간행물

대한한방신경정신과학회> 동의신경정신과학회지

동의신경정신과학회지 update

Journal of Oriental Neuropsychiatry

  • : 대한한방신경정신과학회
  • : 의약학분야  >  기초한의학
  • : KCI등재
  • :
  • : 연속간행물
  • : 계간
  • : 1226-6396
  • : 2234-4942
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수록정보
29권4호(2018) |수록논문 수 : 10
간행물 제목
33권1호(2022년 03월) 수록논문
최근 권호 논문
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1한방병원에 입원한 화병 환자의 정서적 특성에 대한 핵심칠정척도 단축형을 활용한 후향적 관찰연구

저자 : 김주연 ( Ju Yeon Kim ) , 강동훈 ( Dong Hoon Kang ) , 강형원 ( Hyung-won Kang ) , 정인철 ( In Chul Jung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 1호 발행 연도 : 2022 페이지 : pp. 1-19 (19 pages)

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Objectives: The objective of this study was to confirm the Chiljeong (七情) characteristics of Hwa-byung patients using the core seven-emotions inventory-short form.
Methods: We conducted a retrospective observational study based on the electronic medical records from a Korean medicine hospital. We included patients who were diagnosed with Hwa-byung and examined with Core Seven-Emotions Inventory-short Form (CSEI-S) during hospitalization periods. We presented the characteristics of Hwa-byung by demographic information, CSEI-S, Hwa-byung scale, and Korean Symptom Checklist 95. A correlation analysis was performed between CSEI-S and other clinical and psychological characteristics.
Results: The Chiljeong characteristics of Hwa-byung were high in the order of Sorrow (悲), Thought (思), Fear (恐), Fright (驚), Depression (憂), Joy (喜), and Anger (怒). There was no significant difference between each emotion. After combined Korean medical treatment, Sorrow (悲) and Thought (思) significantly decreased. There were static correlations between sorrow (悲) and fright (驚), thought (思) and sorrow (悲), depression (憂) and sorrow (悲), depression (憂) and fright (驚), thought (思) and depression (憂), fear (恐) and fright (驚), anger (怒) and thought (思), thought (思) and fright (驚), sorrow (悲) and fear (恐). Sorrow (悲) and Hwa-byung characteristics scale showed static correlation. Joy (喜) showed a static correlation with disharmony between the heart and kidney scores of the Hwa-byung pattern identification. Between KSCL-95 and CSEI-S, static correlation appeared in depression (憂) with depression, anxiety, and sleep problem scale, sorrow (悲) with depression and anxiety, fright (驚) with depression and obsessive symptoms.
Conclusions: Despite several limitations due to the study design and small sample size, this research successfully used CSEI-S to study the Chiljeong (七情) characteristics of Hwa-byung for the first time.

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2상부위장관내시경 소견과 핵심칠정척도 단축형을 활용한 정서적 특성 연구

저자 : 김광우 ( Gwang Woo Kim ) , 고경진 ( Kyeong Jin Ko ) , 한민석 ( Min Seok Han ) , 강성현 ( Seong Hyeon Kang ) , 강형원 ( Hyung Won Kang ) , 유영수 ( Yeoung Su Lyu )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 1호 발행 연도 : 2022 페이지 : pp. 21-31 (11 pages)

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Objectives: To perform correlation analysis between the Core Seven Emotions Inventory-Short Form (CSEI-s), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), upper gastrointestinal symptoms, and gastroscopic findings and to compare emotional characteristics with upper gastrointestinal endoscopic findings.
Methods: In this study, medical records of 38 participants who visited the hospital for examination purposes or complained upper gastrointestinal symptoms and completed the CSEI-s, BAI, BDI, and Questionnaire for upper gastrointestinal symptoms were analyzed using SPSS (Statistical Package for the Social Sciences) version 25.0. Frequency Analysis, Descriptive Analysis, Independent t-test, Mann-Whitney's U-test, and Correlation analysis were performed.
Results: The upper gastrointestinal symptom group showed higher levels of anger, sorrow, depression, and anxiety than the asymptomatic group. On gastroscopy, the normal group had higher levels of Joy than the abnormal group. The reflux esophagitis group showed higher levels of thought, depression, sorrow, and anxiety than the non-reflux esophagitis group. Joy showed a negative correlation with BDI score. However, anger, depression, sorrow, BAI, and BDI score showed positive correlations.
Conclusions: Results of this study suggest that CSEI-s can be used to treat patients with upper gastrointestinal symptoms and reflux esophagitis.

