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대한한방신경정신과학회> 동의신경정신과학회지> 뇌졸중 후 우울증에 대한 침과 한약의 결합 치료 효과: 체계적 문헌 고찰 및 메타분석 연구

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뇌졸중 후 우울증에 대한 침과 한약의 결합 치료 효과: 체계적 문헌 고찰 및 메타분석 연구

Clinical Effect of Acupuncture Combined with Herbal Medicine in Treatment of PSD: A Systematic Review and Meta-Analysis

사공종원 ( Jong-won Sakong ) , 임수연 ( Su-yeon Lim ) , 김상호 ( Sang-ho Kim ) , 정대규 ( Dae-kyoo Chung )
  • : 대한한방신경정신과학회
  • : 동의신경정신과학회지 31권3호
  • : 연속간행물
  • : 2020년 09월
  • : 169-186(18pages)
동의신경정신과학회지

DOI


목차

I. 서론
II. 연구대상 및 방법
III. 결과
IV. 고찰
V. 결론
REFERENCES
Appendix 1. Search strategy

키워드 보기


초록 보기

Objectives: The purpose of this study was to provide clinical evidence to support the use of acupuncture combined herbal medicine for post-stroke depression.
Methods: Studies were identified by searching Pubmed, EMBASE, Cochrane Library, NDSL, RISS, KMbase, KISS, and CNKI. Randomized controlled trials that verified effects of the acupuncture combined with the herbal medicine for PSD were included in this study. Literature searches of English, Chinese, and Korean databases were performed. Two authors independently extracted the data and assembled the study quality.
Results: Of 698 RCTs screened, 17 RCTs were selected. Most of the studies had unclear risk of bias. Among the 17 RCTs, 10 were meta-analyzed. As for the outcome measurement, the effective rate and the HAMD were most commonly used. The meta-analysis of the studies revealed that the PSD cure effective rate in the acupuncture combined with herbal medicine group was higher than that in the Western medicine group (RR: 1.23, 95% CI: 1.14 to 1.33, p<0.00001, I2=0%). Also, the HAMD in the acupuncture combined with herbal medicine group was significantly different compared to the Western medicine group (MD -5.54, 95% CI -9.80 to -1.29, p=0.01, I2=99%). The quality of the selected RCTs was low.
Conclusions: Acupuncture combined with herbal medicine is effective for treating post-stroke depression. However, It is worth noting that the included studies were of relatively poor quality. The sample sizes were also small. Based on the findings of this study, further investigations into the diagnosis and treatment of PSD are warranted.

UCI(KEPA)

I410-ECN-0102-2021-500-001380799

간행물정보

  • : 의약학분야  > 기초한의학
  • : KCI등재
  • :
  • : 계간
  • : 1226-6396
  • : 2234-4942
  • : 학술지
  • : 연속간행물
  • : 1990-2021
  • : 1013


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1불면증에 대한 약침 치료 현황 조사 연구

저자 : 최성열 ( Sung-youl Choi ) , 조준희 ( Jun-hee Cho ) , 임정화 ( Jung-hwa Lim ) , 김보경 ( Bo-kyung Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 141-154 (14 pages)

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Objectives: Pharmacopuncture is a Korean medicine treatment that combines acupuncture and herbal medicines. The aim of this study was to investigate the current usage status of pharmacopuncture for insomnia among Korean medicine doctors (KMDs).
Methods: We conducted a self-reporting online survey targeting KMDs from February 23 to March 15, 2021 with cooperation of the Association of Korean Medicine. Responses of 957 KMDs were analyzed.
Results: Types of pharmacopuncture mainly used in treatment for insomnia were placenta pharmacopuncture and Hwangryunhaedok-tang pharmacopuncture. Cephalic and facial region were preferred as the treatment site. For one treatment, total usage of pharmacopuncture was more than 0.5 cc but less than 1 cc. Among respondents, the largest number of respondents thought that clinical experience and patient symptoms were important as selection criteria of acupoints using Pharmacopuncture for insomnia. Average treatment duration of using Pharmacopuncture for insmonia was more than 4 weeks. Most KMDs preferred treatment for one to four times a week regarding the treatment cycle. The use of Pharmacopuncture for insomnia was recognized as having a good effect, although other KMDs were concerned about the insufficient evidence and the high cost due to non-reimbursement of pharmacopuncture therapy.
Conclusions: In order to activate pharmacopuncture treatment for insomnia, it is necessary to secure effectiveness and safety through basic research, create evidence through clinical research, and reduce costs for patients.

