• 한방비만학회지
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• 제13권1호
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• pp.33-45
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• 2013

Objectives: This study was aimed to find out the characteristics of ordinary symptoms between the control and patient groups, diagnosed as overweight or obesity, in Soyang, Taeeum, and Soeum Constitutions and among those 3 groups. Methods: As a prospective cross-sectional study based on medical records, 9213 patients, who visited Kyung Hee University Medical Center from May in 2007 to June in 2010, were included. To diagnose the constitution, Revised Questionnaire for the Sasang Constitution Classification II and examinations by oriental medical doctors who majored in Sasang Constitution Medicine were performed. Based on the World Health Organization criteria for Asian obesity assessment, body mass index (BMI) was classified into 3 groups; more than 25 as obesity, 23 to 25 as overweight, and less than 23 as normal. Ordinary symptoms questionnaire, which consists of 46 questions in 8 categories, were given to the subjects. One-way ANOVA test in continuous variables and chi-square test in categorical variables were carried out to analyze statistical significance. Results and Conclusions: 1) In general characteristics, we could find out the significant differences in age, sex, height, weight, BMI, waist circumference, blood pressure, total cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol, fasting blood sugar, and hemoglobin A1c among the 3 Constitutional groups. 2) Soyang Constitution of overweight and obesity has tendency to have higher appetite, like cool or cold water, defecate more, swear more, dislike heat, and have warmer or hotter extremities in the ordinary symptoms, compared with the control group. 3) Taeeum Constitution of overweight and obesity has tendency to have higher appetite, like cool or cold water, defecate more, swear more, dislike heat, and have warmer or hotter extremities in the ordinary symptoms, compared with the control group. 4) Soeum Constitution of overweight and obesity has tendency to have higher appetite and less fatigue in the ordinary symptoms, compared with the control group. 5) Soeum Constitution showed the slightest increase in appetite, preference about room temperature water, less number of feces, and feeling of chill and warmer extremities in ordinary symptoms, compared with Soyang and Taeeum Constitutions. Taeeum Constitution showed the distinct increase in appetite and sweating in ordinary symptoms, compared with Soyang and Soeum Constitutions.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.61-81
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• 2002

The purposes of this research were to investigate home care rehabilitation services in rural areas and to collect basic data about disabled persons necessary when for carrying out rehabilitation services. Respondents were selected from six of a total of eight townships (Myon) and one town (Eup) in the Wonju city area. Wonju is in Kangwon Province (Do). Of a total of 338 names provided by the Myon offices, 298 persons were located and included registered and non-registered persons. Conditions included stroke, spinal cord injury, and cerebral palsy in addition to disabilities classified as first, second or third degree, in the case of registered cases. Respondent demographic characteristics, medical characteristics, rehabilitation service needs, willingness to receive rehabilitation service and individual opinions regarding rehabilitation services were analysed by frequency and percentage. The results were as follows: 1) Rehabilitation services received by disabled persons living at home in the rural areas surrounding Wonju city were medical rehabilitation (41.7%), diagnosis (36.5%), rehabilitation assistive devices (7.6%), social assistance (7.1%), rehabilitation counseling (3.0%), vocational rehabilitation (1.8%), educational rehabilitation (1.6%) and housekeeping services (0.5%). The majority of rehabilitation services were medical rehabilitation provided at hospitals and oriental medicine hospitals. 2) Sixty point eight percent of respondents expressed their willingness to receive home care rehabilitation services. Needs expressed were highest for medical rehabilitation (27.0%), followed by social assistance (19.4%), medical examination (12.4%), physician-generated diagnosis in the home setting (11.6%), sociopsychological rehabilitation (9.3%), vocational rehabilitation (7.6%), rehabilitation engineering (6.0%), educational rehabilitation (3.3%), and housekeeping services (3.3%). 3) Rehabilitation service needs were analyzed by severity classification: 65.8% of first degree, 62.7% of second degree and 55.6% of third degree disability classification, and 62.7% of non-registered disabled individuals responded that rehabilitation service was necessary. 4) Rehabilitation service needs were also analyzed by diagnosis: 62.6% of stroke, 85.5% of amputation, 60.0% of spinal cord injury and 52.4% of traumatic brain injury respondents answered positively that they were willing to receive rehabilitation service if it were to be provided. Rehabilitation service utilization data of disabled individuals living at home in rural areas were investigated and their rehabilitation needs analyzed. This critical information can be used when community-based rehabilitation programs for disabled persons living at home are planned for provision out of a public health center or when community-based rehabilitation welfare policy is formulated.

