• 제목/요약/키워드: Diagnosis and prescription

검색결과 205건 처리시간 0.024초

급성(急性) 신우신염(腎盂腎炎)의 임상적(臨床的) 고찰(考察) (5 Cases of Acute Pyelonephritis)

  • 권정남;김영균;류주열
    • 사상체질의학회지
    • /
    • 제13권2호
    • /
    • pp.194-204
    • /
    • 2001
  • Purpose: In general, Acute Pyelonephritis is effectively treated with the use of antibiotics. However, some antibiotics are reported to cause side effects, and the abuse of antibiotics results in the increase of the disease's tolerance to antibiotics. Recently, I have effectively treated five cases of Acute Pyelonephritis by using only Constitution - Acupuncture and Herb, and therefore I would like to report about these cases. Methods: I diagnosed Acute Pyelonephritis of these five patients by confirming symptoms and employing a urine analysis with reagent strip(Multi $stix{\circledR}$). I used Kuon's method of constitutional diagnosis for the purpose of the diagnosis of the constitutional 8 morbidities. I relied on Sungjeong(性情) and Chehyungkisang(體刑氣像) in diagnosing Sasang Constitutions(四象人). I performed acupuncture on the left and right sides, depending on 8 constitutions, by employing Chang - temperament Inflammation Formula(臟系炎症方) that is used for the treatment of all kinds of chang-temperament inflammation diseases, as well as Bactericidal Formula(殺菌方) that is used for the treatment of all kinds of bacterially caused diseases. I prescribed by consulting the appearance of disease and general symptoms of each case with Dongyi Soose Bowon(東醫壽世保元)'s prescription symptoms. Result: Two of them showing severe symptoms were hospitalized, while three others took OPD treatment. The patient who was PANCREOTONIA and Soyangin improved through hospitalization for three days, another patient who was PULMOTONIA and Taeyangin with severe symptoms, improved through hospitalization for seven days, and completely recovered through OPD treatment later. The three others took only OPD treatment, and improved within 5-7 days. Conclusion: I confirmed that each of 8-constituions and Sasang Constitutions were all treated effectively without antibiotics.

  • PDF

과민대장증후군(Irritable Bowel Syndrome)의 한의임상 진료현황에 대한 설문조사 연구 (A Survey on the Clinical Practice Patterns of Irritable Bowel Syndrome in Korean Medicine)

  • 전혜진;김금지;고석재;박재우
    • 대한한방내과학회지
    • /
    • 제42권4호
    • /
    • pp.532-546
    • /
    • 2021
  • Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.

한의 외래 비급여 진료비의 연도별 추이 (Annual trends of Outpatients' Out-of-pocket Spending in Using of Korean Medicine)

  • 이은희;성수현;김하늘;김동수
    • 대한예방한의학회지
    • /
    • 제24권2호
    • /
    • pp.31-41
    • /
    • 2020
  • Background : The introduction of policies expanding the coverage of uninsured Korean Medicine (KM) services have requires an understanding of the following components of the service : current financial expenses, degree of financial burden on the patient, and financial effect of the coverage expansion. Objectives : This study aims to determine the annual trend of outpatients' characteristics and the category of out-of-pocket spending in KM. Methods : This study uses data from the Korea Health Panel to analyze use of KM in the Korean population. Using the user characteristics and behavior drawn from the Korea Health Panel data, out-of-pocket spending trends of KM were analyzed by year. The diagnosis and prescription of out-of-pocket spending were also analyzed. Results : The proportion of patients receiving uninsured medical treatment and the number of uninsured medical treatment in outpatient clinics have increased. However, the average out-of-pocket spending per person and out-of-pocket spending per visit are consistent or have decreased. Meaningful trends are the increase of R00-R99 (unclassified symptoms) and the decrease of K00-K93 (digestive system disease) and J00-J99 (respiratory system disease). Conclusions : Expansion of KM medical service and insurance is influenced by uninsured medical treatment of KM. Hence, research to increase medical treatment categories for out-of-pocket spending or explore diseases where KM diagnosis has been proven effective should be further developed.

