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수면 장애 환자를 통한 『傷寒論』 陰陽易差後勞復病에 대한 고찰과 DSM-5 수면-각성 장애와의 연관성

Analyzing Eumyangyeokchahunobok-byung(陰陽易差後勞復病) based on cases report and its association with DSM-5 sleep-wake disorder

대한상한금궤의학회지 / The Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, (P)2287-8696; (E)2288-744X
2019, v.11 no.1, pp.153-167
최운용 (성남한의원)
이성준 (정인한의원)
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Abstract

Objective : To explore the meaning of Eumyangyeokchahunobok-byung (陰陽易差後勞復病) through two cases and finding the relationship with the DSM-5 sleep-wake disorder. Methods : Following a disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS), we analyzed cases with chronic fatigue and diplopia caused after sleep disorders. The patients were treated with the Soshiho-tang and Yijoong-tang. Results : The two herbal medicines showed remarkable improvement in the patients. The sleep disorders and the secondary pathologies were rapidly relieved within a month. Conclusions : The patterns of sleep disorders of the two patients were found to be very similar to the circadian rhythm sleep-wake disorders, as described in DSM-5. Although the etymology of the Chinese characters has not been clearly known yet, it was possible to present the original hypotheses on 更and 了due to clinical inference.

keywords
陰陽易差後勞復病, Sleep Disorders, Chronic Fatigue, Diplopia, Soshiho-tang, Yijoong-tang, Shanghanlun

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