• 사상체질의학회지
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• 제8권1호
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• pp.187-246
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• 1996

본 연구의 목적은 통계적 문항 분석을 통하여 새로 개발된 사상체질분류검사지(QSCC)II의 네가지 척도를 각 계층별로 표준화하여 그 진단 정확율을 알아 봄으로써 객관적인 사상 체질 분류의 검사 방법을 만드는데 있다. 사상체질분류검사지(QSCC)II는 전국에서 각 계층별(연령, 성별, 생활 수준별)로 고르게 수집된 1366명의 피검자의 답안을 표준화 자료로 삼았다. 진단 정확율을 알아보기 위한 준거 집단으로는 경희대학교 한방병원 사상의학과 외래 환자 및 동서건진센타 내원객 265명을 대상으로 하였다. 수집된 자료는 SPSS PC+ V. 4.0 Program으로 내적 일치도, 변량 분석(ANOVA), 사후검정(Duncan test) 및 판별분석을 하여 통계처리하였다. 위와 같은 연구의 결과는 다음과 같다. 1) 각 체질별 척도의 내적 일치도는 0.5708 ~ 0.6319로서 설문지 구성에 체격과 체형을 포함한 다양한 요인이 추가되어 있음을 알 수 있다. 2) 검사지의 각 척도는 변양분석 결과 체질별로 유의한 차이가 있으므로 검사지의 문항은 진단변별력이 인정되는 문항들로 구성되어 있음을 확인하였다. 3) 검사지의 응답방향에 영향을 미치는 여러 가지 변인 가운데 연령 성별 그리고 문항수 등이 통계적으로 유의한 차이가 있는 것으로 나타났다. 4) 본 연구에서는 이상의 변인을 고려한 규준(Norms)을 표준화 자료로 제시함으로써 검사지에 의한 체질진단의 객관적 지표를 마련하였다. 5) 검사지는 연령과 성별에 관계없이 고르게 적용시킬 수 있다. 6) 검사지에서 새로 구성된 척도들로 판별분석을 한 결과 평균 판별정확율은 70.08%였다. 이 결과는 QSCC의 타당화 연구에서 보인 평균 판별정확율 55.56%애 비하면 비교적 높은 분류정확율을 보이는 것이라고 사료된다. 7) 검사지의 네 가지 척도들은 이전의 검사지에 비하여 고르게 체질진단에 기여함을 알 수 있었다. 8) 검사지는 분석결과 이전의 검사지들 보다 사상체질 진단에서 정확율 향상, 차별화된 계층별 체질 진단 방법의 제시에 의한 객관성 확보 등의 문제점을 개선 할 수 있었다. 이상의 결과로 보아 새로 개발되어 표준화된 QSCCII는 다소의 제한은 있으나 임상 상담 및 실험연구에서 체질 진단을 할 때 객관적인 체질진단 도구로서 이용 가치가 인정되며 사상체질분류의 객관기준으로서도 그 가치가 인정된다.

• 한방안이비인후피부과학회지
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• 제20권3호
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• pp.181-190
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• 2007

Objective : The purpose of this study is to understand preferences of patients who had visited the Dept. of Ophthalmology Otolaryngology & Dermatology Method : We conducted questionnaire survey on the patients who had visited the Dept. of Ophthalmology, Otolaryngology & Dermatology Hospital of Dong Shin University from March to September, 2007. Result : The result were as follows. 1. Distribution of sex: male 41 % female 59% 2. The age distribution of patients showed highest in 30-39 years(23%), followed by 20-29 years, 40-49 years in order. 3. The classification of patients according to disease: Skin disease (38%), Nose (23%), Face (10%), Eye (9%), Throat (8%), Ear (7%) 4. Other offices patients visited before coming to this clinic: Local clinic (41%). Hospital (18%), Oriental clinic or hospital (5%), None (22%) 5. The length of time the patient has had the disease: 2years (26%), more than 3years (15%), 2-4weeks (13%), 6months (11%), 1year (10%) in order 6. The expected length of treatment: 1week (21%), 2week (12%), 1month (21%) 7. 26% expected about 100,000 won as medical expenses. 8. 88% of the patients are willing to have a check-up when it needed and 40% expected about 50,000 won as check-up expenses. 9. 52% of the patients are not willing to withstand pain, and would rather heal slowly. 10. 69% of the patients said that treatment would be affected by company(44%), school(19%) and business(16%). 11. 73% of the respondants are positive about night-time treatment and 92% is positeve about making an appointment for the treatment. Conclusion : Through the research, we could understand preferences of patients who had visited Dept. of Ophthalmology, Otolaryngology & Dermatology