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3Effects of Emotion Freedom Techniques on Academic Stress in Korean Medical Students: A Single-Group Pre-Post Study

저자 : Seung Hwan Lee , Sang Yun Han , Soo Jin Lee , Han Chae , Jung Hwa Lim

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 1호 발행 연도 : 2022 페이지 : pp. 33-48 (16 pages)

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Objectives: Academic stress poses a significant risk for the mental health of medical students, and a feasible group intervention program for managing academic stress is required. The purpose of this study was to examine the clinical effectiveness of emotional freedom techniques (EFT) on the mental health of Korean medical students.
Methods: The class of first-year medical school students (n=36) participated in an after-school EFT group intervention program comprising six sessions (15 minutes/session, three weeks) to analyze its clinical effectiveness as a single-group test-retest clinical study. The changes in the Perceived Stress Scale (PSS), Test Anxiety Inventory (TAI), Positive and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) scores were examined using a paired t-test and Cohen's D at post-EFT and two-week follow-up.
Results: There were significant curtailments at post-EFT and follow-up measures in TAI-Total (t=2.704 and t=3.289), TAI-Worry (t=2.297 and t=2.454), TAI-Emotionality (t=2.763 and t=3.654), PSS-Negative Perspective (t=2.659 and t=3.877), and PANAS-Negative Affect (t=2.885 and t=3.259) subscales, however not in PSS-Positive Perspective (t=-1.279 and t=-1.101) and PANAS-Positive Affect (t=0.194 and t=-0.122) subscales. The trait anxiety (t=2.227) was significantly mitigated in the post-EFT measure and the state anxiety (t=2.30) in the follow-up measure.
Conclusions: The EFT group intervention alleviated test stress, negative affect, and anxiety in the Korean medical students. This study contributes to an understanding of academic stress and EFT intervention in the competitive environment of medical education.

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4A Systematic Review and Meta-Analysis of Randomized Controlled Trials on Acupuncture for Improving Post-Operative Cognitive Dysfunction (POCD) and Chemotherapy-Related Cognitive Impairment (CRCI)

저자 : Ju-young Kim , Han-byul Cho , Man-gi Kim , Byung-su Koo , Geun-woo Kim

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 1호 발행 연도 : 2022 페이지 : pp. 49-78 (30 pages)

