• Title/Summary/Keyword: Korean Oriental Medicine doctors

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Meaning of "an auxiliary method of diagnosis" in the judgment of unlicensed medical practice by Korean medical doctors - Supreme Court Decision 2016Du51405 on August 18, 2023 - (한의사의 면허 외 행위 판단 기준에서 "진단의 보조 수단"의 의미 - 대법원 2023. 8. 18. 선고 2016두51405 판결 -)

  • Choi, Hyug Yong
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.125-153
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    • 2023
  • The Supreme Court's en banc decision on December 12, 2022 (docket number 2016Do21314) presented a new standard for determining whether the use of diagnostic medical devices by Korean medical doctors constitutes oriental medical doctors constitutes unlicensed medical practice. Based on this standard, it was determined that the use of ultrasound by Korean medical doctors was not an unlicensed medical practice. Supreme Court's Decision 2016Du51405 on August 18, 2023, is the first case in which a new standard was applied to determine that an Korean medical doctor's use of electroencephalography to diagnose Parkinson's disease and dementia was not an unlicensed medical practice. The Supreme Court abolished the previous standard that Western medical knowledge and technology should not be required for Korean medical doctors to use medical devices. However, it was unclear whether Western medical diagnosis of Korean medical doctors using diagnostic medical devices would be viewed as an an auxiliary method of diagnosis. Parkinson's disease and dementia are Western medical diagnoses. The Supreme Court judged that the Western medical diagnosis of Korean medical doctors was not an unlicensed medical practice. This clearly explains what an auxiliary method of diagnosis means. In addition, the Supreme Court excluded the principles of development and production of electroencephalography from its judgment criteria. Automatic extraction and automatic reading of test results were also excluded. The criminal court's view that the meaning of oriental medical practice should be clearly and strictly interpreted from the perspective of an oriental doctor, and it was clarified that diagnostic medical devices were excluded from criminal punishment unless it was clear that they were not related to the principle of oriental medical practice. As a result, the Supreme Court made it clear that the use of diagnostic medical devices is excluded from criminal punishment unless it is clear that they are not related to the principles of Korean medicine.

Study on Methods for Sasang Constituion Diagnosis (사상체질진단 방법론 연구)

  • Kim Jon-Won;Lee Eui-Ju;Kim Kyn-Kon;Kim Jong-Yeol;Lee Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1471-1474
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    • 2005
  • Sasang constitution medicine is to do different treatment accordining to sasang constitution. Therefore, the constitution diagnosis in the Sasang constitution medicine is very important thing. The Process of Sasang constitution diagnosis Is difficult thing, because of consuming much time, making every effort. It is apt to be subjective tendency. So it need to make objective method. The QSCC II (Questionnaire of Sasang Constitution Classification II ) have several problems- can't do diagnosis of Taeyangin, the accuracy rate of Sasang constitution diagnosis is not high (probably 60%), and so on. So, we need the new methods for the Sasang constitution Diagnosis. We will modify the problems of QSCC II. The First is the problems of the study execution process, not-multicenter study, a low data, the absent of Taeyangin cases. So, we have to do the multicenter study. The Second is the problems of a query and the method of statistics analysis. We will modify the problems of self-report Questionnaire. That is the problems of self-report Questionnaire, the lack of objective estimation( body type, personal appearance, etc), the absent of the estimation on typical or non-typical type constitution. We modified the problems of QSCC II. Therefore we made the new self-report Questionnaire for patients. We modified the problems of self-report Questionnaire. Therefore we made the new Constituion diagnosis Questionnaire for doctors. We develop the Questionnaire of two ways for the Sasang constitution Diagnosis. The one is the new self-report Questionnaire for patients. The other is the new Constitution diagnosis Questionnaire for doctors. We have to melt down the Questionnaire of two ways for the Sasang constitution Diagnosis.

Research on territorial nomination related to Korean traditional medicine etymology (한의학적 어원이 남아 있는 지명)

  • Park, Su-Jin;Ahn, Sang-Woo;Ahn, Sang-Young;Lee, Sun-A
    • Korean Journal of Oriental Medicine
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    • v.14 no.1
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    • pp.19-31
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    • 2008
  • Names attributed to villages varies from governmental administrative division to simple modest names called from the habitants. Actually, scarce names only called from the habitants remains today. While these names reflect abundant cultural, social and historical aspects we made this research based on those nominations related only to Korean traditional medicine(KTM). We could find that the most KTM related village name was famine relieve or/and medicinal plant designation like Puerariae village. Also there was names of doctors like Dasan. Another big portion was from the medicinal mineral waters like Yakbawegol which said has the properties for dermatologic desease. We suggest this study may use as a clue in the field of KTM history research.

