• 제목/요약/키워드: Sun-qi

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기허(氣虛)로 변증된 만성 대하증(Chronic Leukorrhea) 환자의 치험 1례 (A Case Study on Korean Medicine Treatment for Chronic Leukorrhea Diagnosed with Qi Deficiency)

  • 박강인;박연경;박경선;황덕상;이창훈;장준복;이진무
    • 대한한방부인과학회지
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    • 제28권3호
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    • pp.107-118
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    • 2015
  • Objectives Chronic leukorrhea is troublesome symptom to many women. It is well known that Korean medicine is safe and effective on chronic leukorrhea. So this study aims to report the clinical effect of Korean medicine on chronic leukorrhea diagnosed with qi deficiency. Methods The patient received herbal medication, acupuncture, moxibustion, cupping therapy, and Gong-jin therapy during hospitalization (about 17 days). Ikkijeseup-tang (IJST) was applied. Results Chronic leukorrhea, lethargy and loss of appetite was effectively reduced after the treatment. Qi deficiency questionnaire score decreased from 90 to 33. Visual Analogue Scale for chronic leukorrhea decreased from 7 to 0. SF-36 score increased from 268 to 323. Conclusions This case shows that Korean medicine is effective on chronic leukorrhea diagnosed with qi deficiency. Further experimental studies and clinical studies are needed.

의료 질 향상 활동에 대한 병원장의 인식 및 태도 (Cognition and Attitude of Hospital CEOs toward Healthcare Quality Improvement Activity)

  • 최귀선;지영건;이선희;채유미
    • 한국의료질향상학회지
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    • 제8권2호
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    • pp.218-231
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    • 2001
  • Background : The purpose of this study was to investigate the understanding and the attitude of Korean hospital CEOs toward the healthcare quality improvement. Methods : A mailed questionnaire survey to the CEOs of hospitals with 400 beds or more was conducted between September 15 and October 30, 2000. Of the 108 hospitals eligible for the study, 58 participated, yielding a response rate of 54 percent. Result : The hospital CEOs have expressed that their hospital management was arduous job, and they had been pressured by increasing competitions among healthcare providers. They indicated that the low fees of health insurance made their hospital management difficult. The results also indicated that there was general consensus that the improvement of service quality was important in encouraging their organizations, but the investment of manpower and equipment ranked higher than the improvement of service quality. The majority of the CEOs have good understanding about quality improvement activities. However the facts that in general QI must be focused at the process of services and customer satisfaction, meanwhile quality improvement activities are helpful for the organizational productivity embarrassed them. The hospital CEOs responded that there were successful changes in terms of quality of care, patient satisfaction, and process efficiency after QI activities, but no increase in patient number and profit. Lack of understanding to QI activities and limited budget seem to attribute unsatisfactory outcomes. Conclusion : The majority of Korean hospital CEOs have a good understanding and attitude about QI activities. As mentioned in the result, despite of several limitations, several facts regarding the CEOs of hospital in Korean can be elucidated. (1) The general cognition of the QI project is relatively high, and it is accepted with positive concern, (2) the priority of the QI project, however, is not set higher than other projects and (3) the specific concepts of the actual QI project such as customer (patient)-focused work driving, the recognition of the work accomplishment, and the importance of rewards have not sufficiently understood.

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이상근 압통을 동반한 요추 추간판 탈출증 환자에 대한 동기침법 효과 비교연구: 후향적 분석연구 (A Comparative Study on the Effect of Dong-qi Acupuncture for Lumbar Herniated Intervertebral Disc Patients with Piriformis Muscle Tenderness: A Retrospective Analysis)

  • 신유빈;김상민;최지훈;이순호;박재홍
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.87-96
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    • 2015
  • Objectives : The purpose of this study was to investigate the clinical effects of Dong-qi acupuncture on piriformis for herniated intervertebral disc(HIVD) of lumbar spine patients with piriformis muscles tenderness. Methods : This research was carried out on the 60 inpatients who received treatment for their HIVD of lumbar spine from January 1 to May 31, 2014 in DaeJeon Jaseng Hospital of Korean Medicine. We divided them into two groups ; group A(n=30) : common treatment on HIVD of L-spine without Dong-qi acupuncture on piriformis(acupuncture, pharmacopuncture, herb medication, Chuna and physiotherapy), and group B(n=30) : common treatment on HIVD of L-spine with Dong-qi acupuncture on piriformis. We evaluated the treatment effect of each group on tenderness(checked by Algometer pressure), and with a numeric rating scale(NRS), and oswestry disability index(ODI). The evaluations of tenderness were performed 8 times : admission day, and on the 3rd, 6th, 9th, 12th, 15th, 18th and 21st day after admission. The evaluations of NRS and ODI were performed 3 times : admission day, and on the 12th and 21st day after admission. The statistical significance was evaluated by SPSS 18.0 for Windows. Results : In group B, tenderness was significantly decreased compared with group A. The difference of tenderness from admission day to the 12th day showed significant reduction compared with group A. Conclusions : Dong-qi acupuncture is more effective in reducing piriformis muscle tenderness in the early stages of treatment. We expect that patients who receive Dong-qi acupuncture will be satisfied with Korean medical treatment and trust their doctor.

