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검색결과 111건 처리시간 0.031초

사암침법(舍巖鍼法)의 변형(變形)에 관(關)한 연구(硏究) (The Study on The variational Forms of Sa-Ahm's 5 Element Acupuncture Method)

  • 김달호;김중한
    • 한국한의학연구원논문집
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    • 제2권1호
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    • pp.337-380
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    • 1996
  • 'Nei Jing(內徑)' first defined the interrelationship of the true and tile false between evil factor affecting health(雅氣) and vital essence energy(精氣). According to 「'Nei Jing(內徑)', the above interrelationship is explained as 'If state of evil domination is considered as sthenia-syndrome(雅氣盛則實), if the consumption of healthy energy Is considered as asenia-syndrome(精氣尊則虛): 'Nei Jing(內徑)', proposed major features of the medicall treatment by 'regluate the vatal energy of asthenia and sthenia, treat the sthenia-syndrome by purgation, and treat the asenia-syndrome by therapy of invigoration(調其氣之虛實, 實則瀉之, 虛則補之): The above interrelationship was interpreted as 'treat the asthenia-syndrome of child organ by invigorating the mother organ(虛者補其母)'in the 69th of 'The Classic on Difficulty',(難經 六十九難). Go-Mu(高武) of Myung-dynasty describe therapy for invigoration and purgation of itself-meridian(自經 補瀉法), which locating acupuncture points according to the Therorr of Five Element in the five shu points of itself-meridian(自經 五유穴), based on the generation in the ${\ulcorner}$A Synthetical Book of Acupuncture and Moxibustion(針灸聚英)${\lrcorner}$, Sae-hyun Jang(張世賢) further extended location acupuncture points of the five shu points to the other-meridian in the ${\ulcorner}$Gyeo Jung Do Ju Nan Gyung(校正圖註難經)${\lrcorner}$ Sa-Ahm's 5 Element Acupuncture Method(舍嚴五行鍼法) was originated in 1644, the middle of the Yi-dynasty. It linked the reinforcing and reducing in acupuncture therapy which incorporated tlle asthenia-syndrome and sthenia-syndrome of the hollow organs, based on principle of the Yin Yang 5 Element Theory(陰陽五行學說), not only to the generation in the 5 element(相生關係) but also to the restriction in the 5 element(相剋關係). Furthermore it was devised for the medical treatment by comning therapy for invigoration and purgation of itself-meridian(自經 補瀉法) with that of the other-meridian. Even though many original forms(正形) of the therapy for invigoration and purgation of the Yin Yang 5 Element Theory comply with the principle of the generation and the restriction based on the principle of the Yin Yang 5 Element Theory are abailable, variational forms(變形) are also recognized by examining the nature of the Sa-Ahm's 5 Element Acupuncture Method(舍嚴五行鍼法), For this reason, it is very difficult to understand the Sa-Ahm's 5 Element Acupuncture Method(舍嚴五行鍼法) thoroughly. therefore, those variational forms are obstacles for the beginners to study the Sa-Ahm's 5 Element Acupuncture Method. In order to understand the principle of the practical clinical application of the Sa-Ahm's 5 Element Acupuncture Method, this study investigated which principle was based on the variations of the locating acupuncture points' method for the acupuncture prescription.

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주의력결핍과잉행동장애 치료 약물 Methylphenidate IR의 순응도 연구 (COMPLIANCE STUDY OF METHYLPHENIDATE IR IN THE TREATMENT OF ADHD)

