• 제목/요약/키워드: Medical Textbook

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Kienböck 질환의 적정 치료는 무엇인가? (What is the Optimal Treatment for Kienböck's Disease?)

  • 박민종;채상훈
    • 대한정형외과학회지
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    • 제56권6호
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    • pp.461-471
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    • 2021
  • Kienböck 질환을 완관절의 월상골에 발생한 무혈성 괴사로 정의하고 있지만 원인과 자연경과, 적정한 치료 방법에 대해서는 정확하게 밝혀져 있지 않다. 교과서적으로는 병의 진행 단계를 나누고 단계에 따라 치료 방법을 제시하고 있지만 과연 원칙에 맞는 올바른 치료 방법인지에 대한 충분한 검증 없이 따르고 있는 것은 아닌가 하는 의문이 드는 것도 사실이다. 저자는 그동안 많은 Kienböck 질환을 진단하고 치료를 하면서 교과서에 기술된 내용 중에서 의문이 드는 부분이 많았으며, 자료 분석과 경험을 토대로 나름대로의 적정한 치료 접근을 정립하고자 하였다. 본 종설에서는 기존의 지식이 과연 정확한 근거를 바탕으로 한 것인지 검토해 보면서 합리적인 치료 방법에 대한 저자의 의견을 제시해 보고자 한다.

사상체질의학(四象體質醫學)과 증치의학(證治醫學)의 비교(比較) 및 상호(相互) 보완(補完) 방안(方案) 연구(硏究) (Study on Comparison and Mutual Complementary Development between Sasang Constitutional Medicine and Syndrome Identification and Treatment Medicine)

  • 김명;최나래;오승윤;주종천
    • 대한한의정보학회지
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    • 제21권2호
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    • pp.11-23
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    • 2015
  • Objectives : Through a comparative study between Sasang constitutional medicine and Syndrome identification and treatment medicine about the theory of diagnosis, the theory of herbal medicine, the theory of prescription, the theory of acupuncture and constitutional medicine to put forward a complementary perfect solution which has good clinical utility. Methods : We compared and sorted out the textbook of Korean Sasang constitutional medicine which named Sasang medicine, and also the textbook of Chinese TCM which was including Basic theory of TCM, Diagnostics of TCM, Science of Chinese materia medica, Pharmacology of traditional Chinese medical formulae, Science of acupuncture and moxibustion, Constitution of TCM, and also related papers. Results : (1) Through a comparative study between Sasang constitutional medicine and Syndrome identification and treatment medicine about diagnosis, herbal medicine, prescription and acupuncture, Sasang constitutional medicine is a medical system which gives priority to balance of organs, when Syndrome identification and treatment medicine is a medical system that gives priority to improve symptom. (2) The prescriptions of Sasang constitutional medicine are used for the treatment of basic pathogenesis in the chronic stage of the disease, which can recover vital qi, when Syndrome identification and treatment medicine are used for the treatment of stage pathogenesis in the acute stage of the disease, which can get rid of pathogenic factors. (3) There are two kind of complementary perfect solution between Sasang constitutional medicine and Syndrome identification and treatment medicine. One perfect complementary medicine is that Sasang constitutional medicine plays a major role when Syndrome identification and treatment medicine plays a supporting role. The other one is that Syndrome identification and treatment medicine plays a major role when Sasang constitutional medicine plays a supporting role. It determined by the usual symptoms and the symptoms now, vital qi and pathogenic factors, symptom and the root cause, acute stage and chronic stage, and the state of pathogenesis. Conclusion : A new perfect complementary medicine can be created which is based on the setting that Sasang constitutional medicine primarily treat the usual symptoms, vital qi, the root cause, chronic stage and basic pathogenesis when Syndrome identification and treatment medicine primarily treat the symptoms now, pathogenic factors, symptom, acute stage and stage pathogenesis.

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아토피성 질환관리의 최신 동향 (Recent Progress in the Care of Atopic Disease in Children)

  • 신영희
    • Child Health Nursing Research
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    • 제14권1호
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    • pp.53-60
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    • 2008
  • Background: Atopic dermatitis starts as an early childhood type I hypersensitivity to environmental allergens and is often the first step in the atopic march to develop into asthma and allergic rhinitis. Despite progress that has been achieved in management, this health problem remains poorly controlled and cause great pain and suffering for many children and their parents To introduce nurses to recent progress in pathophysiology, management and preventive measure of atopic disease. Search method: Systemic search was done using the PubMed and CINAHL from 1980 to 2005. In addition, historical references were taken from standard medical textbook. Results: In total, 30 relevant publications were located including primary research and review articles that cover the pathophysiology, management, and preventive measure of atopy. The evidence emerging from literature indicate that non-medical approaches such as breastfeeding and probiotics would improve management outcomes. Conclusion: The review suggests that breastfeeding and probiotic approaches would be the most effective preventive measures for children with atopic diseases.

