• Title/Summary/Keyword: Modern clinical medicine

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A Study on the Characteristic of Tuina Treatment (추나(推拿)치료의 특성에 관한 연구)

  • Kweon, Oh-Hyun
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.1
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    • pp.61-63
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    • 2007
  • Purpose : This purpose of this study is to research basic principles, treatment and kinds of manual therapy of Tuina. Methods : This is a literature study with books and articles. Results : Tuina as a treatment technique with a long history was called by various names. As a term Tuina appears, the technical books and widespread treatments were performed. In modern times, safety was emphasized from chemical and biological side effects of medications, according to this tendency alternative medicine was on the rise. Conclusion : Tuina has a sufficient clinical treatment history and comes into the spotlight as an excellent treatment based on the academic system of oriental medicine.

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The Study on Pattern Differentiations of Primary Headache in Korean Medicine according to the International Classification of Headache Disorders (ICHD 분류에 따른 원발 두통의 한의학적 변증 연구)

  • Lee, Jeong So;Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.31 no.4
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    • pp.201-212
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    • 2017
  • This study draws pattern differentiations of headache disorders on the ground of modern clinical applications and Korean medical literature. Categorization and symptoms of headache disorders are based on International Classification of Headache Disorders 3rd edition(beta version). And clinical papers are searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). In the aspect of eight principle pattern identification, primary headache occurs due to lots of yang qi and has more inner pattern rather than exterior pattern, heat pattern rather than cold pattern, excess pattern rather than deficiency pattern. And primary headache is related with liver in the aspect of visceral pattern identification and blood stasis, wind and phlegm are relevant mechanisms. Migraine without aura is associated with ascendant hyperactivity of liver yang, phlegm turbidity, sunken spleen qi, wind-heat, blood deficiency or yin deficiency. Migraine with aura is mainly related with wind and it's major mechanisms are ascendant hyperactivity of liver yang, liver fire, yin deficiency of liver and kidney, blood deficiency or liver depression and qi stagnation. High repetition rate of tension-type headache can be identified as heat pattern or excess pattern. And trigeminal autonomic cephalalgias can also be accepted as heat pattern or excess pattern when the occurrence frequency is high and is relevant to combined pattern with excess pattern of external contraction and deficiency pattern of internal damage based on facial symptoms by external contraction and nervous and anxious status by liver deficiency. This study can be expected to be Korean medical basis of clinical practice guidelines on headache by proposing pattern identifications corresponding to the western classifications of headache disorders.

The Case of Toxicity Caused by Scopolia Japonica Ingestion Treated with Gamigamdu-Tang. (낭탕근(狼菪根) 중독 환자의 가미감두탕(加味甘豆湯) 투여 증례 1례)

  • Lee, Hye-Yoon;Cho, Su-In;Park, Hye-Lim;Cho, Min-Kyoung;Lee, In;Hong, Jin-Woo;Kwon, Jung-Nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.15 no.1
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    • pp.50-56
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    • 2014
  • The prevalence rate of plant poisoning is growing up gradually. However, it could be difficult to get proper treatment without detail medical history taking due to the diversity of poisonous plants and their various symptoms. Scopolia Japonica, which grows naturally in Korea, is reported to cause severe toxicity which could be lethal. A few therapeutic measures have been reported in Traditional Korean Medicine (TKM), but it has not been reported yet that those measures have been successfully proven in the clinical practice in modern times. This is a case report of toxicity caused by scopolia japonica ingestion. A 65years-old male patient with cognitive impairment, behavioral disorder, gait difficulty, dysarthria, dysphagia and abnormal pupil reflex recovered from those symptoms during taking Gamigamdu-tang and getting acupuncture. This study shows the clinical aspects of Scopolia Japonica toxicity and the possibility of TKM treatments as one of plant poisoning treatments.

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Usage and Dosage of Ginseng Radix (panax ginseng C. A. Meyer) Based upon Traditional and Recent Scientific Clinical Applications (인삼의 한의학적 및 현대임상적 측면에서의 복용량 검토)

