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의학 논문

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제2형 양극성 장애의 주요우울 삽화에 대한 복합 한방 치료 사례보고: 대인관계 및 사회적 리듬 치료와 변증 치료를 중심으로
초록 Objectives: To determine treatment effects of a combination of interpersonal and social rhythm therapy and Korean medicine for a patient with major depressive episode of bipolar II disorder. Methods: A patient was treated with Korean medicine (acupuncture, herbal medicine, etc.) and interpersonal and social rhythm therapy (IPSRT) for four months.Pattern identification for depressive mood and sleep associated symptoms was evaluated using Patient Health Questionnaire-9 (PHQ-9) and Social rhythm metric Ⅱ-5 (SRMⅡ-5). Results: At the end of the treatment, depression and delayed sleep symptoms were improved and social rhythm was recovered to the regular range.The patient acquired an insight to his interpersonal tensions and conflicts. Conclusions: Korean medicine in combination with interpersonal and social rhythm therapy can be used to treat patients with major depressive episode of bipolar II disorder.More cases are needed to develop guidelines for treating bipolar disorder.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 163
전문가 설문을 통한 주의력결핍 과잉행동장애 변증의 주요 증상 빈도 연
초록 Objectives: The objectives of this study is to investigate the characteristics of Attention-deficit/hyperactivity disorder (ADHD)pattern identification based on the survey of frequencies of symptoms and signs according to the pediatricians and psychiatrists in Korean Medicine. Methods: Eleven pediatricians and fourteen psychiatrists participated in this study.38 symptoms and signs of 4 ADHD pattern identifications (Kidney yin deficiency and liver yang ascendant hyperactivity 腎虛肝亢,Dual deficiencies in the heart and spleen 心脾兩虛, Phlegm-fire harassing the heart 痰火擾心,Spleen weakness and liver energy preponderance 脾虛肝旺) were used to evaluate the frequencies of ADHD.The differences in frequencies of symptoms and signs amongst ADHD pattern identifications, and the correlations between them were analyzed. Results: There were significant differences in the frequencies of symptoms and signs between each pattern identification.Dual Deficiencies in the Heart and Spleen 心脾兩虛 is negatively related with hyperactivity and impulsivity, and positively related with inattention.Phlegm-fire Harassing the Heart 痰火擾心 is positively related with hyperactivity and impulsivity, and negatively related with inattention. Conclusions: The results of the characteristics of ADHD pattern identificationsfrom the survey analysis could be used in the clinical practices of ADHD as well as to improve the ADHD pattern identification questionnaire.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 161
주의력결핍 과잉행동장애(ADHD) 한의 변증 설문지 개발 연구
초록 Objectives: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by a persistent pattern of inattentionand/or hyperactivity impulsivity that interferes with function or development in children.In traditional Korean medicine (TKM) and traditional Chinese medicine (TCM),ADHD is classified by several patterns based on symptoms and signs.However, currently, there is no objective diagnostic tool for ADHD in traditional medicine.The objective of this study was to develop the Pattern Identification Questionnaire for ADHD (parents-survey style) to be used in Korean medicine,through a literature re-view and consultation with groups of experts. Methods: The types of pattern identifications of ADHD mentioned in 13 pieces of Korean and Chinese literatures and their symptoms and signs were analyzed.The advisory committee (15 Neuropsychiatrist and 11 Pediatrist in Korean Medicine) assessed the appropriateness of the literature selectionand the types of pattern identification selection and their symptoms and signs,and weighed the significance of the symptoms and signs.The Pattern Identification Questionnaire for ADHD was developed using the calculated weights by evaluated significance.The translation of symptoms and signs to the Korean language was achieved through consultation with expert translators. Results: 1. Four pattern identification types and their symptoms and signs were selected according to frequency of appearance in the Korean and Chinese literatures, and were...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 167
ADHD 변증 유형별 부주의 및 과잉행동-충동성 증상 특징 연구
초록 Objectives The purpose of this study was to investigate the pattern characteristics of symptoms for ADHD,the relationship between pattern identifications in TKM and TCM and three presentations of ADHD defined in the Diagnosticand Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Methods The pattern characteristics of symptoms for ADHD from the 13 Korean and Chinese literatures were analyzed.ADHD symptoms of each pattern were classified into 3 categories; symptoms of inattention, hyperactivity-impulsivity and others.The characteristics of patterns for ADHD in Traditional Medicine were compared with three presentations of ADHD defined in DSM-5. Results 1. The pattern of dual deficiency of the heart and spleen (心脾兩虛) showed predominant symptoms of inattentionand rarely showed those of severe hyperactivity and impulsivity.This characteristic of ADHD can be related to the predominantly inattentive presentation in DSM-5.2. The pattern of phlegm-fire harassing the heart (痰火擾心), and the pattern of deficiency of liver-yin and kidney-yin (肝腎陰虛),frequently showed symptoms of hyperactivity-impulsivity compared with those of inattention.This characteristic of ADHD can be related to the predominantly hyperactive-impulsive presentation in DSM-5.3. The pattern of spleen weakness and liver energy preponderance (脾虛肝旺) frequently showed both symptoms of hyperactivity,and this characteristic of ADHD can be related to the combined presentation in DSM-5....