  • 황준원;조수철;김붕년
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제15권2호
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    • pp.160-167
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    • 2004
  • 목 적:주의력결핍과잉행동장애(Attention Deficit Hyperactivity Disorder:ADHD) 치료를 위해 가장 흔하게 사용되는 속방형 메틸페니데이트(methylphenidate-immediate releasing form:MPH-IR)에 대한 약물 순응도 연구는 매우 제한적이었다. 이에 본 연구에서는 외래를 통한 평균 1년 기간의 약물치료 과정에서의 약물 순응도를 평가하고, 관련 요인을 분석하였다. 방 법:2002년 9월부터 2002년 12월까지 외래를 처음 방문하여, DSM-Ⅳ에 근거한 ADHD 진단을 받고 MPHIR로 약물치료를 시작한 환아들 중 선별기준에 합당하고, 배제기준에 해당되지 않는 환아를 무작위 선발을 하여 100명의 대상 환아를 모집하였다. 상기 환아들을 대상으로 2003년 3월부터 4월까지 약물순응도에 대한 설문조사를 실시하였고, 설문조사 후 6개월이 경과한 시점인 2003년 10월, 동일 100명의 환아에 대한 인구사회학적 정보, 발달력, 가족력, 공존장애, 약물치료력, 약물 반응, 약물순응도를 평가하였고, 심리학적 평가로서, 지능검사, 기초학습검사, 주의력장애진단 검사결과를 조사하였다. 이를 통해 평균 치료기간 1년 동안의 약물치료 순응도를 평가하였고, 순응도에 관련된 다양한 변인들을 조사하였다. 결 과:1) 평균 약물치료기간 6개월이 되는 시점인, 2003년 3월에 실시한 약물순응도 설문조사에서, 치료효과 만족도는 60%였고, 오전처방 순응율은 81%, 오후처방 순응율은 43%로 큰 차이를 보였다. 2) 평균 약물치료 기간 1년이 되는 시점인 2003년 10월의 조사에서는, 외래 약물치료를 지속적으로 받는 아동이 62%였고, 38%는 약물치료를 자의로 중단하였다. 3) 약물치료 탈락군(비순응군)과 지속적인 치료를 받고 있는 군(순응군) 사이에 임상적 특성을 비교하였을 때, 부모학력, 사회경제상태, 아동 나이 및 성별 등 인구사회학적 변인들에서 차이는 발견되지 않았고, 아동의 발달력, 출산 및 주산기 문제, 의학적 문제, ADHD 외 공존병리 등에서도 차이는 발견되지 않았다. 심리학적 변인에서는 지능에서 유의한 차이가 있었다. 순응군이 전체지능지수, 언어 및 동작성 지능 지수가 유의하게 높았고, 상식, 산수, 토막짜기 점수도 유의하게 높았다. 약물치료력에 있어서는 임상가가 평가한 약물 반응이 순응군에서 유의하게 높았고, 약물 용량도 순응군이 유의하게 높았으며, 오후 약물 순응율(2003년 3월 평가)도 유의하게 순응군이 높았다. 또한 주치의의 지휘에 따라서도 순응율에 차이를 보였다. 결 론:국내에서는 최초로, 외래 치료를 받고 있는 ADHD 아동에 대한 MPH-IR 순응도를 조사하였다. 평균 1년 치료기간동안의 순응도는 62%로 외국에서의 연구결과와 유사하였으며, 지능이 높을 때, 약물반응이 우수하고, 약물용량이 높으며, 오후약물에 대한 순응이 초기에 높을 때 약물 순응률이 보다 높았다. 결국 약물치료 효과에 대한 만족도가 순응률 결정에 가장 중요한 요인이라고 생각되며, 약물치료효과를 높이기 위한 다양한 전략을 사용하여, 약물 순응도를 향상 시킬 필요가 있다고 생각된다.

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신제형의 소아 약물 순응도 조사;기존의 제재와 비교하여 복용의 간편성, 맛의 개선도, 운반 및 저장의 편의성 포함 (The Survey on the Preferences for the New Child Dosage Forms of Oriental Herbal Medicine)

  • 서정민;윤혜진;김상찬;황순이;지선영;조동희;손지영;백정한
    • 대한한방소아과학회지
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    • 제21권3호
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    • pp.11-19
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    • 2007
  • Objective Medication is one the most important things in treatment for children, but prescribing traditional herbal medicine for them is very difficult. Therefore, we made 4 new forms of oriental herbal medicine that has a better taste, smell, and color. These new forms also have a texture that make medicine easier to chew. Methods We made up a question of 20 children visiting $\bigcirc\;\bigcirc$ university hospital. Results and Conclusions 1. Children preferred liquid or pill type of herbal medicine. 2. The preference sensory test of the traditional medicine and new form of medicine had not much difference. 3. On the test for preferences, it resulted as they liked the 4th form of new medicine which was with little bit more of sweet and sour taste, and the 3rdformwithnewcolors. 4. They hated traditional herbal medicine of the taste, smell, color, sensation of texture of material.

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구강편평태선 환자의 임상적 특징에 관한 연구 (A Study on the Clinical Characteristics in Oral Lichen Planus)

