• 제목/요약/키워드: Foot strengthening

검색결과 47건 처리시간 0.026초

대면·비대면 맥캔지운동과 탄력밴드 근력강화운동이 노인의 낙상과 체력에 미치는 영향 (The Effects of Face-to-Face and Non-Face-to-Face McKenzie Exercises and Strength Training with Elastic Bands on Falls and Fitness in Older Adults)

  • 신영일
    • 대한정형도수물리치료학회지
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    • 제29권3호
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    • pp.63-72
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    • 2023
  • Background: This study investigated the effects of face-to-face and non-face-to-face McKenzie exercises and elastic band strengthening exercises on falls and fitness in older adults. Methods: A total of 44 subjects were divided into a face-to-face group (FG; n=22) and a non-face-to-face group (NFG; n=22) who met older adults. Both groups used McKenzie exercises and strength training with elastic bands The fall efficacy scale (K-FES) and glycosylated hemoglobin (HbA1c) Pro were used to compare the senior fitness test (SFT). Results: No significant differences were detected between the two groups before the intervention; however, a significant difference was noted in the K-FES scores after the intervention. The change in HbA1c after the intervention was not statistically significant in the FG or the NFG, and no significant difference was detected between the two groups. The change in lower limb muscle strength in the elderly physical fitness test showed no significant difference between the two groups before or after the intervention. The change in upper limb flexibility after the intervention was not significantly different in the FG or NFG, indicating no significant difference between the two groups. The change in the 3-meter round-trip test after the intervention was significantly different in both the FG and NFG groups, but the difference between the groups was not statistically significant. The change in the grip strength test of the dominant hand showed no significant difference after the intervention in the FG or the NFG, and the difference between the FG and NFG groups was not statistically significant. The dominant foot external standing after the intervention was significantly improved in the FG, but no significant difference was detected in the NFG, and the difference between the two groups was not statistically significant. Conclusion: The study findings revealed that FG and NFG McKenzie exercises and elastic band strengthen exercises were equally effective at preventing falls and improving fitness in older adults.

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Analysis of University Cafeteria Safety Based on Pathfinder Simulation

  • Zechen Zhang;Jaewook Lee;Hasung Kong
    • International Journal of Internet, Broadcasting and Communication
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    • 제16권2호
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    • pp.209-217
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    • 2024
  • Recent years have seen a notable increase in fire incidents in university cafeterias, yet the social attention to these occurrences remains limited. Despite quick responses to these incidents preventing loss of life, the need for large-scale evacuation in such high foot traffic areas can cause significant disruptions, economic losses, and panic among students. The potential for stampedes and unpredictable damage during inadequate evacuations underscores the importance of fire safety and evacuation research in these settings. Previous studies have explored evacuation models in various university environments, emphasizing the influence of environmental conditions, personal characteristics, and behavioral patterns on evacuation efficiency. However, research specifically focusing on university cafeterias is scarce. This paper addresses this gap by employing Pathfinder software to analyze fire spread and evacuation safety in a university cafeteria. Pathfinder, an advanced emergency evacuation assessment system, offers realistic 3D simulations, crucial for intuitive and scientific evacuation analysis. The studied cafeteria, encompassing three floors and various functional areas, often exceeds a capacity of 1500 people, primarily students, during peak times. The study includes constructing a model of the cafeteria in Pathfinder and analyzing evacuation scenarios under different fire outbreak conditions on each floor. The paper sets standard safe evacuation criteria (ASET > RSET) and formulates three distinct evacuation scenarios, considering different fire outbreak locations and initial evacuation times on each floor. The simulation results reveal the impact of the fire's location and the evacuation preparation time on the overall evacuation process, highlighting that fires on higher floors or longer evacuation preparation times tend to reduce overall evacuation time.In conclusion, the study emphasizes a multifaceted approach to improve evacuation safety and efficiency in educational settings. Recommendations include expanding staircase widths, optimizing evacuation routes, conducting regular drills, strengthening command during evacuations, and upgrading emergency facilities. The use of information and communication technology for managing emergencies is also suggested. These measures collectively form a comprehensive framework for ensuring safety in educational institutions during fire emergencies.