KCI등재

2핵심감정척도 단축형과 MMPI-2의 상관성 연구

저자 : 신혜규 ( Haegue Shin ) , 이재혁 ( Jae-hyok Lee )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 155-166 (12 pages)

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Objectives: To analyze correlation between CSEI-S and MMPI-2 subscales to provide evidence for clinical application of the CSEI-S.
Methods: Survey data of CSEI-S and MMPI-2 from 109 university students were analyzed. Demographic characteristics were subjected to descriptive analysis. Mann-Whitney U test and Pearson's correlation analysis were performed for CSEI-S and MMPI-2 scores.
Results: The CSEI-S scale Joy (喜) showed a negative correlation with MMPI-2 clinical scales Hs, D, Hy, Pd, Pa, Pt, Sc, and Si. Six negative emotion scales of the CSEI-S showed positive correlations with MMPI-2 clinical scales except Mf and Ma. The CSEI-S scale Joy (喜) showed negative correlations with MMPI-2 restructured clinical scales RCd, RC1, RC2, and RC7. Six negative emotion scales of the CSEI-S showed positive correlations with restructured MMPI-2 clinical scales. The 60T-and-over group of MMPI-2 clinical scales D, Pd, Pa, Pt, Sc, Si, and Si showed significantly higher negative emotions than other groups. The 60T-and-over group of MMPI-2 scales D, Pt, Sc, and Si showed significantly lower Joy (喜) score than other groups. The 60T-and-over group of MMPI-2 restructured clinical scales RCd, RC2, RC3, RC6, RC7, RC8, and RC9 showed significantly higher negative emotions than other groups. The 60T-and-over group of MMPI-2 scales RCd, RC6, and RC7 showed significantly lower Joy (喜) scores than others.
Conclusions: The CSEI-S showed consistent results with the original CSEI and MMPI-2 subscales. Thus, is a useful diagnostic tool in clinical practice.

KCI등재

3사상성격검사(SPQ)의 한의학적 활용 현황에 대한 체계적 문헌 분석

저자 : 김민성 ( Min Seong Kim ) , 황요순 ( Yosun Hwang ) , 박소정 ( So Jung Park ) , 이준희 ( Junhee Lee ) , 김종우 ( Jongwoo Kim ) , 이수진 ( Soo Jin Lee ) , 채한 ( Han Chae )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 167-184 (18 pages)

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Objectives: Operational definition and its validated measure of traditional Korean medicine (TKM) are pivotal for research studies and reliable clinics. There have been ten years of clinical studies on Eum-Yang (Yin-Yang) and Sasang typology using Sasang Personality Questionnaire (SPQ) of integrative biopsychology. The objective of this study was to perform a systematic review on the use of SPQ to provide insights and foundation for its further studies and clinical application.
Methods: Clinical studies on SPQ were searched using five domestic and foreign research databases. Attained research articles were then subjected to predefined systematic reviews. Demographic characteristics of participants and research topics of articles were described. Psychological and physical features of SPQ and its subscales were reviewed and compiled to reveal biopsychological characteristics.
Results: There were 33 articles with 15,085 participants on Eum-Yang (n=19) and Sasang typology (n=14). The SPQ-total score was in an increasing order of So-Eum, Tae-Eum, and So-Yang. Eum-Yang groups were categorized at a 3:4:3 ratio using %ile score of SPQ-total. The SPQ-total showed a significant positive correlation with Novelty-Seeking and a negative correlation with Harm-Avoidance in psychological perspective, while it was not significantly correlated with Body Mass Index or Ponderal Index in physical perspective. The SPQ-total and subscales explained psychopathological characteristics of stress recognition, negative emotion, problem behavior, and depression.
Conclusions: The SPQ was found to be an objective biopsychological measure of TKM for Sasang typology and psychopathology. It would provide foundation for 'Korean Psychology' and multidisciplinary studies.

