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A Case Report of Korean Medicine Treatment for a Post-traumatic Hydrocephalus Patient Complaining of Gait Disturbance and Dementia 韩药治疗1例外伤性脑积水患者步态障碍及痴呆
Pub Date : 2023-03-31 DOI: 10.22246/jikm.2023.44.1.77
Sol Jeong, H. Jin, Ji-Hyun Hwang, J. Bak, Hye-soo Jeon, B. Moon, J. Yun
Objective: This clinical study describes the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia.Case presentation: A post-traumatic hydrocephalus patient complaining of gait disturbance and dementia was treated with herbal medicine, acupuncture, moxibustion, and cupping. Clinical symptoms were measured with the Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After treatment, the patient showed improved K-MMSE, FIM, and MBI scores.Conclusion: This clinical case study provides evidence of the effect of Korean medicine on a post-traumatic hydrocephalus patient complaining of gait disturbance and dementia.
目的:探讨韩药治疗一例以步态障碍和痴呆为主诉的创伤后脑积水患者的临床疗效。病例介绍:一例外伤性脑积水患者,主诉步态障碍和痴呆,采用中药、针灸、艾灸和火罐治疗。采用韩国迷你精神状态测验(K-MMSE)、功能独立性测验(FIM)和改良Barthel指数(MBI)测量临床症状。治疗后,患者的K-MMSE、FIM和MBI评分均有所改善。结论:本临床病例研究为韩药治疗以步态障碍和痴呆为主的创伤后脑积水患者提供了证据。
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引用次数: 1
Comparison of Herbs in Prescription Composition of Consumptive Disease and Internal Injury in Donguibogam Through Network Analysis 用网络分析法比较东桂柏根痨病与内伤方药成分
Pub Date : 2023-03-31 DOI: 10.22246/jikm.2023.44.1.35
Chien-hsin Kuo, Heung Ko, S. Shin
Objective: Internal injuries and consumptive disease have different causes, yet they can affect each other. The relationship and combination of prescription drugs in the clinical practice of internal injuries and consumptive disease were analyzed for various diseases of “Donguibogam” through network analysis.Methods: The prescriptions used in consumptive disease and internal injury were established by conducting a full survey on the papers extracted from Donguibogam. The R version 4.0.3 (2020-10-10) and the igraph and arules package were used to perform network analysis and association rule relationship mining analysis in the first and second prescription compositions. Results: The herb frequently used for internal injury was Glycyrrhizae Radix, while the herb combination frequently used was Citri Pericarpium-Glycyrrhizae Radix. For centrality, the main factor was generally Glycyrrhizae Radix. In the case of consumptive disease, the herb most frequently used was Angelicae Gigantis Radix, and the combination most frequently used was Rehmanniae Radix Preparata-Angelicae Gigantis Radix. In terms of centrality, it was Angelicae Gigantis Radix. As a result of the network analysis of herbal prescription frequency, each group was divided into three.Conclusion: The interrelationship between internal injury and consumptive disease prescription drugs may reveal the differences and similarities between internal injury and consumptive disease and may serve as a basis for the development of new drugs or materials that can enhance mutual effectiveness in the treatment of internal injury and consumptive diseases.
