• 농촌의학ㆍ지역보건
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• 제25권2호
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• pp.245-263
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• 2000

본 연구는 자기기입식 설문조사를 통해 농약살포를 대부분 담당하는 남성 농민들에 대하여, 농부증을 포함한 만성증상과 농약살포시의 이상증상경험, 이상증상 경험시 살포한 농약, 농약살포시의 안전수칙 준수, 보호구의 착용실태, 가족 중 농약으로 인한 사고경험을 조사하고, 농약노출과 연관된 변수들간의 연관성, 급성중독경험 및 만성증상과 관련된 요인을 고찰하였다. 만성증상으로는 '몸이 나른하고 힘이 없다', '허리가 아프다'. '밤중에 소변을 보기 위해 깬다' 등의 증상이 많았으며, 농약살포 시의 임상증상 경험율은 '피부발진/가려움증', '어지러움/두통'의 경우가 가장 높은 것으로 조사되었다. 또한, 조사 대상자의 7.1%가 가족중 농약으로 인한 사고경험이 있는 것으로 조사되었으며, 이중 농약살포시 중독, 안전사고 및 자살사례를 확인할 수 있었다. 농약살포 시의 준수사항 중, '뿌린 후 목욕을 한다'와 '뿌린 후 바로 옷을 갈아입는다' 등의 경우가 준수율이 높았으나, '보호구를 잘 세탁해서 보관한다', '뿌린 후 용변을 볼 경우 손을 씻는다', '한낮에는 뿌리지 않는다' 등의 경우는 낮은 준수율을 보였다. 농약살포시 보호구는 '물에 타서 살포할 경우', '입제를 살포할 경우'에 비해 보호구를 더 잘 착용하였으며, 착용율은 모자, 장화, 마스크, 장갑, 방제복 하의의 순이었다. 농약살포시 이상증상경험과 관련된 요인은 농약살포시 준수사항 준수, 살포시간, 과수재배, 경작면적, 연간 농약살포일 등이었으며, 농민의 만성증상과 관련된 관련된 요인은 농약살포시 이상증상 경험, 경작면적, 농사경력, 농약살포시 준수사항 준수, 전업여부, 농약에 대한 노출 등이었다. 본 연구결과를 통해 농약살포시 준수사항의 준수율과 보호구 착용율을 높이며 농약으로 인한 안전사고를 방지하기 위한 체제적인 교육 및 홍보가 필요함을 알 수 있다. 또한, 농약에 대한 노출이 농민의 만성증상의 한 원인이라는 결론을 내리기는 어려우나, 원인적 연관성일 가능성을 배재할 수는 없을 것으로 생각되며, 따라서, 농약노출을 정확히 산출하고, 좀더 명확한 건강영향의 생물학적 지표(biological marker)를 측정하여 이들의 연관성을 고찰하는 연구가 이루어져야 할 것으로 생각된다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제12권2호
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• pp.256-262
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• 2001

연구 목적：측뇌실의 확장은 성인기의 정신분열병에서 잘 확립된 소견이지만, 조기에 발병한 정신증적 장애에서는 아직 논란이 있다. 본 연구에서는 자기공명영상을 이용한 후향적인 방법을 통하여 지금까지 비교적 연구가 많이 시행되지 않았던 조기발병한 정신분열병·양극성 장애 환아들을 대상으로 측뇌실의 구조적인 이상을 연구하여, 이러한 뇌의 구조적 이상이 병의 초기부터 시작되어 정상과는 다른 경과로 진행되는 것인가를 알아보고자 하였다 방 법：정신분열병과 양극성 장애의 DSM-III-R 진단 기준에 부합하는 14명의 환아(평균 연령 14.0세, 표준편차 2.1)와 26명의 두통 대조군에서 뇌자기공명 영상상을 후향적으로 모집하였다. 분석을 위하여 측뇌실이 가장 잘 보이는 축 영상(axial image)를 선택하였다. 뇌자기공명영상상은 평판형 스캐너로 읽어들여서 NIH IMAGE 프로그램을 통하여 분석하였다. 결 과：환자군에서는 측뇌실 크기, 측뇌실확장지수가 연령의 증가에 따라 함께 증가하는 상관관계를 나타내었으나, 대조군에서는 연령과 측뇌실 크기, 측뇌실확장지수 등이 유의한 상관관계를 보이지 않았다. 환자군에서는 정상군에서 보이는 좌우 측뇌실 비대칭성이 소실된 결과를 보였다. 그리고 통계적으로 유의한 정도는 아니었으나 환자군이 대조군에 비해 측뇌실과 측뇌실확장지수가 큰 경향을 보였다. 결 론：정신증적 환자에서의 뇌의 구조적 이상은 병의 비교적 초기 경과에서부터 시작되며, 정상과는 다소 다른 경과를 취하며 진행한다는 것을 시사하는 결과라 할 수 있다.

