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반복 발작성 긴장성 두통을 호소하는 少陽人 太陰人 치험 2례

Two Cases of Repetitive Episodic Tension-type Headache Patients who were Constitutionally Typed as Soyangin and Taeeumin

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참고문헌

키워드

주제분류한의학

초록

1. Objectives This study reports two cases of repetitive episodic tension-type headache patients who were each constitutionally typed as the Taeeum type and the Soyang type and respectively treated with Yanggyeoksanhwa-tang and Galgeunhaegi- tang. 2. Methods The patients' subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout hospitalization period. When deemed necessary, other assessment tools were engaged (Migraine-Specific Quality of Life questionnaire, Migraine Disablity Assessment questionnaire, Headache Impact Test-6, etc.). 3. Results The Soyang Type patient's headache improved by the end of hospitalization, with a dramatic drop in the VAS score from VAS 10 to VAS 2. The Taeeum Type patient's headache also showed improvement, with an equally dramatic decrease in the VAS score from VAS 10 to VAS 2. 4. Conclusion Although the two patients were experiencing the same symptoms of repetitive episodic tension-type headache, they were each given different medicinal interventions in accordance to their respective constitutional types. This series of cases is notable in that the two widely different medications (Yanggyeoksanhwa-tang and Galgeunhaegi-tang) were applied to specifically conforming pathologies (the Sogal symptomatology and the Ganyeol symptomatology, respectively) to produce equally dramatic improvements.

Abstract

1. Objectives This study reports two cases of repetitive episodic tension-type headache patients who were each constitutionally typed as the Taeeum type and the Soyang type and respectively treated with Yanggyeoksanhwa-tang and Galgeunhaegi- tang. 2. Methods The patients' subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout hospitalization period. When deemed necessary, other assessment tools were engaged (Migraine-Specific Quality of Life questionnaire, Migraine Disablity Assessment questionnaire, Headache Impact Test-6, etc.). 3. Results The Soyang Type patient's headache improved by the end of hospitalization, with a dramatic drop in the VAS score from VAS 10 to VAS 2. The Taeeum Type patient's headache also showed improvement, with an equally dramatic decrease in the VAS score from VAS 10 to VAS 2. 4. Conclusion Although the two patients were experiencing the same symptoms of repetitive episodic tension-type headache, they were each given different medicinal interventions in accordance to their respective constitutional types. This series of cases is notable in that the two widely different medications (Yanggyeoksanhwa-tang and Galgeunhaegi-tang) were applied to specifically conforming pathologies (the Sogal symptomatology and the Ganyeol symptomatology, respectively) to produce equally dramatic improvements.

참고문헌 (8)

  1. Choi HR, "Headache", 가정의학, 23(4), pp.65~77 (2002)
  2. Song IB, "A study on the symtomatic-pharmacology Sasang Constitution", J Sasang Constitut Med, 10(2), pp.1~14 (1998)
  3. Kim KH, "少陽人 형방패독산으로 몇가지 완고한 頭痛을 치료한 체험", J Sasang Constitut Med, 6(1), pp.49~50 (1994)
  4. 김은정, "두통 평가 척도에 관한 고찰 -신뢰도와 타당도를 중심으로-", 대한침구학회지, 27(1), pp.51~64 (2010), 대한침구학회
  5. The National University Union of Sasang Constitutional Medicine Department, "Sasang Constitutional Medicine Revised Edition" (2004), Jipmoondang
  6. Cho HS, "Principle and Formula of Sasang Constitutional Medicine", pp.349~353 (2005), Jipmoondang
  7. Im JN, "A Study on Change of Condeptions about Disease through Taeumin's Disease", J Sasang Constitut Med, 14(1), pp.26~33 (2002)
  8. 장현수, "葛根解肌湯의 基源, 變遷, 構成에 대한 考察", 사상체질의학회지, 21(2), pp.72~78 (2009), 사상체질의학회

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