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

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A clinical observation for 25 cases of patients who are taken by chiefly complained of neck pain (항통(項痛)을 주소(主訴)로 입원(入院) 치료(治療)한 환자(患者) 25례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Lee Eun-Yong;Lee Byung-Ryul
    • Journal of Acupuncture Research
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    • v.15 no.2
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    • pp.393-406
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    • 1998
  • Twenty five cases of the patient admission-treatment from chiefly complained of neck pain observed clinically from first January 1997 to thirty first December 1997 in the Dept. of Acupuncture and Moxibustion, Oriental Hospital, Taejon University, Taejon, Korea. And the results were obtained as follows; 1. The distribution of sex was male 13(52%) cases, female 12(48%) cases and the male to female ratio was 1.1 : 1. The distribution of age was the most predominant as the fifties 6(24%) cases. 2. The contributing factors were the most predominant as the reason unknown 9(36%) cases, unstable position 5(20%) cases. 3. The distribution of duration was the most predominant of 9(36%) cases in a week. 4. The distribution of before admission-treatments were the most predominant as west-medication 13(32.5%) cases. 5. The distribution of patient's condition of first treatment was the most predominant as Gr.III 13(52%) cases. 6. The distribution of duration for admission was the most predominant as 13(52%) cases in a week. 7. The distribution of radiological studies were the nust predominant as the HIVD 26(63.4%) cases. 8. The distribution of clinical symptoms were the most predominant as neck pain 25(21.0%) cases, radiating pain to the upper extremities 23(19.3%) cases. 9. The distribution of located on clinical syrnptoms were the most predominant as neck-shoulder and back-upper extremities 11(44%) cases. 10. The distribution of clinical diagnosis was the most predominant as HIVD 16(45.7%) cases. 11. The distribution of methods of treatment were the most predominant as Acupuncture -­ Herb Medication - Electro Acupuncture treatment 8(32%) cases. 12. The effect of treatment by discharge was the most predominant of 11(44%) cases as Good result.

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Herbal Medicine (Cheonwangbosim-Dan, Tianwangbuxin-Pellet) for Insomnia Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (불면장애에 대한 천왕보심단의 체계적 문헌 고찰 및 메타분석 연구)

  • Sakong, Jong-Won;Kim, Dong-Hee;Ha, Ji-Won;Cho, Yun-Song;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.4
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    • pp.267-280
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    • 2018
  • Objectives: The objective of this study was to provide clinical evidence to support the use of a herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet (TWBXP)) for insomnia. Methods: Randomized controlled trials that verified effects of Herbal Medicine (Cheonwangbosim-Dan, Tianwangbuxin-Pellet) treating primary insomnia were carried out. A literature search of English, Chinese, Korean databases was also performed. The selected literature were assessed by Risk of Bias (RoB). Results: The total number of selected trials was 13 RCTs. Among the 13 RCTs, 10 were meta-analyzed. The Chinese Classification of Mental Disorders-3 (CCMD-3) was frequently used as the diagnostic criteria for interventions during the analysis of the use of herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet) for management of primary insomnia. As for outcome measurement, the effective rate was used. From the Meta-analysis of the studies, it was established that the insomnia cure effective rate in the TWBXP group was higher than that in the Western Medicine (WM) group (RR: 1.15, 95% CI: 1.07 to 1.24, p<0.0001, $I^2=33%$). Also, the effective rate in the TWBXP+ACU group was significantly different compared to the WM group (RR: 1.32, 95% CI: 1.13 to 1.54, p=0.0004, $I^2=0%$). The quality of the selected RCTs was low. Conclusions: Herbal medicine (Cheonwangbosim-Dan/Tianwangbuxin-Pellet) is effective for treating primary insomnia. It is worth noting that this studies were of relatively poor quality. The sample sizes were also small. Therefore, further investigations into the diagnosis and treatment of insomnia are warranted.

Proposal of Evidence-based East-West Integrative Medicine Manual for Vascular Dementia (혈관성 치매에 대한 근거기반 의한 협진 매뉴얼 제안)

  • Kim, Bomin;Jo, Hee-Geun;Kang, Hyung-Won;Choi, Sung-Youl;Song, Min-Yeong;Sul, Jae-Uk;Leem, Jungtae
    • The Journal of Korean Medicine
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    • v.40 no.1
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    • pp.46-62
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    • 2019
  • Objectives: This study was made by Chung Yeon Korean Medicine Hospital in order to perform appropriate East-West integrative medicine. The purpose of this manual is to support decision-making and communication in the implementation of the East-West cooperative treatment of vascular dementia. Methods: In order to carry out this study, it is based on search terms such as 'vascular dementia', 'acupuncture', 'herbal medicine', 'integrative medicine', 'chinese traditional medicine', and 'cognitive function' in databases such as MEDLINE, EMBASE, OASIS and CNKI We collected references. The drafting proceeded with the collaboration of two specialists of the Korean medicine, and the disagreement on the basis of the quotation was determined through a two person agreement. After, The draft was reviewed by a western medical doctor(rehabilitation specialist). Then, The opinions of the entire medical staff of the committee were reflected in the draft and finalized the agreement. Results: Through this study, manuals for diagnosis, treatment, and other considerations in the process of applying East-West integrative medicine to vascular dementia were derived. Conclusions: This study has significance in that it provides manual information about the decision structure, treatment contents, role distribution, etc. of East-West integrative medicine within the medical institution that conducts the vascular dementia consultation. In order for this study to function as a generalized medical guideline, it is necessary to improve the research methodology and carry out professional consensus procedures.

Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Overview (소양인체질병증 임상진료지침: 총론)

  • Lee, Eui-Ju;Koh, Byung-Hee;Kim, Dal-Rae;Kim, Jong-Yeol;Kim, Jong-Won;Park, Seong-Sik;Song, Il-Byung;Song, Jeong-Mo;Ahn, Taek-Won;Jang, Hyun-Jin;Cho, Hwang-Sung
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.3
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    • pp.213-223
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    • 2014
  • Objectives This study was aimed to develop the clinical practice guideline for Soyangin symptomatology. It discussed the principle and method of application of clinical practice guideline for Soyangin symptomatology which focuses on symptomatology, not disease. Methods Based on the previous guidelines, we assessed the guidelines by Appraisal of Guidelines for Research and Evaluation (AGREE II). After AGREE II assessment, we chose and revised the clinical practice guideline. Member of writing committee reviewed and examined "Donguisusebowon" and many articles for developing clinical practice guidelines. Draft of clinical practice guideline was reviewed by advisory committee and approved by Society of Sasang Constitutional Medicine. Results & Conclusions By researching and discussing the Soyangin symptomatology, we establish the evaluation criteria for diagnosis including classification, definition and develop diagnostic algorithm and treatment assessing tool.

Curriculum and Standardization of Preventive Medicine Education in Traditional Korean Medicine (한의과대학의 예방(사회)의학 관련 교과목의 교육과정 및 표준화방안)

  • Ko, Seong-Gyu;Shin, Yong-Cheol
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.2
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    • pp.73-83
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    • 2008
  • The rapid change of the health and medical environment and the globalization of medicine has driven doctors to converge and analyse of new and up-to-date medical information and decide to what to make decision for diagnosis and treatments in clinical practice. Medical environment goes with the changes with social environment such as rapid increase of aging population, changes of disease pattern, formation of new area of experts except doctors, government intervention for the medical system, medical insurance of the charges of medical treatment, a increased desire for human rights. These trends should be adopted rapidly to the education system for the students of medical school. The learning objectives of the preventive medicine was developed in 1995 and underwent necessary revision of the contents to create the first revision in 2006. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum and the 2006 revision does not satisfy these needs. We formed a task force which surveyed all the Western and Traditional Korean medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. With these results, for the good education for preventive medicine, each Traditional Korean medicine schools need more preventive medicine faculties and teaching assistants and opening of some required subjects such as Yangsaeng and Qigong. And future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

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Suggestion of a Basis Color and Standardization for Observing a Person's Face Color of Ocular Inspection (한방 망진의 찰색을 위한 표준화 및 색 기준 설정안의 제안)

  • Lee, Se-Hwan;Kim, Bong-Hyun;Cho, Dong-Uk
    • The KIPS Transactions:PartB
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    • v.15B no.5
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    • pp.397-406
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    • 2008
  • Despite the effectiveness of oriental medical practice in the diagnosis of symptoms and providing cure to it, the preferences in western medicinal values is socially prevalent. The diagnosis of a disease using western medicinal practices provides us with an objective diagnostic result, however, decisions by oriental doctors are based on their heuristic intuitions developed by practice and experience. Objective solutions for the cure of symptoms using oriental medical therapy can have a high impact on the world market. Therefore, development of diagnostic machines based on oriental therapy can enhance the Ocular Inspection which is evaluated as one of the best diagnostic treatment among Oriental Medical Science, is not researched much compared to other diagnoses. Because there is no color diagnosis rules for digital machines to analyze the actual color, looking at the person's face color is one of the most important components to diagnose the disease or illness. The thesis proposes the implementation of absolute observing a person's face color standards of the color settings for objective diagnosis. As a results, comparative digital color analysis for observing a person's face color can be the most effective rule based Color scheme system to diagnose disease. A standard solution for the researching conditions is suggested to reduce the variable which may occur depending on the differences between the researching conditions.

The Meaning of Environmental Medicine in Korean Medicine (한의학(韓醫學)에서 환경의학(環境醫學)의 중요성에 관한 고찰)

  • Kim, Hoon;Lee, Sang Hyup;Lee, Hai Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.2
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    • pp.1-16
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    • 2013
  • Environmental medicine has interest in the effect of natural environment on the human health. Nature is usually understoodas' sky(天)' and 'earth(地)' which implies the harmony of humankind and nature(天地相應). As can be shown above, environment concept is the basic in Korean Medicine which originate in "Huangdi's Internal Classic" as clear medical form. According to "Huangdi's Internal Classic" man ought to abide by the nurturing 'Tao(道)' which is the way of life. This can be explained as the principle of balance, specially of yin(陰) and yang(陽) as is represented by the transformation of the energies from the universe. Life through the four seasons is also referred in the classic upon when four different climates have some effect on people, and the regional effect on health is also written there. Under the strict modem view, the achievement of the classic in the field of environmental medicine may be treated as primitive, but it was induced through long-term observation, so that once was state-of-the-art result at that time. But to solve the intrinsic weak points in traditional environmental medicine and also to harmonize with modern science to contribute to national health, the way of modem research can be applied to traditional concept on environmental medicine. Natural scientific approach is to avoid superstition and incantation. Strict method approach is to enhance accuracy and reliance in clinical observation. Overall, predictability can help develop the effectiveness and efficiency of diagnosis, treatment, recurrence, and prevention in environmental disease with holy method of Korean Medicine.