目的:内伤与消耗性疾病病因不同,但又能相互影响。通过网络分析,分析“东桂伯干”各类疾病内伤与消耗性疾病临床实践中处方药的关系及组合。方法:通过对东桂保根提取文献的全面调查,建立治疗消耗性疾病和内伤的处方。使用R版本4.0.3(2020-10-10)和igraph and rules包对第一、第二处方成分进行网络分析和关联规则关系挖掘分析。结果:内伤常用中药为甘草,内伤常用中药组合为柠檬皮-甘草。中心性的主要因子一般为甘草。在消耗性疾病的情况下,最常使用的草药是当归,最常使用的组合是地黄-当归。在中心位置上,它是白芷。通过对中药处方频次的网络分析,将每组分为3组。结论:内伤与消耗性疾病处方药之间的相互关系可以揭示内伤与消耗性疾病之间的异同,为开发治疗内伤与消耗性疾病的新药物或新材料提供基础。
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引用次数: 0
Traditional Korean Medicine Treatment for Sequelae After Tamoxifen in Breast Cancer Patients: Two Case Reports 他莫昔芬治疗乳腺癌后遗症的韩药治疗2例
Pub Date : 2023-03-31 DOI: 10.22246/jikm.2023.44.1.53
Jung-min Yang, Jaewoo Yang, Ji-hoon Oh, W. Hwang
Objective: The purpose of this study is to report two cases of breast cancer patients whose side effects after Tamoxifen were treated with traditional Korean medicine.Methods: Two breast cancer patients underwent Tamoxifen after breast-conserving surgery, and both were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0.Results: After treatment with traditional Korean medicine, the discomfort symptoms that occurred after Tamoxifen, such as osteoarthritis, hot flushes, and cold sweat, all gradually improved. In addition, no hematologic, hepatic, or renal side effects were observed from the traditional Korean medicine treatment.Conclusion: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by Tamoxifen and enhance the quality of life of patients.
目的:报告两例乳腺癌患者在使用韩药治疗他莫昔芬后出现不良反应的病例。方法:2例乳腺癌保乳手术后应用三苯氧胺治疗,均采用韩药治疗。主观不适症状采用数值评定量表进行评定。不良事件采用美国国家癌症研究所不良事件通用术语标准5.0版进行评估。结果:经韩药治疗后,他莫昔芬治疗后出现的骨关节炎、潮热、冷汗等不适症状均逐渐改善。此外,没有观察到韩国药治疗的血液学,肝脏或肾脏副作用。结论:本案例研究提示韩药可能有助于改善他莫昔芬的不良反应,提高患者的生活质量。
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引用次数: 0
A Case Report on the Use of Heart Rate Variability and the Treatment Effect of Bunshimgi-eum on Autonomic Dysfunction After Cerebral Infarction 心率变异性的应用及本氏灵治疗脑梗死后自主神经功能障碍1例报告
Pub Date : 2023-03-31 DOI: 10.22246/jikm.2023.44.1.66
Jun-seok Kim, Jihong Kang, Seo-hyun Kim, Chae-Eun Kim, Na-yeon Kim, WooSeok Jang
Background: The aim of this study is to investigate the use of heart rate variability on a stroke patient with autonomic dysfunction and the effectiveness of Bunshimgi-eum.Case report: The patient showed autonomic dysfunction, including chest discomfort, 煩燥 (sweating, anxiety, insomnia, nausea, lightheadedness), and abdomen discomfort (dyspepsia, heartburn) after ischemic stroke. She was treated with a herbal medicine (Bunshimgi-eum) through complex Korean medicine treatment. The effect was evaluated using heart rate variability (HRV), Mini-Mental State Examination-DS (MMSE-DS), mean pulse rate, and subjective percentage of symptoms. After treatment, the HRV score, MMSE-DS score, and subjective percentage of symptoms improved, and the pulse rate decreased from the upper boundary value.Discussion: The results suggest that HRV may be useful in evaluating stroke patients with autonomic dysfunction and that Bunshimgi-eum is suitable for treatment.
