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

검색결과 670건 처리시간 0.028초

산후 역절풍 1례 임상경과 보고 (Clinical study for the one case who contracts of Arthritis after parturition)

  • 박영애;박영선;김동철
    • 대한한방부인과학회지
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    • 제20권3호
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    • pp.246-258
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    • 2007
  • Purpose: The purpose of this study is to report the effect of TKM to Rhumatitis Arthritis after parturition and show the importance of recuperation after parturition. Methods: The patient was a 33-year-old woman who complains arthralgia, edema and sense of coldness after her third parturition. The patient was treated by Herb medicine, Acupuncture treatment, Moxa treatment and Physical Treatment. And the progress of symptoms was evaluated by cheking the change of VAS, and inspecting the DITI. Results: The Pain and edema have declined. After discharge, she got definite diagnosis as Rhumatitis Arthritis. But We already estimated it from the results of serum test. So we had treated the patience with TKM and we could explain the prognosis. We regulated the pain and edema successfully at the acute phase. And the patient could take care of herself, she didn't play her disease down as a simple symptoms of parturition. Conclusion: TKM is expected to have positive effects on Rheumatic arthritis with quick onset after parturition.

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무릎 관절염의 맞춤형 침구 임상시험 프로토콜 개발을 위한 전자우편 설문 조사 (E-mail Survey for Developing Clinical Trial Protocol on Individualized Acupuncture Treatment for Knee Osteoarthritis)

  • 이승덕;김선웅;최선미;서정철;이상훈;김용석
    • Journal of Acupuncture Research
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    • 제22권4호
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    • pp.197-204
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    • 2005
  • Objectives : This survey was accomplished to find out how Korean medical doctors take acupuncture prescriptions for knee osteoarthritis in real clinical practice. Methods : The survey questions were developed by the consensus from 4 professors and 10 residents who major in acupuncture & moxibustion for developing clinical trial protocol on individualized acupuncture treatment for knee osteoarthritis. The questionnaires were distributed via e-mail to 3,306 members of Korea Oriental Medical Association from March 15th to March 23rd in 2005.84 members completed answers, and the computerized data were analyzed by ISP statistical program. Results : 1. 68 out of 84 Korean medical doctors used pattern diagnosis. 2. 61 out of 84 Korean medical doctors used both local and remote points, 20 doctors remote points only, and 3 doctors local acupuncture points only. 3. In case of doctors who use remote acupuncture points only, the acupuncture prescription principle was Saam or five element acupuncture (66%), along the meridian pathway (14%), Eight constitutional acupuncture (11%), Taegeuk acupuncture (2%), and miscellaneous (18%). Conclusion : In our e-mail survey, Korean medical doctors who experienced more than 10 year practice answered that they use five element acupuncture or Saam acupuncture according to meridian pathway theory as the most common principle of their acupuncture treatment prescription.

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("동의수세보원(東醫壽世保元)"에 나타난 사상인(四象人)의 소갈(消渴)에 대한 고찰(考察) (The Bibliographical Study on So-gal of Sasangin)

  • 초재승;임치혜;김효수;김신;김일환;박혜선;이정환
    • 사상체질면역의학회지
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    • 제19권1호
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    • pp.1-18
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    • 2007
  • 1. Objectives This study is purposed to classify treatment and diagnosis of So-gal on the relationship of Sasang Constitutional Medicine. 2. Methods We compared conception, symptoms, mechanism and treatment of Sasangin's So-gal in ${\ulcorner}$Dongyisusebowon${\lrcorner}$ ${\ulcorner}$Gabobon${\lrcorner}$, ${\ulcorner}$Sinchukbon${\lrcorner}$ and ${\ulcorner}$Chobongwon${\lrcorner}$. 3. Result and Conclusion (1) So-gal of Soyangin is general disease, it is important disease of interior heat syndrome. So-gal of Taeumin is troubled by dryness of the lung, category of interior heat syndrome, but it bring about various complication. So-gal of Soeumin is important point that divide seriousness of disease. (2) So-gal is interior heat syndrome, it is related to interior heat syndrome of Soyangin, Taeumin. So-gal of Soeumin expresses conclusion of seriousness regardless of exterior and interior disease. (3) So-gal is related to nature, it is most important disease to Soyangin who is apt to variation of nature.

