117명 두드러기 환자의 특성에 대한 사상체질적 임상분석
A Clinical Analysis on 117 Patients with Urticaria Based on Sasang Constitutional Medicine
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
ObjectivesThe purpose of this study was to find out whether there were differences of urticaria's disease aspect between patients classified into Sasang Constitution Types(SCTs) and whether those differences could be associated with Ordinary symptoms. MethodsMedical records and questionnaires about 117 patients who visited one Korean medicine hospital due to urticaria were collated and statistically analyzed. Results1) Ages 20 to 30, women, Soeumin(SE) and patients in conditions of chronic urticaria over 6 weeks were the majority among 117 patients in this study. Food and stress were most chosen as the main cause of urticaria. 2) Soyangin(SY) showed more severe symptoms of urticaria than other SCTs. In particular, the severity of pruritus, distribution of lesions and vulnerability to stress was statistically significant compared to other SCTs(p<0.05). SE expressed urticaria's symptoms at the medium-level of SY's and Taeeumin(TE)'s. TE exhibited relatively weak symptoms but TE only had slightly higher number of patients with angioedema compared to other SCTs. Taeyangin(TY) was only one case so more researches are needed. 3) In dispositional symptoms, SY had low quality of sleep and defecation. SE could not digest oily food well, felt dizzy and cold well, and had cold hands and feet. TE could eat and sweat much and tended to snore well. ConclusionsIn this study, urticaria had common cause of both stress and food in all SCTs but onset and severity of symptoms were different between SCTs. It could interpreted that these differences between SCTs were associated with ordinary symptoms native to each SCT.
Abstract
ObjectivesThe purpose of this study was to find out whether there were differences of urticaria's disease aspect between patients classified into Sasang Constitution Types(SCTs) and whether those differences could be associated with Ordinary symptoms. MethodsMedical records and questionnaires about 117 patients who visited one Korean medicine hospital due to urticaria were collated and statistically analyzed. Results1) Ages 20 to 30, women, Soeumin(SE) and patients in conditions of chronic urticaria over 6 weeks were the majority among 117 patients in this study. Food and stress were most chosen as the main cause of urticaria. 2) Soyangin(SY) showed more severe symptoms of urticaria than other SCTs. In particular, the severity of pruritus, distribution of lesions and vulnerability to stress was statistically significant compared to other SCTs(p<0.05). SE expressed urticaria's symptoms at the medium-level of SY's and Taeeumin(TE)'s. TE exhibited relatively weak symptoms but TE only had slightly higher number of patients with angioedema compared to other SCTs. Taeyangin(TY) was only one case so more researches are needed. 3) In dispositional symptoms, SY had low quality of sleep and defecation. SE could not digest oily food well, felt dizzy and cold well, and had cold hands and feet. TE could eat and sweat much and tended to snore well. ConclusionsIn this study, urticaria had common cause of both stress and food in all SCTs but onset and severity of symptoms were different between SCTs. It could interpreted that these differences between SCTs were associated with ordinary symptoms native to each SCT.
참고문헌 (29)
- Zuberbier T, "Urticaria", Allergy, 58(12), pp.1224~1234 (2003)
- Kozel MM, "Chronic Urticaria : Aetiology, Management and Current and Future Treatment Options", Drugs, 64(22), pp.2515~2536 (2004)
- Ko WS, "Literature study on both aetiology and symptom of urticaria in oriental medicine", J Korean Oriental Med. Ophthalmology & Otolaryngology & Dermatology, 5(1), pp.101~111 (1992)
- 이길영, "두드러기에 대한 임상 연구 및 평가 지침", 대한한의학회지, 26(2), pp.25~31 (2005), 대한한의학회
- Yoon SW, "A clinical study about the effect of Sungmagalguntanggamibang on urticaria", J Korean Oriental Med. Ophthalmology & Otolaryngology & Dermatology, 17(3), pp.61~79 (2004)
- Yoon JW, "The clinical study of urticaria", J Oriental Med. Ophthalmology &Otolaryngology & Dermatology, 16(2), pp.152~176 (2003)
- Kim HJ, "Clinical observation of urticaria patients by oriental medicine", The J Oriental Med. surgery, Ophthalmology & Otolaryngology, 10(1), pp.357~366 (1997)
- Choi JR, "The case study of Soyangin Yangdokbalban", J Sasang Constitut Med, 15(3), pp.197~203 (2003)
- 임미경, "太陰人만성 특발성 두드러기 환자 치험 1例", 사상체질의학회지, 20(3), pp.190~198 (2008), 사상체질의학회
- Cho SW, "A Case of Gwaghyangjungkisan on Soeumin with papular eruption resulted from gingko-leaves medicine", J Constitut Med, 15(2), pp.111~116 (2003)
- 박혜선, "한랭 유발 콜린성 두드러기로 의심되는 ？疹 환자 치험 1례", 대한한의학 방제학회지, 14(1), pp.184~191 (2006), 대한한의학방제학회
- Park EK, "A study of constitution diagnosis using decision tree method", J Sasang Constitut Med, 13(2), pp.144~150 (2001)
- 장안수, "급성 및 만성 두드러기의 치료", 대한내과학회지, 80(1), pp.36~39 (2011), 대한내과학회
- Zuberbier T, "Urticaria: Current Opinions about Etiology", Diagnosis and Therapy. Acta Derm Venereol, 87, pp.196~205 (2007)
- Wedi B, "Urticaria", J Dtsch Dermatol Ges, 6(4), pp.306~317 (2008)
- Yang YG, "Translation of Hwangjenaegyung-Somun", pp.479~ (1980), Sungbosa
- So WB, "So's Jaebyungwonhuron", pp.25~ (1992), Daesungmunhwasa
- Zhang XJ, "Analysis on differentiation of symptoms and signs of urticaria", J of Sandong Chinese medicine, 23(7), pp.388~390 (2004)
- Won DP, "Korean translation- outline of Oriental medicine Ⅷ Dongeuisasangsinpyeon", pp.87~ (1999), Haedongeuihaksa
- Kim JH, "Clinical study in patients with urticaria", J Korean Oriental Med, 7(2), pp.84~94 (1986)
- Zuberbier T, "Epidemiology of urticaria : a representative cross-sectional population survey", Clin Exp Dermatol, 35(8), pp.869~873 (2010)
- Kim YW, "A clinical study of the type of disease and symptom according to Sasang constitution classification", J Sasang Constitut Med, 11(1), pp.119~135 (1999)
- Henz BM, "Most chronic urticaria is food-dependent, and not idiopathic", Exp Dermatol, 7(4), pp.139~142 (1998)
- Magerl M, "Effects of a pseudoallergen-free diet on chronic spontaneous urticaria : a prospective trial", Allergy, 65(1), pp.78~83 (2010)
- Oh EY, "A reports on chronic dermatitis treated by fasting therapy", The J Oriental Med. surgery, Ophthalmology & Otolaryngology, 14(1), pp.94~104 (2001)
- Młynek A, "Update on chronic urticaria : focusing on mechanisms", Curr Opin Allergy Clin Immunol, 8(5), pp.433~437 (2008)
- Shertzer CL, "Effects of relaxation therapy and hypnotizability in chronic urticaria", Arch Dermatol, 123(7), pp.913~916 (1987)
- Park ss, "A clinical study on the treatment of pruritus", J Sasang Constitut Med, 11(2), pp.361~376 (1999)
- 이준희, "少陰人病證 내에서의 素證의 임상적 의미와 素證에 따른現證 전개양상에 대한 考察", 사상체질의학회지, 24(3), pp.17~33 (2012), 사상체질의학회[DOI]