• Title/Summary/Keyword: Korean Medicine doctors

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데이터베이스를 이용한 태음인 처방과 금원 시기 처방 비교 (Comparative Study of Tae-eum-in Prescriptions and JinYuan Era Prescriptions using Database)

  • 김성원;이병욱;김기욱
    • 대한한의학원전학회지
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    • 제33권1호
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    • pp.51-60
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    • 2020
  • Objectives : To compare the herbal ingredients of the prescriptions in 「Newly Selected Twenty-four Key Formulas applied to Tae-eumin(新定太陰人病應用要藥二十四方)」 chapter of the Shinchuk edition of the 『Donuisusebowon』 and those from the texts of the Four Great Doctors of the Jin Yuan period. Methods : The herbal ingredients of the 『Donuisusebowon』 and those from 『Huangdisuwen Xuanminglunfang(黃帝素問宣明論方)』, 『Lanshimicang(蘭室秘藏)』, 『Suwenbingji Qiyibaomingji(素問病機氣宜保命集)』, 『Shanghan Biaoben Xinfaleicui(傷寒標本心法類萃)』, 『Piweilun(脾胃論)』, 『Neiwai Shangbianhuolun(內外傷辨惑論)』, 『Shanghanzhige(傷寒直格)』, 『Shanghanxinyao(傷寒心要)』, 『Sanxiaolun(三消論)』 were entered into the database. Next, formulas which included the herbal combination pattern of Tae-eumin formula were determined. Results : Among the 27 Tae-eumin formulas including edited versions, those that showed similar pattern among those in the JinYuan texts were the following 12: Gegenjiejitang(葛根解肌湯), Reduohanshaotang(熱多寒少湯), Gegenchengqitang(葛根承氣湯), Gegentaichengqitang(葛根大承氣湯), Gegenshaochengqitang(葛根小承氣湯), Mahuangpobiaotang(麻黃發表湯), Bufeiyuantang(補肺元湯), Zaojiaodahuangtang(皂角大黃湯), Guadisan(瓜蒂散), Shexiangsan(麝香散), Shichangpuyuanzhisan(石菖蒲遠志散), Maimundongyuanzhisan(麥門冬遠志散). Conclusions : Based on the finding that 44.4% of the Shinchuk edition's Tae-eumin formula patterns could be found in the texts of the Four Masters, Dongmu's assertion that about half of the Tae-eumin formulas has been clarified by the doctors of the Song, Yuan, Ming eras could be understood as true.

한.양방 통합의료의 갈등과 방향에 대한 연구 - 한.양방 의료 및 관련 종사자 대상 심층면접을 중심으로 - (Research on the Conflicts and Future Direction of Integrative Medicine in Korea)

  • 임은진;김소윤;손명세;최평락;오병상
    • 동의생리병리학회지
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    • 제28권2호
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    • pp.243-250
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    • 2014
  • This study examined the knowledge and understanding of integrative medicine in Korea, specifically conflicts between western and oriental medicine within Parallel (Dual) health care systems. Qualitative methodology using grounded theory guided semi-structured, in-depth interviews with Western Medical Doctors (W.M.D., n = 6), Oriental Medical Doctors (O.M.D., n = 5) and Traditional Chinese Medicine Practitioners (T.C.M.P., n = 4). Thematic analysis was used to determine broad themes from the interviews. 15 professionals (W.M.D. (40%), O.M.D. (33%), T.C.M.P. (27%), 10 males (67%) and 5 females (33%), mean age 45) were interviewed, recorded, and transcribed. Thematic analysis revealed three key themes: systematic conflicts, integration and future directions. Subthemes of systematic conflicts included: credibility of Oriental Medicine, commercial imperatives, maintaining social standing of O.M.D., professional qualifications and lack structures supporting collaborative practice. Integration subthemes included lack of academic linkage and clarity for appropriate triage, opposing medical paradigms and limited social imperative. Future directions should include: social justification, guarantee of oriental medicine legitimacy, role of government and understanding of scientific evidence. To successfully integrate dual medical systems there is a need to address differences in social-environmental factors and perceptions of scientific understanding, as well as developing strong academic links in clinical practice.