  • 남기열;박종대
    • Journal of Ginseng Research
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    • v.24 no.2
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    • pp.99-105
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    • 2000
  • Ginsenf Radix (Panax ginseng C. A. Meyer) has been traditionally used as a herbal medicine for many therapeutic or prophylactic purposes in the oriental countries such as Korea, Japan and China for at least two thousand years and also extensively studied in the modern scientific field of chemistry, biochemistry and pharmacology. The herb is now also indicated for use as tonic or a prophylactic and restorative agent for enhancement of mental and physical capacities, in case of weahess exhaustion tiredness loss of concentration, impotence, cold limbs, during illiness anuor convalescence. Ginseng is commonly used in the form of detections, extract and powderl and ginseng products, in the form of capsules tablets and drinks. And also ginseng radix has been widely traditionally prescribed as an important comuonents of manny Chinese prescriptions or alone in various diseases and for health with its different dosages. Nowadays since rinsenf can be generally classified into food or medicine in many nations, it is very difficult to give any exact desnition on the dosage, which may be of particular importance in clinical applications. In addition, the establishment of the reasonable dosage is currently of great significance to meet the demand for such wide applications. Accordingly in this review paper we summarized the dosage of ginseng on the basis of oriental medical books oriental and western pharmacopeias and modern scientific clinical data. The recent survey demonstrated that the averare dosare of finsenf is considered to be three to four grams per day unless prescribed apart, while one to two grams per day in western countries from the western viewpoint of classification of ginseng as a medicine, surrorted by the dosage of not more than one gram per day in most clinical studies. For that reason, it seems likely that the dosage in western countries is ascribed to the safety of ginseng considering side or unwanted effects. Consequently whether the differences of dosage between oriental and western countries depend on dietary habits and races should be closely investigated. Besides, further studies on the pharmacokinetics and bioavailability of ginseng components in clinical trials need to be done to decide optimum dosage of ginseng.

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Reappraisal of Live Vaccines and Immunity in These Modern Days (현대에서의 생백신과 이에 대한 면역반응의 재평가)

  • Kim, Kyung Hyo
    • Pediatric Infection and Vaccine
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    • v.16 no.1
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    • pp.24-30
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    • 2009
  • The vaccines has been developed over the first two hundred years since Jenner's smallpox vaccination. In modern days, vaccination has had the largest impact on the incidence and persistence of infections. Although natural infection induces lifelong immunity, the assumption that the vaccine also confers permanent protection has been reconsidered following outbreaks of measles in students who had been vaccinated 15-20 years prior to infection in the US in the 1980s. Clinical studies have proposed several mechanisms such as vaccine failure in some individuals and the subsequent loss of immunity after vaccination. An ideal vaccine is relatively easy to define, but few real vaccines approach the ideal. Many difficulties account for the failure in producing these ideal vaccines. However, recent advances in methods for studying immune response to pathogens have provided a better understanding of immune mechanisms. Based on these findings, the development of good vaccine formulations allowing stimulation of optimal and prolonged protective immunity and immunization policies or schedules should lead to the introduction of vaccines for previously resistant organisms.

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Text-Mining of Online Discourse to Characterize the Nature of Pain in Low Back Pain

  • Ryu, Young Uk
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.3
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    • pp.55-62
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    • 2019
  • PURPOSE: Text-mining has been shown to be useful for understanding the clinical characteristics and patients' concerns regarding a specific disease. Low back pain (LBP) is the most common disease in modern society and has a wide variety of causes and symptoms. On the other hand, it is difficult to understand the clinical characteristics and the needs as well as demands of patients with LBP because of the various clinical characteristics. This study examined online texts on LBP to determine of text-mining can help better understand general characteristics of LBP and its specific elements. METHODS: Online data from www.spine-health.com were used for text-mining. Keyword frequency analysis was performed first on the complete text of postings (full-text analysis). Only the sentences containing the highest frequency word, pain, were selected. Next, texts including the sentences were used to re-analyze the keyword frequency (pain-text analysis). RESULTS: Keyword frequency analysis showed that pain is of utmost concern. Full-text analysis was dominated by structural, pathological, and therapeutic words, whereas pain-text analysis was related mainly to the location and quality of the pain. CONCLUSION: The present study indicated that text-mining for a specific element (keyword) of a particular disease could enhance the understanding of the specific aspect of the disease. This suggests that a consideration of the text source is required when interpreting the results. Clinically, the present results suggest that clinicians pay more attention to the pain a patient is experiencing, and provide information based on medical knowledge.

