The Effect of Oriental Medical Treatments on the Patients with Delirium ; 4 Cases Report

섬망환자의 한방치료 증례보고 4례

  • Jung, Ji-Eun (Dept. of Oriental Rehabilitation Medicine, Dong-Seo Oriental Medicine Hospital) ;
  • Jung, Won-Hee (Dept. of Oriental Rehabilitation Medicine, Dong-Seo Oriental Medicine Hospital) ;
  • Seo, Sang-Kyoung (Dept. of Oriental Rehabilitation Medicine, Dong-Seo Oriental Medicine Hospital) ;
  • Kang, Jun-Hyuk (Dept. of Oriental Rehabilitation Medicine, Dong-Seo Oriental Medicine Hospital) ;
  • Han, Da-Nim (Dept. of Sasang Constitutional Medicine, Dong-Seo Oriental Medicine Hospital)
  • 정지은 (동서한방병원 한방재활의학과) ;
  • 정원희 (동서한방병원 한방재활의학과) ;
  • 서상경 (동서한방병원 한방재활의학과) ;
  • 강준혁 (동서한방병원 한방재활의학과) ;
  • 한다님 (동서한방병원 사상체질과)
  • Received : 2009.03.16
  • Accepted : 2009.04.06
  • Published : 2009.04.30
  • 42 0


Abstract

Objectives : The purpose of this study is to report the effect of oriental medical treatments on the patients with delirium. Methods : Four patients diagnosed with delirium by DSM-$IV^{TM}$ was treated Onbaek-won(Wenbai-yuan), Jugeo-hwan(Zhouju-wan) and herb medicine. The severity of delirium was assessed by using MMSE-K. And then, we investigated and analyzed the clinical symptoms of the patients. Results : After oriental medical treatments, the symptoms of delirium were disappeared and MMSE-K score was improved. Conclusions : It could be suggested that oriental medical treatments were effective on delirium. Further study of the effect of oriental medical treatments on delirium is needed in the near future.

References

  1. Bourgeois JA, Seaman JS, Sermis ME. Delirium, dementia, amnestic disorder. In: HalesRE, Yudofsky SC,editor.The text book of clinical psychiatry: American Psychiatric Publishing. 2003:259-308.
  2. 김윤진, 김종학, 김치효, 이춘희. 노인에서 경막외-전신마취 병용 후 섬망. 대한마취과학회지.1999;36:165-8.
  3. 전국한의과대학 사상의학교실. 四象醫學. 서울 :集文堂. 2005:548-50
  4. 홍남두, 장인규, 김남재, 주수만, 장태수. 생약복합제제의 약효연구(제40보). 생약학회지.1988;19(1):82.
  5. 김대준, 박미연, 김승모, 곽민아, 김종대, 최해윤. 煩躁證 患者의 中風以後 惡化된 煩躁證에 少陽人 凉膈散火湯을 통한 證例. 대한한방내과학회지. 2001;22(4):749-54.
  6. 東西韓方病院 學術部. 東西處方集. 서울:동서한방병원 출판부. 2007.
  7. Marsha lF,James CA. The meaning of cognitive impairment in the elderly. J Am Geria Soc.1985;33:228-35 https://doi.org/10.1111/j.1532-5415.1985.tb07109.x
  8. 羅天益. 衛生寶鑑. 서울:금강출판사 권14. 1981:214-5.
  9. 민재영, 국윤형, 오상덕, 임승만, 백은탄, 라수연. 中風에 동반된 煩躁證 患者의 少陽人地黃白虎湯으로 치료한 治驗 1例. 대한한방내과학회지. 2000;21(5):863-7
  10. Ely EW, Inouye SK, Bernard GR, Gordon S, Francis J, May L,Truman B, Speroff T, Gautam S, Margolin R, Hart RP, Dittus R. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit(CAM-ICU). JAMA. 2001;286(21):2703-10 https://doi.org/10.1001/jama.286.21.2703
  11. Lipowski ZJ. Transient cognitive disorder (Delirium, acute confusion states) in the elderly. Am J Psychiatry.1983;140:1426-36. https://doi.org/10.1176/ajp.140.11.1426
  12. 황성욱, 강성욱, 강영곤, 최승곤, 이진, 김문종, 이영진, 배철영. 노인 환자에서 섬망을 일으키는 위험인자. 가정의학회지. 2002;23(1):112-21
  13. 미국정신의학회. 정신장애의 진단 및 통계편람 제4판. 서울:하나의학사. 1995:172-84.
  14. 許浚. 東醫寶鑑. 서울:법인문화사. 1999:941,1295.
  15. 오중한, 김봉석, 임희용, 최빈혜, 김대준, 전연이, 조종관, 변준석. 大承氣湯 투여 후 便閉, 煩躁, 不眠 호전된 中風患者 治驗 1例. 대한한방내과학회지. 2004;25(2):307-13.
  16. Brown TM, Boyle MF. Delirium. British Medical J. 2002;325:644-7. https://doi.org/10.1136/bmj.325.7365.644
  17. 민성순, 장자원, 박상은, 김종득, 권정남, 김영균. 譫妄을 동반한 煩躁 患者의 淸鬱散 治驗 1례. 대한한방내과학회지. 2005;aut(1):171-9.
  18. 최선미, 최승훈, 안규석.傷寒論, 金匱要略에서 煩躁의 病理에 관한 文獻硏究. 대한동의병리학회지.1996;10(1):54-71.