• 제목/요약/키워드: diagnosis and treatment of oriental medicine

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편작(扁鵲) 의안(醫案)에 관한 소고(小考) (A Study on the medicine of Bianque)

  • 우동현;이병욱;방민우;김기욱
    • 한국의사학회지
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    • 제33권2호
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    • pp.45-65
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    • 2020
  • This study interprets the records of Bianque (醫案) as a medicine practice rather than a simple legend or story, and analyzes its effect on the development of oriental medicine. It also compares aspects of the Bianque related to patient treatment as described in 『韓非子』, 『韓詩外傳』, 『史記』, and reinterpreted using other contemporary literature. The clairvoyant power of 『史記』 「扁鵲傳」 was created by Sama-Cheon(司馬遷) exaggerating the pulse diagnosis with clairvoyance. The contents of the treatment of Sogan-Ja(趙簡子)'s confusion affairs in the first agenda, show that Bianque master the pulse diagnosis. The contents of the treatment of Kwek-Seja(虢世子)'s disease in the second agenda is a record of knowledge of acupuncture using acupuncture points. The content of refusal of treatment in the third agenda, 腠理, 肌膚, 腸胃, 骨髓 and the progression of the disease and the corresponding treatment of 湯熨, 鍼石, 火齊 are specified in detail. From the content of Bianque, he was not a martial art, but a doctor who practiced medicine, and contributed to the development of the pulse diagnosis.

대장암(大腸癌)의 동서의(東西醫) 결합(結合) 진치근황(診治近況) (An Outlook of the Oriental and Western Medical Diagnosis and Treatment on Large Bowel Cancer)

  • 김병주;문구
    • 대한한방종양학회지
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    • 제5권1호
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    • pp.1-17
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    • 1999
  • Large bowel cancer shows the 4-5th frequency in cancers that occurs in Korea. The western medicine cures the Large bowel cancer by radiation, surgery and chemotherapy. While, Oriental medicine cures the Large bowel cancer by Herb-drugs, acupuncture, moxa and et al. With just one way of treating Large bowel cancer can't be effective remedy. Because each medicine has a strength and weakness, it is effective treatment when two medicine combines and supplement each other. We got the following result about a trend of oriental and western combination treatment for Large bowel cancer through studding records. 1. In Large bowel cancer, colon cancer is referred hematochezia(腸風下血), rectal cancer is refereed enterotoxin(腸毒), and anal cancer is accumulation of pathogens in yin(結陰). 2. The western medicine treats Large bowel cancer patient with surgery first. They need on assembly treatment such as chemical, radiation and immune treatment. In oriental medicine, they treats Large bowel cancer patients with differentiation of symptom and signs and treatment(辨證施治) for example, insufficiency of spleen and stomach(脾胃虛弱), collapse of the spleen-ql(脾氣下陷), stagnation of blood stasis and toxic agent(瘀毒內結), reinforcing both qi and blood(脾血下陷), stagnation of damp-phlegm(痰濕凝結) and cure for them by acupuncture and moxa too. 3. In combination with oriental and western medical treatment princple of Large bowel cancer by each stage is as follows. First stage is cured with radical surgery and herb-drugs without chemotherapy. The intermediate and terminal stage patients is used radiation before surgery, or after palliative surgery cour with chemotherapy, radiation and Herb-drugs. In terminal stage patients, unable for surgery, is used combination between chemotherapy, palliative radiation and Herb-drugs. 4. After radiation surgery, the terminal stage patients who have extensively lymph node metastasis or local contraindication is able to undergo combination of Herb-durgs and chemotherapy. 5. The cure-effect with oriental and western medicine combination treatment was better than that just with oriental or western medical treatment. 6. The merits of oriental and western medicine combination treatment lengthen one's life and diminish the bad effect of chemotherapy and complete radiation treatment, prevent from relapsing, maintain the balance in their environment of body and improve immunity.

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전광증(癲狂症) 이환중(罹患中) 무동성(無動性) 함구증(含口症)이 발작된 환자(患者) 1례(例) (A case of akinetic mutism is revealed during contraction of catatonic schizophrenia)

  • 이동원;김은정
    • 동의신경정신과학회지
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    • 제12궈1호
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    • pp.193-200
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    • 2001
  • This is a case report that dysautonomia and catatonia are accompanied by Akinetic Mutism in a 28 year old patient whose symptoms, seemed to catatonic schizophrenia. This study is aimed to assist about comprehension, diagnosis and treatment of dysautonomia and catatonia are accompanied by Akinetic Mutism, because this case is not common. This patient's chief complains that hyperhidrosis, muscular rigidity, akinesia etc are seemed to Neuroleptic Malignant Syndrome. Neuroleptic Malignant Syndrome is a side effect during taking antipsychotic that unknowned high, fever, stupor, muscular rigidity, akinesia, tachycardia, hyperhidrosis, salivation. We cannot rule out Neuroleptic Milignant Syndrome, but this case is seemed to catatonic schizophrenia. The symptoms of catatonic schizophrenia is that prodrome(relaxed concern, ataraxy, lacked concentration) is progressed and akinesia, mutism, ankylosis, stupor etc, are appeared. Oriental medicine, environment with more objective study and treatment are needed.