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Objectives: This study was conducted to evaluate the efficacy of Korean Medicine Therapy (KMT) for the treatment of Chemotherapy-induced Cognitive Impairment (CICI) through systematic review and meta-analysis of randomized controlled trials (RCTs) as proceeding research to further research the efficacy of KMT for CICI patients.
Methods: We conducted a systematic review and meta-analysis according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines (PRISMA). The RCTs on the efficacy of KMT for treatment of CICI were searched by structured search strategies in MEDLINE, EMBASE, Cochrane library, CAJD, KISS, NDSL, KoreaMed, and OASIS. The searched RCTs were screened by inclusion and exclusion criteria. We evaluated the quality of the method in the included studies using the Jadad score and Cochran ROB tool. The efficacy outcomes were the Visual Analogue Scale (VAS) and the Clinical total Effective Rate (CER) of CICI. They were analyzed using mean difference for continuous variable or Relative Risk (RR) for Dichotomous variable in the random-effect model. The RevMan 5.3 program was used for meta-analysis.
Results: We included 19 RCTs, including 653 participants, in the systematic review and meta-analysis. There were favorable results for the KMT group after the intervention compared with the pharmacotherapy group, physiotherapy group, and combined treatment group. KMT group showed improvement using CER and VAS compared with exercises, but their heterogeneities were slightly significant. KMT was more effective compared to the Rehabilitation program in CER and the subgroup analysis results showed that KMT had a significant difference compared to other therapies in VAS, to Medication therapy in CER. Conclusions: KMT presented reasonable evidence on improving the Clinical total Effective Rate and Visual Analogue Scale in CICI patients. However, further evaluation in future research is required. Objectives: This study was conducted to evaluate the efficacy of Korean Medicine Therapy (KMT) for the treatment of Chemotherapy-induced Cognitive Impairment (CICI) through systematic review and meta-analysis of randomized controlled trials (RCTs) as proceeding research to further research the efficacy of KMT for CICI patients. Methods: We conducted a systematic review and meta-analysis according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines (PRISMA). The RCTs on the efficacy of KMT for treatment of CICI were searched by structured search strategies in MEDLINE, EMBASE, Cochrane library, CAJD, KISS, NDSL, KoreaMed, and OASIS. The searched RCTs were screened by inclusion and exclusion criteria. We evaluated the quality of the method in the included studies using the Jadad score and Cochran ROB tool. The efficacy outcomes were the Visual Analogue Scale (VAS) and the Clinical total Effective Rate (CER) of CICI. They were analyzed using mean difference for continuous variable or Relative Risk (RR) for Dichotomous variable in the random-effect model. The RevMan 5.3 program was used for meta-analysis. Results: We included 19 RCTs, including 653 participants, in the systematic review and meta-analysis. There were favorable results for the KMT group after the intervention compared with the pharmacotherapy group, physiotherapy group, and combined treatment group. KMT group showed improvement using CER and VAS compared with exercises, but their heterogeneities were slightly significant. KMT was more effective compared to the Rehabilitation program in CER and the subgroup analysis results showed that KMT had a significant difference compared to other therapies in VAS, to Medication therapy in CER.
Conclusions: KMT presented reasonable evidence on improving the Clinical total Effective Rate and Visual Analogue Scale in CICI patients. However, further evaluation in future research is required.

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5주요우울장애에 대한 한약 단독치료의 효과와 안전성: 체계적 문헌고찰 및 메타분석

저자 : 승혜빈 ( Hye-bin Seung ) , 권희주 ( Hui-ju Kwon ) , 김상호 ( Sang-ho Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 1호 발행 연도 : 2022 페이지 : pp. 79-111 (33 pages)

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Major depressive disorder (MDD) causes a persistent feeling of sadness and loss of interest. It can lead to emotional and physical problems. Treatments such as antidepressant and cognitive behavioral therapy for MDD have many limitations. Traditional East Asian Herbal Medicine (TEAM) is a representative modality of Complementary and Integrative Medicine (CIM) which can be used for MDD. However, no study has systematically reviewed the efficacy or safety of TEAM for MDD so far. Therefore, we performed a systematic review and meta-analysis to evaluate effectiveness and safety of TEAM as a monotherapy for MDD. We only included TEAM that could be used in context of clinical setting in Korean Medicine. Outcomes were the Hamilton Depression Rating Scale (HAMD) and total effective rate (TER). After comprehensive electronic search of 11 databases, we included 28 randomized controlled trials (RCTs) that compared HM as monotherapy with antidepressant for MDD. Meta-analysis showed that TEAM had significant benefits in reducing HAMD (MD=-0.40, 95% CI: -0.67 to -0.13, p=0.003, I2=85%) and improving TER (RR=1.06, 95% CI: 1.02 to 1.10, p=0.003, I2=0%). It also appeared to be safer than antidepressant in terms of adverse effects. Methods used for RCTs were poor and the quality of evidence was graded 'low' or 'moderate'. These findings indicate that the use of HM as a monotherapy might have potential benefits in MDD treatment as an alternative to antidepressant. However, considering the methodological quality of included RCTs, the clinical evidence is uncertain. Further well-designed RCTs are required to confirm these findings.

