[논문]아토피 피부염과 심리적 요인에 대한 동서의학적 고찰

노현민; 박승구; 조은희; 장현철; 김호경; 박히준; 이길희; 박민철

doi:10.15188/kjopp.2018.04.32.2.113

아토피 피부염과 심리적 요인에 대한 동서의학적 고찰
Study about the Comparison of Korean-Western Medicine on Atopic Dermatitis and Psychological Factors 원문보기

동의생리병리학회지 = Journal of physiology & pathology in Korean Medicine, v.32 no.2, 2018년, pp.113 - 125

노현민 (원광대학교 한의과대학 한방안이비인후피부과) , 박승구 (원광대학교 한의과대학 한방안이비인후피부과) , 조은희 (원광대학교 한의과대학 침구과) , 장현철 (한국한의학연구원 미병연구단) , 김호경 (한국한의학연구원 미병연구단) , 박히준 (경희대학교 침구경락융합연구센터) , 이길희 (동국대학교 한의과대학 한방안이비인후피부과) , 박민철 (원광대학교 한의과대학 한방안이비인후피부과)

Abstract ▼ AI-Helper

This study aimed to investigate the latest trends in the relationship between atopic dermatitis(AD) and psychological factors(PF) and to examine it in korean medicine. We searched MEDLINE for this analysis with the title "atopic dermatitis" AND ("psychology" OR "psychological" OR "mental" OR "emotion" OR "anxiety" OR "depression") in recent 5 years and searched OASIS on the title "atopy" OR "psychology" OR "emotion" from 2002 to 2017. We selected 23 papers on MEDLINE, 7 papers on OASIS. In western medicine, Stress causes changes in the adrenal nerves, endocrine, and immunological mechanisms and exacerbates dermatitis, which is explained by HPA axis and sympathetic nerve axis, neurogenic inflammation, and cholinergic signals. In Korean medicine, Stress(神) exacerbates AD by affecting the five organs, especially the heart(心), causing inflammation(火熱). We studied the link between AD and PF in Western and Korean medicine. More research is needed in the future.

주제어

질의응답

핵심어	질문	논문에서 추출한 답변
	AD란 무엇인가?	AD(atopic dermatitis, 아토피 피부염)는 지속적인 악화와 재발을 반복하며 소양감과 습진성 피부 병변을 특징으로 하는 만성염증성 피부 질환이다. 흔히 어린이와 청소년기에 발생하며, 그 중 3분의 1은 성인기까지 AD로 고통받고 있다1).
	한의학적으로 AD의 원인은 무엇이며 어떻게 치료하는가?	AD는 한의학적으로는 奶癬, 胎熱, 胎癬, 濕疹, 濕瘡, 浸淫瘡, 四彎風 등에 해당하며, 胎中遺熱, 先天稟賦不耐하여 선천적으로 습열내온(濕熱內醞)한 상태에서 피부를 통한 풍습열사(風濕熱邪)의 침범으로 인해 발생한다. 따라서 원인을 風熱, 血熱, 濕熱溫燥, 脾胃濕熱, 血虛風燥 등으로 보고 淸熱利濕, 祛風止癢, 滋陰養血하여 치료한다4). 생명현상은 ‘氣’의 반응이며, 인체의 정상생리대사에 영향을 미치는 자극인자인 氣의 변화에 의해 질병이 발생한다.
	AD의 세계적인 유병률은 어떻게 되는가?	흔히 어린이와 청소년기에 발생하며, 그 중 3분의 1은 성인기까지 AD로 고통받고 있다1). AD의 세계적인 유병률은 10~20%이며 최근 30년간 현저하게 증가하고 있다. 한국에서의 AD 유병률은 6세 미만의 소아는 약 10%, 성인은 약 3%로 추정된다.

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