DOI QR코드

DOI QR Code

A study on the Development of Traditional Korean Medicine Clinical Practice Guideline for Atopic Dermatitis

아토피피부염의 한의학 진료 지침 개발을 위한 사전 연구

  • Yun, Young-Hee (Department of Ophthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Kyunghee University) ;
  • Choi, In-Hwa (Department of Ophthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Kyunghee University)
  • 윤영희 (경희대학교 한의과대학 안이비인후피부과학교실) ;
  • 최인화 (경희대학교 한의과대학 안이비인후피부과학교실)
  • Received : 2012.04.13
  • Accepted : 2012.05.07
  • Published : 2012.05.25

Abstract

Background : The atopic dermatitis patient and their families are looking for safer herb-medicine treatments that possess therapeutic effects, but without the recurrence of symptoms and long-term harmful consequences that can result from other treatment. However, for many reasons, including methodological difficulties and lack of high quality study like randomized clinical study and systematic review, there are no consistent clinical guide line for atopic dermatitis in Traditional Korean Medicine. Objectives : Evidence-based clinical practice guidelines support clinical decision-making by making recommendations to guide clinical practice. The purpose of this study was to develop Traditional Korean Medicine clinical practice guideline for atopic dermatitis Result : The future guide should be based on scientific evidence and include the followings: (1) diagnosis of atopic dermatitis (2) the pattern identification of atopic dermatitis (3) classification of Sasang Constitution (4) efficacy assessment (5) treatment guideline (6) education for patients and care givers Conclusion : The development of Traditional Korean Medicine clinical practice guideline for atopic dermatitis is needed.

Keywords

References

  1. Kim SY, Ji SM, Lee SJ, Lee YJ, Park JE, Nam MH, Park JA. Guidance for development of clinical practice guidelines. National Evidence-based Healthcare Collaboration Agency. 2011.
  2. Lee JH, Kim EH, Cho JB, Kim HJ, Suh JM, Ahn KM, Cheong HK, Lee SI. Comparison of Prevalence and Risk Factors of Atopic Dermatitis by Physical Examination and Questionnaire Survey in Elementary School Children. Pediatr Allergy Respir Dis(Korea). 2011;21(3):186-96. https://doi.org/10.7581/pard.2011.21.3.186
  3. Park MC, Kim JM, Hong CH, Hwang CY. A literature study about the comparison of oriental occidental medicine on the atopic dermatitis. Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2002;15(1):226-52.
  4. Hanifin JM, Rajka G. Diagnostic features of atopic eczema. Acta Dermatol Venereol (Stockh). 1980;92:44-7.
  5. Park YL, Kim HD, Kim KH, Kim MN, Kim JW, Ro YS, Pa가 CW, Lee KH, Lee AY, Cho SH, Choi JH. Report from ADRG: A Study on the Diagnostic Criteria of Korean Atopic Dermatitis. Korean Journal of Dermatology. 2006;44(6):659-63.
  6. Korea Food and Drug Administration. Guidelines of clinical trials using herbs for atopic dermatitis. 2009.
  7. Choi KJ, Choi YS, Cha JH, Hwang MW, Lee SK, Ko BH, Song IB. A study on the Reliability and Validity test of the QSCC II+(Revised Questionnaire for the Sasang Constitution Classification). J of Sasang Constitutional Medicine. 2006;18(1):62-74.
  8. Consensus Report of the European Task Force on Atopic Dermatitis. Severity Scoring of Atopic Dermatitis : The SCORAD Index. Dermatology. 1993;186:23-31.
  9. Yun HJ , Yun JW, Yun S, Ko WS. A study on the severity scoring systes of atopic dermatitis; comparision, analysis and establishment. J Korean Oriental Med. 2002;23(4):15-26.
  10. Finlay AY. Quality of life in atopic dermatitis. J Am Acad Dermatol. 2001;45:S64-6. https://doi.org/10.1067/mjd.2001.117010
  11. Lewis-Jones S. Quality of life and childhood atopic dermatitis : the misery of living with childhood eczema. Int J Clin Pract. 2006;60:984-92. https://doi.org/10.1111/j.1742-1241.2006.01047.x
  12. Kim MH, Kim JH, Yun HJ , Ko WS. Quality of Life in Patients with Skin Disease. J Korean Oriental Med. 2005;26(3):43-54.
  13. Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19:210-6. https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
  14. Chren MM, Lasek RJ, Flocke SA, Zyzanski SJ. Improved discriminative and evaluative capability of a refined version of Skindex-29, a quality-of-life instrument for patients with skin diseases. Arch Dermatol. 1997;133:1433-40. https://doi.org/10.1001/archderm.1997.03890470111018
  15. Yun HJ , Ko WS. Clinical study of atopic dermatitis; the classification of oriental medicial clinical type and treatment. J Korean Oriental Med. 2001;22(2):10-21.
  16. Choi IH. Traditional Korean Medical treatment for atopic dermatitis. Refresher training of Traditional Korean Medical doctors of Seoul. 2011 April 11.
  17. Lundeberg T, Bondesson L, Thomas M. Effect of acupuncture on experimentally induced itch. Br J Dermatol. 1987;117(6):771-7. https://doi.org/10.1111/j.1365-2133.1987.tb07359.x
  18. Pfab F, Hammes M, Backer M, Huss-Marp J, Athanasiadis GI, Tolle TR, Behrendt H, Ring J, Darsow U. Preventive effect of acupuncture on histamine-induced itch: a blinded, randomized, placebo-controlled, crossover trial. J Allergy Clin Immunol. 2005;116(6):1386-8. https://doi.org/10.1016/j.jaci.2005.08.055
  19. Salameh F, Perla D, Solomon M, Gamus D, Barzilai A, Greenberger S, Trau H. The Effectiveness of Combined Chinese Herbal Medicine and Acupuncture in the Treatment of Atopic Dermatitis. The Journal of Alternative and Complementary Medicine. 2008;14(8):1043-8. https://doi.org/10.1089/acm.2008.0162
  20. Pfab F, Huss-Marp J, Gatti A, Fuqin J, Athanasiadis GI, Irnich D, Raap U, Schober W, Behrendt H, Ring J, Darsow U. Influence of acupuncture on type 1 hypersensitivity itch and the wheal and flare response in adults with atopic eczema. Allergy. 2010;65(7):903-10.
  21. Pfab F, Kirchner MT, Huss-Marp J, Schuster T, Schalock PC, Fuqin J, Athanasiadis GI, Behrendt H, Ring J, Darsow U, Napadow V. Acupuncture compared with oral antihistamine for type I hypersensitivity itch and skin response in adults with atopic dermatitis - a patient and examiner-blinded, randomized, placebocontrolled, crossover trial. Allergy. 2012;67(4):566-73. https://doi.org/10.1111/j.1398-9995.2012.02789.x
  22. Zhang W, Leonard T, Bath-Hextall FJ, Chambers C, Lee C, Humphreys R, Williams HC. Chinese herbal medicine for atopic dermatitis. Cochrane Database Syst Rev. 2010:CD008642.
  23. Hon KL, Leung TF, Wong Y, Lam WK, Guan DQ, Ma KC, Sung YT, Fok TF, Leung PC. A pentaherbs capsule as a treatment option for atopic dermatitis in children: an open-labeled case series. Am J Chin Med. 2004;32(6):941-50. https://doi.org/10.1142/S0192415X04002545
  24. Cheng HM, Chiang LC, Jan YM, Chen GW, Li TC. The Efficacy and Safety of a Chinese Herbal Product (Xiao-Feng-San) for the Treatment of Refractory Atopic Dermatitis: A Randomized, Double-Blind, Placebo-Controlled Trial. Int Arch Allergy Immunol. 2011;155(2):141-8. https://doi.org/10.1159/000318861
  25. IH Choi, SH Kim, YC Kim, Yun YH. A Clinical Study of Shi Ho Cheong Gan-San on blood heat pattern Atopic Dermatitis: a randomized, double-blind clinical trial. Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2011;24(1):96-110.
  26. Sackett D. Strauss S, Richardson W, Rosenberg W, Haynes R. Evidence based medicine: how to practice and teach EBM. London:Churchill Livingstone. 2004:71.
  27. Kim JW, Chung SY, Cho SH, Whang WW, Kim BK. Development of Clinical Practice Guideline for Hwabyung (1) -Purpose, Development Strategy and Procedure-. Journal of Oriental Neuropsychiatry. 2009;20(2):143-52.

