• Title/Summary/Keyword: Oriental Medicine Utilization

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The Use of Complementary and Alternative Medicine in Patients with Type 2 Diabetes Mellitus: Community Based Survey (지역사회 기반 당뇨병 환자의 보완대체요법 이용 실태조사)

  • Moon, Su-Jeong;Baek, Seung-Min;Park, Jeong-Hwan;Lee, Sang-Hun;Seo, Hyun-Ju;Kim, Sul-Gi;Lee, Min-Hee;Jeong, Ji-Hoon;Choi, Sun-Mi
    • The Journal of Internal Korean Medicine
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    • v.33 no.3
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    • pp.317-326
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    • 2012
  • Objectives : To investigate the prevalence and utilization pattern of complementary and alternative medicine (CAM) in individuals with type 2 diabetes. Methods : We conducted a nationwide survey and a total of 535 individuals with type 2 diabetes were asked about their demographic, diabetes-related characteristics and CAM use. We used multiple logistic regression modeling to determine independent predictors of CAM use. Results : Of the 535 subjects, 417 (77.9%) used CAM in last 12 months. The most commonly used modality was red ginseng (17.9%). CAM use was independently associated with being married, northern area residence, higher education and diabetes duration of 3-5 years. More than half(58.3%) of the CAM users used it expecting a better outcome in addition to conventional therapy. Information sources about CAM were mostly friends (36.0%) and family (31.9%), only 28.1% of diabetic patients seek counsel from medical doctors or oriental medical doctors about CAM. Many people perceived CAM as effective (62.7%) and reported side effects only rarely (1.2%). Conclusions : Many diabetic patients used CAM and found it effective, which urges clinicians to pay attention to CAM use of their diabetic patients. Also, further studies are required regarding efficacy and safety about CAM.

A treatment utilization of Atopic Dermatitis According to Severity (아토피피부염 환자들의 중증도별 치료 실태)

  • Yun, Young-Hee;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.1
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    • pp.172-180
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    • 2009
  • Objective : to investigate the modalities and treatments with atopic dermatitis. Methods : We made up a questionnaire consisting of symptoms, birth, family history, previous treatments of atopic dermatitis. We interviewed mild to severe 60 atopic dermatitis patients with questionnaire, from August to October, 2008 who were participating in clinical trials of Kyunghee University East-west neo medical center. Results : The results obtained are summarized as follows: 1. 49(81.7%) out of 60 patients reported previous or current use of medical treatment, and most common type of medical treatment was topical corticosteroid (95.9%). Oral antihistamine (61.2%), oral corticosteroid (61.2%) were also commonly used. 2. 31(51.7%) out of 60 patients reported previous or current use of oriental medical treatment, and most common type of oriental medical treatment was herbal medicine(100%). Acupuncture (41.9%), Herbal external supplements (22.6%) were also used. 3. 36(60.11% ) out of 60 patients reported previous or current use of folk remedies, and the most common type of folk remedy was extract of tree(Mokcho-ak)(75.0%). Aloe(61.1%), Charcoal(22.2%) were also commonly used. Conclusion : It seems the frequency of folk remedies used were related to severity of AD. However, there were no significant difference between medical treatment and oriental medical treatment.

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The trend of Korean Medicine utilization in 2008-2013 (비급여를 포함한 한의 외래의료이용의 최근(2008-2013) 변화추이)

  • Kim, Dongsu;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.57-66
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    • 2017
  • Objectives : This study aimed to analyze the structure and the trend of utilization and expenditure for Korean Medicine (KM) in Korea. Methods : Data were drawn from the 2008-2013 annual Korea Health Panel (Version 1.2.2), a national representative sample. We combined the data of household members with the data of outpatient KM service use. The volume of KM use was estimated based on the frequency of use and co-payment. Results : The KM utilization rate slightly increased in recent years, and it is presumed to be resulted from the increase of elderly population. Most KM outpatient visits were being concentrated in treating musculoskeletal diseases, and the procedures used frequently were acupuncture, moxibustion, cupping, and physical therapy. The imbalance of KM use between lower income group and higher income group was deepening. Conclusions : To expand restricted disease areas KM covered, the more herbal prescriptions should be insured and the insured form of herbal medicines need to be diversified.

A Case Report of Post-herpetic neuralgia uncontroled after Stellate Ganglion Block (성상신경절차단술로 제어되지 않은 대상포진후 신경통환자 치험 1예)

  • Lee, Jung-Eun;Bae, Han-Ho;Han, Young-Joo;Lim, Do-Hee;Chae, Eun-Young;Jo, Chul-Jun;Park, Yang-Chun
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.669-676
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    • 2004
  • Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care. We treated a 60 year-old female patient who suffered pain and headache after Stellate Ganglion Blocks(SGB). In identifying points for differentiation of syndrom(辨證), this subject was diagnosed as Yangmyeong Merdian wind-heat syndrom(陽明經風熱證) and was administered Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方). To ease pain, Western medication was administered as well. After fourteen days of treatment, pain and other symptoms improved.

