皮膚瘙痒症 治療에 關한 臨床的 硏究 (A Clinical study on the Treatment of Pruritus)

서지정보

· 발행기관 : 사상체질면역의학회
· 수록지 정보 : 사상체질면역의학회지 / 11권 / 2호 / 361 ~ 376페이지
· 저자명 : 박성식

초록

1. Backgrounds and Purpose : Pruritus, one of the most common dermatological symptoms, was clinically examined with a view to a better understanding of its characteristics for more accurate treatment.
2. Method : For 22 months from November in 1997 to September in 1999 we selected outpatients who had consulted for itchiness more than twice in the department of Sasang Constitution of the Pundang Oriental medical hospital, Dongkook University, and 59 of those (35 males and 24 females) were confirmed of their course of treatment. From their medical records and history, we learned the general characteristics and patterns of pruritus, and the qualities and effects of its various treatments.
3. Result and Conclusion : Pruritus was more complained by men than by women and the largest age groups were 20's and 30's. For its suffering period, the duration of 1 month to less than 1 year was the greatest, and most patients had already experienced western medical care. Itchiness affected them almost day and night. In addition, many patients had abnormal bowel habits as a general symptom. According to Sasang Constitution, the Soeumin gave sleep disturbance and indigestion; the Soyangin showed a different pattern in their tongue coatings and bowel habits; the Taeumin had different tongue coatings and sweating pattern. The commonly prescribed herbal formula for pruritus was Gakhangjungisan, Yangkyuksanhwatang, Chungsimyonjatang. As for their efficiency, 61.0 % of patients improved, whereas 39.0 percent did not. Patients aged over 30 showed a more significant improvement than those of 20 years or under, and the duration of less than 1 year was more significantly improved than that of 1 year or more. Those who had no experience in western medical care or had been continuously treated showed a more significant improvement than those with intermittent treatments, and severe pruritus was more significantly improved than mild pruritus.


1. 硏究背景 및 目的 피부질환의 가장 흔한 증상 가운데 하나인 瘙痒症에 대한 臨床的 硏究를 시행하여 소양증의 특성을 정확히 파악하고 치료에 도움을 주고자 하였다.
2. 硏究方法 1997년 11월부터 1999년 9월까지 1년 10개월간 동국대학교 분당한방병원 사상체질과에 瘙痒症을 주소로 하여 내원한 외래환자 가운데 2회 이상 내원하여 치료경과가 확인된 59명(남자 35명, 여자 24명)을 대상으로 소양증 환자의 一般的 特性, 瘙痒症의 樣態, 治療特性, 治療效果를 조사하고 분석하였다.
3. 硏究結果 소양증은 남자가 여자보다 많았으며 20대와 30대에서 많았다. 소양증의 罹患其間은 1개월에서 1년 미만인 경우가 많았고, 洋方 의료기관을 거쳐서 오는 경우가 대부분이었다. 소양증은 晝夜구분 없이 심한 경우가 많았고, 소양증 환자의 全身症狀은 전체적으로 大便異常이 많았으며, 사상체질별로는 少陰人에서는 消化不良과 睡眠障碍가 많았고, 少陽人에서는 大便異常과 舌苔異常이 많았으며, 太陰人에서는 舌苔異常과 汗出異常이 많았다. 소양증에 많이 사용된 처방은 藿香正氣散, 凉膈散火湯, 淸心蓮子湯 등이었고, 治療效果의 분포는 好轉이 61.0%. 非好轉이 39.0%로 나타났다. 치료효과는 연령이 30세 이상인 경우가 20세 이하인 경우보다 유의하게 호전되었으며. 이환기간이 1년 미만으로 짧은 경우가 1년 이상으로 긴 경우보다 유의하게 호전되었으며, 양방치료를 않거나, 지속적으로 치료 중인 경우가 간헐적으로 치료중인 경우보다 유의하게 호전되었으며, 소양증의 정도가 심한 경우가 약한 경우보다 유의하게 호전되었다.

영어초록

1. Backgrounds and Purpose : Pruritus, one of the most common dermatological symptoms, was clinically examined with a view to a better understanding of its characteristics for more accurate treatment.
2. Method : For 22 months from November in 1997 to September in 1999 we selected outpatients who had consulted for itchiness more than twice in the department of Sasang Constitution of the Pundang Oriental medical hospital, Dongkook University, and 59 of those (35 males and 24 females) were confirmed of their course of treatment. From their medical records and history, we learned the general characteristics and patterns of pruritus, and the qualities and effects of its various treatments.
3. Result and Conclusion : Pruritus was more complained by men than by women and the largest age groups were 20's and 30's. For its suffering period, the duration of 1 month to less than 1 year was the greatest, and most patients had already experienced western medical care. Itchiness affected them almost day and night. In addition, many patients had abnormal bowel habits as a general symptom. According to Sasang Constitution, the Soeumin gave sleep disturbance and indigestion; the Soyangin showed a different pattern in their tongue coatings and bowel habits; the Taeumin had different tongue coatings and sweating pattern. The commonly prescribed herbal formula for pruritus was Gakhangjungisan, Yangkyuksanhwatang, Chungsimyonjatang. As for their efficiency, 61.0 % of patients improved, whereas 39.0 percent did not. Patients aged over 30 showed a more significant improvement than those of 20 years or under, and the duration of less than 1 year was more significantly improved than that of 1 year or more. Those who had no experience in western medical care or had been continuously treated showed a more significant improvement than those with intermittent treatments, and severe pruritus was more significantly improved than mild pruritus.

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