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대한한방신경정신과학회> 동의신경정신과학회지> 한의대생의 Holland 검사 특성 및 MMPI-2와의 상관성 연구

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한의대생의 Holland 검사 특성 및 MMPI-2와의 상관성 연구

A Study on the Holland Types Characteristics of Korean Medical Students and Correlation with the MMPI-2

이재혁 ( Jae-hyok Lee )
  • : 대한한방신경정신과학회
  • : 동의신경정신과학회지 29권4호
  • : 연속간행물
  • : 2018년 12월
  • : 231-238(8pages)
동의신경정신과학회지

DOI


목차

I. 서론
Ⅱ. 연구대상 및 방법
Ⅲ. 결과
Ⅳ. 고찰
Ⅴ. 결론
REFERENCES

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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.

UCI(KEPA)

I410-ECN-0102-2019-500-001584147

간행물정보

  • : 의약학분야  > 기초한의학
  • : KCI등재
  • :
  • : 계간
  • : 1226-6396
  • : 2234-4942
  • : 학술지
  • : 연속간행물
  • : 1990-2021
  • : 1018


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32권4호(2021년 12월) 수록논문
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1Can Data-Driven Analysis Demonstrate the Plausibility of Traditional Medical Typology?

저자 : Han Chae , Siwoo Lee , Soo Jin Lee

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 4호 발행 연도 : 2021 페이지 : pp. 303-320 (18 pages)

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Objectives: Although medical typologies based on indigenous biopsychological ideas have been described, their integrity has been questioned due to its theory-driven nature in categorization. Therefore, studies on the Sasang typology, a temperament-based traditional Korean medicine, are needed to examine whether it is possible to classify types of specific biopsychological profiles using data- driven analysis.
Methods: Psychological measures of the Eastern Sasang Personality Questionnaire (SPQ) and Western NEO-Personality Inventory (NEO-PI) along with physical measures and Sasang types were acquired from 2,049 participants. Latent groups based on the SPQ and NEO-PI subscale scores were extracted using Latent Profile Analysis. Their psychosomatic features were then compared with those of Sasang types.
Results: Three SPQ-based latent groups showed distinctive psychological and physical features consistent with those of Sasang types. However, four NEOPI-based latent groups presented only psychological features. Furthermore, SPQ-High and SPQ-Low latent groups demonstrated similar psychosomatic profiles to those of So-Yang and So-Eum Sasang types, respectively.
Conclusions: This study illustrates that biopsychological profiles of Sasang types are supported by psychosomatic features of latent groups based on SPQ of Eastern psychology, signifying that the categorization of Sasang typology have acceptable validity and reliability.

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2두부 경혈 취혈에서 골도분촌법(骨度分寸法)과 일부법(一扶法) 사용에 대한 한국인 성인에서 실측 연구

저자 : 강수빈 ( Su-bin Kang ) , 김지원 ( Jee-won Kim ) , 이지영 ( Ji-young Lee ) , 박현철 ( Hyun-chul Park ) , 김락형 ( Lakhyung Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 4호 발행 연도 : 2021 페이지 : pp. 321-328 (8 pages)

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Objectives: To compare bone proportional cun and finger-breadth cun in the head area to clearly distinguish the anterior hairline.
Methods: In this study, the head area was measured for 50 adult males and females in their 20s with normal hair condition. We compared bone proportional cun and finger-breadth cun in the head area and calculated the error by analyzing the difference between the actual location of the anterior hairline and the location measured with the two methods.
Results: There was a significant difference between bone proportional cun and finger-breadth cun in the head area. The two methods showed significant difference from the actual location of the anterior hairline. In addition, as a result of calculating the error between the actual location of the anterior hairline and the location measured by the two methods, the finger-breadth cun had fewer errors than the bone proportional cun.
Conclusions: The finger-breadth cun is better than the bone proportional cun as an alternative when it is difficult to find the anterior hairline.