  • Yoon-Mi Lee;Myoung-Chan Kim;Jong-Youl Kim
    • Journal of Oral Medicine and Pain
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    • 제21권1호
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    • pp.141-152
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    • 1996
  • Oral Lichen Planus(OLP) is a idiopathic chronic inflammatory disease with more difficult to clear and higher recurrent rate than cutaneous lesions. But, there has been no estabilished theories about the proper treatment for OLP. The purpose of this study is to examine the clinical feature, relationship with systemic disease and dental treatment of OLP patients of Korea and to gain helpful information about clinical characteristics and treatment of OLP. The subjects chosen for the study were 54 patients who had visited Department of Oral Diagnosis & Oral Medicine at Yonsei University Dental Hospital Dental Hospital and diagnosed as OLP. Previous clinical records has been reviewed and questionnaires, oral examination, laboratory examination were done and recorded. The following results were obtained : 1. Of the 54 patients, 21 were men and 33 were women with an average age of 47.8 years. 2. The most common intraoral site was bilateral buccal mucosa, followed by unilateral buccal mucosa, gingiva, vesibule, lip mucosa, glossal mucosa, palatal mucosa and mouth floor. 3. The mixed, erosive and reticular form of OLP was most frequent(83.3%) clinical form. 4. OLP patients with liver disease were 5, and drug medication patients were 7. But, we could not find its evidence of association with OLP. 5. Associated events on onset of symptom were stress, denture wearing, dental treatemtn, and common cold. 6. Associated symptoms were dry mouth, tingling, sore throat, and altered taste perception. 30.8% of patients had no specific associated symptoms. 7. Aggravating factors of symptom were peppery food, hot food, fatigue, toothpaste, salty food, sour food, tension, and conversation. Reducing factors were cold food, sleeping. 69.2% of patients had no specific reducing factors. 8. There were no significant differences between normal papulation and OLP patients in CBC, SGOT< SGPT, Serum iron, Total iron binding capacity. 66.7% of subjects were positive response to fungus study for Candida Albicans. The incidence of stress and dental treatment on onset of symptom appeared high in OLP patients. Especially, high incidence of positive response to fungus study for Candida albicans, prescription of anti-fungal agents and dental treatment considerations may be helpful to treatment of OLP.

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장종정(張從政)의 중풍론(中風論)에 관한 고찰(考察) - 치법(治法)을 중심으로 - (Considerations of CVA in view of Changjongjung(張從政) (FOCUS ON TREATMENT))

  • 조규선;이동원;신길조;이원철
    • 대한한방내과학회지
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    • 제18권1호
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    • pp.255-269
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    • 1997
  • This study has been carried out to investigate the cause, pathological mechanism and treatment of CVA in Youmunsachin(儒門事親), written by Changjongjung(張從政) The results were follows : 1. The cause of CVA in Youmunsachin(儒門事親) was quotated from the theory of Naekyung(內經), Guel-eum-pung-mok(厥陰風木) and exogenous wind evil(外感風邪) on weakness of human body. 2. The pathological mechenism of CVA was that flows of Ki(氣) were obstructive, or executive heart(心) suppress lung(肺) and weakened lung(金) did not control liver(肝), executive liver brought to Gan-pung-nae-dong(肝風內動), and he thought that onset of CVA was frequent in 3nd, 4th, 9th. 10th, 12th lunar month. 3. In treatment of CVA, Han-to-ha-bub(汗吐不法, sweating vomiting passing stool method to remove evil) was used. His treatment was divided into ten sweating vomiting passing stool method by medication for internal use, one vomiting method by medication for external use and one sweating method by using acupuncture. 4. In treatment of CVA, when emergency time, vomiting and passing stool method were used, and then, method of Yangheulgeopung(養血祛風), Chungeulgeodam(淸熱去痰), Pyorissanghae(表裏雙解), Whalheultonglak(活血通絡) was used. 5. In the form of prescription, he used the form of Hwan, San(丸, 散), and he used toxic agent frequently.

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포스트모던 페미니즘과 '몸' 양식의 탈고정적 표현에 관한 연구 (The Research on Post-modern Feminism and the Expression of the Post-Fixation of Body Pettern)

  • 이신영;김혜영
    • 복식
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    • 제53권1호
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    • pp.49-66
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    • 2003
  • In the relationship between post-modern feminism and the body. the body of women, which has been taken as 'other' by dominant arguments, has escaped from the fixed idea at post-modern times and the post-modern feminists tried to escape from the taste of the times about body image that was prevalent in the former times.'The taste of the times' here means the fixed physical form of ideal women's body by the educational custom, and it includes the educational prescription which establishes the docile body of women. This kind of educational custom aims at the perfect and permanent restriction on size, shape, desire, attitude and movement as well as on the overall demeanor and each part of the body. And the custom produces 'dependent and trained'. that is, inferiorized women's body. Hence, this paper points out that the feminity as a fixed Physical form should be overcome in order to move forward, and as one part of the effort, it attempts to analyze the designs which deformed and distorted women's body in 1990s. This research indicates that the work, which tries to deviate the fantasized and casted women's mystery, has been closely connected with the expression of 'non-separate bodies' and 'irregular body shapes' in 1990s, which aims at escaping from the fixation of women's body Image. Therefore, it is concluded that the target design trend of this research, which expressed the deformation and perversion of the body, provides the anti-these against the ideal body image of women and the these of feminity. which have been reproduced in various methods and patterns throughout the public and the culture on the whole by expressing the refusal and deviation of the existing women's body image through the post-fixation of the body pattern.

