박선미, 김영균 2014-01-01 ~ 학회지
- Objectives : The berries of Schisandra chinensis (Schisandra Fructus) are given the name Omiza in Koreane(五味子), and have been used asremedies for many ailments: to resist infections, increase skin health, and combat insomnia, coughing, and thirst. This study was designed to investigate the effects of Schisandra Fructus hexane fraction (SFH) on serum lipid levels in Hyperlipidemic mice.
- Methods : In this experiment, effects on total cholesterol, HDL-cholesterol, triglyceride, AST, ALT, fasting blood glucose in serum were measured. And in addition, histopathological and gene expression changes in liver tissue was also observed.
- Results : SFH did not affects weight gain, serum AST and ALT in hyperlipidemic mice. Oral administration of SFH lowered levels of total cholesterol and triglyceride, which were elevated by induction of hyperlipidemia. Finally, administration of SFH lowered fasting blood glucose
significantly. And SFH also ameliorates anti-oxidative stress systems in internal organs which
play key role in disease prevention.
- Conclusion : Results in our study suggest that SFH can prevent obese through regulation of dyslipidemia and hyperglycaemia
95 뇌경색 환자의 경동맥 초음파 검사와 한방 중풍 변증과의 관련성 연구 김경민 2014-01-01 ~ 학회지
- Objectives : The purpose of this study was to investigate the correlation of The Korean Standard Pattern Identification for Stroke and Intima-Media Thickness of common carotid artery(CCA-IMT).
- Methods : 100 subjects with acute ischemic stroke were recruited from the patients admitted to Dong-Eui Medical Center from the June 2011 to January 2014. We assessed 100 patient’s Common Carotid Intima Media Thickness data by B Mode ultrasonography. We investigated pattern identification of all subjects based on Korean Standard Pattern Identification for Stroke-Ⅲ. then, We analyzed their characteristics, risk factor, blood test result, life style.
- Results : We analyzed indicators of Korean Standard Pattern Identification for Stroke-Ⅲ by Common Carotid Intima Media Thickness difference. As a result, pale complexion, look powerless, drowsiness like to lie, heat vexation and aversion to heat were significantly higher in the CCA-IMT ? 1.0mm group then in the CCA-IMT 〈 1.0mm group.
- Conclusion : According to the analysis, the Relationship between Carotid Intima-Media Thickness and The Korean Standard Pattern Identification for Stroke in Ischemic Stroke Patients were founded. To acquire more concrete conclusion on this theme, we need more research.
94 감각장애를 동반한 Thalamic Ataxia 환자 치험 1례 이보윤, 이현중, 이동혁, 두경희, 김수경, 조승연, 박정미, 고창남, 배형섭, 박성욱 2014-01-01 ~ 학회지
This report is about a case of an ataxia patient with sensory loss diagnosed with thalamic Infarction. The patient had symtoms of gait disturbances and dysmetria. We used Korean medicine treatment modalities including acupunture, electroacupuncture, moxibustion and herb medicines. The improvement of ataxia was evaluated by International Cooperative Ataxia Rating Scale and Balance master? system. After treatment, decreased scores of International Cooperative Ataxia Rating Scale and change of the trace of Balance master? system showed that symtoms of ataxia were improved. Sensory deficits and other conditions were also getting better. This report suggests that Korean medicine could have a therapeutic effect for Thalamic ataxia.
93 狼?根 중독 환자의 加味甘豆湯 투여 증례 1례 이혜윤, 조수인, 박혜림, 조민경, 이인, 홍진우, 권정남 2014-01-01 ~ 학회지
The prevalence rate of plant poisoning is growing up gradually. However, it could be difficult
to get proper treatment without detail medical history taking due to the diversity of poisonous plants and their various symptoms. Scopolia Japonica, which grows naturally in Korea, is reported to cause severe toxicity which could be lethal. A few therapeutic measures have been reported in Traditional Korean Medicine (TKM), but it has not been reported yet that those measures have been successfully proven in the clinical practice in modern times. This is a case report of toxicity caused by scopolia japonica ingestion. A 65years-old male patient with cognitive impairment, behavioral disorder, gait difficulty, dysarthria, dysphagia and abnormal pupil reflex recovered from those symptoms during taking Gamigamdu-tang and getting acupuncture. This study shows the clinical aspects of Scopolia Japonica toxicity and the
possibility of TKM treatments as one of plant poisoning treatments.
92 양측성 외전신경 마비 환자 치험 1례 이동혁, 이영은, 이보윤, 두경희, 김수경, 조승연, 박성욱, 박정미, 고창남 2014-01-01 ~ 학회지
- Objectives : The purpose of this case report is to show an effect of korean medicine for patient with bilateral abducens nerve palsy.
- Methods : This patient was 58 year-old man who was diagnosed with bilateral abducens nerve palsy. The patient had Diabetes Mellitus, hypertension, benign prostatic hyperplasia and dyslipidemia as underlying diseases. The patient had symptoms of limited eye movement to lateral, diplopia, dizziness and mild headache. He was treated by korean medicine, containing electroacupuncture, pharmacoacupuncture, moxibustion and herb medicines during 13 days of hospitalization and following outpatient department. His eye movement was evaluated by the method of Scott and kraft and discomfort from his symptoms was scored by the Numerous Rating Scale. And other general conditions were measured.
- Results : After that period, patient’s abduction deficit was improved and subjective discomfort from his symptoms was getting better. His other conditions were also better, compared with his admission.
- Conclusion : This study suggests that Korean medicine could have a therapeutic effect for bilateral abducens nerve palsy. So, It could help to relieve patient’s symptoms and make general conditions better
91 가미쌍화탕과 양의공진단 투여로 호전된 양하지 속상연축 환자 1례 김수경, 여서원, 이현중, 이동혁, 두경희, 조승연, 박성욱, 고창남, 박정미 2014-01-01 ~ 학회지
- Objectives : This clinical study is to report the effect of Korean medicine on patient with chronic benign fasciculation syndrome on a both legs.
- Methods : A patient who suffered from involuntary fasciculation of Quadricepts femoris and Gastrocnemius was treated with herbal medicine Gami SSanghwa-Tang and Yang Eui Gongjin-dan, acupuncture and moxibustion. Degree of fasciculation and general condition was measured.
- Results : After taking Gami Ssanghwa-Tang and Yang Eui Gongjin-Dan, degree of fasciculation have reduced and patient’s general condition improved.
- Conclusion : This clinical case study showed the effect of Korean medicine on symptom of fasciculation.
90 불안전 협심증을 진단받은 환자의 흉통 한방 치험 1례 김명호, 안립, 최동준 2014-01-01 ~ 학회지
A 44-year-old male complained of chest pain. Two years ago he was diagnosed with angina pectoris for stenosis of coronary artery in coronary angiography. Despite of medication, his chest pain aggravated to cardiovascular society classification class Ⅲ. His electrocardiogram,
cardiac enzymes were normal. Accordingly we diagnosed him with unstable angina. And we pattern differentiated him with heart heat syndrome considering his other symptoms. He wanted conservative care instead of coronary artery intervention generally recommended for treating unstable angina. We treated him for 13-days with tongxinluo, modified daochi-san, acupuncture, smoking prohibition which were thought to be effective for treating unstable angina based on experimental, clinical studies. Within the therapeutic period, frequency of chest pain and frequency of taking nitroglycerin were on the decrease.
89 안검경련을 호소하는 여환 한방 치험 1례 이유리, 현상호, 김영석, 조기호, 문상관, 정우상 2014-01-01 ~ 학회지
- Objectives : The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(TKM) on a patient with forcible closure of the eyelids due to blepharospasm.
- Methods : A patient with forcible closure of the eyelids diagnosed as blepharospasm was treated with herbal medication, acupuncture, electro-acupuncture, cupping and moxibustion. Then we evaluated the improvement with length of eye opening and Blepharospasm Disability Index.
- Results : Increase of length of eye opening and Blepharospasm Disability Index were observed after the TKM treatment.
- Conclusion : This study proved the effect of TKM treatment on forcible closure of the eyelids due to blepharospasm.
88 안구운동장애를 주소로 하는 환자 치험 1례 우지명, 예영철, 진철, 김영석, 조기호, 문상관, 정우상 2014-01-01 ~ 학회지
- Objectives : The purpose of this clinical study is to evaluate the effect of Traditional Korean Medicine(TKM) on a patient with abnormal eye movement.
- Methods : A patient with abnormal eye movement of limbs diagnosed with midbrain infarction was treated with herbal medication, acupuncture, moxa, and herbal medical injection. Then we evaluated the improvement by measuring range of eye movement.
- Results : Increase of range of eye movement and improvement of symptom of diplopia were observed after the TKM treatment.
- Conclusion : This study proved the effect of TKM treatment on abnormal eye movement due to midbrain infarction.
87 뇌 손상 환자의 침 흘림에 대한 전침 적용 1례 안 립, 김수민, 김명호, 이상아, 최동준 2014-01-01 ~ 학회지
Drooling causes inconvenience and develops complications, therefore it can be very stressful to patients and caregivers. Drooling caused by neurological disabilities appears to be the consequence of dysfunction in the coordination of the swallowing mechanism. However, there is no explanation about drooling by brain injury in oriental medicine literature. This is the case report about a stroke patient with drooling improved by electro-acupuncture therapy. The patient already applied scopolamine patch, and improved drooling before admission. However, caregiver concerned about side effects, so we stopped using scopolamine patch and applied electro-acupuncture for drooling treatment. The patient was treated by 4 acupuncture points on either side of Yeomcheon(CV 23), and Jichang(ST 4), Hyeopgeo(ST 6) with mixed low frequency electro stimulation. Although we stopped using scopolamine patch, drooling maintained improved state without a change, futhermore after 16 days later, drooling had disappeared until the patient discharged. This result showed electro-acupuncture is useful method to improve drooling caused by brain injury.
86 단기간의 체중감량을 통한 뇌경색 환자의 고혈압 치험 1례 엄태민, 오정민, 최고은, 허종원, 김윤식, 설인찬, 유호룡 2014-01-01 ~ 학회지
Although hypertension doesn’t kill itself, its complications can be deadly: increased risk of heart attack and stroke. So hypertension is often called the silent killer, and this is why controlled hypertension is so important. A 51 year-old female stroke patient was diagnosed with hypertension 10 years ago. Since then, though western medication have been used to control her hypertension, it was ineffective. As we know, obesity can cause high blood pressure, so we try weight-loss as alternative way to her hypertension drug. After discharge from hospital, she reduce her weight by 10kg and more by diet only. And her blood pressure became decreased steadily. As maintaining her decreased weight, her blood pressure is now relatively stable without taking any medication. In this case, we recognised that weight-loss by diet could be effective instead of taking hypertension drug for obesity patient who has high blood pressure.
85 淸心蓮子湯으로 호전된 뇌내출혈에 고혈압이 동반된 태음인 환자 치험 1례 오정민, 엄태민, 최고은, 허종원, 유호룡, 설인찬, 김윤식 2014-01-01 ~ 학회지
- Objectives : The purpose of this case study is to report that a hypertension with intracerebral hemorrhage of tae-eumin was treated with ‘Cheongsim Yeunja-tang’ and then the symptoms were improved and blood pressure was decreased.