背景:本研究的目的是探讨心率变异性在卒中自主神经功能障碍患者中的应用以及本shimgi-eum的有效性。病例报告:患者缺血性脑卒中后出现自主神经功能障碍,包括胸部不适、头晕(出汗、焦虑、失眠、恶心、头晕)和腹部不适(消化不良、烧心)。她接受了综合韩药治疗,服用了草药(本食母音)。使用心率变异性(HRV)、迷你精神状态检查- ds (MMSE-DS)、平均脉搏率和主观症状百分比来评估效果。治疗后HRV评分、MMSE-DS评分、主观症状百分比均有所改善,脉搏率较上界值有所下降。讨论:结果表明,HRV可能有助于评估卒中患者的自主神经功能障碍,本shimgi-eum适合治疗。
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引用次数: 0
MARS-PD: Meridian Activation Remedy System for Parkinson’s Disease MARS-PD:帕金森病经络激活治疗系统
Pub Date : 2023-03-31 DOI: 10.22246/jikm.2023.44.1.1
Miso S. Park, Chan-young Kim, In-woo Choi, In-cheol Chae, Wang-Jung Hur, Sangsoo Park, Ho-Ryoung Yoo
Objective: There are currently no disease-modifying medications or definite long-term sustainable interventions for patients with Parkinson’s disease (PD), indicating an unmet treatment need. Our goal was to create a long-term sustainable intervention for PD patients that can be used in Korean medicine clinics.Methods: The Meridian Activation Remedy System (MARS) was created to stimulate a patient’s 12 meridians and sinew channels using a combination of acupoint stimulation and exercise. The acupoints and motions used in MARS were selected through literature studies and expert advice. The methodologies were refined using observational and case studies. With slow and fast movements, the MARS intervention was intended to activate both slow- and fast-twitch muscle fibers. Intradermal acupuncture and motion that shift the center of gravity were employed to enhance the patient’s balance and proprioception. In addition, the intervention included alternating movement exercises to address the complex cognitive decline commonly occurring in PD patients.Results: The following acupoints were chosen for the MARS intervention: bilateral Hegu (LI4), Houxi (SI3), Waiguan (TE5), Neiguan (PC6), Zhongchong (PC9), Yuji (LU10), Zusanli (ST36), Yanglingquan (GB34), Taichong (LR3), Kunlun (BL60), and Taixi (KI3). We also developed actions that can stimulate the body’s 12 meridians.Conclusion: We developed the MARS intervention, which combines acupuncture and exercise, to address the unmet therapeutic needs of PD patients. We hope that with additional research, the MARS intervention can be set as an effective therapeutic program for PD patients.
目的:目前没有针对帕金森病(PD)患者的疾病改善药物或明确的长期可持续干预措施,表明治疗需求未得到满足。我们的目标是为PD患者创造一种可以在韩国医学诊所使用的长期可持续的干预措施。方法:经络激活治疗系统(MARS)是通过穴位刺激和运动相结合的方式来刺激患者的12条经络和肌腱通道。通过文献研究和专家建议,选择MARS使用的穴位和动作。通过观察和案例研究改进了方法。对于慢速和快速运动,MARS干预旨在激活慢速和快速肌肉纤维。采用皮内针刺和转移重心的运动来增强患者的平衡和本体感觉。此外,干预包括交替运动练习,以解决PD患者常见的复杂认知能力下降。结果:选择双侧合谷穴(LI4)、后溪穴(SI3)、外关穴(TE5)、内关穴(PC6)、中冲穴(PC9)、玉姬穴(LU10)、足三里穴(ST36)、阳陵泉穴(GB34)、太中穴(LR3)、昆仑穴(BL60)、太西穴(KI3)进行MARS干预。我们还开发了可以刺激身体12条经络的动作。结论:我们开发了结合针灸和运动的MARS干预,以解决PD患者未满足的治疗需求。我们希望通过进一步的研究,将MARS干预作为一种有效的PD患者治疗方案。
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引用次数: 0
A Case Study of Korean Medical Treatment for Epigastric Pain and Insomnia after Gastrectomy 韩医治疗胃切除术后胃脘痛失眠的个案研究
Pub Date : 2022-12-30 DOI: 10.22246/jikm.2022.43.6.1301
Ji-Yoon Lee, Onadipe Jo, Sang-min Park, Sae-rom Choi, J. Shin, Jee-hoon Baek
Objective: The purpose of this case study was to report the effects of Korean medicine treatment on a patient diagnosed with postgastrectomy syndrome (PGS).Methods: The patient was treated with herbal medicine, acupuncture, and moxibustion in combination with Western medicine for 3 months.Results: Though abdominal tenderness was maintained at a similar level, other clinical symptoms (epigastric pain, globus pharyngis, and epigastric pain) were improved after Korean medicine treatment.Conclusions: These results suggest that the need to promote practical research on PGS, should receive greater attention in the Korean medical community.
