• Title/Summary/Keyword: Medical argument

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A study on all the theories about KangHaiChengZhiLun (항해승제론(亢害承制論)에 대한 제가설(諸家說) 연구(硏究))

  • Yun, Chang-yeol
    • Journal of Korean Medical classics
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    • v.29 no.2
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    • pp.135-150
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    • 2016
  • Objectives : KangHaiChengZhiLun (亢害承制論; If Excess Brings Harm, Lifing Qi (承氣) Restrains) was originally a theory that explained how the realms of nature remain in harmony and equilibrium. It later became an important theory for clinical trials of Traditional Chinese Medicine, explaining the physiological and pathological mechanism. Methods : The researcher considered all the annotations and the original text of SuWen(素問), LiuWeiZhiDaLun(六微旨大論) and theories of medical practitioners who applied KangHaiChengZhiLun(亢害承制論) to their clinical trials. Results & Conclusions : Wangbing (王氷) went with a theory that phenomena of Lifting Qi (承氣) take place in the realms of nature when Qi (氣) flourishes. In XinJiaoZheng(新校正), he wrote about two theories: one was that Six Kinds of Natural Factors (六氣) first work as the main Qi (本氣) but later bring about Lifting Qi. (終見下承之氣說); the other was that excessive Stagnation Qi (鬱氣) can be exploded and invite another accompanying Qi, Lifting Qi. (甚者兼其下承之氣說) Liuwansu (劉完素) had a theory that if Six Kinds of Natural Factors go disproportionately excessive, it becomes accompanied by imaginary Qi (假象) that conquers self. (反兼勝己之化說) $Wangl{\ddot{u}}$(王履) maintained that Lifting Qi usually works as a means to prevent Six Kinds of Natural Factors (六氣) from becoming rampant; but when Six Kinds of Natural Factors become overly excessive, Lifting Qi restrains them in order to maintain equilibrium. (防之與克勝說) Yutuan explained that since Excessive Qi (亢氣) does damage to the mother of Lifting Qi, Lifting Qi restrains Excessive Qi to protect Original Qi (元氣), its mother. (護救承者之元氣說) Gongtingxian was in favor of two theories: one argued that causes and symptoms of a disease differ from each other. (體用不同說); the other said that diseases are naturally cured if the patient finds out the time when Lifting Qi gains strength. (得承之時自愈說) Mashi (馬蒔) had a theory that Lifting Qi is generated when Six Kinds of Natural Factors are prosperous and reveals itself when its season comes. (極則生承氣 至本位著說) Zhangjiebin (張介賓) asserted that when Six Kinds of Natural Factors are thriving, Lifting Qi, as a restraining force, is generated to disperse the thriving natural factors and leads to a new one. (前之退而後之進說) Zhangqi (張琦)'s argument was that if Lifting Qi restrains the main Qi, a son of the main Qi is generated and every four season goes in harmony. (承氣制則生化說) Hemengyao (何夢瑤) had an argument that a son of the restrained Qi succeeds to its father and later achieves equilibrium by restraining Excessive Qi. (被克承父 制之平衡說).

A Study in the Crimes of the Medical Practice without License - Case of Oriental Medicine's use of Ultrasounds - (무면허의료행위에 대한 형사법적 쟁점 - 한의사의 초음파기기 사용을 중심으로 -)

  • Jang, Jun Hyuk
    • The Korean Society of Law and Medicine
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    • v.15 no.1
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    • pp.35-57
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    • 2014
  • Recently, there has been fierce argument between oriental and western doctors in the medical field. The use of medical devices has particularly come to the fore lately. Appropriate medical devices are required to diagnose and treat patients' conditions or illnesses accurately. At issue recently in medical device sector are diagnostic instruments using radiation, magnetic resonance imaging, ultrasound, IPL(Intense Pulse Light), and instruments used for tonometry. Relating to this issue, Association of Korean Oriental Medicine and The Association of Korean Medicine are sharply opposed. It is predicted that more accusations of this kind will be seen in the future. As oriental medicine contends, ultrasonic imaging itself seems to cause no harm to humans and its use may have an advantage for national health. The use of western diagnostic equipment can expand the diagnostic range of oriental doctors. However, unless new legislation is made, it is against the law for oriental doctors to use this equipment. Both law and medical science require grounds and predictability on the correctness of a decision and all of its consequences. Additionally, oriental medicine's use of ultrasounds and other medical devices should be established by standards and grounds which make same the diagnosis with repetition. Therefore, the scope of oriental medicine can be expanded following a revision of the Oriental Medicine Promotion Act and it is estimated that the state of national health will be greatly improved by the mutual respect of both sides of the health profession.

