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한약의 아토피 피부염 치료에 대한 예비 임상 연구

A pilot study of herb medication for atopic dermatitis

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Abstract

A Pilot Study of Herb Medication for Atopic Dermatitis Lim Young Kwon, Jung Ji A, Yun Cheol Sang, Hur Kwang Wook, Lee Hun*, Kim Ho Chyul**, Kim Young Ran***, Cho Yun Hi*** Suwon Hamsoa oriental clinic, *Guri Hamsoa oriental clinic, **Dept. of Herbology, Kyung Hee University***Dept. of Medical Nutrition, Kyung Hee University Graduate School of East-West Medical Science Objectives : The purpose of this study is to determine clinical efficacy of herbal medicine by evaluating SCORAD Index and total level of ceramaides in the skin of 13 children with atopic dermatitis Methods : Subjects are divided into two groups : Group 1(non-differentiation children treated with Saenghyeoryunbueom) and group 2(differentiation children treated with either pyungwisan, onchungum or gamitongsungsan). We determine SCORAD Index and total level of ceramaides in the skin of 13 children with atopic dermatitis before and after taking each of herbal treatment for 12 weeks. Results : After herbal prescription for 12 weeks, A SCORAD index of both group 1 and group 2 was decreased. However, the total level of ceramides in group 1 and group 2 was not altered after 12 weeks. When the correlation between the alteration of SCORAD index and ceramides levels was determined, the SCORAD index in group 1 was inversely correlated with the total level of ceramides(r=-0.994, p=0.006) In contrast, the alteration of SCORAD index in group 2 was not correlated with ceramide levels. Conclusions : The clinical efficacy of Saenghyeoryunbueom for non-differentiation children with atopic dermatitis is paralleled with the increased level of ceramides in skin. The clinical efficacy of pyungwisan, onchungum or gamitongsungsan for differentiation children with atopic dermatitis is not correlated with ceramide level in skin.

참고문헌 (10)

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  2. "內消和中湯加味方의 아토피 피부염 치료에 대한 임상적 고찰", 19(1), pp.131~141 (2005)
  3. "아토피 피부염의 양한방적 고찰", 4(1) (2004)
  4. "加味熱多寒少湯 투여후 아토피 피부염환자의 임상상 변화에 대한 연구", 15(2), pp.177~188 (2001)
  5. "Diagnostic features of atopic dermatitis", pp.44~7
  6. "太平惠民和劑局方" (1985), 인민위생출판사
  7. "아토피 피부염의 중증도 평가에서 TIS score의 유용성", 14(1) (2004)
  8. "Ceramide profiles of the uninvolved skin in atopic dermatitis and psoria Scorad Indexs are comparable to those of healthy skin", 296, pp.514~521 (2005)
  9. "인설성 수부습진 병변의 각질층 세라마이드와 유리 아미노산", 38(7), pp.893~901 (2000)
  10. "시호청간산 투여가 아토피피부염을 유발한 동물모델의 각질층 기능회복에 미치는 영향", 25(3) (2004)

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