• 제목/요약/키워드: Modern Medicine

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DSM-V 분류에 따른 수면-각성장애의 한의학적 변증 연구 (The Study on Korean Medical Pattern Differentiation of Sleep-Wake Disorders by DSM-V Classification)

  • 나일두;박미선;김영목
    • 동의생리병리학회지
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    • 제31권2호
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    • pp.83-93
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    • 2017
  • This study covers pattern differentiation based on Korean medical references, research trend and modern clinical applications about Sleep-Wake disorders of Diagnostic and Statistical Manual of Mental Disorders(DSM-V) published by American Psychiatric Association. Insomnia disorder is mostly caused by yin deficiency of liver-kidney or liver qi depression and main patterns are heart-kidney non-interaction, deficiency-excess complex pattern containing phlegm-heat due to qi stagnation and blood stasis. Hypersomnolence disorder is more due to yang deficiency rather than yin deficiency and it's major pattern is spleen-kidney yang deficiency. Cataplexy is main feature in narcolepsy and corresponds to depressive psychosis or fainting in terms of Korean Medicine and narcolepsy is assumed to be relevant to liver wind. Breathing-related sleep disorders are related with phlegm-fluid retention brought on spleen deficiency with dampness encumbrance. Pattern of circadian rhythm sleep-wake disorders is combined with yin deficiency of liver-kidney or liver qi depression of insomnia disorder and spleen-kidney yang deficiency or dampness-phlegm of hypersomnolence disorder. Yin deficiency with effulgent fire brought on drugs or alcohol is one of main patterns of substance/medication-induced sleep disorder and combined patterns with yin deficiency of liver-kidney and blood stasis or dampness-phlegm-heat are mostly applied clinically. This study drew major and frequently applied patterns of sleep-wake disorders based on Koran medical literature and modern clinical applications. And that can be the groundwork for the task ahead like clinical practice guideline of sleep-wake disorders containing pattern differentiation, diagnosis and prescriptions.

실학적(實學的) 의미(意味)에서 본 구암(龜岩) 허 준(許 浚)의 업적(業績) (Gu Am Huh Jun's Achievement in an Aspect of Practical Science)

  • 강병수
    • 동국한의학연구소논문집
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    • 제1권
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    • pp.1-13
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    • 1992
  • Practical science means open and objective attitude as a new scholarly tone which gets out of Confucianism tradition and its closeness. It is concerned about practical aspect and its thought prevailed from the mid-16th century to the mid-19th century in feudal system. It is, also, the attitude seeking truth based on the facts, which is removed from the falsehood in politics, economics and social life. It is regarded as a social revolution which governs tile country economically and is utilized to stabilize and enrich a human living life. The new academic tradition appeared in the process of development of modernization proclaimed it to be utilized in modern-oriented independency. Modern historians have greatly studied the knowledge of early philosophy, while Korean oriental medicine has developed, basing on the cultivation of the mind, virtue, and benevolence through Han Bak-Keun(who showed much interest in realistic, economic and social system) and Jung Yak-Youg(who compiled all available data into one book). From Ko-Ryo dynasty to the mid-Yi dynasty Korean oriental medicine scholars struggled to develop oriental medicine in an attitude searching truth based on the facts. Among them Huh Jun's achievements and the content of his writings suggest any things with a view of practical science. These are neglected by most scholars so far, but I have surveyed as follows : 1) the revolution in oriental medical science system 2) the standardization of pharmacy appliance 3) the popularization of medicine supplies 4) cooperation of industry and academy in medical science field From the above I concluded as follows : practical science in Korean medical science began from Ko-Ryo dynasty and compiled in Ku Am Huh Jun in the period of King Sun-Jo of Li dynasty. With this repect, the pioneer in practical science in Korea is Ku Am Huh Jun. To search tile pioneer in practical science rightly we should study the history of Korean medical science.