『승정원일기』를 통해 살펴본 영조의 송절차 복용에 관한 연구 (An article published in the 『Seungjeongwon Ilgi』 is analyzed to examine the taking of a dose of Songjeol-tea by King Yeongjo, the 21st king of the Joseon Dynasty)

  • 박해모;정지훈
    • 한국의사학회지
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    • 제34권2호
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    • pp.117-126
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    • 2021
  • Songjeol-tea is a prescription that mixes alcohol with some ingredients and Songjeol[松節], and appears only in the King-Yeongjo era throughout 『Seungjeongwon Ilgi』. King Yeongjo recognized that the Songjeol-tea was an excellent prescription for the treatment of leg diseases, and took it in various ways thanks to the title of "tea" by his officials and doctors. There were many internal conflicts as King Yeongjo taking a prescription in the form of alcohol in a situation where an official who violated it was punished after issuing prohibition of drinking alcohol, and recognized the Songjeol-tea as alcohol. The officials and doctors of King Yeongjo's reign rationalized the King's actions by creating a justification for taking the Songjeol-tea to treat the disease because the king's body was related to the safety of the state.

전을(錢乙) 사백산(瀉白散)의 방의(方義)에 대한 소고(小考) - 오국통(吳鞠通)의 비판을 중심으로 - (A Study on the Meaning of Xiebaisan Made by Qianyi - Focused on Wujutong's Critiques -)

  • 백유상
    • 대한한의학원전학회지
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    • 제32권1호
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    • pp.191-204
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    • 2019
  • Objectives : Focusing on Wujutong's critiques for Xiebaisan misuse, this study investigates how Xiebaisan and its constituent drugs have historically been used by medical doctors and analyzes the disputes in the controversial context with a summary. Methods : The contents of Xiebaisan prescription were collected and examined from the past literature and medical database, and the issues related to the debate were examined by analyzing the contents. Results : In the results of exploring the opinions of medical doctors, in general, Xiebaisan and Sangbaipi, a major medicinal drug, were seen to play a role in the work of reinforcing and reducing. In particular, Ye Tianshi was used with cold and pungent medicine to Xiebaisan as a method of releasing heat with pungent medicine for acute fever in spring, and at the same time, care was taken to avoid depletion of secretion in the stomach. Conclusions : Wujutong's critique is that in early symptoms of viral infection, the misuse of Xiebaisan seems to emphasize the adverse effects of the illness. It is hoped that further research on Xiebaisan incremental medication will be conducted in the future to help clinical applications of Xiebaisan system medication.

중의사의 맥진기 인식에 대한 통계 분석 연구 (The statistical analysis for cognizance on the Chinese oriental medical doctor of the pulse meter-analyzer)

  • 김경철;김종환;신우진;이해웅;박주연;홍상민;두승희;강희정;조영일
    • 대한한의진단학회지
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    • 제13권2호
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    • pp.88-116
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    • 2009
  • Background : EBM (the evidence based medicine) is the direction of the development for oriental medicine. The pulse meter-analyzer is the important part to standardize the pulse diagnosis. When we set up the direction of the study on the pulse meter-analyzer, the awereness about the pulse meter and analyzer of the clinical oriental medical doctors as consumers is very important. Objectives : In order to prepare for the mutual study and the export strategy on the pulse meter-analyzer of Korea and China, the attitude of the study and the grasp of the awereness about the pulse meter-analyzer of the Chinese medical doctors are very important. Methods : We developed the several items as the important factor of the development of the pulse meter and analyzer. They were translated by chinese medical doctor. The investigation for demend was conducted during 3 months in Guangzhou City, Guangdong Province, China. The results of the investigation was done the statistical method of frequency analysis, Chi-squared test, correspondence analysis. Results : The most important differentiation of symptom is the symptom of JANG-BU(臟腑). The method of the utility in the pulse diagnosis is Chon-Gu (寸口) pulse diagnosis and the research on Chon-Kwan-Cheok(寸關尺) is the most important measurement factor. And the typical the old pulse is the little-fine weak pulse. The pulse meter-analyzer is most suitable to the diagnosis of the hypertension and the arteriosclerosis. Conclusion : The development of the pulse analyzer including the requests of Korean and Chinese medical doctors is very important. Specially the researches on the influence factors of the traditional diagnosis and the environment of the measurement are important for developing the pulse analyze.

