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알레르기 비염의 한의학적 관리를 위한 최신 지견

Current update on allergic rhinitis for Korean Medicine management

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초록

Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNKI, JStage, KISTI. And in order to reflect clinical situation, we also reviewed some profession’s writing for practitioners. Results : This review discussed allergic rhinitis’s epidemiology, pathophysiology, diagnosis, treatment, prognosis. We found many standardized clinical practice guideline have been published in this field. And some guideline reflected accumulation of medical evidence on interventions in Korean medicine. It suggested that acupuncture, herbal medicine, herbal patch are useful to prevention and alleviate allergic symptoms. But some interventions have heterogeneity due to each nation’s medical background. Conclusions : Acupuncture therapy is now recommended world widely for treating allergic rhinitis. But other interventions of Korean medicine are not well recognized in the same manner. We need more research to identify mechanism and rigorous clinical trials to clarify efficacy and safety of Korean medicine intervention.

Abstract

Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNKI, JStage, KISTI. And in order to reflect clinical situation, we also reviewed some profession’s writing for practitioners. Results : This review discussed allergic rhinitis’s epidemiology, pathophysiology, diagnosis, treatment, prognosis. We found many standardized clinical practice guideline have been published in this field. And some guideline reflected accumulation of medical evidence on interventions in Korean medicine. It suggested that acupuncture, herbal medicine, herbal patch are useful to prevention and alleviate allergic symptoms. But some interventions have heterogeneity due to each nation’s medical background. Conclusions : Acupuncture therapy is now recommended world widely for treating allergic rhinitis. But other interventions of Korean medicine are not well recognized in the same manner. We need more research to identify mechanism and rigorous clinical trials to clarify efficacy and safety of Korean medicine intervention.

참고문헌 (118)

  1. "Allergic rhinitis... Caution needed in autumn than spring." (2015)[URL]
  2. Brożek JL, "Allergic Rhinitis and its Impact on Asthma(ARIA)guidelines : 2010 revision", J Allergy Clin Immunol, 126(3), pp.466~476 (2010)
  3. Seidman MD, "Clinical practice guideline:Allergic rhinitis", Otolaryngol Head Neck Surg, 152(S1), pp.S1~S43 (2015)
  4. Okubo K, "Japanese guideline for allergic rhinitis", Allergology International, 60(2), pp.171~189 (2011)
  5. 김자혜, "알레르기 비염의 대체의학적 치료에 관한 최근 논문경향 분석 - Entrez Pubmed 위주", 한방안이비인후피부과학회지, 20(1), pp.239~249 (2007), 대한한방안이비인후피부과학회
  6. 정혜미, "PubMed를 통해 살펴 본 알레르기 비염에 대한 보완 의학적 최신 연구 경향", 대한한방내과학회지, 30(3), pp.534~549 (2009), 대한한방내과학회
  7. Kim YJ, "Literature review of Allergic Rhinitis", J Pediatr Korean Med, 10(1), pp.17~34 (1996)
  8. Lee KI, "A Literature Study of Allergic Rhinitis for Children", J Pediatr Korean Med, 16(2), pp.111~128 (2002)