- Methods : Although the patient who had hypertension with intracerebral hemorrhage took antihypertension drugs, intermittent increase of blood pressure was shown. We diagnosed him as Tae-eumin and treated with Cheongsim Yeunja-tang. We daily checked blood pressure and evaluated the symptoms.
- Results : After the treatment with Cheongsim Yeunja-tang, blood pressure was decreased and symptoms were improved.
- Conclusion : The result shows Cheongsim Yeunja-tang has antihypertensive effect and improve hypertension symptoms of Tae-eumin patient with intracerebral hemorrhage.
84 뇌졸중환자에서 보행의 시공간적 특징 이상관, 최산호, 오재건, 이일석, 박기언, 홍해진, 성강경 2013-01-01 ~ 학회지
The following study reviewed the walking patterns of stroke patients with hemiplegia, which is called hemiplegic gait of stroke patients. Focusing is given to the changes in the distance and temporal factors of walking, which is called spatiotemporal characteristics, throughout the walking cycle. First, we introduced the de? nitions of essential terms related to gait and its measure. Second, we reviewed the spatiotemporal characteristics of hemiplegic gait. A main issue was that hemiplegic gait showed signi? cant deviations from normal healthy gait. Although hemiplegia is primarily associated with unilateral motor disorder, changes in almost all spatiotemporal parameters used to assess walking were evident on both the involved and uninvolved sides of the body. Last, we reviewed the changes of spatiotemporal parameters of hemiplegic gait according to the prognosis or status of stroke patients, which may help to give a speci? c intervention for rehabilitation of stroke.
83 뇌졸중 환자의 운동기능과 보행 양상의 상관 관계 최산호, 이일석, 홍해진, 오재건, 성강경, 이상관 2013-01-01 ~ 학회지
-Objectives : The goal of this study is to ? nd the correlation between the motor function and gait pattern of stroke patients.
- Methods : We measured Manual muscle test(MMT), Motricity index(MI) and Spatiotemporal gait parameters of admitted hemiplegic patients with stroke. The gait parameters were measured using a Treadmill gait system.
- Results : There is a significant correlation between motor function and spatiotemporal parameters such as step length, stride length, step time, stride time, total double support or cadence, in stroke patients.
- Conclusion : The better motor function of stroke was, the more gait improved.
n Key words Stroke, Motor function, Gait analysis, Spatiotemporal gait parameter
82 편마비 환자의 운동능력과 질량중심 교차점변수의 상관에 관한 연구 이일석, 임형문, 최산호, 오재건, 성강경, 이상관 2013-01-01 ~ 학회지
- Objectives : The aim of this study is to look into the correlation between motor performance and displacement of center of pressure(CoP) in hemiplegic patients with cerebral stroke.
- Methods : We measured general motor performance(Manual muscle test, MMT) and specific motor performance on six joints(Motricity index, MI) as motor performance values and, anterior/posterior position(Ant./Post. position) and lateral symmetry of CoP as displacement of CoP values from 127 stroke patients. The gait analysis was carried out using treadmill gait analysis equipment.
- Results : In terms of motor performance, MMT of upper extremity negatively correlated with Ant./Post. position of CoP, however, one of lower extremity did not. In addition, MMT of both extremities negatively correlated with lateral symmetry of CoP. In terms of side of hemiparesis, MI of negatively correlated with lateral symmetry of CoP in patients with Right Hemiparesis, however not in ones with left hemiparesis.
- Conclusion : Displacement of CoP was negatively correlated with hemiplegic patient’s motor performance.
81 신발 밑창 높이에 따른 보행의 변화 윤세원, 이정수, 조운수 2013-01-01 ~ 학회지
- Objectives : This study is to examine change of gait parameters on shoes sole height(high heels, MBT shoes, house shoes) through gait analyzer.
- Methods : The subjects of this study were 12 women in their twenties. Gait analysis system is 5m in total length and gait is led to be comfortable. They put three kinds of shoes each and were led to walk 5m on gait analysis system.
- Results : There were signi? cant differences in step length, single support and load response of gait parameters and in stride length and total double support at double support phase.
n Conclusion Muscle activity differs in that different that shoes sole height and form because tibialis anterior muscle has strengthen and gastrocnemius has stretched. Therefore we think that patients with knee joint problem consider gait parameters when shoes select.
80 소뇌 경색 환자의 임상양상에 따른 보행의 변화 홍해진, 최산호, 이일석, 오재건, 성강경, 이상관 2013-01-01 ~ 학회지
- Objectives : The goal of this pilot study is to observe the change of gait pattern according to the clinical status in a patient with ataxic gait by cerebellar infarction.
n Methods We measured the spatiotemporal gait parameters of a patient with ataxic gait four times, in which, first, the patient was not able to walk independently, second, able to walk independently, third, unable to walk independently by general tremor, and, last, able to walk independently after disappearing of general tremor.
- Results : When a patient with cerebellar ataxic gait was able to walk independently and the cerebellar tremor was disappeared, the change of gait pattern was that step and stride length decreased and total double support and stance phase increased.
- Conclusion : When different clinical characteristics were improved, the change of gait showed same pattern.
79 뇌졸중 환자의 단하지 보조기 착용 유무에 따른 보행 양상의 변화 오재건, 박기언, 정병준, 이일석, 최산호, 이상관, 성강경 2013-01-01 ~ 학회지
- Objectives : This study was designed to investigate the effects of an ankle foot orthosis(AFO) on gait of two hemiparetic stroke patients with foot drop.
- Methods : Gait of two hemiparetic stroke patients were analyzed during walking on the treadmill without or with AFO application. The spatiotemporal and center of pressure(CoP) intersection parameters of gait analysis were measured using a treadmill gait analysis system.
- Results : The AFO had positive effects on hemiparetic gait parameters; increasing cadence, increasing step length, decreasing step time, stride time, and lateral symmetry.
- Conclusion : Hemiparetic gait was improved by ankle foot orthosis.
78 테이핑 요법이 편마비 환자의 보행에 미치는 영향 이일석, 임형문, 최산호, 오재건, 이상관, 성강경 2013-01-01 ~ 학회지
- Objectives :The aim of this study is to analyze the change of gait pattern by the taping therapy in a hemiplegic patient.
- Methods : We conducted the taping therapy for 7 days to affected ankle joint of hemiplegic patient and analyzed the change of gait pattern using Treadmill Gait analysis equipment(Zebris Co.Ltd FDM-T)
- Results : In terms of affected side, cadence, total double support, step length and stance phase decreased, while swing phase and step time increased by taping therapy. In terms of unaffected side, step length increased by taping therapy. Center of pressure intersection point moved to posterior and affected side in cyclogram pattern.
- Conclusion : Taping therapy to affected ankle joint of hemiplegic patient would be advantages to gait improvement in hemiplegic patients.
77 뇌졸중 환자의 비골신경 자극에 따른 보행 양상의 변화 최산호, 이일석, 홍해진, 오재건, 성강경, 이상관 2013-01-01 ~ 학회지
- Objectives : The goal of this pilot study is to observe the change of gait pattern in a patient after peroneal nerve electrical stimulation(PNST).
- Methods : We analyzed the gait pattern of stroke patient using treadmill gait analysis system before and after PNST for seven weeks. The PNST was carried out for 20minutes every day except Sunday. In addition, the measurement was carried out every Saturday. At the fifth week, the PNST was not carried out to confirm whether the effect of PNST was disappeared immediately when PNST was not applied.
- Results : After PNST, while heel contact time and heel max force increased and forefoot and midfoot max force decreased, the gait parameters such as cadence, velocity, swing phase, stance phase, total double support, step length, stride length, step time, stride time and forefoot contact time, were not changed.
- Conclusion : Gait of a patient with cerebral stroke was changed positively after PNST.
76 청각자극(Rhythmic Auditory Stimulation)을 이용한 훈련이 뇌졸중환자의 보행에 미치는 효과 박기언, 이인성, 오재건, 이일석, 최산호, 이상관, 성강경 2013-01-01 ~ 학회지
- Objectives : The goal of this pilot study is to observe the change of stroke gait by auditory cue training.
- Methods : An intracranial hemorrhage patient was trained for 4 weeks. For the 1st consecutive 6days(the 1st week), the patient was trained to walk with auditory cue, what was called auditory cue gait training condition. For the 2nd consecutive 6days(the 2nd week), the patient was trained to walk naturally without auditory cue, what was called free gait training condition. For the 3rd consecutive 6days(the 3rd week), the patient was trained to walk under auditory cue gait training condition. For the 4th consecutive 6days(the 4th week), the patient was trained to walk under free gait training condition. We analyzed the gait using a treadmill gait analysis system 3 hours after the 6th gait training.
- Results : Auditory cue gait training showed effects on gait parameters, which were increasing walking velocity, step length, stride length, decreasing cadence, step time and stride time.
- Conclusion : Auditory cue gait training improved gait parameters of a stroke patient.
75 팔걸이가 편마비 환자의 보행에 미치는 영향 이일석, 임형문, 최산호, 오재건, 성강경, 이상관 2013-01-01 ~ 학회지
- Objectives : The aim of study is to analyze the change of gait pattern by arm sling in a hemiplegic patient.
- Methods : We analyzed the change of gait pattern under three conditions using Treadmill Gait analysis equipment(Zebris Co.Ltd FDM-T) First, the patient didn’t have arm sling on her upper limb, second, the patient have arm sling on her affected upper limb, third, patient have arm sling on her unaffected upper limb.
- Results : In terms of spatiotemporal gait values, swing phase, step time, step length of unaffected lower limb increased. Furthermore, stride time and stride length also increased when the patient had arm sling on her unaffected upper limb. In terms of displacement of Center
of pressure(CoP), anterior/posterior position and lateral symmetry of CoP increased.
Furthermore, lateral symmetry of decreased when the patient had arm sling on her affected
upper limb.
- Conclusion : Arm sling applied on affected side would be advantage to gait improvement in hemiplegic patients.
74 파킨슨환자의 보행 속도에 따른 보행 양상 변화 오재건, 박기언, 정병준, 이일석, 최산호, 이상관, 성강경 2013-01-01 ~ 학회지
- Objectives : The goal of this study was to observe the gait patterns from a patient with Parkinson disease under three different walking speeds.
- Methods : The patient walked on a treadmill and we measured gait parameters using a treadmill gait analysis system for 2 minutes. The Parkinson patients walked under three different conditions, ? rst, at the preferred walking speed, second, at slower speed than the preferred walking speed, and, third, at faster speed than the preferred walking speed.
- Results : In terms of temporal gait parameters, as speed of treadmill increased, stance phase and total double support decreased, and swing phase increased. In terms of spatial parameters, as speed of treadmill increased, step and stride length increased. In terms of kinetic parameters, max pressure increased as speed of treadmill increased.
- Conclusion According to different walking speeds, some gait parameters of spatiotemporal and kinetic was changed.
73 초음파영상에서 골관절염을 가진 노인의 하지 근육에 대한 사례연구 윤세원, 박수지, 이정우 2013-01-01 ~ 학회지
- Objectives : The purpose of the this study was to investigate organization change(pennation angle) of lower extremity muscle in elderly with knee osteoarthritis through ultrasonic image. Also, we examined organizational change of muscle was by influenced after total knee replacement(TKR).
