• Title/Summary/Keyword: integrated medicine

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Screening of Korean Herbal Medicines with Inhibitory Activity on Advanced Glycation End Products (AGEs) Formation (III) (한국약용식물의 최종당화산물 생성저해활성 검색 (III))

  • Jeong, Il-Ha;Kim, Jong-Min;Jang, Dae-Sik;Kim, Joo-Hwan;Cho, Jung-Hee;Kim, Jin-Sook
    • Korean Journal of Pharmacognosy
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    • v.40 no.4
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    • pp.382-387
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    • 2009
  • Enhanced formation and accumulation of advanced glycation end products (AGEs) have been implicated as a major pathogenesis process leading to diabetic complications, normal aging, atherosclerosis and Alzheimer's disease. In our ongoing project to discover novel treatments for diabetic complications from natural sources, we have investigated on the inhibitory activity of 67 ethanol extracts from 57 Korean herbal medicines against the formation of AGEs in vitro. Of these, 22 extracts were found to have a significant AGEs inhibitory activity ($IC_{50}$<50 ${\mu}g$/ml) compared with aminoguanidine ($IC_{50}$=75.98 ${\mu}g$/ml). Particularly, 6 extracts from 3 herbal medicines, Castanea crenata (flower, leaf, bark-twig), Acer tatarium subsp. ginnala (fruit) and Sapium japonicum (leaf, twig) showed (approximately 8-17 fold) stronger inhibitory activity than that of aminoguanidine.

Perception Difference between Korean Medicine Doctors, Western Medicine Doctors, and Patients on the Collaborative and Integrated Medicine for the Functional Dyspepsia (기능성 소화불량의 의한 협진과 통합의료에 대한 한의사, 의사, 환자의 인식도 차이)

  • Kim, Keumji;Jeon, Hye-jin;Ko, Seok-jae;Cha, Jae Myung;Park, Jae-Woo
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1285-1302
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    • 2021
  • Objectives: The aim of this study was to investigate the perception difference between Korean Medicine doctors, Western Medicine doctors, and functional dyspepsia (FD) patients on the 'Collaborative and Integrated Medicine (CIM)' for FD management. Methods: Between February and April 2021, 545 Korean Medicine doctors, 121 Western Medicine doctors, and 186 FD patients were invited to participate in this survey. A questionnaire was developed by both the Korean and Western Medicine doctors and consisted of questions about general perceptions of FD and perceptions of CIM for FD. Results: Responses from 424 Korean Medicine doctors, 113 Western Medicine doctors, and 153 FD patients were analyzed for the CIM of FD. Significant perceptional differences were noted between Korean Medicine doctors, Western Medicine doctors, and FD patients on the CIM for FD, including necessity, effectiveness, safety, cost, and reliability of CIM for the management of FD (p<0.001). The FD patients also more strongly supported the necessity of developing CIM for FD than did the Korean and Western Medicine doctors (p<0.001), and 87.6% of the FD patients strongly agreed or agreed with the use of CIM for FD. Conclusions: A significant perception difference was detected between Korean Medicine doctors, Western Medicine doctors, and FD patients regarding the use of CIM for FD. Patients with FD favored the necessity and were more willing to accept CIM for FD than were the doctors. Therefore, more efforts may be warranted for doctors to promote CIM for FD.

Exploring the Conditions that will Allow for Change in Traditional Korean Medicine Curricula - Focusing on the Integrated Curriculum - (한의학 교육과정 변화의 조건 탐색 - 통합교육과정을 중심으로 -)

  • Jo, Hak-jun
    • Journal of Korean Medical classics
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    • v.33 no.3
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    • pp.63-89
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    • 2020
  • Objectives : To suggest conditions that will allow for change in Traditional Korean Medicine (TKM) curricula through analysis of the failure of widespread acceptance of the integrated curriculum into all Traditional Medicine Colleges. Methods : First, the process of change between TKM education and medical education was compared. Next, the conditions that would stimulate change in TKM curricula were analyzed in three levels: structure, policy, and actor. Results : TKM colleges have not experienced a structural change from the six-year to four-year structure. The accreditation standards of TKM education (KAS2021) should be more supportive instead of forcing change, and the goals should be reset to education improvement instead of meeting the standards of WFME. The deans' leadership and professors' ownership over their subjects need to be modified. A group of professionals that could lead change is required, while other factors such as full-time professorships, clinical practice hours, obligatory teaching hours and overall teaching environment need to be improved. Conclusions : It would be ideal if individual TKM colleges created success models of curricula change-despite the time and effort that is required-that could spread to other colleges. After the new curriculum has been accepted in more that half of the total eleven TKM colleges, an institutional isomorphism can be demanded.