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방광요관역류를 동반한 재발성 요로감염 환자 1례 (A Case of Recurrent Urinary Tract Infection with Vesicoureteral Reflux)

  • 이진신;이병철;장원만;안영민;안세영;두호경;최기림
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.683-686
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    • 2000
  • Vesicoureteral reflux(VUR) is a state that urine regurge from bladder to ureter and kidney because of congenital, structural, functional abnormality of ureterovesical junction and lower urinary tract than bladder. It may be the primary cause of recurrent urinary tract infection(UTI) in chindhood, If urine regurge with UTI, it can cause renal damage, leading to scar formation, hypertension, chronic renal failure, But upper complications can be prevented by early diagnosis and proper treatment of VUR and UTI, so clinician must focus on them in treatment of VUR. We had experienced a case of recurrent UTI with VUR regardless of consistent antibiotics therapy in 7 years old boy, Chief complain was urinary frequency, The symptom of urinary frequency was successfully treated by herb medicine(Gamijihwag-tang), So, we report this case with a brief review of related literatures.

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원인 불명열 환자를 갈근해기탕(葛根解肌湯)으로 치험한 1례 (A Clinical Study of the Treatment Prescribed Kalkunhaeki-tang for FUO (Fever of Unknown Origin) Patient)

  • 임치혜;초재승;김효수;권승만;김신;김일환;박혜선
    • 사상체질면역의학회지
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    • 제19권2호
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    • pp.223-229
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    • 2007
  • 1. Objectives FUO is defined as a temperature higher than $38.3^{\circ}C$ on several occasions and lasting longer than 3 weeks, with a diagnosis that remain uncertain after 1 week of investigation. Diagnosing the cause of FUO is particularly difficult. 2. Methods We have tried researching effect of herbal medicines(Kalkunhaeki - tang treatments) and Acupoint Injection to Taeumin FUO patient. 3. Results A Taeumin patient diagnosed to FUO was treated with Taeumin herbal medicines(kalkunhaeki - tang treatments) and change of patient's fever and general condition were improved. 4. Conclusions The constitutional treatment with Kalkunhaeki - tang may have an effect on management of FUO. So we report the healing process and results of this patient in this study.

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형상에 관한 문헌 고찰 -내경을 중심으로- (Study on Hyungsang in Nei Ching)

  • 강경화;백근기;김경철;이용태
    • 동의생리병리학회지
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    • 제16권3호
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    • pp.424-434
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    • 2002
  • In Jang-Sang theory, ‘Sang’ indicates ‘Hyung Sang’. The internal organs appear it's shapes(Hyung Sang) outward. ‘Hyung Sang’ is concept that was used on 「the book of changes」(周易) and 「Nei Ching」(內經) to means a thing's shapes and conditions. ‘Hyung’ is the shape, an organization composing a thing and ‘Sang’ is the symptom, an essence(a seed) immanenting a thing. To observe Hyung Sang, it have to apply the principle that ‘the sky and man correspond each other(天人相應)’. Usually ‘Hyung’ appears as shapes and ‘Sang’ appears as colors and conditions. Diagnosis on the basis of Hyung Sang put first the external expression of the five Jang six Bu organs and Jung-Ki-Shin-Hyul(精氣神血). So a doctor has to unite shapes, colors, pulse and symptoms(形, 色, 脈, 症) when diagnosis a patient. The theory of Hyung Sang includes the basic theories of the oriental medicine, the theory for Yin-Yang and the five element(陰陽五行論), organ picture(Jang-Sang), meridians(經絡學說), the five circuit phases and the six atmospheric influences(運氣學說), physical constitution(體質學說). I think that treatment based on Hyung Sang is shown the essence of the oriental medicine well. In the future, I think, we need to study more about the theory of Hyung Sang.

한국인 성인 남성의 체질별 맥상 특성에 관한 연구 (A Study on the Sasang Constitutional Differences in the Pulse Wave of Korean Healthy Adult Men)

  • 김호석;유현희;이시우
    • 한국한의학연구원논문집
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    • 제13권2호통권20호
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    • pp.71-74
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    • 2007
  • Background : Sasang Constitutional Medicine (SCM) is the field of traditional Korean medicine that emphasize four constitutional types for diagnosis and treatment. Appearance, personalities and pathological characteristics are main factors of Sasang constitutional classification. Previous studies carried out by the pulse analyzer showed that the pulse wave can discriminate these types. In addition, It was reported that the pulse wave are affected by age and sexuality. In this study, we investigated the pulse wave characteristics related Sasang constitution types in control group regarding their age and sexuality. Subjects and Method : Two hudred and eighteen volunteers participated in this study: healthy men in $20{\sim}49$ years old. Participants were interviewed and examined to evaluate their health condition and Sasang constitution type. Then they were tested with pulse analyzer when they ere stabilized. The pulse at the radial artery just beside styloid process was measured, because this area is landmark for pulse diagnosis in oriental medicine. 3-D Mac pulse analyzer (Daeyo Medi Co. Ansan. Korea) was used in this study. We analyzed main features of pulse waves with the Sasang condtitution types by the SPSS for Windows (ver 12.0). Results : There was significant difference between Taeum and other types in contact pressure as weil as in coefficient of floating and sinking pulse. Conclusion : By analyzing pulse waves of healthy adult men. we found significant differences exist between Taeum and other types. These pulse differences may characterize Taeum type, and it will be helpful for the evaluation of Taeum type.

