• 제목/요약/키워드: Korean Oriental medical doctor

검색결과 316건 처리시간 0.026초

중풍변증 진료기록부 및 변증지표 측정에 관한 내부연구자간 일치도 연구 (Study of Concordance Rate to Measure Symptoms in Interanl Researchers)

  • 강병갑;고호연;김중길;김보영;고미미;강경원;유병찬;설인찬;이인;조현경;최선미
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1728-1731
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    • 2006
  • To develop the Korean Standard Differentiation of the Symptoms and sings, We investigate concordance rate of symptoms between Korean Medicine Doctors. Two Korean medicine doctor surveyed symptoms with the Korean Standard Differentiation of the symptoms and sings for the Stroke(KSDS) case report form in stroke patients within 1 month of onset. The concordance rate of inspection, auscultation and olfaction, inquiry, and pulse feeling and palpitation are respectively 0.79, 0.90, 0.91,0.80. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate.

공통(共通) 비골신경(?骨神經) 마비(麻痺)로 발생한 foot drop 환자 치험 1례 (A Case Report on Foot Drop Caused by Common Peroneal Nerve Palsy)

  • 김수연;이동원;김경수;최재홍
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.149-153
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    • 2004
  • This report present on a case of common peroneal nerve palsy effectively treated with oriental medical therapy. Common peroneal nerve palsy caused by compression of nerve, general illness(diabetes mellitus) etc. It occur foot drop, disorder of ankle dorsi-flexor and eversion, disorder of foot sensory. If nerve palsy is progressed, muscle atropy is occurred. This patient fall foot drop before two month ago without reason. He is diagnosed as peroneal nerve palsy by brain MRI, EMG and doctor's physical examination. This patient effectively treated by oriental medical therapy. Oriental medical therapy is herb medicine(kamisamul-tang), acupuncture(S36, S38, S40, S41, G34, G39, G40, G41, LIV3, LIV4, K3, B60), Electro-acupuncture, bee venom acupuncture, moxibustion, electro physical therapy(EST, SSP). Time of therapy is two months and sequela is nothing.

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알레르기성 결막염 환자 1례 (One case of Allergic Conjunctivitis)

  • 구영희;이규진
    • 한방안이비인후피부과학회지
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    • 제19권3호통권31호
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    • pp.209-214
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    • 2006
  • Allergic conjunctivitis is frequent 90% of allergic reaction of eyes. It is difficult to know the cause, so it is impossible to keep away from the antigens. The purpose of the treatment is just subsiding the symptoms without side effects. We experienced one case of Allergic conjunctivitis treated with oriental medical treatment, acupuncture and herbal medication. 27 year-old male patient had diagnosed Allergic conjunctivitis by western medical doctor. He suffered from eye itching, so he couldn't sleep well. After treatment his itching was subsided and he could sleep well. Therefore, oriental medical treatments could be safe and effective methods.

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손일규(孫一奎)의 화열병기학설(火熱病機學說)에 대한 고찰(考察) (A Study on Sun Yi-Kui(孫一奎)'s "Fire.heat-disease-mechanism(火熱病機)" Theory)

  • 김용주;백유상;정창현
    • 대한한의학원전학회지
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    • 제20권2호
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    • pp.289-313
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    • 2007
  • Many of newly emerging diseases such as hypertension, stroke, diabetes, obesity, and atoptic dermatities are categorized into "Fire heat-disease(火熱病)" according to oriental medicine. It is because factors such as stress, overeating, and high fat diet are major causes of heat in the human body. Sun Yi-Kui(孫一奎), a well-known oriental medical doctor during Ming Dynasty's "Jia Jing Wan Li Nian Jian"(嘉靖萬歷年間 : A.D $1522^{\sim}1619$), established new theories on "Fire heat-disease-mechanism(火熱病機)". This study aims to investigate Dr. Sun's "Fire heat-disease-mechanism(火熱病機)"theory. For this purpose, I thoroughly examined the concepts of "Dong-Qj(動氣)", "Ming-Men(命門)", king fire(君火) and minister fire(相火) as well as pathological theory on "Fire heat(火熱)". In addition, I compared Sun's theory with those of Li Dong-yuan and Zhu dan-Xi.

