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      • KCI등재

        Herlyn-Werner-Wunderlich Syndrome에 동반된 속발성 월경통 한의치료 경과관찰 1례

        김평화 ( Pyung-wha Kim ),임지영 ( Ji-yeong Im ),전용태 ( Yong-tae Jeon ),이은희 ( Eun-hee Lee ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.4

        Objectives: This study aims to report the effect of Korean medicine treatments on a patient with secondary dysmenorrhea caused by Herlyn-Werner-Wunderlich Syndrome (HWWS). Methods: We treated the patient who had secondary dysmenorrhea caused by HWWS, with acupuncture, herbal medicines, pharmacopuncture and hyperthermia therapy at ??Hospital of Korean Medicine from July 9th 2016 to September 8th 2016. We evaluated changes of symptoms by Visual analog scale score (VAS), Multidimensional verbal rating scale (MVRS) and Verbal rating scale (VRS). Results: After treatments, the clinical symptoms such as dysmenorrhea (lower abdominal pain & lower back pain), lower abdominal fullness were significantly improved, VAS was decreased, but the improvement of scores on MVRS, VRS were unclear. Conclusions: This case report shows that Korean medical treatment is effective to treat secondary dysmenorrhea caused by HWWS

      • KCI등재

        한의치료를 받은 산모의 산후 6주간 증상에 대한 전향적 관찰 연구

        김평화,안나,장현철,이은희,Kim, Pyung-Wha,Kim, An-Na,Jang, Hyun-Chul,Lee, Eun-Hee 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.4

        Objectives: This study aims to investigate the changes of women's postpartum symptoms, including their weights, edema index and quality of life (QOL) over the first six weeks after childbirth. Methods: The study participants were 31 postpartum women treated in the Dept. of Obstetrics & Gynecology, at Woo-Suk University Korean Medicine Hospital, from May 20th to August 5th, 2016. In the first 2 weeks of the postpartum period, the main data collection method was to interview each patient and write down all of their complaints, and additionally referring to each participant's PHR (Personal Health Records). At the 3rd, 4th, 5th and 6th week, the researcher interviewed participants by phone once a week. The participants' weight, edema index (ECW/TBW) and the quality of life (by EQ-VAS) were measured at 1st and 2nd week after childbirth. And, EQ-VAS was assessed once more at the 6th week after childbirth. As a last step, the participants responded to a survey on satisfaction regarding their postpartum care with Korean Medicine. Results: 1. In the 1st one week after childbirth, edema was the most frequent complaint. It was about joint pain of the upper limbs in the 2nd and 3rd weeks, sweating in the 4th week, and joint pain of the upper limbs in the 5th and the 6th weeks. 2. In the 1st two weeks of the postpartum period, the weight of the participants decreased from $66.33{\pm}9.30kg$ to $62.60{\pm}8.92kg$ (p<0.001) and the edema index ECW/TBW decreased from $0.399{\pm}0.010$ to $0.385{\pm}0.0 4$ (p<0.001). The EQ-VAS significantly improved from $61.77{\pm}17.72$ to $73.51{\pm}14.67$ (p<0.001). In the last 4-weeks of the postpartum period, the EQ-VAS decreased from $74.30{\pm}14.25$ to $73.63{\pm}13.35$, but this difference was not statistically significant (p=0.749). 3. Regarding the satisfaction with postpartum care with Korean Medicine, 60% of the participants responded that it was 'Excellent' and 40% said it was 'Good'. Conclusion: Over the entire postpartum period, the most frequent complaints were about musculoskeletal symptoms. Postpartum care with Korean Medicine treatments in the early postpartum period improves various postpartum symptoms and the quality of life for postpartum women.

      • KCI등재

        산후기에 활용된 한약처방에 대한 국내 연구 분석

        김평화 ( Pyung-wha Kim ),정서윤 ( Seo-yoon Jung ),이은희 ( Eun-hee Lee ) 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.4

        Objectives: This study was performed to analyze the prescriptions of Korean herbal medicine which had been commonly used during postpartum period. Methods: We searched literature on postpartum cares with Korean Herbal medicine in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 48 studies. There were 40 clinical studies (25 case reports and 15 case series) and 8 animal experimental studies. 2. Of the 40 clinical studies, other treatments were used together with herbal medicine : acupuncture (28), chuna manipulation (3), and pharmacopuncture (5). 3. Of the 25 case reports, the most common symptoms were musculoskeletal symptoms (8), followed by mental disorders including postpartum depression (5). Various prescriptions of herbal medicine were used depending on the diseases or symptoms. 4. In 15 case series, 665 subjects in 11 case series had taken Saenghwa-tang-gagam within 1~2 weeks after childbirth, and the average duration of Saenghwa-tang-gagam administration were 9±4.97 days. 498 subjects in 9 studies were breast-feeding, and there were no side effects reported. 5. All experimental studies were about the recovery, the immunity and the breast-feeding associated puerperal characteristics. Also, 3 studies used Saenghwa-tang as an intervention. Conclusions: Saenghwa-tang can be commonly used for the purpose of prevention and care of the postpartum symptoms within the first 1~2 weeks after childbirth for 10 days. Also, various prescriptions of herbal medicine may be used depending on the diseases or symptoms, and can be conducted with other treatments like acupuncture, cupping, moxibustion, pharmacopuncture and chuna manipulation.

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