• Journal of Society of Preventive Korean Medicine
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• v.21 no.3
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• pp.65-73
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• 2017

Objectives : The purpose of this study is to investigate on the Korean and Western medicine clinic quality to use IPA matrix and to establish a Korean medicine service management strategy. Methods : In order to achieve the research purpose, medical consumers who visited 3 Korean and Western medicine clinics were surveyed. frequency analysis, paired t-test were used for the statistical analysis, and the mean of each variable was used for IPA analysis. Results : The major results of analysis are as follows: It was confirmed that the skill and the kindness of the human resources were important in both the Korean medicine clinic and the Western medicine clinic. And it was confirmed the difference of the satisfaction rate and IPA between the Korean medicine clinic and the Western medicine clinic. Especially Medical devices and equipment, Easy booking, reception, payment procedure were different in IPA analysis. Conclusions : We confirmed the similarities and differences between Korean medicine clinics and Western medicine clinics in terms of importance, satisfaction, and IPA. On the basis of these results, Korean Medicine clinic could arrange a management strategy in consideration of consumers' choice attribute.

• The Journal of Internal Korean Medicine
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• v.33 no.3
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• pp.298-305
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• 2012

Objectives : This study was aimed to promote the cooperative system of Korean and Western medicine in the dual health care system through a survey of physicians on recognition, problems and solution of the cooperative system. Methods : The research took place at Dongguk University Hospital from May 25 to 27, 2009 with 44 professors, residents, and interns employed by the hospital. Results : Of total 44 surveyed doctors, positive and moderate responses on the cooperative system between Korean and Western medicines were 40.9% and 43.2%, respectively. They scored it positive (62.5%) and moderate (31.3%) based on their experiences. These results can be supposed to represent the environment for the interdisciplinary medicine. Even in the interdisciplinary hospital of Korean and Western medicine, 68.2% of responders had no experience of the cooperative medical system. Expected interdisciplinary efficient departments were ordered rehabilitation medicine, neurology and orthopedics and associated with musculoskeletal disorders, the most frequent diseases treated by Korean traditional medicine. Conclusions : Korean and Western medical doctors, as medical personnel, intellectual persons as well as specialists, need a recognition and attitude to understand and respect each others' medicine. However, both groups also realize there are many complicated issues in the treatment of patients. It is difficult to require a change of Western doctors' perceptions and attitude toward Korean traditional medicine only with results of a survey. For the efficient cooperative system in the medical field, Korean medical doctors will need to study and consider specific problems mentioned by Western medicine.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.34 no.2
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• pp.53-69
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• 2021

Objectives : The purpose of this study is to analyze the effects of treatment between Western medicine and Korean medicine on Allergic rhinitis patients using national population-based claim data from the Health Insurance Review and Assessment Service. Methods : The subjects of the study were 30,024 patients in the Korean medicine group and 30,024 in the Western medicine group who were diagnosed with Allergic rhinitis from September 1, 2018 to December 31, 2018. Propensity score analysis was used for matching age, sex, etc. at a ratio of 1:1. Cox regression and subgroup analysis were used to estimate the adjusted hazard ratio of recurrence, Asthma, and Atopic dermatitis in Korean medicine group and Western medicine group. In addition, the total treatment period, total treatment cost, and average cost per day of visit were compared and analyzed. Results : Compared to Korean medicine, Western medicine had a significantly higher risk of recurrence at 1.701 times, Asthma occurrence risk at 1.609 times and Atopic dermatitis occurrence risk at 1.098 times. Compared to Western medicine, the total treatment period of Korean medicine was 14.27 days longer, the total treatment cost was 53,591 won more, and the average cost per day was 7,539 won more. Conclusions : This study is a retrospective cohort study using the propensity score matching in Korea to compare the outcomes of Allergic rhinitis between Western medicine and Korean medicine. Further research is needed by considering patients characteristics, and linking with additional data.

• Journal of Korean Medical classics
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• v.27 no.4
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• pp.39-53
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• 2014

Objectives : Hajae's Diary(荷齋日記) is a personal diary written by Gyu-Sik Ji(池圭植) between 1891 and 1911. He had a strong interest in medicine and maintained the belief that diseases could be cured by medicine. He recorded in significant detail the subject individuals, symptoms, name of prescription, price, the date of exchange and place of purchase in his diary. Methods : His study classifies the era during which Western medicine was introduced to the general public and became popularized in the late Chosun dynasty period based on articles related to medicine in Hajae's Diary. Results : It could be identified that, as of the Gabo Reform(甲午更張) in 1894, Western medicine was introduced into the traditional medicine life and, starting from the Eulsa Treaty(乙巳條約) of 1905, Western medicine became popularized. Conclusions : During the "traditional medicine period", traditional medicine was used for all medicinal activities. However, during the "Western medicine introduction period", Western medicine was used for only specific diseases. In the period during which Western medicine became popular, traditional medicine continued to be used. However, Western medicine was widely used for various diseases.

• Journal of Oriental Neuropsychiatry
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• v.26 no.4
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• pp.349-356
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• 2015

Objectives: Schizophrenia is difficult to treat effectively and the antipsychotics used have many side effects. However, few studies have focused on the combined treatment of Korean and Western medicine as an alternative. In this study, we reported an inpatient with chronic schizophrenia who was treated by a combination of Korean and Western medicine. Methods: We experienced a case of a diagnosed schizophrenia patient as whose chief complaint was avolition, diminished emotional expression and hallucination. The patient was treated with Western medicine and Korean traditional treatment including acupuncture, moxa and herbal medicine. The Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS) were used for assessment. Results: After treatment, symptoms involving avolition, diminished emotional expression and hallucination were improved; furthermore, the scores of the BPRS and the PANSS were decreased by approximately 50%, respectively. In addition, there were no notable side effects. Conclusions: The combined treatment of Korean and Western medicine can be an effective and well-tolerated treatment modality for patients with chronic schizophrenia.