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Construction of input system for effective collection of Constitution clinical information (체질임상정보의 효율적인 수집을 위한 입력시스템 구축)

  • Kim, Sang-Kyun;Kim, Chul;Jin, Hee-Jeong;Song, Mi-Young
    • Korean Journal of Oriental Medicine
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    • v.14 no.1
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    • pp.97-105
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    • 2008
  • Although the judgment of constitutions is given according to the Sasang Typology in domestic korean medicine hospitals and universities, the unified constitution clinical information has not been accumulated. Therefore, in this paper, based on collection items where oriental doctors and experts have already agreed, we construct the input system which correctly and effectively collects the clinical information of persons of which constitutions are distinguished explicitly. In the future, the input system could be utilized to collect clinical information continuously and will help to search and analyze the constitution clinical information.

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A National-wide Survey on Utilization of Pattern Identification for Chronic Diseases among Korean Medicine Doctors (전국 한방의료기관 한의사 대상 만성질환의 변증활용 현황 조사)

  • Yeo, Minkyung;Park, Kihyun;Lee, Youngseop
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.2
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    • pp.23-34
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    • 2017
  • Objectives : The aim of this study was to survey the present utilization of pattern identification(PI) by chronic disease and using PI system in the clinical field among Korean medicine doctors. Methods : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 Korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of whether use clinical experience by chronic disease and the utilization of PI, the utilization of PI systems, the PI utilization rate, and the correlation between utilization PI and so on. General elements consisted of sex, age, clinical experience, place of work, district and so on. Results and Conclusions : This study revealed that clinical experience by chronic disease used 24.0-90.8%. The most chronic diseases were chronic fatigue and chronic pain, and least disease was cancer. Experience of the utilization of PI among Korean medicine doctors who have clinical experience was 87.8-97.1%. Also, the most utilized disease was chronic gastritis & gastric ulcer, and least disease was dyslipidemia. In this case, the most common cases were using the one PI between the utilization of PI systems, and the utilization ratio of Visceral PI was the highest. Phi coefficient between the PI systems in chronic diseases divided into positive correlation and negative correlation. The correlation of dementia between Triple energizer PI and Six excesses PI was the highest at positive correlation, and the frequency of occurrence between Defense, Qi, Nutrient and Blood PI was the highest at positive correlation. The correlation of osteoarthropathy between Meridian and Collateral PI and Sasang Constitutional Medicine was the highest at negative correlation. Also the frequency of occurrence between Qi, Blood, Fluid and Humor PI and Sasang Constitutional Medicine was the highest at negative correlation. We hope that additional studies on systematic PI research of chronic disease which needed to be in korean oriental medicine and meet the needs of clinical consumer continue based on this study.

A Case Study on Hwabyung Patient with Flush face (면적(面赤)을 주소(住所)로 하는 화병(火病) 환자(患者) 1례(一例)에 대(對)한 임상고찰(臨床考察))

  • Kim, Hyun-Soo;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.105-110
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    • 2006
  • Generally, Hwabyung is more common in older women, in low educational group. Many psychiatrists explain it as the illness originated from a series of psychological stresses. And they think that Hwabyung patients have somatization disorder, anxiety disorder, and major depression. But, many of oriental medical doctors explain it as symptoms having the character of fire. In this case, we described a 67-years old woman who diagnosed as Hwabyung. She complained flush face with surging feeling, headache, dizziness and depression, and her condition was improved through oriental medical treatment such as acupuncture and herbal medicine about 5 weeks.

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Experiments and Assessment on Traditional Korean Medicine Diagnostic Support System (한의 진단 지원 시스템의 시험 수행 및 평가)

  • Cho, Woo-keun;Kim, Myung-ho;Lee, Sang-ah;Jang, Myung-woong;Choi, Dong-jun
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.63-70
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    • 2012
  • Object : Traditional Korean Medicine Diagnostic Support System(TKMDSS) is the diagnostic prescribing system based on ontology developed by Korea Institute of Oriental Medicine. We monitored and assessed its usefulness and searched for improvements. Methods : We collected 10 cases of stroke inpatients of Dongguk University Ilsan Oriental Hospital. They were diagnosed by primary care physician and another researcher who monitored using "TKMDSS" respectively. We compared the process and results of two diagnosis. Results : The diagnostic concordance rate between primary care physician and researcher were pretty high. Most of the problems were caused by expressions on symptoms inappropriate use of terminology. The severity of symptoms and vague symptoms which is hard to be diagnosed should be reflected and measured in this system. Conclusions : The problems were about terminology and definition. The terminology should be defined accurately and in-depth detail so that anyone can get the right information. If the problems were modified, "TKMMSS" could be utilized as supportive measures for oriental medicine doctors and students.

