범불안장애를 호소하는 귀비온담탕 가미방 치험 1례
Case Report of Generalized Anxiety Disorder Treated with Guibiondamtang-gami
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objective: This clinical study reports on the effect of traditional Korean medicine on a patient with generalized anxiety disorder. Method: A patient who suffered from generalized anxiety disorder was treated with herbal medicine (Guibiondamtang-gami),acupuncture, moxibustion, and pharmacopuncture. We assessed the changes of anxiety-related symptoms with the state-trait anxiety inventory (STAI) score, the Beck anxiety inventory (BAI) score, a heart rate variability (HRV) test, and a second derivative of photoplethymogram waveform (SDPTG) test. Results: After taking Guibiondamtang-gami for 22 days, the patient’s STAI score, BAI score, and LF/HF (low-frequency/high-frequency heart rate variability) ratio decreased, while the differential pulse wave index and stress power in the SDPTG test increased. Conclusion: This clinical case study has demonstrated that traditional Korean medicine may be an effective option for treating generalized anxiety disorder.
Abstract
Objective: This clinical study reports on the effect of traditional Korean medicine on a patient with generalized anxiety disorder. Method: A patient who suffered from generalized anxiety disorder was treated with herbal medicine (Guibiondamtang-gami),acupuncture, moxibustion, and pharmacopuncture. We assessed the changes of anxiety-related symptoms with the state-trait anxiety inventory (STAI) score, the Beck anxiety inventory (BAI) score, a heart rate variability (HRV) test, and a second derivative of photoplethymogram waveform (SDPTG) test. Results: After taking Guibiondamtang-gami for 22 days, the patient’s STAI score, BAI score, and LF/HF (low-frequency/high-frequency heart rate variability) ratio decreased, while the differential pulse wave index and stress power in the SDPTG test increased. Conclusion: This clinical case study has demonstrated that traditional Korean medicine may be an effective option for treating generalized anxiety disorder.
참고문헌 (17)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- Stein MB, "CLINICAL PRACTICE. Generalized Anxiety Disorder", N Engl J Med, 373(21), pp.2059~2068 (2015)
- Korean Oriental Neuropsychiatry Textbook Compilation Committee, "The Korean Oriental Neuropsychiatry", pp.224~ (2007), Jipmoondang
- Heo J, "The Dongui Bogam", pp.99~ (2006), Dongui Bogam publisher
- Cho JY, "The Effect of Guibiondamtang on Immune Response and in Concertration of Catecholamine in Immobilization Stressed Rates", J of Oriental Neuropsychiatry, 6(1), pp.1~17 (1995)
- Kim HC, "A study of the comparative effect of Kuibitang, Kamiondarmtang, and Kuibiondarmtang on serum levels in rats under the immobilization stress", J of Oriental Neuropsychiatry, 4(1), pp.99~119 (1993)
- Cha YJ, "The Effect of Guibiondamtang(歸脾溫膽湯) in an Animal Model of Depression using Chronic Mild Stress", J of Oriental Neuropsychiatry, 12(2), pp.53~68 (2001)
- Jung IC, "The Clinical Analysis on 19 Cases of Anxiety Disorder", J of Oriental Neuropsychiatry, 9(2), pp.161~169 (1998)
- Kim MJ, "A Clinical Study of Insomnia in 33 Admission Cases", J of Oriental Neuropsychiatry, 12(1), pp.169~182 (2001)
- Wittchen HU, "DSM-III-R generalized anxiety disorder in the National Comorbidity Survey", Arch Gen Psychiatry, 51(5), pp.355~364 (1994)
- Wittchen HU, "The size and burden of mental disorders and other disorders of the brain in Europe 2010", Eur Neuropsychopharmacol, 21(9), pp.655~679 (2011)
- Mitte K, "Meta-analysis of cognitive-behavioral treatments for generalized anxiety disorder : a comparison with pharmacotherapy", Psychol Bull, 131(5), pp.785~795 (2005)
- 이승기, "항불안제와 한약 -驚悸, 怔忡, 恐證의 처방을 중심으로", 동의신경정신과학회지, 17(2), pp.123~132 (2006), 대한한방신경정신과학회
- Jung DG, "A Study on Keongke(驚悸) and Cheongchung(怔忡)", The Journal of East-West Medicines, 17(3), pp.1~17 (1992)
- 노동진, "범불안장애의 중의학 약물 임상시험 최신 동향", 동의신경정신과학회지, 20(4), pp.79~89 (2009), 대한한방신경정신과학회
- 이승환, "불안장애 치료에 관한 최근 임상연구 동향", 동의신경정신과학회지, 23(2), pp.1~12 (2012), 대한한방신경정신과학회[DOI]
- Sheng CX, "Is the Chinese medicinal formula Guipi Decoction effective as an adjunctive treatment for depression? A meta-analysis of randomized controlled trials", Chin J Integr Med, pp.1~10 (2015)