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3영화 속 정신증상 분석이 정신질환 이해에 미치는 영향에 대한 초보적 고찰 - 일개 한의과대학 대학생을 대상으로

저자 : 김경수 ( Kyung-soo Kim ) , 배진수 ( Jin-soo Bae ) , 정서윤 ( Seo-yun Jeong ) , 정현우 ( Hyeonu Jeong ) , 김경옥 ( Kyeong-ok Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 4호 발행 연도 : 2021 페이지 : pp. 329-335 (7 pages)

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Objectives: The purpose of this study was to determine how analyzing movies, including mental symptoms, according to a certain method, might affect the understanding of psychiatric disorders.
Methods: Forty-four oriental medicine students who had completed Korean medicine neuropsychiatric science were required to submit reports on episode analysis, psychiatric personal history investigation, diagnostic criteria, and the connection between Korean medicine and psychiatric diseases after watching a movie, including psychiatric symptoms. After submitting the report, a questionnaire related to understanding before and after watching the movie was asked to be filled out. Demographic survey, frequency analysis, and response sample t-test were performed based on 42 questionnaires.
Results: Results of analyzing the questionnaire were as follows. 1. The average number of movies watched was three. 2. Psychiatric disorders and psychiatric symptoms, diagnostic criteria, psychiatric personal investigation, and understanding of the connection between Korean medicine and psychiatric diseases all increased statistically significantly. 3. A separate process might be needed to improve the understanding of psychiatric personal strength investigation and oriental medicine connection.
Conclusions: Movie analysis, including individual mental symptoms, could improve students' understanding of psychiatric disorders in psychiatric symptoms, diagnostic criteria, and psychiatric personal investigation, but some students might need feedback.

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4화병 표준진료지침 적용효과에 대한 Pilot 분석

저자 : 엄윤지 ( Yoon-ji Eom ) , 권도형 ( Do-hyung Kwon ) , 김윤나 ( Yun-na Kim ) , 이현우 ( Hyun-woo Lee ) , 정선용 ( Sun-yong Chung ) , 조성훈 ( Seung-hun Cho )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 4호 발행 연도 : 2021 페이지 : pp. 337-343 (7 pages)

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Objectives: To investigate effectiveness and satisfaction of applying critical pathway (CP) to Hwa-byung outpatients.
Methods: Subjects were 32 outpatients who were diagnosed with Hwa-byung between January 1 and 2021 to October 31, 2021. Among these patients, 18 patients were applied with CP and 14 patients received treatment without applying CP. Their medical records and administration records were retrospectively analyzed. Data were analyzed by mean, standard deviation, and t-test using SPSS 26.0 program.
Results: Mean total treatment period significantly decreased in the CP group compared with the non-CP group. Medical expenses were classified by treatment period, per visit, and patient charges per type of visit. When analyzed specifically by detailed items, there was a decreasing tendency in total medical expenses, uncovered medical expenses, and patient charges but an increasing tendency in covered medical expenses, although some of these changes were not statistically significant. Satisfaction score increased in the CP group compared with the non-CP group in general, although not all increases were statistically significant.
Conclusions: Applying CP may contribute to the reduction of medical expenses and improvement of medical service quality. Further research on the development of CP for various diseases and the application of CP under various circumstances is needed.

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5뇌파를 평가도구로 사용한 침 중재 임상연구 동향

저자 : 임정화 ( Jung-hwa Lim ) , 조준희 ( Jun-hee Cho ) , 김재효 ( Jae-hyo Kim ) , 김락형 ( Lakhyung Kim ) , 강형원 ( Hyung-won Kang ) , 김보경 ( Bo-kyung Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 32권 4호 발행 연도 : 2021 페이지 : pp. 345-378 (34 pages)

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Objectives: The purpose of this study was to investigate the recent trends of clinical research on acupuncture using electroencephalogram (EEG) as the outcome measurement.
Methods: Nine domestic and foreign databases were searched to collect related studies published up to November 3, 2021. The participants, intervention, outcomes, results of the included studies were extracted and analyzed.
Results: A total of 18 studies were selected. Neurological diseases and mental disorders were included in most studies, and vascular dementia were most frequently investigated. Electroacupuncture and body acupuncture intervention were most frequently conducted in seven studies. The most commonly used outcomes using EEG was EEG abnormality. However, in most studies there was accurate description of the EEG measurement. Most studies showed significant difference in EEG outcomes after intervention. The quality of included studies was poor.
Conclusions: EEG as diagnostic markers and outcome measurements is increasingly studied. Standardized EEG measurement and the consistent EEG finding for specific diseases are needed to perform the future rigorous studies on EEG as diagnostic and outcome tools.

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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.
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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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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.

KCI등재

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

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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.
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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.
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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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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.

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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.

KCI등재

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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