• Title/Summary/Keyword: East-West Integrative Medicine

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A Case Report on Improvement of Chemotherapy-Induced Peripheral Neuropathy and Pantalgia Side Effects with Integrated Cancer Treatment in a Breast Cancer Patient (유방암 환자의 통함 암 치료를 통한 항암화학요법 유발 말초신경병증, 전신통 호전에 대한 증례 보고)

  • Eun-Ji Kim;Hye-ri Bae;Nam-Hun Lee
    • Journal of Korean Traditional Oncology
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    • v.28 no.1
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    • pp.11-24
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    • 2023
  • Objectives: To report the improvement of chemotherapy-induced peripheral neuropathy and pantalgia with integrative cancer treatment on adverse effects of chemotherapy in a breast cancer patient. Methods: A 63-year-old female patient who has been diagnosed with breast cancer got treated for 103 days with integrative cancer treatment including acupuncture, moxibustion, herbal medicine, physiotherapies, hand and foot bath to decrease side effects of chemotherapy. The patient was also treated Western immunotherapies like Thymosin, Viscum album. Paclitaxel, Carboplatin, Doxorubicin, Cyclophosphamide was applied and chemotherapy-induced peripheral neuropathy(CIPN), pantalgia and nausea occured. The efficacy of treatment was measured by a numeric rating scale(NRS) of symptoms, National Cancer Institute Common Terminology Criteria for Adverse Event(NCI-CTCAE) and Eastern Cooperative Oncology Group(ECOG) Performance Status Scale. Results: The NRS scroes for CIPN, pantalgia, nausea were improved. There was no adverse effects of 3 or higher assessed by the NCI-CTCAE. The ECOG grade improved from grade 2 to 1. Conclusions: This study suggests that integrative cancer treatment could improve CIPN, pantalgia after chemotherapy in breast cancer.

A Case of Advanced Non-seminomatous Germ Cell Tumor of the Testis Cancer with Retroperitoneal Lymph Node Metastasis : Neoplastic Pain & Neoplastic Fever Treated by Sasang Constitutional Medical Treatment (고환통과 발열을 호소하는 고환암환자의 치험 1례)

  • Kim, Eun-Hee;Seo, Young-Kwang;Kim, Dal-Lae;Koh, Byung-Hee;Cheon, Seong-Ha;Eo, Wan-Kyu;Choi, Won-Cheol;Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.2
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    • pp.179-186
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    • 2007
  • 1. Objectives In this case report, We report a case of advanced non-seminomatous germ tell tumor(NSGCT) of the testis to retroperitoneal lymph node. We successfully managed with sasang medical treatment. 2. Methods We treated a man with NSGCT of testis with retroperitoneal lymph node metastasis. We evaluated pain grade by VAS(visual analogue scale). and fever grade by body temperature(by axillary thermometer) 3. Results Pain and fever were improved with the Sasang constitutional medicine. 4. Conclusions Cancer pain and fever was markedly improved by Sasang Constitutional management. Further studies are needed to evaluate the cause of the improvement.

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Convergent Research of Korean-Western Medicine: the Concept, Types and Suggestions for Promoting the Research (동서의학 융합연구: 개념, 유형, 활성화를 위한 제언)

  • Lee, Choong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.6
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    • pp.311-321
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    • 2019
  • In this paper, we try to define and classify the concepts of Convergent Research of Korean-Western Medicine (CRKWM) to clarify the goals of research. In addition, some suggestions that are necessary to promote the CRKWM were made. The results are as follows. First, the CRKWM should be used as a concept that refers to 'interdisciplinary research' jointly conducted by experts in both Korean and Western medicines beyond their own fields. Second, True CRKWM is an "eclectic combination of East-West" that combines the advantages of traditional Korean medicine and western medicine to create a new field; it is necessary to redefine the concept of 'Integrative medicine', which is used in different context by the traditional Korean medicine and western fields in Korea, as an "eclectic combination of East-West" type. Third, In order to promote the CRKWM, it is necessary to convert the current dual medical system of relativism to one of pluralism. Forth, In order for CRKWM to be promoted, methodologies, theories, and models that become the backbones of convergence should be developed. As of now, systems medicine and network science are the best fit. Fifthly, In order to promote convergent clinical research, the development of Korean-Western diagnostic model that integrates the pathologies of Western medicine and symptoms of Korean medicine is urgent. Lastly, Mutual understanding between Korean and Western medicine fields should be preceded in order for CRKWM to be stimulated.

