Through the study of "Kwangje-bikeup"("廣濟秘笈"), the writer obtained results as follows 1. The Historical Background of "Kwangje-bikeup"("廣濟秘笈") "Kwangje-bikeup"("廣濟秘笈") is a medical book written by Lee-Kyunghwa(李景華), a medical doctor in Sungcheun(成川), Pyungan-do(平安道). It was done through the good offices of Lee-Byungmo(李秉模), who was a governor of Hamgyung-do(咸鏡道), in 1790-the 14th year of Jungjo dynasty(正祖). 2. The Author of "Kwangje-bikeup"("廣濟秘笈") The author of "Kwangje-bikeup"("廣濟秘笈") is Lee-Kyunghwa. Some contemporary historians mistake him for Lee-Kyunghwa who joined the school of Song-siyul. Yet, they are two different people with the same name. Lee-Kyunghwa, the writer of "Kwangje-bikeup"("廣濟秘笈") was born in Sungcheun, Pyungan-do, in the year of 1720. At first he studied Confucianism in order to enter government services. Later he passed the Jinsa exam which was the first exam to become a qualified government offical. However, after he was disillusioned in the discrimination against northwestern people, he chose to study medicine and put his effort and time on medicine. Gradually he won a great reputation as a medical doctor and came to write "Kwangje-bikeup"("廣濟秘笈") at the request of Lee-Byungmo in 1790. 3. Medical books affecting "Kwangje-bikeup"("廣濟秘笈") This book is influenced by "Dongeui-bogam"("東醫寶鑑"), "Suse-bowen"("壽世保元"), "Boncho-gangmok"("本草綱目"), etc. 4. Domestic Herbs in "Kwangje-bikeup"("廣濟秘笈") Lee-Kyunghwa seperately recorded clinical cases with domestic herbs in the last volume, which was associated with the effort to have been made for domestic herbs, since the middle era of Koryo.
Objectives: Head symptoms, such as headache and dizziness, are commonly presented in clinical practice. Although Donguibogam, the representative book of Korean medicine, contains many prescriptions for head symptoms, they are difficult to learn and apply because of the vast numbers. The aim of this study was to simplify and visualize the vast contents of Donguibogam by network analysis. Methods: 127 prescriptions for head symptoms, found in Donguibogam, were entered into a Microsoft office Excel 2013 file. This was used as a database for network analysis using the NetMiner 4 program. Results: Through network analysis, six networks for prescriptions for head symptoms in Donguibogam were established. The first network is similar to the herb composition of Cheongsangsahwa-tang (prescriptions for hwa-yeol syndrome). The second network is similar to the herb composition of Yanghyulgupung-tang (prescriptions for hyul-heo syndrome). The third network is similar to the herb composition of Sangcheongbaekbuja-hwan (prescriptions for dam-eum syndrome). The fourth network is similar to the herb composition of Heukseok-dan (prescriptions for yang-heo syndrome). The fifth network is similar to the herb composition of Boheo-eum (prescriptions for chil-jeong syndrome). The sixth network is similar to the herb composition of Bangpungtongseong-san (prescriptions for hwa-yeol syndrome). Conclusions: The results of the network analysis of 127 prescriptions for head symptoms in Donguibogam suggest that there are five major causes of head symptoms (hwa-yeol, hyul-heo, dam-eum, yang-heo, and chil-jeong), and that it is possible to prescribe Cheongsangsahwa-tang, Bangpungtongseong-san, Yanghyulgupung-tang, Sangcheongbaekbuja-hwan, Heukseok-dan, or Boheo-eum depending on the major causes.
Background : Medical records are documents in files which consist of all diagnostic studies and medical treatments patients had received while they were hospitalized or treated as outpatients. A doctor or medical team can use medical records as a data for diagnosis, treatment, and education. In traditional eastern asian medicine, medical reports have different forms and contents. The most important thing in medical reports of traditional eastern asian medicine was how to express practitioner's medical ideas. So it has a weak point, for example, it has poor information about patient and clinical process, which make some trouble to understand it. Methods and Results : We studied medical records in Gyojubuin-yangbang, a commentary book of Chen-zi-ming's Obstetrics and Gynecology textbook done by Xue-ji in Ming dynasty, China. This book consists of 10 parts; treatment of menstruation disorders and leukorrhea, general gynecology, treatment of infertility, education for fetus, diagnosis of fetus and gravida, treatment of general and obstetrical disease in gravida, care for delivery, postpartum care and treatment, and treatment of mass and inflammation. It has 546 medical records about women's disease that commonly believed as Xue-ji's case reports. They are all review articles and made during about 23 years from A.D 1523 to 1546. Most patients of Xue-ji's case reports were common people, this fact is different from that of case reports in Chen-zi-ming's Obstetrics and Gynecology textbook. Conclusion : Xue-ji was a very famous Ob&Gy doctor who was from Suzhou Jingsu province in China. He was born in A.D 1468, died in A.D 1588. He emphasize emotional factors in pathology and to tonify spleen and kidney. We think Xue-ji's medical records are good references for us to treat psychosomatic Ob&Gy disease and chronic women's disease.
