• Journal of Hospice and Palliative Care
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• 제19권4호
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• pp.292-295
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• 2016

목적: 대만의 호스피스와 완화 의료는 지속적으로 증가하고 있다. Economist Intelligence Unit에서 평가한 2015년 죽음의 질 지수 등급에서 대만은 아시아 국가 중에서 1위, 세계에서 6위를 기록했다. 이 리뷰 기사에서 우리는 성공에 기여한 것으로 보이는 세 영역, 즉 법률 및 규정, 영적 치료, 연구 네트워크에 주목하였다. 마지막으로 대만 사람에게 적용을 위한 미래의 도전과 전망에 대해 논의하기로 한다. 방법: PubMed에서 "대만의 호스피스 완화의료" 검색어를 이용해 체계적인 검토를 수행하였다. 결과: 2000년에 "자연사법"의 통과로 아시아에서 환자의 자기결정권에 대한 획기적인 본보기가 만들어지고 확립되었다. 이는 의료진에게 연명치료중지(DNR, do not resuscitate)를 요청할 수 있고 삶의 마지막에 기타 무의미한 의료 행위를 거부할 수 있는 환자의 권리를 보장하며 더불어 정책적 관점에서 완화의료의 중요성을 반영하는 것이다. 2015년에 대만은 "환자의 자기결정권 특별법"이라는 선구적인 법률을 통과시켰다. 이 법은 환자가 그/그녀의 자기의지에 따라 의료 행위를 거부할 수 있다는 것을 규정한다. 대만 고유의 영적 치료는 2000년에 도입되었는데, 불교 수행을 죽음에 직면한 환자에 적용하기 이전의 임상실습뿐 아니라 강의들로 구성된 훈련 프로그램을 성공적으로 이수하기 위해서는 불교 사제가 필요하다. 일본-한국-대만 연구 네트워크는 죽음의 과정을 자세히 설명(EASED, Elucidate the Dying process)하기 위한 동아시아 공동의 비교 문화 집단 연구를 위해 설립되었다. 결론: 대만에서의 호스피스와 완화의료는 정부와 사회의 우선적 합의에 따라 꾸준하게 성장하고 있다.

• 대한한의학원전학회지
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• 제22권2호
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• pp.35-69
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• 2009

Yang Shangseon(楊上善)'s "Hwangjenaegyeongtaeso(黃帝內經太素)" was the first commentary book of "Hwangjenaegyeong(黃帝內經)", its importance often mentioned in level with Wang Bing (王冰)'s "Somun(素問)" "Yeongchu(靈樞)". The distinctive feature of Yang Sangseon(楊上善)'s commentary is that it is easy to comprehend in accordance with an organized classification, and that the explanations are simple and clear. Despite strict application of the Eumyang(陰陽, Yinyang) theory and Five phases[五行] theory throughout the text, should there be sentences which fall out of consistency with the basic theories, he added his own substantial commentary. His medical theory gives attention to the Meridian system[經絡], lays emphasis on developing the soul[神], and has a unique opinion about the Opening closing and pivot[開闔樞] theory along with the Myeongmun(命門). To explain the methods for preserving health[養生], he adopted the Nojang philosophy(老莊思想); to enrich the vitality he adopted the Buddhist philosophy(佛敎思想); and to analyze physiologic and pathogenic factors, he adopted the Confucian philosophy(儒家思想).

• 한국의사학회지
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• 제23권1호
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• pp.1-10
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• 2010