고령자의 건강한 삶을 위한 낙상 예방 운동유형 확인 (Identify the Type of Exercise to Prevent Falls for Healthy Elderly Life)

  • 박양선;김미예;박성원;이옥진
    • 한국엔터테인먼트산업학회논문지
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    • 제13권7호
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    • pp.361-373
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    • 2019
  • 낙상은 노인의 신체적 건강은 물론 총체적 삶의 질을 위협하는 요인이다. 이 연구의 목적은 어떤 운동유형이 노인의 균형 능력 증진에 효과적인가를 확인하고, 이에 기초하여 노인 낙상 예방 운동 프로그램 개발에 필요한 기초 자료를 얻는 것이었다. 65세 이상 80세 미만의 여성 노인들을 스텝운동집단(21명), 코어근육운동집단(20명), 통제집단(21명) 중 한 집단에 무선 할당하였고, 8주 동안, 주 2회, 회당 20~30분의 운동을 처치하였다. 운동 효과는 기능적 균형검사(한발 정적균형검사)와 자기보고식 균형검사(낙상효능감, 균형자신감)로 평가하였다. 연구 결과를 요약하면 다음과 같았다. 첫째, 리드미컬한 스텝운동이 체간의 코어근육 강화운동보다 기능적 균형 증진에 효과적이었다. 특히, 눈을 뜨고 측정하는 한발 정적 균형검사에서 스텝운동의 효과가 뚜렷하게 나타났다. 둘째, 자기보고식 균형검사에서도 스텝운동이 코어근육운동보다 우수한 결과를 보였다. 특히, 리드미컬한 스텝운동이 체간의 코어근육운동보다 낙상 효능감 증진에 효과적이었다. 이상의 연구 결과를 종합해 볼 때, 리드미컬한 스텝운동이 체간의 코어근육운동보다 노인의 균형 능력 증진에 효과적이었다. 이는 리드미컬한 스텝운동이 하지 근육의 관여가 상대적으로 높고, 다양한 지면 변화 속에서 스텝운동을 수행하므로 낙상 발생 환경과 유사하며, 발목 고유수용성 강화에 적합한 운동유형이었기 때문이라고 사료된다. 따라서 향후 연구를 위해서 노인 낙상 사고가 발생하는 구체적인 동작 상황을 조사하고, 이에 기초하여 과제지향의 발목 고유수용성 감각강화 운동 중재 프로그램 및 운동 장비의 개발을 제안하였다.

엄지발가락가쪽휨증의 발가락벌리기 운동 시 초음파 영상을 이용한 시각적 피드백의 효과 (The Effects of Ultrasound Imaging Visual Feedback During Toe-Spread-Out Exercise in Subjects With Hallux Valgus)

  • 강선영;정성대;심재훈
    • 한국전문물리치료학회지
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    • 제23권3호
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    • pp.21-28
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    • 2016
  • Background: The toe-spread-out (TSO) exercise has been introduced as a strengthening exercise for the abductor hallucis muscle in subjects with hallux valgus. Visual biofeedback using ultrasound imaging during exercise, may increase the ability to selectively contract the abductor hallucis muscle, compared with exercise alone. Objects: The aim of this study was to investigate the effects of ultrasound imaging visual feedback during the TSO exercise with respect to its influence on the angle of the first metatarsophalangeal joint (1st MPJ) and the cross-sectional area (CSA) of the abductor hallucis muscle in subjects with hallux valgus. Methods: Twenty-five healthy young subjects with a mean average age of 22.5 years, and a standard deviation of 2.3 years, were recruited for this study. Hallux valgus was defined as an angles greater than $15^{\circ}$ angle of 1st MPJ. Goniometric measurement was used to determine the angle of 1st MPJ. In addition, an ultrasound system was used to collect the CSA of the abductor hallucis muscle in each foot. The angle of the 1st MPJ and CSA of the abductor hallucis were measured in three positions; the resting position, during TSO exercise, and during TSO exercise in conjunction with real-time ultrasound imaging feedback. All data analyzed using a repeated analysis of variance with Bonferroni correction in order to compare the dependent variables in all three positions. Statistical level of significance was set up as p<.05. Results: The angle of the 1st MPJ was noted to be significantly reduced and the CSA of the abductor hallucis to be significantly greater during TSO exercise used in conjunction with ultrasound imaging visual feedback, compared to when the values were recorded during TSO exercise alone (p<.05). Conclusion: Based on these findings, it can be concluded that the application of ultrasound imaging visual feedback during TSO exercise is more effective in contracting selectively the abductor hallucis than the use of exercise alone.

