The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Tic Disorder Children Treated by Kuibiondam-tang Gami

귀비온담탕가미방(歸脾溫膽湯加味方)의 틱장애 환아 20례에 대한 치료효과

  • Kang, Kyung Ha (Department of Pediatrics, College of Oriental Medicine, Wonkwang University) ;
  • Park, Eun Jung (Department of Pediatrics, College of Oriental Medicine, Wonkwang University)
  • 강경하 (원광대학교 한의과대학 소아과학교실) ;
  • 박은정 (원광대학교 한의과대학 소아과학교실)
  • Received : 2014.10.31
  • Accepted : 2014.11.17
  • Published : 2014.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives The purpose of this study is to report 20 cases of tic disorder children who were treated by Kuibiondam-tang Gami. Methods We treated the tic disorder children with herbal medicine, Kuibiondam-tang Gami. Then we evaluated tic disorder by Yale Global Tic Severity Scale (YGTSS) and observed the progress of tic disorder. Results 20 children (male 17, female 3 / transient tic disorder 6, chronic motor or vocal tic disorder 13, Tourette's disorder 1) were studied, the average age of children was $8.45{\pm}2.08$ years, the average duration of illness was $16.55{\pm}13.63$ month and the mean of treatment was $13.20{\pm}9.29$ week. After the treatment, mean of YGTSS was reduced $36.35{\pm}9.84$ to $9.35{\pm}1.03$ and total effective rate was 95%. Conclusions Kuibiondam-tang Gami is effective for reducing tic symptom and improving general conditions in children.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4rd ed). Washington DC: American Psychiatric Association.
  2. Son JW. Etiology of tic disoder and Tourette's disorder. Chungbuk Med J. 2004;1(14):10-9.
  3. Sim M, Lee JH, Kim TH, Lyu YS, Kang HW. A study on oriental-medical understanding of tic disorders. J Orient Neuropsychiatry. 2007;18(2):119-46.
  4. Lee SH, Chang GT, Kim JH. A case of tic disorder. J Pediatr Korean Med. 2001;15(2):111-9.
  5. Jung HC, Sung WY, Lee SH, Son JH, Han SH. A clinical report of a patient with Tourett's disorder. J Oriental Neuropsychiatry. 2003;14(2):213-8.
  6. Yoon JY, Kim YH. A clinical study of tic disorder child with insomnia. J Pediatr Korean Med. 2004;18(2):251-61.
  7. Song HJ, Han JK, Kim YH. A case study on tic-disorder treated by oriental medicine and play therapy. J Pediatr Korean Med. 2006;20(2):115-28.
  8. Chun YH, Kim WI, Kim BK. Clinical analysis of 292 cases of tic disorder in oriental medicine clinic. J Orient Neuropsychiatry. 2009;20(1):119-46.
  9. Wei YM, Lee GE, Jung S, Park BY, Park BR, Lyu YS, Kang HW. The effect of herbal medicine and clinical, demographic characteristic for tic disorder children. J Orient Neuropsychiatry. 2012:23(4):69-94. https://doi.org/10.7231/jon.2012.23.4.069
  10. Kim MJ, Kim DG, Lee JY. Report of Sensitiv ImagoTM test results in tic disorder children. J Pediatr Korean Med. 2014;28(3):85-101.
  11. Shin JA, Kim LH, Jang IS, Kim JY. The treatment of tic disorder in traditional chinese medicine. J Pediatr Korean Med. 2003;17(1):141-55.
  12. Kang MS, Cho YH, Kim LH. Herbal medicine treatment of tic disorders in traditional chinese medicine : a review study. J Orient Neuropsychiatry. 2007;18(2):141-9.
  13. Kang MS, Kim LH. Acupuncture treatment of tic disorders in traditional chinese medicine. J Korean Acupunct Moxibustion Soc. 2008;25(2):179-87.
