• 제목/요약/키워드: Western-Oriental Medicine

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비만의 원인과 치료에 대한 동서의학적 고찰 (Oriental and Western Medical Study on the cause and treatment of Obesity)

  • 이상봉;금동호;이명종
    • 동국한의학연구소논문집
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    • 제5권
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    • pp.33-52
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    • 1996
  • The purpose of this study was to investigate efficient treatment in obesity. In order to help clinical application in obesity treatment, this study was performed to investigate the cause and treatment in obesity. The main finding of this study were as follows. 1. In the cause of oriental medicine in obesity, that were moisture(濕), phlegm(痰), gore(瘀), the productive heat(積熱), overeating, supemutrition, underaction, heredity and habitude, psychologic factor(stress) etc. 2. In the western medicine, the cause of obesity were genetic cause, endocrine disorder, hypothalamic extraodinary and secondary effect of drug. But simple obesity is the greater part. Also there were psychologicai and environmental causes. 3. Ear acupuncture of wide application were Naebunbi, Sinmun, Taejang, $ij{\check{o}}m$, $Pyej{\check{o}}m$, $Bij{\check{o}}m$ etc. 4. Body acupuncture of application were $Naej{\check{o}}ng$, $Sangg{\check{o}}h{\check{o}}$, Pungnyung, Kokchi, $Sam{\check{o}}mgyo$, $Umn{\check{o}}ngch{\check{o}}n$ etc. 5. In oriental medical treatment of obesity, Bangpungtongs ngsan(防風通聖散), Daesihotang(大柴胡湯), Seungkitang(承氣湯), Bangkihwangkitang(防己黃?湯), Richulsaryeungtang(二朮四笭湯), Taeksatang(澤瀉湯), Opieum(五皮飮), Gongyundan(控涎丹) etc were wide applicated. 6. The western medical treatment in obesity encourage the dietary cure, exercise cure and behavior adjustment than medical therapy or operation. In treatment of obesity, the dietary cure and herb-drug therapy, ear acupuncture and body acupuncture are effective. But weight maintenance after treating is more important. After all the continuous dietary cure, behavior adjusting cure and exercise cure are necessary.

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이원적 의료체계에서 의사와 한의사의 과실판단 (The Criteria of Medical Malpractice of Medical Doctors and Oriental Medical Doctors in Korea)

  • 이백휴
    • 의료법학
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    • 제12권2호
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    • pp.123-158
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    • 2011
  • The Korea health care system has been divided into Western and Oriental (Korea traditional) medicine since 1951. In accordance with dualistic medical system, there are many conflict cases between medical doctors and oriental medical doctors. Meanwhile, there were much discussions about the meaning and criteria of medical malpractice(negligence). Especially, many cases have been built up about the criteria of medical malpractice through lawsuits. But, comparatively, there's few the medical malpractice case of the oriental medical doctors. According to a recent ruling of the Supreme Court, the legal principles of medical doctor's malpractice case are equally applied to the criteria of the oriental medical doctor's malpractice case. But there are much considerations in addition to these principles for the dualistic medical system and academic distinctiveness. This study is intended to review the dualistic medical system, the criterion of medical malpractice, and analysis this issues. To make long story short, under our dualistic medical system, judging the medical and oriental malpractice should be considered relatively. However, it makes sense that we want medical doctor or oriental medical doctor to demand the reinforced negligence to restrict the unnecessary discretion. If there is lack of evidence-based medicine or the rationality suspected, the health care providers must give enough proof.

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일반인 및 내원환자의 한방병원 진료에 대한 인식도 연구 (Study on Perception About Traditional Korean Medicine (TKM) Hospital Treatment among the General Population and Patients Visiting a TKM Hospital)

  • 박요한;황대선;신현규
    • 대한한방내과학회지
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    • 제31권2호
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    • pp.264-272
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    • 2010
  • Objectives : This study was carried out to measure perceptions about Traditional Korean Medicine hospitals and provide data for improvement of TKM hospital management. Methods : We surveyed the general population from 1st to 17th December, 2008, and patients visiting a TKM hospital from 1st June to 9th December, 2008. Results : Result as follows. 1. The response ratio for the generally preferred medical institution was in the order of western medical clinic, pharmacy, general hospital, TKM clinic, TKM hospital. 2. The response ratio for the preferred medical institution for herbal medicine treatment was in the order of TKM clinic, herbal medicine store, TKM hospital, pharmacy. The preferred medical institution for acupuncture treatment was in the order of TKM clinic, TKM hospital, acupuncture clinic, public health center. 3. The most common response to reason for receiving traditional Korean medical care was "traditional Korean medical care is more effective than western medical care." 4. The proportion of first treatment and second treatment of patients visiting at TKM hospital was about 1:1. 5. 72.3% of patients had been to another medical institution. 6. The response ratio for the first visited medical institution for the same disease was in the order of general hospital, western medical hospital, western medical clinic, TKM clinic. 7. The response ratio for the concern about TKM treatment was in the order of expensive charge for TKM treatment, uncertainty of TKM treatment effect. Conclusions : Through this research, we can understand the perception about TKM hospital treatment of the general population and patients visiting TKM hospitals.