  9. 우현수, "알레르기성 비염의 韓方치료에 대한 고찰", 대한한의학회지, 27(1), pp.155~164 (2006), 대한한의학회
  10. Hwang KS, "A Study on Allergic Rhinitis in Oriental Medicine", J Korean Med, 7(2), pp.35~36 (1986)
  11. Seidman M, "Clinical practice guideline:Allergic rhinitis", Otolaryngol Head Neck Surg, 152, pp.S1~S43 (2015)
  12. Kim DH, "Prevalence and allergen of allergic rhinitis in Korean children", American Journal of Rhinology & Allergy, 30(3), pp.72~78 (2016)
  13. Klimek L, "Allergic rhinitis. Immunological and neurogenic mechanisms", HNO, 59(12), pp.1191~1197 (2011)
  14. Ichimura K, "Fast Facts – Otolaryngology Kampo medicine prescription guide", pp.64~77 (2015), Nakayama Shoten
  15. 윤영희, "비내시경을 활용한 알레르기 비염 환자의 전비경 소견 평가 척도 개발", 대한예방한의학회지, 17(1), pp.199~207 (2013), 대한예방한의학회
  16. 김규석, "비내시경을 활용한 알레르기 비염에 대한 한의학적 변증 지표의 관찰자간, 관찰자내 신뢰도 연구", 한방안이비인후피부과학회지, 26(2), pp.10~18 (2013), 대한한방안이비인후피부과학회
  17. 이규진, "비내시경 소견의 알레르기비염 분류 도구와 중증도 평가도구의 상관성 연구", 한방안이비인후피부과학회지, 28(1), pp.109~118 (2015), 대한한방안이비인후피부과학회[DOI]
  18. 장보형, "국내 한방병원의 알레르기 비염 환자 현황에 대한 탐색적 연구 - 3개 대학한방병원의 전자의무기록 자료를 중심으로", 한방안이비인후피부과학회지, 27(1), pp.117~129 (2014), 대한한방안이비인후피부과학회
  19. 김남권, "통년성 알레르기 비염의 표준 치료 모델 개발 : 실용임상연구 프로토콜 개발을 위한 기초 연구", 대한예방한의학회지, 17(3), pp.143~153 (2013), 대한예방한의학회
  20. 이재근, "대구한의대부속대구한방병원에 내원한 알레르기비염 환자의 삶의 질 분석", 한방안이비인후피부과학회지, 20(3), pp.191~203 (2007), 대한한방안이비인후피부과학회
  21. Choi EK, "Clinical Study on Effect for Allergic Rhinitis", J Korean Med Ophthalmol Otolaryngol Dermatol, 5(1), pp.143~150 (1992)
  22. Kim YB, "A Clinical Study on the Sneezing, Nasal discharge, Nasal observation", J Korean Med, 14(2), pp.162~167 (1993)
  23. Chae BY, "A clinical study of allergic rhinitis", J Korean Med, 21(3), pp.149~165 (2000)
  24. Choi IH, "A Clinical Study of Hypersensitive rhinitis including Allergic rhinitis", J Korean Med Ophthalmol Otolaryngol Dermatol, 15(2), pp.169~182 (2002)
  25. 송재진, "알러지 鼻炎 患者 22例에 대한 임상적 고찰", 동의생리병리학회지, 16(2), pp.30~402 (2002), 한의병리학회
  26. 신상호, "알레르기 비염을 포함하는 과민성 비염 환자 580례에 대한 임상적 고찰", 한방안이비인후피부과학회지, 20(1), pp.218~227 (2007), 대한한방안이비인후피부과학회
  27. Kim GJ, "The effect of GyejitangGamibang(G.G) on allergic rhinitis", J Korean Med Ophthalmol Otolaryngol Dermatol, 10(1), pp.332~339 (1997)
  28. Kim GJ, "The effect of Socheongrongtong & Ockbyungpoongsan Gamibang on allergic rhinitis", J Korean Med Ophthalmol Otolaryngol Dermatol, 11(1), pp.284~291 (1998)
  29. Lee HJ, "A study on Allergic Rhinitis", J Pediatr Korean Med, 15(2), pp.167~175 (2001)
  30. Han DH, "A Clinical Effect on Quality of Life to Allergic Rhinitis Patients treated by Quingbixiaoyanwan-Derivatives", Kor J Orient Intern Med, 23(1), pp.73~82 (2002)
  31. Koo JS, "A clinical study on the effect of Tongkyu-tang distillate on pediatric allergic rhinitis", J Korean Orient Pediatr, 17(2), pp.103~114 (2003)
  32. 정순영, "補中益氣湯加味方을 투여한 비염환자 50예에 대한 분석", 한방안이비인후피부과학회지, 19(2), pp.233~241 (2006), 대한한방안이비인후피부과학회
  33. 김기준, "알레르기 비염에 대한 BOM건비소염탕(健脾消炎湯) 가미방의 치료효과 연구", 한방안이비인후피부과학회지, 22(1), pp.141~147 (2009), 대한한방안이비인후피부과학회
  34. 김광록, "加味補中益氣湯 投與와 皮內針 施術을 幷用한 小兒(10-11세) 알레르기비염 患者의 治療效果에 관한 臨床硏究", Korean Journal of Acupuncture, 28(3), pp.221~231 (2011), 경락경혈학회