• 한방안이비인후피부과학회지
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• 제34권2호
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• pp.38-52
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• 2021

Objectives : The purpose of this study is to analyze the use of insured herbal extracts and Korean medicinal treatments, which are mainly used to treat allergic rhinitis in Korean medicine. Methods : Among all HIRA(Health Insurance Review and Assessment Service) claims data in 2016, we included all statements that included J30(vasomotor and allergic rhinitis) or a subcategory of J30(J30.0, J30.1, J30.2, J30.3, or J30.4) as the main disease, using the Korean Standard Classification of Diseases(KCD-7). This study analyzed the most frequently used insured herbal extracts and Korean medicinal treatments for allergic rhinitis in Korean medicine. We performed a frequency analysis on subgroups based on treatment type(inpatient or outpatient), sex, age, insurance type, and medical institution type. Results : The result shows the 10 most frequently used insured herbal extracts and Korean medicinal treatments for allergic rhinitis. The total number of insured herbal extracts prescriptions was 82,533, and the most commonly prescribed insured herbal extracts was socheongryong-tang(35,131 prescriptions), followed by hyeonggaeyeongyo-tang(18,157 prescriptions), samsoeum(6,257 prescriptions), and galgeun-tang(4,465 prescriptions). The total number of Korean medicinal treatments prescriptions was 1,878,541, of which the most common Korean medicinal treatments was acupuncture(922,977 prescriptions), followed by moxibustion(372,120 prescriptions), cupping(242,094 prescriptions), and segmental acupuncture(161,553 prescriptions). Conclusions : It is expected that the results of this study can be used as a basis for establishing the priorities of evidence-based clinical research topics in the field of Korean medicine and making health care policy decisions to strengthen coverage in the future.

• 사상체질의학회지
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• 제11권1호
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• pp.137-157
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• 1999

1. 연구배경 사상인은 생리 및 병리 현상에 차이를 나타낼 뿐만 아니라 섭생법 및 치료법에서도 각기 다른 방법을 적용하고 있다. 그러므로 사상의학에 있어서 체질변증분야가 매우 중요한 과제라 하겠다. 동무는 사상인변증의 진단지표를 외형 심성 병증 등을 제시하였고, 많은 의가들에 의해 여러 가지 새로운 체질변증의 방법이 모색되어 임상에 시도 활용되고 있는 추세이나 체질변증의 객관성유지에 어려운 점이 많아서 학문의 발전에 적지 않은 난관이 따랐다. 최근에는 음성과학의 발달에 힘입어 음성의 특성을 가시적 수치적으로 객관화 할 수 있는 가능성이 높아졌다. 본 연구는 이러한 음성과학을 바탕으로 여러 의가들에 의해 제시되어 온 사상인의 음성적 특정을 각 개인의 사상체질과 직접적으로 연관성이 있다고 판단되는 공명주파수와 기본주파수 등 여러 음성학적인 pattern자료들을 모집단으로부터 획득하여 체질별로 객관적인 수치로 비교 분석함으로써 음성과 체질과의 관계에 대하여 살펴보고 개인의 성문에 의한 사상체질 판단의 기본자료로 활용하고자 하였다. 2. 연구방법 상지대한의과대학 남학생 132명과 기타8명을 대상으로 하였다. 음향특성과 체질과의 상관성에 관하여 문헌조사를 하였다. 설문지와 체질전문가에 의하여 연구대상자를 체질 판별하였다. 연구대상자의 음성특성에 대한 설문조사를 하였고 CSL로 Pitch. Formant Frequency. Energy, Time of reading composition 등을 분석하고 통계 처리하여 체질 판별을 시도하였다. 3. 연구결과 1) 설문조사결과 소음인은 음성이 낮고 완만하며 조용한 편으로, 소양인은 음성이 높고 밝으며 급하고 함부로 말을 하는 것으로, 태음인은 음성이 낮고 무거우며 완만하고 굵고 성량이 풍부한 것으로 나타났다. 2) 문장의 평균 발음 시간에서 태양인은 다른 체질에 비하여 유의성 있게 길었다. 몸무게에서 태음인은 다른 체질에 비하여 유의성 있게 높았다. Formant frequency 1에서는 태양인이, Bandwidth 1에서는 소음인과 태양인이 다른 체질에 비하여 유의성 있게 낮았으며, Bandwidth 2와 Formant frequency 5에서는 태양인이 유의성 있게 높았다. Pitch Maximum과 Pitch Maximum-Pitch Minimum에서는 소음인과 태양인이 유의성 있는 차이를 나타내었다. Energy Mean에서는 태양인과 태음인에서 유의성 있는 차이를 나타내었다. 3) Multi-dimensional 4-class minimum-distance classifier 분석결과 모든 항목으로 분석한 것 보다 체질별로 특정 항목을 갖고 분석한 것이 높은 일치를 나타내었다. SPSS/PC+프로그램에서 일원분산분석과 판별분석결과 네 체질사이에서의 정판별력보다 소양인을 제외한 3체질 사이에서의 정판별력이 높았다. CART모형에서 앞에서 제시된 다른 방법들보다 높은 예측율을 보이고 있다. 연구수행과정 중에 표준화, 녹음기술, 적적한 문장의 선택, 음성분석 항목선택, 통계기법, 적절한 알고리즘의 개발 등의 많은 문제점이 나타나고 있으며 관련분야의 보완과 연구진행이 지속적으로 있어야 할 것으로 사려 된다. 다각도로 진행되고 있는 사상의학에서의 객관화 노력과 통계적인 방법론들이 적용되고 체질진단에 있어 가장 최적의 알고리즘을 찾아낼 수 있다면, 정확한 체질 진단과 더불어 그에 따른 환자들의 치료와 약물처방에 있어서도 많은 도움을 줄 수 있으리라 생각된다. 성문과 음성특성의 분석을 통한 사상체질 분류검사방법은 사상체질의 객관화를 위한 하나의 보조적인 방법이 될 수 있다고 사료된다.

