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NTIS 바로가기동의생리병리학회지 = Journal of physiology & pathology in Korean Medicine, v.31 no.2, 2017년, pp.83 - 93
나일두 (원광대학교 한의과대학 한방병리학교실) , 박미선 (원광대학교 한의과대학 한방병리학교실) , 김영목 (원광대학교 한의과대학 한방병리학교실)
This study covers pattern differentiation based on Korean medical references, research trend and modern clinical applications about Sleep-Wake disorders of Diagnostic and Statistical Manual of Mental Disorders(DSM-V) published by American Psychiatric Association. Insomnia disorder is mostly caused b...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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수면장애에 관한 최근 국내 논문에서 5회 이상 인용된 키워드는? | 수면장애에 관한 최근 국내 논문에서 5회 이상 인용된 키워드는 불면과 수면장애, 그리고 약물 치료, 우울증 그리고 노인, 한약이 순서대로 인용되었다. 이는 국내 수면연구의 방향이 고령화와 한약을 이용한 치료법이 같이 고려되고 있다는 것을 뜻한다5). | |
국내 수면-각성장애 연구가 다양하게 진행되는 이유는? | 규칙적인 수면주기는 건강한 삶을 위하여 필수적이다. 현재 수면-각성장애 환자는 꾸준히 증가하고 있으며 수면장애로 인한 심리적 그리고 신체적 기능장애도 광범위하게 나타나고 있어 국내 수면-각성장애 연구는 늘어나는 환자와 노령화에 맞추어 다양하게 진행되고 있다. 현재 국내의 연구는 치료법에 대한 연구1)와 노인2)이나청소년, 교대근무자를 대상으로 하는 일주기 리듬 수면장애에 대한 연구3), 특정질병에서의 수면이나 불면에 대한 연구4) 등 다양하게 진행되고 있다. | |
일반적인 불면장애의 주요병기는 陽不入陰 陰陽失調, 營衛失調, 臟腑失衝 등으로 볼 수 있는 이유는? | 또 『傷寒論』「辨太陽病脈證並治」, 「辨陽明病脈證並治」, 「辨少陰病脈證並治」에서 外 感에 대하여, 『金匱要略』「血痺虛勞病脈證並治第六」, 「痰飲咳嗽病脈證並治第十二」, 「水氣病脈證並治第十四」, 「胸痺心痛短氣病脈證治第九」 등에서 雜症의 원인에 대하여 다양하게 설명하였다. 그리고 이후 문헌에서는 心熱과 膽寒, 五臟의 魂魄과 수면과의 관계, 思慮過多脾虛, 肺氣不足, 火熾痰鬱, 氣血凝滯 등에 대한 설명을 추가하여 그 범위를 넓혔다. 『醫宗必讀』「卷之十 健忘 治法 不得臥」 에서는 원인을 氣虛, 陰虛, 痰滯, 水停, 胃不和 5가지로 분류하였고, 林珮琴는 『類證治裁』「卷之四 不寐論治」에서 思慮勞神氣鬱生涎, 胃不和, 水停心下, 心血不足, 肝虛受邪, 營衛俱虛, 膽火鬱熱, 腎陰久虧孤陽浮越, 心火焦煩, 驚恐傷神, 思慮傷脾, 膽虛, 心膽俱怯, 病後虛煩, 虛勞煩熱, 高年血衰, 多鬱-鬱結痰火, 痰涎沃心 心氣 不足 등 다양한 원인을 기술하기도 하였다. |
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