  35. 조원준, "알레르기비염에서 음향 비강통기도검사를 이용한 加味通竅湯의 유효성 평가", 한방안이비인후피부과학회지, 20(3), pp.204~211 (2007), 대한한방안이비인후피부과학회
  36. 고민정, "소아 알레르기비염 환자의 한방치료 효과에 대한 임상적 연구", 대한한방소아과학회지, 25(3), pp.12~26 (2011), 대한한방소아과학회
  37. 박양춘, "지속성 알레르기비염의 비폐색에 대한 침치료의 효과: 무작위배정 대조군 연구", 대한침구의학회지, 22(6), pp.229~239 (2005), 대한침구의학회
  38. 염승철, "알레르기비염의 삶의 질 평가를 통한 최신 한방치료의 효과", 대한침구의학회지, 24(1), pp.79~98 (2007), 대한침구의학회
  39. 권효정, "Effect of Sim-eui Point on Allergic Rhinitis, Rhinosinusitis, and Other Causes of Nasal Obstruction", 대한침구의학회지, 27(3), pp.127~135 (2010), 대한침구의학회
  40. 홍상준, "소아 알레르기 비염에 대한 비내침 치료의 임상적 연구", 대한한방소아과학회지, 25(2), pp.15~26 (2011), 대한한방소아과학회
  41. 황보민, "알레르기 비염환자의 耳鍼 치료 臨床報告", 한방안이비인후피부과학회지, 24(1), pp.171~180 (2011), 대한한방안이비인후피부과학회
  42. Wang S, "Meta-analysis of clinical trials on traditional Chinese herbal medicine for treatment of persistent allergic rhinitis", Allergy, 67(5), pp.583~592 (2012)
  43. China Association of Chinese Medicine, "Guidelines for Diagnosis and Treatment of Common Disease of Otolaryngology in Traditional Chinese Medicine", pp.17~18 (2012), China Press of Traditional Chinese Medicine
  44. Feng S, "Acupuncture for the treatment of allergic rhinitis : a systematic review and meta-analysis", Am J Rhinol Allergy, 29(1), pp.57~62 (2015)
  45. Li X, "Catgut implantation at acupoints for allergic rhinitis : a systematic review", Chin J Integr Med, 20(3), pp.235~240 (2014)
  46. Zhou F, "Acupoint herbal patching for allergic rhinitis : a systematic review and meta-analysis of randomised controlled trials", Clin Otolaryngol, 40(6), pp.551~568 (2015)
  47. "Evidence Reports of Kampo Treatment 2013:402 Randomized Controlled Trials (EKAT 2013)/URL:" (2013)[URL]
  48. Mori H, "Comparative study of Kampo preparations sho-sei-ryu-to and kei-ma-kakuhan-to for nasal allergy and allergic conjunctivitis in spring", Therapeutic Research, 20, pp.2941~2947 (1999)
  49. Mori H, "Comparative study of Kampo preparations sho-seiryu-to and dai-seiryu-to for nasal allergy and allergic conjunctivitis", Therapeutic Research, 19, pp.3299~3307 (1998)
  50. Yoshimoto T, "Comparative study of Kampo preparations sho-sei-ryu-to and maoh-bushisaisin-to for nasal allergy and allergic conjunctivitis in spring", Therapeutic Research, 23, pp.2253~2259 (2002)
  51. Nakai Y, "Clinical evaluation of maobushisaishinto for nasal allergy", Jibi-inkouka Tenbou(Oto-Rhino-Laryngology, Tokyo), 33, pp.655~673 (1990)
  52. Ito H, "Effect of Mao-Bushi-Saishin-To on Nasal Allergy with Nasal Obstruction", Practica oto-rhino-laryngologica, (Suppl 52), pp.107~118 (1991)
  53. Mayumi H, "Clinical performance of Mao-Bushi-Saishin-To Capsule on Perennial allergic rhinitis", Clinical Allergic Disease(Arerugi-no-Rinsho), 11, pp.46~49 (1991)
  54. Ohashi Y, "Clinical Effect of Mao-Bushi-Saishin-To in Patients with Obstinate Nasal Blockage due to Perennial Rhinitis", Pract Otol, 85(11), pp.1845~1853 (1992)
  55. Ohya Y, "Efficacy of preseasonal administration of shoseiryuto for cedar pollen alergy", Kampo Shinryo, 10, pp.42~48 (1991)
  56. Baba S, "Double-blind clinical trial of Sho-seiryu-to(TJ-19)for perennial nasal allergy", Pract Otol, 88(3), pp.389~405 (1995)