• 혜화의학회지
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• 제11권1호
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• pp.137-149
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• 2002

Dong-Eui-Bo-Gham Oriental medicine clinic on the purpose of losing their weight, from March 1, 2001 to March 1, 2002. The characteristics studied were gender, average weight, average height, distribution of body fat rate, base body metabolism rate, distribution of bmi, purpose of losing weight, treatment history, cause of gaining weight, clinical symptoms, distribution of Sahsang constitution, and change of body constituent. The conclusions drawn from this study were: 1. Among patients who came to the clinic for weight loss, there were 16 females (80%), and 4 males (20%). The ratio of gener was 1 to 4 (male to female) The distribution of their ages were 1 in one's teens (5%), 6 in their 20s (30%), 7 in their 30s (35%), and 6 in their 40s (30%). 2. The average weight of the patients was 72.155kg, and their average height was 163.2 cm. 3. The body fat rates of patients were distributed as: 2 were below 25 (10%), 3 were 25 to 30 (15%), 8 were 30 to 35 (40%), 5 were 35 to 40 (25%), and 2 were 40 to 45 (10%). 4. The base body metabolism rates of the patients were distributed as: 1 was below 1000Kcal (5%), 6 were 1100 to 1200Kcal (30%), 5 were 1200 to 1300Kcal (25%), 6 were 1300 to 1400Kcal (30%), and 2 were 1400 to 1500Kcal (10%). 5. The distribution of the patients bmi was: 4 were below 20 (20%), 5 were 20 to 25 (5%), 11 were 25 to 30 (55%), and 4 were 30 to 35 (20%). 6. The patients visited the clinic to lose their weight for the follwoing purposes: 5 were related to health concerns (25%), and 15 were to imprve their physical apprearnce (75%). Among patients who wanted to lose their weight becase of health concerns, 4 were married (20%) and 1 was single (5%). Among patiens who wanted to lose their weight to improve their physical appearance, 6 were married (30%) and 9 were single (45%). 7. As for the past treatment methods, physical exercises were most frequently used (19 patiens, 43%). 14 tried diet (32%), 8 used food substitues (19%), 1 was treated through Western medicine, and 1 was not related to any of these (2%). 8. Main reasons for weight gains were: 12 were related to overeating (40%), 10 were stress (33%), and 8 were lack of physical exercise (27%). 9. Physical symptoms included: 15 were fatigue (29%), 14 were constipation (26%), 13 were body swelling (25%), 3 were headache (5%), menstruation pain (4%), one was stomach upset (2%), 2 were related to physical structure, and 2 were related to other (4%). 10. As for the distribution of Sahsang constitution, 10 were Taeum (50%), 9 were Sohyang (45%), and 1 was Sohum (5%). 11. The average muscle weight was 44.87kg, average abdomen fat rate was 0.8999, and average base body metabolism rate was1369.2Kcal. 12. For the 5-week period, The body fat rate changes were 35.93 1.56% to 30.40 1.98% for A group, and 34.27 1.19% to 31.73 1.38% for B group. The abomen fat rate changes were 0.90 0.02% to 0.86 0.03 for A group, and 0.89 0.02% to 0.83 0.02% for B group. The body fat weight changes were 26.92 2.04kg to 20.74 1.98kg for A group, and 27.86 3.37kg to 24.58 3.02kg for B group. The body weight chages were 72.36 3.18kg to 64.54 2.55kg for A group, and 72.48 3.14kg to 67.74 3.11kg for B group. The muscle rate changes were 43.86 1.63kg to 43.10 1.76kg for A group, and 42.72 1.22kg to 41.60 1.86kg for B group. Overall, A group was superior to B group. 13. After being treated for obesity, 13 patients used exercise treatment (65%), 5 continued to receive obesity treatment (25%), and 2 used diet (10%). Based on these results, we could conclude that the importande of setting a criterion of obesity and weight control have changed according to changes in social and cultural values, and that treatment of obesity through Oriental medicine and research should keep up with changes in esthetic and psychological values.