• 대한인간공학회지
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• 제30권3호
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• pp.409-418
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• 2011

Objective: This study was performed to evaluate the child-care teachers' job in relation to physical work. Background: Child-care teacher is directly related to the quality of child care. And their physical activity is higher than general education teachers because the proportion of day care is high. But analyzes of child-care teachers' job burdens and the work environment associated with physical activity is not well established. Method: To conduct this study, the child-care teachers' job was classified into 18 physical works. After classification, posture was evaluated by ergonomic posture evaluation schemes of OWAS, RULA, REBA and evaluated for each physical part. Next, musculoskeletal subjective symptoms were analyzed. Results: The results showed the following: The highest assessment on the posture evaluation was "helping children to ride a school bus", "feeding: meal/snack", "brushing children's teeth" and "arrangement of nap-stuff". The rank of high-risk assessment on the neck/trunk/leg part was arranged by: "feeding: meal/snack", "helping children to ride a school bus", "making nap", "arrangement nap-stuff" and "brushing children's teeth". The rank of high-risk assessment on the upper limbs part was arranged by: "helping children to ride a school bus", "the bust - group activity", "meal/snack time - preparing, feeding, arrangement", "nap time - preparing, arrangement", "brushing children's teeth", and "using the toilet". According to the results of each musculoskeletal subjective symptom, teachers ordered the pain area as follows: waist, shoulder, leg/feet, and neck, and they showed more pain on trunk than the upper limbs. Conclusion: To sum up the results from ergonomic posture evaluation and a subjective symptom, the following are high working pressures: "feeding: meal/snack", "the bust - group activity", "making nap", "brushing children's teeth" with deep bending and waist twisting, "helping children to ride a school bus", "brushing children's teeth" with lifting shoulder; "meal/snack time - preparing, arrangement", "nap time - preparing, arrangement", and "using the toilet" with moving or an up-down position in their job. Application: The results of this study might be information for improvement of the child-care teachers' job environment.

• 한국의사학회지
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• 제24권2호
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• pp.25-55
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• 2011

