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

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Review on Eight Constitution Medicine (팔체질 의학에 대한 논문 리뷰)

  • Lee, Joo-Ho;Kim, Hee-Ju;Shin, Young-Sup;Park, Young-Jae;Park, Young-Bae
    • The Journal of Korean Medicine
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    • v.33 no.1
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    • pp.90-106
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    • 2012
  • Objectives: Eight constitution medicine (ECM), which was first introduced in 1965, has been further developed and refined over the decades, and has consolidated its foundation through many studies on theories, diagnosis and clinical application. However, there have been few reviews on dissertations of ECM. In this study, we reviewed previously published studies related to ECM. Methods: We reviewed a total of 55 ECM-related studies published from 1965 to 2010 found on PubMed and various domestic Oriental medicine journals. Each thesis was classified as a theoretical, diagnostic, or remedy-related study. Results: 1. In the review of theoretical studies, shortly after ECM's introduction in 1965 by Kwon, the authors found studies on constitutional diseases, diets and food table which helped establish the background of ECM. ECM has further developed by comparing its theories with Sasang constitutional medicine, Huang-di-nei-jing, Saam, and Taegeuk acupuncture theories. 2. Research on diagnosis has been focused on its objectivity and accuracy. Constitution could be diagnosed by pulse-taking. To compensate for the lack of accuracy innate in pulse-taking, the Eight Constitution Questionnaire has been invented. 3. Remedies can be largely divided into acupuncture and diet. There were case studies comparing treatment effect of ECM acupuncture to other treatments. Diet related studies were carried out in the fields of immunology and nutrition. Conclusions: The authors reviewed studies that contributed to improved understanding of theories and clinical implications of ECM. Although there were various approaches to its theoretical and clinical grounds, more clinical research is needed. There is also a need to evaluate the accuracy of the experts' diagnoses of the constitution. The relationship between the diet and constitution also needs further research.

The clinical study of the 47 traffic accident victims (교통사고 환자 47례에 대한 임상적 고찰)

  • Kim, Min-jeong;Lee, Su-hong;Kim, Kyung-ho
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.250-264
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    • 2000
  • A retrospective study has been carried out for 47 cases of traffic accident victims which was entered to the Dongguk Bundang O. M. Hosp. from Jan 1, 1999 to May 4, 2000. This study was focused on finding out the distribution, pattern of the traffic accidents, clinical characteristics of the patients, motives of their choosing oriental medical treatments, the kinds of oriental medical treatment. This results were as follows : 1. The highest incidence was shown in the age of twenties to thirties as much as 59.6% and the ratio of male to female was 17:30. 2. 80.9% of all patients was injured by car accidents. 68.2% of all patients was injured as drivers and passengers and 19.2% was injured as pedestrians. The highest type in the collision between cars, was rear impact. 3. The number of patient(61.7%) via other hosp. was more than that of the first visitor(38.3%) to our hosp. 4. In admission motives, The patients who had been treated by western medical treatment, expressed the dissatisfaction of that treatment, so hoped to be treated by oriental medical styles. Also The others wanted to be treated by oriental medical methods in the reason of no deep surgical, orthopaedical lesions 5. C-spine sprain(80.9%) was the most frequent out of all patients's diagnosis and then L-spine sprain(51.1%), contusion(46.8%), etc. 6. Head Cervix(80.9%) was the commonest pain region of all patients. and then shoulder back(70.2%), lumbar region(61.7%), etc. 7. In general, the pedestrian injuries were more serious than those sustained in the car as passengers. 8. After discharge, Duration of OPD treatment was long as much as that of admission treatment. 9. At first stage of admission period, Herb medication was frequently prescribed for hwalhyultonglakgige(活血通絡之劑). but As going to end stage, was frequently used for bogi(補氣) bohyul(補血), gudam(祛痰), ansin(安神).

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Study of Ossification of posterior longitudinal ligament(OPLL) (후종인대 골화증(OPLL)에 관한 고찰 - "동의보감(東醫寶鑑)"을 중심으로 -)

  • Lee, Yuo-Ryul;Shin, Hyun-Kyu;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.147-156
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    • 2007
  • This study was performed to investigate the cause, symptom, treatment of OPLL through Western medicine and Dong-Eui-Bo-Kham(東醫寶鑑) Results & conclusins 1. Ossification of the posterior hgament(OPLL) have radiculopathy, myelopathy or both of them such as neck pain, numbness, myatonia 2. Neck pain of OPLL seems to be simular with pain in the neck(頸項痛), neck stiffness(項强), stiffness and pain of head and neck(頭項彈痛). The causes were usually Dampness and Cold, Wind. The treatments were classified according to pathoigenic factor(病因) and muscle along the regular meridian(經筋) 3. Radiculopathy of OPLL seems to be similar with numbness(痺證). The causes were usually, pathogenic Wind, Cold, Dampness. The treatments were classified according to diagnosis of three kinds of BI syndrome(三痺), five kind of Bi synrome(五痺), five jang Bi(五臟痺), six Bu Bi(六腑痺) 4. Myelopathy of OPLL seems to be simular with myatonia(痿證) The cause of myatoma was Lung scorched by Heat(肺熱葉無). And the treatment was purping the south and reinforcing the north(寫南方 補北方). We considered that more study to find various and effective methods oriental medicine for OPLL should be made.