KCI등재

4불면 장애에 대한 약침술 치료법 제안을 위한 체계적 문헌 고찰과 메타 분석 연구

저자 : 조민우 ( Min-woo Jo ) , 임정화 ( Jung-hwa Lim ) , 김보경 ( Bo-kyung Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 185-206 (22 pages)

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Objectives: The objective of this study was to perform a systematic review and meta-analysis of pharmacopuncture treatment for insomnia disorder to derive clinical evidence and recommendation grades. Methods: Studies that verified effects of pharmacopuncture on primary insomnia were included. Characteristics and quality of included studies were assessed using Risk of Bias (RoB). Results: A total of 25 studies were selected. Pittsburgh Sleep Quality Index (PSQI) and effective rate were primarily used for outcome measurement. Vitamin B12 was the most used pharmacopuncture material. The most frequently used acupuncture point was Anmian (Ex-HN). The volume of the acupuncture solution ranged from 0.25 mL to 2 mL. Acupuncture treatment depth was 0.5 cm to 2 cm. In three studies, the procedure was performed at 16:00. Meta-analysis of studies revealed that the effective rate of the pharmacopuncture group was significantly higher than the group using sleeping pills group (RR: 1.21, 95% CI: 1.01 to 1.45, p=0.04, I2=69%). PSQI was decreased in the intervention group (MD=-2.19, 95% CI: -2.90 to -1.48, p<0.00001, I2=0%). Effective rates of pharmacopuncture and acupuncture groups were higher than that of the acupuncture group (RR: 1.11, 95% CI: 1.05 to 1.17, p=0.0002, I2=0%). PSQI was decreased in the intervention group (MD=-1.87, 95% CI: -2.36 to -1.38, p<0.00001, I2=0%). Although the effectiveness rate of the pharmacopuncture group was not significantly higher than that of the acupuncture group (RR: 1.12, 95% CI: 0.98 to 1.27, p=0.1, I2=9%), the PSQI was decreased in the pharmacopuncture group (MD=-2.10, 05% CI: -3.29 to -0.91, p=0.0005, I2=34%). The quality of clinical studies was poor. Conclusions: Based on results of this study, it is proper to use 0.5 to 2 mL of pharmacopuncture solution such as Danshen and Ciwujia with a depth of 0.5 to 2 cm at around 4 p.m. to treat insomnia disorder, focusing on Anmian (Ex-HN) and Sameumgyo (SP6).

KCI등재

5'기공'의 국외 임상연구 최신동향: 스코핑 고찰을 중심으로 한 예비연구

저자 : 최원영 ( Wonyoung Choi ) , 서효원 ( Hyo-weon Suh ) , 김종우 ( Jong Woo Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 207-217 (11 pages)

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Objectives: The objective of this study was to perform a scoping review to describe clinical study trends on Qigong in order to identify further directions of Qigong in Korean medicine.
Methods: Under the Arksey and O'Malley methodological framework, PubMed was searched to identify articles published from January 1, 2019 to June 28, 2021. A total of 224 articles were retrieved. Results were systematically filtered by two independent reviewers based on inclusion/exclusion criteria. Publication information, disease, intervention and research results of a total of 153 articles were extracted and analyzed.
Results: Asia had the largest number of Qigong studies (82 studies, 65%). Most research studies were conducted in the academic field of Medicine (n=109, 86.5%), including Complementary and Alternative Medicine (n=35), Medicine (miscellaneous) (n=15), and Oncology (n=15). Based on ICD-10 classification, Mental and Behavioral Disorder (n=25, 19.8%) was the most frequently analyzed decease, followed by Neoplasm (n=24) and Disease of the Nervous system (n=12). Almost half of all studies were Systematic Reviews. RCTs only accounted for 25.4%. Interventions were very diverse and inconsistent. Sixty (47.6%) studies analyzed Qigong as a single intervention. In 66 cases, Qigong was analyzed as part of a large category such as Mind-Body intervention. Most studies designed a Donggong (動功) program. The age of the population was relatively high as 47.1% of all studies were conducted on middle aged or older adults.
Conclusions: These findings suggest that further standardized research on Qigong, especially Junggong (靜功), needs to be conducted by developing research protocols and practice programs to verify effects of Qigong and utilize Qigong as a medical intervention in Korean Medicine.

