• 제목/요약/키워드: palpitation

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자감초탕 가미방을 포함한 한의 복합 치료로 호전된 부정맥을 동반한 폐경기 증후군 1례 : 증례 보고 (A Improved Case Report of Postmenopausal Syndrome with Palpitation Treated by Korean Medicine Treatment including Jagamcho-tang-gami)

  • 이희윤;윤영진;박장경
    • 대한한방부인과학회지
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    • 제36권1호
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    • pp.90-102
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    • 2023
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine treatment on postmenopausal syndrome. Methods: The patient with postmenopausal syndrome with palpitation was treated with Korean medicine treatment during 14 days of hospitalization. The patient received Korean medicine treatment including herbal medicine, acupuncture and moxibustion. The effect of treatment on postmenopausal syndrome was evaluated through the Numeric Rating Scale (NRS) and questionnaire. Palpitation and arrhythmia was evaluated by Electrocardiogram (ECG) and manual pulse diagnosis three times a day. Result: After the treatment, the clinical postmenopausal symptoms of palpitation and hot flush were improved. Also, ECG's result was improved ventricular premature contraction to normal ECG. Conclusions: This case report proved that the Korean medicine treatment may be effective for improving postmenopausal syndrome with palpitation and hot flush. However, further clinical study is needed in the future to prove the effectiveness of Korean medicine treatment for postmenopausal syndrome with palpitation and hot flush.

형방지황탕(荊防地黃湯)으로 경계(驚悸), 정충(怔忡)을 치료한 양성 부정맥 소양인(少陽人)환자 1례(例) (A Case Study Reporting Successful Treatment using Hyeongbangjihwang-tang of a Soyangin Patient diagnosed with Benign Arrhythmia and Experiencing Palpitation Symptoms)

  • 신현상;박병주;강미정;이지원;장현수;이준희;이의주;고병희
    • 사상체질의학회지
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    • 제22권2호
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    • pp.115-122
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    • 2010
  • 1. Objectives: This case study reports clinical improvement of a Soyangin benign arrhythmia patient who showed improvement of palpitation symptoms after treatment with Hyeongbangjihwang-tang. 2. Methods: The patient's subjective and objective symptoms were observed daily, and the VAS scores and duration times of palpitation were recorded daily throughout the hospitalization period. 3. Results: The general condition of the patient improved by the end of hospitalization. The VAS score dropped from 4-10 to 0-1, and the duration of palpitation dropped from 50-160 min to 0-5 min. Other symptoms such as diarrhea and lower back pain also showed improvement. 4. Conclusion: This case study shows the effectiveness of Hyeongbangjihwang-tang in the treatment of palpitation. Although the literature on Hyeongbangjihwang-tang does not report its usage on palpitation, the prescription was shown to be effective in the case where the palpitation symptom is concomitant to the general symptomatology of the Mangeum disease, a pathology indicative of Hyeongbangjihwang-tang.

"상한론"에 나타난 계(悸)와 관련된 처방들의 현대 질환 범위 고찰 (Study on Diseases Scope of Prescriptions Related with the Palpitation in "Shanghanlun")

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제29권1호
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    • pp.1-10
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    • 2015
  • This article is a study on palpitation of which disease cause, disease mechanism and formulas were analyzed with reference to annotations on "Shanghanlun" and "Jinkuiyaolue". And the scope of modern diseases related with palpitation was drawn by research on clinical papers. The source books are "Zhujieshanghanlun" and "Jinkuiyaoluefanglun" and the clinical papers are searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). 13 clauses in "Shanghanlun" and 9 clauses in "Jinkuiyaolue" and 12 formulas are related with palpitation. Disease mechanisms of palpitation were classified as yang deficiency, yin deficiency, qi deficiency, blood deficiency, retained fluid, cold, etc and these days, qi stagnation, phlegm turbidity, blood stasis and fire heat are also considered as disease mechanisms. Modern diseases related with palpitation are arrhythmia(extrasystole, atrial fibrillation, bradycardia, tachycardia, sick sinus syndrome, atrioventricular block), vascular diseases(arterial occlusion, phlebothrombosis, Buerger's disease, coronary artery disease, vasculitis), blood pressure disorder(hypertension, hypotension) and heart diseases such as heart failure, angina pectoris, myocardial infarction, myocarditis, cardiomyopathy, pericardial effusion. And diseases related with psychological change(cardiac neurosis, anxiety neurosis, neurosis, depression, hyperthyroidism, hypothyroidism), pyrexia, anemia, drug intoxication, etc are also related with palpitation. Zhen Wu Tang showing an efficacy in dilating blood vessels and strengthening cardiac function, Wuling Powder with diuretic effect and Fried Glycyrrhizae Decoction acting on the ${\beta}$ receptor are applied to heart failure in different ways. Fried Glycyrrhizae Decoction(308 cases), Zhen Wu Tang(154), Wuling Powder(54), Xiao Chaihu Tang(34), Sini San(20) are reported to have been clinically applied to cardiovascular diseases and Zhen Wu Tang and Wuling Powder mainly applied to heart failure, Fried Glycyrrhizae Decoction, Lizhong Wan, Sini San and Zhen Wu Tang chiefly applied to arrhythmia related diseases. This study focuses on the general research and consideration on clinical applications and is a preliminary study to understand relations between Korean Medicine's symptoms and categories of modern diseases.