온양민속박물관 소장 <해주팔경도(海州八景圖)>에 표현된 조선 후기 해주의 풍경과 풍물 (Expressions of the , Owned by the Onyang Folk Museum Haeju's Scenery and Customs in the Late Joseon Dynasty)

  • 노재현
    • 헤리티지:역사와 과학
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    • 제54권4호
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    • pp.36-59
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    • 2021
  • 온양민속박물관 소장 <해주팔경도(海州八景圖)>의 분석과 해석을 통해 해주팔경의 기원과 제작 시기를 유추하고, 팔경도에 담긴 경물과 풍물을 비정(批正)함으로써 해주팔경의 경관상과 집경(集景) 의의를 탐구한 결과는 다음과 같다. 지금까지 알려진 해주 집경의 원전(原典)은 구사맹(1531~1604)의 「해주팔영」으로 확인된다. 1782년에 쓰인 유만주의 『흠영』에서는 이를 고팔경(古八景)으로 지칭하고 해주팔경을 금팔경(今八景)으로 규정했는데, 이는 문헌으로 확인되는 가장 이른 시기 해주의 읍치팔경이다. <해주팔경도>는 '남강에서의 뱃놀이(南江泛舟)', '부용당에서의 연꽃 구경(芙蓉賞蓮)', '광석천에서의 발 씻기(廣石濯足)', '해운교에서의 석별(泣川送客)', '해운정에서의 낚시(東亭釣魚)', '남산에서의 바다 구경(南山望海)'으로 구성되어 있다. 결본된 2폭은 '영해루에서의 달 구경(瀛海玩月)'과 '백림정에서의 백일장과 활쏘기(栢林觀德)'를 담은 것으로 추정된다. 해주팔경에서 배제된 고팔경의 수양채미, 신광제설, 지성폭포는 모두 수양산을 대상장으로 펼쳐진 풍경이다. 이렇듯 <해주팔경도>는 수양산 권역에서 벗어나 읍치(邑治) 중심의 승경 재편(再編) 결과로 부용당, 영해루, 백림정과 읍성 주변의 탁열정, 해운정 등의 누(樓)·정(亭)·당(堂)의 읍치 내외 누정이 명실상부한 해주의 승경으로 부상되었을 뿐 아니라 완사석, 비류담, 석빙고, 봉대, 탁마지, 읍수, 부용당, 해운정의 지당과 중도의 형태, 다양한 형상의 선박, 특산주 등 해주를 대표하는 세부 경물을 담고자 한 치밀함이 드러난다. <해주팔경도>에 묘사된 풍경은 해주목의 유서 깊고 탁월한 명소가 대부분이지만 일상 생활과 관련된 생활경(生活景)의 모습도 적절히 안배되었다. 또한 탁족(濯足), 조어(釣魚), 표모(漂母), 상련(賞蓮), 송객(送客), 주유(舟遊), 음주(飮酒), 망해(望海), 완월(玩月), 사예(射藝), 시작(詩作), 음다(飮茶), 가무(歌舞) 등 다채로운 풍류 행위를 담고 있다. 고팔경과 비교해볼 때 해주팔경은 4계절 경관 배분을 고려치 않았을 뿐 아니라 소상전형(瀟湘典型)의 결속성 또한 와해(瓦解)되었다. 해운정의 건립과 영해루의 퇴락(頹落) 시기에 착안할 때 <해주팔경도>는 18세기 초·중반에 제작된 것으로 조심스럽게 추정된다. <해주팔경도>는 관념적 이상향에서 벗어나 명승고적과 풍물 등 해주의 대표적 풍광을 골라 보여줌으로써 지역민에게 친밀감을 강화시키고 해주인(海州人)으로서의 긍지를 진작(振作)시키는 데 이바지한 그림으로 판단된다.