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본초(本草) 효능(效能) 주치(主治) 용어(用語)에 대(對)한 연구(硏究) (A Study on Terminology of Effectiveness and Symptoms of disease in Meteria Medica)

  • 신재혁;이병욱;엄동명
    • 대한한의학원전학회지
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    • 제23권2호
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    • pp.107-118
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    • 2010
  • Terminology in any study is an important part. In traditional medicine, especially in meteria medica, ther are many sections of explanation, which are origin, place of production, component, taste, effectiveness meridian entry, symptoms of disease, etc. "Bonchohak(本草學)" is one of the textbook of meteria medica in Korea. In that book, descriptions of meteria medica by effectiveness, symptoms of disease are supposed to be with accordance in the same section. However, unfortunately it is not. In this paper, I will explain those discordances and differences.

한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가 (Preliminary Study to Develop the Korean Medical Pathologic Aging Scale and Korean Medical Pattern Identification for Dementia)

  • 이고은;문광수;김남권;정선용;정인철;강형원
    • 대한한의학회지
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    • 제38권3호
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    • pp.111-123
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    • 2017
  • Objectives: To develop and investigate the reliability of the pathologic aging scale based on korean medical theory and korean medical pattern identification for dementia. Methods: We searched the textbook of korean neurophychiatry and Donguibogam and selected items through professional consensus. We compared between dementia(n=40) and normal elderly(n=38) and tested the reliability of two scales. Results: After professional consensus, we drafted the Korean Medical Pathologic Aging Scale(12 items, Likert 3 scale) and Korean Medical Pattern Identification for Dementia(4 patterns, 28 items, Likert 5 scale). On Korean Medical Pathologic Aging Scale, There is no significant difference between two groups. We had good internal consistency(Cronbach's alpha = 0.6) and test-retest reliability(r=0.631) but low inter-rater reliability(r=0.430). On Korean Medical Pattern Identification for Dementia, dementia patients diagnosed with Qi deficiency are significantly more than those in normal group. We had fairly good internal consistency(Cronbach's alpha = 0.574) and excellent test-retest(kappa= .800) and inter-rater reliability(kappa = .733). Conclusions: Korean Medical Pattern Identification for Dementia is appropriate for diagnosing korean medical pattern. But Korean Medical Pathologic Aging Scale isn't appropriate to discriminate dementia from normal elderly because of many subjective items. Therefore objective measurement of sensory dysfunction would be needed to measure pathologic aging based on korean medical theory.

《침구태성(鍼灸大成)》<책(策)>편(篇)의 분석(分析)을 통(通)한 양계주(楊繼洲)의 의학사상(醫學思想)에 관(關)한 연구(硏究) (A study on medical thought of Yang Ji Zhou(楊繼洲) through analysis on 《Zhen Jiu Da Cheng-Ce, 鍼灸大成·策》)

  • 이수홍;윤종화;김갑성
    • Journal of Acupuncture Research
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    • 제17권2호
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    • pp.69-84
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    • 2000
  • We have known that $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ had been written by Yang Ji Zhou(楊繼洲) in Ming(明) dynasty. And it had been the only textbook of acupuncture & moxibustion for over 300years. This book is composed of 10 chapters dealing almost all the medical theories of that times. This book is so enormous that it is hard to understand essential ideas of the author. But, Yang Ji Zhou revealed his ideas and medical theories in some parts of this book. This part is named that composed of 4 small subjects. These are , , and In this study, I analyze the relation of $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ and $\ll$Wei Sheng Zhen Jiu Xuan Ji Bi Yao, 衛生鍼灸玄機秘要$\gg$ and then I study further by comparing with other parts of $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ and other important oriental medical textbooks.

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치통(齒痛)의 처방(處方)에 대한 문헌고찰(文獻考察) (A Study on the Herb Medicine of Toothache)

  • 박용호;유미경;김대수;강문여;이명진;이준헌;최정화
    • 대한한의학방제학회지
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    • 제14권1호
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    • pp.52-73
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    • 2006
  • Objective & Methods: Toothache is occurred frequently in daily life. Nevertheless, medical treatment of the toothache is almost dependent on western cure. So we chose the oriental medicine textbook that were dealing with the internal herb medicine and external treatment. we got this result. Result were as follows : 1. The internal medication of toothache was the most used 15times Chungwesan(淸胃散) and 8times Palmihwan(八味丸). 2. Chungwesan (淸胃散) was used to remove the stomach heat. the intestin stomach heat and the stomach blood heat. etc. 3. The pill and powder form in external treatment was much used. 4. The most many used herb were Asari herba cum Radice(細辛), Cimicifugae Rhizoma( 升麻) and Angelicae dahurcae Radix(白芷), etc. 5. The most herb used for external treatment were the spicy warm and the spicy hot medication.