目的:本病例研究的目的是报告韩国药物治疗对诊断为胃切除术后综合征(PGS)的患者的影响。方法:采用中药、针刺、艾灸结合西药治疗3个月。结果:经韩药治疗后,腹部压痛维持在相近水平,但其他临床症状(上腹痛、咽球、上腹痛)均有改善。结论:这些结果表明,需要促进PGS的实用化研究,应在韩国医学界得到更多的重视。
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引用次数: 0
A Case Report of Reflux Esophagitis After Gastrectomy due to Gastric Ulcer 胃溃疡致胃切除术后反流性食管炎1例报告
Pub Date : 2022-12-30 DOI: 10.22246/jikm.2022.43.6.1239
Do-yeon Park, Hyangra Moon, S. Jeon, Sang-yoon Jeon
Objectives: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of reflux esophagitis.Methods: A 62-year-old male patient had reflux esophagitis that occurred one year after a proximal gastrectomy for gastric ulcer in 2020. The patient underwent drug treatment in 2021 and inpatient treatment in 2022 at Mokpo Hankook Hospital, but he did not improve. We treated him with Korean medical treatments, including herbal medicines (Pyungjingunbi-tang-gami), acupuncture, and moxibustion. His symptom severity was assessed with a daily visual analog scale (VAS) for heartburn, upper abdomen pain, and acid reflux.Results: After treatment, the patient's symptoms were improved. The severity of heartburn and acid reflux was reduced from VAS 7 to VAS 1, and his upper abdomen pain was improved from VAS 6 to VAS 1. The symptom frequency was also reduced.Conclusion: Korean medicine treatment could be an effective and quick treatment for reflux esophagitis.
目的:本研究的目的是报告韩药治疗反流性食管炎的有效性。方法:一名62岁男性患者在2020年因胃溃疡近端胃切除术一年后出现反流性食管炎。他于2021年和2022年在木浦韩国医院接受了药物治疗和住院治疗,但病情没有好转。我们对他进行了草药、针灸、艾灸等韩国医学治疗。”患者的症状严重程度用每日视觉模拟量表(VAS)评估胃灼热、上腹部疼痛和胃酸反流。结果:经治疗,患者症状得到改善。胃灼热和胃酸反流的严重程度从VAS 7降至VAS 1,上腹部疼痛从VAS 6降至VAS 1。症状出现频率也有所降低。结论:韩药治疗是治疗反流性食管炎的一种快速有效的方法。
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引用次数: 0
Clinical Effect of Injinho-tang on Hyperbilirubinemia in Hepatobiliary Disorders: A Systematic Review 金鸡汤治疗肝胆疾病患者高胆红素血症的临床疗效综述
Pub Date : 2022-12-30 DOI: 10.22246/jikm.2022.43.6.1149
K. Park, Heekyung Kang, Changwoo Han
Purpose: This systematic review was conducted to evaluate the clinical effects of Injinho-tang on hyperbilirubinemia in hepatobiliary disorders.Methods: We searched for randomized controlled clinical trials that had administered Injinho-tang as an intervention in the following medical databases: Public/Publisher MEDLINE (PubMed), Excerpta Medica dataBASE (EMBASE), Cochrane library, Research Information Sharing Service (RISS), ScienceON, Oriental Medicine Advanced Searching Integrated System (OASIS), and China National Knowledge Infrastructure (CNKI). Among the retrieved studies, only trials that met the inclusion criteria were selected, and serum total bilirubin values were extracted and analyzed from the finally selected trials.Results: The serum total bilirubin values of 1,302 patients with various hepatobiliary diseases were synthesized through a meta-analysis, which confirmed a decrease in serum total bilirubin of 21.03 µmol/L (95% CI -29.58~-12.49, p<0.01) in the group administered with Injinho-tang compared with the control group.Conclusions: Injinho-tang is effective in alleviating hyperbilirubinemia in hepatobiliary diseases when administered with conventional treatment. However, the potential risk of bias, high heterogeneity among the included trials, and differences in herbal composition are limitations of the results of this meta-analysis.