KCI등재

6노인 인구에 대한 이침치료와 이압요법의 국내 임상연구 동향

저자 : 권찬영 ( Chan-young Kwon ) , 이보람 ( Boram Lee )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 219-234 (16 pages)

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Objectives: The objective of this study was to review and analyze domestic research trends of ear acupuncture and ear acupressure (EAs) in elderly population.
Methods: We searched five domestic databases to collect relevant original clinical studies up to July 2, 2021. Conditions of elderly participants and results reported in included studies were analyzed. Methods of EAs used were analyzed referring to STandards for Reporting Interventions in Clinical Trials of Acupuncture.
Results: A total of 17 studies including nine randomized controlled trials were analyzed. As for the target condition, sleep disorder was the most common (n=9), followed by pain condition (n=6). There were three studies on participants with specific Sasang constitution. Procedures of EAs used in nursing studies were generally similar to those of Korean medicine (KM).
Conclusions: Domestic studies have reported that EAs might be helpful in improving the health of the elderly. In the future, more research studies using EAs for the elderly are needed in KM field. Collaborative research with KM nurses is recommended. EAs should be further investigated as a promising KM intervention in terms of health and welfare for the elderly.

KCI등재

7뇌졸중 후 우울증의 약침치료에 대한 중의학 임상논문 연구동향

저자 : 이여경 ( Yeogyeong Lee ) , 강현진 ( Hyunjin Khang ) , 송금주 ( Geumju Song ) , 오지연 ( Jiyeon Oh ) , 김상범 ( Sangbeom Kim ) , 김종민 ( Jongmin Kim ) , 박세진 ( Sejin Park )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 235-245 (11 pages)

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Objectives: To provide clinical evidence of pharmacopuncture treatment for post-stroke depression by reviewing randomized controlled trials on Traditional Chinese medicine pharmacopuncture for post-stroke depression.
Methods: Randomized controlled trials on pharmacopuncture treatment for post-stroke depression were searched from the China National Knowledge Infrastructure (CNKI). Literature searches of English and Chinese databases were performed. Selected literature was assessed with the Jadad scale.
Results: Twelve papers were selected from 20 studies. The following results were obtained: 1) Pharmacopuncture was used for post-stroke depression; 2) Dengzhan-Xixin was the most used injection medicine for post-stroke depression; 3) BaiHui (GV20) was the most used in pharmacopuncture treatment; 4) Based on the Hamilton Depression Rating Scale (HAMD), it was confirmed that all studies using pharmacopunture had significant efficacy.
Conclusions: For the treatment of post-stroke depression, Dengzhans-Xixin was commonly used as an injectable medication. Additional research studies on pharmacopuncture including its practical use are needed.

KCI등재

8뇌전증의 한의학적 임상치료 국내 연구 동향 분석

저자 : 송금주 ( Geum-ju Song ) , 이여경 ( Yeo-gyeong Lee ) , 권기현 ( Gi-hyeon Gwon ) , 이형우 ( Hyung-woo Lee ) , 조주연 ( Ju-yeon Cho ) , 박세진 ( Se-jin Park )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 247-260 (14 pages)

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Objectives: To review research trends in the treatment of epilepsy with Traditional Korean Medicine.
Methods: Thirteen studies were selected by searching OASIS, RISS, SIENCEON, KISS, KoreaMed, and KMBASE from 2000.01.01 to 2021.08.28.
Results: Studies were analyzed by year, format, publication site, age of patient, treatment method, follow-up study, herbal treatment, acupuncture, and limitations. Analysis confirmed that oriental medical treatment was sufficiently effective in relieving symptoms of epilepsy.
Conclusions: Acupuncture and herbal medicine could be considered to relieve symptoms of epilepsy. However, due to some limitations in those studies, more in-depth and broader research is needed in the future.