Ayurveda is one of the most historic and comprehensive medical system in the world. It was passed down as Buddhist medicine with Buddhism to influence enormously to East Asian medicine. Therefore, researches on Ayurveda is important in studying East Asian medicine as well as in studying Indian traditional medicine and althernative medicine. However, in previous studies, the term, 'Ayurveda', was mistaken and misused frequently. Clarifying the relations between the definition of Ayurveda and Indian traditional medicine is essential in preventing future controversy. Therefore, such relations were studied to draw following conclusions. 1. 'Ayurveda' is the term determining the oldest medicine system in the world that originated in India. Reportedly, the first book about Ayurveda is "Agnivesha samhita", and the oldest existing book is "Charaka Samhita". No records were found on medine books named Ayurveda, and interpreting Ayurveda to be a name of a book is explicitly misunderstanding. 2. There are various divisions of Indian traditional medicine in previous studies. However, divisions in 6 types of Ayurveda, Siddha, Unani, Yoga, Naturopathy and Homoeopathy is the most proper. 3. Ayurveda gained some similarities as it exchanged with other medicine systems. However, since each medicine system has unique characteristics, they must be separately studied. Especially, current Indian traditional medicine system has many divisions. Terms of 'Indian traditional medicine' and 'Ayurveda' must be separately used.

• 대한예방한의학회지
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• 제3권2호
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• pp.25-53
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• 1999

This study was conducted to provide basic data for policy of Oriental medicine by analyzing community residents' consciousness of taking herb medicine and its related factors. Data were collected from 1478 residents from March 2, 1999 to May 31, 1999. The results of this study are summarized as follows. 1. According to general characteristics of the subjects, 52.3% of the subjects was 'female'; 25.0% 'fifties of age'; 21.4% 'forties of age'; 20.9% 'thirties of ages'; 69.1% 'married'; 60.1% 'resident in a big city'; 12.1% 'residents in a small town or village'; 39.0% 'highschool graduate'; 35.9% 'above college graduate'; 23.4% 'housewife'; 23.4% 'professional' 34.1% 'Buddhist'; 81.1% 'middle class'. 2. The rate of experience of taking herb medicine was 85.2%(88.2% of 'male'; 82.5% of 'female'). It appeared to be significantly higher in the groups of 'the married', 'housewife', and 'Buddhist'. As the age increased, so the rate of experience of taking herb medicine was significantly high. 3. In case of purpose of taking herb medicine, taking herb medicine as a restorative(66.8%) was much higher than taking it as a curative medicine. Taking herb medicine as a curative medicine appeared to be significantly higher in the groups of 'male', 'thirties of age', 'resident in a town or village', 'above college graduate', 'professional technician', 'Christian', and 'the upper class'. 4. 52.1% of the respondents satisfied with the effect of herb medicine. The groups of 'male', 'older age', 'residents in a big city', 'insurant in company', and 'the employed' showed significantly high rate in satisfying with herb medicine than the other groups. 5. According to the reason for preferring herb medicine, 36.7% of the respondents preferred herb medicine because the herb medicine was effective, while 27.8% preferred it because its side effect was low. 16.7% preferred it. because persons around them recommended it. The preference for the herb medicine displayed significantly higher rate in the groups 'sixties of age', 'the unmarried', 'resident in a big city', 'office clerk', and 'the lower class'. 6. 42.6% of the respondents did not want to take the herb medicine because the price of the herb medicine was high. Also 20.6% of the respondents did not want to take herb medicine because it is uneasy to take herb medicine. 15.8% did not want to take it because certain foods should not be taken during the period of taking it. 9.4% did not want to take it because it tasted bitter. 7. In case of opinions on side effects of herb medicine, 40.8% of the respondents thinks that herb medicine is free from side effects, while 37.5% thinks that it causes side effects. There were significant difference in the opinions on side effects by sex, age, marital status, resident area, education level, occupation, and type of health insurance. 8. 60.7% of the respondents thinks the price of herb medicine is not resonable, while only 10.9% thinks it is resonable. 9. 14.2% of the respondents thinks health foods which contain herbs are good, while 16.8% thinks it is bad. 76.7% thinks that medicinal herbs in packages must be included in health insurance coverage, while only 3.0% thinks it needs not be included in health insurance coverage. 10. 45.2% of the respondents uses packs of decocted herbs although they think the packs of decocted herb are a little low effective because decocting herbs in home is bothersome. 45.2% uses packs of decocted herbs because they are convenient, being not related to the effect. 7.6% takes medicinal herbs after decocting them in a clay pot because they think the packs of decocted herbs have low effect. 11. According to the level of satisfaction with Oriental medical care, the respondents marked $3.47{\pm}0.64$ points on the base of 5 points. It was significantly higher in the groups of 'male', 'the married, resident in a big city', 'highschool graduate', 'the unemployed', 'office clerk', 'growing up in a big city', 'insurant in region', and 'the middle class'. 12. According to the result of a regression analysis of factors influencing preference for herb medicine, the factors displayed significant difference by sex, age, education level, health status, and times of receiving Oriental medical care. As shown in the above results, the community residents satisfy with the effect of herb medicine. Therefore, the method of taking herb medicine without difficulty must be devised. The medicinal herbs in packages need to be included in health insurance coverage and resonable price of herb medicine must be set. Also, education program for community residents must be developed in order to provide right information in herb medicine. Therefore, related public authority, associations, and professionals must make efforts, forming organic cooperative system.

