• 제목/요약/키워드: Disease concept

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『비급천김요방(備急千金要方)』 장부온병(臟腑溫病)의 기전과 치법에 대한 고찰(考察) (A Study on the Mechanism and Treatment of the Zang-fu Warm Disease in the BeijiQianjinYaofang)

  • 安鎭熹
    • 대한한의학원전학회지
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    • 제37권2호
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    • pp.49-76
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    • 2024
  • Objectives : The purpose of this paper is to examine the mechanism and treatment of the Zangfu warm disease in the Beijiqianjinyaofang. Methods : This study examined the Zangfu warm disease content in the Beijiqianjinyaofang, Shanghanzongbinglun, Saninfang, based on the Neijing explanation of the pathological mechanism. Treatment was analyzed among the three texts in terms of their similarity and difference. Results & Conclusions : 1. Zangfu warm disease is caused by seasonally inappropriate qi, which is infectious, epidemic, and seasonal. 2. While the Qingjinqian disease pattern was explained in terms of the relationship between Shaoyin and Shaoyang, the actual disease pattern happened more in the Taiyang channel, and partly in the Shaoyang channel. For treatment of Fu deficiency pattern, the Chaihudihuangtang was listed in the Qianjinyaofang and the Shanghanzongbinglun, while in the Sanyinfang, the formula was modified to extinguish heat and thin phlegm, while reinforcing healthy qi. 3. The Chimaifei disease pattern was explained in terms of the relationship between Shaoyin and Taiyang that is deeply associated with Wei qi. For treatment of Fu deficiency the Qianjinyaofang and Shanghanzongbinglun used the Shigaodihuangtang, while the Sanyinfang reinforced healthy qi and eliminated pathogenic qi. 4. The Huangrousui disease pattern was explained as being caused by problems in the Taiyin and Yangming, in which the Triple Burner fails to control and manage cold dampness. In treating Zang excessiveness, the Qianjinyaofang and Shanghanzongbinglun used the Xuanshenhanshuishitang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. In treating Fu deficiency, the Sanyinfang instructed to warm the center and dry dampness, tonifying the Spleen and reinforcing qi. 5. The Baiqili disease pattern was explained within the relationship between Taiyin and Taiyang. In treating Fu deficiency, the Qianjinyaofang and Shanghanzongbinglun used the Shigaoxingrentang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. In treating Zang excessiveness, the Qianjinyaofang and Shanghanzongbinglun used the Shigaocongbaitang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. 6. The Heiguwen disease pattern was explained as being caused by stagnation and obstruction in the Triple Burner due to clash between Taiyang and Shaoyin. In treating Zang excessiveness, the Qianjinyaofang and Shanghanzongbinglun used the Kushenshigaotang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. The Zangfu Warm Disease is a infectious disease concept which is based on the Five Zang that integrates the meridian aspect together with the Six Fu with which there is an external/internal relationship. This concept and treatment could be considered in dealing with COVID-19.

은진(隱疹)의 침구치료(鍼灸治療)에 대한 문헌적(文獻的) 고찰(考察) (A Study of Literature on Acupuncture Treatments for the Skin Disease(Eunjin))

  • 장윤성;황배연;이상룡
    • Korean Journal of Acupuncture
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    • 제19권1호
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    • pp.145-151
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    • 2002
  • Medical concept of the skin disease is a symptom like itchs. It outbreakes by immunologic and nonimmunologic mechanisms. The most common case is hypersensitive reaction intermediated by IgE. Other case of immunologic mechanism includes activation of the complement system. Autoimmune antibodies for histamine-secreting mast cell IgE receptors are found in some patients suffer from chronic skin paroxysm. Most common causes of acute skin paroxysm are foods, viruses, parasite infections and drugs. Causes of chronic skin paroxysm are undiscovered. Air pollution, simplification of eating habits, habitual eating of convenience food; drug abuse in present days made skin disease more common. Now many methods of acupunctural treatments are being used clinically. So this report presents some views about acupunctural treatments for the Skin disease.

