• Title/Summary/Keyword: Oriental Medical Record

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Preliminary Documents Study on Herb Medicines of Headaches (두통처방에 대한 문헌 예비연구)

  • Park, Bo-Ra;Park, In-Suk;Kim, Ji-Hwon;Lyu, Yeoung-Su;Kang, Hyung-Won;Kim, Tae-Heon
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.15-33
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    • 2009
  • Objectives : To study for classifying indications and procedure of historical changes, as a preliminary study, we collected and arranged prescriptions of headaches in medical documents after "Hwang-Je-Nae-Gyeong". Methods : 1. The researcher reviewed books, as a bibliography, recording to associate with a headaches in "UI-Bu-Jeon-Rok". 2. In reference books, we collected and arranged the herb medicines related to headaches in chapter of them. 3. In case of no chapter associated with headaches in books, we found prescriptions related to headaches and rearranged them. 4. Applied or added herb medicines were excluded, if the chief virtue was not primarily for headaches. 5. Prescriptions for signs to headaches related to dizziness were excluded. 6. Prescriptions for signs to associated with tremor were excluded. 7. We excluded prescriptions of headaches for dermatological disease. Results and conclusions : 1. Thirty seven documents were referred to the section of a headche in "UI-Bu-Jeon-Rok". 2. Prescriptions of "Sang-Han-Ron", which were related to headaches, were repeatedly quoted in chinese medical publications. 3. Nameless prescriptions of headaches were recorded from earlier books to later publications. 4. It started to record prescriptions of headaches separately from "Hawl-In-Seo" in 1107. 5. Described how to discriminate Naesang from Oegam, but prescriptions of headache were not listed in Dongwon Yi's "Nae-Oe-Sang-Byeon-Hok-Ron" which was published in 1247.

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Usage Report of Chuna Manual Therapy in Patients Visiting Korean Medical Institutions -Using Electronic Medical Records(EMR) of 21 Korean Medicine Hospitals and Clinics - (한방의료기관 이용환자의 추나 이용실태 - 21개 한방병의원 전자의무기록 자료를 이용하여 -)

  • Kim, Min-Young;Ha, In-Hyuk;Lee, Jin-Ho;Kim, Jong-Ho;Jung, Boyoung
    • The Journal of Korean Medicine
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    • v.40 no.1
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    • pp.86-98
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    • 2019
  • Objectives: This study analyzes the electronic medical record (EMR) data of the spine specialist oriental hospital and clinic in various regions, and reports the actual number and used cases of Chuna therapy. Methods: 2,470,772 data was extracted retrospectively from electronic medical records of all inpatients and outpatients who were treated chuna therapy at 21 Korean medicine hospitals and clinics from January 1, 2018 to December 31, 2018. The characteristics of medical treatment using chuna therapy reflect the minimum, maximum and average values of the number of hospitalized patients, length of hospitalization, frequency of hospitalization, number of outpatients, frequency of treatment and frequency of visit. Diseases were classified in the proportion of Chuna treatment according to the KCD, 7th edition. The chuna and blindness charts were derived accordingly from illness and disease of each part of the body. Results: During the study period, a total 1,342,022 inpatients and outpatients visited the study sites. The male proportion was a little higher than the females' (male: 53.7%, female: 46.3%). According to age, the 30s and 40s were more than half the total(30s: 33.0% and 40s: 20.1%). Chuna therapy was treated to more outpatients than hospitalized patients (outpatient: 83.6%, hospitalization: 16.4%), and most treatments were related to musculoskeletal illness(99.06%). Conclusions: As a result of this study, 1,342,389 chuna therapy was performed in 21 hospitals for one year. As highly demanded by the public, we look forward to ensuring national health care options and medical access when health insurance for chuna therapy is applied beginning March 2019.

Study of Developing SOP for Extracting Stable Vocal Features for Accurate Diagnosis (음성의 안정적 변수 추출을 위한 SOP 개발 연구)

  • Kim, Keun-Ho;Jang, Jun-Su;Kim, Young-Su;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.6
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    • pp.1108-1112
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    • 2011
  • Voice can be widely used to classify the four constitution types and to recognize one's health condition from extracting meaningful features as physical quantity in traditional Korean medicine or Western medicine. In this paper, we proposed the method to update the standard operating procedure (SOP) to acquire and record voices for extracting stable vocal features since they are sensitive to the variation of a subject's utterance. At first, we obtained pitch frequencies from vowels and the sentence and intensity form the sentence as features with voices acquired under subjects' utterance conditions and then the deviation ratios of features from median values according to the utterance conditions were obtained and the condition to minimize the ratio was selected as a new SOP. As a result, we decided the SOP for a subject to utter vowels with the length of 2s~1s and sentences with over 2s interval between them after practice, in consideration of the deviation and qualitative requirements. Stable voice features obtained from updated SOP produce accurate diagnosis, which will be developed and simplified for using in the u-Healthcare system of personalized medicine.

