• 제목/요약/키워드: Modern clinical medicine

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오행침자법(五行鍼刺法) 원리 및 임상응용에 관한 연구 - I 원리에 관한 연구

  • 안창범;장경전;윤현민;김철홍;민영광;문혁철;구성태
    • 대한약침학회지
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    • 제11권3호
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    • pp.17-31
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    • 2008
  • Objective: To review the theoretic basis of the Sa-Ahm 5 Element acupuncture devised about 360 years ago, papers and books were researched. Methods: Total of 59 books and papers ranging from ancient Huang Di nei jing to modern Bio Medical Acupuncture for Pain Management were researched to study the basic theory of it in relation to the 5 Shu points, Results: Gao-mu in Chinese Ming dynasty, for the 1st time, had used 5 Shu points based on creation cycle as tonification and sedation treatment respectively and named it as 'tonification and sedation treatment of self meridian' but since then, this method, without special reasons, has been rarely used until Sa-Ahm's new doctrine that include the concept of destruction cycle was asserted. Conclusions: Sa-Ahm 5 Element acupuncture is a method which uses 5 Shu points from the viewpoints of simultaneous tonification and sedation methods which are based on promotion and control cycles. Though it is nowadays mostly-used method in accordance with practitioner's points, it needs to be set guidelines by which to effectively practice Sa-Ahm acupuncture.

『의림촬요(醫林撮要)』의 의안(醫案)에 대한 연구 (A Study on the Yi'an (醫案) of Uirimchalyo (醫林撮要))

  • 구민석;김민선;김홍균;차웅석;김남일
    • 한국의사학회지
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    • 제31권1호
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    • pp.89-103
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    • 2018
  • Uirimchalyo (醫林撮要), one of the most important books in the history of Korean Medicine (KM), has not been researched within the framework provided by Yi'an (醫案), an East Asian tradition of describing clinical encounters with the therapies employed. In modern times, this practice of Yi'an might be similar to the outline of a singular "case study". The authors designed the study to analyze the basic information of Yi'an within the Uirimchalyo and to contribute to the foundations of employing Yi'an in Korean Medicine. A standard was established, and the 123 Yi'ans were extracted, most of which were taken from the chapter, Historic Doctors (歷代醫學姓氏). Using this information and in comparison with other medical books such as Euibangyoochui (醫方類聚), the authors learned that the Yi'ans from the Jinyuansidajia (金元四大家), including those of four eminent clinicians in Jin (金) and Yuan (元) Dynasty, are excluded from Uirimchalyo. The authors identified that Yi'ans from other medical books, are cited in the Uirimchalyo but with different format, not with the traditionally understood form of Yi'an. This study of the Uirimchalyo Yi'an resulted in three important understandings of Yi'an. First, the mere number of Uirimchalyo Yi'an is meaningful in that it raised the genre of Yi'an to the a level not previously recognized. Second, in the history of Korean Medicine, Yi'an is first systematized in the Uirimchalyo at the chapter of Historic Doctors. Third, Uirimchalyo raised the concept of usefulness of Yi'an, to the practice of Korean Medicine.

캉길렘의 생명철학에서 개체성과 내재적 규범의 문제 (The Problem of Individuality and Intrinsic Norms in Canguilhem's Philosophy of Life)

  • 황수영
    • 의철학연구
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    • 제15권
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    • pp.3-37
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    • 2013
  • 조르주 캉길렘의 의철학에서 의학은 기술이라고 주장된다. 이는 실용적 의미가 아니라 인간의 전체성을 반영하는 가치론적 지평에서 제시된다. 이러한 의학의 특징이 캉길렘의 철학적 사유의 동기가 된다. 의학적 지식은 생리학의 단순한 응용이 아니라 환자 개인의 체험에 기초한 임상적 관찰에서 비롯한다. 의학이 과학이고 그 실행이 순수 지식의 응용이라면 환자는 수동적 대상에 머물게 된다. 그러나 환자는 질병에 수동적으로 노출되기보다는 자신의 생애를 통해 이미 습득된 능동적 태도에 의해 질병의 위협에 대처한다. 캉길렘은 이 점을 '규범성'이라고 특징짓는다. 규범성은 개인의 삶의 핵심이지만 실증주의 의학은 이를 설명할 수 없다. 여기서 캉길렘의 의학사상의 생기론적 특징이 나타난다. 캉길렘의 규범성 개념은 일인칭 주관과 관련되기 때문에 기계론적 설명방식을 벗어난다. 캉길렘의 독창성은 개체성과 가치 그리고 규범에서 의학의 본질을 도출하는 데 있다.