- Methods : Rectus femoris image was taken at 50% of the distance between the anterior superior iliac spine and the superior border of the patella. Vastus medialis image was taken at the most distal insertion level of vastus medialis on the medial border of the patella. measurements included the most distal insertion level of the vastus medialis on the medial border of the patella.
- Results : Change of pennation angle in rectus femoris showed decrease from 5.11° in preoperation to 4.29° in 1 week after operation. Change of pennation angle in vastus medialis showed decrease from 6.94° in preoperation to 5.76° in 1 week after operation.
- Conclusion : We consider decrease of pennation angle after total knee replacement in this study was casued by organizational change of muscle and this pennation angle was in? uenced force created by muscle. Therefore, we thinks that this pennation angle through ultrasonic image will be available to plane individual muscle exercise program and to con? rm muscle mass by muscle strength training.
72 일본뇌신경외과한방의학회 연구 동향 - 2012년 학술대회 논문을 중심으로 김민지, 한현진, 이승호, 강세영, 장인수 2013-01-01 ~ 학회지
- Objectives : The purpose is to review the application of the Kampo medicine(traditional Japanese medicine) in the neurosurgical ? eld, through the analysis of the studies are presented at the Annual Meeting of Kampo Medicine Association of the Japan Neurosurgical Society.
- Methods : We have reviewed the studies that were reported at the 21th annual meeting of the Kampo medicine association of the Japan neurosurgical society was held on November 3 2012 in Tokyo, Japan. Seventeen included clinical reports were analyzed among all 25 studies at the meeting. Five studies were related with headache and eight were focused on the cerebrovascular disease including chronic subdural hemorrhage(CSDH) treated with Orungsan(Goreisan: 五?散) or Siryungtang(Saireto: 柴?湯), and other four were for pain managements. In the matters of headache, a unique feature was that Osuyutang(Gosyuyuto: 吳茱萸湯) or Oryungsan was considered as the ? rst choice of the treatment for the headache, unlike Korea. It seems to consider to application the treatment of CSDH using Oryungsan in neurosurgery ? eld of Korea. In addition, herbal prescription using Jackyakgamchotang(Syakuyakukanzoto: 芍藥甘草湯), Ukgansan(Yokkansan: 抑肝散), Chitabakilbang(Jidabokuippo: 治打撲一方) for acute/chronic pain is as well one of the peculiar points of Kampo medicine in Japan.
- Conclusion : It is expected that the recent studies performed in Japan neurosurgery fields to inspire domestic research and clinical applications, and needed to additional research and utilize in practice in Korea.
71 熱多寒少湯 加減方을 이용한 太陰人 시상통증증후군 치험 1례 엄태민, 백인경, 박혜진, 조현경, 김윤식, 유호룡, 설인찬 2013-01-01 ~ 학회지
A 67 year-old Taeeumin(太陰人) female patient with Thalamic pain Syndrome(Dejerine-Roussy Syndrome) was treated. She was suffering from rt. side numbness, pain and weakness, rt. facial palsy, dizziness, dysarthria and lassitude. She was diagnosed as Cerebral lacunar infarction(Lt. thalamus) by Brain MRI(Magnetic Resonance Imaging) and adminstered Yeoldahanso-tang(熱多寒少湯). After taking Yeoldahanso-tang(熱多寒少湯), her symptoms had improved.
Result suggest that Yeoldahanso-tang(熱多寒少湯) is an effective for Taeeumin Thalamic pain Syndrome. Though, results support a role for oriental medical treatment for Cerebrovascular Accident(CVA) connected Sasang Constitution, further research into the effectiveness of oriental medical treatments for CVA connected Sasang Constitution is needed.
70 급성기 뇌경색환자를 대상으로 한양방 병행치료군과 양방 단독 치료군간 기능회복도 비교연구 우수경, 현상호, 이은찬, 곽승혁, 박주영, 정우상, 문상관, 조기호, 김영석 2012-01-01 ~ 학회지
Object : This is a study of ischemic stroke patients designed for comparison Combination therapy of western medical
treatment and oriental medical treatment. and western medical treatments alone.
Methods : 45 patients were diagnosed by Br-MRI scan as having suffered ischemic stroke. They had entered Kyung-Hee
Medical hospital within ten days of attack, between March 2011 and October 2012. Patients were divided into two groups; a
group treated with Combination therapy of western medical treatment and oriental medical treatment and other group treated
with Western medical treatments. Scandinavian stroke scale and Motricity Index score was checked at admission, 2 weeks
or 3 weeks later to assess neurologic improvement and motor function recovery.
Results : Comparing the Scandinavian stroke scale and Motricity Index score between baseline and 2 or 3 weeks later,
the combination therapy group and western medical treatment group had improved but there was no significance.
Conclusions : Combination therapy have more beneficial effect on acute stage of stroke.
69 한·양방 병행치료를 시행한 뇌경색 환자의 변증지표 변화와 Scandinavian Stroke Scale의 상관관계에 대한 연구 여서원, 김수경, 이지현, 심소라, 박주영, 조승연, 박성욱, 정우상, 문상관, 박정미, 조기호, 김영석, 배형섭, 고창남 2012-01-01 ~ 학회지
Object : The purpose of this study is to observe the correlation between change in pattern identification symptoms and
scandinavian stroke scale in ischemic stroke patient who had receive traditional Korean medical treatment and conservative
treatment.
Methods : 43 subjects were recruited from patients with ischemic stroke within 30 days of onset. We chose the subjects
who had at least one follow up session and had checked the score between last follow up session and first session in pattern
identification and scandinavian stroke scale. We also assessed the correlation between pattern identification and scandinavian
stroke scale.
Results : There were significant negative correlation between pattern identification and scandinavian stroke scale in
Fire-heat pattern and positive correlation in Dampness-phlegm pattern.
Conclusions : This study provides evidence that collaborative treatment maybe effective in improving neurologic symptoms
in ischemic stroke patients diagnosed as Fire-heat pattern. Further studies with larger scale and longer observation period,
more neurologicscales scales, control group would be required.
68 경흉부 심초음파를 이용한 뇌경색 환자의 좌심실 비대와 濕痰辨證의 관련성 연구 곽승혁, 우수경, 이은찬, 현상호, 박주영, 정우상, 문상관, 조기호, 박성욱, 고창남 2012-01-01 ~ 학회지
Object : The aim of this study was to assess the relationship between left ventricular hypertrophy and Dampness-Phlegm
diagnosis in cerebral infarction patients.
Methods : Among 227 of the total recruited patients, 59 patients were diagnosed as left ventricular hypertrophy. We
assessed their general characteristics, risk factors, lab findings and Korean medical diagnosis. We compared the assessed
variables between left ventricular hypertrophy group and non left ventricular group. We analyzed the relationship between left
ventricular hypertrophy and risk factors. And we also analyzed the relationship between left ventricular hypertrophy and
dampness-phlegm diagnosis.
Results : 1. The rate of left ventricular hypertrophy in female patients was larger than the rate of male patients.
2. There were more patients finally diagnosed hypertension in left ventricular hypertrophy group.
3. According to the analysis about the rate of Dampness-phlegm related Index for Pattern Identification by left ventricular
hypertrophy, Sallow complexion and obesity were significantly higher in the left ventricular hypertrophy than in the non left
ventricular hypertrophy group.
4. In multivariate analysis, Dampness-phlegm group showed close relationship with left ventricular hypertrophy.
Conclusions : According to the analysis, significance between dampness-phlegm diagnosis diagnosed group and left
ventricular hypertrophy were clarified. These results can be utilized in the future as a basic material to be used for diagnosis
and management of dampness-phlegm diagnosis on cardiovascular diseases.
67 급성기 뇌경색 환자에 있어 변증형별 유의한 임상지표의 분석 이은찬, 현상호, 곽승혁, 우수경, 박주영, 정우상, 문상관, 조기호, 박성욱, 고창남 2012-01-01 ~ 학회지
Object : The aim of this study was to assess the clinical indicators related to Pattern-Identification(PI) in acute cerebral
infarction patients.
Methods : We studied hospitalized patients within 30days after ictus, who admitted at Korean Medicine Center of
Kyung-Hee University from January 2010 to October 2012.(n=290) Two Traditional Korean Medicine(TKM) physicians evaluated
the patients independently and diagnosed PI. Inter-rater reliability was measured using simple percentage agreement and the
Cohen’s kappa(κ) coefficient. To assess the clinical indicators closely related to each PI, we analysed average score of each
indicator in each group.
Results : Simple percentage agreement of PI between raters was 64.83% and Cohen’s kappa(κ) coefficient was
0.526(95% CI: 0.451-0.600). Inter-rater reliability level was fair to good. We analysed the clinical indicators in each group.
Significant indicators for Fire-Heat Pattern(FHP) were reddened complexion and strong pulse power, and meaningful indicators
for FHP were halitosis and thick tongue fur. Significant indicator for Dampness-Phlegm Pattern(DPP) was overweight and there
was no meaningful indicator. Significant indicator for Yin-Deficiency Pattern(YDP) was dry tongue fur and meaningful indicator
for YDP was thirst. There was no significant indicator for Qi-Deficiency Pattern(QDP) and pale complexion and faint low voice
were meaningful indicators for QDP.
Conclusions : This study reveals the significant and meaningful clinical indicators related to each Pattern-Identification in
acute cerebral infarction patients. It will contribute to standardization of Korean Medical Diagnosis and Treatment in acute
cerebral infarction patients.
66 급성기 허혈성 뇌경색 환자들의 변증 분형과 위험 요인들간의 관련성 연구 이지현, 두경희, 여서원, 심소라, 박주영, 조승연, 정우상, 문상관, 박정미, 고창남, 조기호, 김영석, 배형섭, 박성욱 2012-01-01 ~ 학회지
Object : The purpose of this study was to evaluate the relationship between pattern identification (PI) and stroke risk factors,
such as hypertension, diabetes mellitus, dyslipidemia, stroke history, obesity, abdominal obesity and metabolic syndrome.
Methods : 46 patients with acute ischemic stroke were recruited from May 2012 to November, 2012. We analyzed the data
of 32 patients, and pattern identification was identified by resident and specialist of Korean medicine. We analized patient\'s
PI and risk factor by Fisher\'s exact test.
Results : We found that Dampness-phlegm group was more related with patient\'s metabolic syndrome than non
Dampness-Phlegm group. And Yin deficiency group had less relationship with patient\'s metabolic syndrome, obesity, abdominal
obesity and dyslipidemia than non Yin deficiency group.
Conclusions : According to the analysis, these results provide evidence for relationship between the Dampness-phlegm
group, Yin deficiency and metabolic syndrome.
65 급성기 뇌경색 환자의 변증군간 호전도 차이에 대한 연구 현상호, 이은찬, 곽승혁, 우수경, 박주영, 정우상, 문상관, 조기호, 박성욱, 고창남 2012-01-01 ~ 학회지
Object : The aim of this study was to examine the differences of symptom improvement between different diagnosis
classification groups in acute cerebral infarction patients.