• Journal of Pharmacopuncture
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• v.15 no.1
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• pp.34-39
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• 2012

Objectives: The aim of this study was to investigate the safety and the efficacy of Korean herbal, western and combination medicine use in patients with abnormal liver function tests. Methods: We investigated nerve disease patients with abnormal liver function tests who were treated with Korean herbal, western and combination medicine at Dong-Eui University Oriental Hospital from January 2011 to August 2011. We compared aspartic aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) and total bilirubin (T-bil) levels before and after taking medicine and excluded patients who had liver-related disease when admitted. Results: AST and ALT were decreased significantly in patients who had taken herbal, western medicine. AST, ALT and ALP were decreased significantly in patients who had taken combination medicine. Compare to herbal medicine, AST, ALT and ALP were decreased significantly in patients who had taken western medicine, and ALT and ALP were decreased significantly in patients who had taken combination medicine. There were no significant differences between western and combination medicine. Conclusions: This study suggests that prescribed Korean herbal medicine, at least, does not injure liver function for patients', moreover, it was shown to be effective in patients with abnormal liver function tests.

• The Journal of Korean Medicine
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• v.42 no.4
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• pp.133-149
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• 2021

Objectives: To lay the foundation for future research into Korean Medicine treatment for Rotator Cuff repair surgery patients by analyzing Korean Medical and Western Medical service utilization and treatment duration. Methods: Data sampling was performed on 2015's HIRA patient data (confidence level of 97%) to analyze patients' Korean Medical and Western Medical service usage tendency. Sampled groups were divided into two groups: i) Patients who completed their treatment within five months after the rotator cuff surgery (termination group), ii) Patients who were treated for more than five months after the surgery (continuation group). Then the patients' Korean Medical and Western Medical service usage tendency was investigated and information of these patients are arranged. Results: Out of 1,453,486 patients who were gathered for sampling, 2,461 patients in total had gone through rotator cuff repair surgery. The termination group had 517 patients and the continuation group had 541 patients. The proportion of patients who visited a Korean Medicine clinic was lower in the termination group than the continuation group. Conclusion: The continuation group received more treatments (both in Western Medicine and Korean Medicine) and spent more on medical expenses compared to the termination group. Further research is highly recommended for more efficient Western Medicine and Korean Medicine treatments and reduced medical expenditure.

• Journal of Physiology & Pathology in Korean Medicine
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• v.21 no.1
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• pp.285-290
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• 2007

A liver is responsible for drug metabolism in a body. 10% of all medicine side effects lead to liver injury. Herb medicine is not an exception to this rule but all Herb medicines do not lead to liver injury absolutely. As for two times of occurrence of the drug induced liver injury during treatment of a CVA patient, we gave him Herb medicines in conjunction with Western medicines and Western medicines alone for each case. We meet with the result that giving the patient Herb medicines in conjunction with Western medicines reduces the duration of decreasing AST, ALT level as compared with giving him Western medicines alone. So we are now reporting the result.

• Journal of Oriental Neuropsychiatry
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• v.15 no.1
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• pp.1-7
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• 2004

Object : The purpose of this study is difference between western medicine and oriental medicine in tension headache. Methods : A literature study on the tension headache was performed. The cause, symptoms, relationship with other diseases, pathology and treatment of oriental and western medicine were investigated. Conclusion : In western medicine, tension headache is mainly caused by emotional stress, tension of head and neck musculatures. Treatments include medication, psychologic care, alteration of habits and biofeedback. Removal of muscle tension is of main interest in western medicine. In oriental medicine, tension headache is classified into internal and external problem. The imbalance of organs of spleen, liver and kidney causes headache. Hyperactivity of liver chi and deficiency of kidney yin are main source of headache. On the treatment, relieve of muscle tension and correction of bad habit are emphasized in western medicine while promotion of harmony among the internal organs is main target in oriental medicine.

• The Journal of Korean Medicine
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• v.24 no.4
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• pp.64-70
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• 2003

Background and Purpose : Allergic rhinitis is a well-known, relatively controllable chronic disease. Although a number of methods for treating allergic rhinitis have been tried, many patients have not been satisfied with their treatment. Therefore, this study tried to evaluate the effect of a cooperative system of Oriental and Western medicine and to develop a new diagnosis protocol for treatment of allergic rhinitis. Methods : We measured improvement rate and acoustic rhinometry after the allergeninduction test and performed a filter paper test as a nonspecific hypersensitivity test with 60 patients who are allergic to house dust mite. Patients were divided into two groups, one treated with Western medicine only and one treated with both Western and Oriental herbal medicine. For the group with Western medicine only, antihistamine for one week and local steroid medicine for two weeks were prescribed. For the group with combined medicine, Oriental herbal medicine was prescribed according to the patient s constitution, along with Western medicine. After all treatments, the above tests were re-performed and the improvement rate was compared. Results and Conclusion : We observed better results in the group treated with both Western and Oriental herbal medicines, comparing improvement rate and the alteration of total nasal volume through acoustic rhinometry after the allergen induction test. In the filter paper test, there was no significant difference between the two groups. In conclusion, we showed the additive effect of Oriental herbal medicine without any severe side effects compared with treatment with Western medicine only. In this study, we set only two patient groups, but further study is required to create various experimental groups and compare among them. We suggest that it might enhance understanding of the improved effect of Oriental herbal medicine in the therapy of allergic rhinitis.