학술논문
정신과의사 및 한의사들의 홧병에 대한 개념
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- 영문명
- The Concept of Hwabyung of Korean Psychiatrists and Herb Physicians
- 발행기관
- 대한신경정신의학회
- 저자명
- 민성길 소은희 변용육
- 간행물 정보
- 『신경정신의학』제28권 제1호, 146~154쪽, 전체 9쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1989.01.31
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국문 초록
영문 초록
The answers to 29-item questionnaire on so-called “hwabyung”, from 265 Korean psychiatrists
and 32 Korean herb physicians working as professors in Chinese medical schools, were analysed
and compared.
Psychiatrists reported that the incidence of hwabyung was 3 to 10 % in the general population
and was more frequently found in women, in middle and mid-late age groups, in low educational
and economic classes, and in rural areas. Most psychiatrists thought of hwabyung as being
a psychogenic disorder which was usually caused by familial problems, financial loss or poverty
and patient’ personality problems. Frequent familial problems include conflicts due to husbands*
misconducts, conflicts between housewieves and mother-in-laws and conflicts between
parents and children. From these etiological factors, discontent, frustration, mortification, anger
and resentment develop. However, the patients have to repetitively repress or suppress their
negative emotional reactions for a long period or undergo partial somatization before the symptom
develop. This results in incompletely suppressed anger and resentment and depressive
syndromes such as depressve moods, regret, pessimism and feeling of worthlessness.
Somatic symptoms are also characteristic. The most common and typical symptoms are something
pushing-up in chest, chest oppression, heat or hot feeling of body, epigastric mass and
palpitation.
According DSM-III criteria, many psychiatrists diagnosed hwabyung patients as having somatization
disorders, neurotic depression ( dysthymic disorder) and generalized anxiety disorders.
Most psychiatrists recommended interactive psychiatric treatment including psychotherapy,
drug therapy and family therapy and thought that hwabyung was a chronic disorder but that
the prognosis was good. Many psychiatrists were reluctant to accept the possibility that hwabyung
could be a clinical entity but accepted that it could be a culture-bound syndrome in Korea.
Most of the Korean herb physicians had opinions similar to those of psychiatrists in respect
to incidence in sex and age, psychogenecity, etiological background, symptoms and clinical
course. However, they thought the incidence of hwabyung was 20〜 50% in the general population
and that it occured more frequently in high educational and economic classes.
Many of the herb physician related hwa(fire), a unique concept in old Chinese medicine,
as the major etiological factors. Their diagnosis and recommendation for treatment varied
so greatly that it seemed their concept of hwabyung was not clearly established.
More herb physicians accepted that hwabyung could be a clinical entity but were reluctant
to accept that it could be a culture-bound syndrome in Korea.
목차
서 론
연구대상 및 방법
연 구 결 과
고 찰
결 론
References
키워드
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