Methods : We studied inpatients within a month after the onset of cerebral infarction who were admitted at Kyunghee
University Oriental Medical Center from May 2011 to October 2012. We compared the improvement of Motricity Index and
Scandinavian Stroke Scale score between Fire-heat group(n=20), Yin deficiency group(n=31), Dampness-phlegm group(n=30),
and Qi deficiency group(n=13).
Results : Yin deficiency group patients with cerebral infarction showed the most improvement in MI and SSS scores, and
patients in Fire-heat group showed the poorest improvement in MI and SSS scores. There was a significant difference between
the two groups, but there were no significant differences between all four diagnosis classification groups.
Conclusions : This study provides evidence that diagnosis classification could be considered as an important factor in
predicting the prognosis of acute cerebral infarction.
64 한의 진단 지원 시스템의 시험 수행 및 평가 조우근, 김명호, 이상아, 장명웅, 최동준 2012-01-01 ~ 학회지
Object : Traditional Korean Medicine Diagnostic Support System(TKMDSS) is the diagnostic prescribing system based on
ontology developed by Korea Institute of Oriental Medicine. We monitored and assessed its usefulness and searched for
improvements.
Methods : We collected 10 cases of stroke inpatients of Dongguk University Ilsan Oriental Hospital. They were diagnosed
by primary care physician and another researcher who monitored using \"TKMDSS\" respectively. We compared the process
and results of two diagnosis.
Results : The diagnostic concordance rate between primary care physician and researcher were pretty high. Most of the
problems were caused by expressions on symptoms inappropriate use of terminology. The severity of symptoms and vague
symptoms which is hard to be diagnosed should be reflected and measured in this system.
Conclusions : The problems were about terminology and definition. The terminology should be defined accurately and
in-depth detail so that anyone can get the right information. If the problems were modified, \"TKMMSS\" could be utilized as
supportive measures for oriental medicine doctors and students.
63 Famciclovir에 반응하지 않는 少陽人 帶狀疱疹 환자의 陽毒白虎湯, Famciclovir 병용 치료로 호전된 1례 권태욱, 노기환 2012-01-01 ~ 학회지
Abstract : In this case, patient diagnosed as herpes zoster was given Famciclovir for 5 days but did not respond. The
patient was then confirmed as Soyangin and given combined medication of Yangdokbackho-tang and Famciclovir and showed
remarkable improvement in vesicles and his pain. Most of symptoms were gone after 10 days of combined medication. We
used Visual Analogue Scale(VAS) and pictures of the affected part for the assessment and report this case
62 근 위축성 측삭 경화증 환자 1례 보고 김태정, 문아지, 이성근, 이기상 2012-01-01 ~ 학회지
Abstract : Amyotrophic lateral sclerosis(ALS) is a progressive disorder that causes degeneration of motor neurons of the
brain and spinal cord. It is characterized by loss of motor neurons leading to muscle weakness, and sensation and mental
function stay intact during the course of the disease.
Diagnostic tests include magnetic response imaging(MRI), electromyogram(EMG), muscle biopsy, and blood tests. In order
to a definitive diagnosis of ALS, damage must be evident in both upper and lower motor neurons. When three limbs are
sufficiently affected, the diagnosis is ALS. There is no cure for ALS. We experienced one case of ALS, the patients was
diagnosed as ALS by EMG and symptoms. We diagnosed her as ShinEumHur(SEH) and treated by Choakwiyeum(左歸飮). We
report the change of her symptoms through oriental medical treatment
61 분심기음으로 호전된 뇌경색 후 우울증환자 치험 1례 류호선, 안효진, 박세진 2012-01-01 ~ 학회지
Object : The purpose of this case report is to show an efficacy of Bunsimgi-eum(Fenxingiyin) for patient with Post-stroke
Depression.
Methods : This Patient was 64 year-old man who was diagnosed with Stroke by Brain MRI. And after the stroke, the patient
showed some Post-stroke depression(PSD) behaviors, like mutism, waxy flexibility and have no willness of rehabilitation. He
was treated by Herbal medicines, acupunctore and moxibustion therapy. 40 days after hospitalization, Bunsimgi-eum was
prescribed to the patient.
Results : After Bunsimgi-eum Herbal treatment, the symtoms of Post-stroke depression have improved remarkably. The
grade of Rt. side hemiparesis and time of rehabilitation treat were also increased.
Conclusions : This study suggests that Bunsimgi-eum could have a positive efficacy for Post-stroke depression. As a
result, it makes the patient to take more rehabilitation treatment.
60 경막하출혈 이후 발생한 복통환자 치험 1례 안효진, 류호선, 고인성, 이수빈, 유성운, 이유진, 박세진, 박상동 2012-01-01 ~ 학회지
Abstract : The purpose of this report is to investigate the clinical application of Korean Traditional treatment to abdominal
pain patient after subdural hemorrhage occurred. The main herb medicine used in this study is Ondam-tang (wenda-tang)
which is frequently used in psychiatric disorders. Also, acupuncture, moxibustion and physical rehabilitation treatment were
practiced. After taking an Ondam-tang (wendan-tang), the clinical symptoms of the patient were improved.
59 한방병원에 입원한 외상성 뇌손상으로 발생한 신경정신학적 장애 환자 1례 여서원, 심소라, 조승연, 박성욱, 고창남, 박정미 2012-01-01 ~ 학회지
Abstract : Neuropsychiatric disorder is one of the symptoms developed after traumatic brain injury. The main symptoms
of neuropsychiatric disorder are delirium, anxiety, depression and so on. We treated the patient with herbal medicine,
acupuncture, moxibustion and other appropriate traditional Korean medical treatment. The patient only appeared
neuropsychiatric disorder, not another neurologic symptoms. We consider it is the rare case in traditional Korean medicine
hospital. So we report the patient with the review of literatures regarding neuropsychiatric disorder induced by traumatic brain
injury.
58 뇌경색환자의 하지불안증후군 침치료 1례 유성운, 박세진 2012-01-01 ~ 학회지
Object : The purpose of this study is to report the effect of acupuncture for Restless Leg Syndrome in ischemic stroke
patient.
Methods : Ischemic stroke patient was admitted who was suffering from a distressing urge to move the legs and triggered
by rest or inactivity accompanied with insomnia. The patient was diagnosed with Restless Leg Syndrome. In the point of
Differentiation of Syndromes(辨證), we diagnosed this patient as deficiency of yin(陰虛) and treated with acupuncture.
Results : After acupuncture, the symtoms including unpleasant sensation or pain, urge to move the leg and insomnia had
withdrawn.
Conclusions : This case suggest the possiblity of acupuncture for Restless Leg Syndrome and more researches should
be followed.
57 뇌경색 후 발생한 번조증에 대한 황련해독탕 약침의 병행 치험 1례 이유진, 박세진 2012-01-01 ~ 학회지
Object : The purpose of this study is to evaluate the effect of Hwangryunhaedok-tang herbal-acupuncture therapy for
Agitation(Byun-jo) caused by cerebral infarction.
Methods : One patient was admitted who was suffering from insomnia, chest discomfort, anxiety, palpitation of
Agitation(Byun-jo), after cerebral infarction. In the point of Differentiation of Syndromes(辨證), we diagnosed this patient as
Excessive heat-fire syndrome of stroke(中風火熱證) and treated with Hwangryunhaedok-tang herbal-acupuncture therapy at
CV17, BL15, GB20.
Results : After Hwangryunhaedok-tang herbal-acupuncture therapy, symtoms of Agitation(Byun-jo) were improved
remarkably, and the score of State-Trait Anxiety Inventory(STAI), Pittsburgh Sleep Quality Index(PSQI) were decreased.
Conclusions : Hwangryunhaedok-tang herbal-acupuncture therapy has meaningful effect on the symptoms of
Agitation(Byun-jo) caused by cerebral infarction and more researches should be followed.
56 동맥경화증으로 인한 보행장애 증례 보고 이재섭, 황하연 , 백경민 , 장우석 2012-01-01 ~ 학회지
Object : The Purpose of this study is to report the clinical application of Korean traditional medicine on gait disturbance
with arteriosclerosis of lower limbs.
Methods : The patient in this case had been already treated by anticoagulation and varicose vein operation for subsiding
and improving intermittent claduication and rest pain, but these methods didn\'t work on the patient. Although the patient was
classified as TASC-Ⅱ D, bypass operation couldn\'t be treated because of heart disease of the patient. We treated Korean
traditional medicine such as acupuncture, moxibustion, Danggwisaeyeoktang.
Results : After treatment, peak walking time was increased, rest pain occurrence was decreased and going up and down
the stairs was improved.
Conclusions : According to this study, Korean traditional medicine such as acupuncture, moxibustion, Danggwisaeyeoktang
is effective for the cure of intermittent claudication and rest pain caused by arteriosclerosis of lower limbs.
55 心火上炎으로 변증된 손떨림 환자에 청심연자탕가미방 및 침치료 치험 2례 한인식, 이선주, 오현석, 이득수, 이원철, 선승호 2012-01-01 ~ 학회지
Object : This clinical study is to report the effects of Chengsimyeonjatang-gamibang on tremors.
Methods : Two patients was treated with Chengsimyeonjatang-gamibang and acupuncture that was applied at LU8, LR4,
HT3, LR2, GV20, GB20. The effect of treatment was evaluated by Visual Analog Scale(VAS) and Motor examination of Unified
Parkinson\'s Disease Rating Scale(UPDRSⅢ).
Results : After Korean medicine treatment, the patients’ VAS and UPDRSIII scores were decreased and conditions were
improved.
Conclusions : The Korean medicine treatment of Chengsimyeonjatang-gamibang and acupuncture might be effective for
the tremors.
54 급성기 중풍 환자에 있어 변증과 처방 일치 여부에 따른 증상 호전도 차이 이은찬, 박수경, 곽승혁, 우수경, 2011-01-01 ~ 학회지
Objectives : The aim of this study was to examine the Differences of symptom improvement depending on correspondance
of Herb medicine with Oriental Medical Diagnosis in Acute Stroke Patient.
Methods : We studied hospitalized patients within 10days after their ictus who were admitted at Kyunghee University Oriental
Medical Center from May 2011 to October 2011. We compared the improvement of MI and SSS score between Correspondance
group(n=9) and Non-correspondance group(n=13).
Results : The patients who had corresponding herb medicine with Oriental Medical Diagnosis show much improvement
of MI score, but there is no significant difference. There is no significant difference on improvement of SSS score, between
Correspondance and Non-correspondance.
Conclusion : This study provides evidence that correspondance of herb medicine with Oriental Medical Diagnosis is important
to improve the symptoms of acute stroke.
53 한양방 병행치료를 시행한급성기 뇌경색 환자에게 辨證별 평가항목 호전도에 대한 연구 여서원, 김수경, 심소라, 김혜미, 2011-01-01 ~ 학회지
Object : The purpose of this study is to observe the changes of symptoms and signs diagnosised by differentiation of
the pattern identification in stroke patients.
Methods : Seventy subjects were recruited from patients with stroke within ten days of onset. We chose twenty-nine
subjects diagnosised as same differentiation of the pattern identification, and who had at least on follow up session. We had
investigated change of symptoms and signs diagnosised by differentiation of the pattern identification.