KCI등재

9교통사고 환자 증례를 통한 척유약침과 Brainspotting의 임상적 접근

저자 : 이도은 ( Do-eun Lee ) , 하지수 ( Ji-su Ha ) , 박현미 ( Hyun-mee Park ) , 윤인애 ( In-ae Youn ) , 서주희 ( Joo-hee Seo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 261-273 (13 pages)

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The purpose of this study was to introduce effects of Chukyu pharmacopuncture and Brainspotting on knee pain, headaches, and acute stress disorder of a patient with a traffic accident. We treated a patient with Chukyu pharmacopuncture and Brainspotting. Numerical rating scale (NRS), Range of Motion (ROM), Hyperextension Position (HEP), Effusion (Eff), Patella Compression Test (PCT), Frontal Flexion Position (FFP), McMurray (MCM), Lateral Joint Line Tenderness (LJLT), Medial Joint Line Tenderness (MJLT), Anterior Drawer Test (ADT), Lachman Test, Varus/Valgus stress, Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), Core Seven Emotions Inventory Short Form (CSEI-S), Subjective units of disturbance scale (SUDs), and Heart rate variability (HRV) were used to evaluate the patient. After the patient was treated by Chukyu pharmacopuncture and Brainspotting, the patient showed improvement in NRS, physical examination, and psychological symptom assessment. These results indicate that Chukyu pharmacopuncture and Brainspotting are effective on knee pain, headache, and acute stress disorder after a traffic accident.

KCI등재

10양심탕가미방(養心湯加味方)을 기본으로 한 한방치료로 호전된 심인성 어지럼증 치험 3례

저자 : 정성엽 ( Sung-yub Jung ) , 홍두현 ( Doo-hyun Hong ) , 손채원 ( Chae-won Son ) , 강진영 ( Jing-young Kang ) , 유진실 ( Jin-sil Yu )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 275-284 (10 pages)

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Objectives: To propose Korean medicine treatments based on effects of Yanshimtang-Gamibang on three patients diagnosed with psychogenic dizziness.
Methods: Korean medicine treatments based on Yanshimtang-Gamibang were applied to three patients diagnosed with psychogenic dizziness after experiencing a traffic accident. Effects of Korean medicine treatments based on Yanshimtang-Gamibang were evaluated using DHI (Dizziness Handicap Inventory), BAI (Beck Anxiety Inventory), NRS (Numerical rating scale), NDI (Neck Disability Index), ODI (Oswestry Disability Index), and EQ-5D (EuroQol-Five Dimensions). Quality of sleep was assessed with total sleep time and number of times waking up during sleep.
Results: After the treatment, there were significant decreases in DHI and BAI scores as well as values of NRS, NDI, ODI, EQ-5D. The sleep quality of three patients also showed improvement.
Conclusions: Korean medicine treatments based on Yanshimtang-Gamibang might be effective in people with psychogenic dizziness.

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1Effect of Sihogayonggolmoryeo-Tang on Hwa-byung: A Multicenter, Randomized, Double-Blinded, Placebo-Control Trial

저자 : Woo-chang Choi , Hun-soo Lee , Ju-yeon Kim , Wee-chang Kang , Yang-chun Park , Geun-woo Kim , Jong-woo Kim , In Chul Jung

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 135-147 (13 pages)

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Objectives: Hwa-byung is a mental illness. It is also known as a Korean culture-related syndrome. In traditional Korean medicine, Sihogayonggolmoryeo-tang is used to treat Hwa-byung related neuropsychiatric symptoms. The purpose of this research was to examine the effect of Sihogayonggolmoryeo- tang on Hwa-byung.
Methods: A multicenter, randomized, double-blinded, placebo-controlled study was performed for 160 patients with Hwa-byung. Patients were divided into a Sihogayonggolmoryeo-tang group and a placebo group. Treatment period was 8 weeks. Hamilton Rating Scale for Anxiety (HAM-A), Likert scale for major symptoms of Hwa-byung, Hwa-byung Scale (HBS), Korean Beck Depression Inventory (K-BDI), Korean State-Trait Anxiety Inventory (K-STAI), Korean State-Trait Anger Expression Inventory (K-STAXI), and Korean WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF) were used to evaluate the effect of Sihogayonggolmoryeo-tang on Hwa-byung. We also used an Instrument of Pattern Identification for Hwa-Byung to evaluate different responses for six patterns of patients.
Results: Scores of all the measurements improved significantly for each group, showing no significant differences between the two groups. In the case of deficiency of both Qi and blood pattern, the Sihogayonggolmoryeo-tang group showed a significant decrease in the HAM-A score compared to the placebo group.
Conclusions: The effect of Sihogayonggolmoryeo-tang on Hwa-byung did not exceed that of the placebo. Further studies involving more elaborate pattern identification are needed.