한방(漢方)의 복진법(腹診法)에 관(關)하여 -한의학(韓醫學)에서의 복진법(腹診法) 도입(導入)에 대한 접근시도(接近試圖)- (An Introduction Of Abdominal Palpation Signs In Japanese Oriental Medicine -A New Approach To The Practice Of Abdominal Palpation In Korean Oriental Medicine-)

  • 조기호;희다민명;사택첩년;문상관;고창남;김영석;배형섭;이경섭
    • 대한한방내과학회지
    • /
    • 제18권1호
    • /
    • pp.86-96
    • /
    • 1997
  • We examined clinical and reseach data about abdominal palpation conducted in japanese oriental medicine from the early stages of its medical history to the latest research, so as to introduce it into korean oriental medicine. That is to say, we studied clinical significance and suitable oriental medicine prescription about following : sweat and moistness of abdominal skin ; temperature of abdominal skin ; palpation and visible peristaltic movement ; meteorism ; tonus of the whole rectus abdominis muscle ; local tonus of parts rectus abdominis muscle ; palpitation of abdominal aorta ; resistance tender on pressure in epigastric region, subcostal region, umbilical region, lower abdomen, para-umbilical region, cecal region, sigmoid region and inguinal region ; sound of fluctuating liquid in the epigastric region. The result was that abdominal palpation was an immediately applicable method of clinical diagnosis in oriental medicine, and is being proven by western medicine methodology today. Therefore we suggest that korean oriental medicine would advance greatly if abdominal palpation were applied.

  • PDF

구강 작엽감 증후군 (BMS)의 임상적 특징 및 치료에 관한 연구 (A Study on The Clinical Characteristics and Treatment in Burning Mouth Syndrome)

  • Mi-Jung Yeom;Chong-Youl Kim
    • Journal of Oral Medicine and Pain
    • /
    • 제20권1호
    • /
    • pp.39-52
    • /
    • 1995
  • Burning mouth syndrome is characterized by a burning sensation in oral cavity without clinical signs. There has b een no established theories about the diagnosis and treatment. The purpose of this article is to examine the clinical feature of BMS patients of Korean and to present a treatment protocol that can be helpful in clinical applications. The subjects chosen for the study were 52 patients who had visited Department of Oral Diagnosis at Yonsei University Dental Hospital and were diagnosed as BMS. We did questionnaires and precise oral exam, laboratory exam, grouping of our patients, individual treatment for the groups and classification of responses to the treatment. The following results were obtained: 1. Chief complaints were throbbing (71.2%), pricking, stinging, tingling (30.8%), burning(25a%). The tongue is the most frequently affected site (82.7%), followed by full mouth, gingiva, palate, buccal mucosa, lips, throat, labial mucosa and floor of mouth. 2. The average age of onset was 48.1 year and the male to female ratio was 1 to 3. The average duration of symptom was 11.69 months for male and 23.07 months for female. 3. 32.7% of patients had appealed continuous pain, which was the most cases. Aggravating factors were peppery food, salty food, hot food, fatigue, tension conversation, sour food, cold food and toothpaste. Reducing factors were cold food, diet, going to sleep and smoking. 4. Associated symptoms were dry mouth, other life problem, altered taste perception, bad taste, throat pain, tingle and difficulty in swallowing. 5. Most of patients had appealed that there was not associated event on onset of symptom, and the order of prevalence is as fallow; dental treatment, stress, denture wearing, an attack of a systemic disease. 92.3% of patient appealed that there was no psychological withering and 7.7% of patients appealed positively. 6. There were eight males and four females that had jobs. 7. There was no family history in 100% of patients in questions about presence of family history. 8. 96.2% of patients appealed that there was no oral habits. 13.5% of patients had dryness of oral mucosa in oral exam. A significant relation to dental prosthesis was not observable, but incidence of diseases due to stress appeared high in BMS which had the clinical characteristics as above. A group having low serum iron was 63.5% and in this group period of potential iron deficiency appeared high in incidence just before move to anemia. A group represented positive response was 38.5% in fungus study for Candida albicans. Since we can expect high treatment response by prescription of iron-contained drug and antifungal drug in these patients, diagnosing patients' condition of BMS can be achieved in more various aspects through study for serum iron and Candida albicans. Furthermore, it is expected that treatment protocol can be made.

