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Journal of Oriental Neuropsychiatry
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The Korean Society of Oriental Neuropsychiatry
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Volume 12, Issue 2 - Dec 2001
Volume 12, Issue 1 - Jun 2001
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A Review of the Traditional Concepts of Psychologic Therapy in Oriental Medicine-specially about Ii-Gyeung-Byun-Qi(移精變氣療法) Therapy-
Min Sang-Joon ; Kim Tae-Heon ; Kang Hyung-Won ; Lyu Yeoung-Su ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 3~10
Psychology and esters medicine are congenital therapeutic partners. they are closer in concept and practice to each other than either is to the principles of western science and medicine. Estern medicine, like most psychotherapies, is concerned with an individual's unique physical and emotional state. The aim of this study is to review Ii-Geug-Byun-Qi(移精變氣療法) therapy which is one of the psychotherapies in estern medicine. We studied few representative books which are about in estern medicine and also studied some clinical case reports on psychotherapies by estern medicine therapy, specially about Ii-Geug-Byun-Qi(移精變氣療法) therapy. Generally we understood Chukyoo(祝由) is the eldest psychological therapy which is based on Shamanism and controlled by Shaman as a doctor. and it is similar to simple psychoanalysis in western medicine. The psychologic therapy of Ii-Geug-Byun-Qi (移精變氣療法) is typical estem medicine psychologic therapy since the principle of estern medice had built like Hwang-Chi-Nei-Ching(黃帝內經). The meaning. of Ii-Geug-Byun-Qi(移精變氣療法) therapy is holistic psychologic therapy which are based on the harmony of mind and body. The practical method of Ii-Geug-Byun-Qi(移精變氣療法) are to refresh patient's emotional condition, like ventilaltion. The second healing method of Ii-Geug-Byun-Qi(移精變氣療法) is persuasion by dialogue. The third method is to clear patient's doubt by explainning of some qutestions. Therefore, the indication of Ii-Geug-Byun-Qi(移精變氣療法) therapy are psychosomatic disease or psychogenic problems. In conclusion, I suggest that the Ii-Geug-Byun-Qi(移精變氣療法) therapy could be powerfully adopt to prevent or treat lots of disease which is related with mind and body induced by stressor.
A review of the Traditional Concept of Psychologic Therapy in Oriental Medicine-specially about Oh-Ji-Sang-Seung(五志相勝療法) Therapy-
Jang Hyun-Ho ; Lyu Yeoung-Su ; Kang Hyung-Won ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 11~27
In oriental medicine, from old times, psychological therapy has been regarded as physical therapy that has been inseparable from psychological therapy. The major objects for oriental psychological therapy is human emotions. Human emotions can be put in the seven feelings(七精) that include Joy(善), Anger(怒), Grief(思), Pity(悲), Fear(恐), Surprise(驚). The seven feelings are connected with human physiology. If each of the seven feelings if excessive, human physiology loses its valance. So the seven feelings are major causes of diseases. The specific character of oriental neuropsychiatry is to make use of the seven feelings in clinical treatment. These oriental neuropsychiatry therapies are performed through consultation with the patient. Of these therapies, Oh-Ji-Sang-Seung(五志相勝療法) is based on the theo교 of interrelation in five elements(metal, wood, water, fire, and earth) in oriental medicine. Specially the sequential subjugations of the five emotions are applied. The contents of Oh-Ji-Sang-Seung(五志相勝療法) include five subjugations of five emotions. Anxiety subjugates fear(思勝恐), fear subjugates joy(恐勝喜), joy subjugates pity(喜勝悲), pity subjugates anger(悲勝怒) and anger subjugates anxiety(怒勝思). The psychological therapy of Oh-Ji-Sang-Seung(五志相勝療法) can be applied in all area of neuropsychiatry. These days, many mental diseases such as Panic Disorder, Depression Somatoform disorders, and negative symptoms of Schizophrenia have been improved by Oh-Ji-Sang-Seung(五志相勝療法) therapy. Here, we present the treatment cases applied Oh-Ji-Sang-Seung(五志相勝療法) therapy in oriental medicine quoted from old oriental books and the latest treatment cases. Moreover, we hope that many oriental therapist will treat many different patients with mental disorders by Oh-Ji-Sang-Seung(五志相勝療法) therapy.