KCI등재

2ADHD 동물모델에서 가감청심연자탕의 효과에 관한 실험연구

저자 : 오영제 ( Young-je Oh ) , 류천봉 ( Quan Feng Liu ) , 김만기 ( Man-gi Kim ) , 홍민호 ( Min-ho Hong ) , 김근우 ( Geun-woo Kim ) , 구병수 ( Byung-soo Koo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 149-156 (8 pages)

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Objectives: The purpose of this study was to experimentally assess the effects of Chengsimyeonjatanggagam extracts in the animal model regarding ADHD related symptoms and indicators.
Methods: The experimental group was classified into the normal group (WKY rat) in 7, the control group (SHR rat) in 7, the low-concentration group of herbal medicines (SHR rat) in 7, and the highconcentration group of herbal medicines (SHR rat) in 7 by random sampling. The open field test was conducted three times on the 7th, 14th, and 21st days during the oral medication. After that, Y-maze test, intestinal permeability verification (L/M ratio), and Western blotting (CDK expression in the cerebral cortex) were performed in sequence.
Results: The Chengsimyeonjatang-gagam extracts reduced the activity distance in the SHR rat at 21 days in the low and high concentration groups by the open field test. It also reduced the cross-action rate in the low and high concentration groups by the Y-maze test. And the low concentration group showed 52.3% decrease in the L/M ratio compared to the SHR group. Finally, the CDK5 protein significantly increased in the low and high concentration groups.
Conclusions: This study suggests that the Chengsimyeonjatang-gagam extracts have potential to be used for the treatment of ADHD.

KCI등재

3재난트라우마에 대한 이침의 활용 - NADA 프로토콜의 소개

저자 : 김다운 ( Da-woon Kim ) , 김상호 ( Sang-ho Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 157-168 (12 pages)

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The number of disasters caused by natural or human-made events such as earthquakes, tsunamis, floods, typhoons, industrial disasters, and the recent outbreak of COVID-19 has increased and the damage caused by such disasters is increasing every year. Disasters can cause physical destruction and also have unexpected psychological impacts, such as post-traumatic stress disorder (PTSD). Ear acupuncture is a treatment modality that can be helpful for both physical and mental health problems. Since ear acupuncture is a cost-effective, flexible, and safe treatment tool, it has the potential to provide medical assistance in disasters. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol, originally developed for addiction treatment, has been used for mental illness and behavioral symptoms in both community health settings and in a variety of disaster, terror, and refugee settings. In this review, we introduced the NADA protocol, including its history, features, training, clinical evidence, and cases in disaster settings, suggesting that the NADA protocol could be utilized as a disaster medical support model in Korean medicine.

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4뇌졸중 후 우울증에 대한 침과 한약의 결합 치료 효과: 체계적 문헌 고찰 및 메타분석 연구

저자 : 사공종원 ( Jong-won Sakong ) , 임수연 ( Su-yeon Lim ) , 김상호 ( Sang-ho Kim ) , 정대규 ( Dae-kyoo Chung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 169-186 (18 pages)