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Research Trend Analysis of Traditional Korean Medicine Supported by the Government - on the Research Reports from 2002 to 2007 Year - (정부지원 한의학 과제의 연구동향 분석 - 2002~2007년 연구과제 보고서를 대상으로 -)

  • Yea, Sang-Jun;Jang, Hyun-Chul;Kim, Jin-Hyun;Kim, Chul;Kim, Sang-Kyun;Song, Mi-Young
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.15-28
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    • 2009
  • Traditional korean medicine which has long history and many clinical experiments stands out in bold relief because the medicine's point of view has been changed from medical treatment to disease protection and the wellbeing life through health care and complementary alternative medicine has been emerged for the incurable disease. Many traditional korean medical research has been conducted in the fields of preventive medical application, leading material drawing and medical service upgrade through eastern and western medical treatment and the more advanced project are being studied as time goes by. But because we have the hardship of manifesting traditional korean medicine's knowledge into detailed data and information in the field of analytical science and we don't have well arranged research trend data of it, researchers are using much time to survey the preceding research and planners needing more accurate research trend data to protect duplication and raise efficiency. So we have studied the traditional korean medicine's research trend to solve this problems by the method of bibliography applied for the preceding project results. Through the analysis of traditional korean medicine's 370 project reports we came to a conclusion that the R&D investment is concentrated on the university and research institute, the utilization projects are lower than basic and applied research, regional snobbism is excessive than the whole nation's R&D and advanced project has been started since 2006.

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Approach for The Couple Therapy in Oriental Psychotherapy (임상장면에서의 부부치료에 대한 한의학적 접근)

  • Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.3
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    • pp.87-100
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    • 2011
  • Objectives : Neurosis, psychosomatic disease from which most of out-patients suffer originated marital problem in clinical setting, In Oriental medicine, concept and clinical cases of the couple therapy is insufficient. So we suggest the theoretical background and evidence of oriental medical approach. Methods : We searched the theoretical perspectives of recent couple therapy and suggested the psychotherapy with couples in oriental medicine and its clinical utilization. Results : 1. Advantages of the couple therapy in oriental medicine were easy to relationship and emotional communication. because oriental medicine were available to approach of symptom pattern about somatic symptom due to marital problem. 2. Oriental medical therapy, for example, acupuncture, moxibustion, cupping, herbal medicine, etc. connects doctors and the patients easily, unlike dialogue-centered western psychotherapy. 3. The Ii-Gyeung-Byun-Qi Therapy(移精變氣療法) resolve the marital suppressed feeling easily, Gi-Un-Go-Roen Therapy (至言高論療法) is useful in four principle-marital role, communication, sex life, theory of Hwa-Byung. 4. The principle of 'sorrow restraints anger(悲勝怒)' and 'pleasure restraints sorrow(喜勝悲)' in Oh-Ji-Sang-Seung Therapy(五志相勝療法) accords with forgiveness and recovery that is ultimate goal of the couple therapy. Conclusions : Except existing therapy for recovery of marital relation, We suggest the somatic symptom centered approach based on mind and body unification in oriental medicine. This principle would bring the benefit from the marital to familial relation. From now on, we should correct the theory, need the theorical systematization. Then we should develop the program for recovery of marital relation and examine the hypothesis.

Oriental Medical Treatment Pattern of Korean Patients with Sleep Disorders (한국인 수면장애 환자의 최근 3년간 한방 진료 양태)

  • Jeong, Seon-Yeong;Kim, Jae-Yeong;Kho, Young-Tak;Ahn, Keon-Sang;Lee, Cha-Ro
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.4
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    • pp.389-400
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    • 2014
  • Objectives: Though there are many studies about sleep disorder, no research has been performed on the utilization of oriental medicine as a treatment. Therefore, the oriental medical treatment pattern of Korean patients with sleep disorders was examined herein using the Health Insurance Review and Assessment Service (HIRAS). Methods: The medical records of patients with sleep disorders (G47) or nonorganic sleep disorders (F51) as a main diagnosis were adopted from the HIRAS database from 2011 to 2013. Analysis was performed on the number of patients and cost per patient, with comparison between oriental and western medicine in terms of gender, age, patient care service type, and hospital type. Results: 1) Regarding sleep disorders, the medical visits and insurance charges have been increasing. Western medicine was utilized 8 times more often than oriental medicine during 3 years. 2) There were 2.5 times more women than men. 3) Among all ages, the 50~59 year group had the highest representation. 4) In comparison of average portions of patient care type over 3 years, outpatients were the majority, while the number of visits of outpatients and hospitalization has been increasing. 5) Comparison of average portion of oriental hospital type over 3 years revealed oriental clinics to be used most. The use of general hospitals was higher in western medicine treatment, while public health centers used oriental medicine more. 6) Regarding average oriental medical cost per patient over 3 years, the total was 88,000 won, with 353,000 won for hospitalization and 85,000 won for outpatients. The outpatient cost has been increasing. 7) In line with 6, oriental medical hospitals cost 126,000 won, local clinics were 85,000 won, and etc. was 95,000 won. Average costs of all types have increased during 3 years, except oriental medical hospitals in 2013. Conclusions: This study provided objective information about the epidemiologic characteristic of oriental medicine used for treatment of sleep disorder. For expansion of oriental medical demand for sleep disorder, this study would be helpful in understanding the recent status.

