일개 한방병원에 파킨슨병으로 내원한 환자의 사상의학적 특성에 관한 고찰
The Analysis on Characteristics according to Sasang Constitution of Patients with Parkinson’s Disease in a Korean Medicine Hospital
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Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with Parkinson’s Disease who visited a Korean medicine hospital. Methods We studied 129 patients with Parkinson’s Disease who visited a Korean medicine hospital from September 1, 2012 to June 30, 2018. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. The average age was 60s. The patients visited a hospital more than one year after the occurrence of symptoms. And they were mostly under western medicine treatment. Among the 129 patients, 56 persons(43.4%) were Taeeumin, 45 persons(34.9%) Soyangin and 28 persons Soeumin(21.7%). In the distribution of prescription according Sasang Constitutional Medicine symptomatology, there was no significant difference in the proportion of exterior cold disease(48.9%) and interior heat disease(51.1%) in Soyangin. Meanwhile the proportion of heat disease's prescription was higher than cold disease in Taeeumin(73.2%) and Soeumin(84.1%). The majority of disease were Dry-febrile symptom(73.2%) of heat disease in Taeeumin, Yang depletion-syndrome(64.3%) of heat disease in Soeumin, and Gyolhyung-symptom(33.3%) of exterior cold disease and Wasting thirst-syndrome(22.2%) of interior heat disease in Soyangin, Conclusions By Developing of guideline for treatment of Parkinson’s Disease through analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the improvement of the cure rate and accuracy of constitution pattern.
Abstract
Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with Parkinson’s Disease who visited a Korean medicine hospital. Methods We studied 129 patients with Parkinson’s Disease who visited a Korean medicine hospital from September 1, 2012 to June 30, 2018. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. The average age was 60s. The patients visited a hospital more than one year after the occurrence of symptoms. And they were mostly under western medicine treatment. Among the 129 patients, 56 persons(43.4%) were Taeeumin, 45 persons(34.9%) Soyangin and 28 persons Soeumin(21.7%). In the distribution of prescription according Sasang Constitutional Medicine symptomatology, there was no significant difference in the proportion of exterior cold disease(48.9%) and interior heat disease(51.1%) in Soyangin. Meanwhile the proportion of heat disease's prescription was higher than cold disease in Taeeumin(73.2%) and Soeumin(84.1%). The majority of disease were Dry-febrile symptom(73.2%) of heat disease in Taeeumin, Yang depletion-syndrome(64.3%) of heat disease in Soeumin, and Gyolhyung-symptom(33.3%) of exterior cold disease and Wasting thirst-syndrome(22.2%) of interior heat disease in Soyangin, Conclusions By Developing of guideline for treatment of Parkinson’s Disease through analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the improvement of the cure rate and accuracy of constitution pattern.
참고문헌 (29)
- 박상민, "파킨슨병의 한의학적 고찰 -병인병리와 침구요법을 중심으로-", Journal of Acupuncture Research, 21(1), pp.202~210 (2004), 대한침구의학회