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A Study on the Su hyeol lon (兪穴論) of the Nan gyeong (難經) (난경(難經).유혈론(兪穴論)에 대(對)한 연구(硏究))

  • Kim, Young-Un
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.15 no.1
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    • pp.11-55
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    • 2009
  • The nan gyeong(難經) is another name of hwang je pal sib-il nan gyeong(黃帝八十一難經) which is book of traditional oriental medicine that contains many medical theories. This thesis studies 'su-hyeol'(兪穴) that is recorded in the books. 1. '62th nan' contains that um-gyeong(陰經) has five su-hyeols and yang-gyeong(陽經) has six su-hyeols. 2. '63th nan' contains why Jeong-hyeol(井穴) starts at first among the five su-hyeols. 3. '64th nan' appears su-hyeol's character and explains it's reason. 4. '65th nan' discusses that some divisions of su-hyeol's character correspond with the climate. 5. '66th nan' explains the importance of 'Won-hyeol(原穴). 6. '67th nan' appears the eum-yang's character of 'Mo-hyeol'(募穴), eum-yang's character of 'Bae-suhyeol'(背兪穴), it's situation and it's pathological significance. 7. '68th nan' explains the stream of 'su-hyeol' in twelve meridians and it's symptoms of a disease. The Nan gyeong(難經) has the difficulty in it's contents and many scholars take charge of that differently. In that reason, each argument is subjectly. This thesis unites scholar's arguments of 'Su-hyeol'(兪穴) as many as possibly and investigates their differences objectively.

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An Analysis of the Correlation between He-Ne Laser Therapy in Literature and Clinical Application (He-Ne 레이저에 대한 문헌과 이를 근거로 한 임상 활용 예의 비교 고찰)

  • Youn, In-Hwan;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.192-201
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    • 2006
  • Objectives : Recently, He-Ne laser has been used for clinical purpose. We study the medical basis of He-Ne laser therapy and We make a proposal concerning the clinical application of using He-Ne laser in Medicine. Methods : We have selected data related to He-Ne laser therapy and study how to use He-Ne laser in clinic. Results : In biology, He-Ne laser therapy has been effects of an improve in skin regeneration an improve in peripheral and central nerve regeneration an improve in muscle regeneration, an anti-inflammation an alleviation of pain and a bone repair. In oriental medicine, He-Ne laser has been used to laser acupuncture and laser oriental physical treatment. In clinic, He-Ne laser have been used to care several parts like as facial palsy, facial spasm, trigeminal neuropathy, rhinitis and tinnitus. Recently, there is argument that He-Ne laser therapy is suitable to medical insurance. Conclusions : Laser therapy in oriental medicine is widespread and We can apply He-Ne laser to facial palsy, facial spasm, trigeminal neuropathy, rhinitis, tinnitus by using laser acupuncture or laser oriental physical treatment. Till now the whole mechanisms are not fully understood, so we hope to study these mechanisms actively and make suitable to medical insurance device in the near future.

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Review on Argument about Three planks of the Triangular position(三網鼎立) (삼강정립(三網鼎立) 논쟁(論爭)에 대한 소고)

  • Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.19 no.2 s.33
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    • pp.108-114
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    • 2006
  • Three planks of the Triangular position theory was first introduced by Sanghallon(傷寒論) authored by Jang Gi. It is the regulation for the matter of diagnosis of three different clinical symptoms in the causes of exogenous disease. It brought two questions to the scientists. First question is what are the Wind stroke(中風), Affection by cold(傷寒) and the complex form of Wind stroke(中風) and Affection by cold(傷寒) mentioned in Sanghallon. It is related to the theoretical analysis of the causes for the outbreaks of exogenous disease. Second question is what are the characteristics of symptoms to use Gyejitang, Mahwangtang, Daecheongnyongtang according to Sanghallon? It is the matter of clinical skills for dispensing a prescription. Through the theoretically and empirically deepening processes for last two millenniums, those two questions brought us two more problems further. That is, how and by what processes the Six vital substances for humal life outbreaks disease as a energy transformation? And, how the individual peculiarities of human body as a disease container should be treated? In conclusion, it is also a matter of the existence of dialectic medical science.

