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『傷寒論』 辨病診斷體系에 근거하여 甘草乾薑湯 투여 후 호전된 수면 장애 관련 증례 2례

Two Case Reports of different chief complaints combined with Sleep Disorder treated by Gamchogungang-tang based on Shanghanlun Provisions

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초록

Objective : The purpose of this study was to report the improvement in two patients with different complaints of sleep disorder treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system (DPIDS), and hypothesize the meaning of word ‘更’. Methods : According to DPIDS, patients were diagnosed with Taeyang-byung no. 29 provision, and took Gamchogungang-tang herb medication 15 or 90days. The results of administration were evaluated by the hyperhidrosis disease severity scale (HDSS) and the visual analog scale (VAS). Results : After administration of Gamchogungang-tang 15 or 90days, based on 29 provision of Gamchogungang-tang diagnosed according to Shanghanlun provisions, in one case the HDSS decreased from 3 to 1 and the VAS decreased from 10 to 1. In the other case, the VAS decreased from 10 to 1. Conclusions : Each patient not only recovered from symptoms of hyperhidrosis and alopecia areata, but also from sleep disorders following administration of a single medication of Gamchogungang-tang. This case report suggests that the word ‘更’ in the 29 provisions of Shanghanlun means sleep disorder in this case.

Abstract

Objective : The purpose of this study was to report the improvement in two patients with different complaints of sleep disorder treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system (DPIDS), and hypothesize the meaning of word ‘更’. Methods : According to DPIDS, patients were diagnosed with Taeyang-byung no. 29 provision, and took Gamchogungang-tang herb medication 15 or 90days. The results of administration were evaluated by the hyperhidrosis disease severity scale (HDSS) and the visual analog scale (VAS). Results : After administration of Gamchogungang-tang 15 or 90days, based on 29 provision of Gamchogungang-tang diagnosed according to Shanghanlun provisions, in one case the HDSS decreased from 3 to 1 and the VAS decreased from 10 to 1. In the other case, the VAS decreased from 10 to 1. Conclusions : Each patient not only recovered from symptoms of hyperhidrosis and alopecia areata, but also from sleep disorders following administration of a single medication of Gamchogungang-tang. This case report suggests that the word ‘更’ in the 29 provisions of Shanghanlun means sleep disorder in this case.

참고문헌 (17)

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  2. Jeong JH, "The Current Status about Sleep Disorder in the Journal of Oriental Neuropsychiatry for Evidence Based Medicine", Journal of oriental neuropsychiatry, 23(4), pp.11~36 (2012)
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  4. 김상운, "상한문헌에 나타난 수면장애 치료법에 대한 연구", 한국의사학회지, 27(2), pp.99~120 (2014), 한국의사학회
  5. 오중한, "大承氣湯투여 후 便閉, 煩燥, 不眠호전된 중풍 환자 치험 1례", 대한한방내과학회지, 25(2), pp.307~313 (2004), 대한한방내과학회
  6. Choi SH, "A Case of Cerebral Infarction Patient Accompanied by Chest discomfort, Insomnia and Constipation Treated with Daehwanghwangryeonsasim-tang", Journal of the Korea institute of oriental medical informatics, 15(2), pp.93~99 (2009)
  7. Kim JA, "Analyzing etiologic factors of Cases : Understanding Sanghanlun record of anger and sleeping disorder", Journal of Korean Medical Association of Clinical Sanghan-Geum-gwe, 7(1), pp.87~106 (2015)
  8. Lee LC, "A Case Report of Overactive Bladder treated by Gamchogungang-tang, Hoiyeok-tang based on Shanghanlun provisions", Journal of Korean Medical Association of Clinical Sanghan-Geum-gwe, 5(1), pp.45~52 (2013)

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