서울시 고등학생의 안전교육 실태 및 요구도 조사 (Needs Accessment of Safety Education of High School Students in Seoul)

  • 김민아;이명선
    • 보건교육건강증진학회지
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    • 제18권3호
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    • pp.133-162
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    • 2001
  • Unexpected accidents in school has been gradually increased every year, and student's mistaken was the first reason of the accident. To preventing the students from Unexpected accidents in school, safety education is more important than having strong facilities to have much more strong protecting forces for the accidents. Therefore, systematic education of safety is needed most of all, and especially, strengthening safety education in school is needed. Hereby, this study is aimed at investigating and analysing the actual condition and demand of safety education. It also conducted a survey with the target of 1,255 students in the second grade of high school in Seoul from April 20 to May 19, and the result of this study is as follows. 1. In the general features of the subject of the survey, boy students and girl students occupied 50.8% and 49.2% each, and boys' high school (34.3%), girls' high school(32.2%) and co-ed(33.5%) participated in balance. In the location, north from Han river occupied 54.6%, south were 45.2%. 2. According to the status of experiencing an accident, boys were more experienced then girls(p〈0.05). From the section, home accident(56.8%) occupied most followed by school accident, traffic accident, sports accident and poisoning. The accident happening most often in detailed category is sports accident such as basket ball, foot ball and dodge ball. The actual condition of the subject's using a school health facility shows that boys students use it more often than girl students(p〈0.01) 3. In attitude toward safety, the subject showed lower interest in safety issues than other social issues. But attitude in seriality of safety problems were high. Also, they responded ‘individual citizen’(63.1%) as the one who should make efforts for safety. Regarding knowledge of preventing safety accidents in attitude toward individual safety, 42.2% answered ‘they know a little’ and 32.6% of respondents say ‘they do not know’. To a question of the degree of the subject's following safety rules, 36.4% were answered ‘keeping’ and the group using a school health facility shows more ‘keeping’ the others(p〈0.05). 4. To a question of asking if they have experienced safety education, 51.2% answered ‘yes’. Teachers who mainly take care of safety education are answered as training teacher(48.7%). As for education time, training class(51.3%) is said to have safety education most followed by health-related event and PE(Physical Education). Frequency of education shows once or twice a session (62.8%) most often, but in case of co-ed school, 5-7times a session or more(20.1%) are being practiced. Looking at education time, 1-2 hour(s)(22.1%) or for a short time(22.1%) during class are being practiced. As an education method, instruction(43.8%) and video education(32.5%) are being practiced, and when it comes to education evaluation method, ‘not practiced’(70.0%) answered. To the question if they are satisfied with school safety education, they answered more ‘no(43.1%)’ than ‘yes(6.7%)’, and the reason is that safety education class is just for formality's sake, and the fact they already know is being repeated. The contents of safety education is composed of school safety, home safety, and first aid. 5. It is turned out that 56.5% of the total boy students and 61.1% of the total girl students recognize the necessity of safety education. To the question if safety education is needed in an elementary and middle education course, 46.4% of the subject answer answered' it's necessary'. The most reason for their answers are ‘safety education is directly related to life’. 6. Regarding the requested time of safety education is ‘one hour a week’ by 55.9%. For safety education, safety education teachers(38.7%) are answered to be the most proper. As a request for safety education, video education is answered to be the most appropriate(30.6%), followed by practical skills, lecture and discussion(p〈0.05). Demand of educational evaluation, practical skills, interview and observation are answered to be needed. To the question if they want to participate in the way of demanded safety education, 41.9% of respondents answer ‘have a mind to participate in’ (41.9%). To benefits followed by completing safety education, 72.0% of respondents answer ‘agree’, and 24.7% ‘do not agree’, which means lout 4 disagrees with completing safety education. 7. Looking at demand of safety education according to the features of the subject, ‘our position for the person who has handicapped’ was answer to the most.