경구탕액요법(經口湯液療法)을 제외한 난소낭종의 다양한 치료법에 대한 조사 연구 - 중의학 논문을 중심으로 - (Investigation of Various Remedies of Ovarian Cyst except Oral Decoction of Medical Ingredients in Chinese Medicine Journals)

  • 배경미;조혜숙;이승환;이인선
    • 대한한방부인과학회지
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    • 제22권3호
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    • pp.152-168
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    • 2009
  • Purpose: The purpose of this study is to examine remedies suggested in the papers of ovarian cyst in Chinese Medicine Journals and to establish the further direction. Methods: The papers published between 1994 and 2009 in China Academic Journal were reviewed. Results: 1. It was on Bo-Ryu Enema that main focus of investigation was placed. A variety of randomized controlled trials and case series were found. As a result, a lot of proper manual arts and prescriptions were provided out of them. 2. Acupuncture is reported as significant in reducing the size of ovarian cyst and improving clinical symptoms, which covers electrical acupuncture, enlongated needle and moxibustion, burning acupuncture. 3. External application was verified as an effective therapy for the case of a combined treatment with oral medicine. 4. Modern medical equipments such as ultra short wave medical cure, TDP could improve the efficiency of traditional remedies like Bo-Ryu Enema, external application. Conclusion: It would be necessary to practically come up with a diversity of remedies besides oral decoction of medical ingredients, and establish standard of evidence of them.

공최(LU6)를 활용한 치질치료의 근거에 대한 문헌고찰 (A Literature Review on the Evidence that Hemorrhoids Were Included in the Efficacy of LU6)

  • 조은별;김청수;남연경;권오상;양승범;김재효
    • Korean Journal of Acupuncture
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    • 제38권4호
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    • pp.235-249
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    • 2021
  • Objectives : Acupoint LU6 (Gongchoe) is known as an acupoint for the treatment of pain and bleeding caused by hemorrhoids. The purpose of this study was to critically review acupoint LU6 for treating hemorrhoids. Methods : We searched both ancient and modern literature of acupuncture and moxibustion using keywords "Gongchoe" and "hemorrhoids". We further performed an online ancient literature search for crosscheck. The searched literature was stratified by country (Korea, China, and Japan), and data were organized chronologically. Concerning literature related to hemorrhoids, data based on acupuncture treatment were compiled. Results : The bone proportional measurement of the forearm had been 12.5 cun until the Qing Dynasty but was recorded as 10 cun in "Shinkyushinzui," and the majority of modern Japanese and Korean literature indicated it as 10 cun. Gongchoe for treating hemorrhoids has been reported in the literature, including "Shinkyushinzui" (Japan, 1941), "Shiyoungzongguozhenjiujingxuexue" (Taiwan, 1963), "Gyeonghyeolhak" (Korea, 1971), and "Jinzhenmeihuashichao" (China, late Qing dynasty), but except "Jinzhenmeihuashichao", the location is different from the World Health Organization (WHO) standard acupoint location as it is 7 cun from the wrist out of 10 cun of the forearm bone proportional measurement. In addition, classical guides published until the Qing Dynasty did not report acupoint LU6 for the treatment of hemorrhoids. Conclusions : It is necessary to distinguish between Gongchoe in "Shinkyushinzui" and LU6 in WHO standard acupuncture point locations. Gongchoe (LU6)'s primary treatment for hemorrhoids has not been described in the classical literature, and further clinical evidence is needed to support it. When using Gongchoe for hemorrhoids, we should consider that the location of Gongchoe is closer to the LU5 than the standard acupuncture point locations and it is meaningful not only for treatment but also for diagnosis.

중의아과학현장여전망(中醫兒科學現狀與展望) (The Present Conditions and Future Development of Traditional Chinese Medicine Pediatrics)

  • 왕수전
    • 대한한방소아과학회지
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    • 제15권1호
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    • pp.229-234
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    • 2001
  • 본문종술료중의견과학근50년래재기초의학 (本文綜述了中醫見科學近50年來在基礎醫學), 예방의학(預防醫學)、림증의학적발전현상화성취(臨證醫學的發展現狀和成就), 작자인위중의아과학발전적전략목표시현대화(作者認爲中醫兒科學發展的戰略目標是現代化). 금후약간년내(今后若干年內), 잉장요대력인진현대과학기술수단(仍將要大力引進現代科學技術手段), 재중의아과학기초방면(在中醫兒科學基礎方面), 가강대소견생리병리특점(加强對小見生理病理特点), 사진객관화(四診客觀化), 굉관변증여미관변증상결합(宏觀辨證與微觀辨證相結合), 약물제형개혁급약효학등연구(藥物劑型改革及藥效學等硏究) ; 재림증방면(在臨證方面), 발휘중의약우세(發揮中醫藥優勢), 심입대병독성질병(深入對病毒性疾病), 면역성질병(免疫性疾病), 영양성질병(營養性疾病), 신생아질병등적연구(新生兒疾病等的硏究), 제고료효(提高療效), 적루자료(積累資料), 온양학과현대화적변장(?釀學科現代化的變章).