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건강증진개넘분석에 관한 연구 (Health Promotion : A Concept Analysis)

  • 변영순;장희정
    • 대한간호학회지
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    • 제22권3호
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    • pp.362-372
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    • 1992
  • Nursing's traditional concern for human well being includes concern for health promotion. Until recently textbooks of preventive medicine, public health and community health nursing have defined health prevention- the prevention of disease and health protection or maintenace, but not health promotion. Lack of clear definitions inhibit effective communication among health related disciplines. Therefore, this studys task was the analysis and definition of the concept of health promotion using Walker & Avant's concept analysis methodology. This characteristics of the concept of health promotion are 1) orientation toward well - being, 2) empowering, 3) subjectivity, 4) change and 5) expanded connecteness. Antecedent of health promotion are 1) attaining of a healthy state, 2) having purpose and will to act, 3) persistent and realistic behaviour. The consequences of health promotion are 1) prolonged life, 2) self-actualizing potential, 3) increased well-being and a high level quality of life. The future direction of health promotion research should include that identification of the differences in the definition of between health professionals and health clients and research related to nursing theory of health promotion.

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사상의학(四象醫學)의 병인(病因)에 관(關)한 고찰(考察) (The Study on the Chronical Concept of Etiology in Sasang Constitutional Medicine (SCM))

  • 황민우;고병희
    • 사상체질의학회지
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    • 제21권1호
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    • pp.1-19
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    • 2009
  • 1. Objectives This research was proposed to find out the chronical concept of etiology in Sasang Constitutional Medicine(SCM). 2. Methods The related contents of etiology were selected in Je-Ma Lee's literatures such as "Donguisusebowon-SaSangchobongyun(東醫壽世保元四象草本卷)"(DSS), "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO), " Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC), and the research was written in order ro find out the chronical change of etiologic concept in SCM. 3. Results and Conclusions The chronical concept of etiology in SCM was as follows : There were comments that the cause of diseases was the imbalanced nature and emotion(性情偏急), the fault of human relationship(人事), and alcohol-sex-wealth-power(酒色財權) in DSS, and the imbalanced nature and emotion, exopathogen(外感), and endopathogen(內觸) in DGO In the last, the causes of disease was set to the imbalanced nature and emotion in DSC.

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Change in the treatment strategy for pediatric Crohn's disease

  • Kim, Mi-Jin;Choe, Yon-Ho
    • Clinical and Experimental Pediatrics
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    • 제53권9호
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    • pp.830-833
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    • 2010
  • Crohn's disease is characterized by chronic inflammation involving any portion of the gastrointestinal tract. Treating Crohn's disease is a major challenge for clinicians, as no curative therapy currently exists. Pediatric Crohn's disease is characterized by frequent relapses, a wide extent of disease, a high prevalence of extraintestinal manifestations, and a severe clinical course. The classic therapeutic approach is known as the 'step-up' strategy, and follows a progressive course of treatment intensification as disease severity increases. Although this approach is usually effective for symptom control, many patients become either resistant to or dependent on corticosteroids. The efficacy of infliximab suggests that, rather than a progressive course of treatment, early intense induction may reduce complications associated with conventional treatment and improve quality of life. Intensive early therapy with infliximab is known as the 'top-down' strategy. Such therapy offers the potential for altering the natural history of Crohn's disease, and is changing treatment paradigms. However, the relatively new concept of an early aggressive or 'top-down' treatment approach is not yet widely accepted, especially in pediatric patients. The results of our current study demonstrate that early and intensive treatment of pediatric Crohn's disease patients with infliximab, at initial diagnosis, was more effective for maintaining remission and reducing flares.

습열증(濕熱證)에서 막원(膜原)의 중요성(重要性)에 대한 고찰(考察) - "습열조변(濕熱條辨)"을 중심으로 - (A Study on the importance of makwon(膜原) in seupyeoljeung(濕熱證) - Based on the Seupyeoljobyeon(濕熱條辨) -)

  • 김상현;백유상;정창현;장우창
    • 대한한의학원전학회지
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    • 제25권4호
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    • pp.85-94
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    • 2012
  • The concept of makwon(膜原) holds great importance in the texts of Seup-yeoljobyeon(濕熱條辨). Research on the concept was based on Seolsaengbaek(薛生白)'s medical theories organized by Wang Maengyeong(王孟英). The results are as follows. Seolsaengbaek describes makwon as half-exterior half-interior(半表半裏) of yang-myeong(陽明) and half-exterior half-interior of the body. The half-exterior half-interior in these definitions each hold a different meaning. In half-exterior half-interior of yang-myeong, it refers to its mediating function, focusing on the location of makwon as yang-myeong. In half-exterior half-interior of the body, it refers to an intersection where the pathological mechanism of damp-heat disease(seup-yeoljeung 濕熱證) begins, and also where the course of the disease changes. This is why treatment of the makwon is included in treating many damp-heat disease symptoms. The conditions derived from the original damp-heat disease can follow the designated prognosis, or follow a reversed course. Because of its intersecting role, treating the makwon can help prevent aggravation. In treatment, consideration of the healthygi(jeonggi 正氣), the bodily fluids(jinaek 津液) with an understanding of the various prognosis is crucial.