Extraction of Face Type and Tongue Color Analysis for Diseases Diagnosis in Web-Based Environments (웹 기반 환경에서 질병 진단을 위한 얼굴형 추출 및 설색 분석)

  • Cho, Dong-Uk;Kim, Bong-Hyun;Lee, Se-Hwan
    • The KIPS Transactions:PartB
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    • v.14B no.2
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    • pp.71-80
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    • 2007
  • In this paper, We propose face type classification, tongue region extraction and tongue color analysis method for Oriental medicine diagnosis system to supply web based medical treatment information. This presents to construct system that takes super aging society and uses ocular inspection and longue diagnosis in web-based to embody this by an IT Technology as generalization and popularization of medical benefit are social requirement and supplies medical treatment information. Place that reflect living body signal of human body ordinarily and appear becomes iris or tongue, five sensory organs etc. This paper proposes classification of face type, extraction of five sensory organs for observing a person's shape and color among diseases diagnosis based on home health care that propose to develop and region extraction and color analysis etc, of tongue which intensively represents the bio-signals of human-beings. Finally, the effectiveness of this paper is verified by several experiments.

Korean Medicine Interventions for Benign Paroxysmal Positional Vertigo: A Systematic Review of Clinical Studies Published in Korea (양성 돌발성 체위성 현훈(Benign Paroxysmal Positional Vertigo)에 관한 임상 문헌 고찰 - 국내에 출판된 한의약 임상 논문을 중심으로 -)

  • Jung, Jun-su;Jung, Sung-heon;Kim, Min-joo;Park, Jang-kyung;Bae, Kwang-ho;Kong, Kyung-hwan;Ko, Ho-yeon
    • The Journal of Internal Korean Medicine
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    • v.38 no.4
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    • pp.479-490
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    • 2017
  • Objectives: This study provides evidence for clinical practices by analyzing present clinical Korean medicine articles about benign paroxysmal positional vertigo (BPPV). Methods: Articles published up to July, 2017 were found by searching "BPPV", "Benign positions", and "Vertigo" as keywords in three domestic electric databases (i.e., OASIS, NDSL, RISS). Results: The initial search resulted in 228 articles; however, only 20 articles satisfied the selection criteria and were analyzed. Of these, 40% were published in the Journal of Korean Oriental Internal Medicine, and 35% were published in 2003. When diagnosing BPPV patients, VAS scores are primarily used for clinical assessments rather than objective diagnostic tools. Banhabaekchulcheonmatang was the most frequent herbal medicine used to treat BPPV, and the most commonly used therapeutic acupuncture point was Jok-samni (ST36). The most common diagnosis of BPPV was dam-eum according to nine studies. Conclusions: Systematic and large-scale research for the standardization of BPPV treatment is needed.

Research on the Evaluation and Utilization of Constitutional Diagnosis by Korean Doctors using AI-based Evaluation Tool (인공지능 기반 평가 도구를 이용한 한의사의 체질 진단 평가 및 활용 방안에 대한 연구)

  • Park, Musun;Hwang, Minwoo;Lee, Jeongyun;Kim, Chang-Eop;Kwon, Young-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.2
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    • pp.73-78
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    • 2022
  • Since Traditional Korean medicine (TKM) doctors use various knowledge systems during treatment, diagnosis results may differ for each TKM doctor. However, it is difficult to explain all the reasons for the diagnosis because TKM doctors use both explicit and implicit knowledge. In this study, an upgraded random forest (RF)-based evaluation tool was proposed to extract clinical knowledge of TKM doctors. Also, it was confirmed to what extent the professor's clinical knowledge was delivered to the trainees by using the evaluation tool. The data used to construct the evaluation tool were targeted at 106 people who visited the Sasang Constitutional Department at Kyung Hee University Korean Medicine Hospital at Gangdong. For explicit knowledge extraction, four TKM doctors were asked to express the importance of symptoms as scores. In addition, for implicit knowledge extraction, importance score was confirmed in the RF model that learned the patient's symptoms and the TKM doctor's constitutional determination results. In order to confirm the delivery of clinical knowledge, the similarity of symptoms that professors and trainees consider important when discriminating constitution was calculated using the Jaccard coefficient. As a result of the study, our proposed tool was able to successfully evaluate the clinical knowledge of TKM doctors. Also, it was confirmed that the professor's clinical knowledge was delivered to the trainee. Our tool can be used in various fields such as providing feedback on treatment, education of training TKM doctors, and development of AI in TKM.