  57. Okino S, "Sho-seiryu-to for Perennial nasal allergy – correlation to sho", JIBI INKOKA TEMBO, 34(S1), pp.1~7 (1991)
  58. Toshihiko M, "Clinical effect of Shoseiryuto for nasal allergy", Progress in Medicine, 15, pp.1476~1478 (1995)
  59. Nakamura S, "Shoseiryuto against nasal congestion of patients with allergic rhinitis –Evaluation method using the Acoustic rhinometry-", Journal of Traditional Medicines, 12, pp.474~475 (1996)
  60. Yamagiwa M, "Effect of Sho-seiryu-to(Xiao-qing-long-tang)on Nasal Obstruction in Patients with Perennial Nasal Allergy", Diagnosis and Treatment, 84, pp.533~544 (1996)
  61. Yamagiwa M, "Effect of Sho-seiryu-to(Xiao-qing-long-tang)on Nasal Obstruction in Patients with Perennial Nasal Allergy", Practica oto-rhino-laryngologica Suppl, 92, pp.38~42 (1997)
  62. Shimizu M, "4Clinical Evaluation of Responsive and Non-Responsive Cases in Allergic Rhinitis Patients Treated by Sho-seiryu-to", Practica oto-rhino-laryngologica, 98, pp.39~43 (1998)
  63. Hideo M, "Mechanism of regulation of experimental nasal allergy by Sho-Seiryu-toh in terms of CD-positive immunological components", kampo and Current Treatment, 7(4), pp.345~351 (1999)
  64. Okino S, "Use experience of Hochuekkito for allergic rhinitis", Progress in Medicine, 15, pp.1472~1475 (1995)
  65. Hashiguchi K, "Treatment of nasal allergy with saireitou", Oto-Rhino-Laryngology, 33, pp.61~66 (1990)
  66. Hashiguchi K, "Saireito treatment of nasal allergy due to – for effects on especially nasal congestion", Progress in Medicine, 11, pp.1444~1448 (1991)
  67. Hashiguchi K, "Treatment of nasal allergy by Saireito", Modern Medicine, 8, pp.219~224 (1993)
  68. Ogawa K, "The therapeutic effect of the shin'iseihaito on Nasal allergy", Progress in Medicine, 15, pp.2617~2618 (1995)
  69. Shimazaki Y, "Comparative study of Kampo preparations sho-sei-ryu-to and go-ko-to for nasal allergy and allergic conjunctivitis in spring", Therapeutic Research, 22, pp.2385~2391 (2001)
  70. Sato M, "Use experience of Ryo-kan-kyo-mi-shin-ge-nin-to for perennial allergic rhinitis", Progress in Medicine, 15, pp.2622~2625 (1995)
  71. Maeda T, "Clinical Effects of Ryo-kan-kyo-mi-shin-ge-nin-to in the Treatment of Allergic Rhinitis", Practica oto-rhinolaryngologica Suppl, 92, pp.43~46 (1997)
  72. Mori H, "Comparative study of Kampo preparations sho-seiryu-to and eppika-jutsu-to for nasal allergy and allergic conjunctivitis", Therapeutic Research, 18, pp.3093~3099 (1997)
  73. Ohya Y, "Efficacy of preseasonal administration of shoseiryuto for cedar pollen alergy", Kampo Shinryo, 10, pp.42~48 (1991)
  74. Baba S, "Double-blind clinical trial of Sho-seiryu-to(TJ-19)for perennial nasal allergy", Jibiinkoka Rinsho(Practica otologica), 88, pp.389~405 (1995)
  75. Japan Pediatric Oriental Medicine Society, "Guidance of pediatric kampo medicine treatment", pp.41~42 (2014), Japan Pediatric Medical Publish
  76. Japan Society for Oriental Medicine, "Kampo Medicine Textbook for specialist", pp.147~ (2010), Nankodo
  77. State Administration of Traditional Chinese Medicine of the People’s Republic of China, "Traditional Chinese Medicine Clinical Practice Guideline for 22 Specialist Group and 95disease", pp.505~508 (2011), China Press of Traditional Chinese Medicine