한방병원 갑상선 클리닉 내원 환자들의 임상적 특성 분석 (The Analysis on Clinical Characteristics of Out-Patients of Oriental Thyroid Clinic)

  • 변상혁;김순일;강기훈;이병철;안영민;두호경;안세영
    • 대한한방내과학회지
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    • 제26권1호
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    • pp.213-220
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    • 2005
  • Objective : Thyroid diseases are one of the most common endocrine disorders. However, the first chosen-treatments including anti-thyroidal and hormone-supplement therapy in western medicines, sometimes have failed to improve abnormal thyroid hormone secretions and clinical symptoms. Therefore, there has been a growing expectation for Oriental Medicine to take the role of alternative therapy. However, there has been little analysis of clinical characteristics. In this study, clinical characteristics of thyroidal disease patients who visited Kyung-Hee oriental hospital from January to July 2004 were analyzed. Methods : A total 86 patients diagnosed as hyperthyroidism, hypothyroidism or thyroid nodule were selected. Clinical history, including sex, age, symptoms, disease duration and methods of previous therapy and thyroidal test, such as thyroid function test (TFT), thyroid scan and other thyroid examinations. Results : In distribution of onset age and sex, the patients who have visited oriental hospital with thyroidal diseases showed similar characteristics with typical patients. In clinical symptom, the most frequent clinical sign was fatigue in both hyperthyroidism and hypothyroidism, which differs from the classical characteristics of those diseases. Most patients complained the unresolved symptoms, some of which are attributable to abnormal thyroid hormone secretions, in spite of western therapy with anti-thyroidal and hormone supplement agents. Conclusions : In oriental therapy, it will be necessary to consider the unique clinical features of thyroidal diseases different from classical patterns, and this study suggests that oriental therapy is a good alternative method for patients whose first treatment with western agents failed. Furthermore, more public information to these patients about oriental medicine would be helpful to increase cure rates, and give various choices to patients with thyroid diseases.

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급성기 말초성 안면신경마비에 대한 한방치료와 한양방 병용치료의 효과비교 (The effectiveness of oriental medical therapy compared to oriental-western medical therapy on acute bell's palsy)

  • 조기호;정우상;홍진우;황재웅;나병조;박성욱;문상관;박정미;고창남;김영석;배형섭
    • 대한한의학회지
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    • 제29권1호
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    • pp.146-155
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    • 2008
  • Objectives : This study was to assess the effectiveness of oriental medical therapy (OM) on acute Bell's palsy, comparing its outcome with that of oriental-western medical therapy (OWM). Methods : Subjects were enrolled atKyung Hee Medical Center from March 2007 to December 2007. We prescribed Igigeopung-san and acupuncture therapy to both the OM and OWM groups, and prednisolone only to the OWM group. Effectiveness was assessed by the House-Brackmann facial nerve grading system (HBGS) and Yanagihara's unweighted grading system (YUGS) every week. Results : There were 31 patients in the OM group and 34 in the OWM group. About grading system scores and weekly score gaps, no significant differences were revealed between the two groups, but statistical significant difference was detected at recovery time. After 2 weeks of treatment, the OM group's HBGS score showed significant difference from baseline score, but the OWM group showed it after 1 week. After 3 weeks of medication, pain was reduced in 22% of OM group patients, but 50% in the OWM group (p=0.028). We made the same comparison study for patients treated within 4 days from onset, but there was no significant difference between the two groups. 3 cases of adverse effect of hyperglycemia were found in the OWM group, which could be due to hyperglycemic side-effect of prednisolone. Conclusion : This work could help us to understand the effectiveness of OM compared to OWM on acute Bell's palsy.

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전염성 연속성 치험 1례 (A Case of Molluscum Contagiosum)

  • 허인희;홍성민;심성용;김경준;변학성
    • 한방안이비인후피부과학회지
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    • 제20권1호통권32호
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    • pp.250-255
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    • 2007
  • Molluscum contagiosum(MC) is a viral disorder of the skin and mucous membranes characterized by decrete single or multiple, flesh-colored papules. There was the 6 years old woman who suffered from umbilicated papules and pruritis of back. First, Her mother choiced western medicine, and was treatded with topical(ointment applicatoin) and surgical(curettage) method. Despite of western medical treatment during 3 months, there was not recovery of symptoms. So, she visited the Dept. of Opthalmology & Otorhinolaryngology & Dermatology, College of Oriental Medicine, Kyungwon University for oriental medical treatment. The oriental medical treatment reduced the symptoms of the patient remarkably during 8weeks. So we report the healing process and result of this patient in this study. There is few report that treat MC with oriental medical method. If more clinical trials like this are proved to be effective, we can expect that oriental medical treatment will be a good method in MC.

