전환장애 환자에 開結舒經湯을 투여한 치험례 |
강세영1, 윤지원1, 김홍준2, 김우성2, 심국진3, 심하나3, 이상관1 |
1원광대학교 광주한방병원 심계내과학교실 2원광대학교 광주한방병원 비계내과학교실 3원광대학교 광주한방병원 신계내과학교실 |
A Case of Conversion Disorder Treated with Gaegyeolseogyeong-tang |
Sei Young Kang1, Ji Won Yoon1, Hong Joon Kim2, Woo Sung Kim2, Kuk Jin Sim3, Ha Na Shim3, Sang Kwan Lee1 |
1Dept. of Neuroscience and Internal Oriental medicine, Gwang-Ju Oriental Medical Hospital, College of Oriental Medicine, 2 3 |
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Received: July 5, 2004, Accepted: August 4, 2004, Published online: December 30, 2004. |
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ABSTRACT |
Conversion Disorder is a disorder whose predominant feature is a loss or alteration in physical functioning that suggests a physical disorder but that is actually a direct expression of a psychological conflict or need. The Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) guidelines for Conversion Disorder include these definitions: ·A psychosocial stressor produces a psychological conflict that is believed to help initiate or exacerbate the illness·The symptoms are not under conscious control, etc. While functional disabilities are common with conversion disorders, physical and laboratory abnormalities are absent or minor in comparison with the patient’s subjective complaints. Symptoms of Conversion Disorder are similar to those of stroke. But the mechanism of Conversion Disorder is similar as that of Stagnation Syndrome of Ki (氣鬱證) in Oriental medicine. Gaegyeolseogyeong-tang has been used to treat women who suffer from Conversion Disorder induced by the Stagnation Syndrome of Ki (氣鬱證). After application of the Gaegyeolseogyeong-tang for 7 days, symptoms and signs improved dramatically. |
Key words:
Conversion Disorder, Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV), Stagnation Syndrome of Ki (氣鬱證), Gaegyeolseogyeong-tang |
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