Results : There were five symptoms and signs (thick fur, dry fur, difficult defecation, heat vexation and aversion to heat,
normal pulse) and ten (heavy-headedness, frequency of defecation, hard defecation, feel heavy, slippery pulsem, dry mouth,
bitter taste in the mouth, feel lazy, look lazy) symptoms and signs that were statistically significant improved in fire-heat patterns
and dampness-phlegm pattern, respectively.
Conclusions : This study provides evidence that collaborative treatment is effective in improving some symptoms and signs
in acute ischemic stroke patients diagnosised by fire-heat pattern and dampness-phlegm pattern. Further studies with larger
scale, longer observation period would be required.
52 뇌혈관질환에 대한 오령산 치료의 일본 유용성 장인수, 권승원*, 김경욱** 2011-01-01 ~ 학회지
Objectives : The purpose is to discuss the clinical applications of Orungsan(Goreisan: 五苓散) as an alternative
management for increased intracranial pressure in the field of neurosurgery in Japan.
Methods and Results : Attention has focused on Kampo medicine(traditional Japanese medicine) for some cerebral
disease including chronic subdural hematoma(CSDH) and cerebral infarction in Japan. Orungsan and one of its classes,
Sirungtang(Saireto: 柴苓湯) are well known their effects on brain edema. After some studies of Orungsan has the anti-edemic
effects by the inhibition of aquaporin, this herbal medicine has been used widely in the neurosurgery field in Japan. It is high
time to think about where we are and we go ahead for the progress and the integration in medicine. We have reviewed the
studies using Orungsan or Sirungtang , that was reported at the 20th annual meeting of \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'the Japan society for Kampo medicine
and neurological surgery\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\' was held on November 5, 2011 in Tokyo.
Fifteen studies related with Orungsan or Sirungtang were reported among all 32 studies at the meeting. Orungsan in ten,
and Sirungtang in five among 14 studies contained specific clinical case. In the aspects of disease, thirteen papers were related
with SDH, including CSDH(11), SSDH(1), aneurism clipping for SDH prevention(1), and one was acute cerebral infarction and one
was multiple metastatic brain tumor. In the report style, case control study was 7(mostly retrospective), and the case report
was 8.
Conclusions :
Orungsan may be plausible to be an alternative method to reduce brain edema after SDH and other brain injury in the field
of neurosurgery.
51 한양방 병행치료를 시행한 급성기 뇌경색 환자의 운동 기능과 임상 증상 및 증후의 호전도에 관한 연구 : 예비연구 김민경, 심소라, 김수경, 김나희, 2011-01-01 ~ 학회지
Objective : Stroke is the most common disabling neurological disease of adult life.
And some part of the clinical symptoms and signs are correlated to the post stroke complication. This study was to analyze
the therapeutic effect of the East-West collaborative treatment, especially on the motor power and the clinical symptoms and
signs improvement of ischemic stroke patients.
Method : For 2 weeks as possible, we observed the patients with acute ischemic stroke receiving East-West collaborative
treatment. We assessed the patients using Motricity Index (MI) and the changes of clinical symptoms and signs three times
at seven-day intervals. At the end of the study, we compared the results.
Result : Motricity Index of patients changed from 71.55 to 76.03 (upper limb) and 73.05 to 79.42 (lower limb), respectively.
Some items of clinical symptoms and signs showed the statistically significant result. Especially, the urination and defecation
symptoms improved obviously.
Conclusion : The East-West collaborative treatment has an effect on motor power and clinical symptoms and signs
improvement of acute ischemic stroke patients.
50 경동맥 초음파를 이용한 뇌경색 환자의 내경동맥 협착도와 濕痰辨證의 관련성 연구 박수경, 곽승혁, 우수경, 이은찬, 2011-01-01 ~ 학회지
Objectives : This study was aimed to clarify the relationship between the dampness-phlegm diagnosis and internal carotid
artery stenosis by measuring carotid artery sonography in cerebral infarction patients.
Methods : One hundred eighty subjects were recruited from the patients admitted to the Department of Internal Medicine
at Kyunghee university oriental medical center from September 2008 to July 2010. We assessed one hundred eighty patients\\\'
carotid artery sonography data and diagnosed dampness-phlegm by oriental medical diagnosis. then, analyzed their
characteristics, risk factor, lifestyle, metabolic syndrome, body mass index, Waist/Hip ratio(W/H ratio) and dampness-phlegm
diagnosis.
Results : On the demographic variables of the patients, age, smoking, W/H ratio and dampness-phlegm group were
significantly higher in severe internal carotid artery(ICA) stenosis group than in the control group. According to the significant
difference in dampness-phlegm group, we analyzed dampness-phlegm related index for pattern identifications by ICA stenosis.
As a result, sputum, bowel sound, chest discomfort, slippery pulse were significantly higher in the severe ICA stenosis group
than in the control group. In multivariate analysis, dampness-phlegm group showed close relationship with severe ICA stenosis
group.
Conclusion : According to the analysis, significance between dampness-phlegm diagnosed patients group and severe ICA
stenosis were clarified. These results can be utilized in the future as a basis material.
49 급성기 뇌경색 환자에서 화열 관련 증상과 증후의 변화에 관한 연구 곽승혁, 박수경, 우수경, 이은찬, 2011-01-01 ~ 학회지
Objective : Fire and heat related symptoms and signs are considered common in acute stage of diseases. The purpose
of this study is to evaluate the occurrences and changes of fire and heat related symptoms and signs in acute cerebral
infarction patients.
Method & subjects : 40 acute cerebral infarction patients hospitalized in Oriental medicine hospital, Kyung-Hee University,
who had examined and diagnosed 2 or 3 times based on oriental medical diagnosis were selected. We chose 23 as fire and
heat related symptoms and signs from 94 diagnostic articles, and we added all those scores together of each patient. We
analysed the scores of fire and heat related symptoms and signs as the time passed, and depending on oriental medical
diagnosis.
Result : In acute cerebral infarction patients of this study, 4 of fire and heat related symptoms and signs were took 1st,
2nd, 4th and 8th places in most changeable 10 articles of total 94 articles. The mean score of fire and heat related symptoms
and signs of all patients were decreased significantly over the 3 times of measurements. The 8 patients diagnosed as fire and
heat diagnosis at visit1 were samely diagnosed as fire and heat diagnosis at visit2, and at visit3 5 patients of them except
for 3 patients excluded between visit2 and visit3, were still diagnosed as fire and heat diagnosis. At all of 3 measuring times,
the scores of fire and heat related symptoms and signs of fire and heat diagnosis group were higher than non-fire and heat
diagnosis group.
Conclusion : This study indicated that fire and heat related symptoms and signs were very changeable phenomenon in
acute cerebral infarction patients. And they decreased as time goes on.
48 급성기 중풍 환자의 증상 경중에 따른 제반특성의 차이 우수경, 박수경, 곽승혁, 이은찬, 2011-01-01 ~ 학회지
Objective : The aim of this study was to examine Differences of overall characteristics depending on Symptom Severity
in Acute Stroke Patient
Method : We studied hospitalized patients within 10days after their ictus who were admitted at Kyunghee University Oriental
Medical Center from May 2011 to October 2011. We compared the general characteristics of acute stroke patient according to
Scandinavian Stroke Scale score
Result : The patient who had mild severity show significant difference for FBS, PP2, Homocysteine, Exercise, Tongue color,
Mouth dryness, Chest discomfort, Constipation, Stool hardness.
Conclusion : The above result contribute to predict severity of stroke symtoms according to risk factor and general
condition of patients. Also, After occurrence of stroke, We will can block worsening of symptoms progression.
Further studies will be needed to observation of follow up studies about progression of stroke among acute stroke patients
with a serious disability.
47 중풍 환자의 경직에 있어서 전침 치료 효과에 대한 체계적 고찰 고호연, 공경환, 신미란, 장명웅, 2011-01-01 ~ 학회지
Background : Prevalence of spasticity because of stroke are 40% patients after 12 month. Spasticity caused decrease of
range of motor, motor function, and active daily living. Electroacupuncture widely used stroke. But it is been studied by
systematic review between spasticity and electroacupuncture. This study is aimed to efficacy of electroacupuncture for spasticity
because of stroke.
Methods : We had used pubmed(www.pubmed.com) and cochrane library(www.thecochranelibrary.com) database. Limits
are‘human’,‘randomized controlled trial’and‘all adult 19+ years’in pubmed. The period was until 15, september, 2011.
We used MeSH(Medical Subject Headings terms. The search words were‘stroke’[mesh],‘muscle spasticity’[mesh and
‘electroacupuncture’[mesh]. In cochrane library, we used spasticity and electroacupuncture in cochrane library. We found
19 studies. But only 3 studies were included for inclusion criteria.
Results : The appropriate 3 studies were different from subject, acupoint, duration of treatment, endpoint and etc. But these
studies were effective for spasticity because of stroke.
Conclusion : These studies were not meta analysis because of heterogeneity. But the above results might explain the
electroacupuncture were effective for spasticity and further study needed to verify and standard electroacupuncture study for
spasticity.
46 FCST의 음양균형장치를 활용한 경항통 증례보고 조창환, 이영준*, 김정현, 안정조, 2011-01-01 ~ 학회지
Objective : Therapeutic effect of Balance Appliance of functional cerebrospinal technique (FCST) for meridian and
neurologic yinyang balance was observed in one neck pain case.
Method : A neck pain one case with 3 months of duration was managed by the Balance Appliance on temporomandibular
joint (TMJ), combined with acupuncture and manual medicine.
Results : Assessment was made by self assessment of subjective symptoms and clinical observation.
The patient reported over-90% remission and returned to ordinary daily life after 1 months of therapy.
Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.
45 중풍 환자의 심박변이도 특성에 대한 임상적 연구 이인환, 신애숙, 김나희, 김혜미, 2010-01-01 ~ 학회지
Objectives : We designed this study to investigate difference of heart rate variability(HRV) according to sex, age,
acute or chronic phase, category of stroke, national institute of health stroke scale(NIHSS), lesion of stroke.
Methods : 64 subjects were recruited from the patients admitted to the department of oriental medicine at
East-West Neo Medical Center, Kyung Hee University from 1 September 2009 to 31 August 2010.
We compared heart rate(HR), standard deviation of all normal P-P intervals(SDNN), low frequency(LF), high
frequency(HF), LF/HF ratio.
Results and Conclusions :
1. LF/HF ratio is significantly different between over-70 and below-70 of age.
2. SDNN is significantly different between acute and chronic stroke patients.
3. In sex, category of stroke, national institute of health stroke scale(NIHSS), lesion of stroke, there are no
significantly different among the any values of heart rate variability(HRV).
44 중풍 뇌 질환의 한 양방 협진에 관한 임상적 고찰 신애숙, 이인환, 김나희, 김혜미, 2010-01-01 ~ 학회지
Objectives : This study was aimed to evaluate the current status of East-West integrated treatment in stroke
and brain disease and to discuss further plans.
Methods : The medical records of patients who visited the stroke and brain disease center at Kyung Hee
University, East-West Neo Medical Center from May 2006 to August 2010 were evaluated. The general
characteristics of patients who underwent integrated treatment, trend in the number of cross referrals were initially
evaluated. Later major disorders, the reasons of referrals and the number of visits in outpatients were analyzed.