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한의 신의료기술 행위 동향 분석 (Study on the Present Status and Developments of New Health Technologies of Traditional Korean Medicine)

  • 한창현;박황진;이봉효;이영준;권오민
    • Korean Journal of Acupuncture
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    • 제29권2호
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    • pp.315-326
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    • 2012
  • Objectives : The new health technology assessment system was introduced in April 2007. The purpose of new health technology assessment is assessing safety and efficacy in deciding a behavior of new health technology according to the Health Insurance Act. This study aims to understand the present status of new health technologies of Korean medicine. Methods : This research introduces new health technologies and their present status, and searches for a development direction for the new health technology of Korean medicine in the future. Results : Thirty seven cases(3%) of Korean medicine doctors who utilized new health technologies application were found. In the status about new health technologies application by technologies assortment, diagnostic test techniques were used more often than treatment skills. New medical technology that included korean medicine doctor as actual user was only one item, i.e. HCV antibody test. Conclusions : In order for the new health technology of korean medicine to settle down well, continuous interest and efforts of both government and medical community are necessary.

통비음(通痺飮)과 건요음(健腰飮)의 선호도에 대한 임상연구 (The Clinical Study on Preference of TongBiEum and GunYoEum)

  • 이경민;서정철;한상원;임성철;정태영;하일도;변성희
    • Journal of Acupuncture Research
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    • 제21권1호
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    • pp.189-201
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    • 2004
  • Objective: In oriental medicine, development of new formulations has been demanded. But, there are few reports about the improvement of formulations of herbal medicine in Korea. Nowadays soft Ex has been exploited and used comparing with retort pouch. This study was designed to study on preference on TongBiEum(通痺飮)/GunYoEum(健腰飮) and to investigate which OMD(oriental medical doctor) and non-OMD prefer soft Ex or retort pouch. Methods: As pilot study we administerd TongBiEum(通痺飮) once to 30 persons who serviced Gumi Oriental Medical hospital, Daegu Haany University from April 1, 2003 to April 10, 2003. And then we administerd GunYoEum(健腰飮) once to final test group(73 persons) who serviced Daegu, Gumi, Pohang Oriental Medical hospital, Daegu Haany University from April 20, 2003 to May 10, 2003. We made up questionaires about feeling during and after taking medicine, convenience and preference ect. Results: Convenience and preference of soft Ex is significantly different between OMD and non-OMD and in age bracket, but there is no significance between men and women group. Portable state of soft Ex is very convenient, dose of soft Ex is a little amount, color of soft Ex is regular in OMD & non-OMD, men & Women and an age bracket. Conclusions: From above study it was revealed that preference of herbal medicine formulations was significantly different between OMD and non-OMD. So development of new herbal medicine formulations is needed for consumers such as non-OMD.

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다기관 임상연구를 통해 도출된 중풍변증표준안의 진단프로그램개발에 관한 연구- I (Study for Diagnosing Program of Korean Standard Differentiation of the Symptoms and Signs for the Stroke by Multi Center Trials- I)

  • 박세욱;강병갑;장인수;홍석;한창호;권정남;선승호;전찬용;조기호;박세진;이인;설인찬;최선미
    • 대한한의학회지
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    • 제28권3호통권71호
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    • pp.126-137
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    • 2007
  • Objectives : Standardization of pattern identification for stroke and development of a diagnostic tool for Korean medicine. Methods : We organized a committee for stroke diagnosis standardization of Korean traditional medicine and submitted the Korean standard differentiation of the symptoms and signs for stroke (KSDSS). We collected cases through a multi-center network consisting of twelve university hospitals and one local hospital. We analyzed the data with discriminant function and logistic regression. Results : 321 cases were confirmed by diagnosis of medical specialists and residents. They were divided into qi deficiency 30.84%, dampness & phlegm 25.55%, fire & heat 22.43%, eum deficiency 18.69% and blood stasis 2.49%. The accordance rate between discriminant function and doctor's diagnosis was calculated. Conclusions : To make a stroke diagnostic program, we must raise the accordance rate between doctor's diagnosis and the program.