A study of psychotherapy by means of oriental medicine though the Giungoroen(至言高論)-Focusing on Ancient clinical document
Gu Byong-Su ; Kim Geun-Woo ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 29~45
Objectives: In order to overcome psychotherapeutic problems though the theory of oriental medicine by means of the Giungoroen(至言高論-wise saying and lofty opinion). Methods: This research was done by comparing the contents of psychotherapeutic ancient clinical document with the western medical method of psychotherapy Results: 1. Inquire into the clinical document, the psychotherapy is used treatment of wide area disease inclusive of neuropsychiatric disease different from the western medicine. 2. Inquire into the method of psychotherapy, the supportive psychotherapy and behavior therapy is applied. 3. In case of psychotherapy and treatment of medicines is done at the same time, treatment of medicines followed psychotherapy. 4. A viewpoint of Yusic(唯識-vijnaptim-atra)-a field of Buddhism, possibility of psychotherapy is showed. 5. A doctor's oriental thought and oriental medical Preservation of Health view was based. 6. The change of patient's the emotion and will is focused than disease itself. Conclusion: When western medical method of psychotherapy is complemented by a oriental thought and oriental medical Preservation of Health view, the good effects is hoped in psychotherapy.
A Study on Kyungja-pyungji treatment, and Behavior and Cognitive therapy
Kwon Bo-Hyung ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 47~57
Followings are the results of comparative study between Kyungja-pyungji treatment, and Behavior and Cognitive therapy. 1. It is recognized that Kyungja-pyungji treatment include the factors of Behavior and Cognitive therapy. 2. Kyungja-pyungji treatment has methodological similarity to Flooding of Behavior therapy. 3. Kyungja-pyungji treatment is similar to the Didactic technique of Cognitive therapy.
Autogenic Training and Psychotherapy in Oriental Medicine
Whang Wei-Wan ; Kim Jong-Woo ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 59~65
In many aspects, autogenic training was similar to qigong, yoga and Zen applied in the psychotherapy of oriental medicine. And AT and oriental psychotherapy were much alike in methods in the view of composed of systematic training. If we wanted to get more available effects at AT, we needed to attach the qigong's concepts of control mind, posture, and respiration. Therefore, oriental psychotherapy like qigong and AT were useful methods for treat psychosomatic and stress-related disease.
Analysis of Zhangzihe's medical care in
Gong Dae-Jong ; Park Kyong-Su ; Gu Byung-Su ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 67~79
This investigation is to make clear the feature of Zhangzihe's medical care. This investigation had used individual or mixture theory of which is Oriental medicine or Western medicine. I have come to some conclusion from the analysis of medical cases in
. The conclusion is as followed: 1. Zhangzihe had recognized that the cause of disease's main factor is the internal fever from mental unrest. His such a thought is applied for all process of medical care. 2. He had emphasis on the environment of patients, social mood, individual grade and economic ability, personality and etc. 3. He had thought that the doctor should lead the patient in relationship between doctor and patient. He asked the patient for blind obelience to doctor without the patient's voluntary participation. 4. He had emphasis on the adaptation to medical circumstance.