Results : 1. 3496 patients were referred from the eastern medical hospital to the western medical hospital and
2440 patients from the western medical hospital to the eastern medical hospital. The number of patients reached
a peak after the opening of the hospital and has decreased from then on. Referrals of female patients were more
than those of male patients and patients over 50 years old were the most.
2. Admitted patients with stroke of chronic stage were most commonly referred from the eastern medical hospital
to the western medical hospital and cerebral infarction was most common from the western medical hospital to the
eastern medical hospital. Among the outpatients cerebral infarction topped from east to west, and stroke of chronic
stage from west to east.
3. 36.6 % of the patients from east to west received integrated treatment more than 3 times and 28.6% from west
to east. Headache was the second most common reason to be referred from west to east and 36.7% of patients
didn\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'t continue to have either of the treatment and 30.3% received eastern treatment only.
Conclusions: According to this study, chronic stroke management was successfully performed in the outpatient
clinic in the form of East-West integration treatment. Further research on other diseases such as headache is
recommended.
43 한열변증에 따른 중풍 환자의 제반특성 비교 김민경, 이인환, 신애숙, 김나희, 2010-01-01 ~ 학회지
Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean
medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and
cold pattern group.
Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center,
Kyung-Hee University East-West Neo medical center, Kyungwon university Incheon oriental medical center,
Kyungwon university Songpa oriental medical center and DongGuk university Ilsan oriental medical center) from
April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern
patients.
Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat
pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more
associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group.
CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution
of the heat pattern group, and So-eum type takes high distribution of the cold pattern group.
Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold
pattern group.
42 곽향정기산을 복용한 급성기 중풍 환자의 제반특성연구 우수경, 임정태, 박수경, 곽승혁, 2010-01-01 ~ 학회지
Objective : The aim of this study was to examine the characteristics of the acute stroke patient who take
Gwakhyangjeonggisan, and provide the basis of Gwakhyangjeonggisan prescription
Method : We studied hospitalized patients within 4 weeks after their ictus who were admitted at Kyunghee
University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University
Oriental Medical Center, Semyung University Oriental Medical Center from February 2010 to July 2010
We compared the general characteristics of acute stroke patient according to herb medicine
Result : The patient who take Gwakhyangjeonggisan show significant difference for sex, family history of Stroke,
Face color, Tongue color, Pulse condition, HDL Cholesterol, Fastfood eating, Waist circumference.
Conclusion : The above result show that Gwakhyangjeonggisan can be prescribed to stroke patient whose
complaining gastrointestinal symptoms, & Oriental Medical Diagnosis is Cold & Deficiency type. Further studies will
be needed to better understand the difference between Gwakhyangjeonggisan group and Other herb medicine
among acute stroke patients.
41 청폐사간탕 복용한 급성기 중풍 환자에 대한 제반 특성 박수경, 임정태, 곽승혁, 우수경, 2010-01-01 ~ 학회지
Objective : The aim of this study was to examine the characteristics of the acute stroke patient who took
Chungpyesagan-tang, and provide the basis of Chungpyesagan-tang prescription.
Method : We studied hospitalized patients within 4 weeks after their occur who were admitted at Kyunghee
University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University
Oriental Medical Center, Semyung University Oriental Medical Center from February 2010 to July 2010.
We compared the general characteristics of acute stroke patient with herbal medicine.
Result : The patient who took Chungpyesagan-tang showed significant difference for age, family history of
hypertension, ALT, coffee drinking, fastfood eating, stool, Oriental Medical Diagnosis.
Conclusion : The above result show that Chungpyesagan-tang can be prescribed to stroke patient whose stool
is hard, whose Oriental Medical Diagnosis is fever type.
Further studies will be needed to better understand the difference between Chungpyesagan-tang group and
Other herbal medicine among acute stroke patients.
40 급성기 중풍 환자에서 凉膈散火湯 활용의 임상적 연구 곽승혁, 박수경, 임정태, 우수경, 2010-01-01 ~ 학회지
Objective : The purpose of this study was to investigate the characteristics of the acute stroke patient who take
Yanggyeoksanhwa-tang, and arrange the indication of Yanggyeoksanhwa-tang.
Method : We studied hospitalized patients within 4 weeks after their accident who were hospitalized at Kyunghee
University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University
Oriental Medical Center, Semyung University Oriental Medical Center from February 2010 to July 2010.
We classified and found out the characteristics of acute stroke patient according to herb medicine.
Result : The patient who take Yanggyeoksanhwa-tang show meaningful difference for TG, HDL-cholesterole,
total lipid, AST, homocysteine, chest burning sensation, and oriental medical diagnosis.
Conclusion : The result of this study show that Yanggyeoksanhwa-tang can be applied to acute stroke patient
who feels chest burning sensation, and whose oriental medical diagnosis is fever type.
Additory evaluations would be needed to better understand the difference between Yanggyeoksanhwa-tang
group and other herb medicine group on acute stroke patients.
39 중풍조기검진에서 발견된 무증상 뇌경색에 관한 단면연구 백인경, 윤희연, 신현수, 조창환, 2010-01-01 ~ 학회지
From October 6th to 27th 2010, the study was carried out 103 people who came to the Daejeon oriental hospital
for the examination of C.V.A. The result was as follows :
1. Silent cerebral infarctions(SCI) were found in 9 patients(8.74%).
2. In the case of Gender, SCIs were found 10% in Male group, 7.55% in Female group. The rate of SCI was
highest in 70s in both group.
3. HTN was found 55.56% in SCI group, 41.49% in Control group.
4. DM was found 44.44% in SCI group, 13.83% in Control group.
38 편두통 변증과 처방에 관한 문헌적 고찰- 중국 논문 중심으로 - 선승호*, 고호연** 2010-01-01 ~ 학회지
Objective : To investigate the syndrome differentiation’s types and herbal medicine of migraine through Chinese
journals review
Methods : Journal search was performed using the searching engine of China Academic Journal(CAJ) in China
National Knowledge Infrastructure(CNKI) from January 2000 to November 2010. Searching key words were
“migraine”, “chinese traditional medicine” and “syndrome differentiation”. We included all kinds type of journals that
explained or referred definite syndrome differentiations. The methods of treatment and Herbal medications by
syndrome differentiation in contents of finally selected journals were extracted and summarized.
Results : Eighteen chinese journals were selected finally. Fifteen kinds of syndrome differentiations about
migraine were investigated, which included blood stasis due to qi stagnation (氣滯血瘀) quoted 15 times, middle
obstruction of phlegm-dampness (痰濕中阻) 11 times, liver yang transforming into wind (肝陽化風) 10 times,
deficiency of qi and blood (氣血虧虛) 6 times, wind-cold invading 風寒侵襲 清陽鬱遏 4 times, cold invading reverting
yin (寒犯厥阴) 4 times, liver-kidney deficiency (肝腎虧虛) 3 times, liver qi depression and qi stagnation (肝鬱氣滯)
2 times, liver depression transforming into fires (肝鬱化火) 2 times, wind-fire of liver-gallbladder (肝膽風火) 3 times,
intense stomach fire and heat (胃火熱盛) 2 times, insufficiency of blood deficiency (血虛不榮) 2 times, insufficiency
of qi deficiency (氣虛不充) 2 times, insufficiency of kidney qi and sea of marrow deficiency (腎氣不足,髓海空虛) 2
times, and qi depression due to wind invading (風邪侵襲, 氣鬱不宣) 2 times.
Conclusion : We suggests the first choice of oriental treatment for migraine can be considered among syndrome
differentiation’s types of blood stasis due to qi stagnation, middle obstruction of phlegm-dampness, liver yang
transforming into wind, deficiency of qi and blood, and cold invading reverting yin. further systematic study will
be needed.
37 한방병원에 내원한 급성기 중풍환자에 대한 기술 분석 고호연, 정미경, 박선영, 이주아, 2010-01-01 ~ 학회지
Objective : This study is aimed to investigate the present status in acute stroke patients in Koran medicine
hospital.
Method : We used the Korean medicine stroke database. We collected data from 4 Korean medicine hospital
from Feb. 2010 to Aug. 2010. We surveyed past history, motive, diseases, diagnostic machines, the day from onset
to admission in acute stroke patients.
Results : 1. In Korean medicine hospital, it has been grown up the portion of cerebral infarction and age.
2. In Korean medicine hospital, the patients within 1 day from onset to admission were 63case(34.6%)
3. In Korean medicine hospital, the diagnotic machine has been well used, but MRA utilzation was low.
4. Acute stroke patients were not well known the risk factor, and the patients cerebral infarction didn\\\'t know
that they had hyperlipidemia.
Conclusions : In this study, we know the present status in acute stroke patients. It seems necessary to
investigate more further study.
36 중풍 용어 표준화 및 영번역 방안에 관한 연구 이주아*, 이정섭*, 강병갑*, 고미 2010-01-01 ~ 학회지
Background : Currently, the absence of a unified terminology and proper translation about Traditional Korean
Medicine is a problem that should be solved. Although Traditional Korean Medicine has undergone steady growth
in popularity during the past years, the Westerner’s poor access to information has been drawback to its reception
in the West.
Objective : This research is aimed to seek system for standardization of stroke terminology and proper
translation into English.
Conclusion : We proposed the method of making unified terminology and translation about stroke in Traditional
Korean Medicine.
35 腎陰虛로 辨證된 中風患者와 腎陰虛로 辨證되지 않은 中風患者의 糖尿에 대한 六味地黃湯의 治驗例 정우상, 문상관, 조기호, 김영석 2010-01-01 ~ 학회지
Because syndrome-differentiation is one of the major characteristics in oriental medicine, there would be a
possibility that the same herbal medicine show different effects on the same disease, if syndrome differentiation
is ignored. In this report, we observed different response of Yukmijihwang-tang in diabetic stroke patients
according to their syndrome differentiation. One case diagnosed as ‘Kidney-yin deficiency syndrome’ showed
remarkable improvement on diabetes mellitus, whereas the serum glucose levels of the other 4 cases diagnosed
as ‘non Kidney-yin deficiency syndrome’ were lowered little. These results are in accordance with the oriental
medical theory that Yukmijihwang-tang can treat ‘Kidney-yin deficiency syndrome’. Therefore, we suggest that
subsequent clinical trials on oriental medicine would have to include the concept of differentiation of syndromes
in order to take out the merit of oriental medicine.
34 Trigger Point 자침 및 한방치료로 호전된 중풍후유증 환자의 견비통 치험 3례 보고 장용환, 임해원*, 김지영*, 권 강 2010-01-01 ~ 학회지
This study was performed to investigate the effectiveness of trigger point needling and oriental medical treatment
to shoulder pain patients in stroke sequelae with three aspects of pain and range of motion, muscle strength.
Trigger point needling was applied to 3 patients on supraspinatus, infraspinatus, deltoid, subscapularis muscle. For
evaluating treatment, visual analog scale(VAS), passive range of motion(PROM), muscle strength evaluation(MSE)
were checked. After treatment, VAS score of all cases were decreased. PROM of 1 case was improved and MSE
of 2 cases were improved slightly. These results suggest that trigger point needling and oriental medical treatment
were effective on shoulder pain patients in stroke sequelae and it is necessary to research more case with shoulder
pain in stroke sequelae.