• 한국한의학연구원논문집
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• 제14권1호
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• pp.1-8
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• 2008

This article highlights the part of Chijongjinam that was not examined by previous relevant studies. Findings are summarized as follows. First, king was the main reader of the Yubang that was the raw material of Chijongbibang. This means that Yubang was a kind of document that was reported to the central government. It is likely that the Yubang was written when lm-Eonguk was affiliated to Chijongcheong. Second, lm-Eonguk developed a body of innovative medical techniques based on acupunctural skills that had been learnt from an old Buddhist monk. The newly developed techniques was possible because he combined altogether the medical experiences of his own and a band of veterinary knowledge and techniques that was then disregarded. Third, Chijongbibang indicates that the origin of unique features in Korean medicine can be traced up to before the Japanese Invasion of Korea in 1592, though it is generally accepted that Sauigyeongheombang contained on a full scale unique features of the Korean medicine that was initiated by laypersons and later formed the mainstream of Korean medicine. What should be particularly noted here is that the personal medicine of lm-Eonguk being based on laypersons' medical experiences was employed by central government; the government circulated the medical knowledge and skills for the grass-roots; and eventually the medicine influenced Chinese medicine. And last but not least, lm-Eonguk set the historic occasion of using medicinal materials that can be found on the road and used readily, which is virtually a distinctive case that is unlikely to be found anywhere except Korean medical books.

• 한국식생활문화학회지
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• 제9권2호
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• pp.111-118
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• 1994

1. 식사패턴 (1) 일상식 승가의 식사첫수는 일일삼식(一日三食)의 규칙적인 식사로 대용식은 거의 없었고, 소수의 사찰에서는 흰죽, 과일, 미싯가루, 조과, 찜, 우유등을 사용하기도 하였으며, 병인식으로 칠일약(七日藥)이 아닌 주로 흰죽 종류가 이용되었다. 사찰에 늘 상비하고 있는 양념류는 간장, 된장, 깨소금, 참기름, 식용유등을 필수로 하였고, 제피가루, 고추가루, 산초, 인공조미료 등을 일부 상비하고 있었다. (2) 접대식 스님과 일반손님의 접대식으로는 반상(飯床)차림이 가장 일반적이었고, 그외에 다과, 떡, 국수등으로 접대하였으며, 대소 행사시 내객을 위한 음식으로는 비빔밥, 찰밥, 오곡밥, 약밥, 떡국, 콩국수등 단체급식하기 쉬운 음식이었다. (3) 행사식 사찰의 대소 행사식은 육류사용이 제한되는 외에는 대체로 일반세시식과 같았으며, 일반세속과 다른 점은 산채비빔밥과 음료로서 송차가 준비되는 것이었다. 불전공양식(佛前供養食)은 대부분이 오공양(五供養)으로 하였으며 제사음식은 밥, 탕국, 나물, 전, 떡, 과일, 과자등 일반 세속의 제사음식과 같이 하는 경우가 많았다. 2. 특별식 떡류는 찌는 떡, 치는 떡, 빚는 떡, 지지는 떡의 4종류중 사용빈도로서는 치는 떡이 가장 많았으며, 찌는 떡으로서는 팥시루떡이 가장 많이 이용되었다. 고물과 속으로 사용되는 부재료로서는 팥, 녹두, 콩이 많았으며, 쑥이 배합된 떡도 있었다. 조과류로서는 약과, 강정(산자), 다식, 정과, 양갱등으로 종류가 매우 다양하였다. 음청류로는 농후음료류, 엽차류, 냉음청류, 약이복식류와 유(乳) 및 유(乳)제품류로 분류하였고, 조과류와 함께 다양하게 사용되었으며, 솔잎차와 같은 약한 알콜성음료도 이용되어 여름철에는 약수에 간장이나 죽염을 타서 사찰에 오신 손님을 접대하기도 하였다. 3. 저장식품 승가의 저장식품으로는 장아찌류에는 산채가, 김치류에는 엽경채류가, 말림류에는 산채류가, 부각류에는 산채와 해조류가 많이 사용되었고, 묵말림과 같은 특이한 저장식품이 많이 사용되었다.