Purpose: Nineteen articles were analyzed to gather opinions and nursing implications about NIPT recently launched. Methods: Nineteen articles were selected from EBSCO (eBook business collection), Google Scholar, and two Korean academic d-bases with key words 'prenatal screening testing', 'prenatal genetic diagnostic testing', NIPT or 'cell free DNA (cfDNA)'. Authors developed a framework for analyzing the 19 articles including opinions and suggestions for future implications. Results: Eleven articles written by the first author affiliated with medicine or genetics, viewed NIPT as promising because of safety, accuracy, early detectability and cost effectiveness. Articles written by journalists or authors affiliated with history and ethics were concerned with the possible risk of ELSI (ethical, legal, social issues), erratic interpretation of test results, and lack of genetic counseling service. Conclusion: With consideration of Korean clinical, and legal circumstances, not only pregnant women and families but also health professionals must prepare for clinical NIPT implications including updating prenatal genetic testing, counseling services, protecting ELSI and amulticultural team approach.
$Ch\acute{e}n\;Xiuyu\acute{a}n$(陳修園) was a famous doctor and educator of the late Tang Dynasty. He was well known both for his books for beginners, and for his unique medical theories based on his profound research of <$Sh\bar{a}ngh\acute{a}nl\grave{u}n$(傷寒論)> and <$J\bar{i}nku\grave{i}y\grave{a}ol\ddot{u}e$>. He wrote <$Y\bar{i}xues\bar{a}nz\grave{i}j\bar{i}ng$(醫學三字經)> to establish the basic textbook for the beginners to set up right principles in pursuing their medical career. <$Y\bar{i}xues\bar{a}nz\grave{i}j\bar{i}ng$> was written in rhyme form, so that it can be easily memorized and used in future practices. There are quite many medical books in rhyme form, but this book is very unique as $Ch\acute{e}n\;Xiuyu\acute{a}n$ annotated his own notes, which is rare in this form of books. This feature makes <$Y\bar{i}xues\bar{a}nz\grave{i}j\bar{i}ng$> very outstanding, also with the fact that $Ch\acute{e}n\;Xiuyu\acute{a}n$ was the one with profound understanding and original theories based on medical bibles such as <$N\grave{e}ij\bar{i}ng$(內經)> and <$Sh\bar{a}ngh\acute{a}nl\grave{u}n$(傷寒論)>. We have translated this precious educational material into korean, hoping that this work could be of any help to students of korean medicine. And while doing this work, we have found followings: <$Y\bar{i}xues\bar{a}nz\grave{i}j\bar{i}ng$> covers the entire fields of medicine from theoretical discussions to practical clinical information. Nevertheless, as this is written in rhyme form, there are few phrases that are not easily understood for the sake of rhyme. Beginners probably may have difficulties in reading this book. To make this difficulty alleviated, and to develop our own educational material, we need to study further on the notes that $Ch\acute{e}n\;Xiuyu\acute{a}n$ annotated himself.
JaYumKeonBiTang(滋陰健脾湯) was recorded in 'Manbyungwhachu'(萬病回春); medical treatment book 1587 at first. It was composed by some common - used basic prescriptions: 'PalJinTang'(八珍湯). 'YiJinTang'(二陣湯), 'JeonGjiWhan'(定志丸), 'EuckGunJaTang'(六君子湯). 'SaengMacSan'(生脈散) etc. Therefore, JaYumKeonBiTang(滋陰健脾湯) is very useful as fallow oriental pathological condition: 'SimBiHeoGeob'(心脾虛怯). 'KiHeoDamSung'(氣虛痰盛), 'GiHeyIGooHeo'(氣血俱虛), 'SimHeo'(心虛) so JaYumKeonBiTang(滋陰健脾湯) is clinically applicated with dizziness, nausea. restlessness.
Objective: To relate with significant relationship between symptoms and Five Zhang(五臟)symptoms in Five Woon Constitutions and to characterize Five Woons of Asian women who live at Los Angeles area in U.S.A. Methods: 19 diagnostic questions were given to 286 Asian females subjects who were treated for their symptoms at an Asian medical clinic near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results: 1. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema and face fever(p<0.1). 2. The dizziness and the hot and cold were related with Liver diseases, the lower body edema was related with Kidney diseases and the face fever was related to Heart diseases. Conclusions: This study can explain the relationship between the significant symptoms of Five Woons and Five Zhang(五臟)symptoms with reference which is the book by Yoon, ChoChang who lived 1700 years. Further clinical research is necessary to develop more delicate questionnaires and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Asian medicine.