음허증(陰虛證)의 임상적 질환 범위에 대한 고찰 (Study on Clinical Diseases of Yin Deficiency Pattern)

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제27권3호
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    • pp.289-298
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    • 2013
  • The purposes of this article are understanding the meaning of yin deficiency interpreted with a perspective of Traditional Korean Medicine and a modern perspective a study and assigning modern diseases to yin deficiency pattern types. Clinical papers were searched in China National Knowledge Infrastructure(CNKI) from 1995 to 2013. Results are as follows. First, yin deficiency written in the "Neijing" has been understood in many ways. It is translated such as deficiency of yin qi, inner qi, essence, cubit pulse, yin meridians qi, viscera yin and kidney. Second, yin deficiency pattern are related with disorders of the endocrine system, immunity, energy metabolism, blood circulation, cytokine, microelements, lipid metabolism and capability of getting rid of oxygen free radicals. Third, from pattern types, diverse diseases classified in types involving the heat from yin deficiency, which reflects pathologic conditions of deficiency heat which is distinct characteristics of yin deficiency pattern. Various diseases classified in types related with liver or kidney are reported, which reflects two viscera are more related with yin deficiency than other viscera. Fourth, levels of pattern types surveyed are more specific than Korean Standard Classification of Diseases(KCD) and specific enough to be applied clinically. This article surveyed the categories of modern diseases yin deficiency pattern types is assigned to but the detailed relation between them will be necessary to be studied in the future.

수천(水喘), 화천(火喘) 및 심장성천식(心臟性喘息)의 치법(治法), 처방(處方)에 관(關)한 동서의학적(東西醫學的) 문헌고찰(文獻考察) (Comparative literature study between Ovietal and Western medicine on the treatment and prescription for Su-Cheon(水喘), Hwa-Cheon(火喘) and Cardiac Asthma.)

  • 김영태;권혁성;정승기;이형구
    • 대한한의학회지
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    • 제16권1호통권29호
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    • pp.172-183
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    • 1995
  • According to the literature surrey, we summarized the treatment and prescription for Su-Cheon(水喘), Hwa-Cheon(火喘) and Cardiac Asthma as follows. 1. The aim of treatment for Su-cheam(水喘) is I-Su-Hwa-Daw(利水火痰), Pynng-Cheon-Ick-Qi(平喘益氣) and Mokbangki-tang(木防己湯), Jungryuk daejosapye-tang(亭曆大棗瀉肺湯) Socheong ryong-tang(小靑龍湯), Gagamshinki-hwan(加減腎氣丸) and Shinbi-tang(神秘湯) are often used. 2. The sim of treatment for Hwa-Chean(火喘) is Cheong-Kuem-Kwang-Hwa(淸金降火祛痰) and Backho-tang(白虎湯) and Dodamtang-gamibang(導痰湯加味方) are useful. 3. In Oriental medicine, Sangmak-Sun(生脈散) and Sambutang-gamibang(參附湯加味方) for Ink-Qi-Ryum-Eum(益氣斂陰) and On-Yang-I-Su-Qi(溫湯利水化氣) are often used for cardiac asthma. 4. As the treatment for Su-Cheon(水喘), Hwa-Cheon(火喘), and cardiac asthma are Similar to, it is supposed to be need of careful differential diagnosis and treatment.

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어혈증(瘀血證)의 임상 질환 범위에 대한 고찰 (Study on Clinical Diseases of Blood Stasis Pattern)

  • 박미선;김영목
    • 대한한의학방제학회지
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    • 제21권1호
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    • pp.1-15
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    • 2013
  • Objectives : This article is a study on to which categories of modern diseases blood stasis patterns are assigned and the meaning of blood stasis interpreted with perspectives of Korean Medicine and modern medicine. Methods : We reviewed "Neijing", "Shanghanlun", "Yilingaicuo", "Xuezhenglun" and other books and modern clinical papers related with blood stasis. Results : 1. Blood stasis patterns are related with disorders of hemorrheology, hemodynamics, platelet function, microcirculation, microelements and endothelial damage. 2. From the types of syndrome differentiation, diverse diseases classified in type of qi deficiency with blood stasis and type of blood stasis due to qi stagnation are reported, which reflects qi and blood are closely connected. And many diseases are classified in type of kidney deficiency with blood stasis, which has something in common with chronic diseases can achieve effect from treatment considering blood stasis. 3. Diseases related with kidney involve menopausal disorder, mazoplasia, prostatitis, erectile dysfunction, chronic nephritis, renal calculus, osteoporosis and bursitis. Diseases related with heart involve coronary artery disease, arrhythmia and cerebral thrombosis. Diseases related with spleen involve gastritis, colonitis and digestive organ ulcer. Diseases related with liver involve hepatitis, hyperthyroidism and stroke. Diseases related with lung involve neurodermatitis, bronchitis and paranasal sinusitis. Conclusions : Blood stasis pattern which is one of the areas to draw medicine's attention has broad clinical application.