The Clinical Study on the Effect of Sasang Constitutional Medical Therapy for Taeumin Patients in acute stroke. (사상체질병증(四象體質病證) 관리(管理)가 중풍(中風) 초기(初期) 환자(患者)에 미치는 효과(效果)에 대한 임상적(臨床的) 연구(硏究) - 태음인(太陰人) 환자(患者)를 대상으로-)

  • Lee, Beom-jun;Lee, Jun-hee;Kim, Sang-bok;Park, Gye-soo;Jeong, Yong-jae;Lee, Eui-ju;Koh, Byung-hee;Song, Il-Byung
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.3
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    • pp.23-30
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    • 2001
  • Objective : Stroke is the most frequent cause of death in Korea. Because it remains severe disablities disturbing normal life, it is important to carry out intervention preventing from progression of condition in patients with acute ischemic stroke within therapeutic time window. Thus early western intervention is necessary and beneficial for patients with acute stroke. However its therapeutic efficacy is not known in combination with Sasang Constitutional medical therapy. In this study, we investigated the clinical effect of East(Sasang Constitutional Medicine)-West integrated therapy. Methods : Among 54 patients with acute onset of stroke no later than seven days, 34 patients received East(Sasang Constitutional Medicine)-West integrated therapy and 20 pateints received West medical therapy. We estimated the subjects's status with Sasang Constitutional Symptomatic Scale (SCSS) prior to therapy and at 1 week, 2 weeks, 3 weeks after the starting each therapy. Results : There is no significant difference in SCSS between two group from admission to 1 week. But significant difference was observed after 2 weaks. Conclusion : The results of these investment suggest that East(Sasang Constitutional medicine)-West integrated therapy is more effective in Sasang Constitutional Pathology.

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Comparison of the Affymetrix SNP Array 5.0 and Oligoarray Platforms for Defining CNV

  • Kim, Ji-Hong;Jung, Seung-Hyun;Hu, Hae-Jin;Yim, Seon-Hee;Chung, Yeun-Jun
    • Genomics & Informatics
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    • v.8 no.3
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    • pp.138-141
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    • 2010
  • Together with single nucleotide polymorphism (SNP), copy number variations (CNV) are recognized to be the major component of human genetic diversity and used as a genetic marker in many disease association studies. Affymetrix Genome-wide SNP 5.0 is one of the commonly used SNP array platforms for SNP-GWAS as well as CNV analysis. However, there has been no report that validated the accuracy and reproducibility of CNVs identified by Affymetrix SNP array 5.0. In this study, we compared the characteristics of CNVs from the same set of genomic DNAs detected by three different array platforms; Affymetrix SNP array 5.0, Agilent 2X244K CNV array and NimbleGen 2.1M CNV array. In our analysis, Affymetrix SNP array 5.0 seems to detect CNVs in a reliable manner, which can be applied for association studies. However, for the purpose of defining CNVs in detail, Affymetrix Genome-wide SNP 5.0 might be relatively less ideal than NimbleGen 2.1M CNV array and Agilent 2X244K CNV array, which outperform Affymetrix array for defining the small-sized single copy variants. This result will help researchers to select a suitable array platform for CNV analysis.

A Case Report of Thoracic Outlet Syndrome Improved by Integrated Korean Medical Treatment (흉곽출구증후군 환자에 대한 한의학적 통합치료 증례보고 1례)

  • Lee, Dong Geun;Lee, Ook Jae;Lee, Ju Hee;Lee, Sang Hyun;Lee, Jung Hun;Cheong, Min Seong;Kim, Jae Hong
    • Journal of Acupuncture Research
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    • v.31 no.2
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    • pp.173-182
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    • 2014
  • Objectives : There are few reports on treatment of thoracic outlet syndrome in the field of traditional Korean medicine. The aim of this study is to report a case of a 29-year-old male patient diagnosed with thoracic outlet syndrome, whose symptoms were relieved after 3-week integrated Korean medical treatment. Methods : A patient diagnosed with thoracic outlet syndrome was admitted into the Korean medicine hospital. The patient had left shoulder pain and left arm numbness. The pain was worse if it had become cold. The patient was treated using Sa-am acupuncture(Daejangseunggyeok), sweet bee venom acupuncture, herbal medicine and other treatment including physical therapy from September 7th to 27th of 2012. Improvement of the patient's symptoms was evaluated by verbal numerical rating scale(VNRS), skin surface temperature difference between the left and right symmetric part of digital infrared thermographic image(DITI). Results : After 3-weeks of treatment, VNRS decreased and skin surface temperature difference between the left and right symmetric part of DITI showed moderate improvement. Conclusions : The results suggest that integrated Korean medical treatment may affect to reduce the symptoms of thoracic outlet syndrome. Further study is needed to evaluate the importance of this report.

