• Title/Summary/Keyword: 医案

Search Result 114, Processing Time 0.029 seconds

A Study on the Educational Utilization of Eui'an (醫案) - the Possibility of Combination between PBL (Problem Based Learning) and Eui'an - (의안(醫案)의 교육적 활용 방안에 대한 고찰 - PBL(Problem Based Learning)과의 접목 가능성을 중심으로 -)

  • Ku, Minseok;Cha, Wung-Seok;Kim, Namil
    • The Journal of Korean Medical History
    • /
    • v.31 no.2
    • /
    • pp.83-90
    • /
    • 2018
  • This study tries to review the possibility of combination between PBL (Problem Based Learning) and Eui'an (醫案). Recently in the field of Korean Medicine, people have been raising issues related to education of Korean Medicine. The point of issue is 'competence centered education of Korean Medicine' which has set the goal of education of Korean Medicine. To achieve the goal, PBL is considered as a very useful tool. But it is considered that there are limitations to direct application of PBL to Korean Medicine. This study aims to lay out the specific reason for the limitations and to search for solutions to overcome the limitations when applying PBL to Korean Medicine. This study suggests that the combination between PBL and Eui'an might be a sound solution to the aforementioned problem.

Investigation of the case on the pulse diagnosis of Dongueibogam and proposal of Inch-Bar-Cubit assignment for organ positioning in pulse diagnosis (『동의보감』 맥진 의안 고찰 및 맥진 장부 정위(定位)에 대한 부중침(浮中沈) 배속법 제안)

  • Lim, Seungil;Park, Hunpyeong;Na, Changsu
    • The Journal of the Society of Korean Medicine Diagnostics
    • /
    • v.25 no.1
    • /
    • pp.1-71
    • /
    • 2021
  • Objectives In order to reinterpret the meaning of Inch-Bar-Cubit used by pulse diagnosis, this study investigates floating pulses of lung and heart in the Inch area, middle pulse of spleen and livers in the Bar area, and deep pulse of kidney and life gate in the Cubit area. However, some suggested that the meaning of Inch-Bar-Cubit should be interpreted in the same way as floating-middle-deep. Methods In this study, the contents of Inch-Bar-Cubit assignment of pulse diagnosis proposed by Dongeuibogam and Medical Scientist were investigated along with the existing investigation of pulse diagnosis, and their interpretation was investigated. Result and conclusion The assignment of books in Pulse diagnosis can be applied by replacing them with floating-middle-deep instead of Inch-Bar-Cubit.

  • PDF

Study on the ${\ulcorner}$Medical Recoreds as a Guide to Diagnosis${\lrcorner}$ ("임증지남의안(臨證指南醫案)"에 관한 연구)

  • Shin, Soon-Shik;Hong, Won-Sik
    • Korean Journal of Oriental Medicine
    • /
    • v.1 no.1
    • /
    • pp.47-68
    • /
    • 1995
  • A proper understanding of 'diagnosis and treatment based on overall analysis of symptoms and signs' can result in efficient clinical effect. Studies on the ${\lceil}$Medical Recoreds as a Guide to Diagnosis${\rfloor}$ can be expected to achieve a part of this purpose. In this study, the period, author, xylographica, contents and influence of next generation of ${\lceil}$Medical Records as a Guide to Diagnosis${\rfloor}$were investigated. Tian shi and his 12 followers completed thsis Medical recoreds with clinical experiences and data obtained throughout their lives. These books were first published in 1764. Since then these books have been published twenty times based on the first edition. These books are comprised of 10 volumes, from ${\lceil}$volume 1${\rfloor}$to ${\lceil}$volum 8${\rfloor}$are internal medicine, ${\lceil}$volum 9${\rfloor}$ is gynecology, ${\lceil}$volum 10${\rfloor}$ is pediatrics. The contents are as follows; 'method of regluating astenia-syndrome' , 'diagnosis and treatment based on overall analysis of symptoms and signs on eight extra meridians', 'theory of Yang forms endogenous wind-syndrome', 'theory of spleen-energy rise up and stomach-energy descend', 'theory of stmach-Yeum', 'diagnosis and treatment based on overall analysis of symptoms and signs on collaterals'. Tian shi completed his work by compling the previous medical theories and through clinical studies. It is expected that his theories are effectively applied to improve clinical medicine.

  • PDF

Study of Gyeongbosinpyeon, a Late Joseon Medical Records (조선 후기 의안(醫案) 『경보신편(輕寶新編)』 연구)