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『의림촬요(醫林撮要)』의 의안(醫案)에 대한 연구 (A Study on the Yi'an (醫案) of Uirimchalyo (醫林撮要))

  • 구민석;김민선;김홍균;차웅석;김남일
    • 한국의사학회지
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    • 제31권1호
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    • pp.89-103
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    • 2018
  • Uirimchalyo (醫林撮要), one of the most important books in the history of Korean Medicine (KM), has not been researched within the framework provided by Yi'an (醫案), an East Asian tradition of describing clinical encounters with the therapies employed. In modern times, this practice of Yi'an might be similar to the outline of a singular "case study". The authors designed the study to analyze the basic information of Yi'an within the Uirimchalyo and to contribute to the foundations of employing Yi'an in Korean Medicine. A standard was established, and the 123 Yi'ans were extracted, most of which were taken from the chapter, Historic Doctors (歷代醫學姓氏). Using this information and in comparison with other medical books such as Euibangyoochui (醫方類聚), the authors learned that the Yi'ans from the Jinyuansidajia (金元四大家), including those of four eminent clinicians in Jin (金) and Yuan (元) Dynasty, are excluded from Uirimchalyo. The authors identified that Yi'ans from other medical books, are cited in the Uirimchalyo but with different format, not with the traditionally understood form of Yi'an. This study of the Uirimchalyo Yi'an resulted in three important understandings of Yi'an. First, the mere number of Uirimchalyo Yi'an is meaningful in that it raised the genre of Yi'an to the a level not previously recognized. Second, in the history of Korean Medicine, Yi'an is first systematized in the Uirimchalyo at the chapter of Historic Doctors. Third, Uirimchalyo raised the concept of usefulness of Yi'an, to the practice of Korean Medicine.

한방 영유아 건강검진 도입 필요성 연구 (Research for Health Examinations for Infants and Children by Korean Medicine)

  • 유승주;천진홍;김기봉
    • 대한한방소아과학회지
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    • 제30권2호
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    • pp.10-22
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    • 2016
  • Objectives This study is to analyze current guidelines for health check-ups in infants and children, and to develop better guidelines based on oriental medicine. Methods We analyzed The Manual of 2015's Health Examination for Infants and Children which is a Korean Developmental Screening Test for Infants and Children (K-DST). The statistics from the test was collected from 2010 to 2014 to figure out the problems of Health Examinations for Infants and Children. 20 articles from 2000 to 2014 from RISS, NDSL were also analyzed. Results The current guidelines for health examinations in infants and children didn't include major pediatric diseases such as allergy and asthma. Also, the pediatrics health education materials were mainly focused on hypernutrition but not so much on nutrition deficiency. The number of the centers for Health Examinations for Infants and Children was 52.2% of the number of NIP-Participating medical institutions for infants and children. Conclusions Oriental medicine can be useful to prevent major pediatric diseases and to promote general health in pediatrics. By legislating 'Geon-a-beop', which is a law for infants and children, we can increase the number of medical centers for infants and children to get health check-ups. Currently, there are 9,769 Korean medical institutions, and the rate of traditional medical doctors of public health doctors was 25.5%. Weak Children Questionnaire is developed, considered to be more useful when it is developed with 5-point scale rather than 2.