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작약(芍藥)의 보사(補瀉) 효능에 대한 고찰 - 역대 문헌의 논설을 중심으로 - (A Study on the Reinforcing/Reducing Effects of Shaoyao -Focusing on Discussions from Classical Medical Texts-)

  • 임석현;정창현;장우창;백유상
    • 대한한의학원전학회지
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    • 제33권3호
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    • pp.135-156
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    • 2020
  • Objectives : This paper aims to suggest an integrated explanation for the contrary reinforcing/reducing effects of Shaoyao. Methods : From a list of books on the history of herbology and Chinese Medicine as mentioned in the herbology textbook, main texts were selected for further examination, along with some books of the Four Masters of the Jin Yuan period and some general medical texts. These texts were thoroughly examined with keywords such as Shaoyao, Baishaoyao, Chishaoyao, Baishao, Chishao, out of which contents on reinforcing and reducing were selected and analyzed. Next, explanations of the mechanisms of the contrary effects that were found through categorization of the reinforcing and reducing effects were examined. Among the contrary effects, similarities were uncovered and further studied for deduction of an encompassing higher level mechanism. Results & Conclusions : Overall consideration of the contrary effects of Shaoyao revealed that its working mechanism is to collect qi in the yin-blood part through convergence to control qi among blood, to help smooth flow of blood, eliminate blood stagnation and reinforce blood production which in turn cools down heat.

방광암(膀胱癌)의 한의학적 진료지침 개발을 위한 기초 연구 (A Preliminary Study for the Development of Clinical Practice Guidelines of Korean Medicine for Bladder Cancer)

  • 박태열;유화승;이상헌
    • 대한한방내과학회지
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    • 제37권6호
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    • pp.911-928
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    • 2016
  • Objectives: This study presents Korean medicine clinical practice guidelines for bladder cancer, of which the 5-year survival rate has still been about 75% since the 1990s despite the rapid development of medical science. Methods: A consensus was reached by an expert committee composed of professors and researchers who specialize in Korean medicine on the basis of a literature review that included other countries' clinical guidelines and a textbook. Results: Traditional Chinese medicine clinical practice guidelines were published for the first time in 2014. In Korea, the medical system is different from China in that Korea has completely dualized Korean and Western medicine and a low availability of proprietary herbal medicines. Therefore, these Korean medicine clinical practice guidelines for treating bladder cancer based on the previously published guidelines of Chinese medicine will help first-line Korean medicine doctors. Conclusions: Further studies related to Korean medicine are necessary to develop more advanced Korean medicine clinical practice guidelines for treating bladder cancer.

인삼의 임상적 연구의 실상과 향후전망 (Clinical Studies on Korean Ginseng in Korea)

  • 윤택구
    • Journal of Ginseng Research
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    • 제20권4호
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    • pp.520-539
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    • 1996
  • Based upon Shennong's Ancient Chinese Medical Textbook and Tsorngji Mingyi Byelu. Ginseng has been widely used for over 2,000 years in oriental countries. Scientific basic medical study or clinical study on ginseng was seal·toed 1910's in Eastern countries and from the 1950's in Western countries To obtain kotvledge of clinical studies on Korean ginseng. I investigated the following items 1) Oriental pharmacological documents. 2) the start and corrent state of ginseng research. 3) Clinical studies, 4) epidemiological studies. 5) non-medical human studies. 6) Foreign evaluation in published papers, and 7) future perspectives of clinical study. Although wide and profound research has been carried on the effect of ginseng (diabetes cardiovascular diseases, hypertension, liver diseases. gastrointestinal disorders soress, bram function. aging, antiradiation effect. anemia. hemopoiesis. immuomodulating effect. and tonic effect). Systemic clinical study to determine the therapeutic effects of speciblc disease have hardly been done even in other countries Clinical study or researches with human as the target. on ginseng has been performed in the field of body tenperazure. Pulse, clinical symptoms and hematological findings . fatigue, porformances. anemia. essential hypertension. blood sugar. serum cholesterol. lipid and prolactin. adrenocortical function. impotence. hypospermia. male sterility, climacteric disorder. anticancer effects. cancer preventive effects. and viral hepatitis. adverse effects. and prefered type of ginseng. At the same time as trying preventives or therapeutics from dietary oi natural products scientific research to support that ginseng is not a mystery. should be porformad to prove the effectiveness of Korean ginseng in the treatment of certain diseases using scientific methods or epidemiological approach.

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