• Title/Summary/Keyword: diagnosis and treatment of oriental medicine

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Clinical practice recommendations for Bangpungtongseong-san (Bofutsusho-san) and Bangkihwangki-tang(Boiogito) in obesity (비만치료 및 체중 감량에서 방풍통성산과 방기황기탕 사용에 대한 임상 권고안)

  • Park, Jung-Hyun;Kim, Ho-Jun
    • Journal of Korean Medicine for Obesity Research
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    • v.12 no.1
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    • pp.48-58
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    • 2012
  • Objectives These prescribing recommendations have been written to guide clinicians on the appropriate use of Bangpungtongseong-san(BT) and Bangkihwangki-tang(BH) in the treatment of obesity. These recommendation are aimed at providing evidence based information concerning diagnosis and management of obesity. Methods We collected all relevant references about treatment effect of BT and BH on obesity in the forms of meta-analysis, systematic review, randomized controlled trial, case-control study, observational study and practice guideline from international and domestic databases and paper journals. We examined treatment effect, side effects, recommendations for dose, indication and contraindication of BT and BH. Results The treatment effect of BT and BH on obesity has been proved through clinical trial. BT is indicated for obese patients (Body mass index, $BMI{\geq}25$) with strong abdomen and a tendency to constipation, BH is indicated for obese patients ($BMI{\geq}25$) with a fair skinned, soft muscled, edematous and sweat easily. Conclusion We wish the information contained in theses recommendations will help clinicians reach a reasonable and beneficial decision with evidence-based results. Further studies are strongly needed to develop better treatment strategies for herbal medicines on obesity.

Three cases report about enuritic children treated with electro-acupuncture on Zhongji(CV3), Guanyuan(CV4) (중극(中極) 관원(關元) 혈입(穴位)를 이용한 전침 치료 야뇨 환아 3례)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Oh, Ju-Young
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.1
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    • pp.103-115
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    • 2005
  • Objectives : Nocturnal enuresis is common disorder in children and has important negative effects on the self-image and performance of children. Thus Successful treatment needed to increase self-esteem. Many studies of this symptoms were reported. But electro-acupuncture treatment not reported in Korea. Methods : We treated three cases enuretic children with different types. Their diagnosis were non-monosymptomatic primary, monosymptomatic primary, monosymptomatic secondary nocturnal enuresis. We used electro-acupuncture on Zhongji(CV3), Guanyuan(CV4) for 20 min. To investigate relapse. at least for 4 months after the end of the therapy we followed-up by telephone. Results : After treatment, diurnal urinary symptoms, such as increased frequency of urination, urgency, incontinence were dramatically improved. And the number of wet night decreased with nocturia and delayed wetting time. Compared to pre-treatment, findings, the number of wet nights decreased 80% or more. Conclusion : All of them tolerated electro-acupuncture well and kept reduction at least for 4 months follow-up. Further study is needed with more cases.

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5 Cases of Acute Pyelonephritis (급성(急性) 신우신염(腎盂腎炎)의 임상적(臨床的) 고찰(考察))

  • Kwon, Jeong-Nam;Kim, Young-Kyun;Ryu, Ju-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.2
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    • pp.194-204
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    • 2001
  • Purpose: In general, Acute Pyelonephritis is effectively treated with the use of antibiotics. However, some antibiotics are reported to cause side effects, and the abuse of antibiotics results in the increase of the disease's tolerance to antibiotics. Recently, I have effectively treated five cases of Acute Pyelonephritis by using only Constitution - Acupuncture and Herb, and therefore I would like to report about these cases. Methods: I diagnosed Acute Pyelonephritis of these five patients by confirming symptoms and employing a urine analysis with reagent strip(Multi $stix{\circledR}$). I used Kuon's method of constitutional diagnosis for the purpose of the diagnosis of the constitutional 8 morbidities. I relied on Sungjeong(性情) and Chehyungkisang(體刑氣像) in diagnosing Sasang Constitutions(四象人). I performed acupuncture on the left and right sides, depending on 8 constitutions, by employing Chang - temperament Inflammation Formula(臟系炎症方) that is used for the treatment of all kinds of chang-temperament inflammation diseases, as well as Bactericidal Formula(殺菌方) that is used for the treatment of all kinds of bacterially caused diseases. I prescribed by consulting the appearance of disease and general symptoms of each case with Dongyi Soose Bowon(東醫壽世保元)'s prescription symptoms. Result: Two of them showing severe symptoms were hospitalized, while three others took OPD treatment. The patient who was PANCREOTONIA and Soyangin improved through hospitalization for three days, another patient who was PULMOTONIA and Taeyangin with severe symptoms, improved through hospitalization for seven days, and completely recovered through OPD treatment later. The three others took only OPD treatment, and improved within 5-7 days. Conclusion: I confirmed that each of 8-constituions and Sasang Constitutions were all treated effectively without antibiotics.