Cited by

  1. Pattern of Treatment Choice for Atopic Dermatitis by Child's Parents vol.27, pp.1, 2014, https://doi.org/10.6114/jkood.2014.27.1.037
  2. 6 Cases of Atopic Dermatitis Female Adolescent Patients for Hospitalization Program vol.27, pp.4, 2015, https://doi.org/10.7730/JSCM.2015.27.4.404
  3. A Literature Review for Developing the Clinical Phenotype Evaluation System of Atopic Dermatitis vol.29, pp.1, 2016, https://doi.org/10.6114/jkood.2016.29.1.145
  4. Antipruritic Effect of Acupuncture in Patients with Atopic Dermatitis: Feasibility Study Protocol for a Randomised, Sham-Controlled Trial vol.2017, pp.1741-4288, 2017, https://doi.org/10.1155/2017/1926806
  5. 캠프 형식의 입원 치료를 받은 소아 아토피피부염 환자 6례 vol.28, pp.2, 2012, https://doi.org/10.7778/jpkm.2014.28.2.040
  6. 캠프 형식의 입원 치료를 받은 소아 아토피피부염 환자 6례 vol.28, pp.2, 2012, https://doi.org/10.7778/jpkm.2014.28.2.040
  7. 농촌지역 초등학생 12인의 아토피피부염에 대한 한의학적 임상치료 효과 - 간(肝)을 위주로 한 한의학적 아토피피부염 치료의 효용 - vol.27, pp.3, 2012, https://doi.org/10.14369/skmc.2014.27.3.141
  8. 농촌지역 초등학생 12인의 아토피피부염에 대한 한의학적 임상치료 효과 - 간(肝)을 위주로 한 한의학적 아토피피부염 치료의 효용 - vol.27, pp.3, 2012, https://doi.org/10.14369/skmc.2014.27.3.141
  9. 동아시아를 제외한 국가에서 보완대체의학 중재를 포함한 소아 대상 임상진료지침의 현황 보고 vol.34, pp.2, 2012, https://doi.org/10.7778/jpkm.2020.34.2.75
  10. 도인(桃仁)의 아토피 피부염 모델 피부조직 및 혈청 내 염증매개물질 조절 효과 vol.35, pp.4, 2020, https://doi.org/10.6116/kjh.2020.35.4.51.