Need for Development of Oriental Medicine-derived Systemic Treatments against Chronic Fatigue-associated Symptoms

Transcription

1 30 4 ( ) J Korean Oriental Med 2009;30(4):28-36 Original Article 조정효 손창규 대전대학교한의과대학간장면역학교실 Need for Development of Oriental Medicine-derived Systemic Treatments against Chronic Fatigue-associated Symptoms Jung-Hyo Cho Chang-Gue Son Internal Department of Oriental Medicine College Daejeon University Objectives: Fatigue is a prevalent symptom encompassing both acute and chronic manifestations Most fatigue symptoms can be cured by taking a rest or removing underlying causes However chronic fatigue is frequently problematic due to its duration and effect on quality of life There are no particularly effective therapies for chronic fatigue of unknown causes and patients in Korea usually visit an Oriental clinic This study aimed to analyze the current status of treatments and patients with chronic fatigue and then map out of a strategy for development of generalized-treatments for chronic fatigue in Oriental Medicine Methods: Clinical information related to chronic fatigue was selected from various different databases such as PubMed KoreaMed KStudy DBPIA OIM and KOMS Also to understand current tendency of medical examination and treatment related with chronic fatigue we requested Health Insurance Review & Assessment Service for clinical datum from 2003 to 2007 Results: The medical fees of National Health Insurance related with fatigue show an explosive year-on-year increase On the other hand it has been decreasing annually in the western medical fields To take charge of clinical fields related with chronic fatigue by Oriental Medicine we should make a unified diagnostic system Then we should also make standard evaluation tools and develop herbal drugs according to this unified diagnostic system Conclusions: Fatigue-related symptoms will be a main target of Oriental medicine in the future We expect that various studies related with chronic fatigue will be undertaken hereafter Key Words : Chronic fatigue Oriental medicine herbal drug 서론 (chief complaint) 6 45) 275% 1-3) 10-40% 6 Received:16 January 2009 Revised:6 May 2009 Accepted:19 May 2009 Correspondence to: 손창규 (Chang-Gue Son) ( ) 대전시중구대흥동 22-5 번지대전대학교부속한방병원간장면역학교실 Tel: Fax: ckson@djuackr 28

2 1 : (485) 6) 7) (peripheral fatigue) (central fatigue) 2 자료수집방법 Pubmed ( nihgov/sites/entrez?db=pubmed) Koreamed (http: //koreamedorg) ( kstudycom) DBPIA ( 89) ) 1112) R53 G933 B104 ( - ) B105 ( - ) B4301 ( - ) B4302 ( - ) C222 ( - ) E02315 ( - ) E03109 ( - ) E15 ( - ) E1615A ( - ) E17701 ( - ) E22307 ( - ) F42 ( - ) I163 ( - ) I16301 ( - ) L29 ( - ) 본론및고찰 1 피로에대한동서의학적병태에대한개괄 연구방법 1 연구설계 1314) 29

3 (486) 30 4 ( ) 7) ) ) ( (idiopathic chronic fatigue) pituitary-adrenal axis (chronic fatigue syndrome) 16) hypothalamic ) 2324) (sexual abuse) 2021) (Fig 1) adrenal axis hypothalamic-pituitary- 22) 2 한국에서만성피로의유병율분석 급성피로 지연피로 만성피로 원인이있는피로 원인불명의피로 정신적원인피로 만성피로증후군 육체적원인피로 특발성만성피로 Fig 1 30

4 1 : (487) Table 1 Prevalence (%) Study Prolonged fatigue Chronic fatigue Chronic fatigue syndrome Included subjects 오미경등 30) 검진자중질환자는제외 (510명) 김영복등 31) 1996 남자 : 207 여자 : 근로자대상의통계 (10927 명 ) 지종대등 32) 차의료기관건강검진자 (416명) 윤방부등 33) 차의료기관방문객 (12152 명 ) 김철환등 34) 차의료기관방문객 (988명) 김철환등 35) 차의료기관방문객 (1648명) 10-25% 5-15% 05-25% 25-28) 20% 80% ( vs 3 : 4) 35) 042% % 42% 29) ) 30-35) (Table 1) % 84% 06% 3637) 3 피로환자들의한ㆍ양방적진료경향분석 ( 건 (1000) 양방 피로관련건강보험청구건수 한방 Fig 2 31

5 (488) 30 4 ( ) 원 ( 억 ) 양방 피로관련건강보험청구건수 한방 Fig 3 ) R53 ( ) G933 ( ) B104 ( - ) B4302 ( - ) 14 4 만성피로에대한한의학의적극적연구필요성 (Fig 2 3) ) ) 38-41) 32

6 1 : (489) 12) 30) 162% (diagnostic criteria) 5 만성피로에대한한방치료법의체계화및 활성화를위한제안 3 162% ) 33

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