Literatual Study on Pathology of Insomnia
Choi Jae-Hong ; Lee Dong-Won ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 81~95
Though, these days there are increasing many patient of insomnia, there was not considered literatual study on insomnia. So, the result of consideration about cause and process of insomnia from thirty kinds of literatures, are as follows. 1. Early literature like Huangjaenankyung(黃帝內經), Sanghanron(傷寒論) reffered to insomnia as accompanying symptom. on the other hand, Myung(明), Chung(淸)'s literatures reffered to that as chief symptom or distinguished chief symptom from accompanying symptom. 2. There were tendency of deductive expanding of various masters and tendency of induction of simple theory that was based on Huangjaenankyung(黃帝內經). 3. Huangjaenankyung(黃帝內經) showed basic process of the sleep disorder that 'exhausting of Yin and excess of Yang (陰盡陽盛)', protecting energy does not invade Yin portion(陽氣不入於陰). And Huangjaenankyung(黃帝內經) showed cause of insomnia that deficiency of vital energy and blood, imbalanced of spleen and stomach, a fever as a invasion in the outside, lung system's disease. This became a basic cause and process of the sleep disorder in ancient period. 4. Sanghanron(傷寒論) occurred to insomnia as accompanying symptom in progress, remedy of a fever invaded outside, Kumkyeyoriak showed as origination in weakness, fatique, various diseases. Out of that, there is a significance in description of insomnia from some disease like histery or neurosis. 5. Jaebyungwonhuron(諸病源候論), Chunkumbang(千金方), Kukbangseo(局方書.) occured to a fire of heart(心慤) and a deficiency of heart and gall bladder(心膽虛) in defails. Insomnia is caused by agony of seven emotion, delivering of a child, are similar to insomnia is caused by psychologic disorders. Injaesanghanyusu(仁劑傷寒類書) occured to exhausting of Yin and excess of Yang (陰盡陽盛), imbalanced of stomach(胃不和) invasion of coldness(傷寒) are brought a conclusion of assumption of sap(津液耗損) brought about unreturn of yin energy. 6. Manbyunghuechum(萬病回春) in Myung period (明代) made much of portion of phlegm's influence about spiritual function. Kyungakjunsu(景岳全書) valued much of treatment divided according to excess and deficiency. Junginmaekchi(證因脈治) occurred to concept of pyorihesil(表裏虛實), Dongyibokam(東醫寶鑑) synthesised various theories. 7. Hyuljungron(血證論), Byunjungkimun(辨證奇聞), Suksilbirok(石室秘錄) made much of surprisemeni(驚恐) Consideration(思慮), liver's dryness(肝燥) is caused by liver's weakness(肝虛), imbalance of haert -kidney(心腎不交), seven emotion(七情). Especially, ftyujungchijae(類證治載) said that heart, liver, gall-bladder, kidney, surprisment, consideration baought to a conclusion of inbalance of Yang and Yin (陽不交陰). There is a tendency in literature mostly that literature showed separation of insomnia as a chief symptom. 8. These days there are increasing many patient of insomnia. So, it is needed to study about insomnia as a psychologic disease. Saying in conclusion, it is needed that we have to recognize in modern style based on ancient style of cause and process of insomnia. It is regarded to study about insomnia definitely and experimently.
Effects of the Ansymondam-tang and Gamiondam-tang on the Regional Brain Monoamines Contents of Cold Swimming Stressed Mice
Kim Sung-Ho ; Hwang Seon-Mi ; Chung Dae-Kyoo ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 97~109
Objectives : This study aimed to evaluate the anti-stress effects of Ansymondam-tang and Gamiondam-tang on the contents of monoamines in the regional brain of mice forced cold swimming stress in
water. Methods : The experimental animals were forced cold swimming stress for 3 minutes, and administered of Ansymondam-tang(2.2mg/10g) and Gamiondam-tang(0.83mg/10g) extract for 7 days before stress. The monoamines contents were measured by HPLC method in various part(frontal cortex, hypothalamus, corpus striatum and hippocampus) of mice brain. Results: 1. In frontal cortex, the contents of norepinephrine were increased with statistical significantly in all of the administered group compared to control group. The contents of dopamine and serotonin were increased in Gamiondam-tang administered group has a statistical significance. 2. In hypothalamus, the contents of dopamine were increased with statistical significance in all of the administered group compared to control group. 3. In corpus striatum the contents of norepinephrine were decreased and the contents of dopamine were increased with statistical significance in all of the administered group compared to control group. The contents of serotonin were increased in Gamiondam-tang administered group has a statistical significance. 4. In hippocampus the contents of norepinephrine were decreased with statistical significance in Gamiondam-tang administered group compared to control group. The contents of dopamine were increased in Ansymondam-tang administered group has a statistical significance. Conclusion : This study reaches a conclusion that Ansymondam-tang and Gamiondam-tang has significant effects .on reducing and preventing stress in mice. Especially Gamiondam-tang is more effective in the statistical significance than Ansymondam-tang on the monoamines change in the mice brain.