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6심한 상열감으로 인한 불면을 호소하는 환자의 한의 치료 1례: 증례보고

저자 : 배진수 ( Jin-soo Bae ) , 장에스더 ( Esther Jang ) , 김보성 ( Bo-sung Kim ) , 안선주 ( Seon-ju Ahn ) , 김경옥 ( Kyeong-ok Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 1호 발행 연도 : 2022 페이지 : pp. 113-122 (10 pages)

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Objectives: To report the effect of Korean medicine on a patient with insomnia from severe hot flashes.
Methods: The patient suffered from extreme hot flashes for months. Symptoms were so severe that the patient attempted suicide. After starting psychiatric medication, symptoms persisted and hospitalization began. During hospitalization, herbal medicine, acupuncture, and psychotherapy were conducted. For evaluating therapeutical effect, Digital Infrared Thermal Imaging was performed twice during the treatment process. It was divided into major facial area and back area. The facial area was divided into two small units to measure the difference in temperature between two points. The back area was measured in the same way.
Results: The temperature difference between the two points decreased over time and the patient's subjective symptoms reduced.
Conclusions: Korean medicine therapy can improve symptoms of patients with insomnia accompanied by hot flashes.

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1Scopolamine 유발 건망증 마우스 모델에서 육미지황탕(六味地黃湯)의 기억력 개선 및 항산화 효과

저자 : 서영민 ( Young-min Seo ) , 한다영 ( Da-young Han ) , 김상호 ( Sang-ho Kim ) , 정대규 ( Dae-kyoo Chung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 207-221 (15 pages)

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Objectives: The objective of this study was to observe the anti-amnesic effects of Yukmijihwang-tang (YMJHT), on the scopolamine (Sco)-induced memory impairment in C57BL/6 mice through its favorable acetylcholine (ACh). Also, to observe acetylcholinesterase (AChE) activity, Choline acetyltransferase (ChAT) mRNA expressions, and antioxidant effect.
Methods: Six groups, with a total of 20 normal and 100 Sco treated mice were selected based on their body weights after 1 week of acclimatization, were used in this study as follows. Half of the mice in each group were used for passive avoidance task tests and hippocampus ACh content, AChE activity and ChAT mRNA expression measurement, and the remaining half in each group used for Morris water maze test and measurement of cerebral antioxidant defense system.
Results: Amnesia due to AChE activations and destroyed cerebral cortex antioxidant defense systems were markedly and dose-dependently inhibited after 28 days of continuous oral pre-treatment with YMJHT 400, 200 and 100 mg/kg, respectively. The overall effects of YMJHT 400 mg/kg were similar to those of tacrine 10 mg/kg.
Conclusions: Based on the results, it was established that oral administration of YMJHT favorably alleviates Sco-induced memory impairment, through preservation of ACh, mediated by up-regulation of ChAT mRNA expressions and related AChE inhibition and augmentation of cerebral antioxidant defense system, at least in a condition of this experiment. The overall effects of YMJHT 400 mg/kg were similar to those of tacrine 10 mg/kg.

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2역할행동 사전교육이 의사소통, 진료기술의 평가에 미치는 영향

저자 : 김경수 ( Kyung-soo Kim ) , 김천중 ( Cheon-jung Kim ) , 정서윤 ( Seo-yun Jeong ) , 김경옥 ( Kyeong-ok Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 223-230 (8 pages)

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Objectives: The objective of this study was to clarify the effect of pre-training about role-behavior on the evaluation of communication and clinical skills in clinical training using role-playing.
Methods: This study used data of 116, 4th grader students from Korean Medicak College of Dongshin University in 2016 and 2017. The data was divided into two groups: those who did pre-training about role-behaviors and those who did not. After performing their role-playing, they were asked to fill out questionnaires about 2 categories-communication and evaluation skills-, composed of 10 items each.
Results: 1. Through pre-education, communication skills required the form and content of questions and the practice of communicating with patients. 2. Through pre-education, there was the need to practice listening for medical history, diagnosis skills and establishing relationships with patients. 3. Pre-training of communication skills and clinical skills helps to expose the shortcomings of clinical practice.
Conclusions: In conclusion, pre-training about role-behaviors can help improve communication skills and clinical skills in clerkship using role-playing.

