• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.33 no.4
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• pp.1-15
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• 2020

Objectives : To investigate aggravating and mitigating factors of atopic dermatitis and to utilize the outcome in treatment planning. Methods : The research has a cross-sectional study design. Patients' SCORing Atopic Dermatitis (SCORAD) Index, demographic, physical characteristics, social history, serologic index and skin related instrumental measurements were analyzed with correlation and regression analysis method. Results : 48 patients in total were enrolled in the study. Skin Surface Hydration (SSH) and sex were found to be statistically significant aggravating and mitigating factors. As SSH increased, Total SCORAD (tSCORAD) and Objective SCORAD (oSCORAD) increased as well. As SSH decreased, tSCORAD and oSCORAD decreased as well. Female patient had a higher probability of suffering from severer subjective symptoms than that of male. Age, body mass index (BMI), alcohol consumption and smoking, transepidermal water loss (TEWL), IgE, IL-4, IL-5, IL-6, IFN-γ were found not to be statistically significant. There was no correlation between Subjective SCORAD (sSCORAD) and oSCORAD neither with Eczema Area and Severity Index (EASI). Conclusions : Increasing cutaneous moisture should be included in the treatment plan of atopic dermatitis. More emphasis should be put on alleviating subjective discomforts of female patients than that of male. Establishing separate strategies of managing objective eczema status and subjective discomforts respectively should be considered.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.27 no.1
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• pp.17-36
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• 2014

Objectives : The purpose of this study is to investigate the efficacy of external preparation containing herbal extract(Sophorae Radix, Aurantii Immaturus Fructus, Schizonepetae Spica, Forsythia fructus and Portulacea Herba) on atopic dermatitis patients. Methods : A total of 33 patients who visited the Dept. of Ophthalmology, Otolaryngology & Dermatology of Korean Medicine of Korean Medical hospital of Daejeon university from February 2012 to February 2013 were engaged in this study. Patients who corresponded the requirements were enrolled in the study. This study shows symptom comparisons before and after the use of this product. Effectiveness was evaluated through SCORAD(SCORing Atopic Dermatitis) Index, and the quality of life scale was conducted through Skindex-29. Results : 1. Comparison of the general changes through SCORAD Index indicated that the experimental group showed more statistically significant declines than the placebo group after the two-week use. 2. Comparison of changes in intensity criteria(Erythema, Edema, Oozing, Excoriation) through SCORAD Index indicated that the experimental group showed more statistically significant declines than the placebo group after the two-week use. 3. Comparison of changes in subjective symptoms through SCORAD Index indicated that the experimental group showed no statistically remarkable changes. 4. Comparison of changes in the body parts(Upperlimb) through SCORAD Index indicated the experimental group showed statistically significant changes after the two-week use. 5. Comparison of the general changes in quality of life through Skindex-29 indicated that the total score from experimental group showed statistically significant changes after the four-week use. Conclusions: This study, evaluated through SCORAD Index, indicated that the treatment with the external preparation containing herbal extract has a statistically marginal significance of efficacy on atopic dermatitis patients in the short term.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.24 no.3
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• pp.27-36
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• 2011

Objective : The purpose of this clinical research was to analyze the correlation between disease severity and disease specific quality of life adjusted by general quality of life measure in adult patients with atopic dermatitis attending Wonkwang Univ. Sanbon Oriental Medical Center. Methods : A total of 35 patients participated in atopic dermatitis clinical trial from June 1st, 2010 to June 30th, 2011 were included in this study. SCORing Atopic Dermatitis(SCORAD) index, Dermatologic Life Quality Index(DLQI), Health Utility Index III(HUI-III) and EuroQoL 5-Dimension(EQ-5D) have been estimatied. Baseline statistical analysis and normality test were done by using Student t-test, Shapiro-Wilk test and ladder test. Pearson analysis and Spearman analysis were conducted to examined the correlation of each variables. Hierachial regression analysis was performed using related variables. Statistical significance was achieved if the probability was less than 5%. Results : There were statistically significance between DLQI and SCORAD index, and also between DLQI and EQ-5D. However there was no significant between DLQI and HUI-III. In the hierachial regression analysis, after adjusting for demographic variables (gender, age) and general quality of life (EQ-5D), SCORAD index significantly predict the intensity of disease specific quality of life (DLQI). Conclusions : We confirmed the correlation between SCORAD index and DLQI, and developed the inference for regression equation of DLQI using SCORAD index, EQ-5D and demographic variables.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.34 no.1
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• pp.101-111
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• 2021

Objectives : Steroids are often administered to atopic patients as hormone preparations, often causing side effects. This study is intended to present the possibility of Korean medicine treatment for patients who have had side effects due to steroids in atopic dermatitis by relieving side effects and improving symptoms through Korean medicine such as Hwangryounhaedok-tang and Siryeong-tang. Methods : 2 patients who had atopic dermatitis and rebound phenomenon after steroids treatment were treated by herbal medicine, herbal acupuncture, acupuncture and external preparations. Photographs of the lesions, SCORAD(Scoring atopic dermatitis) index were used to evaluate the changes in symptoms. Results : The SCORAD index of the first patient improved from 55.6 to 24.3 in 4 months. The SCORAD index of the second patient improved from 44.7 to 21.3 in 3 months. Conclusions : In the situation where symptoms of atopic dermatitis patients due to steroid rebound phenomenon have worsened, Korean medicine treatments played a important role in alleviating symptoms and improving SCORAD index scores.