目的:评价金鸡汤治疗肝胆疾病患者高胆红素血症的临床疗效。方法:我们在以下医学数据库中检索使用金针和汤作为干预措施的随机对照临床试验:公共/出版商MEDLINE (PubMed)、医学摘录数据库(EMBASE)、Cochrane图书馆、研究信息共享服务(RISS)、ScienceON、东方医学高级检索集成系统(OASIS)和中国知网(CNKI)。在检索到的研究中,只选取符合纳入标准的试验,从最终选取的试验中提取血清总胆红素值并进行分析。结果:综合1302例各种肝胆疾病患者的血清总胆红素值,经荟萃分析证实,与对照组相比,注射金鸡汤组血清总胆红素降低21.03µmol/L (95% CI -29.58~-12.49, p<0.01)。结论:金鸡汤在常规治疗的基础上,可有效缓解肝胆疾病患者的高胆红素血症。然而,潜在的偏倚风险、纳入试验之间的高度异质性以及草药成分的差异是本荟萃分析结果的局限性。
{"title":"Clinical Effect of Injinho-tang on Hyperbilirubinemia in Hepatobiliary Disorders: A Systematic Review","authors":"K. Park, Heekyung Kang, Changwoo Han","doi":"10.22246/jikm.2022.43.6.1149","DOIUrl":"https://doi.org/10.22246/jikm.2022.43.6.1149","url":null,"abstract":"Purpose: This systematic review was conducted to evaluate the clinical effects of Injinho-tang on hyperbilirubinemia in hepatobiliary disorders.Methods: We searched for randomized controlled clinical trials that had administered Injinho-tang as an intervention in the following medical databases: Public/Publisher MEDLINE (PubMed), Excerpta Medica dataBASE (EMBASE), Cochrane library, Research Information Sharing Service (RISS), ScienceON, Oriental Medicine Advanced Searching Integrated System (OASIS), and China National Knowledge Infrastructure (CNKI). Among the retrieved studies, only trials that met the inclusion criteria were selected, and serum total bilirubin values were extracted and analyzed from the finally selected trials.Results: The serum total bilirubin values of 1,302 patients with various hepatobiliary diseases were synthesized through a meta-analysis, which confirmed a decrease in serum total bilirubin of 21.03 µmol/L (95% CI -29.58~-12.49, p<0.01) in the group administered with Injinho-tang compared with the control group.Conclusions: Injinho-tang is effective in alleviating hyperbilirubinemia in hepatobiliary diseases when administered with conventional treatment. However, the potential risk of bias, high heterogeneity among the included trials, and differences in herbal composition are limitations of the results of this meta-analysis.","PeriodicalId":22826,"journal":{"name":"The Journal of Internal Korean Medicine","volume":"05 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86482874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Inhibitory Effects of Dansam and Dansam-eum on Reflux Esophagitis and Migration of Cancer Cells 丹参和丹参对反流性食管炎及癌细胞迁移的抑制作用
Pub Date : 2022-12-30 DOI: 10.22246/jikm.2022.43.6.1162
J. Kwon, S. An, K. Kong
Purpose: We examined the effects of Dansam (Salvia miltiorrhiza Bunge, SM) and Dansam-eum (DSE) on gastroesophageal reflux disease (GERD) and reflux esophagitis by comparing the inhibitory effects of SM and DSE with the representative treatment of PPI Omeprazole to determine if the effects of the prescription DSE based on Korean medicine are better than those of a single-use of SM.Methods: We performed experiments using both animal models and cancer cells.Results: Comparison of SM and DSE with PPI in the animal model tests revealed that the effects were superior for SM and DSE than for PPI in all categories (8-OHdG, p-IκB, PAR2, COX-1, cathelicidin, p-JNK, Caspase 3, ATP6V1B1, GRPR, serotonin, and NPY). In three categories (COX-1, serotonin, and NPY), SM and DSE showed superior results over the Controls. In the animal model tests, DSE was superior to SM in all categories except for serotonin. The anti-cancer effects observed in cancer cell tests revealed that SM and DSE had meaningful results in terms of cytotoxicity and cell movement rate, as well as in cancer cell apoptosis.Conclusions: We confirmed that SM and DSE can have effects on reflux esophagitis through the regulation of oxidative stress, inflammation, mucosal protection, apoptosis, proton pumping, and the enteroendocrine system in the stomach and esophagus. We also confirmed that SM and DSE have superior effects to those of PPI on all aspects, especially gastric mucosa protection and enteroendocrine system control. We also confirmed that SM and DSE have anti-cancer effects. Above all, we confirmed that DSE has superior effects on almost all aspects compared to using SM alone.