  • Jeon, Jongwook
    • Journal of Korean Medical classics
    • /
    • v.30 no.1
    • /
    • pp.185-209
    • /
    • 2017
  • Objectives : The objective of this paper is to review the healing processes employed in the traditional age and discover the unique features found in the Korean Medicine through categorizing and analyzing the distribution of patients, and the aspects and results of treatments as recorded in Gyeongbosinpyeon, a historical text thought to have been authored by a regional doctor active in Joseon during the mid- to late-19th century. Methods : A table is created to view all of the total of 141 medical records introduced in the Gyeongbosinpyeon, and 7 categories were created to each contain 2 to 3 medical records that have special images. The paper provides their translation texts along with the original texts, and analyzed their medical and social significances by comparing each medical record. Results : The clinical competence displayed by the doctor who had worked in Joseon during the 19th century was surprisingly high, and it seems its values are worthy of dissemination when compared with Yeogsimanpil that has been introduced to the world. There is a great significance in how the principle of holistic treatments, the fundamental aspect of Joseon's medical study, was adhered. Additionally, the parts that show the historical text's author's medical activities and their unique characteristics are also worthy of attention. Conclusions : Korean medicine possesses a remarkable text called Donguibogam, but clinical behaviors' successes are not guaranteed solely with textual knowledge. It can be witnessed that such texts of authority and such medical records that have recorded actual activities complement each other in order to improve the quality of Joseon's study of medicine.

A Study on the Pulse Diagnosis of the Medical Charts of Youksimanpil (의안(醫案) 『역시만필(歷試漫筆)』의 맥진(脈診) 실행(實行)에 대한 연구)

  • Jeon, Jongwook
    • Journal of Korean Medical classics
    • /
    • v.30 no.2
    • /
    • pp.59-81
    • /
    • 2017
  • Objectives : This paper studies the pulse diagnosis as found in Youksimanpil, which is a series of medical charts containing 150 diagnosis records of Yi Suki, a doctor who was active in Joseon during the 17-18th centuries. Through this effort, the paper aims to shed light on how pulse was utilized in the Korean medicine, and in process tries to reveal the essence of Korean medicine's treatment method. Methods : 60 charts where pulse method was used are selected in Youksimanpil and a table is created with them. Figures are drawn to explain four steps of pulse-sensing from the simple method to highly advanced method. Charts are presented with the corresponding original texts and their translations. With these efforts, the paper attempts to reveal the broad understanding of the doctor of Joseon period who consistently kept to the most basic principle of pulse diagnosis. Results : The efficiency of pulse diagnosis depends on the unity and simplicity in diagnosis and prescription. There were continued efforts between the doctors in Joseon to collect and compare the experiences they gained from clinical practices in order to organize their findings and form a system. These are: (1) individual pulse, (2) patternized pulse, (3) balance between left and right pulses, (4) balance between pulse and body, and (5) the doctor's extemporaneous diagnosis. In that efforts, they protect the principle of holistic diagnosis, which is one of Korean medicine's core principles. Conclusions : Thanks to the existence of medical charts that presents in detail how the texts of Donguibogam were applied in real clinical practices, today we can see Korean medicine's highly advanced synergy between textual knowledge and clinical experiences as recorded in the form of charts.

Research for the Buddhist Thought of Ancient Medical Record -Focus on Medical Ethics and Psychotherapy- (고대(古代) 의안(醫案)에 나타난 불교사상 연구 -의료윤리와 정신치료를 중심으로-)

  • Kim, Geun-Woo;Park, Seo-Yeon
    • Journal of Oriental Neuropsychiatry
    • /
    • v.24 no.1
    • /
    • pp.109-122
    • /
    • 2013
  • Objectives : To research the needed Buddhistic ethical beliefs and psychotherapy from representative medical records of oriental medicine. Methods : The baseline data this research used is Myeong-Ui-Lyu-An, Sok-Myeong-Ui-Lyu-An, Ui-Bu-Jeol-Lok and from the variety of medical records; we extracted 22 medical records that refer to Buddhist thoughts. The sequence of medical records is determined by analyzing the contents of all medical records and grouping them by their categories. Results : The representative ethical mind that a doctor needs is the 'mercy thought' from Buddhism. This way, the doctor has 'pity' on patients and expects no reward for what he had done. 'Spells and religious beliefs developed into medical treatment procedures by Buddhism and oriental medicine psychotherapy. Using the belief that everything is made of the mind, which is the point of the 'Hwa-Eum' theory and the realization that the psychotic factors have a big role in the occurrence and progress of sicknesses, we emphasized supportive psychotherapy or more specifically, the suggestive therapy. 'Anguish' is an important point in the occurrence and progress of illnesses. To solve this, we used 'Zen family's 'Zen self-discipline' and ascetic life from Buddhism. According to Buddhism, a human's metal conflict and love or malingering from obsession is the cause of all mind illnesses. To heal these, a doctor must have an insight of the patient's mind more than the symptoms. Conclusions : Buddhistic thoughts suggested clearly the mentality necessary for oriental medical psychotherapist and medical ethics for a doctor.

The Impact of Network Structure on Legislative Performance in Cosponsorship Networks (공동발의 네트워크에서 국회의원의 네트워크 구조가 입법 성과에 미치는 영향)

  • Seo, Il-Jung
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.9
    • /
    • pp.433-440
    • /
    • 2018
  • I investigated whether network structure of legislators affects legislative performance in a cosponsorship network. I presented the theoretical basis with network closure and structural holes, and analyzed the network in the 19th National Assembly of Republic of Korea. In the directed and weighted network, each tie means that cosponsors support the bill sponsors proposed. The performance was measured by the number of initiatives and the ratio of reflected legislation, and the network structure was measured by size, density, hierarchy, and constraint. I found that the legislators with brokerage structure have a lot of initiatives in making connection with many legislators in various groups and the legislators with hierarchical structure have the higher ratio of reflected legislation with the continuous and strong support from the members of their group. I also found that the network of ruling party lawmaker is more hierarchical than the network of opposition lawmaker.