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한의 진료 지원 모바일 애플리케이션 (Mobile Application for Supporting Medical Treatment in Korean Medicine)

  • 김상균;오용택;김안나;김지영;예상준;김철;장현철
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.834-841
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    • 2012
  • We in this paper propose a mobile application for supporting medical treatment based on Korean medicine ontology. It has three processes for treating patients. First, after a pattern is decided for patient' symptoms, a formula for the pattern is selected and medicinal materials constituting the formula is added or removed. Second, formulas are searched and prescribed for patient's symptoms without the process of the pattern decision. Third, after medicinal materials are searched for patient's symptoms, formulas consisting of the medicinal materials are prescribed. Our application aims to help korean medicine doctors treat patients through providing decision supporting functions such as the recommendation of symptoms of diseases accompanying patient's symptom. Doctors generally diagnosis patients according to their experiences and knowledges. Nevertheless, our application can help them, providing diverse forms of information that they may miss in the medical treatment.

심부전(心不全)에의한 흉막삼출증(胸膜渗出症)으로 의심되는 환자(患者) 1례(例)에 대(對)한 임상적(臨床的) 고찰(考察) (A case of Pleural effusion)

  • 김희철;이강녕;이동준;이영수;임진훈;이용운;김일렬;최창원
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.671-676
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    • 2000
  • Pleural effusion is a state, retention of a mount of liquid in pleural cavity. Main causes of pleural effusion is Congestive Heart Failure that is caused by left ventricular heart failure. And that of Congestive heart failure is caused by increase of pleural capillary pressure or remain of effusion in pleural cavity. Bilateral venous pressure of pleura make worse pleural effusion and one way of venous pressure of that bring out pleural effusion. The purpose of this study is to examine the efficacy of oriental treatment for pleural effusion is caused by heart failure. One woman of 86 years old complained the symptom of general weakness, dyspnea, flank pain, anorexia, insomnia, coughing, secretion mixed blood. The symptom is caused by effusion that is brought out acute pneumonia, heart failure. At the time of Admission, in the diagnosis of Admission, in the diagnosis of Hyuneum(懸飮) she had taken Kungha-tang hap pleurisy-bang,(芎夏湯合助膜炎方), so improved dyspnea, flank pain, insomnia, coughing. In views of examination, decrease of heart failure' s symptom and pleural effusion. After 13days of admission, she had taken palmul-tang.(八物湯). As a conseguence of that, the symptom of general weakness. anorexia is improved and she was discharged.

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비만에 대한 국내 한의학계의 최근 연구 동향 분석 - 2006년 이후 국내 학술지를 중심으로 - (An analysis of domestic oriental medicine study tendency on obesity - Focused on domestic academic journal since 2006 -)

  • 박병윤;송윤경;임형호
    • 한방비만학회지
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    • 제10권2호
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    • pp.1-16
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    • 2010
  • Objectives Obesity is one of the most important health problem in modern society and constant studies are still in progress domestically without the effective treatment so far. The objective of this study is to analyze the recent trend of the studies about obesity in oriental medicine and to provide background for further studies. Methods All of the articles in the journal of 'Korean oriental association for study of obesity' were collected published after 2006. Search were conducted through 'http://oasis.kiom.re.kr' and the journal of 'the Korean academy of oriental rehabilitation medicine'(January 2006~October 2010) with the search word "obesity". Collected articles were classified into clinical study, experimental study, literary study, case report. Results Total 177 articles were analysed. The number of studies were increasing until 2008 and went down afterwards. According to the classification by the type of study, percentage of clinical study took 45.2%, experimental study took 31.6%, literary study took 14.7%, case report took 8.5%. Conclusion Domestic clinical studies and experimental studies are conducted more focused on the treatment and diagnosis of obesity. Future study on the obesity should be focused on the prevention in the aspect of public health and social cost.

"임증지남의안(臨證指南醫案)"에 관한 연구 (Study on the ${\ulcorner}$Medical Recoreds as a Guide to Diagnosis${\lrcorner}$)