원발성 중추신경계 림프종으로 항암화학요법 후 발생한 자한, 심계정충을 호소하는 소음인 치험 1례 (A Case Report of Sweating and Palpitation due to Chemotherapy for Cancer in a Soeumin Patient with Primary Central Nervous System Lymphoma)

  • 이슬;이용재;이정윤
    • 사상체질의학회지
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    • 제31권2호
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    • pp.31-40
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    • 2019
  • Objectives The purpose of this case study was to report improvements of a Soeumin patient with sweating and palpitation after chemotherapy for primary central nervous system lymphoma by diagnosing and treating as Yang Depletion Symptomatology. Methods The Soeumin patient was administered Bojungikgi-tang and treated with acupuncture. Global assessment scale (GAS) was used to assess the improvements of symptoms. Results Sweating was improved to GAS 20 and palpitation was gone away after using Sasang constitutional medicine treatment. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for side effects caused by chemotherapy for cancer.

금궤요략${\cdot}$경계토뉵하혈흉만어혈병맥증병치 제십육(第十六)에 대(對)한 연구(硏究) (Study on the 'Diagnosis and Treatment of Terror and Palpitation due to Fright and the Several Hemorrhagic Diseases' in Synopsis of Golden Chamber)

  • 윤주헌;박금숙;권미자;임동국;정헌영
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.13-24
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    • 2008
  • This Chapter mentioned Terror and Palpitation due to Fright(驚悸) and Hemorrhagic disease(血證). Terror and Palpitation due to FrightAcctually Terror(驚) is different from Palpitation(悸). Terror(驚) is one of the seven emotions. But in this case, It refer to the Palpitation and the uneasiness of mind due to one's hearing a strange sound of seeing a strange. Tremulous Pulse can be appear. So Terror(驚) is caused by Exopathic Factors(外因) and belongs to Excess syndrome(實證). Palpitaion(悸) is the sensation of plamus, palpitation and unrest not because of being frightened. It is usurally caused by the deficiency of Ki(氣) and blood(血). So Deep, Thready and weak pulse can be appear. So Palpitaion(悸) is caused by Endopathic Factors and belongs to Deficiency Syndrome. In this Chapter, Terror and Palpitation due to Fright(驚悸) treat with the Kyeji-ke-jakyak-ka-chokchil-moryu-yongkol-kuyuk-tang(桂枝去芍藥加蜀漆牡蠣龍骨救逆湯) and Banha-mahwang-hwan(半夏麻黃丸). There are two type in Hemorrhagic disease(血證). One is bleeding(出血) and another is blood stasis(瘀血). The contents which relate with the Hemorrhagic disease(血證) are Hematemisis(吐血), Rhinorrhagia, Hemafecia(下血). In hemorrhage pathological mechanisms, there are two mechanisms. One is that Fire and Heat(火熱) pressure blood. Another is that cold and deficiency(虛寒) disable Ki(氣) from keeping blood flowing within vessels. Blood stasis(瘀血) can be called Extravasated Blood(惡血), Coagulated Blood, Blood retention(蓄血,積血), Dead Blood(死血) and Emaciation due to Blood disorder(乾血). It refer to a morbid state of unsmooth circulation and blood stagnancy often resulting from Ki(氣) stagnation, Ki(氣) deficiency and accumulation of pathogenic coldness. The symptom of Blood stasis are 'Fullness sensation in the chest, Lip Flaccidity, Cyonotic Tongue and Dryness of Mouth'. And the man who have Blood stasis, want to rinse his mouth with the water, but he can't drink the water because there isn't interior Heat of Excess Type. The symptom of Cyonotic Tongue(舌靑) had influence on diagnosing Blood stasis(瘀血) in offspring.