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 163
강박장애 치료에 대한 중의학 임상연구 동향
초록 Objectives: The objective of this study is to analyze the Clinical reports of treatment of obsessive compulsive disorder (OCD)in traditional Chinese medicine (TCM). Methods: Clinical reports on obsessive compulsive disorder treatment from 2001 to 2017 were searched using the following key wordsin the China National Knowledge Infrastructure (CNKI). ‘OCD’, ‘qiangpo zheng’. Results: A total of 22 papers were selected, 12 of which were clinical research papers and 10 case report papers.The acupuncture and moxa treatment was more effective in relieving the clinical symptoms of OCD patients as compared to only using western medicine,and it was also possible to reduce the ad-verse effects of western medicine. Conclusions: It was established that Traditional Chinese medicine has some effect on the treatment of OCD,but there were limitations as follows.The selected papers were retrieved from only one site of CKNI and did not follow a systematic review methodology.Therefore generalized results could not be derived, further studies should therefore be carried out.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 165
성격검사 및 전산화신경심리검사를 활용한 사상체질별 성격, 인지 특성 연구
초록 Objectives: The purpose of this study is to study the personality traits and cognitive characteristics of the Sasangconstitution by comparing the Personality Test and Neuropsychological Test. Methods: A total of 121 subjects were analyzed with the results of a Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD).Among them, the Personality Tests (SPQ, EPQ, TCI) and the NeuropsychologicalTests (A-VLT, CPM, Stroop-CWIT, WCST) were processed and analyzed for Soyangin, Taeeumin, Soeumin. Results:1. In the results of the SPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Behavior,Emotionality, Cognition, as well as the Total Score.The SPQ-C score and SPQ-T were significantly higher for Soyangin, Soeumin and Taeeumin, in that order.2. In the results of the EPQ, the Soyangin showed a significantly higher score than did the Taeeumin and Soeumin in Extraversion – introversion.Soeumin showed a significantly higher score than did the Soyangin and Taeeumin in NeuroticismSoyangin also showed a significantly higher score than Taeeumin in Venturesomeness.3. For the results of the TCI, the Soyangin showed a significantly lower score than did Taeeumin and Soeumin in Harm-Avoidance,but a significantly higher score in Persistence and Self-Directedness.Soyangin and Taeeumin showed a significantly higher score than did Soeumin for...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 169
불면장애에 대한 혈부축어탕의 체계적 문헌 고찰 및 메타분석 연구
초록 Objectives: The present study aimed to provide clinical evidence on the effect of herbal medicineHyeolbuchukeo-tang or Xuefu Zhuyu decoction for the treatment of primary insomnia using a sys-tematic reviewand meta-analysis of randomized controlled trials (RCTs). Methods: This study included RCTs that verified the effects of Hyeolbuchukeo-tang or Xuefu Zhuyu decoction for the treatment of primary insomnia.Literature searches of English, Chinese and Korean databases were performed, and the selected literature was assessed for investigating the risk of bias. Results: The analysis included 10 RCTs.The Chinese Classification of Mental Disorders-3 was most fre-quently used to define the diagnostic criteria for Hyeolbuchukeo-tanor Xuefu Zhuyu decoction inter-vention in patients with primary insomnia.The effective rate was the most commonly used outcome measure.A meta-analysis revealed that the effective rate,the Pittsburgh Sleep Quality Index, and the Athens Insomnia Scale in the Modified Xuefu Zhuyu decoction (MXZD) groupwere higher compared to Western Medicine (WM) group(RR: 1.17, 95% Cl: 1.08 to 1.26, p＜0.0001, I2=0 / MD: −1.29, 95% Cl: −2.09 to −0.49, p=0.002, I2=0% / MD: −0.99, 95% Cl: −1.81 to −0.18, p=0.02, I2=15%).The effective rate of the MXZD＋WM group was significantly different compared to the WM group(RR: 1.28, 95% Cl: 1.11 to 1.47, p=0.0006, I2=2%).The included RCTs...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 163
불면장애에 사용된 귀비탕의 동질성 연구-CNKI에서 검색한 무작위배정 임상연구를 중심으로