Effects of the Guibi-tang and Yishingyojae-dan on the Regional Brain Monoamines Contents of Immobilization Stressed Mice
Jo Kwang-Hoon ; Kim Yeon-Seob ; Chung Dae-Kyoo ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 111~122
Objectives : This study aimed to evaluate the anti-stress effects of Guibi-tang and Yisiungyojae-dan on the contents of monoamines in the regional brain of mice immobilized stress. Methods : The experimental animals were immobilized in stress cylinder(height: 15cm, diameter: 3cm) for 15 minutes, and administered of Guibi-tang(6.0mg/10g) and Yishingyojae-dan(9.3mg/10g) water extracts for 7 days before stress. The monoamines contents were measured by HPLC method in various part(frontal cortex, hypothalamus, corpus striatum and hippocampus) of mice brain. Results: 1. In frontal cortex, the contents of norepinephrine were decreased with statistical significantly in Yishingyojae-dan administered group compared to control group. The contents of serotonin were decreased with statistical significance in all of the administered group compared to control group. 2. In hypothalamus, the contents of norepinephrine were decreased with statistical significantly in Yishingyojae-dan administered group compared to control group. The contents of serotonin were decreased with statistical significance in all of the administered group compared to control group. 3. In corpus striatum, the contents of dopamine were decreased with statistical significantly in Yishingyojae-dan administered group compared to control group. The contents of serotonin were decreased with statistical significance in all of the administered group compared to control group. 4. In hippocampus, the contents of serotonin decreased with statistical significantly in Yishingyojae-dan administered group compared to control group. Conclusions: This study shows that Guibitang and Yishingyojae-don are significantly effective on reducing and preventing stress in mice. In addition, Yishingyojae-dan is more clear effective than Guibi-tang on the monoamines change in the mice brain.
The effects of Quibitang on an Animal Model of Depression induced by Chronic Mild Stress
Kim Jong-Woo ; Whang Wei-Wan ; Kwak So-Young ; Kim Min-Jung ; Park Eun-Hye ; Lee Jeong-A ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 123~135
Objective: This study was designed to assess antidepressant effects of Quibitang on an Animal Model of Depression induced by Chronic Mild Stress. Method: The consumption of 1% sucrose solution and active avoidance learning test were used to evaluate antidepressant effect of Quibitang. The consumption of 1% sucrose solution was measured every week for 8 weeks, and active avoidance learning test was executed after 4 weeks treatment of saline or Quibitang. Result: 1. The consumption of 1% sucrose solution was significantly reversed in test group (Quibitang-treated group) at 5th, 7th, 8th weeks, but there was no significant change in control group. 2. Chronic Mild Stress was found to suppress the increase of body weight at 5th, 6th, 7th, 8th weeks. Treatment of Quibitang did not enhanced the body weigt, but it enhanced the consumption of sucrose solution. 3. In order to measure the learning ability of rat which drived to be depressed, we executed active avoidance test. The result revealed that depressed rat showed impaired acquisition than control group, and the treatment of Quibitang restored the learning activity. Conclusion: These results suggest that Quibitang may have antidepressant effects on depression induced by chronic mild stress.
Studies on Inhibitory Effect of inflammatory Cytokines Secretion from Brain Astrocytes by Sesim-Tang
Kim Tae-Heon ; Kim Jun-Han ; Lyu Yeoung-Su ; Kang Hyung-Won ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 137~149
Cytokines are polypeptides which possess various biological properties affecting. host defense function and response to disease. Inflammatory cytokines, tumor necrosis
), interleukin(IL)-1 and IL-6 induce inflammation, fever, hypotension and pain when injected into animals or human subject. When glial cell cultures were prepared from neonatal mice or rats, astrocytes were reported to produce these inflammatory cytokines to viral infection, lipopolysaccharide(LPS), or cytokines. The purpose of this study was to investigate the regulatory effect of these cytokines secretion from primary cultures of rat astrocytes. Substance P(SP) can stimulate secretion of TNF-
from astrocytes stimulated with LPS. Sesim-Tang significantly inhibited the TNF-
secretion by astrocytes stimulated with SP and LPS. IL-1 has been shown to elevate TNF-
secretion from LPS-stimulated astrocytes while having no effect on astrocytes in the absence of LPS. We therefore also investigated whether IL-1 mediated inhibition of TNF-
secretion from primary astrocytes by Sesim-Tang. Treatment of Sesim-Tang to astrocytes stimulated with both LPS and SP decreased IL-1 secretion significantly. The secretion of TNF-
by LPS and SP in astrocytes was progressively inhibited with increasing amount of IL-1 neutralizing antibody. Furthermore Sesim-Tang inhibited the IL-6 secretion by astrocytes stimulated with SP and LPS. The inhibitory effect of inflammatory cytokines by Sesim-Tang, observed in this study, might reflect an antiinflammatory activity and a reduction of various-type pains, fever etc. in the central nervous system.
