• 혜화의학회지
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• 제15권1호
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• pp.11-18
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• 2006

At the age of materialism and ignorance for life, the introspection for the ethics problem of the doctors, is getting more and more attention. It seems that every doctors should have the basic virtues of modesty and benevolence. Such virtues have been stressed throughout the human history, and, apart from the Hipp. ocratic oath of ancient greece, the morality of a doctor is the essential virtue, even for the doctors of western medicine, whose medical technology is based on the materialism. Unlike western medicine, oriental medicine, for its holistic and relative nature, has more 'relative' factors generated from each individual doctors and therefore, tends to be influenced more by the doctors' attitudes. The diagnosis process itself can be influenced by the emotions of patients and doctors, and even the efficacy of the acupuncture treatment itself can be influenced by the conception a doctor has when he/she conduct the treatment. Therefore, in every classics of oriental medicine have stressed the basic 'attitudes of mind' a doctor should have. But, at the time when the western 'natural science' paradigm prevails, it seems to be difficult to educate such state of mind simply by 'understanding' it through books or media. It needs 'shift of concept' through the humane tools of education. Therefore, the present writer would like to consider the effects and influences of meditation as the tools to develop the virtues of oriental doctors, and to investigate the possibility that the virtues achieved by the meditation is the same one as mentioned in many oriental medical classics(not only the attitude for the patients, but also the state of mind a doctor should have during the diagnosis and treatment process).

• 동의생리병리학회지
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• 제26권5호
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• pp.773-777
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• 2012

Since 2010, in general hospital, they can install western medical post, traditional Korean medical post, and dental post. So the environment is made for the Cooperative medical system between traditional Korean medicine(TKM) and western medicine(WM) to be performed. So we found out about how doctors think about TKM and what is needed for TKM & WM cooperative system to work well. When we found out about how recognition changed about TKM during their medical school years and after they became doctors, positive answer increased from 25.6% to 30%, negative answer decreased from 41.9% to 32.0%, severely negative increased from 9.3% to 16%. They changed to positive about TKM after they became doctors. But severely negative also increased. The element they lose faith in TKM is their doubt about the scientific aspects of TKM. On the other hand, severely negative recognition was also raised. 73.8% of respondents thought the most effective treatment of TKM was for myalgia. 33.3% of them answered the chance to encounter TKM was the mass media, indicating its limitation. 60.5% of them considered major reason for negative evaluation of TKM is its non-scientific aspects and only 30.9% said TKM treatment could be recommended to patients at the hospital. Doctors in WM for recognition on TKM is mostly negative and major reason is its non-scientific aspects. As the solution to this problem, scientification of TKM is suggested through research projects. These connections must be resolved to smoothly work interdisciplinary system of TKM and WM.

• Journal of Acupuncture Research
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• 제27권2호
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• pp.71-78
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• 2010

Objectives : This survey was accomplished to find out how Korean medical doctors take Ojeok-san prescriptions for low back pain in clinical practice. Methods : The survey questionnaire was developed by the committee of experts who major in acupuncture & moxibustion or statistics for acupuncture clinical trial protocol development. 306 persons having more than 5 years experience were randomly selected from a list of Korean medical doctors. Telephone interviews with them were conducted by the well-trained interviewers between March 21 and April 4 in 2009 and the computerized data were analyzed by STATA 9.0 SE version(Stata Corp, Colleg Station Tex, USA) statistical program. Results : 1. 192 out of 306(65.1%) Korean medical doctors taked Ojeok-san prescriptions for musculoskeletal disorders patients and 183 out of 192(95.3%) Korean medical doctors taked Ojeok-san prescriptions for low back pain treatment. 2. The rate of low back pain patients, '20~30%' was 99 people(33.6%) and the rate of Ojeok-san prescriptions for low back pain treatment, 'below 10%' was 65 people(35.5%). 3. In Ojeok-san effect of low back pain treatment, 'greate effects' 29.5%, 'tolerable effects' 66.7%, 'no effects' 3.8% were selected. In granule extracts effect, 'similar to Original herbs' 9.8%, 'unlike to Original herbs' 90.2% were selected. Conclusions : In our telephone survey, Korean medical doctors taked Ojeok-san prescriptions for low back pain treatment. Further research on this issue is needed.