The currently existing "Bonchojeonghwa (本草精華)" is a manuscript without the preface and the epilogue, composed of 2 books in 2 volumes. This book is a quintessence of knowledge on science of medicinal ingredients (medicinal phytology I herbal science) as well as an trial of new development in Chosun medical science. I.e. this book includes surprising change representing medical science in Chosun dynasty as a single publication on science of medicinal ingredients. It holds a value essential to clinician as a specialized book in medicinal ingredients, and Includes richer content on medicinal ingredients than any other books published before. In addition, it is away from boring list-up of superfluous knowledge as seen in "Bonchokangmok(本草綱目)" published in China, and well summarizes essential knowledge which can be used within a range of medicines available in Korea. This book has an outstanding structure that can be even used in today's textbook on science of medicinal ingredients, as it has clear theory, system and classification. Because it handles essential learning points prior to prescription to disease, it is possible to configure new prescription and adjustment of medicinal materials. Moreover, this book can play a good role for linguistic study at the time of publication, because it describes many drugs in Hangul in many parts of the book. "Bonchojeonghwa" includes a variety of animals, plants and mineral resources in Korea, like "Bonchokangmok" which was recently listed in UNESCO. As such, it has a significance in natural history as well as pharmacy in Korean Medicine. It has various academic relationships all in biologic & abiologic aspects. It has importance in sharing future biological resources, building up international potential, setting up the standard for biologic species under IMF system, and becoming a base for resource diplomacy. We should not only see it as a book on medicinal ingredients in terms of Oriental Medicine, but also make an prudent approach to it in terms of study strengthening Korea's national competitiveness. After bibliographical reviewing on the features & characteristics of the only existing copy of "Bonchojeonghwa" housed in Kyujanggak(奎章閣) of Seoul National University, the followings are noted. First, "Bonchojeonghwa" is a specialized book on medicinal ingredients voluntarily made by private hands to distribute knowledge on drugs in the desolate situation after Imjinoeran (Japanese Invasion in 1592), without waiting for governmental help. Second, it raised accessibility and practicality by new editing. Third, it classified 990 different kinds of drugs into plant, animal, and mineral at large, and dassified more in detail into 15 'Bu' and 48 'Ryu' at 258 pages. Fourth, the publication of this book is estimated to be around 1625~1633, at the time of Injo's reign in 17th century. Fifth, it contains the existing & up-to-date knowledge at the time of publication, and it is possible to see the supply-demand situation by Hangul descriptions in 149 places in the book. By the fact that there are many linguistic evidences of 17th century, explains well when the book was published.

• 한국약용작물학회지
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• 제22권6호
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• pp.489-496
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• 2014

Polygonatum is a genus placed in the family Liliaceae, distributed throughout the Northern Hemisphere and 16 of the species are grown naturally in Korea. In oriental medicine, the rhizomes of Polygonatum have been used as two different medicines, Okjuk (Polygonati odorati Rhizoma) and Hwangjeong (Polygonati Rhizoma). However, it is difficult to identify the morphological and chemical differences between the medicinal groups and thus easy to confuse the one with the other. Therefore, a clear classification standard needs to be established so as to be able to discriminate between them. In the study, the morphological characteristics of the plants, Polygonatum spp., were examined. Then, the differences in SNPs among the DNA sequences of 7 of the Polygonatum spp. and 1 of the Disporum spp. were analyzed by DNA barcoding with rpoC1, rpoB2, matK, and psbA-trnH of the cpDNA region. In the results, three regions, rpoC1, rpoB2, and matK were useful for discriminating the species, P. stenophyllum and P. sibiricum. Furthermore, it was possible to discriminate the individual germplasm within the species by using the combination of the results obtained from rpoB2, rpoC1, and matK.

• 대한한방피부미용학회지
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• 제1권1호
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• pp.114-126
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• 2005

Objectives : The results of this study have given an insight into the clinical effects of Chungsang-bangpoong-tang, Gami-bunso-tang, Chogyung-san on treatments against Acne patients. Methods : We are investigated with deciphered-Acne 54 cases at the division of dermatology in Jaseng oriental medicine hospital from 9, August 2000 to until 26, February 2001. To demonstrated in accordance with patients, orally administrated with Chungsang-bangpoong-tang, Gami-bunso-tang, Chogyung-san, respectively. Results : These results found that sex distinction with a disease caused much more 85.2% female than 14.8% male in the proportion of males to females. specifically, which is mainly ranked with 21 to 25 years of female and 26 to 30 years of male. On the hand, the distribution interval of a case history is broadly followed by disease below 10 to 35 years in male, whereas 21 to 25 years in female. Also, interval of the period-treatment is indicated within more than five years both female and male. In point-lesion, facies is majority and according to the cheek, jaw, back, frontal and the whole body, respectively. Specifically, mainly appeared according to the facies, back, whereas facies, cheek in female. In Distribution of Symptomic Identification, most of them is 肺經風熱, and then 衝任不調型, 脾胃濕熱, Etc. The self-assessment of total is Excellent 4 cases, Good 4 cases, Fair 11 cases, Poor 2 cases. Conclusions : These results suggest that in the identify of symptoms as 肺經風熱, 脾胃濕熱, 衝任不調型 may be playa role in the significant usefulness and have need of application for the clinical trials against Acne' patients.