[논문]『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 갈근황연황금탕(葛根黃連黃芩湯) 투여 후 호전된 성인, 소아 ADHD 4례

윤효중; 김민환; 두인선; 이성준

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 갈근황연황금탕(葛根黃連黃芩湯) 투여 후 호전된 성인, 소아 ADHD 4례
Case Series Reporting 4 Cases of Attention Deficit Hyperactivity Disorder (ADHD) Treated with Galgeunhwangryeonhwanggeum-tang based on Disease Pattern Identification Diagnostic System by Shanghanlun 원문보기

대한상한금궤의학회지 = The Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, v.15 no.1, 2023년, pp.85 - 115

윤효중 (김한샘봄한의원) , 김민환 (알면한의원) , 두인선 (용산원한의원) , 이성준 (대한상한금궤의학회)

Abstract ▼ AI-Helper

Objectives : This study reports on the cases of four ADHD patients who treated with herbal medication based on Disease Pattern Identification Diagnostic System (DPIDS). Methods : Two children and two adults were diagnosed with ADHD according to DSM-V, and Galgeunhwangryeonhwanggeum-tang was administered. The parents of the two children completed the Korean ADHD Rating Scale (K-ARS) before and after treatment, while the other patients used the Korean ADHD Self Rating Scale (K-ASRS). The patients' somatic symptoms and other issues were evaluated through interviews. Results : In the first case, the K-ARS scale exhibited a change from 28 to 3. The patient demonstrated improvements in attention, concentration, and social behavior, along with the elimination of self-injurious behavior. In the second case, the K-ARS scale showed a change from 41 to 9. The patient in the third case demonstrated improved chronic fatigue, increased attention, work efficiency, and enhanced social skills, leading to maintaining employment for over six months for the first time in their life after the treatments. Additionally, the patient in the fourth case demonstrated improved work concentration and relief in nocturia. Conclusions : In this study, four patients exhibited improvements in symptoms of attention deficit, hyperactivity, and impulsivity before and after herbal treatment, leading to enhanced academic and social relationships. As the patients progressed in their health restoration, symptoms related to the genitourinary system also showed improvement.

주제어

표/그림 (11)

표 Table 1. Composition and Administration of Galgeunhwangryeonhwanggeum-tang (葛根黃連黃芩湯)
그림 Figure 1. Therapeutic intervention, Timeline, Disease status(K-ARS), Patient adherence, Outcome, Patient perspective follow the CARE guideline.
표 Table 2. K-ARS of the 1st case
그림 Figure 2. Therapeutic intervention, Timeline, Disease status(K-ARS), Patient adherence, Outcome, Patient perspective follow the CARE guideline.
표 Table 3. K-ARS of the 2nd case
그림 Figure 3. Therapeutic intervention, Timeline, Patient adherence, Outcome, Patient perspective follow the CARE guideline.
표 Table 4. K-ASRS of the 3rd case
그림 Figure 4. Therapeutic intervention, Timeline, Patient adherence, Outcome, Patient perspective follow the CARE guideline.
표 Table 5. K-ASRS of the 4th case
표 Table 6. The Main Diagnostic Points of the Cases in This Study
표 Table 1. Attention Deficit Hyperactivity Disorder in DSM-V

참고문헌 (14)

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상세보기
Kyoung JJ, Seo JC, Nam BW, Seo JS. The Diagnostic Rate and Drug Use Trend of Attention Deficit Hyperactivity Disorder Among Children and Adults in Korea Using the National Health Insurance Database. Journal of Korean Neuropsychiatric Association. 2021;60(4):320-328.？
Ryu CG, Cho AR, Seo JH, Jeong SS, Lee JS, Sung WY. The Current State of Clinical Studies for Herbal Medicine of Attention Deficit Hyperactivity Disorder (ADHD) -Focusing on Chinese Journals-. Journal of Oriental Neuropsychiatry. 2013;24(1):1-12.？
An YS, Song YJ, Kang UG. A Conceptual Review on ADHD and Adult ADHD (2): Psychopathology, Diagnostic and Therapeutic Implications of ADHD. Journal of Korean Neuropsychiatric Association. 2022;61(2):45-62.

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