  • PDF

The Diagnosis and Prescription for Cybersecurity in Korea: Focusing on Policy and System

  • Park, Sangdon;Kim, Il Hwan;Kim, Jaehyoun;Lee, Kyung Lyul
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제12권2호
    • /
    • pp.843-859
    • /
    • 2018
  • Cybersecurity has emerged as a serious problem in Korea and there have been relevant movements to improve domestic cybersecurity policy and system. However, discussions have yet to result in actual progress and the legislation for improvement of cybersecurity policy and system have been stagnant until now. As evidenced by the introduction of primary government legislation bill for national cybersecurity in 2017, the preparations for improvements to the policy and system are still in progress. However, we cannot be positive about the possibility of implementing these improvements during the process. Recognition of the importance of cybersecutiry has gradually risen and is more prevalent than in years past, however, in-depth discussions are not being made. In principle, misunderstandings about cybersecurity itself and insufficient understandings of the relevant legislation seem to cause such problems. Therefore, it is necessary to review key issues related to the improvement of cybersecurity policy and system and reconsider tasks for the future. Such issues include the relationship between cybersecurity and fundamental rights, establishing responsibility and capability of each of entities for cybersecurity, and the role of the military in cybersecurity. This type of in-depth discussion will be helpful for finding ways to improve upon cybersecurity policy and system. Moreover, this study aims to key issues with questionnaire survey and political and normative inquiry.

주의력결핍 과잉운동장애에 대한 한의학적 접근 (Oriental Medical Approach to Attention-deficit/hyperactivity disorder(ADHD))

  • 장규태
    • 대한한방소아과학회지
    • /
    • 제15권2호
    • /
    • pp.141-165
    • /
    • 2001
  • Attention-deficit/hyperactivity disorder(ADHD) is one of the most common childhood-onset psychlatric disorders. It is distinguished by symptoms of inattention, hyperactivity, and impulsivity. ADHD may be accompanied by learning disabilities, depression, anxiety, conduct disorder, and oppositional defiant disorder. The etiology of ADHD is unknown, and the disorder may have several different causes. Individual with ADHD present in childhood and may continue to show symptoms as they enter adolescence and adult life. Public interest in ADHD has increased along with debate in the media concerning the diagnostic process and treatment strategies. The purpose of this study is oriental medical approach to ADHD. This study was progressed for oriental diagnosis and treatment for ADHD. In oriental medicine, the reason of ADHD was deficiency of the kidney, hyperactivity of the liver(腎虛肝亢), deficiency of the heart and the spleen(心脾不足), heart disturbed by phlegm and heat(痰熱擾心). The method of medical treatment was nourishing the kidney and checking exuberance of yang(滋腎潛陽), relieving mental stress and promoting wisdom(寧神益智), nourishing the heart and strengthening the spleen(養心健脾), tranquilzation(安神定志). removing heat-phlegm(淸熱化痰), inducing resuscitation and tranquilzation(開窮安神). The prescription was commonly used as Liuwei Dihuang Wan jiajian(六味地黃丸加減), Guipi Tang he Ganmai Dazao Tang jiajian(歸脾湯合甘麥大棗湯加減), Huanglian Wendan Tang jiawei(溫黃連溫膽湯加味). It should help primary care providers in their assessment of a common child health problem.