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모 한방병원 내원 환자의 의료이용실태 (Health Care Utilization of Outpatients in the Oriental Hospital)

  • 김지용;김경호;김장현
    • 대한한의학회지
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    • 제21권4호
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    • pp.129-137
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    • 2000
  • Objectives: The aim of this study was to investigate the attitude toward the oriental hospital among 1,234 outpatients. Methods: A questionnaire about the general characteristics of patients, the decision-maker of use and the reason of choice or alteration was implemented. Results: The results of this survey as follows: Among outpatients 56.4 % were female in sex, 25.6 % were below 9 years of age; in educational level, 50.1 % were college graduates. Among outpatients, 33.6% chose the oriental hospital as their first choice and the rest were recommended by other persons. The recommenders were mostly relatives(73.9 %), female(73.4 %), young(30-39 years old, 40.1 %), high educational level (above the college, 54.9 %) people. 37.8 % among outpatients were secondary selection after the western medical clinic for the same symptom and sign. 7.0 % were the concomitant users of both therapies. 62.8 % among the concomitant users did not notify the western doctor about the dual therapies. The reasons they did not notify their Western doctors were 'be afraid of western doctor s bias' (42.6 %), 'no special reason' (29.6 %). Conclusions: The appropriate transfer system between oriental and western clinic must be constructed and the proper recognition about dual therapies will be needed among patients and doctors who practice both kinds of medicine.

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비급여 한약의 보험급여에 대한 한의사의 인식도 조사 (Survey on National Health Insurance Coverage for Herbal Decoctions)

  • 이은경;정명수;이기남
    • 대한예방한의학회지
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    • 제13권3호
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    • pp.113-126
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    • 2009
  • Objective : This research aimed to investigate and analyze the opinions of Oriental Medical Doctors (O.M.D.) on covering herbal medicines into National Health Insurance scheme. Methods : Structured questionnaires were e-mailed to the O.M.D.s listed on member's DB of the Association of Korean Oriental Medicine. Collected data were analyzed with the SPSS 12.0 program. Results : The insurance coverage for herbal decoctions was supported by 80.8% of the responders, the median reasonable price for daily herbal decoctions was \9,517, the minimum price median of daily herbal decoctions considering its costs was \8,080, and the daily technical fee median was \4,379. On health insurance coverage for herbal decoctions, O.M.D.s were specially considering the standardization of herbal medicines. Conclusion : In this study, majority of O.M.D.s assented to health insurance coverage for herbal decoctions, but considered standardization of herbal medicines and optional prescription fee. It needs to prepare plan for insurance coverage of herbal decoctions that reflect the character of oriental medicine and oriental medical institutions.

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기능성 소화불량 환자의 복진진단 객관화를 위한 임상연구 - 알고미터를 이용한 심하비경 진단 - (Clinical Study for Objectification of Abdominal Examination with Functional Dyspepsia - Epigastric Diagnosis using Algometer)

  • 최규호;노기환;최서형
    • 대한한의학회지
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    • 제43권1호
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    • pp.1-5
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    • 2022
  • Objectives: Using algometer, measure the pressure pain threshold (PPT) of the epigastric pain(心下痞硬) and calculate the cut-off value, and this can serve as the basis for prognostic diagnosis of functional dyspepsia so we would like to evaluate its diagnostic value. Methods: We investigated 353 patients with functional dyspepsia symptoms who admitted Gangnam Weedahm Oriental Hospital from February 1, 2021 to February 27, 2021. At the time of the patient's visit, an oriental medical doctor measured the pressure at the first pain point on the Algometer of (CV14), twice each, at 1minute intervals. The ROC (receiver operating characteristic) curve and the optimal cut-off value derived through the diagnosis of the (CV14) PPT value for epigastric pain(心下痞硬) and the gold standard of oriental medical doctor, it was evaluated through. Results: In 353 patients, the area under the ROC curve (AUC) was 0.909 (p=0). In addition, the optimal cutting value was 10.05 (kg/cm2), which was statistically significant. Additionally, the sensitivity of the Algometer's PPT measurement was 0.704 and the specificity was 0.884. As a result, if the PPT value of the Algometer exceeds 10.05 (kg/cm2) in terms of the optimal cutting value, it can be seen that epigastric pain(心下痞硬) is lost. Conclusion: Algometer's PPT value measurement can be a reliable test method for quantification of epigastric pain(心下痞硬) diagnosis and can be useful as an objective indicator.