  • 신순식;홍원식
    • 한국한의학연구원논문집
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    • 제1권1호
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    • pp.47-68
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    • 1995
  • A proper understanding of 'diagnosis and treatment based on overall analysis of symptoms and signs' can result in efficient clinical effect. Studies on the ${\lceil}$Medical Recoreds as a Guide to Diagnosis${\rfloor}$ can be expected to achieve a part of this purpose. In this study, the period, author, xylographica, contents and influence of next generation of ${\lceil}$Medical Records as a Guide to Diagnosis${\rfloor}$were investigated. Tian shi and his 12 followers completed thsis Medical recoreds with clinical experiences and data obtained throughout their lives. These books were first published in 1764. Since then these books have been published twenty times based on the first edition. These books are comprised of 10 volumes, from ${\lceil}$volume 1${\rfloor}$to ${\lceil}$volum 8${\rfloor}$are internal medicine, ${\lceil}$volum 9${\rfloor}$ is gynecology, ${\lceil}$volum 10${\rfloor}$ is pediatrics. The contents are as follows; 'method of regluating astenia-syndrome' , 'diagnosis and treatment based on overall analysis of symptoms and signs on eight extra meridians', 'theory of Yang forms endogenous wind-syndrome', 'theory of spleen-energy rise up and stomach-energy descend', 'theory of stmach-Yeum', 'diagnosis and treatment based on overall analysis of symptoms and signs on collaterals'. Tian shi completed his work by compling the previous medical theories and through clinical studies. It is expected that his theories are effectively applied to improve clinical medicine.

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Ramsay Hunt syndrome 환자에 대한 證例報告 (Two case studies of Ramsay Hunt syndrome)

  • 권강;박영환
    • 한방안이비인후피부과학회지
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    • 제14권2호
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    • pp.183-193
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    • 2001
  • Background: Ramsay Hunt syndrome is a disease that cause faical palsy, ear pain, ear vesicle, tinnitus, hardness of hearing by geniculate ganglion herpes. Ramsay Hunt syndrome could be taken two sides view of herpes zoster and facial palsy. In traditional oriental medicine Ramsay Hunt syndrome could be diagnosed as heat and dryness syndromes. Object: These studies are clinical observations about two Ramsay Hunt syndrome patient cases that is recovered under the treatment by herbal-acupuncture therapy and moxibustion. Methods: For treatment in acute state, acupuncture therapy was used and in convalescent stage, herbal acupuncture therapy and moxibustion therapy were used. For diagnosis system, House-Brackmann system, Yanagihara's system used as diagnosis scales. Result&Conclusion: The results as follows. 1. Generally, to treat Ramsay Hunt syndrome, it is knwon that from invasion of virus to period of first effect a short term bring about good result, but in these two cases, though a long term. considerable effect was braught out. 2. In treating two cases, herbal acupuncture therapys what are called CF, JSD were used. satisfactory results was produced.

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성조숙증(性早熟證)에 관한 연구의 최근 동향;최근 중의(中醫) 잡지를 중심으로 (The Study for Precocious Puberty in Recent Journals of Traditional Chinese Medicine)

  • 이민정;장규태;한윤정
    • 대한한방소아과학회지
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    • 제22권1호
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    • pp.163-187
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    • 2008
  • Objectives The aim of this study was to investigate the treatment of precocious puberty in current traditional Chinese medical journals. Methods To figure out diagnosis methods, treatment methods, treatment effects of oriental medicine about precious puberty, Chinese medical journals from China National Knowledge Infrastructure (CNKI) which was published from 1999 to 2007 were analyzed and precocious puberty was also been searched. Results 82 articles were selected. 1. Yin and purging Fire(滋陰瀉火) from traditional Chinese Medicine was usually used. 2. The herbs were almost used such as Rehmannia glutinosa(地黃), Anemarrhena asphodeloides (知母), Phellodendron amurense(黃柏), Thesium chinense(夏枯草), Paeonia suffruticosa Andrews(牧丹皮), Alisma canaliculatum(澤瀉), Testudinis Plastrum(龜板), Paeonia japonica(白芍藥), Bupleurum falcatum(柴胡), Genianae Scabrae Radix(龍膽草). 3. The total improvement rate was 72.50 to 100% Conclusions The oriental medical treatments for precocious puberty were presumed to be effective, but more studies are still needed.

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Marked recovery 이상 호전된 돌발성 난청 환자 치험 3례 (Three Cases of Sudden Sensorineural Hearing Loss with Marked or Complete Recovery)

  • 유현정;홍승욱
    • 한방안이비인후피부과학회지
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    • 제19권2호
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    • pp.263-271
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    • 2006
  • Objective : This study describes the cases of sensorineural hearing loss (SSNHL) patients with marked or complete recovery. Methods : Three patients received oriental medical treatments continuously for more than 1 month and measured the hearing recovery. For diagnosis on these cases, pure tone audiometry (GSI 38, Welch allyn company) was used. For treatment, acupuncture, herbal-medicine and moxibustion treatment were applied. Results : All patients of this report had the recovery of hearing. In 2 cases, the pure-tone 5 frequency (0.25, 0.5, 1, 2, 4 KHz) average improved by more than 35 dB (Marked recovery). In 1 case, it was within the normal limits after oriental medical therapy (Complete recovery). In addition, tinnitus and vertigo decreased in all patients. Conclusions : We may expect that the oriental medical therapy improvers the hearing recovery in the patients of SSNHL.

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