• 혜화의학회지
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• 제13권2호
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• pp.213-219
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• 2004

Objective: We investigated the actual condition of oriental medical office in Sub-health Center. Method: We classified patients who visited an oriental medical office in a sub-health center of Jeollanam-do during recent 3 years, according to age, time(year), sex, disease, medical instruments, insurance, living condition... etc and studied statistical researches. Result: Almost all patients who visited an oriental medical office in a sub-health center were in 50, 60s. The number of patients were on the decrease. The number of female patients was 2.4 times more than the number of male patients. The most diseases of patients in sub-health center were diseases in connection with bones and sinews system. Generally, medical instruments depended on acupuncture. Conclusion; These results provide actual informations about condition of oriental medical office in Sub-health Center. Oriental medical doctors and offices of sub-health center are supposed to contribute to society, however essentially many problems exist. Public medical doctors of oriental medicine and local administration must renew their efforts for health of people in farming and fishing villages.

• Korean Journal of Acupuncture
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• 제25권1호
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• pp.85-97
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• 2008

Objectives : Moxibustion therapy is one of the most popular oriental treatments in Korea. In this study, we operate the in-depth interview for use of moxibustion therapy in Korea. Methods : Survey questions were developed based on consensus of acupuncture professors. The list of the Korean medical doctors with experiences more than 10 years is provided by the Association of the Korean Oriental Medicine. The in-depth interview was conducted in 30 Korean medical doctors who answered in the previous telephone survey that they use moxibustion therapy for more than 30 % of patients everyday. Interview survey with them were conducted by the well-trained interviewers of Korea Institute of Oriental Medicine in medical researcher from 22th May to 28th June 2007. Results : Korean medical doctors prefer to use the moxibustion with moxa stick (83.9%). The most common treatment disease was musculo-skeletal disorder (28.9%), gynecology (14.1%), digestive disorder (28.6%). The most common treatment area was the abdomen (35.3%), back (22.5%), lower extremity (15.8%) and upper extremity (16.9%). Indirect moxibustion’s was as frequent as 73.5% of moxibustion method. The most common instrument for treating was mini-moxa of manufactured goods (39.3%). Most Korean medical doctors (48.8%) took up the position that bring symptom relief following good treatment area. 'High preferences of patients' (32.7%) was one of moxibustion strong points but 'Lots of smell and smoke' (54.7%)' was a weak points. The most common side effects was the 'slight burn' (34.9%), 'skin rash' (22.5%), 'skin pruritus' (23.8%) Conclusions : This survey provides unique insight into the perception of the Korea medical doctor at moxibustion therapy. Future research needs to provide more in-depth insight into doctor views of the experience.

• 의료법학
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• 제24권3호
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• pp.125-153
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• 2023

대법원 2022. 12. 22. 선고 2016도21314 전원합의체 판결은 한의사의 진단용 의료기기 사용이 면허된 것 이외의 의료행위에 해당하는지를 판단하는 새로운 기준을 제시하고, 이 기준에 따라 한의사의 초음파 사용을 무면허 의료행위가 아니라고 판단하였다. 대법원 2023. 8. 18. 선고 2016두51405 판결은 새로운 판단기준을 적용하여 뇌파계를 파킨슨병과 치매 진단에 사용한 행위가 한의사로서 면허된 것 이외의 의료행위에 해당하지 않는다고 판단한 첫 번째 사안이다. 대법원은 판례변경을 통해 의료기기 사용에 서양 의학적 지식과 기술이 필요하지 않아야 한다는 종전 기준을 폐기하였지만, 진단용 의료기기를 사용한 한의사의 서양 의학적 진단행위를 진단의 보조수단으로 볼 것인지는 불투명한 상태였다. 이에 대법원은 뇌파계를 활용하여 파킨슨병과 치매, 즉 서양 의학적 진단을 한 한의사의 행위를 면허된 것 이외의 의료행위가 아니라고 판단함으로써 진단의 보조수단이 가지는 의미를 명확히 정리하였다. 이외에도 대상 판결은 뇌파계의 개발, 제작 원리와 뇌파계 검사 결과의 자동 추출 및 자동 판독 여부 또한 판단기준에서 배제함으로써 한방의료행위의 의미가 수범자인 한의사의 관점에서 명확하고 엄격하게 해석되어야 한다는 죄형법정주의 관점을 더욱 투철하게 적용하고 진단용 의료기기가 한의학적 의료행위 원리와 관련 없음이 명백한 경우가 아닌 한 형사처벌 대상에서 제외됨을 분명히 하였다.

