• The Journal of Internal Korean Medicine
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• v.39 no.4
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• pp.495-510
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• 2018

Objective: This study was designed to investigate the possibility of quantification of the diagnosis of abdominal coldness (AC) in patients with functional dyspepsia (FD). Methods: Forty-four patients with FD were enrolled in this study. Three Korean medicine doctors each randomly examined all abdomens. Diagnosis of AC was made by consensus of at least two of the doctors. Body temperature (oral by digital oral thermometer) and skin temperature (by digital infrared thermal imaging [DITI]) were measured, followed by administration of the Cold and Heat questionnaire (CHQ) and the Instrument of Pattern Identification for Functional Dyspepsia (IPIFD). Results: Of the 44 patients with FD, 22 were assigned to the AC group and 22 to the non-AC group. The concordance rate of diagnosis among the three doctors was 63.6% (28/44), with a ${\kappa}$ of 0.504, indicating means moderate agreement). Neither the oral nor the skin temperatures showed statistically significant differences between the AC and non-AC groups. However, the CHQ scores and 'Simultaneous Occurrence of Cold and Heat Syndromes pattern' scores of the IPIFD were higher in AC group and showed statistically significant differences (p=0.010 and 0.009). Conclusions: This is the first study conducting quantitative measurements of abdominal coldness in patients with FD. Although oral and skin temperature showed no statistical significance between AC and non-AC groups, the concordance rate of diagnosis of AC among the three Korean Medicine doctors was moderate. The CHQ scores and 'Simultaneous Occurrence of Cold and Heat Syndromes pattern' scores of the IPIFD also suggest that diagnosis of AC is relevant to cold and heat patterns, and these questionnaires could be utilized as supportive data for the diagnosis of AC. Further studies should be conducted for the purpose of quantifying and standardizing abdominal examinations in Korean Medicine.

• Journal of Acupuncture Research
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• v.22 no.6
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• pp.189-199
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• 2005

Objectives : This interview survey was carried out to identify how Korean medical doctors make acupuncture prescriptions for knee osteoarthritis in clinics. Methods : Survey questions were developed based on a consensus of acupuncture professors at Kyung Hee University, Dongguk University, Daegu Haany University. The interviews were conducted to 72 members of the Korea Oriental Medical Association who answered to prefer remote acupuncture prescription at previous telephone survey. Results : Korean medical doctors prefer to use five shu acupuncture points, especially 'hyung' or , 'shu' points, on the contralateral side of lesion and that the first target organ is liver. Five element points theory was mainly based on 'Nanjing' and 'Hwangdi Neijing'. The De-qi sensation of both doctor and patients was emphasized. Diagnosis and evaluation generally depend on subjective evaluation rather than objective scale. Conclusion : This study showed that Koran medical doctors prefer to follow the Korean traditional acupuncture methods respecting the old classic principles. And these results can guide us to develop advanced clinical trial protocols more close to our acupuncture practice.

• Journal of Society of Preventive Korean Medicine
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• v.21 no.3
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• pp.1-10
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• 2017

Objectives : The purpose of this study is to investigate the practice patterns of traditional Korean medicine (TKM) doctors and the acceptance of payment model in order to develop a new TKM health insurance payment model linked with TKM clinical practice guidelines (CPGs). Methods : Lumbar herniated intervertebral disc (HIVD) and idiopathic facial palsy (IFP) were selected as a test diseases to develop a new TKM payment model. The level of benefit coverage in the National Health Insurance (NHI) was designed. The survey asked 228 TKM doctors about their practice patterns in HIVD and IFP patients and acceptance of new payment model. Results : Mean of medical cost for treatment of HIVD was 441,000 KW, mean of treatment period ranged from 4.9 to 17.5 weeks, and mean of number of treatment ranged from 14.6 to 50.4 HIVD patients. In the case of IFP, mean of medical cost for treatment of IFP was 468,000 KW, mean of treatment period was at least 4.2 and up to 15.9 weeks and mean of number of treatment ranged from 14.2 to 52 IFP patients. Conclusions : Current study suggests that mixed payment model of per-visit and episode-based model seem to be proper. The model 1 bundles both items which were covered and not covered by NHI in a rational way. The model 2 is based on the development and application of critical pathway. Lastly, model 3 suggests bundling of items covered by current NHI. Acceptance of TKM doctors is expected to be highest in the model 3.

• Korean Journal of Oriental Medicine
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• v.15 no.1
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• pp.1-11
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• 2009

The eminent brother doctors Cho-Gaek Hur (Young Hur) and Cho-Sam Hur (Eon Hur) represent the medical tradition of the southeastern region of Mt. Jirisan incluiding Sancheong. This study investigated and examined their herediatary testimonies and medico-historical facts described in the literature tale, genealogy and family collection of works. At an early age after their family run away to the southern region from the harm of political struggle, they gave up taking the highest-level state examination to recruit ranking officials and set their heart on learning medicine. Their choice of medicine was the second best plan for the survival of their family and descendents from the influence of their ancestors who suffered from the party strife during the late Joseon Dynasty. The case is a good example of the deliberate action of the nobility intellectuals since the late Goryeo and early Joseon dynasties to who made attempts to have the minimum elegance and cause while securing livelihood after they have been collapsed politically. The tale of Cho-Gaek and Cho-Sam is a typical story of eminent doctors which combined reality and fiction about the persons who had outstanding medical skills. In the tale, the elder brother was good at herbal prescriptions and the younger brother was good at acupuncture, contrasting the treatment of administrative internal medicine and insertive acupuncture treatment. It shows that the prepositions for the choice of the treatment method for the public during that period were safety and fast efficacy. In their old age, they wrote a book titled Jinyangsinbang. Another Jinwoosinbang is estimated as a different kind of copy, which was a medical writing from experience that derived from the same original book as Jinyangsinbang. written by Cho-Gaek Hur and it is a valuable medical material that possesses the distinct features of the local medicine during the late Joseon Dynasty. Most of the contents are variations in application using the basis of Dongeuibogam, forming the roots of the traditional Korean medicine in Sancheong region together with the medical activities of the Hur brothers.