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Lead Poisoning: Historical Aspects of a Paradigmatic "Occupational and Environmental Disease"

  • Riva, Michele Augusto;Lafranconi, Alessandra;D'orso, Marco Italo;Cesana, Giancarlo
    • Safety and Health at Work
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    • 제3권1호
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    • pp.11-16
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    • 2012
  • Lead poisoning is one of the earliest identified and most known occupational disease. Its acute effects have been recognized from antiquity when this condition principally afflicted manual workers and slaves, actually scarcely considered by the medicine of that time. The Industrial Revolution caused an epidemic of metal intoxication, urging scientists and physician of that period to study and identify specific symptoms and organ alterations related to chronic lead poisoning. During the 20th century, the acknowledgment of occupational and environmental toxicity of lead fostered public awareness and legislation to protect health. More recently, the identification of sub-clinical effects have greatly modified the concept of lead poisoning and the approaches of medicine towards this condition. Nowadays, lead poisoning is rarely seen in developed countries, but it still represents a major environmental problem in certain areas. Consequently, it may appear as a paradigm of "occupational and environmental disease," and the history of this condition seems to parallel the historical development of modern "Occupational and Environmental Health" as a more complete medical discipline.

기공교육 향상을 위한 양생기공학 강의평가 분석 (Yang-Seng Gi-Gong Course Evaluation Analysis for Improving Education Gi-Gong)

  • 안훈모;나삼식
    • 대한의료기공학회지
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    • 제15권1호
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    • pp.1-22
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    • 2015
  • Objectives : The purpose of this study is to develop a Gi-Gong method instruction configured with modern motions to suit the Medical curing characteristics of Korean Medicine and improve the development and validation of educational and clinical needs. Methods : We took survey on 33 students after giving 'Yang-Seng Gi-Gong' lectures at Woosuk University School of Korean Medicine in the first semester of the year 2015. Results : 1. Reflection of training goal was 7.75±1.79, which showed that the education was overall interesting, but showed a high satisfaction with the practical rather than the theoretical lectures. 2. General difficulty level was intermediate, but the practice of Hwal-In-Shim-Bang Do-In-Beop from several formulations were evaluated relatively difficult exercise. 3. The propriety of training materials were rated as mostly adequate, but that assessment was relatively less appropriate for the linkage of theory and practice, and that of time allocation and place was a normal level. 4. For the propriety of time distribution, the class of one semester such as the current is rated appropriate by 61% of students. 5. General class participation was 6.34±2.52, then participation in practice than theory lessons were active. On the other hand, Induction training participation and participation appeared to be relatively low correlation, but overall interesting and participation in practice high correlation. Conclusions : The difficulty level of theory lessons is necessary to be adjusted and lecture form will need to continue focusing on practical lessons.

Panax Ginseng in the treatment of Alzheimer's disease and vascular dementia

  • Zhiyong Wang;Zhen Zhang;Jiangang Liu;Mingdong Guo;Hao Li
    • Journal of Ginseng Research
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    • 제47권4호
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    • pp.506-514
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    • 2023
  • Dementia has become one of the most important diseases threatening human health. Alzheimer's disease (AD) and vascular dementia (VaD) have the highest incidence rates among the types of dementia, but until now, therapeutic methods have been limited. Panax ginseng has been used in China for thousands of years to treat dementia, and modern medical studies have found that it contains multiple active components, such as ginsenosides, polysaccharides, amino acids, volatile oils and polyacetylenes, many of which have therapeutic effects in treating AD and VaD. Studies have found that ginsenosides have multitarget therapeutic effects in treating dementia, such as regulation of synaptic plasticity and the cholinergic system, inhibition of Aβ aggravation and tau hyperphosphorylation, anti-neuroinflammation, anti-oxidation effects and anti-apoptosis effects. Other active components of Panax ginseng, such as gintonin, oligosaccharides, polysaccharides and ginseng proteins, also have therapeutic effects on AD and VaD. The effectiveness of ginseng-containing Chinese medicine compounds has also been confirmed by clinical and basic investigations in treating AD and VaD. In this review, we summarized the potential therapeutic effects and related mechanisms of Panax ginseng in treating AD and VaD to provide some examples for further studies.

Brain plasticity and ginseng

  • Myoung-Sook Shin;YoungJoo Lee;Ik-Hyun Cho;Hyun-Jeong Yang
    • Journal of Ginseng Research
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    • 제48권3호
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    • pp.286-297
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    • 2024
  • Brain plasticity refers to the brain's ability to modify its structure, accompanied by its functional changes. It is influenced by learning, experiences, and dietary factors, even in later life. Accumulated researches have indicated that ginseng may protect the brain and enhance its function in pathological conditions. There is a compelling need for a more comprehensive understanding of ginseng's role in the physiological condition because many individuals without specific diseases seek to improve their health by incorporating ginseng into their routines. This review aims to deepen our understanding of how ginseng affects brain plasticity of people undergoing normal aging process. We provided a summary of studies that reported the impact of ginseng on brain plasticity and related factors in human clinical studies. Furthermore, we explored researches focused on the molecular mechanisms underpinning the influence of ginseng on brain plasticity and factors contributing to brain plasticity. Evidences indicate that ginseng has the potential to enhance brain plasticity in the context of normal aging by mediating both central and peripheral systems, thereby expecting to improve age-related declines in brain function. Moreover, given modern western diet can damage neuroplasticity in the long term, ginseng can be a beneficial supplement for better brain health.