Effect of Comprehensive Korean Medicine with Rehabilitation in Stroke Patients: A Retrospective Study (뇌졸중 환자의 재활에서 포괄적인 한방치료의 효과: 후향적 연구)

  • Kim, Min Su;Moon, Byung Soon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.5
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    • pp.355-359
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    • 2016
  • This study is to investigate the effect of the level of Korean medical intervention (KMI) on the recovery of activity of daily living (ADL) and the motor function in patients with stroke. A total of 43 stroke patients were recruited. The participants were divided into two groups, the basic Korean medical intervention (BKM) and the comprehensive Korean medical intervention (CKM) group. The patients in BKM group were treated with the basic acupuncture and the consultation of Korean medicine doctors. The treatments of CKM group patients included the comprehensive herbal medical therapies in addition to the treatments of BKM group. The western rehabilitation therapies were performed in all participants with KMI. The functional outcomes using modified Barthel Index of Korean version (K-MBI) and Fugl-Meyer assessment (FMA) were analyzed before and after the treatment between two groups. Significant differences between the BKM and the CKM group were demonstrated in both K-MBI and FMA (p<0.05). There were significant relationships between the level of the KMI and K-MBI/FMA (p<0.05). In conclusion, the comprehensive KMI was more effective to improve the ADL and motor function in patients with the stroke east-west integrative medical care.

In Vivo Studies on Anti-inflammatory Activity of Nephrite (급성염증 동물모델에서 연옥분과 연옥수의 염증억제 효과)

  • Han Dong-Oh;Choi Bo-Hee;Lee Hye-Jung;Shim Insop;Kang Sung-Keel;Hahm Dae-Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.4
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    • pp.977-981
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    • 2005
  • Most inflammatory disorders are usually treated using anti-inflammatory drugs including non-steroidal anti-inflammatory drugs (NSAID) and steroidal anti-inflammatory drugs (SAID). In a prolonged use, however, they may frequently produce adverse side-effects. Thus, it is necessarily required to develop a new anti-inflammatory drug with little side-effects. Nephrite has been widely used by traditional oriental medicine to cure the various chronic diseases. In order to verify the anti-inflammatory activity of nephrite, the TPA (12-O-tetradecanoylphorbol-acetate) or the croton oil-induced edema was developed in the mouse ears and the nephrite powder suspension or the nephrite water was directly applied to the ear edema. It was found that nephrite could significantly reduce the ear swelling implying its strong potential as an active anti-inflammatory agent when comparing to indomethacin, a non-steroidal anti-inflammatory drug.

Exploratory Study on Scales of Nursing Education Outcome (간호교육 성과 측정 도구의 탐색)

  • Lee, Hyang-Yeon;Oh, Ka-Sil;Ahn, Yang-Heui;Lee, Sook-Ja;Kim, In-Ja
    • Journal of East-West Nursing Research
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    • v.16 no.1
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    • pp.53-60
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    • 2010
  • Purpose: The purpose of this study was to identify and evaluate outcome measurement scales of nursing education such as communication, professionalism, leadership, and critical thinking. Methods: A methodological study design was used to evaluate the reliability and validity of the scales. Survey was done to the students (n=407) enrolled in baccalaureate nursing schools. Using convenience sampling method, we tried to include all grades of students. Internal consistency, convergent validity and group comparison were used to evaluate the reliability and validity of the scales. Results: All scales were reliable and valid. Only convergent validity of the scale to measure critical thinking was relatively low. It suggested that critical thinking skill and disposition might be measured separately. Also it was inefficient to measure the nursing education outcomes with separate scales. Conclusions: It is recommended to develop a new integrative scale to measure nursing education outcomes. Also it is necessary to set the norm of nursing students to evaluate nursing education outcomes for the quality control of nursing education.

Clinical Practice Guideline for Korean Medicine for Ovarian Cancer (난소암 치료에 대한 한의 임상 가이드라인)

  • Kim, Kyung-Soon;Choi, Hong-Sik;Kim, Seung-Mo;Yoo, Hwa-Seung
    • Journal of Korean Traditional Oncology
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    • v.21 no.2
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    • pp.37-50
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    • 2016
  • Ovarian cancer is the tenth most common cancer in Korean female, and the third most common cancer of female reproductive organ after breast cancer and uterine cervical cancer. In spite of develop of conventional treatment, high modality of ovarian cancer comes from difficulty of an early diagnosis. Recent studies revealed that combining conventional and integrative medical treatment can reduce the adverse effect of surgical operation, chemotherapy and radiotherapy. Also it can improve survival rate, quality of life. However there isn't still a systemic clinical protocol for ovarian cancer in Korean medicine. This study will be helpful to establish clinical practice guidelines of Korean Medicine for ovarian cancer. And further studies on integrative ovarian cancer treatment are needed to build the clinical practice guidelines of ovarian cancer.