目的:研究丹参(丹参,SM)和丹参-eum (DSE)对胃食管反流病(GERD)和反流性食管炎的疗效,通过比较丹参和丹参- ese与PPI奥美拉唑代表性治疗的抑制效果,确定韩医处方丹参- ese是否优于单用丹参。方法:采用动物模型和肿瘤细胞进行实验。结果:SM和DSE与PPI在动物模型试验中比较,SM和DSE在所有类别(8-OHdG、p- i - κ b、PAR2、COX-1、cathelicidin、p-JNK、Caspase 3、ATP6V1B1、GRPR、5 -羟色胺、NPY)的作用均优于PPI。在三个类别(COX-1、血清素和NPY)中,SM和DSE表现出优于对照组的结果。在动物模型试验中,除血清素外,DSE在所有类别中均优于SM。在肿瘤细胞试验中观察到的抗癌作用表明,SM和DSE在细胞毒性、细胞运动速率以及癌细胞凋亡方面都有显著的结果。结论:我们证实SM和DSE可能通过调节胃和食管的氧化应激、炎症、粘膜保护、细胞凋亡、质子泵送和肠内分泌系统对反流性食管炎有影响。我们也证实了SM和DSE在各方面的作用都优于PPI,特别是对胃粘膜的保护和对肠内分泌系统的控制。我们也证实了SM和DSE具有抗癌作用。综上所述,我们证实了与单独使用SM相比,DSE在几乎所有方面都具有优越的效果。
{"title":"Inhibitory Effects of Dansam and Dansam-eum on Reflux Esophagitis and Migration of Cancer Cells","authors":"J. Kwon, S. An, K. Kong","doi":"10.22246/jikm.2022.43.6.1162","DOIUrl":"https://doi.org/10.22246/jikm.2022.43.6.1162","url":null,"abstract":"Purpose: We examined the effects of Dansam (Salvia miltiorrhiza Bunge, SM) and Dansam-eum (DSE) on gastroesophageal reflux disease (GERD) and reflux esophagitis by comparing the inhibitory effects of SM and DSE with the representative treatment of PPI Omeprazole to determine if the effects of the prescription DSE based on Korean medicine are better than those of a single-use of SM.Methods: We performed experiments using both animal models and cancer cells.Results: Comparison of SM and DSE with PPI in the animal model tests revealed that the effects were superior for SM and DSE than for PPI in all categories (8-OHdG, p-IκB, PAR2, COX-1, cathelicidin, p-JNK, Caspase 3, ATP6V1B1, GRPR, serotonin, and NPY). In three categories (COX-1, serotonin, and NPY), SM and DSE showed superior results over the Controls. In the animal model tests, DSE was superior to SM in all categories except for serotonin. The anti-cancer effects observed in cancer cell tests revealed that SM and DSE had meaningful results in terms of cytotoxicity and cell movement rate, as well as in cancer cell apoptosis.Conclusions: We confirmed that SM and DSE can have effects on reflux esophagitis through the regulation of oxidative stress, inflammation, mucosal protection, apoptosis, proton pumping, and the enteroendocrine system in the stomach and esophagus. We also confirmed that SM and DSE have superior effects to those of PPI on all aspects, especially gastric mucosa protection and enteroendocrine system control. We also confirmed that SM and DSE have anti-cancer effects. Above all, we confirmed that DSE has superior effects on almost all aspects compared to using SM alone.","PeriodicalId":22826,"journal":{"name":"The Journal of Internal Korean Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90241979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of the Difference in the Prevalence of Metabolic Syndrome According to Sasang Constitution and Cold and Heat Pattern Identification 从沙桑体质和寒热证辨证分析代谢综合征患病率的差异