• The Journal of Pediatrics of Korean Medicine
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• v.20 no.3
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• pp.129-141
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• 2006

Objectives : The purpose of this study is to determine clinical efficacy of herbal medicine by evaluating SCORAD Index and total level of ceramaides in the skin of 13 children with atopic dermatitis Methods : Subjects are divided into two groups : Group 1(non-differentiation children treated with Saenghyeoryunbueom) and group 2(differentiation children treated with either pyungwisan, onchungum or gamitongsungsan). We determine SCORAD Index and total level of ceramaides in the skin of 13 children with atopic dermatitis before and after taking each of herbal treatment for 12 weeks. Results : After herbal prescription for 12 weeks, A SCORAD index of both group 1 and group 2 was decreased. However, the total level of ceramides in group 1 and group 2 was not altered after 12 weeks. When the correlation between the alteration of SCORAD index and ceramides levels was determined, the SCORAD index in group 1 was inversely correlated with the total level of ceramides(r=-0.994, p=0.006) In contrast, the alteration of SCORAD index in group 2 was not correlated with ceramide levels. Conclusions : The clinical efficacy of Saenghyeoryunbueom for non-differentiation children with atopic dermatitis is paralleled with the increased level of ceramides in skin. The clinical efficacy of pyungwisan, onchungum or gamitongsungsan for differentiation children with atopic dermatitis is not correlated with ceramide level in skin.

• The Journal of Pediatrics of Korean Medicine
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• v.19 no.2
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• pp.69-84
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• 2005

Objective : The objective of this study is to investigate treatment results and reasons of difference of treatment result. Method : 22 patients with atopic dermatitis were evaluated for the symptoms and signs according to SCORAD index before and after Oriental medical treatment. And they were divided into two groups(G1: the lower group, G2: the higher group) with 30 scores in standard and analyzed for differences of treatment result. Reasult : 22 patients's Change of total SCORAD index before and after treatment were $35.79{\pm}10.86$ and period were $4.55{\pm}2.94$ months. There were no significant differences between two groups in sex, age, congenital fever, onset and hospital treatment. There were many differences between two groups in the weakness of Digestive system. There were more familial histories in G2 than G1. Past years were $3.20{\pm}3.72$ years in G1 and $1.75{\pm}1.68$ years in G2. There were more deterioration fetors in G1 than G2. Sleep conditions before treatment were worse in G2 than G1 but all children except one were good after treatment. SCORAD index before treatment were worse in G2 than G1. The used herbal medicines were Bangpungtongsungsan gagambang, Yukmijihawangtang gagambang, Saenghyeolyunbuum gagambang. The most frequently used herbal medicine was Bangpungtongsungsan gagambang in G1, Yukmijihawangtang gagambang in G2. Conclusion : On the basis of this study, we thought factors which affected treatment result were the weakness of Digestive system, past years, deterioration factors and SCORAD index before treatment. But this study's cases are small in number so more study is need.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.21 no.3
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• pp.215-225
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• 2008

Object : In this study, the effect of herb medication, aromarherapy and acupuncture treatment against atopic dermatitis was investigated. Method : We treated him with herb medication, aromatherapy and acupuncture treatment during 28days. Atopic dermatitis grade ane the effect of medication was determined using Kunz type and SCORAD index. Atopic dermatitis lesion was checked by taking pictures. Result : The SCORAD index was lowered 39 at discharge than before of which the SCORAD index was 74.2. at admission. The patient's symptoms are getting reduced. Conclusion : On the basis of this study, herb medication, aromatherapy and acupuncture treatment were shown to treat atopic dermatitis effectively by decreasing oozing, itching, crust.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.19 no.3 s.31
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• pp.201-208
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• 2006

Object : In this study, the effect of herbal external therapy, aromatherapy, herb medication against atopic dermatitis was investigated. Method : Atopic dermatitis grade and the effect of medication was determined using Kunz type and SCORAD index. Atopic dermatitos lesion was checked by taking pictures Result : The patient's admission SCORAD index was 74.2 but during 32 days admission treatment the patients's symptoms are getting reduced. At last when she discharged, the SCORAD index was 16.1. Conclusion : In this study, herbal external therapy, aromatherapy and herb medication were shown to treat atopic dermatitis effectively by decreasing itching, oozing, crust, dryness, lichenification. It is very possible that external therapy can offer a valuable mode of the treatment of not only atopic dermatitis but also another eczema.

• Journal of Acupuncture Research
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• v.25 no.6
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• pp.175-182
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• 2008

Objectives : The purposes of this study are to investigate the efficacy of bamboo salt pharmacopuncture on nummular eczema. Methods : The patient was treated by bamboo salt pharmacopuncture and herbal medication. The improvement of the symtoms was evaluated by The SCORAD Index. Results : After treatment, erythema and pruritus were significantly improved. The SCORAD Index changed from 60.2 to 10.1. Conclusions : It is suggested that bamboo salt pharmacopuncture is effective on nummular eczema.

• The Journal of Pediatrics of Korean Medicine
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• v.24 no.1
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• pp.46-56
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• 2010

Objectives The purpose of this study is to report a Atopic dematitis patient treated by Horminis Placenta external wet therapy. Methods The patient was treated by acupuncture, herb medicine, especially Horminis Placenta external therapy. Kunz type, SCORAD index and Vas scale were used to measure the progression. Results and Conclusions We had evaluated the score during admission. SCORAD index include the extent, the intensity, pruritus, sleeping loss had increased from 52.88 score to 21.26 score. And the symptoms had improved with treatment.