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중추성 및 말초성 안구운동장애 사례에 대한 고찰 - 한방치료를 시행한 3례를 중심으로 (A Study of Central and Peripheral type of Eye Movement Impairment - Focused on 3 Cases Treated with Oriental Medical Treatment)

  • 박준영;김영석;조기호;문상관;정우상
    • 대한한방내과학회지
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    • 제33권4호
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    • pp.599-608
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    • 2012
  • Objectives : To report three cases of eye movement impairment: internuclear ophthalmoplegia (INO) due to pontine infarction, traumatic abducens nerve palsy, and abducens nerve involvement in Miller-Fisher syndrome. Cases Summary : There were three cases. First, a 64-year-old woman, who was given a diagnosis of INO due to pontine infarction, had left gaze palsy of her right eye while the convergence was intact. Second, a 34-year-old man had abduction impairment of his right eye after a traffic accident. Third, a 66-year-old man, who was diagnosed with Miller-Fisher syndrome, had left gaze palsy of his left eye. Their symptoms improved substantially and their anxieties were relieved after treatment with herbal medicine and acupuncture. Conclusions : There has been no certain cure for eye movement impairment yet. In this report, we present three successful cases of patients with eye movement impairment and show that Korean medical treatment could be a solution for this incurable disease.

척추 신경섬유종 진단을 받은 요통 환자에 대한 복합적 한방처치 및 영상학적 경과 관찰 증례 보고 1례 (A Patient with a Diagnosis of Spinal Neurofibroma and Complaining of Lower Back Pain: A Case Report, Including Two Follow-ups after Discharge)

  • 문희영;류광현;주아라;최요섭;추원정;박지원;김두리;전용현
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.938-947
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    • 2019
  • Objective: This study was performed to report the changes in symptoms and radiological consequences of a patient diagnosed with spinal neurofibroma and complaining of lower back pain. Methods: The patient was diagnosed with a spinal neurofibroma after MRI examination and was treated with traditional Korean medicine, including traditional Korean medication and acupuncture. We measured the change in symptom severity using a numerical rating scale (NRS) and the Oswestry Disability Index (ODI). We also used the EQ-5D (EuroQoL-5D) scale to assess the patient's quality of life. In addition, we examined the change in the size of the cyst by MRI twice after discharge: at about 3 months after discharge and at about 8 months after discharge. Results: After about 6 weeks of treatment, most pathological symptoms had decreased. The patient showed a decline in NRS and ODI scores and showed an increase in quality of life. The two MRI examinations after the discharge revealed a decrease in the size of the cyst. Conclusions: Traditional Korean medicine can be a solution for patients with spinal neurofibroma causing neurological pain.

한의학 연구에 있어 의료서비스연구가 갖는 의의 고찰 (Study on the Significance of Health Services Research Methods for Studying Traditional Korean Medicine)

  • 박유리;서상록;김영진;김유리;김재효;안성훈;손인철
    • Korean Journal of Acupuncture
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    • 제27권2호
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    • pp.79-94
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    • 2010
  • Objectives : Many researchers in western societies raised questions on methodological limitations of randomized controlled trial (RCT) for studying Complementary and Alternative Medicine (CAM), and they have tried to find alternatives to RCT. Some of them recently have interest in health service research as one of the alternatives. Discussing the significance of health services research in CAM studies will be helpful to guide the researchers in Korea who are also interested in developing an appropriate research methodology for traditional Korean medicine. Methods : Previous studies on methodological issues of studying CAM and health service researches published in western societies until 2009 were searched mainly from Pubmed. The definition, main research domains, and research methods of health service research and the significance of it for researches on CAM were summarized. Results & Conclusions : Health service researches are important in two aspects. First, health service researches evaluate the actual practice of CAM, including the individualized diagnosis as well as treatment and interaction between practitioners and patients. Second, when evaluating the outcomes, they put an emphasis on subjective evaluation by patients as well as objective evaluation by doctors. Thus, it can reflect the treatment goals of CAM which is improving the overall quality of life and the physical and psychological health. Therefore, health services researches such as descriptive studies, qualitative studies, outcomes studies including economic evaluation, and whole systemic research should be more utilized in order for studying traditional Korean medicine.