• 대한한방부인과학회지
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• 제28권2호
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• pp.193-203
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• 2015

목 적: 상열감과 발한과다는 갱년기 증후군의 대표적 증상이다. 본 연구에서는 약침을 이용한 수화조절법을 사용하여 갱년기 증후군 환자의 상열감과 발한과다 증상 감소에 유의한 효과를 얻어 이를 보고하고자 한다. 방 법: 황련해독탕 약침을 양측 견정(GB21), 풍지(GB20) 혈에 각각 0.1 cc씩 총 0.4 cc를 주입하고, BUM(웅담, 우황, 사향)약침은 전중(CV17), 중완(CV12), 기해(CV16)혈에 각각 0.05cc씩 총 0.15cc를 주입한다. 시술은 매일 시행하였으며, 증상에 관하여 상열감점수(Hot flush score), 발한에 대한 Visual Analogue Scale(VAS) 및 발한 부위를 기록하여 증상변화 정도를 평가하였다. 결 과: 1번 증례는 약침 수화조절법 시행 후 상열감점수는 24에서 4로, 발한에 관한 VAS는 7에서 2로 감소하였다. 상열감 및 발한과다 증상의 감소와 더불어 손발이 화끈거리는 증상도 함께 감소되었다.2번 증례는 약침 수화조절법 시행 후 상열감점수가 28에서 2로, 발한에 관한 VAS는 10에서 3으로 감소하였다. 상열감 및 발한과다 증상의 감소와 더불어 불안, 우울, 분노 증의 정서적 증상도 70%정도 감소하였다.3번 증례는 약침 수화조절법 시행 후 상열감점수가 8에서 1로, 발한에 관한 VAS는 6에서 1로 감소하였다. 상열감 및 발한과다 증상의 감소와 더불어 두통, 가슴 답답함 등의 증상도 함께 소실되었다.모든 증례에서 발한 부위의 변화는 없었다. 결 론: 본 증례에서 약침을 이용한 수화조절법은 갱년기 상열감과 발한과다 증상을 감소시키는 효과가 있었으며 부가적으로 호소하던 증상도 감소하거나 소실되는 효과가 있었다. 그러므로 약침을 이용한 수화조절법은 상열감과 발한과다를 호소하는 갱년기 증후군 환자에게 효과적인 치료법이라 사료된다.

• Journal of Hospice and Palliative Care
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• 제14권1호
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• pp.8-19
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• 2011

목적: 아로마테라피가 통증에 미치는 효과에 관한 국내 실험논문을 분석하여 연구동향을 파악하고 향후 통증감소를 위한 아로마테라피 중재 개발의 기초자료를 제공하고자 한다. 방법: 2009년 12월 말까지 국내에서 출판된 논문 중 '아로마, 아로마테라피, 향요법, 향기요법, 향기치료, 아로마요법과 통증, pain, 두통, 견갑통, 견통, 회음부 불편감, 통각, 분만진통, 상지통증, 생리통, 월경통, 동통, 분만동통, 월경곤란증' 등의 키워드를 사용하여 한국교육 학술정보원, 국회도서관, KISS, KoreaMed, 국가과학기술 정보센터(NDSL) 등의 사이트에서 검색된 논문 중 사람을 대상으로 한 실험연구 44편을 최종 분석 대상으로 하였다. 수집된 자료는 분석기준에 따라 정리하여, 빈도 및 백분율로 자료를 분석하였다. 결과: 본 연구에서 분석된 논문에서는 3~4종류의 오일을 블랜딩한 경우가 가장 많았고 라벤더, 로만카모마일, 로즈마리, 클라리세이지 등의 오일을 가장 많이 사용하였다. 적용방법으로는 마사지 22편(50.0%), 흡입, 마사지와 흡입을 병행한 연구가 각 6편(13.6%)이었다. 사용된 측정도구는 VAS, 설문지, GRS, 관찰 등과 같은 주관적인 측정도구가 85.7%를 차지하였다. 효과 분석 결과, 두통과 관절통 경감에는 아로마테라피가 효과적인 것으로 나타났으나, 월경통, 분만통, 회음부 불편감 및 월경통의 경우 효과가 "있음"과 "없음"이 비슷한 빈도로 분석되었다. 결론: 아로마테라피는 통증 감소에 효과적이었으나 통증 종류와 적용방법에 따라 차이가 있었다. 추후 연구에서는 아로마테라피의 통증완화 효과에 대한 근거를 확립하기 위해 이중맹검 순수실험연구를 시행할 필요가 있고, 생리적 측정변수를 종속변수로 사용하여 통증감소 중재방법에 대한 과학적 근거를 마련할 필요가 있겠다. 아울러 통증 종류에 따라 오일 블랜딩, 적용방법, 적용시간 및 측정도구를 표준화하여 적용함으로써 아로마테라피의 정확한 효과 분석이 이루어져야 할 것이다.