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Clinical Index Program for Analyzing Clinical Information of Sasang Constitutional Medicine (체질 임상 정보를 분석하기 위한 임상 지수 프로그램 개발)

  • Jin, Hee-Jeong;Kim, Myoung-Geun;Kim, Jong-Yeol;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.15 no.1
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    • pp.63-68
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    • 2009
  • In Sasang Constitution Medicine (SCM), it is most important that a personal SCM type is determined accurately ahead of applying any Sasang treatments. Although SCM doctors have districted personal SCM types in many hospitals and universities via their own discriminant, it still lacks objective criteria on diagnosis of SCM type. Therefore, many researchers have been studied to diagnose the SCM type using constitutional clinical data. Previous work, we have developed decision tree program to analyze the clinical information. In this paper, we developed a clinical index program based on the web to analyze the correlation among clinical information. Finally, we identified useful factors(4 clinical indexes) which have significant influence on SCM types using clinical index program with previously developed decision tree program.

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A Survey on the Use of Electroacupuncture by Traditional Korean Medicine Doctor (한의사의 전침사용 임상실태 조사보고)

  • Moon, Jin-Seok;Lee, Sang-Hun;Kim, Jung-Eun;Kim, Bo-Young;Choi, Sun-Mi
    • Journal of Acupuncture Research
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    • v.28 no.6
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    • pp.53-68
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    • 2011
  • Objectives : This study was conducted to investigate status of electroacupuncture(EA) stimulation and adverse effects as a basic information of EA clinical treatment. Methods : The survey was carried twice by e-mail and online service against the traditional Korean medicine doctors registered in the Association of Korea Oriental Medicine. Results : Seventy-eight percent of 284 responders used the EA. The EA was the most widely used for the stimulation of the meridian-muscle on musculo-skeletal pain. In terms of methodological procedure, doctors mainly apply acupuncture with the needle of 2 or 3 pairs of 0.25mm diameter to the depth of 10-50mm for 15 minutes. Respondents used mainly at the frequency of 10Hz and the automatic setting at the intensity of around 3-4 grade. The adverse effects were investigated less then 3% in the 45.9% respondents and non in the 40.5%. The most priority content for better EA treatment was "development of the effective stimulation program". Conclusion : In the result of survey, the frequency of practical use of EA was very high but the applied disease was concentrated in the pain. Hereafter, if the clinical study for safety and effectiveness is secured and more convenient EA tool is developed, the clinical application of the EA is likely to be more expanded.

Hereditary Testimonies and Medico-historical Facts of the Eminent Brother Doctors Young Hur and Eon Hur (허영(許郢), 허언(許鄢) 형제명의(兄弟名醫)의 가전행적(家傳行蹟)과 의약사실(醫藥事實))

  • Ahn, Sang-Woo
    • Korean Journal of Oriental Medicine
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    • v.15 no.1
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    • pp.1-11
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    • 2009
  • The eminent brother doctors Cho-Gaek Hur (Young Hur) and Cho-Sam Hur (Eon Hur) represent the medical tradition of the southeastern region of Mt. Jirisan incluiding Sancheong. This study investigated and examined their herediatary testimonies and medico-historical facts described in the literature tale, genealogy and family collection of works. At an early age after their family run away to the southern region from the harm of political struggle, they gave up taking the highest-level state examination to recruit ranking officials and set their heart on learning medicine. Their choice of medicine was the second best plan for the survival of their family and descendents from the influence of their ancestors who suffered from the party strife during the late Joseon Dynasty. The case is a good example of the deliberate action of the nobility intellectuals since the late Goryeo and early Joseon dynasties to who made attempts to have the minimum elegance and cause while securing livelihood after they have been collapsed politically. The tale of Cho-Gaek and Cho-Sam is a typical story of eminent doctors which combined reality and fiction about the persons who had outstanding medical skills. In the tale, the elder brother was good at herbal prescriptions and the younger brother was good at acupuncture, contrasting the treatment of administrative internal medicine and insertive acupuncture treatment. It shows that the prepositions for the choice of the treatment method for the public during that period were safety and fast efficacy. In their old age, they wrote a book titled Jinyangsinbang. Another Jinwoosinbang is estimated as a different kind of copy, which was a medical writing from experience that derived from the same original book as Jinyangsinbang. written by Cho-Gaek Hur and it is a valuable medical material that possesses the distinct features of the local medicine during the late Joseon Dynasty. Most of the contents are variations in application using the basis of Dongeuibogam, forming the roots of the traditional Korean medicine in Sancheong region together with the medical activities of the Hur brothers.

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