• 혜화의학회지
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• 제15권1호
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• pp.11-18
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• 2006

At the age of materialism and ignorance for life, the introspection for the ethics problem of the doctors, is getting more and more attention. It seems that every doctors should have the basic virtues of modesty and benevolence. Such virtues have been stressed throughout the human history, and, apart from the Hipp. ocratic oath of ancient greece, the morality of a doctor is the essential virtue, even for the doctors of western medicine, whose medical technology is based on the materialism. Unlike western medicine, oriental medicine, for its holistic and relative nature, has more 'relative' factors generated from each individual doctors and therefore, tends to be influenced more by the doctors' attitudes. The diagnosis process itself can be influenced by the emotions of patients and doctors, and even the efficacy of the acupuncture treatment itself can be influenced by the conception a doctor has when he/she conduct the treatment. Therefore, in every classics of oriental medicine have stressed the basic 'attitudes of mind' a doctor should have. But, at the time when the western 'natural science' paradigm prevails, it seems to be difficult to educate such state of mind simply by 'understanding' it through books or media. It needs 'shift of concept' through the humane tools of education. Therefore, the present writer would like to consider the effects and influences of meditation as the tools to develop the virtues of oriental doctors, and to investigate the possibility that the virtues achieved by the meditation is the same one as mentioned in many oriental medical classics(not only the attitude for the patients, but also the state of mind a doctor should have during the diagnosis and treatment process).

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권4호
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• pp.183-190
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• 2013

Objectives : 'Taegyo,' prenatal education, is steeped into Korean culture. Although there has been a traditional focus on providing education and care for the fetus in Korea, there is a lack of medical evidence for its effectiveness. Methods : The authors assessed the scientific basis for 'Taegyo' by reviewing the evidences. Results : 'Taegyo' in Korea began with the spread of Buddhist culture from China, and transmitted by word-of-mouth. The first 'Taegyo' book, the Tae-gyo-shin-gi, was published on 1803. Modern prenatal education is very diverse. However, only a few studies on its effect have been conducted. Development of medicine, especially obstetrics, fetology, pediatrics, psychiatry, and etc., has learned that many factors, including bad environmental conditions and maternal stress, influenced against the fetus and mother. As for the paternal side, occupation, smoking, and stress were also revealed to have consequences for the development of the fetus. On the contrary, adequate maternal nutrition, exercise, and music stimulation positively impact the fetal development and healthy birth. Conclusion : Traditional contents of 'Taegyo' were proved to have effectiveness from evidence-based medicine and animal experiments. We need further studies to explore the impact of prenatal education for the fetal development and maternal health.