A Study on the Cognition of Workers with Postpartum Care Home and Korean Medicine Doctor about Postpartum Care (일부지역 산후조리원 종사자와 한의사의 산후조리에 대한 인식조사)

  • Jung, Jae-Joong;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.4
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    • pp.131-147
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    • 2006
  • Purpose : This study was carried out to analyze the cognition and realities of postpartum care and to aid the spread of oriental medicine in postpartum care and to get a basic guideline of postpartum care home and Korean Medicine Doctor(K.M.D.)'s role model of postpartum care. Methods : We has made questions about the cognition and realities of postpartum care to 2 groups they are workers with postpartum care Home at Gangdong-gu or Songpa-gu puerperants and K.M. doctors working at Gangdong-gu from December 2005 to April 2006. And then we analyzed collected data by using statistics analysis program, SPSS. Results : Almost of 2 group felt sympathy for importance of postpartum care. 5.9% of workers with postpartum care home had maternity nurse licence, 67.6% of them had nurse license and 26.5% of them had nurse's aide qualification. 97.1% of them had experience at medical institution. Most of K.M.D. used Herb-medication for postpartum care with acupuncture and Moxibustion additionally. Conclusion : Workers with postpartum care home had a comparatively good record of medical care or postpartum care. There was difference between 2 groups about proper management model of postpartum care home.

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Two Clinical Case Reports of Ipsilateral Facial Palsy and Conjugate Gaze Palsy caused by Foville Syndrome & Foville-Millard-Gubler Syndrome (동측 안면마비와 측방주시마비를 일으키는 Foville Syndrome & Foville-Millard-Gubler Syndrome 치험 각 1례)

  • Kim, Ji-Eun;Hong, Chul-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.3
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    • pp.129-137
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    • 2011
  • Objective : Foville syndrome & Foville-Millard-Gubler syndrome is a disease characterized by facial palsy, ipsilateral conjugate gaze palsy and ipsilateral internal strabismus. There has never been a clinical report of this disease in oriental medicine. Since gradual improvement has been experienced with oriental medical treatments based on facial palsy and paralytic strabismus in this case, it is worthwhile to introduce this disorder and report the case referring to clinical record. Methods : 75-year-old female patient and 45-year-old male patient suffering right facial palsy, right conjugate gaze palsy and right internal strabismus were treated with acupuncture, herbal medicine, pharmacopuncture and electroacupuncture. Result : Concurrence of right facial palsy, right conjugate gaze palsy and right internal strabismus was diagnosed with Foville syndrome or Foville-Millard-Gubler syndrome which is generally caused by the impairment of PPRF, abducens and facial nerves on the affected side and showed improvement with oriental medical treatments. Conclusion : More accurate diagnosis, more aggressive treatments and further researches are all required on this disease afterwards.

Clinical Study on one Patient with Vitreous Hemorrhage Caused by Diabetic Retinopathy (당뇨망막병증으로 유발된 유리체출혈(暴盲)환자 1례에 대한 임상적 고찰)

  • Jung Jae-Ho;Kwon Kang;Seo Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.2
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    • pp.112-119
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    • 2004
  • Objective: To carry out the oriental medical treatment on a patient with vitreous hemorrhage in the left eye caused by diabetic retinopathy and record the results of the treatment. Methods: 1. Diagnosis: Fundus photography, Colored paper, Dr. Hahn's standard test chart for 5M, Blood sugar measurement. 2. Treatment: Acupuncture, Electro-Acupuncture, Indirect moxibustion, Western medicines, Oryoungsan(Crude drug preparations) Results: Oriental treatment using Ohaeng-acupuncture, Electro-Acupuncture, Indirect moxibustion resulted in the Unaided visual acuity of 0.1 while it used to be the left eye visual acuity with only light sense I month ago. Looking from Fundus photography result, progress was achieved and diabetic retinopathy was found to be in progress in fluorescein fundus angiography to right eye also by revisiting the patient after treatment. Conclusions: 1. Vitrectomy has many advantages but there are instances where patients do not recover their visual acuity due to complications. Therefore it is necessary to prove the effect oriental medical treatment through more cases in future. 2 For diabetic retinopathy patients, diabetes must be treated together with visual acuity.