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

  • 전종욱
    • 대한한의학원전학회지
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    • 제30권2호
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    • pp.59-81
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    • 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.

약선차 강지음(降脂飮)이 기체혈어형(氣滯血瘀型) 과체중 성인의 혈청지질 및 활성산소 농도에 미치는 영향 (Effects of Kangjieum on Serum Lipids and Active Oxygen Content in Overweight Women Consequential Qi-stagnation and Blood Stasis Patterns)

  • 이덕자;조정순;박진영;박성혜
    • 한국식품영양학회지
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    • 제25권4호
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    • pp.697-705
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    • 2012
  • This research was planned and executed to evaluate how the composition of Yack-sun (oriental diet therapy) tea can effect the health conditions of people who are suffering from diet-related diseases such as being overweight, obese and hyperlipidemic, by taking Yack-sun tea in a form of nutritional supplement with daily meals. We produced Kangjieum with Lycense Mill., Polygonum multflorum Thunb, Cassia tora L., Crataegus pinnatifida Bge and Salvia miltiorrhiza Bge. We evaluated the effects of this tea on serum lipids, on homocysteine concentration, and on active oxygen contents, oxidative stress by clinical practices. We have determined that this tea has a significant effect on decreasing body fat content, decreasing total cholesterol, decreasing LDL-cholesterol, and decreses triglyceride and homocysteine concentrations. In addition, blood active oxygen content and oxidative stress were significantly decreased. We think that scientific and objective evaluation was performed on the components of Kangjieum prescription. We concluded that we could apply the components, not only in a form of tea, but also in other forms of various foods. The information we received from this conclusion will be basic information on how we can apply oriental medicinal resources into other food and will be a steppingstone for medicinal herbs to place a foot in the field of functional food research, which already draws sizable attention world-wide.

한의학 고문헌의 단방용례 분석을 통한 천문동의 기대효능 연구 (Study on the expected efficacies of the Asparagi Tuber by analysis of single-medicine prescriptions on the Korean medicinal literatures)

  • 최고야;윤태숙;추병길;문병철;채성욱;김호경
    • 한국한의학연구원논문집
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    • 제14권1호
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    • pp.59-66
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    • 2008
  • We referred to twenty-two Korean medicinal literatures for application of a single-medicine prescription using Asparagi Tuber(Asparagus cochinchinensis) to form the groundwork for scientific modernization of Korean medicine. Our study revealed the following. 1. Principle expectant effects of Asparagi Tuber were prolong life; elevation of stamina or activity; improvement of asthenia; remedy of epilepsy, mental disease or convulsions; relief of xerosis; treatment of tumor, abscess or intumescence; extermination of endoparasite; solution of numbness, etc. 2. The records show that 95% of directions are per oral. 3. 38% of the cases, Asparagi Tuber was used without its jacket or core. 4. Alcohol and honey were generally used as solvent and additive. We suggest to perform the further studies for the scientific verification of the expectant effects of Asparagi Tuber and its different efficacy by processing, solvent and additives.

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Improved Regenerative Responses of Injured Spinal Cord Nerve Fibers by the Treatment of Sukjihwang(Rehmanniae radix preparat)

  • Han, Kyu-Sul;Seol, In-Chan;Ryu, Ho-Ryong;Jo, Hyun-Kyung;An, Jung-Jo;NamGung, Uk;Kim, Yoon-Sik
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1569-1575
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    • 2007
  • In oriental medicine, Sukjihwang (SJH, Rehmanniae radix preparat) has been used as one of the key ingredients for the prescription of several herbal decoctions and applied clinically for the treatment of several diseases including nervous system and cardiovascular disease. Here, possible growth-promoting effects of SJH on injured spinal cord axons were investigated in the rats. SJH administration increased levels of active form of ERK1/2 protein and Cdc2 proteins in the injured spinal cord tissue. Anterograde DiI-tracing of corticospinal tract axons showed that SJH-treatment enhanced axonal arborization in the injury area and extensive axonal extension into the caudal area. In SJH-treated group, glial scar formed after spinal cord injury was confined in a smaller area compared to the control group, and the trabecula structure was well observed within the injury cavity. Furthermore, increased proliferation and migration of astrocytes in the injury cavity were observed by SJH treatment. Thus, these present data provide a biological evidence on potential importance of SJH therapy for the treatment of injured spinal cord.