  14. Sim M, Lee JH, Kim TH, Lyu YS, Kang HW. A study on oriental-medical understanding of tic disorders. J Oriental Neuropsychiatry. 2007;18(2):119-46.
  15. Leukman JF, Riddle MA, Hardin MT. The yale global tic severity scale; initial testing of a clinician-rated scale of tic severity. J Am Acad child Psychiatry. 1984;23:556-73.
  16. Plessen, Kerstin J. Tic disorders and Tourette's syndrome. Eur Child Adolesc Psychiatry. 2013;22(1):55-60.
  17. Hong CE. Textbook of pediatrics, 9th ed. Seoul: Korea Textbook Publishing Co. 2007;60-1.
  18. Lim MH, Lee YL, Kim BN. Non-psychopharmacologic therapy of tic or Tourette's Disorder. J Korean Acad Child Adolesc Psychiatry. 2014;25(2):53-64. https://doi.org/10.5765/jkacap.2014.25.2.53
  19. Kim YY. The plevalence, psychopathology, temperament in korean population of school children and adolecent with tic disorders. SNU College of Medicine Dept Psychiatry. 2009.
  20. Cho SC. Psychiatric disorders in adolescence. J Korean Med Assoc. 2008;51(2):176-86. https://doi.org/10.5124/jkma.2008.51.2.176
  21. Jung YW, Park TW. Environmental risk factors in tic disorders. J Kor Acad Child Adolesc Psychiatry. 2010;21(3):133-40. https://doi.org/10.5765/JKACAP.2010.21.3.133
  22. Jung SJ, Jung HY, Hwang JM. The clinical features of three sub-diagnosed groups of tic disorders and factors related with illness severity. Korea J Child Adolesc Psychiatry. 2001;12(1):115-24.
  23. Verdellen C, van de Griendt J, Hartmann A, Murphy T: ESSTS Guidelines Group. European clinical guidelines for Tourette syndrome and other tic disorders, Part III: behavioural and psychosocial interventions. Eur Child Adolesc Psychiatry. 2011;20:197-207. https://doi.org/10.1007/s00787-011-0167-3
  24. Ma R, Hu SY, Tian T, Wei XW, Xiang XX, Ding Y, Wang XF, Chen YY. Xifeng zhidong tablet and the placebo control treatment of tic disorder children patients of internal disturbance of gan-wind with phlegm syndrome: a clinical study. Chin J Integr Tradit Western Med. 2014;34(4):426-30.
  25. Cha YJ, Kim JW, Whang WW, Kim HT, Kwak SY, Kim MJ. The effect of Guibiondamtang in an animal model of depression using chronic mild stress. J Orient Neuropsychiatry. 2001;12(2):53-68.
  26. Cho CH, Kim JW, Whang WW, Sung HJ, Kim HT, Kwak SY. An experimental study on the effects of Guibiondamtang on animal model of depression using chronic mild stress. Korean Soc Stress Med. 2000;8(1):9-16
  27. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ. Pediatrics of Korean Medicine. Yisungdang. 2010:518.
  28. Shin MK. Clinical traditional herbalogy. Seoul: Yeong Lim's publisher. 2002:625, 619, 618. 628, 326, 354, 604, 341, 654, 590, 585.
  29. Kang MS, Cho YH, Kim LH. Herbal medicine treatment of tic disorder in traditional chinese medicine: a review study. J Orient Neuropsychiatry. 2008;19(2):141-9.
  30. Lee IS, Han JK. Traditional chinese medicine in treatment of tic disorder. Dept Pediatr College Korean Med DaeJeon Univ. 2013;22(1):91-104.

Cited by

  1. 틱장애 침치료에 대한 체계적 문헌고찰 vol.31, pp.2, 2014, https://doi.org/10.7778/jpkm.2017.31.2.014
  2. 틱장애 침치료에 대한 체계적 문헌고찰 vol.31, pp.2, 2014, https://doi.org/10.7778/jpkm.2017.31.2.014
  3. 틱장애의 한방치료에 대한 국내 임상 연구 동향 vol.31, pp.4, 2014, https://doi.org/10.7778/jpkm.2017.31.4.009