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3한의대생의 Holland 검사 특성 및 MMPI-2와의 상관성 연구

저자 : 이재혁 ( Jae-hyok Lee )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 231-238 (8 pages)

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Objectives: To evaluate the psychological characteristics of Korean medical students focusing on the Holland types and the MMPI-2.
Methods: A survey was conducted on 81 Korean medicine students to investigate psychological characteristics focusing on the Holland types and the MMPI-2.
Results: The orders of frequency of the Holland type in Korean medicine students were S>I>C>A= E>R (all) , I>S>C>R=E>A (male) and S>A>C>I>E>R (female). The relationships between the Holland types and the MMPI-2 were R type (Mf negative), A type (Mf Pa Ma positive, Si negative), S type (Mf positive, D Pt Sc Si negative) and E type (Ma positive, D Si negative).
Conclusions: From personality tests for male and female Korean medical students, there were differences on some scales of the Holland types. The Holland types are related to the specific scales of the MMPI-2.

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4일개 한의의료기관 내 경도인지장애의 의한협진 매뉴얼 제안

저자 : 김보민 ( Bomin Kim ) , 조희근 ( Hee-guen Jo ) , 강형원 ( Hyung-won Kang ) , 최성열 ( Sung-youl Choi ) , 송민영 ( Min-yeong Song ) , 설재욱 ( Jae-uk Sul ) , 임정태 ( Jungtae Leem ) , 이가원 ( Ga-won Lee ) , 손성은 ( Sung-eun Son )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 239-253 (15 pages)

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Objectives: This is one of the manuals of East-West integrative medicine, which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. To support clinical decision making and communication in the East-West cooperative treatment of mild cognitive impairment.
Methods: Drafting was based on literature review from the MEDLINE, EMBASE, OASIS, and CNKI databases using search terms such as 'mild cognitive impairment', 'mild neurocognitive disorder', 'acupuncture', 'herbal medicine' and 'traditional Chinese medicine'. An amendment reflecting the goal of consultation and detailed treatment contents was made by reviewing the draft and holding discussion with the rehabilitation specialist of western medicine. The committee then agreed to adopt the manual through the process of review and feedback in addition to face-to-face discussions.
Results: This manual contains the diagnosis of mild cognitive impairment, the goal of consultation, and the cooperative treatment contents of the East-West medicine for mild cognitive impairment.
Conclusions: This manual provides significant information about the decision making process and contents of treatment in one medical institution for East-West cooperative treatment of mild cognitive impairment.

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5인지장애 변증평가도구의 신뢰도와 타당도 평가: 임상연구 프로토콜

저자 : 이지윤 ( Ji-yoon Lee ) , 김환 ( Hwan Kim ) , 서영경 ( Young Kyung Seo ) , 강형원 ( Hyung Won Kang ) , 강위창 ( Wee-chang Kang ) , 정인철 ( In Chul Jung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 255-266 (12 pages)