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The Thoughts of Hyun-Gok, Yun Gil-Young in his studies in the Context of the History of Oriental Medicines (의학사적(醫學史的) 맥락에서 바라본 현곡(玄谷) 윤길영(尹吉榮)의 학술사상 -논문과 저술을 중심으로-)

  • Kim, Nam Il;Gang, YeonSeok
    • The Journal of Korean Medical History
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    • v.21 no.2
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    • pp.149-158
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    • 2008
  • Yun Gil-Young, who is also known by his pen name, Hyun-Gok, was an Oriental Medicines practitioner since 1943 and was a leader of the society of Oriental medicines in Korea through his advocation as a professor of the University of Eastern Medicines and the College of Oriental Medicines, Kyunghee University. His writings can be first found in the magazine called Eastern Medicines in 1955. His writings, titled 'The Theory of the Biology of Oriental Medicines and its Treatment', elaborates the details of the study of the biology of Oriental Medicines and its directions. His argument of the directions in which to study Biology of Oriental Medicines further are: do not study Biology of Oriental Medicines without understanding its methodology but with knowledge on the biology of western medicines; do not put up with the abstract theory of Yin and Yang and the Five Phases leaving the purpose and the object of the study, just because they are the basic theory of the Biology of Oriental Medicines; do neither matching oriental medicines and western medicines one by one forcibly nor shun the knowledge of western medicines of the modern scientific methodes and try to keep to old customs.

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A Study on the Deduction of the Concept of Mingmen(命門) as the Monarch of the Body (『의관(醫貫)』에서 명문진군(命門眞君) 개념의 도출(導出)에 대한 고찰)

  • Eun, Seok-min
    • Journal of Korean Medical classics
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    • v.34 no.4
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    • pp.79-93
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    • 2021
  • Objectives : This study analyzes the theoretical and clinical reasoning process of Zhao Xian-Ke that argued that the Mingmen is the true monarch of the body. Methods :The analysis focuses on how the arguments of Li Dong-yuan and Zhu Danxi was succeeded and supplemented by Zhao Xian-Ke into a new theoretical system in the Yiguan(醫貫). Results & Conclusions : Zhao's argument that the Mingmen is the true monarch of the body is a result of emphasis on the meaning of innate Qi that is separate from the Water and Fire of the Heart and Kidney, which is derived from the innate Qi concept of Li Dong-yuan's Spleen-Stomach Theory. Zhu Danxi's Ministerial Fire Theory was also accepted through the innate Qi concept of Ministerial Fire and True Yin, which contributed to the establishment of a systematical theory on Mingmen, Miniterial Fire, and True Yin as constituents of innate Qi. In conclusion, the Neijing's explanation that the Heart radiates Shenming as the monarch organ has been modified into innate Qi from the Mingmen reaching the Heart to radiate Shenming.

Are the Tattoos of the 5200-Year-Old Tyrolean Mummy the Oldest Remains of Acupoints? (5200년 전 티롤의 미라의 문신은 가장 오래된 경혈의 유물인가?)

  • Song, Seok Mo
    • Journal of Korean Medical classics
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    • v.35 no.2
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    • pp.1-15
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    • 2022
  • Objectives : This article examines the validity of the argument by Dorfer et al. that the tattoos of the 5200-year-old mummy, found in Tyrolean Alps in 1991, are the oldest remains of acupoints or meridians. Methods : Firstly, I reviewed the arguments by Dorfer et al. and the rebuttal by Ma et al. Secondly, I investigated whether the tattoo locations were in accordance with the acupoint locations and meridians documented in Chinese medical classics. Finally, I examined the alternative explanations on the reasoning of their locations by Kean et al. Results : Among the 18 groups of tattoos in total, only 3 groups coincided with classical acupoints, which accounts for 16.7% of total groups. Although 4 groups may also have been acupoints locations, this hypothesis could not be confirmed through an accurate standard of measurement. Conclusions : It is highly possible that the tattoos of the Tyrolean mummy do not have any relationship with classical acupoints and meridians. The tattoos are not decorative, but meant for medicinal purposes. They correspond to chronic musculoskeletal trauma and pain sites.