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Objectives: The purpose of this study was to provide clinical evidence to support the use of acupuncture combined herbal medicine for post-stroke depression.
Methods: Studies were identified by searching Pubmed, EMBASE, Cochrane Library, NDSL, RISS, KMbase, KISS, and CNKI. Randomized controlled trials that verified effects of the acupuncture combined with the herbal medicine for PSD were included in this study. Literature searches of English, Chinese, and Korean databases were performed. Two authors independently extracted the data and assembled the study quality.
Results: Of 698 RCTs screened, 17 RCTs were selected. Most of the studies had unclear risk of bias. Among the 17 RCTs, 10 were meta-analyzed. As for the outcome measurement, the effective rate and the HAMD were most commonly used. The meta-analysis of the studies revealed that the PSD cure effective rate in the acupuncture combined with herbal medicine group was higher than that in the Western medicine group (RR: 1.23, 95% CI: 1.14 to 1.33, p<0.00001, I2=0%). Also, the HAMD in the acupuncture combined with herbal medicine group was significantly different compared to the Western medicine group (MD -5.54, 95% CI -9.80 to -1.29, p=0.01, I2=99%). The quality of the selected RCTs was low.
Conclusions: Acupuncture combined with herbal medicine is effective for treating post-stroke depression. However, It is worth noting that the included studies were of relatively poor quality. The sample sizes were also small. Based on the findings of this study, further investigations into the diagnosis and treatment of PSD are warranted.

KCI등재

5경추부 압통점의 황련해독탕 약침치료를 통한 경추성 어지럼증 환자 호전 치험 3례

저자 : 임수연 ( Su-yeon Lim ) , 신원빈 ( Won-bin Shin ) , 사공종원 ( Jong-won Sakong ) , 이지연 ( Ji-yun Lee ) , 전현아 ( Hyun-a Jeon ) , 문영주 ( Young-joo Moon ) , 이유라 ( Yu-la Lee )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 187-195 (9 pages)

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Objectives: The purpose of this case report was to evaluate the effectiveness of Hwangryunhaedoktang pharmacupuncture on three patients diagnosed as cervical vertigo.
Methods: Three patients were diagnosed as cervical vertigo with cervical sprain, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. Hwangryunhaedok-tang pharmacoacupuncture was injected in the patients once daily for 10 days. The symptom change of dizziness was checked daily before and after treatment by the Visual Analogue Scale (VAS) score. The cervical pain and patient satisfaction were checked by the NRS (Numerical Rating Scale), NDI (Neck Disability Index), and the EQ-5D (EuroQol-Five Dimensions).
Results: After the treatment, there was significant decrease in the value of the VAS score, measurement of dizziness, as well as the value of the NRS, NDI, a measure of pain. Also, the life quality measured by the EQ-5D improved.
Conclusions: The results indicated that the Hwangryunhaedok-tang pharmacupuncture may have an effect on cervical vertigo with cervical pain.

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6한의치료와 '마음의 방 그리기'를 활용한 공황장애 치험 1례 보고

저자 : 김지수 ( Jeesu Kim ) , 정문주 ( Moon Joo Cheong ) , 이가원 ( Ga-won Lee ) , 유영수 ( Yeoung-su Lyu ) , 강형원 ( Hyung Won Kang )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 197-211 (15 pages)

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Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder.
Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55).
Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment.
Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

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7제2형 양극성 장애의 주요우울 삽화에 대한 복합 한방 치료 사례보고: 대인관계 및 사회적 리듬 치료와 변증 치료를 중심으로

저자 : 이지윤 ( Ji-yoon Lee ) , 김주연 ( Ju-yeon Kim ) , 정진형 ( Jin-hyung Jeong ) , 정인철 ( In Chul Jung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 31권 3호 발행 연도 : 2020 페이지 : pp. 213-223 (11 pages)

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Objectives: To determine treatment effects of a combination of interpersonal and social rhythm therapy and Korean medicine for a patient with major depressive episode of bipolar II disorder.
Methods: A patient was treated with Korean medicine (acupuncture, herbal medicine, etc.) and interpersonal and social rhythm therapy (IPSRT) for four months. Pattern identification for depressive mood and sleep associated symptoms was evaluated using Patient Health Questionnaire-9 (PHQ-9) and Social rhythm metric Ⅱ-5 (SRMⅡ-5).
Results: At the end of the treatment, depression and delayed sleep symptoms were improved and social rhythm was recovered to the regular range. The patient acquired an insight to his interpersonal tensions and conflicts.
Conclusions: Korean medicine in combination with interpersonal and social rhythm therapy can be used to treat patients with major depressive episode of bipolar II disorder. More cases are needed to develop guidelines for treating bipolar disorder.

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