  • PDF

비스포스포네이트 관련 악골괴사에 대한 연구: 증례보고 및 문헌문석 (Study on bisphosphonate-related osteonecrosis of the jaw (BRONJ): case report and literature review)

  • 김여갑;이백수;권용대;서준호;진상미
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제36권4호
    • /
    • pp.291-302
    • /
    • 2010
  • Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a side effect of Bisphosphonates (BPs) use. These days, oral bisphosphonates are normally prescribed to treat osteoporosis. Intravenous BPs are used extensively to treat osteolytic bone lesions related to multiplemyeloma and bone metastasis of solid cancers, breast cancer or prostate cancer. As the prescription of BPs is universalized and the number of people treated with BPs is increasing, an accurate understanding and proper management of BRONJ are required. The aim of this study was to improve the clinicians' understanding of BRONJ by reviewing the literature. To achieve this, this paper introduces case reports as well as the current concept of BRONJ based on the 2009 updates by American Association of Oral and Maxillofacial (AAOMS) including the definition, epidemiology, etiology, diagnosis, treatment and prevention of BRONJ.

사상인(四象人)의 육경변증(六經辨證)별 침구처방 문헌 고찰 (Overview of Literature about Acupuncture and Moxibustion, Based on Six-Meridian Pattern Matching for Sasang Constitutions)

  • 이재철;김상혁;김종열
    • 동의생리병리학회지
    • /
    • 제24권5호
    • /
    • pp.790-795
    • /
    • 2010
  • Sasang Constitution Medicine(SCM)'s researches have been developed in many ways, especially Herbal medicine prescriptions and diagnosis. But there are no acceptable acupuncture theory for the Sasang Constitution. So We have tried to find the way for identifying each Sasang Constitution's acupuncture point on more reasonable methods. We studied that SCM acupuncture based on collecting Books of "Shanghanlun(傷寒論)", or Six-meridian pattern identification's acupuncture prescription. Selected books are "The Acupuncture and Moxibustion(침구학)", "Zhonghua Zhenjiuxue(中華鍼灸學)", "Zhenjiuxinchuan(鍼灸心傳)", "Shanghanlun Zhenjiupeixuexuanzhu(傷寒論鍼灸配穴選注)". So-eumin uses Conception Vessel's acupuncture points most frequently. And So-yangin and Tae-eumin use Bladder meridian and Stomach meridian's acupuncture points most. Moxibustion is used many times for So-eumin, especially at three Yin-Symptoms(三陰病). Orders for using frequencies of three Sasang constitutions' acupuncture points are: So-eumin uses ST36 CV12 CV4 most, So-yangin uses PC6 ST36 LI4 most, Tae-eumin uses ST36 LU7 CV12 most. Acupuncture for Sasang constitutions has been developed for many ways, but there are no generally acceptable theory. So we need to hold a committee for SCM and acupuncture specialist to establish acceptable and reasonable SCM acupuncture theory.

Traditional Agricultural Landscape as ail Important Model of Ecological Restoration in Japan

  • Toshihiko, Nakamura
    • The Korean Journal of Ecology
    • /
    • 제25권1호
    • /
    • pp.19-24
    • /
    • 2002
  • The traditional Japanese agricultural landscape, In which a set of varied land-use patches functions as a sustainable ecosystem landscape unit, not only provides the local people tilth a stable food supply, but also offers a variety of habitats to many species of wildlife. Therefore, remaining natural habitats including those in the traditional agricultural landscape should be maintained whenever possible. In addition, restoration work should be implemented in areas where the natural habitat has been destroyed or severely degraded by human activities. This basic approach to the natural environment is a combination of maintenance and restoration. Types of maintenance and restoration can be classified into three categories according to the countermeasures employed: preservation, conservation and protection types of maintenance, and improvement, reconstruction and creation types of restoration. Four steps are proposed for ecological restoration and maintenance of a target area: exploration, diagnosis, prescription and care. In this process, a model for approaching the goal is important. One of the most important models should center on the traditional agricultural landscape involving a sustainable farming ecosystem. It is necessary to protect traditional landscapes and ecosystems from the degrading impact of urbanization and industrialization, as well as to enhance efforts at restoration.