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수태양소장경근(手太陽小腸經筋)에 대한 근육학적(筋肉學的) 고찰(考察) (The study of muscular system about small intestine channel of hand taiyang muscle)

  • 김지남;김영일;홍권의;임윤경;이현
    • 혜화의학회지
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    • 제14권1호
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    • pp.67-81
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    • 2005
  • We have conclusions after the study of muscular system about small intestine channel of hand taiyang muscle. Judging from many studies of interrelation between Meridian muscle and muscle, it is considered that Meridian muscle theory has some similarities with modern anatomical muscular system. It is considered that Small intestine channel of hand taiyang muscle contains Flexor digitorum profundus muscle, Extensor digiti minimi muscle, Abductor digiti minimi muscle, Extensor carpi ulnaris muscle, Flexor carpi ulnaris muscle, Triceps brachii muscle, Infraspinatus muscle, Levator scapulae muscle, Sternocleidomastoid muscle, Masseter muscle, Temporalis muscle. The symptoms of small intestine channel of hand taiyang muscle is similar to referred pain of modern Myofascial Pain Syndrome, and the medical treatment of "I Tong Wi Su(以痛爲輸)" is also similar to that of Myofascial Pain Syndrome. Small intestine channel of hand taiyang muscle is one of the three yang channels of hand muscle, and it has unity in extension of upper limb and trunk in the movement. And it is thought that weakness of small intestine channel of hand taiyang muscle is related with muscular system causing Round Shoulder and Head Forward Position.

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여성(女性) 불임(不姙)의 원인(原因)에 관(關)한 문헌적(文獻的) 고찰(考察) (Literatural Study on the Causes of Infertility in Women)

  • 김은섭;유동열
    • 혜화의학회지
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    • 제9권1호
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    • pp.267-285
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    • 2000
  • According to the literatural study on the causes of Infertility in women, the results were as follows. 1. The causes of Infertility in women were arranged scholarly thoery during to Jin-Yuan era (金 元 時代) from Huang-Di-Nei-Jing(黃帝內經), and literatures after Ming-Qing era(明 淸 時代) divided and added one's own thoery since they choose preceding thoery. 2. In the Modern Medicine, the causes of Infertility in women are divided the product obstruction of Oocyte, the union obstruction of sperm and oocyte by abnormality of vagina, cervix, corpus, fallopian tubes, pelvic, and peritoneum, Endocrine factor, Immunologic factor, and Emotion factor. 3. In the Oriental Medicine, the causes of Infertility in women are attached importance to functional side as 'asthenia-cool of uterus'(子宮虛寒), 'deficiency of vital energy and blood'(氣血虛), 'deficiency of yin'(陰虛), 'impairement of seven emotion'(七情傷), 'disease of extra mierdians'(寄經病), and so forth; while on the other in the Modern Medicine, the causes of Infertility in women are attached importance to organic side as abnormality of uterus and ovary. 4. In the successive literatures, 'asthenia-cool of uterus'(子宮虛寒) occupied most frequency in the causes of Infertility in women and in the next obesity(體肥), 'deficiency of vital energy and blood'(氣血虛), menstrual irregularity(月經不調), deficiency of yin'(陰虛), 'impairement of seven emotion'(七情傷), emaciation(體瘦), 'disease of extra mierdians'(寄經病), and so forth occupied much frequency. 5. In the bodily form, obesity(體肥) and emaciation(體瘦) occupied comparatively more frequency.

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《금궤요략(金匱要略)》 외용제의 임상활용을 위한 제법, 제형 및 독성에 대한 고찰 (A Study on The Manufacturing Method, Formulation and Toxicity for Clinical Use of Topical Agents in Geumgweyoryak)

  • 유재현;김규석
    • 한방안이비인후피부과학회지
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    • 제35권1호
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    • pp.24-37
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    • 2022
  • Objectives : The purpose of this literature review is to analyze process of manufacture and formulation and toxicity of Geumgweyoryak(金匱要略)'s external applicants for modern and safe using. Methods : This study used the Geumgweyoryak(金匱要略) reprinted by Zhao Kaimei(趙開美) as basic data for a understanding of the manufacture and formulation and toxicity for external applicants. Among the 25 chapters, the 22 chapters were studied except for the last three chapters, which are known to be written by later writers. Based on the above, Geumgweyoryeok(金匱要略)'s external applicants was analyzed the process of manufacture, formulation and the toxicity. Results : There are 11 types of external applicants of Geumgweyoryak(金匱要略). Washing method(洗法) was used 2 times, Drop method(瀝法) was used 1 time, Smoke method(熏法) was used 2 times, Rubbing method(摩法) was used 1 time, Plaster method(敷法) was used 2 times, Invading method(浸法) was used 1 time, Suppository method (坐法) was used 2 times, Flatiron method(烙法) was used 1 time. According to classified the modern formulation, there are 4 types of powder formulation, 4 types of liquid formulation, 2 types of suppository, and 1 type of Semi-solid formulation. Especially toxic drugs, such as Realgar(雄黃) or Hydrocerussite(鉛粉), should be careful. When Realgar(雄黃) smokes, a toxic substance called AS2O3 can come out. Hydrocerussite(鉛粉) can cause lead poisoning. Lead increases the risk of anemia, dehydration, and lead neuropathy when chronically exposed. Conclusion : We supposed that this study can serve as a basic data to help clinical Korean doctors to use the prescription for external applicants more safely and to easily apply it in the form of external applicants.