This study was carried out for establishment of toxicological monitoring system in oriental medicinal plants. Hence on our research, we used Banha(Pinellia ternata) and Kangbanha, Bubbanha, Jaebanha, Geokbanha by distinguished processing methods. These are frequently used in Bangyakhabpeon, which is one of the most well-known clinical book in oriental medicine. As we reviewed the reported documents, we judge homogentisic acid(HA) and 3,4-dihydroxybenzaldehyde(3,4-DBA) as poisonous substance and to verify its existence, we established analysis condition of HPLC by gaining sequential fraction extracts and studied the degree of its virulence to provide basic information on the guidelines of using this medicine. Optimum condition of HPLC was H₂O : MeOH : CH₃COOH (57:35:8) in HA and 3,4-DBA analysis. HA content of raw Banha was 11.03mg/100g and HA contents of its processed product were decreased. Exceptionally, Jaebanha was increased in 175.97% than raw Banha. 3,4-DBA content of raw Banha was 2.93mg/100g and 3,4-DBA contents of its processed product were decreased. These results will be applies in intake guideline establishment, quality control and stability evaluation of oriental medicinal plants.
In this essay, following final conclusions have been drawn by analyzing medical ideology and research system of Yi cheon in Yi hak yip mun("醫學入門"). Firstly, even though the existing medical history researchers are not noting the system of Yi-cheon's medical ideology, this essay has proved the man as a doctor who succeeded the (main system) based on the content of Yi-hak-yip-mun("醫學入門") by Ju-Dan-Gae(朱丹溪). The outline of this proof is as follows. 1. Those doctors who had actively researched in Myung era(明代), were basically taking over the medical studies and result of Gum-Won era(金元代). However, depending on whose theory is to be followed, the followers are largely divided into two groups of Ju-Dan-Gae Academics(丹溪學派) and On-Boe Academics(溫補學派). In addition, both Ju-Dan-Gae Academics(丹溪學派) and On-Boe Academics(溫補學派) hold contradictory ideologies to that of the main medical system. In Yi-hak-yip-mun("醫學入門"), Yi-cheon(李?) ties The Text of Whang-Jae-Nae-Kyung("黃帝內經"), Jang-Jung-Kyung(張仲景), Yu-Ha-Gun(劉河間), Yi-Dong-Won(李東垣), Ju-Dan-Gae(朱丹溪) into one pedigree. With regard to the main system, he especially marks Ju-Dan-Gae(朱丹溪) for his efforts in gathering various medical theories into a large compilement. 2. When Yi-Cheon(李?) was writing Yi-Hak-Yip-Mun("醫學入門"), he made references to various medical publishings, among those book which he had utilized, books by Ju-Dan-Gae Academics(丹溪學派) had affected him more than anything else in terms of both quality and quantity. 3. Yi-Cheon(李?)'s "Congested Phlegm Theory(痰鬱論)" had succeeded "Congested Phlegm Theory(痰鬱論) of Ju-Dan-Gae Academics(丹溪學派). His Yi-Hak-Yip-Mun("醫學入門"), carries a more complete form of "Congested Phlegm Theroy(痰鬱論) which was made into a more systemic and widely applicable method which was by Ju-Dan-Gae Academics(丹溪學派). Secondly, Yi-Hak-Yip-Mun("醫學入門"), is a medical book which was written in the process of systemic reorganization of medical theories of various academic parties in Myung 명 era. Since this process was hearing its completion in the period of Yi-Cheon(李?), he chose specific ways of reshuffling, whilst seeking ways to efficiently utilizing existing medical information . He provided a standard to specific ways. He rearranged the existing medical theories based upon these standards. He also contributed to clinical medicine by providing description of symptoms focused upon the symptoms differentiated In Conclusion, Yi-Hak-Yip-Mun("醫學入門") holds systematic medical information which was developed by Ju-Dan-Gae Academics(丹溪學派). Also, Yi-Cheon(李?) uniformly classified the clinical experiences of existing Ju-Dan-Gae Academics(丹溪學派). He had contributed in the clinical use of Ju-Dan-Gae Academic(丹溪學派)'s clinical experience by providing main points from differentiation of symptoms.
Objectives : Usually medical terminology of oriental mecidine has a multiple meaning. But concept of Shanghan(傷寒) should be simple, because Shanghanlun(傷寒論) is a clinical guideline book. So I researched to suggest many concept of Shanghan, which are suitable for each chapter of Shanghanlun. Methods : I enumerated provisions including Shnaghan from the original texts of Gangpyeong-Shanghanlun(康平傷寒論). And I translated and reviewed them. Results : 1. Shanghan of Preface(序文) means a disease of high fatality. 2. Shanghan of Shanghanrye(傷寒例) means diseases due to physical damage of cold weather. 3. Shanghan of Diagnosis of Daeyang Disease(辨大陽病) - Neck stiffness(痙), Dampness(濕), Sun stroke(暍) means certain disease names accompanying fever, chill. 4. Shanghan used in Diagnosis of Diseases is a premise of many provisions of Shanghanlun. And Shanghan is made up of finished fever, expected fever, chill, body pain, loss of appetite, image of tension. Conclusions : We can use a appropriate translation on Shanghan of each chapter of Gangpyeong-Sanghanlun. Especially Shanghan used in "Diagnosis of Diseases" should have more accurate meaning.
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