아동의 입원 스트레스에 대한 개념분석 (Hospitalization Stress in Child : Concept Analysis)

  • 이영옥
    • 한국융합학회논문지
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    • 제11권1호
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    • pp.327-335
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    • 2020
  • 본 연구은 아동의 입원 스트레스 개념분석 연구로 개념의 속성을 확인하고 명확한 개념을 내리고자 시도 되었고, Walker & Avant의 개념분석 방법을 사용하였다. 아동의 입원스트레스 속성은 생리적 변화, 개인-환경 상호작용, 인지적, 심리사회적 발달 단계적 반응, 대처방식으로 인한 내재적, 외현적 변화로 도출되었다. 아동의 입원스트레스 선행요인은 질병의 심각성, 생물학적 요인, 지지체계였으며, 결과는 입원생활적응, 질병 및 건강회복, 아동발달 증진, 대처기술의 획득으로 나타났다. 아동의 입원 스트레스 선행요인을 해결하기 위해 질병의 인지지각이 되어야 하고 부모-가족의 지지체계가 조성되어야 한다. 이후 아동의 입원 스트레스에 대한 더 많은 질적 연구와 아동의 입원스트레스 속성이 잘 반영된 도구개발 연구, 입원스트레스 해결하기 위한 프로그램 개발 연구를 제언한다.

소양인(少陽人) 비수한표한병론(脾受寒表寒病論) 중(中) 섬어괴병에 관(關)한 고찰(考察) (A Study of Soyangin's Delirious Speaking Bad Disease in Exterior Cold Disease induced from the Spleen Affected by Cold)

  • 김상혁;김윤희;장현수;이준희;고병희
    • 사상체질의학회지
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    • 제20권3호
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    • pp.14-20
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    • 2008
  • 1. Objectives This study aims to establish the concept and classification of the Delirious Speaking Bad Disease in the Soyain's Exterior Cold Disease induced from the Spleen Affected by Cold. 2. Methods Different editions of "Donguisusebowon", including the Gabo version and the Sinchuk version, were compared for differences and similarities in the Soyangin disease. And we discussed other studies done previously. 3. Results and conclusions Soyangin's Delirious Speaking Bad Disease can be understood as shifted symptom of all of Soyangin's Exterior cold disease induced from the spleen affected by cold.

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감염병 전문병원의 병동부 건축계획에 관한 연구 (A Study on the Architectural Planning of the Ward in Infectious Disease Hospitals)

  • 최광석
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제27권1호
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    • pp.7-15
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    • 2021
  • Purpose: This study analyzed the architectural planning factors of the ward in infectious disease hospitals, such as functional unit planning, ward configurations, spatial compositions & circulation, and detailed architectural planning. Through these, the facility guidelines of infectious disease hospitals are summarized, focusing on the differences from the wards of non-infectious hospitals. Methods: This study was conducted by literature review of research reports, papers, design cases, and guidelines, based on the experiences of field surveys for infectious disease hospitals. Results: The result of this study can be summarized into a few points. 1) Infectious disease hospitals need to establish an operation plan with the concept of continuity of care, as an extension of existing facilities. 2) The types of ward configuration for infectious disease hospitals has many variables, so an appropriate type should be selected according to the hospital's operating policy. 3) Various spatial composition types of the ward can be planned by the arrangement of traffic cores and areas of patient groups. At this time, the main planning considerations are safety, efficiency, and comfort. 4) As elements of the detailed plan, It is necessary to consider the types & dimensions of patient rooms, the relationships between nursing stations & sub-stations, and supplementations of medical support functions & convenience facilities. Implications: Since there are many differences in function from the ward of non-infectious hospitals, appropriate facility guidelines for infectious disease hospital are required.

한국인의 정년퇴임전 사망에 의한 productive life의 손실 (PRODUCTIVE YEARS OF LIFE LOST BY PRE-RETIREMENT DEATHS IN KOREA)

  • Baker, Timothy D.
    • Journal of Preventive Medicine and Public Health
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    • 제21권1호
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    • pp.1-4
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    • 1988
  • The current use of leading causes of death is an outmoded, misleading counterproductive measure of importance of disease. The 'new' concept of productive years of life discounted to the future and combined with morbidity, disability, and direct cost measures will give a much more meaningful, useful measure of the magnitude of disease problems in Korea. I am looking forward to seeing refinements and improvements on this technique carried out by some readers of this paper.

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