| 냉부하검사상 레이노드증후군으로 의심되는 환자에 대한 칠제향부환 투여 2례 |
| 이형철, 배은주, 유경환, 박성욱, 윤성우, 고창남 |
| 강남경희한방병원 내과학교실 |
| Two Cases of Suspected Raynaud's Syndrome Diagnosed by Cold Stress Test Treated with Chiljehyangbuhwan |
| Hyung-Chul Lee, Eun-Joo Bae, Kyoung-Hwan Rheu, Seong-Uk Park, Seong-Woo Yoon, Chang-Nam Ko |
| Department of Internal Medicine Kang-Nam KyungHee Oriental Medicine Hospital, College of Oriental Medicine KyungHee University, Seoul, Korea |
| Correspondence |
Hyung-Chul Lee ,Tel: 02-3457-9173, 9180, Fax: 02-3457-9160, Email: leehc92@orgio.net
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Received: July 2, 2004, Accepted: July 30, 2004, Published online: September 30, 2004. |
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| ABSTRACT |
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Diagnosis of Raynaud's phenomenon is primarily based on clinical symptoms. Cold stress test(CST) done by DITI(Digital Infrared Thermographic Image) can be helpful for objective diagnosis. The cold stress test was performed three times by DITI; the first after 15 minutes of rest, the second right after one minute of soaking in 20°… water, the third ten minutes after immersion. For a clear diagnosis, the temperature of the finger tips must be low, or the thermal difference between the metacarpophalangeal joints and the fingertips must be large. Also the evaluation of treatment depends on decrease of thermal gradient between the metacarpophalangeal joints and the finger tips after CST. In oriental medicine Raynaud's phenomenon can be categorized by coldness of the limbs or numbness. Numbness was diagnosed as depression of Ki and Chiljehyangbuhwan(Qizhixiangfuwan) was prescribed. Positive results were observed, not only in follow up CST, but also Visual Analogue Scale after treatment. |
| Key words:
Raynaud's phenomenon, Cold stress test(CST), Chiljehyangbuhwan (Qizhixiangfuwan) |
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