심계항진을 호소하는 소아에서 경식도 심전도 검사의 유용성 (Role of Transesophageal Pacing in Evaluation of Palpitation in Infants and Children)

  • 류수정;고재곤;김영휘;박인숙
    • Clinical and Experimental Pediatrics
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    • 제46권1호
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    • pp.51-55
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    • 2003
  • 목 적 : 심전도상 빈맥이 확인되지 않은 상태로 심계 항진을 호소하는 소아에서 빈맥의 유무를 확인하고 그 기전을 밝히는데 있어서 경식도 심전도 검사의 유용성을 검토해 보고자 하였다. 방 법 : 1997년 1월 1일부터 2001년 12월 31일까지 심계 항진을 호소하는 소아에서 심실 조기 흥분 증후군이 없고 심장이 정상이면서 경식도 심전도 검사 전까지 심전도상 빈맥이 기록되지 않았던 67명을 대상으로 경식도 심전도 기록을 후향적으로 다시 검토하여 경식도 심방 조율을 통해서 빈맥이 유발되는 정도와 유발된 경우에는 그 기전에 대하여 검토하였다. 결 과 : 심계항진을 호소하는 소아의 70.1%에서 경식도 심방조율을 통해서 빈맥을 유도할 수 있어서 빈맥이 심계항진의 원인임을 알 수 있었다. 빈맥은 대부분 빠른 심방 조율로 유도되었으며 21.3%에서는 isoproterenol을 사용한 후에 빈맥이 유발되었다. 6세 이상에서 보다 6세 미만의 소아에서 빈맥이 유도되는 경우가 유의하게 많았다(P<0.05). 빈맥이 유발된 경우에는 그 기전을 검토해 보았고 빈맥의 기전은 부전도로로 인한 방실 회귀성 빈맥이 53.2%, 방실결절 회귀성 빈맥은 34.0%이었고, 나머지는 특발성 좌심실 빈맥이 12.8%이었다. 이들 중 10명에서 전기 생리 검사가 시행되었는데 빈맥의 기전은 1명을 제외하고 경식도 심전도 검사와 그 기전이 일치하였다. 결 론 : 경식도 심전도 검사는 심계항진을 호소하는 소아에서 빈맥의 유무를 확인하고 그 기전을 밝혀 치료에 대한 방침을 정할 수 있는 침습적이지 않고 간편하고 유용한 검사이다.

인삼 복용 후 발생한 비출혈 및 심계항진을 주소로 한 소양인 환자 1례 (A Case Study of a Soyangin Patient with Palpitation and Epistaxis that Occurred after Taking Panax Ginseng)

  • 이선영;황민우
    • 사상체질의학회지
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    • 제25권4호
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    • pp.406-413
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    • 2013
  • Objectives The purpose of this case study was to report improvement of palpitation, epistaxis, nausea, and anorexia after treatment with Dojeokgangki-tang gamibang in a middle-aged woman who has been taking Panax Ginseng continually. Methods Upon beginning her Dojeokgangki-tang gamibang regimen the patient was asked to self-evaluate the degree of discomfort in her symptoms using a using a number scale from 0 (no symptoms) to 10 (most severe). Evaluation of palpitation and chest discomfort was made a high priority. Results The palpitation the patient experienced, and self-evaluated as an "8" on the number scale at the time of her admission to the hospital, had disappeared (become "0") by the fourth day of hospitalization. The numerous symptoms which accompanied her palpitations (chest discomfort, nausea, anorexia, general weakness, weight loss, and depression) also improved accordingly. Conclusions Health functional food can pose serious health risks such as sudden bleeding and palpitations in individuals with pre-existing health problems. One must exercise extreme caution in deciding to take such supplements. As seen in the case of the middle-aged woman, the quality of life of patients who had experienced adverse reactions to such supplements can be treated through the administration of Dojeokgangki-tang gamibang.