• 한국방사선학회논문지
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• 제12권1호
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• pp.9-16
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• 2018

음주 후 숙취는 사람에 따라 증상과 정도가 상이 하지만 일반적으로 갈증, 피로감, 두통, 전신권태, 위장장애, 구토, 설사, 비타민 결핍 등이 나타난다. 이러한 숙취현상은 간세포와 체내에 축적된 알코올 및 알코올에 함유되어 있는 발효 부산물인 에틸아세테이트, 아세트알데히드 등의 전구물질들의 작용에 의해 발생한다. 이에 숙취현상을 해소하기 위한 연구로 연어 추출물 중 정액 또는 정소 추출물인 핵산-당-인산으로 이루어진 고분자이며 다당체인 Polydeoxyribonucleotide(PDRN)과 동일한 Origin, 동일 구조를 가지며 PDRN에 비해 가격이 저렴한 수용성 연어 추출물 분말을 사용하였다. 그리고 D-Glucuronic acid와 N-Acetyl glucosamine으로 구성된 고분자 다당체로 뛰어난 생체 적합성, 점탄성 및 보습력을 보유하고 있어서 숙취현상 중 나타나는 생체수분 감소량 및 피부수분 함유량저하에 대한 부분에 효과가 있어 항산화 및 피부보습효과를 제공하는 히알루론산(Hyaluronic acid)을 감마선으로 조사하여 사용하였다. 연어추출물 분말과 히알루론산 등을 이용하여 조성물을 제조한 후 체내 에탄올, 아세트알데히드 감소량, 혈중 아세트알데히드 농도와 초산 농도를 측정하여 알코올 분해효과를 평가하였고, 피부 수분 증발량과 피부 수분량을 조사하여 피부개선을 평가하고 항산화 및 피부보습효과를 제공하는지 여부를 판단하였다. 이에 에탄올은 연어추출물을 첨가하였을 때가 무첨가에 비해 5배에서 7배의 감소량을 보였고 아세트알데히드 3배에서 5배 이상의 감소량을 보였다. 또한 혈중 아세트알데히드 농도와 초산 농도의 변화에서는 무첨가 대조군에 비해 급격한 저하 변화를 보여 알코올 분해효과가 있음을 확인하여 숙취해소 효과가 있음을 확인할 수 있었다. 그리고 히알루론산 원료를 첨가하여 사용하였을 때 피부 수분함유량이 높았으며, 피부 수분 증발량이 감소됨이 확인되었다. 이에 고분자 다당체인 히알루론산은 뛰어난 점탄성 및 보습력을 보유하고 있어서 숙취현상 중 나타나는 생체수분 감소량 및 피부수분 함유량저하에 효과가 있어 항산화 및 피부보습효과를 제공하는 것으로 사료되어 연어추출물 분말과 히알루론산을 주원료로 하는 조성물이 음주 후 나타나는 숙취현상에 효과가 있다고 할 수 있다.

• Radiation Oncology Journal
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• 제15권3호
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• pp.215-224
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• 1997