초등학생 어머니의 양육스트레스, 대처방식 및 한방진단시스템과의 연관성 연구 (Associations of PSI, WCC, and DSOM in Mothers of Elementary School Children)

  • 임정화;이인선;정인철;황보민;정민정
    • 동의신경정신과학회지
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    • 제21권4호
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    • pp.99-112
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    • 2010
  • Objectives : This study was to investigate the associations of Parent Stress Index(PS]). Way of Coping Checklist(WCC). and Diagnostic System of Oriental Medicine(DSOM) in mothers of elementary school children. Methods: In the study. K-PSI-SF. WCC. and DSOM were carried out on 202 mothers of O Oelementary school children during June. 2010. Cross tabulation analysis was used to verify the association of PSI. WCC and DSOM. Results: 1. The most common pathogenic factor was Dampness(濕) in total subjects. 2. The score of problem-focused coping methods showed significant difference in PSI grades. 3. The zp and sc10 of Qi deficiency(氣虛), Blood deficiency(血虛), Qi-Stagnation(氣滯), Insufficiency of Yang(陽虛), Heat(熱), Dampness(濕), Dryness(燥), Liver(肝), Heart(心), and Kidney(腎) showed significant difference in PSI grades. 4. The score of total PSI and PSI subscale had negative correlations with problem-focused coping methods 5. The score of total PSI had positive correlations with Qi-Stagnation (氣滯), Dampness(濕), Dryness(燥), Heart(心), and Kidney(腎) in total subjects. Conclusions : This study provides insights on associations of parenting stress coping methods and diagnostic system in Oriental Medicine. Furthermore, the study shows positive correlations among Qi-Stagnation (氣滯), Dampness(濕), Dryness(燥), Heart(心), Kidney(腎) and PSI, and negative correlations between PSI and Problem-focused coping methods, all with statistical significance.

비만여성에서 내장지방과 한방비만변증의 연관성 (Relationship between Visceral Adipose Tissue and Oriental Obesity Pattern Identification in Obese Korean Women)

  • 김은주;이아라;황미자;조재흥;최선미;정석희;송미연
    • 한방재활의학과학회지
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    • 제21권2호
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    • pp.279-288
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    • 2011
  • Objectives : Our purpose of this study was to evaluate the association between abdominal adipose tissue and oriental obesity pattern identification. Methods : This study was performed in 78 healthy obese(BMI(body mass index)${\geq}25kg/m^2$) women in Seoul. Subjects underwent abdominal CT(computed tomography) scanning and were asked to complete the oriental obesity pattern identification questionnaire. Subjects were given written consent and this study was performed under permission of institutional review board of Kyung-hee East-west Neo medical center. Results : 1. VFA(visceral fat area) and VSR(visceral/subcutaneous adipose tissue ratio) were significantly correlated with stagnation of the liver qi(肝鬱, gan-yu)(p<0.05). But, other patterns were not significantly correlated with oriental obesity pattern identification(p>0.05). 2. We evaluated a difference of oriental obesity pattern identification score in visceral obesity group(n=34) versus non-visceral obesity group(n=44). Scores of all patterns except food accumulation(食積, shi-ji) were significantly higher in the visceral obesity group than in the non-visceral obesity group(p<0.05). Especially, there was a further significant difference in stagnation of the liver qi(肝鬱, gan-yu)(p<0.01). Conclusions : Generally, the stagnation of the liver qi(肝鬱, gan-yu) has a close relation with stress and depression. This study suggests that stress and depression might be correlated with visceral fat, and the use of oriental obesity pattern identification would be helpful for planning a treatment schedule of visceral obesity in the clinic.

"온병조변(溫病條辨)" 습류온병(濕類溫病)에 대한 고찰 (Study on Epidemic Warm Diseases with dampness of "OnByeongJoByeon")

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.803-811
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    • 2012
  • Oriental Medicine always attach great importance to the damp diseases. Dampness is related with many organs and many clinical diseases. The cause and the location of the damp disease, nature of the symptoms, combination with other pathogenic factors are very diverse. This article analyzed the concept, cause of disease, pathogenesis, characteristic of symptoms, treatment method and prescriptions of Epidemic Warm Diseases of dampness syndrome and cases of dampness-heat diseases based on the theories of Epidemic Warm Diseases and found that theories of Epidemic Warm Diseases have very wide area of application. Dampness is classified into cold-dampness and dampness-heat by combination of heat or cold. The dampness syndrome is related with organs such as lung, spleen, kidney, triple energizers and bladder, and affects liver and heart. The basic treatment methods are dispelling dampness turbidity and diffusing qi movement. The detail treatment methods are spreading lung qi with lightness and resolving dampness and excreting turbidity in upper energizer, opening and dipping down with pungent-bitter and diffusing qi movement and strengthening the spleen and stomach in the middle energizer, draining dampness with bland in the lower energizer. Warming Yang is the main method of treatment for cold-dampness and clearing heat is for dampness-heat with the assistant methods such as resolving dampness and promoting the flow of qi. 5. Acute fever, virus diseases, epidemic diseases among modern diseases are much related with the dampness-heat syndrome.