488 cases analysis of tongue characteristic from case record monographs of Warm disease in Qing Dynasty (488례청대온병의안적설상분석)

  • Li, Ya;Wang, Shenghua;Hou, Yangfang;Guan, Junda;Liang, Rong
    • Journal of Korean Medical classics
    • /
    • v.19 no.3
    • /
    • pp.427-431
    • /
    • 2006
  • From 51 monographs of case record in Qing Dynasty, we chose 29 monographs in which tongue diagnosis applied to Warm disease. Then extracted all the case records and got 488 cases from them. In according to the classification of tongue diagnosis in teaching material of TCM diagnosis of higher TCM schools education, we had a statistic analysis on the 488 cases. Results show that the recording rate of tongue coating was highest, 65.16%. From high to low sequentially, the frequency of different fur was yellow fur, white fur and black fur. During $1850{\sim}1911$ of Qing Dynasty, the description of tongue coating changed that the proportion of white fur, yellow fur and compound fur was increased. On the contrary, the proportion of black fur was decreased. The recording rate of the color of tongue was 23.16%, in which the rate of red tongue and crimson tongue were higher. The recording rate of fur character was 37.7%. During $1850{\sim}1911$ of Qing Dynasty, the recording rate of greasy fur was increased to the first. The application of tongue diagnosis involves the warm-heat species of Warm Disease, damp-heat species of Warm Disease and pestilence.

  • PDF

King Hyojong's diseases and death records - through the Daily Records of Royal Secretariat of Joseon Dynasty Seungjeongwonilgi(承政院日記) (승정원일기의 의안(醫案)을 통해 살펴본 효종의 질병과 사인)

  • Kang, Do-Hyun;Ko, Dae-Won;Gavart, Marie;Song, Jae-Min;Cha, Wung-Seok
    • Journal of Korean Medical classics
    • /
    • v.27 no.4
    • /
    • pp.55-72
    • /
    • 2014
  • Objectives : King Hyojong (1619-1659) was the 17th king of the Joseon Dynasty. He was on the throne from 1649 to 1659. The king was a center of state rule in ancient times. This meant that the physical and mental status of a king was very confidential information. In the royal court of Joseon Korea, the treatment process for the king had to be performed under the surveillance of close associates, and this whole process had to be recorded by the official secretary. This is the reason that I referred to the Daily Records of Royal Secretariat of Joseon Dynasty. Methods : Relevant articles were extracted from Daily Records of Royal Secretariat of Joseon Dynasty and analyzed according to the main arguments of this paper. Some other related sources were referred in terms of King Hyojong's ailments and treatments. Results & Conclusions : King Hyojong suffered from various diseases during his time on the throne. Fever was the most frequent ailment; he also often had diarrhea followed by poor appetite. I assume that he must have suffered from diabetes considering his ailments. Additionally, his final treatment records clearly show that his ailments were similar to diabetic complications.

A Study on the Yi'an (醫案) of Uirimchalyo (醫林撮要) (『의림촬요(醫林撮要)』의 의안(醫案)에 대한 연구)

  • Ku, Minseok;Kim, Minseon;Kim, Hong-Kyoon;Cha, Wung-Seok;Kim, Namil
    • The Journal of Korean Medical History
    • /
    • v.31 no.1
    • /
    • pp.89-103
    • /
    • 2018
  • Uirimchalyo (醫林撮要), one of the most important books in the history of Korean Medicine (KM), has not been researched within the framework provided by Yi'an (醫案), an East Asian tradition of describing clinical encounters with the therapies employed. In modern times, this practice of Yi'an might be similar to the outline of a singular "case study". The authors designed the study to analyze the basic information of Yi'an within the Uirimchalyo and to contribute to the foundations of employing Yi'an in Korean Medicine. A standard was established, and the 123 Yi'ans were extracted, most of which were taken from the chapter, Historic Doctors (歷代醫學姓氏). Using this information and in comparison with other medical books such as Euibangyoochui (醫方類聚), the authors learned that the Yi'ans from the Jinyuansidajia (金元四大家), including those of four eminent clinicians in Jin (金) and Yuan (元) Dynasty, are excluded from Uirimchalyo. The authors identified that Yi'ans from other medical books, are cited in the Uirimchalyo but with different format, not with the traditionally understood form of Yi'an. This study of the Uirimchalyo Yi'an resulted in three important understandings of Yi'an. First, the mere number of Uirimchalyo Yi'an is meaningful in that it raised the genre of Yi'an to the a level not previously recognized. Second, in the history of Korean Medicine, Yi'an is first systematized in the Uirimchalyo at the chapter of Historic Doctors. Third, Uirimchalyo raised the concept of usefulness of Yi'an, to the practice of Korean Medicine.