정신신체의학 역사의 재조명 (History of Psychosomatic Medicine Revisited)

  • 정도언
    • 정신신체의학
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    • 제1권1호
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    • pp.3-13
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    • 1993
  • Since the onset of modern psychosomatic medicine decades ago. it has made significant at contribution to general medicine in terms of understanding the patient as a whole person suffering from an illness rather than as a disease per se. However, initial expectation of delineating specific psychogenesis and developing specific treatment modality has not been fulfilled. Consequently, it has raised substantial concern about the continuing utility of psychosomatic medicine in modem medicine. The author attempted to review critically the evolution of psychosomatic medicine from the perspective of the present and to make projections into the near future. It is concluded that psychosomatic medicine in the future will continue to contribute to development of modem medicine not only as the scientific principle but also as the practical methodology, working as creative interface among disciplines and fusing ideas from rapidly developing molecular biology and neuroscience with psychosomatic concepts. Finally, suggestions for further developing psychosomatic medicine in Korea are made.

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『온병조변』의 병리학적 고찰 (The Pathologic study on 『Wenbingtiaobian』)

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제31권1호
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    • pp.8-19
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    • 2017
  • This study on "Wenbingtiaobian" covers identifying pattern of prescription, understanding system of multiple syndrome differentiations, characteristics of treatment and medicinal substances. The source books are "Korean translation of Wenbingtiaobian", "Modern Shanghanlun", "Jinkuiyaolueyishi", "Chinese Medicine Formulas". "Wenbingtiaobian" has system of multiple patterns including three energizer syndrome differentiation, classification of disease, six meridian syndrome differentiation and wei-qi-ying-xue syndrome differentiation. That describes cause, location, nature, power and transmutation of disease. Wei-qi-ying-xue pattern is meaningful to warm-heat disease and three energizer pattern is relevant to dampness-heat disease. The warm disease shows mostly yang brightness bowel syndrome and patterns of three yin viscera. In aspect of the heat disease, qi aspect pattern makes up the largest number of syndrome differentiation and have sometimes with bowel excess or fluid deficiency. And treatment for wei aspect pattern is primarily 'outthrust the pathogen with pungent-cool'. Deficiency cold pattern and cold pattern with dampness occupy most of cold patterns. And many dampness patterns are dampness-heat pattern in middle energizer and 'inhibited lung qi transforming' is major mechanism. Patterns with fluid deficiency in qi aspect syndrome appear mostly in upper or middle energizer and in xue aspect syndrome appear mostly in lower energizer and they form 20% of all syndrome differentiations. The treatment of clearing heat uses pungent-cool(cold) for upper energizer, sweet-cold for middle energizer, sweet(salty)-cold for lower energizer. The treatment of tonifying yin uses mostly salty-cold for middle or lower energizer. The treatment of outthrusting pathogen is applied to all the wei-qi-ying-xue aspect combined with other treatments by using pungent-cool(cold) and light herbs. Understanding diseases in the respect of syndrome differentiation can enhance understanding of modern diseases from a perspective of Korean Traditional Medicinal(KTM) and can make clinical application of KTM treatments easy. Data from this study are expected to be basic for standardization and systemization of KTM.