- Health insurance Review & Assessment Service, "2017 National Health Insurrance statistical yearbook" (2017)
- 김성렬, "경증 파킨슨병 환자의 비 운동성 증상과 삶의 질", 한국노년학, 35(4), pp.913~928 (2015), 한국노년학회
- 천영주, "조기 진단 파킨슨병 환자 최초 약물의 유효성 및 약물 내성 기간에 대한 평가", 약 학 회 지, 59(3), pp.127~134 (2015), 대한약학회
- 양승보, "특발성 파킨슨병 환자에 대한 한의치료의 효과 : 후향적 연구", 대한한방내과학회지, 37(4), pp.653~660 (2016), 대한한방내과학회
- Li M, "Multi-dimen- sional analysis on Parkinson’s disease questionnaire-39 in Parkinson’s patients treated with Bushen Huoxue Granule: A multicenter, randomized, double-blinded and placebo controlled trial", Complement Ther Med, 29, pp.116~120 (2016)[DOI]
- Kum WF, "Treatment of Idiopathic Parkinson's Disease with Traditional Chinese Herbal Medicine: A Randomized Placebo-Controlled Pilot Clinical Study", Evid Based Complement Alternat Med, 2011, pp.724353~ (2011)
- The effectiveness of the herbal medicine, rikkun- shito (TJ-43), on the absorption of levodopa and in the treatment of gastrointestinal symptoms in the Parkinson's disease, "Yasuhiro Suzuki", Asahikawa mdeical center, ~
- Doo AR, "Gastrodia elata Blume alleviates L-DOPA-induced dyskinesia by normalizing FosB and ERK activation in a 6-OHDA-lesioned Parkinson's disease mouse model", BMC Complement Altern Med, 14, pp.107~ (2014)[DOI]
- 정지철, "파킨슨 환자의 사상체질 및 UPDRS 분포 연구", Journal of Acupuncture Research, 22(4), pp.47~54 (2005), 대한침구의학회
- Unified Parkinson's Disease Rating Scale. Recent Development in Parkinson's disease, "Fahn S", 153~163 (1987)
- Kim JS, "Current status and future of Parkinson's disease in Korea", Public Health Weekly Report, 11(31), pp.1012~1019 (2018)
- Chio SA, "Status of Korean Patients with Parkinson’s Disease before Diagnosis", Korean Neurological Association, 18(6), pp.687~693 (2000)
- Moon SH, "A Relationship of the Obesity and Body Composition Analysis by Sasang Constitution", J Oriental Rehab Med, 12(4), pp.1~10 (2002)
- 성순창, "지역거주 노인의 BMI와 활동체력과의 관계", 한국생활환경학회지, 21(2), pp.223~229 (2014), 한국생활환경학회
- 이태규, "韓國人의 四象人 分布에 관한 硏究", 사상체질의학회지, 17(3), pp.12~21 (2005), 사상체질의학회
- 이성진, "QSCCⅡ를 이용한中風환자의 四象體質 분류에 대한 고찰", 사상체질의학회지, 27(3), pp.318~325 (2015), 사상체질의학회[DOI]
- 신우용, "중풍 환자에서 QSCC2와 辨證검사설문지 검사 비교", 사상체질의학회지, 19(2), pp.73~81 (2007), 사상체질의학회
- 박유경, "우울증을 동반한 少陽人 파킨슨병 환자 치험 1례", 사상체질의학회지, 27(3), pp.356~365 (2015), 사상체질의학회[DOI]
- 박유경, "少陽人 消渴證으로 진단한 초기 파킨슨병 환자의 口渴, 便秘 치험례", 사상체질의학회지, 27(1), pp.178~188 (2015), 사상체질의학회
- 박유경, "소양인 파킨슨병 환자의 한양방 병행치료 장기 경과관찰 보고 3례", 사상체질의학회지, 28(4), pp.361~371 (2016), 사상체질의학회[DOI]
- 이인성, "荊防地黃湯으로 호전된 초기 파킨슨병환자의 頭痛 便秘 치험례", 사상체질의학회지, 28(2), pp.184~192 (2016), 사상체질의학회[DOI]
- 곽진영, "만성복통 및 변비를 호소하는 소양인 파킨슨병 환자의 치험1례", 사상체질의학회지, 28(3), pp.276~285 (2016), 사상체질의학회[DOI]
- Lee JH, "A clinical report on the mild case of Parkinson's disease improved with Soyangin-Gihwangbeakho-tang", J Sasang Constitut Med, 14(3), pp.153~159 (2002)
- 정성국, "사상처방을 활용한 약물 유발성 속발성 파킨슨증 치험 2례", 사상체질의학회지, 24(4), pp.109~119 (2012), 사상체질의학회[DOI]
- 이미숙, "기립성 저혈압이 있는 진행된 파킨슨병 태음인 환자 치험 1례", 사상체질의학회지, 28(2), pp.193~204 (2016), 사상체질의학회[DOI]
- 이미숙, "太陰人 燥熱證으로 진단한 진행된 파킨슨병 환자 치험례", 사상체질의학회지, 25(4), pp.442~453 (2013), 사상체질의학회[DOI]
- 김소형, "태음인 조열증으로 진단한 파킨슨병 환자의 치험 1례", 사상체질의학회지, 29(4), pp.376~386 (2017), 사상체질의학회[DOI]
- 최재송, "熱多寒少湯加減方으로 호전된 파킨슨병 환자 1례", 사상체질의학회지, 24(3), pp.104~113 (2012), 사상체질의학회[DOI]