• Proceedings of the KOSOMBE Conference
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• v.1997 no.05
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• pp.104-107
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• 1997

A medical teleconferencing and medical image transmision system has been developed for diagnosis of the medical images between the medical doctors who are far away. The medical teleconferencing system transmits the voice and image of the doctors using the video and audio capture boards. The medical image transmission system software uses the medical image standard DICOM 3.0 for the future expansibility and the open system interconectivity. The medical images usually use CR images.

• Korean Medical Education Review
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• v.22 no.3
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• pp.153-162
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• 2020

The aim of modern medicine is to prolong life by fighting death. Doctors have traditionally believed that this was an ethical good deed. The negative connotation surrounding death has led to the avoidance of terminally ill patients. But in a modern society where death is medicalized, doctors have to see dying patients every day and are in a state of guilt from implementing meaningless life-sustaining treatments. Therefore, medical schools should allow medical students to embrace a new perspective through death education. Yonsei University Medical College has implemented death education since 2017 as an optional class for first and second year medical students. Students watch videos related to death once a week for 6 weeks and submit their reflections by e-mail. The professor reads the students' reflections and gives them weekly feedback. Through this coursework, students realize that death is not a medical event, but rather a part of life and completion. The ultimate purpose of death education is to transform blind life-absolutist identity into narrative identity.

• The Journal of Korean Medical History
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• v.28 no.2
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• pp.121-138
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• 2015

This paper primarily discusses the materiality of the body in Chinese "external medicine". Chinese external medicine views the body as something consisting of sinew and flesh. Furthermore, there are times when Chinese surgical techniques must be applied to the body in order to manage rotting flesh and other abnormal manifestations. The materiality of the Chinese body of external medicine encompasses the way in which Chinese doctors manufactured surgical implements, the sick person's bodily experience of pus and pain associated with external diseases, and the details of the process by which doctors evaluated whether or not to carry out surgical interventions. This essay will use the Qing manuscript "A Treatise on Seeking the Roots of Ulcer Medicine" as a central case study for discussing these issues, while also showing the connections between it and other external medicine texts of the Ming and Qing era. Its author, Zhu Feiyuan, was a doctor who lived during the 18th to 19th century in Qingpu (today's Shanghai). My essay will thus discuss Chinese external medicine from a historical perspective. The way in external medicine treated illness differed from the prescriptions and pulse signs that "internal medicine" employed, and its view of the body likewise differed from that of internal medicine. I hope that this essay can provide new viewpoints on the history of the body in Chinese medicine.

• The Journal of Korean Medical History
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• v.27 no.1
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• pp.15-31
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• 2014

This study performed to examine the genuineness of Kyung-Jong's poison hypothesis which was the one of the biggest topic in the history of Joseon Dynasty. Kyung-Jong's poison hypothesis is that Kyung-Jong who was the 20th king of the Joseon Dysansty was poisoned by the next king Young-Jo who became the 21st king. This theory was hyphosized by Sim-Yoohyun and was widely known in the 4th year of Young-jo through the revolt. Kyung-Jong suffered with severe diarrhea for 5 days which finally took his life away right after he had have marinated raw crab and persimmon. Some insist the poison must had been in those foods. However, the symptoms that Kyung-jong had were not matched with the poisons which used in those days and also poison was not the reasonable way of murder, so it is hard to say there is little possibility of poison. On the other hand, considering of Kyung-jong's health, marinated raw crab and persimmon could result of severe diarrhea. In the mean time, the possibility of Young-Jo's intention of killing Kyung-Jong is very low. Rather, he blame the royal doctors who scout the outside doctors, because he believed that it led Kyung-jong's death since the treatment was chaotic with all those different doctors. Even after the Kyung-Jong's death, Young-jo was always strict to scout the outside doctors and missed Kyung-jong consistently. On this basis, it is hard to say that king Kyung-Jong was murdered by poisoning.

• The Korean Journal of Pain
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• v.26 no.2
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• pp.207-207
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• 2013

• Journal of Society of Preventive Korean Medicine
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• v.8 no.2
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• pp.129-139
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• 2004

This paper analysed the RBRVS for a doctor's consultation by measuring the time consumed in outpatient consultation, and compared the time among medical doctors, dentist, and oriental medical doctors. The time used in consultation could be a proxy for measuring RBRVS for medical services because it is the only common factor we observe in three different clinical settings. The results show that the optimal RBRVS for consultation is 183.22 for medical doctor, 99.12 for dentist, and 236.17 for oriental medical doctor. This implies the current fee schedule for consultation should be revised as 10,740 Won for a visit to medical doctor, 5,808 Won for dentist, and 13,832 Won for oriental medical doctor.