Case Report

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

2019 Vol. 11 No. 1
최운용1 이성준2*
경기 성남시 수정구 산성대로 207 성남한의원1
서울 강남구 압구정로46길 5-6 압구정정인한의원2*
Woon-yong Choi1, Sung-jun Lee2*
207, Sanseong-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Korea1
5-6, Apgujeong-ro 46-gil, Gangnam-gu, Seoul, Republic of Korea2*

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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