목적 : 선형가속기를 이용한 방사선수술로 두개강내 뇌동정맥기형을 효과적으로 폐색시킬 수 있다. 저자들은 두개강내 동정맥기형으로 선형가속기를 이용한 방사선수술을 시행 받은 환자들을 대상으로 방사선수술 후 임상적, 방사선학적 장기 추적검사를 시행하였다. 방법 : 1991년 1월부터 1994년 6월까지 본원에서 두개강내 동정맥기형으로 선형가속기를 이용한 방사선수술을 시행받은 15명의 환자들을 대상으로 하였다. 6MV 선형가속기를 이용하여 isocenter에 1800-2500cGy(중앙값 : 2000cGy)를 1회에 조사하였으며, 병소 변위부의 선량은 isocenter 선량의 80-90%가 되도록 계획하였다. 14명의 환자에서 임상적, 방사선학적 추적관찰이 시행되었다. 결과 : 뇌혈관 조영술은 방사선수술 후 12개월부터 24개월 사이에 13명의 환자에서 시행되었다. 그 중 완전폐색률은 92.3%(12명)이었다. 병소의 크기와 완전폐색률간의 연관 관계는 보이지 않았다. 방사선수술 전에 보였던 간질, 두통, 신경학적 증상들은 방사선수술 후 완전 소실되었다. 1명의 환자에서 치료 후 2개월에 뇌출혈이 발생되었으며, 다른 1명에서는 치료 후 16개월에 병소 주위에 방사선에 의한 뇌부종이 발생되었으나, 치료 후 27개월에 시행한 추적 뇌 자기공명촬영상에서 완전 회복되었다. 최대 6년까지 추적 관찰 기간 중에 방사선으로 인한 중대한 합병증은 보이지 않았다. 결론 : 증상이 있으면서 수술이 불가능한 두개강내 동정맥기형의 치료에 있어서 선형가속기를 이용한 방사선수술은 안전하고 효과적이며, 조작이 어렵고 비용이 많이 드는 다른 방사선수술보다 더 적절한 치료 방법으로 생각된다.

• 한국학교ㆍ지역보건교육학회지
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• 제1권2호
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• pp.49-71
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• 2000

The purpose of this study was to serve as a basis for school health care of better quality, by making a comparative analysis of the health care satisfaction and attitude of elementary school students in consideration of their general characteristics and the presence or absence of nurse teacher. The subjects in this study were 919 selected six graders in 16 elementary schools in the city of Tongduchun, Koyang and Euijungbu, Yangju-kun and Yeunchun-kun. A survey was conducted with questionnaire designed for measurement of health care satisfaction and attitude. As a result of analyzing the data collected from June 1 through 15, 2000, the conclusions were as follows. 1) As for the general characteristics of the students investigated, the subjects included 513 boys(55.8%) and 406 girls(44.2%). The schools where 390(42.4%) students attended were located in municipal area, and the schools where 529(57.6%) students attended were located in kun area. 608(66.2%) students had a nurse teacher at their schools, while 311(33.8%) students had no nurse teacher. 498(54.2%) had an experience to use the health room this year, but 421(45.8%) had no such an experience. Their mean school life satisfaction was scored $3.42{\pm}.71$, above the average. And their health condition was rated $3.81{\pm}.87$, which implied they tended to be in good health. 2) The mean satisfaction at the health room operation was scored $3.33{\pm}.71$, above the medium level. What they were most satisfied with($4.02{\pm}1.08$) was, among the health room facilities, that there were beds. But they expressed the least satisfaction($2.83{\pm}1.17$) at the location of health room. The presence or absence of nurse teacher made a significant difference to their satisfactionat health room operation, because the students in schools with nurse teacher showed greater satisfaction($3.42{\pm}.72$) than the others in schools with no nurse teacher did($3.15{\pm}.66$). 3) Concerning their attitude to use the health room in case of disease or accident occurrence, a lot of students in schools with a nurse teacher, who had ever suffered from indigestion, headache or traumatic injury, used the health room. In schools with no nurse teacher, there was a tendency to talk to their class teachers(p<.001). The recognition of the necessity for health counseling was generally on a medium level. The counselor whom they wanted to discuss health problem with was family or friend in the largest cases. Few students discussed with class teachers in case there was a nurse teacher in school. Instead, some of them discussed with friend, family or nurse teacher, and there was a significant difference between them(p<.001). 4) The mean satisfaction at health, sanitation and environmental management was rated $3.20{\pm}.90$, above the average. The classroom lighting gave them the best satisfaction with $3.67{\pm}1.07$, but the satisfaction at toilet cleanness and disinfection was not good with $2.83{\pm}1.19$. By the presence or absence of nurse teacher, those who had a nurse teacher expressed better satisfaction at water supply facilities including hot water than the others who had no nurse teacher did(p<.001). But no significant difference was observed in the other items. 5) The health education satisfaction was rated $3.19{\pm}.99$, which was on a medium level. By item, the mean satisfaction level was $3.36{\pm}1.19$ at nurse teacher's explanation about treatment, $3.13{\pm}1.15$ at the frequency of health education, and $3.08{\pm}1.16$ at the explanation on the cause of disease. By the presence or absence of nurse teacher, the students with nurse teacher showed significantly better satisfaction at every factor0(p<.001). 6) Regarding health education attitude, their recognition of the need for school health education was scored $3.89{\pm}.96$. Those who had a nurse teacher felt it more necessary($3.96{\pm}.92$), yet the others who had no nurse teacher felt its necessity a little less($3.74{\pm}1.01$). The most preferred thing for them to learn in health education was first aid, followed by sex education, obesity prevention, safety accident prevention in school and outdoors, smoking-related health, good use of leisure time, and environmental pollution cause in the order named. According to the presence or absence of nurse teacher, there was a significant difference in sex education(p<.01), but no significant disparities were found in the other factors. The most preferred person who would offer health education was a lecturer from the outside(45.8%) and nurse teacher(45.4%). Their preference for class teacher as a person in charge of health education was just 8.8%. But the presence or absence of nurse teacher didn't produce any differences to their preference for a person in charge of health education.