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A Clinical Study and an analysis of Symptom Check List-90-Revision on Psychiatric Patients Visiting the Emergency Room in an Oriental Medicine Hospital (한방병원 응급실에 내원한 신경정신과 환자의 임상고찰 및 SCL-90-R에 의한 특성)

  • Park, Ji-Un;Jung, In-Chul;Lee, Sang-Ryong;Choi, Bo-Yun
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.155-167
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    • 2003
  • Objective : The aims of this study were to show the clinical aspects and to investigate psychiatric traits by SCL-90-R in patients who visited Oriental Medicine Hospital Emergency Room. Method : We studied twenty patients who visited Daejeon University Oriental Medicine Hospital from May, 2003 to September, 2003. Results : 1. The ratio of male to female patients was 1:3 and age distribution was most frequent in 30s&40s. 2. The most frequent cause of illness was stress in occupation and overwork. The greater part of patients came to hospital in 12hours after an attack. 3. In chief problem, somatic symptoms such as headache, dizziness, numbness and chest discomfort were most frequent. In diagnosis, somatization disorder was most frequent. 4. After treatment, most of symptoms were improved. 5. Psychiatric traits by SCL-90-R correlated with somatization and anxiety.

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Attitude and Recognition of Medical School Students on Korean Traditional Medicine Diagnosis and Treatment (의대생들의 한의학 진단 및 치료에 대한 인식 조사)

  • Huh, Nam-Woo;Jeong, Seung-A;Kim, Sun-Jae;Mok, Na-Rae;Park, Hae-Won;Shin, Hyeun-Kyoo
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.107-116
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    • 2013
  • Objectives : This study was aimed to facilitate mutual comprehension between Western and Traditional Korean Medicine (TKM) by analyzing recognition of medical school students on traditional medical prescription and treatment such as herbal medicines and acupuncture. Methods : We conducted a survey targeting medical school students of four medical schools from April through May 2009, and analyzed 208 cases responded. Results : Survey results revealed that medical school students took knowledge of traditional medicine from TV programs and on the Web in general. They thought they had considerable traditional medical knowledge but did not almost understand for professional contents. Regardless of some positive recognition for traditional herbal medicine, negative perspectives were more common and its safety and efficacy on the drug reference were considered as a major reason. On the other hand, recognition on acupuncture was comparatively positive. Scientific data for both herbal medicine and acupuncture are lacking in reality but the attitude only for acupuncture was different. Of the survey respondents, 57.8% had negative attitude against diagnostic methods of TKM and 59.1% opposed to the usage of modern medical equipments by TKM doctors. With regard to the future position of TKM, they tacitly approved that TKM would be absorbed into the complementary and alternative medicine (CAM) and importance of TKM objectification, followed by Government's support. Conclusions : Medical school students neither affirm nor deny TKM as a whole but the state of awareness for each item was similar to the physician. In terms of TKM its internal and external innovation would be required to continuously establish objectification of TKM prescription and scientific research on treatment technology.

A Clinica1 Study on Taeumin's Chilling Syndrome Caused by Iatrogenic Adrenal Insufficiency (의인성(醫因性) 부신기능저하증으로 인(因)한 태음인(太陰人) 악한부발열(惡寒不發熱) 증례(證例))

  • Yu, Kwan-Suk;Lee, Sang-Min;Joo, Jong-Cheon;Park, Jun-Young;Kang, Sung-wook
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.3
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    • pp.156-162
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    • 2005
  • 1. Objectives The purpose of this study is to evaluate the effects of Sasang constitutional medical diagnosis and treatment on Taeumin's Hangueol syndrome, probably caused by Iatrogenic Adrenal Insufficiency. 2. Methods The subject is a 75 years old woman who has a severe chilling symptom without fever, probably caused by Iatrogenic Adrenal Insufficiency, and we had diagnosed her syndrome as Taeumin's Hangueol syndrome and prescribed Sasang Constitutional Medicine. 3. Results The scale of chilling symptom has been reduced. 4. Conclusions This case study shows an effcient results by using Sasang Constitutional Medicine in treatment of Taeumin's chilling syndrome.

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Two-Stage Decision Tree Analysis for Diagnosis of Personal Sasang Constitution Medicine Type (사상체질 판별을 위한 2단계 의사결정 나무 분석)

  • Jin, Hee-Jeong;Lee, Hae-Jung;Kim, Myoung-Geun;Kim, Hong-Gie;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.3
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    • pp.87-97
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    • 2010
  • 1. Objectives: In SCM, a personal Sasang constitution must be determined accurately before any Sasang treatment. The purpose of this study is to develop an objective method for classification of Sasang constitution. 2. Methods: We collected samples from 5 centers where SCM is practiced, and applied two-stage decision tree analysis on these samples. We recruited samples from 5 centers. The collected data were from subjects whose response to herbal medicine was confirmed according to Sasang constitution. 3. Results: The two-stage decision tree model shows higher classification power than a simple decision tree model. This study also suggests that gender must be considered in the first stage to improve the accuracy of classification. 4. Conclusions: We identified important factors for classifying Sasang constitutions through two-stage decision tree analysis. The two-stage decision tree model shows higher classification power than a simple decision tree model.