• 한국의사학회지
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• 제19권2호
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• pp.49-66
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• 2006

1) Objective External treatments have various curative effects. So it had been used to cure various patients. But, it has a limited sphere of application in the present South Korea. And treatments of wander doctors had been disregarded by general doctors and the public. But Zhao-Xue-Min(趙學敏) had thought that there are useful treatments in it. So, the "Chuan-Ya(串雅)" had been written by Zhao-Xue-min in 1759. The book had included treatments of wander doctors. Especially, it had included various external treatments. Therefore we would like to bring out it's external treatments theory 2) Conclusions We have researched external treatments of "Chuan-Ya", and then we have arrived at following conclusions. "Chuan-Ya" has 48 sentences that have related to external treatments in internal medicine. And it had recorded fire conducting method(引火法) to explain process of external teratment principle.

• 의료법학
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• 제16권1호
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• pp.125-151
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• 2015

우리는 한방과 양방의 이원화적 의료체계를 가지고 있다. 한방의료와 양방의료는 학문적 원리, 진단이나 치료방법 등에서 서로 차이가 나며 이를 한방의료와 양방의료의 상위성(相違性)이라 부를 수 있다. 한 양방 의료행위의 구별기준으로는 학문적 기준, 진단방법, 치료방법 등이 있고, 양방의료행위에 비하여 한방의료행위는 침습성이 낮고, 체질성을 보다 중시하며, 높은 재량성을 지닌다는 특성이 있다. 한 양방 의료사이에서 분업적 관계가 이루어질 때 양자의 관계는 종속적 관계가 아니라 상호 동등한 관계로 보는 것이 타당하며 기본적으로 이들의 관계는 상호 분리적 독립적인 관계로 볼 수 있으므로 수평적 분업관계로 보아야 한다. 수평적 분업이라면 신뢰의 원칙이 적용이 가능하나 양자의 상위성으로 인하여 이의 적용은 제한적이며, 이 경우는 양방의료 내의 각 과들 간의 의료분업이 이루어질 때의 신뢰원칙의 적용과는 다르게 생각할 필요가 있다. 이때의 신뢰원칙의 적용은 양자 간의 업무분담의 범위, 분업이 이루어지는 의료기관들의 형태 그리고 어떠한 방법으로 진단하는가의 여부에 따라 판단할 필요가 있다. 양방에서 진단을 맡고 한방에서 치료를 맡는 형태의 분업에서 이때 양방의 진단을 의료기기를 이용한 진단과 그렇지 아니한 진단으로 나누어 신뢰원칙의 적용여부를 살필 수 있는데, 한방에서는 진단하기 어려운 것으로서 양방의 의료기기를 이용한 진단결과에 대해서는 한의사가 이를 신뢰할 수 있다. 이 경우 한 양방 의료 간의 상위성으로 인하여 양방의 진단결과에 대하여 한의사는 한방적 관점에서 환자에 대한 증세를 확인할 진단의 주의의무가 있으나, 후자의 경우와는 달리 전자의 경우의 한의사의 진단의 주의의무의 의미는 한의사가 양방의 진단결과를 신뢰하여 이를 인지한 채 다만 치료를 위하여 환자의 증세를 파악한다는 것이다. 한편, 양방의 진단과실에 대하여 치료를 맡은 한의사도 한 양방 간의 상위성으로 인하여 그 진단과실의 책임이 문제될 수 있는데, 이 경우 한의사에게 형사적으로는 진단과실에 대한 책임을 묻기 어려울 것이다.

• 의료법학
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• 제15권1호
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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.

• 대한예방한의학회지
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• 제8권2호
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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.