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이비인후, 안, 치아 및 피부증상의 민간요법에 관한 고찰 (Study on the Herb Remedies of ENT, Eyes, Teeth and Skin Problems)

  • 조결자;강현숙
    • 동서간호학연구지
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    • 제1권1호
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    • pp.50-71
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    • 1997
  • The intention of this study is to apprehend the con. tents and methods of herb remedies that are commonly conducted when there are health-problem cases of ENT, eyes, teeth and skin. Methods of this study are divided into two stages : 1) For a period of six months from December 1994 to June 1995, some 40 persons who are believed to be well versed with herb remedies have been randomly chosen, and we made a survey on herb remedies by symptoms: and 2) we have endeavored to make their grounds evident through the studies on literatures with the focus on the basic data collected. Their results are as follows: 1) When one feels a pain in ears, such herb remedies are employed as pouring the vapor into ears, which is made by steaming Alaska pollack, or as applying or wiping with the juices of radish or the ginkgo, or' alum. Applying the radish juice is effective for sterilization and fever removal: and applying the ginkgo juice is effective for cleanliness. But, plastering alum, sesame oil or castor oil, or pouring the vapor of Alaska pollack into ears are perhaps effective but do not have any pharmacologic grounds. 2) When one bleeds at the nose, such kinds of herb remedies are applied as stimulating nose or head with cold water, pressing nose or ridge of nose, or filling up nares with mashed mugworts. In addition, they have utilized garlic or leeks. Such methods as stimulating with cold water or just pressing nose and ridge of nose is based on reasonable grounds, i.e. vasoconstriction and vascular compression ; and applying mashed garlic on the sole of foot is good for the circulation of Qui ; and the use of mugworts and leeks is based upon the pharmacological function of hemostasis. 3) When one feels a sore throat such kinds of herb remedies are employed as gargling or rinsing throat with brine, drinking hot gruel or water, or drinking the juice of mugwort, radish, ginger or Chinese quince. Gargling with brine or drinking the juice of mugwort, radish or ginger is based upon the pharmacological function of pain alleviation, fever removal, and detoxication. 4) When a boil is formed in mouth, such herb remedies are applied as spreading honey, brine or alum water, and taking gall nut, Chinese matrimony vine, lotus root, etc, for drugs. Spreading honey, brine or water that is made by infusing gallnut, Chinese matrimony vine, lotus root is based upon such functions as hematosis, astriction, antibacterial, and antiphlogistic, Alum, eggplant and licorice are said to be effective, but their pharmacological effects have no grounds. 5) When one has conjunctivitis such herb remedies are commonly applied as irrigation with brine and dropping breast milk in eyes. Moreover, such other drugs are used as plantain. shepherd's purse, and purslane, etc. The use of brine, breast milk, plantain, shepherd's purse and purslane is based upon such functions as sterilization, antiphlogistic, disinfection and pain relieving. Eriocaulon sieboldianum, bean stem, bean pod and narcissus leaves are said to be effective, but their pharmacological action have no basis. When one has a stye, such herb remedies are applied as extracting eyelashes, stimulating by a massage of middle finger, third finger or big toe, as well as sear ing with a heated bamboo comb that is fine-toothed. Other than these, plantain and nightshade's nuts are used as drugs for it. Extracting eyelashes corresponds with exclusing suppurative node and draining the stye of pus ; and the use of plantain is based upon disinfection: and nightshade's nuts are said to be effective, however, their pharmacological action has no grounds. 6) For a treatment of toothache, such herb remedies are commonly employed as rinsing mouth with brine and holding cold water or gasoline in the mouth ; and as the drugs that are believed to be effective have been Welsh onion, ginger and castor-oil, plant, etc. The use of Welsh onion is based upon pain killing, antiinflammatory actions, and the use of ginger is based upon detoxication and disinfection ; and seeds of castor-oil plants are said to be effective, but they have no pharmacological basis. 