전중(膻中)(CV17)혈(穴)에 자락부항법(刺絡附缸法)을 시술(施術)한 경계(驚悸).정충환자(怔忡患者) 27례(例) 대한 증례보고(症例報告) (27 Case of Venesection with Negative Pressure Therapy(Buhang) Operated at CV17 (Danjuong) on Sudden palpitation : Case report)

  • 정연탁;임윤경
    • 혜화의학회지
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    • 제16권2호
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    • pp.199-210
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    • 2007
  • Objective & Methods : The case report is to observe 27 case of venesection with negative pressure therapy(buhang) operated at CV17 (Danjuong) on sudden palpitation. We carried out to analyze the distribution and Martin's evaluation and weighted scale by sex & age, patient conditional grade, accompanied symptoms, duration, number of treatments as well. Results : 1. Forties is significantly distributed on sudden palpitation. 2. Depression instance out of many accompanied symptoms is significantly distributed. 3. Mean of operant frequency is significantly resulted on 10 or 11 times. 4. The improvement on the weighted scale is over one grade. 5. Younger is high on the assessment of treatment on Martin's evaluation and weighted scale by age, while older is low. 6. Lesser one year and more three years is some significantly resulted on the assessment of treatment on Martin's evaluation and weighted scale by duration. 7. Pleurodynia, insomnia, distress in the stomach are effective more 90%, and depression, asthma are more 80% on the assessment of treatment on Martin's evaluation by accompanied symptoms, while asthma and pleurodynia are very significantly resulted on the assessment of treatment on weighted scale. 8. The assessment of treatment on Martin's evaluation and weighted scale have no connection with operant frequency. Conclusion : These results suggest that venesection with negative pressure therapy(buhang) operated at CV17 (Danjuong) has a therapeutic effect on on sudden palpitation.

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우울감(憂鬱感)을 동반한 갱년기 환자의 심계항진증상에 대한 영계감조탕(笭桂甘棗湯 )치험 3례 (The Clinical Study of 3 menopausal disorder patients with Palpitation and Depression Treated by Yeongkyekamjo-tang)

  • 박장호;이고은;유윤선;배달빛;백동기;신용진;강형원;류영수
    • 동의신경정신과학회지
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    • 제23권2호
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    • pp.67-84
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    • 2012
  • Objectives : The purpose of this study is to evaluate the effects of Yeongkyekamjo-tang on patients with menopausal disorder. Methods : We recruited 3 patients with menopausal disorder, who have been suffering from palpitation and depression. In addition, the patients had been administrated Yeongkyekamjo-tang. The patients of menopausal disorder had been estimated with Kupperman's index, Beck's Depression Inventory, The Menopause Quiz of Argosy University, visual analogue scale and Heart rate variability. We measured the Kupperman's index, Beck's Depression Inventory and The Menopause Quiz of Argosy University for every seven days. The heart rate variability was estimated twice, before and after the treatment. Results : After the treatments, symptoms of menopausal disorder were decreased. Conclusions : This study suggests that Yeongkyekamjo-tang is significantly effective on patients with menopausal disorder as well as palpitation and depression.

복모혈(腹募穴)의 탄력상태 측정에 의한 허실(虛實) 진단(診斷)의 객관화 연구 (The objectification study of excessiveness and deficiency diagnosis by measuring the elastic modulus state of Front Points)

  • 윤여충;장경선;나창수;소철호
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.81-96
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    • 1998
  • This study was done to find out the correlation between manual palpitation and mechanical measurement and the possibility to produce the data using chest and abdominal Front Point(募穴). Followings are the results from the present study. 1. The maximal pressure felt by the patient was 10kgf/$cm^2$. 2. The maximal deformation felt by the patient was in the range of 6cm. 3. The modulus (index obtained by the division of maximal pressure and maximal deformation) was highly correlated with manual palpitation. 4. It was useful to classify two front points in the abdomen and chest when modulus is concerned. 5. When the index of elastic modulus are big and small enough, it is said excessiveness and deficiency(虛實), respectively. Overall, this study was able to find the possibility to quantify the traditional state of excessiveness and deficiency in the form of objected data.

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