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조위승청탕(調胃升淸湯)등 한방치료로 호전된 급성 일산화탄소 중독의 지연성 후유증 환자
김윤용 ( Yun Yong Kim ),김지영 ( Ji Young Kim ),조혜영 ( Hye Young Cho ),조성훈 ( Seung Hun Cho ),황의완 ( Wei Wan Hwang ) 대한한방신경정신과학회 2008 동의신경정신과학회지 Vol.19 No.3
After recovery from acute carbon monoxide poisoning, some patients suffer from neuropsychiatric problems such as cognitive impairement, movement disorder, change of personality and mental disorder after lucid interval in which the patient has no symptom. This sequela of carbon monoxide poisoning is called delayed post-anoxic encephalopathy(DPE). No neuroprotective drug has yet demonstrated ecfficacy and hyperbaric oxygen treatment`s effect have little scientific evidence in preventing and improving DPE. In such situation, korean traditional treatment may be helpful in treating the patient suffering from DPE. In this case report, we will describe the patient that has suffered from severe DPE involving cognitive impairment, gait disturbance and incontinence but has been improved successfully by korean traditional medicine treatment, especially Jowiseungchungtang. This case could present how we will study about DPE.
초기에 전환장애로 잘못 진단되었던 위증(위證)환자 보고 1례
김윤용 ( Yun Yong Kim ),변순임 ( Soon Im Byun ),김지영 ( Ji Young Kim ),황의완 ( Wei Wan Whang ),조성훈 ( Sung Hoon Cho ) 대한한방신경정신과학회 2007 동의신경정신과학회지 Vol.18 No.3
Conversion disorder is a diagnosis based on a psychological construct that currently has no known neurobiologic substrate. But It is not easy to differentiate a real conversion disorder from a neurological disease or other medical disease.A patient in this case report had been diagnosed as conversion disorder but later it was found that the conversion disorder was misdiagnosis. During the 7 days of treatment, this patient was treated by herb medication, acupuncture and TENS and had a little improvement. Both way, this patient was evaluated and evantually was diagnosed as Guillain-Barre Syndrome Miller-Fisher Variant, suggesting that the former diagnosis had been a mistake.In this case report, we will present this patient`s case and review the misdiagnosis of conversion disorder.
김지영 ( Ji Young Kim ),조혜영 ( Hye Young Cho ),김윤용 ( Yun Yong Kim ),조성훈 ( Seung Hun Cho ),황의완 ( Wei Wan Whang ) 대한한방신경정신과학회 2008 동의신경정신과학회지 Vol.19 No.3
Objective: The purpose of this study was to investigate characteristics of the defense mechanism of oriental medicine students by using Ewha Defense Mechanism Test(EDMT) preliminarily. Method: We described the characteristics of the defense mechanism of oriental medicine students and compared the scores of EDMT with standard group. We analysed the differences of defense mechanism by sex(male, female) and age(≤29 and ≥30 yrs old) within oriental medicine students. The score of EDMT were verified by examination of one sample t- test and unpaired t- test. Results and Conclusions: First, there was no Major Defense Mechanism in oriental medicine students. Second, oriental medicine students had more defensive, passive inclination and used Evasion and Show-off more frequently. Third, the differences within oriental medicine students depended on age rather than sex. The younger students used immature and neurotic defense mechanisms more frequently, and the older students had more defensive and passive inclination.
어혈(瘀血)로 인한 정충(정충), 경계(驚悸)환자의 혈부축어탕(血府逐瘀湯) 치험례
김윤용 ( Yun Yong Kim ),조혜영 ( Hye Young Cho ),권용주 ( Yong Ju Kwon ),조성훈 ( Seung Hun Cho ),황의완 ( Wei Wan Hwang ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.3
Objectives: Anxiety is a symptom that many psychiatric patients experience. And in the traditional Korean medicine, anxiety is often categorized as a Gyeong Gye(驚悸) and Jung Choong(정충). In this case report, we will show the effective method in treatment of anxiety. Methods: First, We treated the patient with anxiety by the differential diagnosis of blood stasis(瘀血) that is summarized as stasis of blood, pollutant of blood and external blood of vessel. And we gave him Hyeolbuchukyeo-tang(血府逐瘀湯) whose effect is to eliminate blood stasis. And Second, we treated the patient with anxiety in the viewpoint of analytic psychology that claims anxiety has a meaning that makes patient be aware of the problem of himself. Results: The patient`s symptom improved significantly. And this patient also can insight himself via the symptom of anxiety. It also help the patient improve. Conclusions: In the treatment of anxiety, the approach by the differential diagnosis of blood stasis(瘀血) can be helpful to improve patient`s symptom. And treatment should include the insight of patent by the meaning of anxiety.