7) When one has hives, such herb remedies are commonly applied as rubbing burned straw in affected parts, exposing to its smoke, rubbing with salt, sweeping down with a broom, and spreading and drinking boiled water of trifoliate orange. The use of cassia tora seeds, walnut, aloe and radish is said to be effective. The use of cassia tor a seeds has the functions of intestinal order, anti-paralysis, etc. The use of walnut has resulted in an increase of blood by invigorating spirits ; and the use of aloe is based upon disinfection, antibiotic, anti-salt, antihistamine and detoxication action. But, the effects of radish juice and straw's smoke have no pharmacological grounds. 8) When one gets a boil, such herb remedies are commonly used as applying a plaster, paste of flour mixed with yolk, soy sauce or honey, as well as spreading pounded elm tree. Other remedies that have been said to be effective are ; heating with mugwort, brine, wild rocambole, aloe, onion, squid's bone, etc. The use of mugwort is based upon pain killing, astringent antiinflammatory and tranquility. Wild rocambole is based upon the generation and maintenance functions of cell-joining textures ; elm tree upon antiphlogistic ; aloe upon fever removal and antiphlogistic ; onion on pain killing, fever removal, antiphlogistic and tranquility ; squid's bone on astriction: and brine or vinegar on sterilization. Pine resin and gardenia seed are said to be effective, but they have no pharmacological basis. 9) When one cuts his skin, such herb remedies are commonly employed as spreading mugwort's juice or squid's bone powder, or pressing the wounds. In addition, kalopanax, onion and fine soil are employed. The use of mugwort, kalopanax and squid's bone is based upon such functions as hemostasis, sedation, pain killing, antibacterial ; and fine soil is said to be effective, but it has no pharmacological basis. 10) When one suffers from whitlow, such herb remedies are commonly utilized as heating with boiled soy sauce, spreading soybean paste, or dipping into eggs, etc. Other drugs that have been employed are onion root, brine, eggplant, potato, loach, etc. The use of onion is based upon pain killing and antiphlogistic functions ; and that of brine upon antiphlogistic function. The use of soy sauce or soybean paste, fomentation, eggplant, potato and loach is said to be effective, but it has no pharmacblogic ground. 11) For the treatment of frostbite, such herb remedies are commonly used as dipping the affected part into frozen soybean sack, using boiled water of eggplant stem, garlic caulis, onion, hot pepper, caulis. Onion is based upon antiphlogistic and tranquility actions garlic upon disintection, metabolic exacerbation, tonic and aphrodisiac actions and the use of eggplant and hot pepper is based upon help blood circulation, dissolution and excretion of waste matters in vein. 12) For the treatment of burn, such herb remedies or drugs are commonly used as cleansing with Korean gin, spreading eggs, cleansing with cold water and soap water ; and as brine, cactus, moss, soybean paste, oil, etc. The cleansing with Korean gin, cold water, soap water, brine, vinegar is based upon cleaning and sterilizing functions ; and the use of cucumber is based upon nu. trition provision, and strengthening of resisting power by adjustment of metabolism. The use of potato, cactus, moss, oil and eggs is said to be effective, but their phamacological functions are not clarified. In view of the above results, we can realize that the drugs that have been employed in herb remedies are quite diverse. However, in regard to majority of herb remedies that have been employed by symptoms, the pharmacological functions of their drugs have not been clarified, and they are merely known as effective. Furthermore, they have not been recorded in the literature as yet ; and we confirm that there have been many herb remedies that were executed without the proper knowlege of their effects. It is now our view that the results of this survey may be utilized for consulting data in regard to the use of herb remedies.

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