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한약과 와파린 병용의 상호작용과 안전성에 대한 연구 (Evaluation of Interaction and Safety in Administering Herb-medicine with Warfarin)

  • 권동현;김호준;이명종;송미영
    • 한방재활의학과학회지
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    • 제20권2호
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    • pp.175-181
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    • 2010
  • Objectives : The purpose of this study is to investigate interaction and safety in administering herb-medicine with warfarin. Methods : For this study, we selected 19 patients who have been taking warfarin, from the ones that have been transferred from western hospital to oriental hospital. During their stay in the oriental hospital, we gave herb-medicine in addition to warfarin. Then we gathered informations and data on sex, age, main indications, and International Normalized Ratio(INR) values of selected patients through Electronic Medical Records(EMR) of Dong-Guk university hospital. Accordingly, we compiled all of the above data for a period of 10 days prior and 10 days post admission(western hospital period and oriental hospital period, respectively). Results and Conclusions : The statistical analysis of the data have revealed that there was no significant change of INR values after giving herb-medicine with warfarin(p=0.586). The result shows that administration of herb-medicine with warfarin is safe and has little drug interaction. However, this study was carried out on small sample size and the interaction with other drugs and various kinds of herb-medicine was not considered. Although we attained a restrictive result from this study, we are able to suggest the safety about co-administration of herb-medicine and warfarin.

말초성안면신경마비(末梢性顔面神經麻痺) 구치료(灸治療) 및 복합치료(複合治療)가 미치는 영향(影響) (The Influence of Moxibustion and Basic Compound Therapy on Peripheral Facial Paralysis)

  • 권순정;송호섭;김기현
    • Journal of Acupuncture Research
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    • 제17권4호
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    • pp.160-171
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    • 2000
  • Thirty cases were observed among the peripheral facial paralysis patients who admitted. the Department of Acupuncture and Moxibustion of Seoul Oriental Hospital between Feb. 2nd, 1995 and Aug. 14th, 2000. These patients were divided into two groups; the first group was treated with indirect facial moxibustion., while the second with basic oriental-westem medicine treatment. Object : To improve the therapeutic rate of peripheral facial paralysis by applying basic oriental-western medicine treatment and indirect facial moxibustion. Method : Inpatients suffering from peripheral paralysis of facial nerve were divided into two groups; both groups recieved basic oriental-western medicine treatment; the experimental group additionally received indirect facial moxibustion onto Tuyu(頭維) and Chich'ang(地倉) once or twice daily. Result : In the therapeutic result from moxibustion treatment group, 3 excellent, 7 good, 3 fair, and 1 poor case were observed. From compound treatment group, 2 excellent, 5 good, 5 fair and 4 poor cases were observed. Among the excellent and good patients of both groups, therapeutic rate of moxibustion treatment group (71.4%) was higher than that of compound treatment group(43.8%). Conclusion : The overall therapeuric rate of the moxibustion treatment group was 92.8%, which was higher than that of the compound treatment group(75.1%).

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이명(耳鳴)의 동(東)·서의학적(西醫學的) 문헌(文獻) 고찰(考察) (A Literature study about comparison of Eastern-Western medicine on the Tinnitus)

  • 허은선;황충연
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.114-130
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    • 2016
  • Objectives : This study is performed to investigate the therapy on tinnitus through the literature of Eastern and Western medicine. Methods : This study review the definition, etiology, classification, internal and external methods of treatment of tinnitus based on 50 articles of Eastern medicine, 16 articles of Western medicine about the treatment of tinnitus. Results : The results were as follows. 1. In Eastern medicine, the cause and mechanism of disease of tinnitus arose from the state of qi-blood deficiency, internal dampness-heat and depression stagnation. In Western medicine, there are mainly caused by damage to the auditory system the lower induced changes in the upper. 2. In Eastern medicine, differentiation of syndromes classifies clinical aspects, and cause and mechanism of disease. In Western medicine, it divides into an generating region, clinical and associated symptoms aspects. 3. In Eastern medicine, internal method of treatments of tinnitus are divided into four treatments. In Western medicine, internal methods of tinnitus are vasodilators, blood-flow improvers, Metabolism improvers etc. 4. In Eastern medicine, external method of treatments of tinnitus are paste preparation method, powder preparation method, pill preparation method, acupuncture & moxibustion method. In Western medicine, external method of treatments of Tinnitus are divided into injection, other surgical therapies and adjuvant therapy. Conclusions : Until now, there is no perfect, effective single treatment. We think that Eastern medicine approach and treatment can be helpful to overcome the limitations of tinnitus cure.

진행성 다발성 백질뇌병증을 합병한 HIV/AIDS 환자의 한양방 협진 치료 치험 1례 (A Case Report about Treatment by a Combination of Traditional Korean Medicine and Western Medicine in a Patient with Progressive Multifocal Leukoencephalopathy and HIV/AIDS)

  • 임명아;이희정;서호석;김판규;김진원
    • 대한한방내과학회지
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    • 제38권6호
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    • pp.1076-1084
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    • 2017
  • Objectives: This report describes the case of a patient with progressive multifocal leukoencephalopathy (PML) with hemiplegia, who was treated with a combination of traditional Korean medicine and western medicine. Methods: The patient received traditional Korean medical treatments, including acupuncture, during robust antiretroviral therapy with rehabilitative exercise. Results: During 24 months of treatment, the patient showed improvement in hemiplegia on a manual muscle test. Conclusions: The combination of traditional Korean medicine and western medicine was effective in the treatment of PML in a patient with hemiplegia.