The Effects of Rainbow Theraphy on Functional Headache (기능성 두통에 대한 Rainbow Theraphy의 치료효과)

  • Kim, Jin-Hyung;Gug, Yun-Jai;Yang, Hee-Sook;Kwon, Young-Mi;Kim, Tae-Heon;Lyu, Young-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.159-172
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    • 2004
  • Objective : There are many treatments for Headache. We suggested the clinical effect and utilization of Rainbow Theraphy on functional headache. Methods : 1. Setting up of Groups : A Group is 29 people being used Herb remedy, acupuncture and Rainbow Theraphy, B Group is 23 people being used only Rainbow Theraphy. 2. Operation of Rainbow Theraphy : By using RP-UM103(Umax Medical, Korea), we regulated ki and stimulated important acupuncture’s spots of headache. 3. We examined improvement of headache by giving marks about symptoms - occipital pain, Pressure, dyspepsia, anxiety, fatigue, attention deficiency - through interviewing before treatment and after 3 weeks' treatments. Results and Conclusions : 1. There was a significantly effect of Rainbow Theraphy on functional headache in both A Group and B Group. 2. In subjective appraisee of groups, A group$(17.28{\pm}2.15)$ is more effective than B group$(14.74{\pm}2.38)$. 3. In doctor's last appraisee of groups, A group$(3.83{\pm}0.71)$ is more significantly improvement than B group$(2.70{\pm}0.47)$.

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A Basic Study on Utilization of Angelica acutiloba Kitag (Tanggui)

  • Choi Seong-Kyu;Yang Deok-Chun
    • Plant Resources
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    • v.8 no.3
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    • pp.230-234
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    • 2005
  • This study was conducted to determine feasibility of utilization of Angelica acutiloba. Especially, the quality characteristics of bread prepared with the addition of Angelica acutiloba powder were investigated. Sensory evaluation and spoilage test were conducted for preparation of functional breads which added with ground plant matters (leaves and stems) from Angelica acutiloba. The result showed that the functional breads had high score of overall liking as well as low spoilage rate when added with 0.5 to 1.0% ground plant matters of Angelica acutiloba. Consumer acceptability evaluation showed a significant preference when added 0.5 to 1.0% ground leaves and stems of Angelica acutiloba into breads. Functional breads which added powder of Angelica acutiloba inhibited the growth of fungi. The more addition of Angelica acutiloba powder, the higher the degrees of this inhibited. These results suggested that the shelf-lives of the breads were extended by the addition of Angelica acutiloba powder. Further studies were required for improvement of functionality and diversity of bread products using medicinal plant materials as an additive.

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A study of Korean medical knowledge system which Korean medical doctors want (한의사들이 원하는 한의학 지식체계에 대한 고찰)

  • Son, Mi-Ju;Kim, Wu-Young;Jerng, Ui-Min;Park, Hwang-Jin;Han, Chang-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.3
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    • pp.89-105
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    • 2012
  • Objectives : This study was carried out to know the status of clinical utilization of Korean medical knowledge and the Korean medical knowledge system which Korean medical doctors want. Methods : Questionnaires were distributed to Korean medical doctors registered for the Association of Korean medicine via the email and 249 answered questionnaires were analyzed. Results : 50.6 % of Korean medical doctors utilized the textbooks for Korean medicine when they treated their patients. The reason why they did not utilize the textbooks for Korean medicine was mostly that 'it could not be applied directly into clinical application with only contents of textbook because clinical approach (diagnosis and treatment methods) was not clearly described in the textbook'. 48.6 % of Korean medical doctors utilized the EBM materials when they treated their patients. EBM materials that they referred included domestic articles, other EBM materials excluding papers and international academic papers based on PubMed in order. The reasons why they did not utilize the EBM materials were mostly that 'it was difficult to find the evidence' and 'EBM materials were not actually helpful for the clinical practice.' It was found that Korean medical doctors approached the disease in aspects of Korean and Western Medicine concurrently upon the diagnosis of patients and performed the diagnosis and treatment of Korean medicine on the diseases which seemed to be effective with Korean medicine. It was also found that they thought that they needed to know the Western medical knowledge as much as general doctors who have a doctor's license or family medicine specialists who comprehensively treat the general diseases know. Korean medical doctors wanted to have the systematic summary of modern research performance in fields of acupoint, acupuncture, herbal drugs and formula. They thought that constitutional medicine and Sa-am acupuncture therapy were representative characteristics in Korean medicine differentiated from Traditional Chinese medicine and Kampo medicine. Conclusions : Korean medical doctors wanted to establish the Korean medical knowledge system based on evidence focusing on clinical and practical contents. New Korean medical knowledge system should be established based on these requirements in the future.