33 파두 투여 후 호전된 뇌경색 환자의 장마비 치험 1례 양나래, 권영주, 조우근, 최동준, 2010-01-01 ~ 학회지
Paralytic ileus is one of the common complications in stroke patients. In western medical treatment, surgery or
conservative care is used for treating ileus.
In this case, patient diagnosed as paralytic ileus had problems of constipation, or abdominal distension.
Therefore the patient were treated with Crotonis Fructus(巴豆), and the patient showed improvement in X-ray
findings and these symptoms. So we report this case.
32 淸上瀉火湯을 투여하여 頭痛이 호전된 경막하혈종 환자 2례 김솔리, 신길조, 김승현* 2010-01-01 ~ 학회지
Objectives : This cliniclal study was to evaluate the effect of Cheongsangsahwatang (淸上瀉火湯) treatment on
the headache after subdural hemorrhage.
Methods : We treated two patients who have headache after subdural hemorrhage by oriental medical therapy,
specially Cheongsangsahwatang (淸上瀉火湯). We used VAS(Visual Analog Scale) to investigate the effect of oriental
medical therapy, specially Cheongsangsahwatang (淸上瀉火湯).
Reasults : After prescription of Cheongsangsahwatang (淸上瀉火湯), VAS scores on headache and accompanying
symptoms decreased.
Conclusions : This study suggests that Cheongsangsahwatang (淸上瀉火湯) is effective in the treatment of headache
after subdural hemorrhage.
31 급성기 뇌경색 환자에서 한방치료와 지속적 유로키나제 정주요법 병용시 안전성에 대한 임상적 고찰 김성근, 임창선, 임준 2009-01-01 ~ 학회지
This Study was prepared for investigating the safety of oriental medicine and continuous
intravenous urokinase combined therapy in acute cerebral infarction.
30 The Effect of Scutellariae Radix on Ischemia Induced Brain Injury in Rats Ji-Eun Park, Young-K 2009-01-01 ~ 학회지
Scutellaria Radix, originated from Scutellaria baicalensis Georgi, is one of the most important medicine in
traditional Oriental medicine, and possesses anti-bacterial activity and sedative effects, can be applied in the
treatment of a range of conditions including diarrhea and hepatitis. It is reported that chronic global ischemia
induces neuronal damage in selective, vulnerable regions of the brain, especially the hippocampus and cerebral
cortex. In the present study, to investigate the effect of Scutellaria Radix extract on cerebral disease, the changes
of regional cerebral blood flow and pial arterial diameter on ischemia/reperfusion state was determinated by
Laser-Doppler Flowmetry and some parameters concerned with oxidative stress also measured.
When SRe were administered for five days with the concentration of 100 ㎎/㎏, GSH activity significantly
increased. But SRe administeration showed no significant change in lipid peroxidation. When the activities of CAT,
Cu, Zn-SOD and GSH were measured, CAT and GSH were activated by SRe administration.
When 1 and 3 ㎍/㎖ SRe was applied to the neuronal cell cultures, the quantities of LDH was significantly reduced
when compared with cultures treated only with NMDA.
Through this study, it can be concluded that the ischemia/reperfusion induced brain stress may have contributed
to cerebral damage in rats, and the present study provides clear evidence for the beneficial effect of SRe on
ischemia induced brain injury.
29 중풍교육프로그램을 위한 예비연구 고호연, 배광호, 박선 2009-01-01 ~ 학회지
The study was aimed to survey participantʼs characters in stroke prevention & Gigong program
28 중풍환자에서 장기간의 한약과 양약의 병용투여가 간장 및 신장에 미치는 영향 안정조, 박소애, 문승 2009-01-01 ~ 학회지
The purpose of this study was to evaluate whether herbal medication may injure the liver function and
kidney function in stroke patients.
27 화열과 음허로 진단된 급성기 뇌질환 환자의 특성 비교 연구 김혜미 곽자영, 조승 2009-01-01 ~ 학회지
This study propose to compare on general characteristics of acute stroke patients between Fire-Heat
group and Deficiency of Yin group.
26 한방병원 직원의 고객만족 프로그램에 대한 만족도 조사 고호연, 공경환, 신미 2009-01-01 ~ 학회지
The major results of the analysis were as follows
Positive change after customer satisfaction program were 6.90±1.94.
Necessity further customer satisfaction program were 7.74±2.09.
25 중풍 환자의 NIHSS에 따른 중풍 변증 분형 분포의 특성 연구 김미경, 양나래, 최동 2009-01-01 ~ 학회지
Dampness-phelegm pattern was the most frequent out of five patterns in total participants as well as
all the subgroups. In group 3 with more serious neurological deficit, larger proportion of patients in early acute
stage was diagnosed as excess pattern including Fire-Heat pattern. On the other side the proportion of Deficiency
of Qi and Yin was larger in late convalescent stage of group 3 than in other groups. But nothing was statistically
significant.
24 뇌경색 환자의 전대뇌동맥협착에 대한 치험1례 이현주, 김민수, 황규 2009-01-01 ~ 학회지
Arteriosclerosis is a pathologic term that contains hardening of arterial wall, loss of arterial elasticity and stenosis
of artery. To diagnose this disease, conventional angiography, MRA, transcranial doppler ultrasonography are
commonly used. And it causes various clinical phases by a region of the disease.
In oriental medicine, arteriosclerosis is classified into congested fluids(痰飮), blood stasis(瘀血), stagnation of Gi
(氣滯) and treated by Herb-Med, acupuncture, cupping, moxibustion, and the like.
The purpose of this study was to investigate the effect of oriental medical therapy on cerebral arteriosclerosis.
A patient with cerebrovascular disease admitted due to dizziness, mild dysarthria, tinnitus, anxiety disorder and his
Brain MRA showed severe arteriosclerosis in right anterior cerebral artery(ACA) and middle cerebral artery(MCA).
Every day, we administered to patient Herb Med and Herb pills. Also, acupuncture, moxibustion were done, too.
As a result of the treatment, the patientʼs follow up Brain MRA showed improved state of ACA stenosis.
23 청심연자탕을 복용한 후 호전된 Wallenbergʼs syndrome 환자 1례 심소라, 최우정 2009-01-01 ~ 학회지
Wallenbergʼs syndrome is a neurological condition caused by a stroke in the vertebral or posterior inferior
cerebellar artery of the brain stem. Wallenbergʼs syndrome is also called Lateral Medullary Syndrome. In this case
report, we are going to describe the clinical menifestation and progress of one case of Wallenbergʼs syndrome and
review previously published case reports about it and compare them to our case. In conclusion, significant
improvements were observed in some symptoms but there were some symptoms not improved such as paresthesia.
So further researches are needed for more effective treatment.
22 A Clinical Report on a Patient with Type 2 Diabetes Ae-sook Shin, Ja-you 2009-01-01 ~ 학회지
Type 2 diabetes mellitus (T2DM) is a progressive disorder caused by a combination of insulin resistance and
βcell dysfunction.
Sogal(消渴) is a traditional Korean medical term referring to a condition pertaining 3 major symptoms - thirst,
polyphasia, polyuria. Sogal has been reported to have similar characteristics with DM.
This case report demonstrates a patient with T2DM complaining of typical Sogal symptoms. We diagnosed him
as So-yang person Sogal and treated him with acupuncture and herbal medicine.
21 胸痛이 있는 심근교(myocardial bridge) 환자의 치험 1례 김보람, 최동준, 임성 2009-01-01 ~ 학회지
Myocardial bridging, a congenital coronary anomaly, is present when a segment of a major epicardial coronary
artery, runs intramurally through the myocardium. So with each systole, the coronary artery is compressed. It has
been associated with angina, arrhythmia, myocardial infarction and sudden cardiac death.
This is a case of a 39-year-old woman who was diagnosed myocardial bridge. She complained of recurrent
chest pain, palpitation. We diagnosed her as Gyesimtong(JiXiTong, 悸心痛), and prescribed Jeongkicheonhyangtang(
正氣天香湯). After treatment, all of the symptoms had improved and have not recurred for 18 months.
This case suggests that oriental medicine therapy can be applicable to improve in symptoms of myocardial
bridge.Myocardial bridging, a congenital coronary anomaly, is present when a segment of a major epicardial coronary
artery, runs intramurally through the myocardium. So with each systole, the coronary artery is compressed. It has
been associated with angina, arrhythmia, myocardial infarction and sudden cardiac death.
This is a case of a 39-year-old woman who was diagnosed myocardial bridge. She complained of recurrent
chest pain, palpitation. We diagnosed her as Gyesimtong(JiXiTong, 悸心痛), and prescribed Jeongkicheonhyangtang(
正氣天香湯). After treatment, all of the symptoms had improved and have not recurred for 18 months.
This case suggests that oriental medicine therapy can be applicable to improve in symptoms of myocardial
bridge.
20 한방치료로 호전된 창만 치험 2례 양나래, 김미경, 최동 2009-01-01 ~ 학회지
The purpose of this study is to report the effectiveness of oriental medical treatment including Hubaksenggangbanhagamchoinsam-
tang(厚朴生薑半夏甘草人蔘湯) and moxibustion (and acupuncture) on abdominal distension. Two
patients complainted of abdominal distension, vomiting, dyschezia and so on. According to the pattern identification
(辯證論治), the distension of both patients were diagnosed as deficiency distension(虛脹). So we decided to treat
the patients by means of tonification the deficiency(補虛) including Hubaksengganggamchoinsam-tang and
moxibustion. And the symptoms improved after treatment. So we report these cases.
19 급성기 중풍환자의 설진과 NIHSS와의 상관성 연구 - 다기관 임상연구 이인환, 신애숙, 곽자 2008-01-01 ~ 학회지
We questioned whether the tongue diagnosis is effective for judging seriousness of cerebrovascular accidents. This study is about the relationship between tongue diagnosis and NIHSS in acute stroke patients
18 중풍환자의 변증과 기온 및 강수여부와의 상관성에 관한 연구 마미진, 김보람, 김미 2008-01-01 ~ 학회지
This study was done to investigate the relationship of differentiation of the pattern identification in stroke patients between average temperaturee & precipitation and pattern identifcation of the patients with stroke
17 급성기와 회복기 중풍 환자의 변증 유형의 상관관계 연구 백종우, 하유군, 여현 2008-01-01 ~ 학회지
This study was done to investigate the relationship of differentiation of the pattern indentification in stroke patients between acute and convalescent stage.
16 급성기 중풍 환자들의 위험요인 및 중풍유형과 변증분형의 관련성 연구 신애숙, 이인환, 곽자 2008-01-01 ~ 학회지
This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we assecced what categories of stroke diagnosis mellitus(DM) and hyperlipidemia(HL) fall into. Also we looked into stroke subtypes and its diagnosis in Korean medicine.
15 중풍환자의 대사증후군 유병률에 대한 단면조사연구 박성욱, 이인환, 정우 2008-01-01 ~ 학회지
Metabolic syndrome(MetS) is associated with increasing risk of cardiovascular morbidity and mortality but the risk of stroke associated with the MetS is less well established. The objective of this study was to evaluated the prevalence of MetS in stroke patients.