• 한국한의학연구원논문집
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• 제12권2호통권17호
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• pp.15-30
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• 2006

Background The Saam's Acupuncture Method is one of the most widely adopted techniques used by clinicians and educational institutions in Korea today. It is originated in the 17th century from a Buddhist monk known as 'Saam'. The reports on the bibliography. biological responses and therapeutic effects of Saam's Acupuncture method were done but trends on the Saam's Acupuncture method were insufficient. Objectives This study aims to review the bibliography, biological responses and therapeutic effects of Saam's Acupuncture. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. Method We searched and investigated th journals supplied by Korean Oriental Medical Society and Je-Han Oriental Medical Academy homepage etc. with the key world 'Saam(사암), jung-geuk(정격), seung-gyuk(승격), han-geuk(한격), yul-geuk(열격)'. Fifty journals were chosen for the review. Result 1. The proportion of basic researches was 10%. The biological responses of Saam's Acupuncture method reveal on blood pressure, regional cerebral blood flow (rCBF). 2. The proportion of literature researches was 48%. The application of Saam's Acupuncture method was many. 3. The proportion of case reports was 26%. Saam's Acupuncture method is applied in the various disease. 4. The proportion of clinical studies was 16%. Clinical studies were increased after the year 2000. Conclusions To elevated quality of studies, we need well-designed experimental methods, efficient secure of experimental groups, appropriate statistical verification, accumulations of knowledges about data research.

• 미술자료
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• 제98권
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• pp.54-77
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• 2020

희랑대사상은 고려시대에 제작된 상으로 높이 82.4cm, 무릎폭 66.6cm, 앞뒤 최대폭 44cm에 이르는 등신상에 가까운 크기이다. 제작 기법은 승상의 앞면과 뒷면을 건칠과 나무를 접합하여 만든 것으로 동아시아의 유일한 사례로 주목된다. 유사한 기술이 나말여초의 작품으로 추정되는 봉화 청량사 건칠약사여래좌상에 이미 적용된 바 있어 이 시기의 특징으로 이해된다. 희랑대사상에 대해서는 18세기에 쓰여진 가야산을 여행하면서 쓴 기행문에 구체적으로 기술되어 있다. 즉 승상의 가슴에 있는 구멍과 힘줄과 뼈가 울퉁불퉁하다는 등의 독특한 특징은 현재의 희랑대사상과 정확하게 부합된다. 가슴에 있는 구멍은 신통력의 상징으로 3~4세기에 활동한 서역의 승려 불도징(佛圖澄)의 가슴에도 있었다고 한다. 또한 당시에는 흑칠 상태였으며, 19세기에 현재와 같이 채색되었음도 알 수 있다. 봉안 전각은 해인사의 해행당(解行堂)과 진상전(眞常殿)이었으며, 이후 조사전과 보장전을 거치면서 현재에 이른다. 우리나라에서 승상의 제작과 봉안은 삼국시대부터 있었던 것으로 문헌 기록에 등장하지만 현존하는 작품은 매우 드문 편이다. 현재 우리나라에 남아있는 승상의 초상조각은 고려시대의 희랑대사상을 비롯하여 조선시대에 제작된 나옹과 의상대사상 등 모두 네 구뿐이다. 이 가운데 희랑대사상은 고려 초기 10세기경에 제작된 상으로서 최고의 제작 기술과 사실적인 재현 그리고 내면의 인품까지 표현한 점에서 예술적 가치가 뛰어난 작품이다. 승상을 제작하여 숭배하고 신성시하는 전통은 한국만이 아니라 중국, 일본 등 동아시아에서 크게 유행하였다. 다만 재료와 제작 기술에 대해서는 나라마다 차이와 특이성을 보이며 발전하였다. 중국은 육신불(肉身佛)이 많은 편이며 일본은 건칠, 나무, 흙 등 시대마다 다양한 재료를 이용하여 많은 승상을 제작하였다. 저마다 다른 재료와 기법을 사용했지만 동아시아 각국의 승상 제작은 승려의 참모습과 정신성의 성공적 표현을 추구하였다는 점에서는 다르지 않다.