초록 Objectives: The study was designed to provide clinical evidence of homogeneity in analysis of the herb-al medicine,Guipi decoction in treating insomnia, using a t-test of randomized controlled trials (RCTs). Methods: This study included RCTs that verified homogeneity of Guipi decoction in treating insomnia.Literature studies of CNKI (Chinese National Knowledge Infrastructure Database) were performed.The basic components group was made to the Guipi decoction of the Yixuerumenʼs text.The excluded group was created with the number of herbs excluded from the basic components group.T-test per-formed that the effective rate in the basic components group and excluded groups. Results: The basic components of Guipi decoction contain Atractylodis Rhizoma Alba, Poria Sclerotium (Poria Sclerotium Cum Pini Radix),Polygalae Radix, Astragali Radix, Zizyphi Semen, Angelicae Gigantis Radix, Aucklandiae Radix, Glycyrrhiza uralensis Fischer,Ginseng Radix (Codonopsis Pilosulae Radix), Longanae Arillus.Herbs excluded from the basic components group were Longanae Arillus,Ginseng Radix (Codonopsis Pilosulae Radix),Glycyrrhiza uralensis Fischer and herbs added to the basic compo-nents group were Polygonum multiflorum Thunberg,Schisandrae Fructus, Salviae Militiorrhizae Radix, Paeoniae Radix Alba (in order from the most used to the least).T-test revealed the effective rate in the basic components group was not statistically significant compared to the excluded groups (p=0.161/p=0.162/p=0.103). Conclusions: Effectiveness in treatment of basic...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 165
어혈로 변증된 불면증 환자의 치험례
초록 Objectives: Insomnia is a common disease in the general population.The purpose of this paper was to suggest that insomnia subtype of blood stasis can be effectively treated with Danggwisu-san and acupuncture. Methods: This is a clinical case report of a patient with chronic insomnia that was diagnosed with blood stasis subtype.I treated him with Danggwisu-san (Dangguixu-san) two to three times daily and with acupuncture and moxibustion two to three times weekly. Results: After short-term treatment, the patient was gradually recovering from deteriorating chronic insomniaand multiple accompanying symptoms such as severe constipation, spontaneous bleeding and edema, darkened face, depressive moods, etc. Conclusions: Results revealed a possibility that chronic insomnia subtype of blood stasis may be suc-cessfully treatedwith Danggwisu-san and acupuncture and moxibustion.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 182
불면장애에 대한 천왕보심단의 체계적 문헌 고찰 및 메타분석 연구
초록 Objectives: The objective of this study was to provide clinical evidence to support the use of a herbal medicine(Cheonwangbosim-Dan/Tianwangbuxin-Pellet (TWBXP)) for insomnia. Methods: Randomized controlled trials that verified effects of Herbal Medicine(Cheonwangbosim- Dan, Tianwangbuxin-Pellet) treating primary insomnia were carried out.A literature search of English, Chinese, Korean databases was also performed.The selected literature were assessed by Risk of Bias (RoB). Results: The total number of selected trials was 13 RCTs.Among the 13 RCTs, 10 were meta-analyzed.The Chinese Classification of Mental Disorders-3 (CCMD-3) was frequently used as the diagnostic criteria for interventions during the analysis ofthe use of herbal medicine (Cheonwangbosim-Dan/ Tianwangbuxin-Pellet) for management of primary insomnia.As for outcome measurement, the effective rate was used. From the Meta-analysis of the studies,it was established that the insomnia cure effective rate in the TWBXP group was higher thanthat in the Western Medicine (WM) group (RR: 1.15, 95% CI: 1.07 to 1.24, p<0.0001, I2=33%).Also, the effective rate in the TWBXP+ACU group was significantly different compared to the WM group (RR: 1.32, 95% CI: 1.13 to 1.54, p=0.0004, I2=0%).The quality of the selected RCTs was low. Conclusions: Herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet) is effective for treating primary insomnia.It is worth noting that this studies were of relatively...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 164
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