Effects of Boyikcheungnoy-tang (BYCNT) on inhibition of impairment of learning and memory, and acetylcholinesterase in amnesia mice
Lee Sang-Ryong ; Koh Tae-Joon ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 151~167
Alzheimer's disease(AD) is a progressive neurodegenerative disease, which is pathologically characterized by neuritic plaques and neurofibrillary tangles associated with the acetylchohnesterase, apolipoprotein E and butylcholinesterase, and by mutations in the presenilin genes PS1 and PS2, and amyloid precursor proteins (APPs)'s overexpression. The present research is to examine the inhibition effect of BYCNT on PS-1, PS-2 and APPs's overexpression by detected to Western blotting. To verify the effects of BYCNT on cognitive deficits further, we tested it on the scopolamine(1mg/kg)-induced amnesia model of the mice using the Morris water maze tests, and there was ameliorative effects of memory impairment as a protection from scopolamine. BYCNT only partially blocked the increase in blood serum level of acetylcholinesterase and Uric acid induced by scopolamine, whereas blood glucose level was shown to attenuate the amnesia induced by scopolamine and inreased extracellular serum level compared with only scopolamine injection. In conclusion, studies of BYCNT that has been known as anti-choline and inhibition ablilities of APPs overexpression, this could also be used further as a important research data for a preventive and promising symptomatic treatment for Alzheimer's disease.
A Clinical Study of Insomnia in 33 Admission Cases
Choi Byung-Man ; Lee Sang-Ryong ; Kim Myung-Jin ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 169~182
The clinical study was carried out the 33 patients with insomnia who were treated in Daejeon University Oriental Hospital from 17 March 1997 to 12 May 2001. The results were summarized as follows. 1. The ratio of male and female was 10:23 and sleep initiation insomnia and sleep maintenance insomnia were the highest frequence(97%), the beginning of insomnia was frequent at 30s(27.3%). 2. Living accident by mental attack was the most inducing factor and many patients came to our hospital by way of west-neuropsychiatry(55.6%). 3. In admission period most of the patients were within 15 days(78.8%) and Liver-Qi- depression was the main cause and in classification of Four Human coporeal constitution the number of patients Sho-Eum-In(少陰人) was remarked mostly and in distribution of the prescription drugs of growing heart and warming gall bladder such as GUIBIONDAMTANG(歸脾溫膽湯) and ONDAMTANGGAMI (溫膽湯加味) were many, 4. Relatively most patients were well treated(69.7%) and insomnia was mainly caused by Anxiety Disorder and Depression and Hwabyoung and in the age distribution the highest frequence was 30s but we know insomnia appeared at all ages. 5. In distribution of the period of the clinical history was various and within 15 days were all improved and the treatments group of drug and acupuncture and aid treatments etc. and hypnotics was more improved than not used hypnotics treatments group but using hypnotics was temporal. I.
A case with Dissociative amnesia
Heo Seong ; Kim Geun-Woo ; Gu Byung-Su ; Shim Sang-Min ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 183~191
Dissociative amnesia is caused by psychologic disagreement except organic brain disorder, intoxication, severe fatigue and occurred by not recalling saved information. Recently we experienced a 19 year-old woman who had a sudden onset of dissociative amnesia and whose condition was improved through Oriental medical treatment. This case study illustrates what the manifestations of dissociative amnesia is and how dissociative amnesia symptomatology emerged.