14 운동실조와 현훈을 주소로 한 소뇌경색 환자의 척담탕 치험 1례 최인영, 김미경, 김보 2008-01-01 ~ 학회지
Ataxia and vertigo are frequent clinical findings in cerebellar infarction patients. In severe cases, they cannot achieve normal activity in daily life. A 65-year-old man was admitted with ataxia and vertigo diagnosed as acute cerebellar infarction. We prescribed for Chukdam-tang to treat the phlegm disease. After this treatment, ataxia and vertigo improved. We suggest Chukdam-tang is significantly effective on the treatment of cerebellar infarction.
13 메니에르병 치험1례 이승엽, 김미영, 김영 2008-01-01 ~ 학회지
One male patient with Meniere\'s disease was hospitalized in Kyung-Hee medical center, and we treated him with oriental medical therapies. The treatment was effective to relieve his symptoms, and they had been successfully controlled until he was discharged from hospital. The result suggests that the oriental medical therapy is safe and helpful to patients with Meniere\'s disease, so we reported this case.
12 중풍 후 운동장애에 대한 지황음자 투예 2례 홍광해, 이현주, 황규 2008-01-01 ~ 학회지
The purpose of this study was to investigate the effect of Jihwangeumja on lower extremity weakness caught by cerebrovascular disease. In this study, we administered Jihwangeumja to two stroke patients with lower extremity weakness and analyzed the clinical progress.
11 Severe MCA Stenosis로 인한 TIA 환자 1례 윤창준, 김종화, 이수 2008-01-01 ~ 학회지
TIA is an important risk factor of stroke but often underestimated by clinicians. In this case, we administered oriental-western cooperative therapy to a 72 years old female TIA patient with severe MCA stenosis. After treatment, all symptoms were disappeared and has not reappeared until 1 year follow-up.
10 대뇌반구의 병변과 동측에 반신마비 발생한 중풍 환자의 1례 조승연, 곽자영, 홍진 2007-08-10 ~ 학회지
Stroke is a disease which results in impairment of body functions and affects everyday life. The ability of cerebral neurons to become reorganized and restore function after damage is called plasticity. Motor impairment typically appears contralateral to the affected cerebral hemisphere in patients with cerebral lesions. The authors report a case of a patient with hemiplegia ipsilateral to affected cerebral hemisphere, along with its conjectured mechanism.
9 藥疹으로 심한 소양감을 보인 환자에 대한 溫淸飮 투여 1례 김영지, 김미영, 이승 2007-08-10 ~ 학회지
Drug eruption is a relatively commin dermatological disorder and may cause significant problems. The treatment is to stop using a drug that may cuase a drug eruption. In some cases, steroids and antihistamines can be used supportively.
According to some reports, Onchungeum(溫淸飮) has steroid-like effects and antihistaminic effects.
We administered Onchungeum(溫淸飮) a patient with severe itching because of a drug eruption. After administration of Onchungeum(溫淸飮), itching decreased to much degrees.
It can be suggested that Onchungeum(溫淸飮) can be used to treat symptoms of allergic skin disease like a drug eruption.
8 항생제로 유발된 Pseudomembranous Colitis환자의 理中湯 치료 1례 최원우, 김미영, 김영 2007-05-20 ~ 학회지
Objective:Stroke patients tend to take antibiotics due to infection resulting from complication.
One of many side effects from using antibiotics is diarrhea, which infact causes anaerobic organism dysfunction resulting Pseudo-Membranous Colitis (P.M.C).
To treat P.M.C, antibiotics and antibacterial agents are usually used. But they may cause other side effects, therefore extreme caution must be taken.
Methods:We treated an antibiotic induced P.M.C patient who diagnosed by sigmoid scopy with only Yijoong-tang (Lizhong-tang) without antibiotics and observed patients stool aspects.
Results and Conclusion:Patiensts symptom was improved after 7days, and we can see the improvement by follow-up sigmoid scopy. This case may give us a possibility of that oriental medical treatments as complementary and alternative medicine to standard antibiotic treatment.
7 한방병원에 내원한 파킨슨 증후군 환자 증례군 보고 이승엽, 김미영, 김영 2007-05-01 ~ 학회지
Objective:To report cases of patients with Parkinson\\\'s syndrome.
Design:Case-series
Patients and methods:35 of patients with Parkinson\\\'s syndrome who visited Department of Cardiovascular and Neurologic Diseases of Kyunghee Oriental Medical Center were treated by acupuncture and herbal medicine from May until December 2007. 35 patients were participated in this study. 21 patients were dropped out during the trial, and we evaluated symptom progress of 14 patients by using several questionnaires such as Unified Parkinson\\\'s Disease Rating Scale(UPDRS), modified Hoehn & Yahr stage (H&Y stage) and Schwab & England ADL scale(S&E ADL scale).
Results:The whole group consists of 14 male patients and 21 female patients. Mean±SD age range is 64.5±8.4. There were no significant differences of the demographic and clinical characteristics between the case group and drop-out group.
The mean±SD medical treatment period of the Case group were 8.4±6.3weeks, the mean±SD of the total score in first medical treatment UPDRS section 1~3 were 29.6±11.0, the mean±SD of the final score were 27.1±12.6, all of which showed significant improvement(p=0.007). There were no significant changes on the H&Y stage and S&E ADL scale.
Conclusion:Patients with Parkinson\\\'s syndrome who visited Department of Cardiovascular and Neurologic diseases of Kyunghee Oriental Medical Center had a tendency of showing improvement in clinical symptoms.
6 급성기 중풍 환자의 사상체질과 안면피부에 관한 상관성 분석 여현수, 이시형, 하유 2007-03-01 ~ 학회지
Objectives:This study was done to investigate the relationship between Sasang constitution and the facial skin in acute stroke patients
Methods:In the time of period Mar. 2007 to Jun. 2007, 103 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Seoul Oriental Medical Hospital, Kyungwon University Incheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. We assessed the type of Sasang constitution, and the type of Sasang constitution of 51 patients were confirmed. We investigated general characteristics, stroke type and the relationship between Sasang constitution and the facial skin.
Results:The color of face have no significant differences by Sasang constitution. But So-yang have blue and purple colored lips than So-eum and Tae-eum have.
Conclusions:In this study, we found the relationship between Sasang constitution and the facial skin in acute stroke patients. But it seems necessary to investigate more cases to concrete conclusion on this theme.
5 급성기 중풍 환자의 음주 여부와 습담 변증의 상관관계 연구 여현수, 이시형, 하유 2007-03-01 ~ 학회지
Objectives:This study was done to investigate the relationship of drinking and Dampness-Phlegm pattern in acute stroke patients.
Methods:In the time of period Mar. 2007 to Jun. 2007, 103 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Seoul Oriental Medical Hospital, Kyungwon University Incheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. Patients were hospitalized within a month after the onset of stroke. Stroke patients were interviewed by residents who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. A questionnaire was completed by a question-and-answer form between patients and residents after explanation details to patients and the agreement of patients.
Results:Drinking subjects have tendency of Dampness-Phlegm Pattern(p=0.096), but don\\\'t have statistical significance(p<0.05).
Conclusions:In this study, we found the relationship of drinking and Dampness-Phlegm Pattern. To acquire more concrete conclusion on this theme, we need more research.
4 중풍 후 언어 장애에 대한 『醫部集成』의 침구치료 고찰 정동원, 민인규, 문상 2007-01-01 ~ 학회지
Objectives and methods:The Euibujipsung is one of the huge-scale encyclopedias about Oriental Medicine. To search the most frequently used aupoints for dysarthria after stroke, we used Euibujipsung CD-ROM database with several chinese character keyword concerned with vernal function(語, 言, 音, 啞, 瘖, etc).
Results:We found four popular acupoints(PC5, GV20, GV16, TE6), and five meridians (Governor vessel, Gall Bladder, Heart, Large Intestine and Triple Energizer). We also found that the extra meridians were used more frequently than other type of meridians.
Conclusion:We think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.
3 뇌경색 후유증으로 발생한 주관절 경직 환자의 加減潤燥湯 치험 1례 심효주, 김병철, 우성 2006-04-03 ~ 학회지
Many patients have difficulties after stroke. Spasticity is an important one of that difficulties. So in these days, its management is becoming a major issue in rehabilitation.
Gagamyounjo-tang was administered to a patient have had spasticity after stroke include Hyulhu(血虛) symptoms. And check the modified Ashworth Scale, Motor grade and VAS for being in the hospital.
After treated with Gagamyounjo-tang, Modified Ashworth Scale, Motor grade and VAS have improved, and most of all symptoms about hyulhu(血虛) was disappeared.
Based on this result, this study shows that Gagamyounjo-tang was effective in spasticity after stroke especially included Hyulhu(血虛) symptoms.
2 급성기 뇌경색 환자의 사상체질에 따른 대사증후군 분포 연구 선종주, 정재한, 김미 2005-10-01 ~ 학회지
Objectives:This study was aimed to assess the distribution of metabolic syndrome according to Sasang constitution(SC) in acute stroke patients.
Methods:We assessed the type of SC of acute stroke patients in the oriental medical hospitals of 3 universities located in metropolitan region from October 2005 to June 2007 by Ouestionnaire for the Sasang Constitution Classification Ⅱ(QSCC Ⅱ). Then, we investigated the general characteristics, the prevalence of each factor of the metabolic syndrome and the prevalence of the metabolic syndrome according to SC.
Results:338 subjects were included into the final analysis.
1.This study showed that the proportion of So-yang was highest of all constitutions(45.9%).
2.The prevalence of high TG, low HDL-chol, high BP, high FBS of Tae-um were higher than those of the other constitutions, but the differencecs were not statistically significant. The prevalence of high WC of Tae-um was significantly higher than other constitutions(p<0.001).
3.The prevalence of metabolic syndrome of Tae-um was significantly higher than other constitutions (p=0.002).
Conclusion:There were significant differences in the prevalence of metabolic syndrome according to SC in acute stroke patients. For the further research, it seems to be necessary to construct fundamental databases for stroke by increasing the number of patients and by diagnosing SC more delicately.
1 뇌졸중 환자에 대한 연례보고 (2005년) 이시형, 정기용, 여현 2005-01-01 ~ 학회지
Objectives:This study was prepared for investigating the clinical features of stroke patients.
Methods:We retrospectively reviewed the medical records of 75 patients who were admitted to Department of Internal Medicine, College of Oriental Medicine, Kyung-Won University with a diagnosis of stroke from Jan. 1, 2005 to Dec. 31, 2005.
Results:Ischemic stroke(include TIA, 93.3%) was more common than hemorrhagic stroke(6.7%).
The incidence in male was 36.0%, in female was 64.0% and the most prevalent age group is over-sixties. Cerebral infarction was most frequently noticed in MCA-infarction and hemorrhage in putamen & thalamus. Hypertention, the most preceding diseases, followed by diabetes mellitus and CVA. The rate of recurrence was 21.3%. Cerebral infarction and cerebral hemorrhage was much occurred after rising. The most patients visited the hospital within 24 Hours. The most common symptoms in admission time were motor weakness and speech disorder. The complication was mostly urinary tract inflamation.
Conclusions:Our study on CVA patients was similar to previous studies from 1994 to 2004. In most cases, western and oriental treatment and medicine were given synthetically.