• 대한한의학회지
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• 제28권2호통권70호
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• pp.66-79
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• 2007

Objectives : To explore the type and frequency of short term reactions, de Qi associated with acupuncture treatment and to determine the incidence of adverse events following acupuncture in Korea. Subjects and methods : This study is a retrospective and cross-sectional survey of patient reports. 1095 subjects, 585 of out-patients of the Oriental Medicine of Stroke & Neurological Disorders Center, East-West NEO Medical Center of Kyunghee University and 510 of out-patients of the Department of Cardiovascular & Neurologic Diseases (Stoke Center), Hospital of Oriental Medicine, Kyunghee Medical Center, from June through November of 2006, who had acupuncture, gave informed consent and completed one survey form. On this form, patients were asked to report short term acupuncture reactions, de Qi, patient satisfaction measurement (using VAS), and adverse events relating to acupuncture treatment. The acupuncturists of this study are Korean Medicine Doctors (KMD) who had worked as practitioners for 3-30 years or more. Results : The average age of the 1095 subjects was 58 years old. Positive short term acupuncture reactions after treatment were reported by 878 (80.2%), negative short term acupuncture reactions by 75 (6.8%) and no reactions were reported by 142 (13.0%). The most common positive short term acupuncture reactions were feeling 'relaxed', 472 (43.1%), followed by feeling 'less pain' 90 (8.2%), 'energized' 16 ( 1.5%), 'tingling' 16 (1.5%), 'heat feeling or Cold feeling' 10 (0.9%), and others 274 (25.0%), respectively. Negative short term acupuncture reactions were feeling 'pain' 37 (3.4%), tiredness 24 (2.2%), dizziness 9 (0.8%), and others 5 (0.2%), respectively. Traditionally described needling sensations of de Qi refer to a patient's response to distention, pulling, soreness, heaviness, numbness. 39.7% of subjects reported de Qi during needling, experiencing 'distention' 333 (30.4%), 'soreness' 52 (4.7%), 'pulling' 22 (2.0%), 'heaviness' 18 (1.6%), and 'numbness' 10 (0.9%) respectively. Positive short term acupuncture reactions and de Qi rate were the highest in the less than 40 years group (83/96 86.5%, 50/96 52.1%). No acupuncture reactions were highly seen in the over 70 years old group (31/187, 16.6%). Patient satisfaction level using VAS was a comparatively high $72.9{\pm}19.9$. Adverse events were only bleeding in 92 (8.4%) of the total subjects. High sensitive acupoints were 95 points as GV26 (54 times), LI4 (54 times), ST36 (53 times), GB20 (37 times), HT8(34 times), LV3 (29 times), SI3 (29 times), and LI11 (27 times) in order. Main impressions were stroke patients 430 (16.9%), headache 185 (16.9%), hypertension 97 (8.9%), and dizziness 85 (7.8%). Conclusions : Although 8 different Korean Medicine Doctors participated in this research, we obtained similar results from each. There were no significantly different results between the two hospitals. Short term acupuncture reactions and de Qi were most related to age. Except for bleeding there were no adverse events relating to acupuncture treatment in this study. We consider acupuncture treatment as very safe depending on practitioners. Positive short term acupuncture reactions after treatment were 12 times higher than negative short term acupuncture reactions. Subjects were comparatively satisfied with acupuncture treatment.