A case of akinetic mutism is revealed during contraction of catatonic schizophrenia
Lee Dong-Won ; Kim Eun-Jung ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 193~200
This is a case report that dysautonomia and catatonia are accompanied by Akinetic Mutism in a 28 year old patient whose symptoms, seemed to catatonic schizophrenia. This study is aimed to assist about comprehension, diagnosis and treatment of dysautonomia and catatonia are accompanied by Akinetic Mutism, because this case is not common. This patient's chief complains that hyperhidrosis, muscular rigidity, akinesia etc are seemed to Neuroleptic Malignant Syndrome. Neuroleptic Malignant Syndrome is a side effect during taking antipsychotic that unknowned high, fever, stupor, muscular rigidity, akinesia, tachycardia, hyperhidrosis, salivation. We cannot rule out Neuroleptic Milignant Syndrome, but this case is seemed to catatonic schizophrenia. The symptoms of catatonic schizophrenia is that prodrome(relaxed concern, ataraxy, lacked concentration) is progressed and akinesia, mutism, ankylosis, stupor etc, are appeared. Oriental medicine, environment with more objective study and treatment are needed.
A Case of the Oculomotor Nerve Palsy
Kim Jong-Han ; Choe Jeong-Hwa ; Park Su-Yeon ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 201~207
Oculomotor nerve is the third cranial nerve, controlls four of the six extraocular muscles(superior rectus muscle, medial rectus muscle, inferior rectus muscle and inferior oblique muscle), levator palpebrae superioris muscle, cilliary muscle and muscle sphincter pupillae. In the oculomotor nerve palsy, limited oculogyration, diplopia, blepharoptosis, accomodation paralysis and mydriasis can be occured. We experienced an improved case of the oculomotor nerve palsy patient treated with oriental medicine for 25days. We used herbal medicine and acupuncture. Based on this experience, it is considered that oriental medicine can be applied to the treatment of the oculomotor nerve palsy.
A Clinical Study of Forty-five Patients with headache
Lee Seung-Gi ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 209~217
Objectives : The aims of this study were to investigate the factors of headache and to evaluate the effects of oriental medical therapy on headache. Methods : 45 patients were classified into several groups by oriental medical classification and also by IHS classification. they were treated with acupuncture therapy and herbal medicines. Results : The results were as follows 1. 55.6% of patients has etiologic factors. 2. Self-reports showed that 15 patients were introvertive and 4 patients were nervous. 3. Sleep disorders, digestive troubles, and dizziness were accompanied with some patients. 4. After the oriental medical therapy, 15 patients didn't feel an ache, 11 patients were improved a little, 8 patients didn't recovered, and 11 patients could not be known. Conclusions : In conclusion, the present results suggest that oriental medical therapy has effects on headaches.
The Case Study of Wallenberg's Syndrome The Oriental & Occidental Cooperative Therapeutic Model(1)
Jang Hyun-Ho ; Yang Hyun-Duk ; Min Yang-Ki ; Son Il-Hong ; Suk Seung-Han ; Min Sang-Joon ; Lyu Yeoung-Su ; Lee Geon-Mok ; Kang Hyung-Won ;
Journal of Oriental Neuropsychiatry, volume 12, issue 1, 2001, Pages 219~229
The brainstem include midbrain, pons & medulla. In acute stage of brainstem infarction, neurologic symptoms may be progressive. So we must pay special attention to Wallenberg's syndrome. In other words, Wallenberg's syndrome is dorsolateral medullary syndrome. A-54-years-old woman was admitted because of vertigo, ataxia & somatic sensory loss of left face and right half-body. Brain MRI showed high SI in T2W, low SI in T1W lesion left medullary infarction. We diagnosed the case as Shin-heo type Oriental medically and prescribed Gihwangemjakamibang. Diabetes mellitus was found out. So We have controlled diabetes mellitus by Occidental medical therapy. In the end, The symptoms of the patient became better. We know that cooperative(oriental & occidental) medical therapy is better than one medical therapy.Here we present one case of Wallenberg's syndrome who was admitted at Kunpo Wonkwang University Hospital Oriental Neuropsychiatry from 14th March to 6th April. 2001.