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The Journal of Internal Korean Medicine > Volume 42(5); 2021 > Article
The Journal of Internal Korean Medicine 2021;42(5): 1001-1008.
doi: https://doi.org/10.22246/jikm.2021.42.5.1001

홍채로 진단한 교감항진 국소다한증 치험례
왕경석1, 채인철1, 박미소1, 손수아1, 박성일2, 유호룡1
1대전대학교 한의과대학 심계내과학교실
2박성일한의원
A Case Report of Hyperhidrosis with Sympathicotonia Detected by Iris Diagnosis
Kyeong-seok Wang1, In-cheol Chae1, Mi-so Park1, Su-a Son1, Seong-il Park2, Ho-ryong Yoo1
1Dept. of Cardiology and Neurology of Korean Medicine, College of Korean Medicine, Dae-Jeon University
2Park Seong-Il Korean Medicine Clinic
Correspondence  Ho-ryong Yoo ,Tel: +82-42-470-9131, Fax: hryoo@dju.kr, 
Received: September 17, 2021,   Accepted: November 4, 2021,   Published online: October 30, 2021.
ABSTRACT
Objective:
The aim of this case study was to describe a case of iris diagnosis of primary hyperhidrosis and the use of Korean medicine.

Methods:
A patient with symptoms of hyperhidrosis was diagnosed as having Taeeumin after assessment using the four basic Korean diagnostic methods. Iris diagnosis was used for further examination. The images obtained showed a remarkably defined collarette and increased nerve rings, which suggested an overactive sympathetic nerve system. Under the diagnosis of Taeeum, a Korean herbal medicine was prescribed with additional herbs to help alleviate the hyperactivity of the sympathetic nervous system.

Results:
The patient had been receiving treatment for hyperhidrosis for >30 years, with various medical attempts to relieve her symptoms, which were ineffective. She showed signs of improvement from day 4 into the treatment, and 80% of her symptoms were improved after completing a 6-week treatment course.

Conclusion:
The herbal medicine prescribed to the patient proved effective for reducing her chronic symptoms that had been unresponsive to previous medical treatments.
Key words: primary hyperhidrosis, Korean medicine, iridology, hyperactive sympathetic nervous system, Sasang constitution
ABSTRACT
목적: 국소다한증 환자의 홍채진단을 사용한 변증 및 한의 치료에 대한 연구 방법: 국소다한증을 호소하여 내원한 환자에게 한의학 기본 진단법인 사진법을 사용하여 태음인임을 진단하였다. 그리고 카메라를 사용하여 홍채를 촬영하였고, 얻어진 이미지에서 교감신경항진과 관련된 표지인 권축륜의 선명하고 굵은 모습과 다수의 신경긴장선이 존재하는 모습을 통해 교감신경이 항진되어 있음을 확인하였다. 태음인 체질방을 기본으로 교감신경 항진을 조절하는 약재를 가미한 한약처방을 1개월간 복용하도록 하였다. 결과: 다양한 치료에도 호전되지 않던 30년 가까이 된 수족 다한증이 한약치료를 통해 복약 4일차부터 감소하기 시작하여 6주 만에 치료 시작 전과 비교하여 80% 호전되었다. 결론: 만성적이고 다양한 치료에도 반응하지 않던 수족 다한증에 한약 치료가 효과적일 수 있음을 이번 연구를 통해 보고한다.
Key words: 국소다한증, 한의학, 홍채진단, 교감신경, 사상체질
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