Junkan, same as epilepsy of western medicine, has been reported on many oriental medical texts since Naegeong(內經). But It is very difficult for doctors to treat and manage Junkan(癲癎) patients because of the lack of literatural study and arrangement about the Junkan(癲癎). Therefor this study was performed in order to arrange the causes, classification, treatment methods and prognosis of Junkan(癲癎) and adapt to clinical therapy clearly. The results were summerised as follows. 1. The causes of Junkan(癲癎) were the heredity factor(胎病), Tamyeun(痰涎), heat(熱, 火), wind(風邪), seven emotion(七情), food poison(飮食傷) and so on. 2. Junkan(癲癎) was classified with five Jun(五癲) and five Kan(五癎) or Yun Kan(陰癎) and Yang Kan(陽癎) . 3. The methods of treatment, first of all, was vommitory treatment(吐法) in the case of Tam(痰) cause and next methods were relaxation(安神,寧神), sedation(平肝鎭驚), heat relief(淸熱降火), Tam remova(化痰) and so on according to the sympton. 4. The prognosis of Junkan(癲癎) was good in the case of intact shin(神不脫), Yang symptom(陽證), Bu disease(腑病) and Pyo disease(表病) and bad in the case of shin injury(神脫), Yum symptom(陰證), Jang disease(臟病) and Liu disease(裏病)
CVA(Cerebro-Vascular Accidant) and HLD(Herniated Lumbar Disc) induces psychiatric disorders as well as neural disorders. In oriental medical treatment and management of CVA patients(group A) and HLD patients(group B), these psychiatric disorders are as major and important as neural disorders. For investigating the rate and difference of psychiatric disorders between two groups, We examined them with SCL-90-R(Symptoms Check List-90-R), Beck Depression Inventory(BDI), State-trait Anxiety Inventory(STAI) among psychological test. then the results are as follows; 1. In group A, phobic Anxiety was most high, and somatization, psychoticism, depression, anxiety, hostility, interpersonal sensitivity, obsessive-compulsive and paranoid ideation were located by score. 2. In group B, somatization was most high, and phobic anxiety, hostility, depression, psychoticism, anxiety, obsessive-compulsive, interpersonal sensitivity and paranoid ideation were located by score 3. According to SCR-90-R test, group A were significantly increased compared to group B in phobic anxiety 4. According to STAI test, group A were significantly increased compared to group B in state anxiety and trait anxiety 5. According to BDI test, group A were significantly increased compared to group B in depression we might be suggested that CVA patients had more serious psychiatric disorders than HLD patients. therefore, CVA patients must be treated and managed more actively than HLD patients
Stroke induces neuro-psychiatric symptoms as well as neural disorders. In oriental medical treatment of stroke, these neuro-psychiatric symptoms and motor․sensory nerve disorders are major and important points of differentiation of syndromes and major therapeutic aim for stroke patients. For looking at changes of neuro-psychiatric symptoms in stroke patients, we devided stroke patients into two groups by time after attack; group in 4 weeks (Group A) after attack, group more than 5 weeks (Group B). We examined them with SCL-90-R(Symptoms Check List-90-R), one of neuro-psy -chiatric examination tools, then the results as follows; In group A, phobic Anxiety was most high, and phobia anxiety, anxiety, psychoticism, hostility, depression, obsessive-compulsive, paranoid ideation and interpersonal sensitivity were located by score. In group B, phobic anxiety was most high, and depression, somatization, anxiety, psychoticism, interpersonal sensitivity, obsessive-compulsive, hostility, paranoid ideation were located by score. We recognized that all indexes of Group B including global severity index(GSI), positive symptom total(PST) and positive symptom distress index(PSDI) were higher than those of Group A. We suggest that the aim of treatment about stroke patients be made by considering changes of neuro-psychological symptoms.