An Etiology Report for Burns Caused by Korean Folk Remedies

  • Hong Sil Joo;Hyun Been Kim
    • Archives of Plastic Surgery
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    • v.50 no.3
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    • pp.305-310
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    • 2023
  • Background In this modern era of science-based medicine, some people still accept folk remedies as an alternative form of medicine. However, misinformation and misuse of folk medicines can result in dangerous complications. Among the possible complications of folk remedy use, this study focused on the clinical characteristics of burns caused by folk remedies. Methods We retrospectively reviewed the clinical records of patients who had been treated for burns caused by folk remedies from May 2015 to April 2022. Data were collected on patients' age and gender, type of folk remedy, reason for using the folk remedy, the severity of the burn, the number of wounds, lesion type, and type of treatment. Results We found 59 patients with burns due to folk remedies. Most were female (76.3%) and ≥ 60 years old (72.9%). The most common type of folk remedy was moxibustion (74.6%), followed by the use of glacial acetic acid (20.3%). The reasons for using folk remedies were arthralgia relief (39%), health improvement (18.6%), and treatment of tinea pedis (11.9%). Most patients had multiple wound sites and had burns that were considered severe, requiring surgical treatment (72.9%). The majority of lesions were on the lower extremity, including the foot. Conclusion This study described the risk of burns caused by folk remedies and the clinical characteristics of the wounds. The results emphasize the need for greater public awareness of the risk of burn injuries when using folk remedies.

Genomic aspects in reproductive medicine

  • Minyeon Go;Sung Han Shim
    • Clinical and Experimental Reproductive Medicine
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    • v.51 no.2
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    • pp.91-101
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    • 2024
  • Infertility is a complex disease characterized by extreme genetic heterogeneity, compounded by various environmental factors. While there are exceptions, individual genetic and genomic variations related to infertility are typically rare, often family-specific, and may serve as susceptibility factors rather than direct causes of the disease. Consequently, identifying the cause of infertility and developing prevention and treatment strategies based on these factors remain challenging tasks, even in the modern genomic era. In this review, we first examine the genetic and genomic variations associated with infertility, and subsequently summarize the concepts and methods of preimplantation genetic testing in light of advances in genome analysis technology.

Analysis of Studies Related with Anti-cancerous herbs that is Uesd in Clinical Treatment Recently : Analyzing Articles from PubMed Search (항암 본초에 관한 최근의 연구 동향 분석 - Pub med 검색을 통해)

  • Yoon, Dam-Hee;Cho, Jung-Hyo;Son, Chang-Gue;Yoo, Hwa-Seung;Lee, Yeon-Weol;Lee, Nam-Heon;Lee, Jong-Hoon;Bang, Sun-Hwi;Cho, Chong-Kwan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1763-1768
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    • 2006
  • Cancer is one of the most serious health problem in modern society, and there are many studies to treat this disease. We have performed the study about analyzing papers related with anti-cancerous herbs that is used in clinical treatment recently. We found 257 papers in 'Pub med', the internet site, using the key words 'cancer' and the scientific name of anti-cancerous herbs. We also have compared the herbs' efficacy in oriental medicine with the experimental results in those papers, and thought the practical uses in clinical treatments. However, research studies that reported data on anti-cancerous herbs were wholly lacking. It is recommended that further studies be performed from the point of view of oriental medicine.

A Case Note on the Medical Negligence of Traditional Chinese Herbal Medicine in the UK

  • Lee, Hai Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.105-115
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    • 2014
  • Objective : Traditional medicine (TM) has been playing its role in national healthcare system and it is taken as complementary and alternative medicine (CAM) from the viewpoint of modern Western medicine. In the UK, not a few practitioners of Traditional Chinese Medicine (TCM) are working as CAM practitioners using herbal medicine and acupuncture therapy. Cases of dispute in the TCM practice are not rare these days because patients who take TCM service are increasing by year. Method : In the UK, dispute cases of the Traditional Medicine of East Asia can be found these days, however, it is hard to find a reported court case. A medical dispute case of TCM will be analysed to see the legal management and the resolving principle in the alternative medicine practice with some cases of Korean Medicine (KM) being discussed. Results : The usual pattern of clinical negligence can be discussed from the points of a duty of care, breach of that duty by negligence, and the harm to the patient from that breach of duty. The judge followed this procedure In this case to discuss the claims. The department of health proposed to introduce regulation to provide the reasonable quality in TCM practice, and the governmental system would be essential to regulate both the TCM practice and practitioners. Conclusion : The dispute case of traditional Chinese herbal medicine (TCHM) practice is important for the clinical negligence in TCHM practice. Judging the negligence of a TCHM practitioner involves the conventional negligence principle in tort law, and the TCHM practitioners are required to keep up with the up-to-date information on the related medical specialty. The reasoning is almost the same as that shown in the court case of Korea. The TCHM practice in the UK needs to be under the regulation by the government. The standard of care we expect of a TCHM practitioner is a further matter to discuss from the healthcare and social viewpoints.