• 한국한의학연구원논문집
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• 제2권1호
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• pp.71-83
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• 1996

Hyang-Yack-Ku-Keup-Bang(鄕藥救急方) is our own, medical work written about the middle of the time of Korea Dynasty. I restored and researched this book because it needed to be illuminated about its medico-historic value and then I came to some conclusions as follows. 1. Hyang-Yack-Ku-Keup-Bang was published in Dae-jang-do-kam(大藏都監) of Kanghaw island(江華島) about the middle of Korea Dynasty. Choi Ja-ha(崔自河) republished it on original publication ground in Euiheung(義興) of Kyungsang-Province(慶尙道) in July, Taejong's(太宗) 17th year of Chosen Dynasty (A.D.1417) and this book was published again in Chungcheng Province(忠淸道) in Sejong's(世宗) 9th year(A.D.1427). The book published in Taejong's days was in the possession of books department of Kung-nae-cheng(宮內廳) in Japan and was the oldest medical book of existing ones. 2. Bang-Jung-Hyang-Yack-Mock-Cho-Bu(方中鄕藥目草部) of this book was originally intended to be adjusted in each division with the title of Bang-Jung-Hyang-Yack-Mock(方中鄕藥目). But Herb part(草部) only followed editing progress of Jeung-Lew-Bon-Cho(證類本草), the rest is not divided into each part and is together arranged at the below of Herb part with the title of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. The Korean inscriptions on some drugstuffs in this book are different between Native Name(鄕名) of three volumes of provisions and general-spoken(俗云) of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. In this, it is estimated that the publishing time and editor of tile volume of provisions and Bang-Jung-Hyang-Yack-Mock-Cho-Bu are different. I think Choi Ja-ha compiled this behind three volumes of provisions when he published. 3. This book picked some prescriptions which consisted of obtainable drugs with ease in Korea in the books of Chell-Keum-Yo-Bang(千金要方), Oi-Dae-Bi-Yo(外臺秘要), Tae-Peong-Sung-Hye-Bang(太平聖惠方), Ju-Hu-Bang(?後方), Kyung-Hum-Yang- Bang(經驗良方) Bo-Je-Bon-Sa-Bang(普濟本事方) Bi-Ye-Baik-Yo-Bang(備預百要方) and so on and got together our own prescriptions. On the whole Bi-Ye-Baik-Yo-Bang was a chief referrence book, On this, other books referred to and corrected. 4. In provisions quoted from Hyang-Yack-Jip-Sung-Bang(鄕藥集成方), there are seven provisions; leg-paralysis part, coughing part, headache part, obstetrics part, etc. don't show in this book. This is why Choi Ja-ha published only certain texts on Dae-jang-do-kam edition his own posession. So we can think the existing edition has a little misses compared with original edition. 5. This book recorded only names of drugstuffs in animal drug department like fowls, crab, goldbug, earthworm, etc. and didn't tell us ways of taking those. This is effect of Buddhist culture on medicine. This is efforts to practice 'Don't murder';one of Five Prohibition of Buddhism. 6. Beacause this book was published at the time, when our originative medicine would be set forth. This followed the Chinese ways in Theory, Treatment, Prescription and used 'Hyang Yack' in Medication out of theory of Korean medicine, which was a transitional form. So this is all important material which tell us aspects of development of 'Hyang Yack' the middle of Korea Dynasty.and this is also the beginning of originative, medical works like Dong-Eui-Bo-Kam(東醫寶鑑), Dong-Eui-Su-Bo-Won(東醫壽世保元). 7. There are few contents based on 'Byen-Jeung-Lon-Chi(辨證論治)'in this book. So we can see this book is not for doctors who study medical thoughts but for general public who suffer from diseases resulted from war. Because this book was written for a first-aid treatmeant, this is an index of medical service for the people those days. And this is also an useful datum for first-aid medicine or military medicine in these modern days. 8. Nowadays, parts of learned world of Korean medicine disregard essential theories and want to explain Korean medicine only by the theories or the methods of Western medicine. Moreover they don't adopt Chinese and Japanese theorys & thoughts about Oriental medicine in our own style and just view in there level. What was worse, there is a growing tendency for them to indulge in a trimming policy of scholarship and to take others' ideas. I think these trends to ignore our own medical thoughts involving growth of 'Hyang Yack' in the middle of Korea Dynasty, Dong-Eui-Bo-Kam and Dong-Eui-Su-Se-Bo-Won. So we, as researchers of Korean medicine, must get out of this tendency, and take over brilliant tradition and try to develop originative Korean medicine.