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A case of breast cancer Patient Treated with Allergen Removed Rhus Verniciflua Stokes(ARV) (알러젠 제거(除去) 옻나무 추출물(抽出物) 투여(投與)로 호전(好轉)된 유방암(乳房癌) 환자 1례)

  • Kim, Cho-Young;Park, Jae-Woo;Jung, Hyun-Sik;Choi, Won-Cheol;Yoon, Seong-Woo
    • Journal of Korean Traditional Oncology
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    • v.12 no.1
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    • pp.67-73
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    • 2007
  • Breast cancer is common in West and Incidence of breast cancer has increased in Korea. According as conventional western medical treatment, breast cancer patient received MRM(modified radical mastectomy) and anti cancer chemotherapy. In this case report, We introduce a case of breast cancer patient who showed lung metastasis(metastatec adenocarcinoma) after MRM(modified radical mastectomy) 4 years before the diagnosis of relapse. After lung metastasis of breast cancer, the patient received 4th chemotherapy and refused to get more conventional western medical treatment including chemotherapy. After 24 month of traditional oriental medical treatment using allegen removed Rhus Verniciflua Stokes(ARV), however, the size of cancer mass decreased and the patient showed improved condition. Further case study will be needed in order to determine the effect of ARV on breast cancer patient.

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Review of Pragmatic Clinical Trials on Acupuncture

  • Lee, Sang-Hoon;Seo, Byung-Kwan;Seo, Jung-Chul;Lee, Seung-Deok;Choi, Sun-Mi;Kim, Yong-Suk
    • Journal of Acupuncture Research
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    • v.22 no.2
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    • pp.163-170
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    • 2005
  • Background : Over the last thirty years, majority of researches on clinical effectiveness of acupuncture have been explanatory (or experimental) randomized controlled trial. The benefits of acupuncture in clinical trials are still controversial and most studies concluded that further control studies were required. Standardized combinations of acupuncture points for all the experimental subjects in various past studies have been criticized because such treatments do not reflect current routine clinical treatment. Objective : This paper aims to review pragmatic clinical trials on the effect of acupuncture treatment and to develop the ideal clinical research methodology of acupuncture study. Method : Clinical studies of acupuncture relevant with pragmatic or individualized trials were searched mainly in Pubmed and Science direct databases. All articles were fully reviewed by researchers, and data were evaluated by usage of a standardized form. Results & Suggestion : Pragmatic acupuncture researches were tried for various symptoms (eg. low back pain, hypertension, depression during pregnancy, sleep quality in HIV disease, chronic poststroke leg spasticity, headache, etc). Individualized acupuncture treatments based on oriental disease pattern diagnosis reflexes practical treatments which is more effective than unified and fixed acupuncture treatments without any theoretical basis of oriental medical philosophy. Conclusion : To overcome the controversies and limitations of past explanatory acupuncture trials, more individualized and tailored acupuncture trials with the theoretical basis of oriental medical diagnosis is highly recommended. Also clear definition and categorization of pattern identification should be established for further active clinical researches and applications of acupuncture.

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A Clinical Case Report on a Patient of Acute Disseminated Encephalomyelitis Using Korean Medicine (급성 파종성 뇌척수염에 대한 한방적 치료 치험 1예)

  • Park, Jeong-Ha;Oh, Deuk-Ju;Jang, Su-Hee;Hur, Hee-Soo
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.2
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    • pp.141-153
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    • 2014
  • The objective of this study is to report the improvement of the patient with Acute Disseminated Encephalomyelitis (ADEM) with Korean Medical intervention. The patient, diagnosed as ADEM, was treated by acupuncture, moxibustion and herb medicine and wild ginseng distilled herbal acupuncture. We evaluated the consequences by checking Manual Muscle Test (MMT), Korean Version of Barthel Index (K-MBI). As a result, the patient improved significantly MMT and K-MBI inclined. In ADEM, the initial diagnosis is important, and through a Korean medicine, we were able to achieve meaningful treatment result. There is a limit on this study due to sufficient number of case, thus, further studies will be needed.