A Case Study of Yul Gyuk Similarity in Soeumin Patient (소음인(小陰人) 환자에서 나타난 열격(噎膈)유사증의 치험 1례)

  • Lee, Seung-Yun;Ban, Duk-Jin;Bae, Hyo-Sang;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.263-269
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    • 2009
  • 1. Objective This study is about a Soeumin patient who had Yul Gyuk similarity with anorexia, nausea, sialism. In this study, we report the effects of Sasang constitutional treatment to this patient. 2. Methods This patient was treated by Soeumin's constitutional medications and acupunture according to the result of Sasang constitutional diagnosis. 3. Results and Conclusions This patient's chief complaints were anorexia, nausea, and sialism. By using Gyejibanhasaenggang-tang mainly, he showed positive response about his symptom. This study shows that Gyejibanhasaenggang-tang has effect to Yul Gyuk similarity in Soeumin.

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Study of Relationship between the Chapter of Channels in Miraculous Pivot of Emperor′s Classic of Internal Medicine and Yangmyung disease in Sanghanron (『영추ㆍ경맥편』과 『상한론』의 양명병에 대한 상관성 연구)

  • Lee Seung Yeul;Shin Heung Mook
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.6
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    • pp.1085-1091
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    • 2002
  • Chang Chung-ching(張仲景) in the Later Han(Eastern Han) Dynasty of Chinese history wrote the treatise on Diseases Caused by Cold Factors(傷寒論; Shang Han Lun) on the basis of the fundamental theory of Emperor's Classic of Internal Medicine(黃帝內經; ECIM) after collecting medical treatment experiences until the Han Dynasty. It had great significance that Shang Han Lun was the origin of treating six-channels(六經) and there showed the peculiar guidelines on the diagnosis and treatment of oriental medicine to divide diseases into six-channels. The oriental medical doctors who had studied Shang Han Run thought highly of meridians and until now it was generally known that the chapter of heat in the Plain Questions of ECIM(黃帝內經, 素問ㆍ熱論) was the basis of Shang Han Run. The chapter of heat in the Plain Questions of ECIM was the first text in which the basic theory on six-channels according to the types of illness was introduced. In my point of view, the theory of treating six-channels had close relation to the Chapter of Channels in Miraculous Pivot of ECIM(黃帝內經, 靈樞ㆍ經脈篇) as well as the chapter of heat in the Plain Questions of ECIM. Therefore I took a look at the origin of treating six-channels in Shang Han Lun and illuminated again the meaning to compare the parts of in Shang Han Lun with the Chapter of Channels in Miraculous Pivot of ECIM. Conclusion: The, symptoms divided into six-channels in the chapter of channels in ECIM gave the fundamental basis of diagnosis and treatment basesd on overall analysis of signs and symptoms(辨證論治) an illness in the Zangfu(臟腑) in respect of meridians. Viewed in the light of diagnosis and treatment basesd on overall analysis of signs and symptoms(辨證論治), the symptoms of YangMing-channel(陽明經) in the Chapter of Channels in Miraculous Pivot of ECIM were, for the most part, accord with those of YangMing-disease in Shang Han Lun. Furthermore, the symptoms in Shang Han Lun were explained definitely and in detail. Therefore the theory of Shang Han Lun has been developed on the basis of ECIM with the changes of the times. YangMing-disease in Shang Han Lun implied medical cases in stomach meridian(胃經) and large intestine meridian(大腸經). Therefore Shang Han Lun was the foundation of treatment basesd on overall analysis of signs and symptoms(辨證論治) in respect of meridian as well as the text in which the steps of infectious diseases(外感病) of human bodies were explained.

A Case Study about Soyangin Patient Suffering from Vertigo afterSubarachnoid Hemorrhage (지주막하 출혈 후 발생한 소양인 현훈 환자 치험례)

  • Lee, Seung-Yun;Ban, Duk-Jin;Bae, Hyo-Sang;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.3
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    • pp.186-192
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    • 2009
  • 1. Objective: This study is about a Soyangin patient with vertigo after subarachnoid hemorrhage. In this study, we report the effects of Sasang constitutional treatment to this patient. 2. Methods: This patient was treated by Soyangin's constitutional medications and acupunture according to the result of Sasang constitutional diagnosis. 3. Results and Conclusions: This patient's chief complaints were vertigo and gait disturbance. By using Yangkyuksanhwa-tang mainly, she showed positive response about her symptom. This study shows that Yangkyuksanhwa-tang has effect to vertigo in Soyangin.

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