Pub Date : 2022-12-30 DOI: 10.22246/jikm.2022.43.6.1063
Ki-Hyun Park, Sang-Hyuk Kim, Siwoo Lee, K. Bae
Objectives: The aim of this study was to investigate the differences in the prevalence of metabolic syndrome (MetS) according to the Sasang constitution (SC) and cold and heat pattern identification (CHPI).Methods: SC, CHPI, MetS, and component data were obtained from 2,561 participants in 26 Korean medical clinics from 2007 to 2013. SC, diagnosed by Korean medicine doctors, was confirmed by positive responses to herbal medicines administered according to that constitution. The CHPI was verified by a questionnaire about thermal sensitivity and drinking habits. The diagnosis criteria for MetS were: 1) waist circumference (WC) ≥90 cm (male) and ≥80 cm (female); 2) triglycerides ≥150 mg/dL; 3) high density lipoprotein cholesterol (HDL) <40 mg/dL (male) and <50 mg/dL (female); 4) blood pressure ≧130/85 mmHg; and 5) fasting blood glucose ≥100 mg/dL. Odds ratios (ORs) and differences in MetS and its components were compared using logistic regression and ANCOVA.Results: The MetS prevalence rates were 54.1%, 22.0%, and 33.3% for Taeeumin (TE), Soeumin (SE), and Soyangin (SY), respectively, and 30.5% and 44.5% for the cold and heat patterns, respectively. ANCOVA for MetS components showed significantly higher WC in TE than in SE or SY, and all components except HDL were higher in the heat pattern group than in the cold pattern group. Logistic regression for MetS prevalence showed a significant association between TE and the heat pattern group (OR=1.653) but not for non-TE and the cold pattern group.Conclusions: Considering SC and CHPI together may be more effective in managing MetS than considering SC alone.
目的:本研究旨在探讨Sasang体质(SC)和冷热模式识别(CHPI)在代谢综合征(MetS)患病率方面的差异。方法:2007年至2013年,从26家韩国医疗诊所的2561名参与者中获得SC、CHPI、MetS和成分数据。由韩国医生诊断的SC,通过对根据该宪法使用的草药的积极反应得到证实。CHPI通过热敏感性和饮酒习惯问卷进行验证。met的诊断标准为:1)腰围(WC)≥90 cm(男性)、≥80 cm(女性);2)甘油三酯≥150mg /dL;3)高密度脂蛋白胆固醇(HDL) <40 mg/dL(男性)和<50 mg/dL(女性);4)血压≧130/85 mmHg;5)空腹血糖≥100mg /dL。使用logistic回归和ANCOVA比较优势比(ORs)和MetS及其组成部分的差异。结果:Taeeumin (TE)、Soeumin (SE)和Soyangin (SY)的met患病率分别为54.1%、22.0%和33.3%,cold和heat的患病率分别为30.5%和44.5%。met组的ANCOVA结果显示,TE组的WC显著高于SE组和SY组,除HDL外,热模组的WC均高于冷模组。对met患病率的逻辑回归显示TE与热模式组之间存在显著相关性(OR=1.653),但非TE和冷模式组之间无显著相关性。结论:联合使用SC和CHPI可能比单独使用SC更有效地治疗MetS。
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引用次数: 0
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The Journal of Internal Korean Medicine
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