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Objectives: The objective of this study was to evaluate the reliability and validity of Pattern Identifications Tool for Cognitive Disorders (PIT-C) and verify the correlation with other related scales.
Methods: The study in this protocol is a single group, prospective, observational one. The subjects of the study were men and women between the ages of 45 and 85, diagnosed with neurocognitive disorders by Diagnostic and Statistical Manual of Mental Disorder (fifth Edition) criteria (n=60, Clinical Dementia Rating (CDR)=0.5, Korean Version of Montreal Cognitive Assessment (MoCA-K)≤22). The reliability of PIT-C was evaluated as test-retest and inter-rater reliability. And correlation between PIT-C and other related scales was also assessed.
Results: This study was approved by the Institutional Review Board (IRB) of Dunsan Korean Medicine Hospital of Daejeon University and registered in the Clinical Research Information Service (CRIS), and was made public in advance to ensure transparency of the research process and conduct ethical clinical trials.
Conclusions: The results of this study can be used to classify neurocognitive disorders as Korean medicine and PIT-C will be helpful tool for primary health care.

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6불면장애에 대한 천왕보심단의 체계적 문헌 고찰 및 메타분석 연구

저자 : 사공종원 ( Jong-won Sakong ) , 김동희 ( Dong-hee Kim ) , 하지원 ( Ji-won Ha ) , 조윤송 ( Yun-song Cho ) , 김보경 ( Bo-kyung Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 267-280 (14 pages)

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Objectives: The objective of this study was to provide clinical evidence to support the use of a herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet (TWBXP)) for insomnia.
Methods: Randomized controlled trials that verified effects of Herbal Medicine (Cheonwangbosim- Dan, Tianwangbuxin-Pellet) treating primary insomnia were carried out. A literature search of English, Chinese, Korean databases was also performed. The selected literature were assessed by Risk of Bias (RoB).
Results: The total number of selected trials was 13 RCTs. Among the 13 RCTs, 10 were meta-analyzed. The Chinese Classification of Mental Disorders-3 (CCMD-3) was frequently used as the diagnostic criteria for interventions during the analysis of the use of herbal medicine (Cheonwangbosim-Dan/ Tianwangbuxin-Pellet) for management of primary insomnia. As for outcome measurement, the effective rate was used. From the Meta-analysis of the studies, it was established that the insomnia cure effective rate in the TWBXP group was higher than that in the Western Medicine (WM) group (RR: 1.15, 95% CI: 1.07 to 1.24, p<0.0001, I2=33%). Also, the effective rate in the TWBXP+ACU group was significantly different compared to the WM group (RR: 1.32, 95% CI: 1.13 to 1.54, p=0.0004, I2=0%). The quality of the selected RCTs was low.
Conclusions: Herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet) is effective for treating primary insomnia. It is worth noting that this studies were of relatively poor quality. The sample sizes were also small. Therefore, further investigations into the diagnosis and treatment of insomnia are warranted.

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7조현병의 침 치료에 대한 중의학 임상연구 동향

저자 : 홍민호 ( Min-ho Hong ) , 송수진 ( Sue-jin Song ) , 김주영 ( Ju-young Kim ) , 구병수 ( Byung-su Koo ) , 김근우 ( Geun-woo Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 281-290 (10 pages)

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Objectives: The objective of this study was to review the research trends in the treatment of acupuncture on schizophrenia in traditional Chinese medicine.
Methods: Articles in the China National Knowledge Infrastructure (CNKI) from September 2008 to August 2018 were reviewed. The selected articles were evaluated by the Jadad Scale.
Results: 11 articles were selected from a total of 33 articles. 1 study was single group before-and-after study while the other 10 studies were randomized controlled trial studies. Chinese Classification of Mental Disorders-3 was most frequently used as a diagnostic criterion. Brief Psychiatric Rating Scale was most commonly used as an outcome measurement. From Jadad Quality Assessment Scale of the 11 articles, the quality of the studies generally was low.
Conclusions: BaekHoi (GV20) and YinDang (EX-HN3) are most commonly used in acupuncture treatment. According to this study, acupuncture treatment in addition to western medication on schizophrenia is more effective as compared to the controls. In future, this study could be primary data for development of more clinical research on the treatment of schizophrenia in Korean medicine.