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A study of the Summary Handbook of Acupuncture and Moxibustion (鍼灸要覽) and its acupoints (『침구요람(鍼灸要覽)』의 침구요혈해(鍼灸要穴解)에 대한 문헌고찰)

  • Ahn, Sangwoo;Park, Yunghwan
    • The Journal of Korean Medical History
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    • v.33 no.1
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    • pp.59-78
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    • 2020
  • The Summary Handbook of Acupuncture and Moxibustion (鍼灸要覽) (SHAM) was written by an unknown folk healer who learned acupuncture about 100 years ago in Korea. The book discusses 79 acupoints and includes a table of contents, a text, and a pair of acupoint charts. The acupoints in the book are classed under two headings, 49 acupoints of 14 meridians and 33 acupoints. A number of the acupoints such as Gichoong (氣忠), Eumheobong (陰虛峰), Goowa (口卧), Cheonryang (天良) did not fit the then existing meridian system and were newly uncovered by the authors. The book also discusses needle insertion depth in a way that is quite different from how insertion depth is understood by clinicians today. Books such as SHAM that record new acupoints and treatments are rare among Korea's existing medical and clinical books and can be said to be very important in terms of medical history.

Study on Weak Children Information Collection Using Personal Health Record (PHR) (개인건강기록 (PHR)을 이용한 허약아 정보 수집 연구)

  • Lee, Seungho;Kim, Anna;Jang, Hyunchul;Jeong, Minjeong
    • The Journal of Pediatrics of Korean Medicine
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    • v.31 no.3
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    • pp.46-63
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    • 2017
  • Objectives The Korean Medicine (KM) PHR platform is a personalized healthcare service which allows individuals to keep and manage their own health records. When parents are reporting for their children from their memories, there is high possibility of recall errors. In these cases, it could be useful for doctors to collect the patient's symptoms through PHR platform. In this study, we aimed to investigate the clinical significance of the PHR by using the KM PHR platform in the pediatric clinic. Methods The PHR platform was used to collect child health information from parents and child care teachers. The collected data were analyzed in comparison with the results of screening by pediatrician. Results A total of 58 children were recruited, 44 of which health information were collected from their parents and their child care teachers. The remaining 14 children's health information were collected from their parents only. As a result the parents tended to perceive their children weaker than the child care teacher. Compared to other organs, there was a only significant difference in the heart weakness score and spleen weakness score in the comparison of the weak and healthy children. Conclusions Although the study was conducted on a small group of subjects, and used PHR platform developed specifically for adults to indirectly input child's symptoms, and analyzed their health information, there was a difference in health records between information providers. Development of PHR platform for children is needed to collect more reliable information.

Deduction of Acupoints Selecting Elements on Zhenjiuzishengjing using hierarchical clustering (계층적 군집분석(hierarchical clustering)을 통한 침구자생경(鍼灸資生經) 경혈 선택 요인 분석)

  • Oh, Junho
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.115-124
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    • 2014
  • Objectives : There are plenty of medical record of acupuncture & moxibustion in Traditional East Asian medicine(TEAM). We performed this study to find out the hidden criteria lies on this record to choose proper acupoints. Methods : "Zhenjiuzishengjing", ancient TEAM book was analysed using document clustering techniques. Corpus was made from this book. It contained 196 texts driven from each symptoms. Each texts converted to vector representing frequency of 349 acupoints. Distance of vectors calculated by weighted Euclidean distance method. According to this distances, hierarchical clustering of symptoms was builded. Results : The cluster consisted of five large groups. they had high corelation with body part; head and face, chest, abdomen, upper extremity, lower extremity, back. Conclusions : It assumes that body part of symptom is the most importance criteria of acupoints selecting. some high similar symptom vectors consolidated this result. the other criteria is cause and pathway of illness. some symptoms bound together which had common cause and pathway.

Study on the Medical Records/Clinical Case Reports of "Kenjuroku" (건수록(建殊錄)에 수록된 길익동동(吉益東洞)의 의안에 대한 연구)

  • Kim, Jai-Eun;Choi, Dall-Yeong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.2
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    • pp.269-277
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    • 2009
  • "Kenjurok" is a set of medical records of Todo Yoshimasu, a Japanese docotr in the eighteenth century, who suggested that all diseases have originated from a poison, which is his own pathological term describing abnormal states of the body, The 54 records in "Kenjurok" were analyzed in statistical respects, including gender ratio, demographic distribution of patients, types of diseases, and herbal prescriptions used. Among 54 cases, male patients outnumbered female, as much as four times. The patients were quite evenly distributed according to ages. In 23 cases out of 54, abdomen palpation data were mentioned, Majority of the prescriptions used were originated from Sanghanron(傷寒論:Treaties on Febrile Diseases)/Geumgeyoryak(金匱要略: Synopsis of Golden Chamber). In frequency of use of prescriptions, however, showed somewhat different result, that is although Sanghan/Geumge prescriptions were used most often, esoteric prescriptions handed down in his family also composed significant part. The speculations derived from these statistical results are: Although Todo favored abdommen palpation to locate the poison and to decide a prescription, the proportion of abdomen palpation was not as high as expectation, He did use prescriptions not only in Sanghan/Geumge, but also other diverse prescriptions, rather often than not, which are regarded unique Japanese traditional prescriptions including poisonous minerals such as mercury and arsenic.