  78. State Administration of Traditional Chinese Medicine of the People’s Republic of China, "Traditional Chinese Medicine Clinical Pathway for 22 Specialist Group and 95 disease", pp.498~500 (2011), China Press of Traditional Chinese Medicine
  79. Li M, "Research Progress of Syndrome Differentiation and Treatment in Pediatric Allergic Rhinitis", Journal of Zhejiang Chinese Medical University, 37(3), pp.353~355 (2013)
  80. Wang G, "The Research Status and Prospect for the Treatment of Allergic Rhinitis by Chinese Medicine", Asia-Pacific Traditional Medicine, 10(1), pp.32~34 (2014)
  81. Liu S, "Advances in medical treatment of allergic rhinitis by Traditional Chinese Medicine", Zhong Yi Er Bi Hou Ke Xue Yan Jiu, 13(1), pp.6~ (2014)
  82. Liang K Jiang R, "Traditional Chinese Medicine ZHENG Identification Provides a Novel Stratification Approach in Patients with Allergic Rhinitis", Evid Based Complement Alternat Med, 2012, pp.480715~ (2012)
  83. 이규진, "알레르기 비염의 한의학적 분류를 위한 진단 평가지와 한의사 변증의 일치도 평가", 한방안이비인후피부과학회지, 27(1), pp.91~98 (2014), 대한한방안이비인후피부과학회
  84. Wu K, "Shen Ling Bai Shu powder to treating 60 cases of children with allergic rhinitis", CHINA'S NATUROPATHY, 9(9), pp.33~ (2001)
  85. Chen W, "35 Cases of Pediatric Allergic Rhinitis of Pulmonosplenic Asthenia Type Treated by Gu Biao Jian Pi Decoction", China Journal of Chinese Medicine, 25(147), pp.316~317 (2010)
  86. Fan H, "Qi chai xin cang tang for treating pediatric allergic rhinitis 60cases", Shandong Journal of Traditional Chinese Medicine, 27(5), pp.312~313 (2008)
  87. Zhang S, "Yang he tang jia jian decoction for treatment of children with allergic rhinitis 26 Cases", Jiangsu journal of Traditional chinese medicine, 26(2), pp.29~ (2005)
  88. Wang S, "Zhong Yi Er Bi Hoou Ke Xue", pp.125~127 (2003), China press of traditional chinese medicine
  89. Zhang G, "Experience traditional Chinese medicine treatment of allergic rhinitis", Journal of Practical Traditional Chinese Medicine, 20(3), pp.151~ (2004)
  90. Xu H, "60 cases of allergic rhinitis Treatment", Journal of New Traditional Chinese Medicine, 28(12), pp.19~ (1996)
  91. Wang Y, "Diagnosis and treatment of allergic rhinitis", Modern Traditional Chinese Medicine, 24(1), pp.35~ (2004)
  92. Yi C, "Mahuangfuzixixin decoction on 100cases of allergic rhinitis", Journal of Traditional Chinese Medicine and Chinese Materia Medica of Jilin, 23(4), pp.29~ (2003)
  93. Zhu Z, "Xiao qing long decoction treatment of allergic rhinitis", Hubei Journal of Traditional Chinese Medicine, 26(5), pp.38~ (2004)
  94. Wang Q, "Clinical Observation of Modified Ma huang decoction treating pediatric allergic rhinitis", Master, pp.2011
  95. Gao J, "Chinese medicine treatment of 80 cases of allergic rhinitis", Shangong Medical Journal, 44(13), pp.16~ (2004)
  96. Xu Y, "Yu ping feng san Treating allergic rhinitis 60 cases report", Journal of Taishan medical college, 25(1), pp.63~ (2004)
  97. Zhou H, "Guizhi Decoction on allergic rhinitis", Acta Chinese Medicine and Pharmacology, 28(6), pp.50~ (2000)