KCI등재

8강박장애 치료에 대한 중의학 임상연구 동향

저자 : 임교민 ( Gyo Min Lim ) , 안윤영 ( Yunyoung An ) , 송건의 ( Guneui Song ) , 이주현 ( Juhyeon Lee ) , 박세진 ( Se-jin Park )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 291-303 (13 pages)

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Objectives: The objective of this study is to analyze the Clinical reports of treatment of obsessive compulsive disorder (OCD) in traditional Chinese medicine (TCM).
Methods: Clinical reports on obsessive compulsive disorder treatment from 2001 to 2017 were searched using the following key words in the China National Knowledge Infrastructure (CNKI). 'OCD', 'qiangpo zheng'.
Results: A total of 22 papers were selected, 12 of which were clinical research papers and 10 case report papers. The acupuncture and moxa treatment was more effective in relieving the clinical symptoms of OCD patients as compared to only using western medicine, and it was also possible to reduce the adverse effects of western medicine.
Conclusions: It was established that Traditional Chinese medicine has some effect on the treatment of OCD, but there were limitations as follows. The selected papers were retrieved from only one site of CKNI and did not follow a systematic review methodology. Therefore generalized results could not be derived, further studies should therefore be carried out.

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9공황장애 환자에 대한 복합한의진료 및 M&L 심리치료 적용 경과: 증례보고

저자 : 김종환 ( Jong Hwan Kim ) , 조희근 ( Hee Geun Jo ) , 신현권 ( Hyun Kwon Shin )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 305-314 (10 pages)

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Objectives: The objective of this study was to report the clinical effectiveness of the complex Korean medicine therapy and M&L (Mindfulness & Loving presence) psychotherapy on the patient with panic disorder.
Methods: The subject for this study was the patient diagnosed with panic disorder who complained about intermittent panic attack and accompanying insomnia. During the treatment period, the patient received complex Korean therapy and M&L psychotherapy. The clinical effects were evaluated through Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory (STAI), Panic Disorder Severity Scale (PDSS), and Pittsburgh Sleep Quality Index (PSQI).
Results: After the complex Korean medicine therapy and M&L psychotherapy, the overall symptoms of depression, anxiety, panic disorder and insomnia of the patient were lessened in a relatively short period. No specificities or adverse effects were reported during the treatment period.
Conclusions: This study established that the complex Korean medicine therapy and M&L psychotherapy was effective in treating patients with panic disorder.

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10A Case Report of Migraine with Typical Aura on Korean Medical Treatments

저자 : Myoung-ui Cho , Su-yeon Lim , Hyun-a Jeon , Ji-yeon Lee , Young-joo Moon , Kwang-chan Song , Young-tak Koh

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 29권 4호 발행 연도 : 2018 페이지 : pp. 315-324 (10 pages)

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Objectives: The objective of this case report was to investigate the effect of Korean medicine therapy on migraine patients with typical aura.
Methods: Acupuncture and chuna manual therapy were applied to outpatients once in 1 to 2 weeks, a total of 9 times, for about 11 weeks. A patient was diagnosed with ganyang-toutong and taeeumin dry-heat symptomatic pattern. Herbal medicine (Chongsanggeontong-tang Gagambang (淸上蠲痛 湯加減方)) was prescribed for 15 days up to the 3rd visit, then another herbal medicine (Yeoldahanso-tang (熱多寒少湯)) prescribed for 15 days up to the 6th visit. MSQol and MIDAS were used as a tool at the start and after 9th treatment. The intensity and frequency of headache, frequency of aura and neck pain were examined on every visit.
Results: According to the results, Korean traditional medicine described above had effect on the intensity and frequency of headache, frequency of aura and neck pain as well as an increase in the figure of MSQoL from 62 to 81 and decrease of MIDAS Disability from 18 to 7, Duration from 60 to 30, Pain score from 8 to 2.
Conclusions: Migraine with typical aura classified as ganyang-toutong and taeeumin dry-heat symptomatic pattern can be alleviated by Korean traditional medicine.

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