Review on the Effects of Acupuncture Stimulation on Autonomic Nervous System (침 자극이 인체의 자율신경계에 미치는 영향 고찰)

  • Lee, Ju-Ho;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.2
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    • pp.127-140
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    • 2011
  • Objectives: Acupuncture has been shown to relieve pain and modulate biological function by stimulating the organ-specific meridians and enhances parasympathetic activity and suppresses sympathetic activity. The aim of this review is to summarize and understand the effects of acupuncture on autonomic nervous system. Methods: We reviewed a total of 29 studies published from 2000 to 2010 searched by PueMed and various domestic oriental medicine journals to obtain acupuncture studies related with ANS. Each article was classified by ANS measurement index and reviewed for study objectives, outcomes, acupuncture points, experimental and control interventions. Results: In the study of acupuncture about EEG, HRV, SCR, the experiment results are not the same by acupoints. Although same acupoint the results differ by subject's condition. But the study showed some clear tendency. In brief, in normal states acupuncture enhanced either vagal or sympathetic tone depending on the stimulated acupuncture point sites. On the other hand, most of studies demonstrated that acupuncture restored the autonomic dysfunctions in various kinds of tired or stressful states. Conclusions: We reviewed studies that contributed to an understanding of the effects and mechanisms of acupuncture on autonomic nervous system. Although the relationship between acupuncture and ANS response is still uncertain, acupuncture could be a excellent treatment method for modulating autonomic dysfunction.

Review of Clinical Studies on Traditional Chinese Medicine for Tourette Syndrome (뚜렛 증후군에 대한 중의학 임상연구 동향)

  • Kim, Jong Hwan;Jo, Hee Guen;Seol, Jae Uk
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.4
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    • pp.303-318
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    • 2017
  • Objectives: To establish a base for further research by reviewing studies on traditional Chinese medicine treatment for Tourette Syndrome. This is the purpose of this study. Methods: Clinical studies involving the effects of traditional Chinese medicine treatment for Tourette Syndrome, published January 2010~June 2017, were obtained from CNKI, Pubmed. Selected Studies were evaluated by the Jadad Scale. Results: Among a total of 252 articles, 39 articles that meet the criteria were selected. 'Diagnostic and Statistical Manual for Mental Disorders, 4th edition (DSM-IV)' was most frequently used as diagnosis criteria. 'Yale Global Tic Severity Scale (YGTSS)' was primarily used for outcome measurements. Most of the studies showed effective results of traditional Chinese medicine therapy. However, the quality of a selected clinical studies was low. Conclusions: Despite several limitations, various studies to prove limited yet effective traditional Chinese medicine treatment on Tourette Syndrome provides much significance. Subsequent studies conducted by the complementary systematic review and well-designed clinical trials using the methodological quality will be needed to more firmly validate the effect of traditional Chinese medicine therapy.

Two Case Reports of Taeumin Delirium Patients (태음인(太陰人) 담망 환자 치험 2례)

  • Ban, Duk-Jin;Lee, Hee-Seung;Kang, Tae-Gon;Han, Kyoung-Suk;Bae, Hyo-Sang;Park, Seong-Sik
    • Journal of Sasang Constitution and Immune Medicine
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    • v.19 no.3
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    • pp.257-269
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    • 2007
  • 1. Objectives The purpose of this case report is to evaluate the effects of Sasang constitutional diagnosis and treatment of two delirium patients who were diagnosed Taeumin Dry-Heat Syndrome(燥熱證). 2. Methods Two delirium patients were diagnosed Taeumin Dry-Heat Syndrome(燥熱證) based on their Nature & Emotion (性情), physical characteristics, symptoms. They were medicated Chungpyesagan-tang(淸肺瀉肝湯) through of sleep, complexion, thirst, stool, coating of the tongue, and MMSE(Mini-Mental State Exanmination) score were used of measure improvement. 3. Results and Conclusions Two delirium patients who were treated with Chungpyesagan-tang(淸肺瀉肝湯) showed improvement in delirium symptoms, thirst, constipation, redness of complexion, white coating of tongue, and general condition. These case reports describe the effects on delirium and symptoms of Sasang Constitutional Medication. The necessity of managing the psychological aspects of the pathology through Nature & Emation(性情) is also mentioned.

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A Clinical study of cerebral palsy (경련(痙攣)을 동반(同伴)한 뇌성마미(腦性痲痺) 환자(患者) 1예(例)에 대(對)한 고찰(考察))

  • Jeong Hwan-Su;Lee Jin-Yong;Kim Deok-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.13 no.1
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    • pp.181-190
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    • 1999
  • Cerebral palsy is a nonprogressive brain disorder occurring during gestation, parturition or neonatal period with resultant abnormality of posture or other deficits. Recently the early diagnosis and early treatment has been emphasized in management of cerebral palsy. We studied 1 cerebral palsied child that having been treated anticonvulsive therapy in Sangge-Baek Hospital(상계 백병원) for 1 year. We improved the patient's general condition through dispensing Herb-Med(養胃湯 加味), thus we could reduce the antiepileptic & Sedative drug dose simultaneously controlling convulsion. In this point, we could find the possibility of east-west integrated medicine's cooperation and the fact that Herb-Med could be helpful to controlling convulsion.

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