  98. Chen S, "Modified Huang Qi Gui Zhi Wu Mu decoction on 50 cases of allergic rhinitis", Journal of Practical Traditional Chinese Internal Medicine, 19(5), pp.450~ (2005)
  99. Zheng B, "Guizhituomin decoction treatment of allergic rhinitis in 100 cases", Journal of Sichuan of Traditional Chinese Medicine, 20(3), pp.67~ (2002)
  100. Li M, "Kangguomin decoction treatment of allergic rhinitis", Jiangsu Journal of Traditional Chinese Medicine, 39(2), pp.5~ (2007)
  101. Tian D, "Yiqiwenyanghuoxuehuatan treatment of allergic rhinitis", Jiangsu Journal of Traditional Chinese Medicine, 39(2), pp.3~ (2007)
  102. "Jiangsu Journal of Traditional Chinese Medicine", 2007, 4~
  103. "Chinese Medicine Modern Distance Education of China", 2011, 119~
  104. Ni C, "Prof. Wang Qi’s “Zhu Bing Zhu Fang”Theory and academic thought and clinical experience and Allergic Rhinitis Clinical Research", Doctor, pp.2011
  105. Qiu W, "The Allergic Rhinitis Tcm Dialectical Law and the Clinical Research of Small Qinglong Decoction Treatment", Master, pp.2012
  106. Zhao Y, "Treatment of perennial allergic rhinitis using Shi-Bi-Lin, a Chinese herbal formula", J Ethnopharmacol, 122(1), pp.100~105 (2009)
  107. Yang M, "Discussion on Chinese medicine treatment of allergic rhinitis", Journal of Henan University of Chinese Medicine, 21(6), pp.60~61 (2006)
  108. Li G, "Advances in tradinional chinese medical treatment of allergic rhinitis", Hubei Journal of Traditional Chinese Medicine, 32(8), pp.76~ (2010)
  109. Zhou Y, "The Clinical Research on Allergic Rhinitis with the Treatment Point Applacation on Hot Summer Days and Before Hot Summer Days", Master, pp.2011
  110. Yen H, "Adjunctive traditional Chinese medicine therapy for patients with chronic rhinosinusitis : a population-based study", Int Forum Allergy Rhinol, 5(3), pp.240~246 (2015)
  111. Yen H, "Characteristics of traditional Chinese medicine use for children with allergic rhinitis : a nationwide population-based study", Int J Pediatr Otorhinolaryngol, 79(4), pp.591~597 (2015)
  112. Hu G, "The Chinese herbal formulation biminne in management of perennial allergic rhinitis : a randomized, double-blind, placebo-controlled, 12-week clinical trial", Ann Allergy Asthma Immunol, 88(5), pp.478~487 (2002)
  113. "FDA strengthens warning that non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) can cause heart attacks or strokes" (2015)[URL]
  114. Curhan SG, "Analgesic use and the risk of hearing loss in men", Am J Med, 123(3), pp.231~237 (2010)
  115. Curhan SG, "Algesic use and the risk of hearing loss in women", Am J Epidemiol, 176(6), pp.544~554 (2012)
  116. Chan KH, "Elimination of ephedrines in urine following administration of a Sho-seiryu-to preparation", J Anal Toxicol, 33(3), pp.162~166 (2009)
  117. Witt CM, "Cost-effectiveness of acupuncture in women and men with allergic rhinitis : a randomized controlled study in usual care", Am J Epidemiol, 169(5), pp.562~571 (2009)
  118. 공도연, "소아 알레르기비염의 경제적 부담 평가를 위한 다기관 조사", Allergy Asthma & Respiratory Diseases, 22(2), pp.138~146 (2012), 대한 소아알레르기 호흡기학회[DOI]

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