명대(明代)의 운기학(運氣學)에 관한 연구(硏究) (A Study on Five Circuits and Six Qi Learning of Ming Dynasty)

  • 윤창열
    • 대한한의학원전학회지
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    • 제31권2호
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    • pp.49-69
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    • 2018
  • Objectives: Following the Jin Yuan Dynasty, the Ming and Song Dynasties witnessed a great development of Yunqi xue. A study into this development has a vast significance in studying the history of the development of traditional Chinese medicine. Methods: The contents relating to Yunqi within the Comprehensive Medical Books, published during the Ming period, and medical texts separately published specifically dealing with Yunqi were used in order to review the unique characters of the study of Yunqi during this period. Results: There were many cases in the comprehensive medical books during the Ming period that dealt with Yunqi. Some of the examples are: Yunqilu in Yixueliuyao, YunQiZongLun in Yixuerumen, and Yunqilu in Yixueliuyao. A number of books that followed suit from the previous generation's study were published, the examples of which are Wangji's Yunqiyilan, and ZhangJiebin's LeiJingtuyi. WangJi, in his book, opposed the mechanic utilization of YunQi theory, and advocated the flexible application of the theory at the doctor's discretion. Liwei, in his YunQiZongLun, wrote a great deal of knowledge which he gained based on the previous-generation medical masters' achievements. Conclusions: Yunqi became widely accepted during the Ming period which led to some doctors advocating the flexible application of the YunQi theory, and some doctors even completely denouncing Yunqi.

'비구(鼻鼽)'에 대한 의사학적 연구 (A Historical Study on the Treatments of 鼻鼽(bí qiú))

  • 오병건;맹웅재;김훈
    • 한국의사학회지
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    • 제24권1호
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    • pp.97-110
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    • 2011
  • Rhinitis, inflammation of the nasal cavity caused by the disease in our country that a recent trend is the rapidly increasing number of patients. It causes multiple complications and interfere with daily life and social life in case of being viewed as a mild cold. The rhinitis treatment for symptomatic therapy in modern medicine is staying because the situation is exposing the limitations. so traditional medicine is trying to find a solution but that is not easy. In modern medicine, rhinitis is defined as a set of histological lesions and clinical symptoms, but traditional medicine has developed in dealing with each symptoms in disease. The treatment that doesn't distinguish any treatment in growing numbers of patients does not seem to validate, because doctors treat without considering the difference of recognition. Looking at the symptoms for each, I found that each symptoms and causes are varied according to doctors and era. In spite of considering all of that in treatment, it was ignored or underestimated in modern medicine. Furthermore, in traditional medicine, they just conjugated certain period theory and only had limited treatment by a lack of integrated awareness about definition and mechanism. In addition, in case of mentioning about the causes of prescription in each medical books, there were not enough explain about pathological states. Therefore, these causes should be made to further the research about the validity, pathogenesis and treatment. We can see that theory could be established and modified by the accumulation of clinical experience, observations through classification by each of the causes, prescription and treatment. In traditional medicine simply does not pay attention only to nasal inflammation, such as the impact of Meridian and organs considered to have focused on the fundamental treatment. This increased immune resistance to the modern rhinitis patients may offer new therapeutic approaches. I hope this paper would be helpful to find the treatment with uncovered theory in modern medicine.

한의사의 전침사용 임상실태 조사보고 (A Survey on the Use of Electroacupuncture by Traditional Korean Medicine Doctor)

  • 문진석;이상훈;김정은;김보영;최선미
    • Journal of Acupuncture Research
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    • 제28권6호
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    • pp.53-68
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    • 2011
  • Objectives : This study was conducted to investigate status of electroacupuncture(EA) stimulation and adverse effects as a basic information of EA clinical treatment. Methods : The survey was carried twice by e-mail and online service against the traditional Korean medicine doctors registered in the Association of Korea Oriental Medicine. Results : Seventy-eight percent of 284 responders used the EA. The EA was the most widely used for the stimulation of the meridian-muscle on musculo-skeletal pain. In terms of methodological procedure, doctors mainly apply acupuncture with the needle of 2 or 3 pairs of 0.25mm diameter to the depth of 10-50mm for 15 minutes. Respondents used mainly at the frequency of 10Hz and the automatic setting at the intensity of around 3-4 grade. The adverse effects were investigated less then 3% in the 45.9% respondents and non in the 40.5%. The most priority content for better EA treatment was "development of the effective stimulation program". Conclusion : In the result of survey, the frequency of practical use of EA was very high but the applied disease was concentrated in the pain. Hereafter, if the clinical study for safety and effectiveness is secured and more convenient EA tool is developed, the clinical application of the EA is likely to be more expanded.