의미가 다양한 본초 효능 표현에 대한 고찰 - 본초의 殺蟲 효능을 중심으로 - (A Study on Ambiguous Expression for Efficacy of Medicinal Material - Focusing on 'Salchung[殺蟲]' -)

  • 김상현;김상균;남보령;이명구;이승호;장현철
    • 대한본초학회지
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    • 제30권4호
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    • pp.45-49
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    • 2015
  • Objectives : Through this study, it would be confirmed that specific expression for efficacy of medicinal material has multiple meanings. And through the methodology to determine the multi meaning, it could be contributed to lighten ambiguous expressions for efficacy of medicinal material.Methods : The premise is that the efficacy and treatment target data are related to each other. Word cloud has been used analyzing the efficacy and treatment target data for medicinal materials. Then classic and modern documents were analyzed by the search.Results : Even though searching all related references as well as comparing the efficacy and treatment target data were done, some medicinal materials having 'Salchung[殺蟲]' as an efficacy are not expected to treat the disease associated with the parasite. Through the analysis of classic and modern documents, it was found that 'Salchung[殺蟲]' is not used only as a means of anthelmintic efficacy. But through the above analysis method some medicinal materials having 'Guchung[驅蟲]' as an efficacy are expected to treat the disease associated with the parasite, and 'Guchung[驅蟲]' seems to be almost used as a means of anthelmintic efficacy.Conclusions : If a certain expression for efficacy of medicinal material is used as a single meaning obviously, ambiguous expressions need to be clear. And if a certain expression for efficacy of medicinal material seems to have multiple meanings, the additional informations are to be supplemented for exact wording.

항암 및 항세균 생약의 통계학적 연구 (Potential Anticancer Medicinal Plants -A Statistical Evaluation of Their Frequencies of Appearance in Oriental Medicine Formularies-)

  • 차승만
    • 생약학회지
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    • 제8권1호
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    • pp.1-15
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    • 1977
  • In an attempt to deduce which plants might have been used for their anticancer activities in traditional oriental herb medicine, 127 prescriptions were selected from 'Dong-Eui-Bo-Gam', the Classic Handbook of Korean Traditional Medicine, written by $H_{UH}$ Jun and published in 1613. These are the prescriptions indicated for the systemic treatment of various tumors and some conditions resembling tumors, e.g. inflammatory masses and indurations, and they include 150 natural products of plant origin. The frequency of appearance of each medicinal plant in these selected prescriptions was compared with the frequency of its appearance in all prescriptions listed in 'Bang-Yak-Hap-Pyon', another popular Oriental Medicine Formulary in Korea, written by $H_{WANG}\;Pil-Su$ in 1885. From the latter book, $H_{ONG}$ has recently enumerated frequencies of 235 medicinal plants included in a total of 467 prescriptions. Chi-square tests revealed that 11 plant remedies appear with significantly higher frequency in the prescriptions for "tumors", and 10 for "inflammations". The plants with potential antitumor activities, in decreasing order of statistical significance, are Scirpus maritimus, Curcuma zedoaria, Prunus persica, Rheum coreanum, Foeniculum vulgare, Rhus vernifera, Daphne pseudogenkwa, Galarhaeus sieboldiana, Croton tiglium, Raphanus sativus and Galarhaeus pekinensis. The drugs for potential antibacterial or anti-inflammatory activities are Olibanum(Frankincense), Forsythia coreana, Lonicera japonica, Gleditchia officinalis, $M_{YRRH}$, Trichosanhes kirilowii, Astragalus membranaceus, Rheum coreanum, Platycodon grandiflorum and Fritillaria verticillata. Despite the uncertainties involved in the terminology of various diseases used in pre-modern medicine, and the reservations about the efficacy of remedies used for those diseases, it would be worthwhile to investigate these few selected plants for anticancer, antibacterial, anti-inflammatory or antifungal effects, employing modern scientific methodology.

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"수진경험신방(袖珍經驗神方)" 연구 (Research on "Sujingyeongheomsinbang")

  • 차웅석;안상우
    • 한국한의학연구원논문집
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    • 제14권3호
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    • pp.31-39
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    • 2008
  • In a literary work may reflect the socio-enviromental situations of the time. Lee Injae wrote "Sujingyeongheomsinbang" in early $20^{th}$ century, in a time when japanese colonization began and with which the influence of so called modern medicine, western medicine, were increasing. Though this trend was ever increasing the system for education and propagation was not enough and the practice of TKM was still predominant in public. This book reflect the concern of the author about this transitional time. He stat ing that TKM has a strong point in internal medicine while western medicine in external or surgical diseases tries to consolidate both medicines. This opinion is still valid today or at least serve as a reference as this problem still remains us to solve.

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