A Case Report of Partial Remission of Renal Cell Carcinoma with Multiple Liver Metastases Treated with Korean Herbal Medicine in Conjunction with Targeted Anticancer Therapy Afinitor (한약치료와 표적항암요법(아피니토)을 병행하여 부분 관해 된 신세포암 간전이 환자 1례)

  • Chang, Sung-Hwan;Park, Ji-Hye;Yoo, Hwa Seung
    • Journal of Korean Traditional Oncology
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    • v.22 no.2
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    • pp.13-24
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    • 2017
  • Objectives: The purpose of this study is to report the effect of Korean Herbal Medicine (KHM) on a Renal Cell Carcinoma with multiple liver metastases patient. Methods: One renal cell carcinoma with multiple liver metastases patient was treated by KHM in conjunction with targeted anticancer agent (Afinitor). The effect of KHM was measured by scanning with Computed Tomography (CT), Blood Test, Visual Analogue Scale (VAS) and Eastern Cooperative Oncology Group scale. Results: Multiple hepatic tumors were reduced after the treatment during 5 months (Partial Remission, PR). As treatment was performed, complications induced by targeted anticancer agent (Afinitor) were alleviated. Conclusions: This case provides us a possibility that Korean Herbal Medicine offers potential benefits for renal cell carcinoma with multiple liver metastases patient.

Clinical Study on East-West Combination Treatment in Joint Disorders (관절.류마티스 질환의 한.양방 협진에 관한 임상적 고찰)

  • Shin, Ye-Jji;Kim, Chan-Young;Kwon, Na-Hyoun;Kwon, Sin-Ae;Lee, Jung-Woo;Koh, Hyung-Kyun;Woo, Hyun-Su;Park, Dong-Suk;Baek, Yong-Hyeon
    • Journal of Acupuncture Research
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    • v.26 no.6
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    • pp.121-132
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    • 2009
  • Objectives : To evaluate the current status of East-West combination treatment in joint disorders. Methods : The medical records of patients who visited the Joints & Rheumatism Center at the Kyung Hee East-West Neo Medical Center from April 2006 to June 2009 were evaluated. The general characteristics of patients who underwent combination treatment, trend in number of cross-system referrals, and disorders and involved body regions of patients referred to the Eastern medical hospital from the Western medical hospital were initially assessed. 6 major disorders were found from the initial scanning. The trend in number of cross-hospital referrals, number of visits to the Eastern medical hospital, current status of combination treatment, treatment modality, and reason for cross-system referral was evaluated. Results : 1. 1510 patients were referred from the Eastern medical hospital to the Western medical hospital, and 1065 patients were referred from the Western medical hospital to the Eastern medical hospital. First visit patients reached a peak at the second quarter of 2007 and fourth quarter of 2006 respectively, and have steadily decreased from then on. Referrals of female patients were twice as common as male patient referrals. Patients in their sixth or seventh decade of life were most commonly referred, and more outpatients were referred compared to inpatients. 2. Patients with knee joint disorders were most commonly referred from the Western medical hospital to the Eastern medical hospital, followed by hip, shoulder, ankle, wrist, and elbow joint disorders. The most common disorders for each of the above regions in referred patients were knee osteoarthritis, avascular necrosis of the hip, adhesive capsulitis, and ankle strain and sprain. The generalized disorders rheumatoid arthritis and ankylosing spondylitis followed. 3. Patients referred to the Eastern hospital received approximately 3 to 10 Eastern medical treatment sessions. 45 percent remained on constant combination treatment, and 98 percent of referred patients received acupuncture treatment. Conclusions : In regard to the number of patients and duration of combination treatment, combination treatment was successfully performed for knee osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, while it was not so for avascular necrosis of the hip, adhesive capsulitis, and ankle strain and sprain. Further research on this subject is required.

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Development of Clinical Pathway and Analysis of Clinical Patterns for Optimizing the Integrative Medical Service (양.한방 협진 의료서비스 최적화를 위한 Clinical Pathway 도입과 진료패턴 분석)

  • Oh, Ka-Eun;Bak, Won-Sook;Yang, Hyung-In;Han, Sang-Sook;Yoo, Myung-Chul;Park, Sang-Chan;Lee, Sang-Chul
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.2
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    • pp.23-32
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    • 2012
  • Objectives : The purpose of this research is to develop the clinical pathway for optimizing the integrative medical service (oriental-western integrated medical service) and to analyze the clinical pattern of the integrative patients who received the oriental-western integrated medical service. Methods : This research developed the clinical pathway by interviewing with doctors, nursing and experts at K Medical Center. To analyze the clinical patterns, this research used 860 integrative patients and 6345 non-integrative patients at K Medical Center since 2007. Results and Conclusions : 1. We developed the clinical pathway for optimizing the integrative medical service. 2. Comparing the clinical pattern of the integrative patients with the non-integrative patients, the results indicated that the interval and frequency of the integrative patients is shorter than that of the non-integrative patients. 3. Comparing the medical treatment type, the integrated patients take much more medical care and more frequently participate in medical treatment. 4. In conclusion, it is different that the clinical pathway of the integrative medical service from the non-integrative medical service and the integrative medical treatment is more effective than the non-integrative medical treatment.