A Study on the Recognition of Dryness pathogen and Dryness disease - Focusing on the main argument in history - (조사(燥邪)와 조병(燥病)의 인식에 대한 고찰 - 역대 주요 논쟁을 중심으로 -)

  • Yun, Ki-ryoung;Jeong, Chang-hyun;Baik, You-sang;Jang, Woo-chang
    • Journal of Korean Medical classics
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    • v.30 no.1
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    • pp.111-133
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    • 2017
  • Objectives : Dryness pathogen, which is one of six pathogenic factors, causes dryness diseases. Currently, the theory on dryness disease is composed of external dryness and internal dryness. External dryness, in turn, is composed of cool dryness and warm dryness. However, these categorizations and their symptoms bear ambiguity for many reasons. Therefore, this paper aims to review various texts in order to study the special features of dryness pathogen and dryness disease. Methods : Texts that deal with dryness pathogen and dryness disease were studied. Most texts are comprised of dissertations and historical medical texts, therefore, CNKI and The Sikuquanshu's databases, and Traditional Chinese Medical(TCM) book webdatabases were utilized. Materials are listed in chronological order, and their main points regarding dryness pathogen and dryness disease are compared. Results & Conclusions : It is difficult to accept the assertion that dryness pathogen does not lead to external dryness. Dryness does not have the elements of chill and fever in itself. Dryness's elements of chill and fever are determined in the ways they combine with each individual element. Moreover, the symptoms of chill and fever on dryness disease are subject to the host's body type. External dryness and internal dryness cannot be discussed within an identical premise. Whereas the dryness in external dryness signifies the cause of a disease, the dryness in internal dryness is the consequence of a disease. In other words, internal dryness revolves around cause of disease and external dryness revolves around the mechanic of disease. It's difficult to determine whether these diseases are caused by dryness or wetness in Autumn. There is an understanding which integrates these together through the Yunqi theory, but it is imperfect.

Bleomycin, Etoposide and Cisplatinum (BEP) Chemotherapy for Metastatic Germ Cell Tumours: Treatment Outcomes at UKM Medical Centre, Malaysia

  • Azrif, Muhammad;Leong, Yu Kong;Aslan, Nik Muhammad;Fong, Kua Voon;Ismail, Fuad
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2467-2471
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    • 2012
  • Introduction: Although bleomycin/etoposide/cisplatinum (BEP) chemotherapy is established as the standard treatment for germ cell tumours, it requires significant experience in administration and toxicity management to maintain optimal dose intensity. A retrospective review of 30 patients was conducted at UKMMC to study treatment outcomes. Methods & Materials: Patients with GCTs and treated with at least two cycles of BEP chemotherapy between January 2003 and Oct 2009 were eligible for this study. Patients received 4-6 cycles of bleomycin 30,000IU IV D1, D8 & D15 and either etoposide $100mg/m^2$ IV D1-D5 and cisplatin $20mg/m^2$ IV D1-D5 (5 day BEP regimen) or etoposide $165mg/m^2$ D1-D3 and cisplatin $50mg/m^2$ D1-3 (3 day BEP regimen) every three weeks per cycle. All patients received prophylactic granulocyte colony-stimulating factor (GCSF) from days 6 to 10 of each cycle. The overall response rates, 2 year progression-free survival and overall survival of the whole cohort were assessed. Results: Thirty patients fulfilled the inclusion criteria. Non-seminomatous GCTs comprised 93.3% of cases and gonadal and mediastinal primary sites were the most common. Sixty percent were classified as IGCCCG poor risk disease. Median follow-up was 26.6 months. The overall response rate (CR+PR) was 70%. The two year PFS and OS were 70% and 66%. There was a significant difference in terms of the overall response rate (85% vs 40%, p = 0.03) and in PFS (94.7% vs 50%, p = 0.003) between gonadal and extragonadal primary sites. Conclusion: It is possible to achieve outcomes similar to those in international clinical trials with close monitoring and good supportive care of patients undergoing BEP chemotherapy. There is a strong argument for patients with IGCCCG poor prognosis disease to be treated in specialist tertiary centres to optimize treatment outcomes.