Integrated Medicine Therapy for an End-stage Lung Cancer Patient with Brain Metastasis (양한방 협진을 통한 뇌전이 동반 말기 폐암환자 치험 1례)

  • Park, Seung-Chan;Kim, Do-Hyung;Han, Chang-Woo;Park, Seong-Ha;Lee, In;Choi, Jun-Yong
    • Journal of Korean Traditional Oncology
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    • v.16 no.2
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    • pp.43-51
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    • 2011
  • Objectives : This study reports one case of a patient diagnosed with non-small cell lung cancer with brain metastasis. Methods : A 79 year-old male patient diagnosed with non-small cell lung cancer with brain metastasis was treated chemotherapy for 3 months and quitted it due to poor general condition. He transferred to Korean medicine hospital and was treated herbal medicine(Saengmaek-san plus Baekhapgogeum-tang gagam), acupuncture, moxibustion, interferential current therapy. To evaluate the patient, we measured of Visual Analogue Scale (VAS), Functional Assessment of Cancer Therapy-Lung (FACT-L), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue). Results : Patient's outcomes were improved during the 1st week regarding VAS (41${\rightarrow}$25), FACT-L (81.2${\rightarrow}$90), FACIT-fatigue (25${\rightarrow}$10). However, dyspnea and cough were was aggravated in the 2nd week. Conclusions : Treatment with Korean medicine therapy may have substantial benefit for patients with end-stage lung cancer. But, Integrated medicine therapy is necessary for proper management of end-stage cancer patients.

Total bilirubin level as a biomarker for dampness-heat differentiation in traditional Korean treatment for jaundice

  • Sohn, Ki Cheul;Jung, Hyun-Jung;Lee, A-Jin;Kim, Sang-Gyung;Shin, ImHee;Kwak, Sang Gyu
    • The Journal of Korean Medicine
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    • v.34 no.4
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    • pp.46-55
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    • 2013
  • Objectives: Classifying the pattern of jaundice during diagnosis will significantly improve the outcome of common KM interventions. This study aimed at determining an objective index for accurately diagnosing heat and dampness KM patterns in patients with jaundice. Methods: We systematically reviewed laboratory findings from case reports published in the scientific literature of Korean medicine. Cases were classified as following either the heat or dampness pattern. Biochemical indices were compared using a Bayesian factor (BF) analysis and standard t-tests. Results: The laboratory findings of 32 patients were evaluated. The heat pattern was observed in 17 patients and the dampness pattern in 15. No significant differences were observed between the 2 groups in terms of white blood cell count (BF=1.659); hemoglobin concentration (BF=2.627); platelet count (BF=1.019); or levels of direct bilirubin (BF=1.453), aspartate aminotransferase (BF=1.226), alanine aminotransferase (BF=1.340), alkaline phosphatase (BF=2.344), or gamma-glutamyl transpeptidase (BF=2.782). However, total bilirubin levels were significantly higher in the dampness pattern group (BF=0.854, P-value=0.070). Conclusions: Patients with high total bilirubin levels may predominantly follow the dampness pattern, while those with low levels may predominantly follow the heat pattern. These results are expected to be useful for the development of timely and efficient KM treatments as well as new integrative therapeutic approaches for jaundice. However, further studies are essential to fully validate the utility of total bilirubin as a biomarker for differentiating between heat and dampness patterns.

Study on Dual Medical System of Traditional Chinese Medicine and Western Medicine in Taiwan (대만 중.서의 의료이원화 현황에 관한 연구 - 면허제도 및 교육제도 확립을 중심으로 -)

  • Kim, Dong Su;Choi, Byung Hee;Lee, Hyun Ji;Kwon, Soo Hyun;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.9-15
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    • 2014
  • Recently, interest in traditional medicine has increased steadily. Nations having traditional medicine system have been attempting to change it institutionally for the purpose of public application boost in use of traditional medicine. But there are not too many countries which have established the modern system of education and licensing system for traditional medicine with it maintained as a part of a national health care system. The best known examples of nations utilizing traditional medicine are the People's Republic of China, Republic of Korea, Japan, and Taiwan. These countries follow different patterns in the relationship with western medicine according to different social and historical backgrounds. Taiwan has dual medical system as Korean. In this study, we looked through history and the current state of affairs of national health care system in Taiwan, and also found out the licensing system, the educational system, and the curriculum in several universities. thoroughly. Furthermore, we looked into the direction of the policy of Taiwanese health care system which has been becoming an integrated medical system between traditional Chinese medicine and western medicine. With findings based on this study, we deduced implications of a future policy line about the integrated medical system in Korea to minimize conflicts between the concerned parties.

Clinical observations on small animal patients treated by Oriental medicine (소동물질환의 한의학 치료에 대한 임상적 관찰)

  • Kim, Yong-suk;Choi, K. Hwa
    • Journal of Acupuncture Research
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    • v.20 no.6
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    • pp.120-127
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    • 2003
  • Objective : The purpose of this study was to analyze the small animal patients treated by Oriental medicine and develop the treatment strategies for small animal patients. Methods : 58 cases of small animal patients treated in the department of integrated medicine, Veterinary Medical Center, University of Minnesota, USA, from Jan 1 2003 to Aug 30 2003 were surveyed. Results : 1. The number of dog patients was more than that of cat patients and the female patients were more than the male patients. 2. The highest incidence was shown in the age of 6 to 15 on dogs and 11 to 15 on cats, respectively. 3. The number of patients via other hospital was as much as that of the first visitor to this department. 4. The most frequent disease was the musculoskeletal problems in dog patients and the internal medicine problems in cats patients. 5. The improvement rate was 85% in dogs and 86% in cats, respectively. Conclusions: Oriental medicine is supposed to be effective on relieving the symptoms and signs in small animal patients.

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