• Title/Summary/Keyword: Oriental and Western medical Treatment

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Analysis of Western-Korean cooperative treatment in hospital-care of patients with dementia

  • Lee, Jung Hee;Choi, Hong Sik;Kim, Jae Soo;Kim, Sang-Ho
    • Journal of Acupuncture Research
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    • v.34 no.3
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    • pp.49-58
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    • 2017
  • Objectives : The purpose of this study is to provide data to guide dementia health-care policy in Korea and to establish the position of Korean medical specialists in long-term care hospitals by analyzing the data of dementia inpatients. We analyzed the actual condition of dementia patients in care hospital and the effect of Western-Korean cooperative medicine on the progress of dementia. Methods : From January 1, 2016 to December 31, 2016, inpatients who were diagnosed with dementia at Mungyeong municipal long-term care hospital and admitted for more than 3 months were enrolled. Their medical records and simple tests were analyzed retrospectively. Results : We examined the detailed diagnosis, including both main and sub diagnosis, and Alzheimer disease dementia, at 97%, was the most common. At the time of admission, Korean Version of the Mini-Mental State Exam (K-MMSE) analysis showed that severe dementia affected 52%, and most were rated as Geriatric Depression Scale (GDS) 6. Based on the admission date, the results of a simplified test applied to the dementia patients every 6 months showed an maintain in the K-MMSE and GDS scores in 83%. Conclusion : The results of this study show that the rate of progression of dementia is somewhat lower in inpatients with moderate to severe Alzheimer's who have received Western-Korean cooperative treatment. However, due to institutional limitations, long-term inpatients such as those with dementia do not receive active traditional Korean medical treatment; hence, it is necessary to improve the national institution of traditional Korean medicine in long-term care hospitals.

One Case of Rhabdomyolysis After Spinning Exercise (스피닝 운동 후 발생한 횡문근융해증 치험 1례)

  • Jeong, Ho-young;Nam, Seung-kyu;Cho, Chung-sik
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.711-716
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    • 2016
  • Objective: To report a case of rhabdomyolysis that occurred after spinning exercise. Methods: A patient diagnosed with rhabdomyolysis received Korean medical treatment and Western medical treatment for 6 days. We observed the patient for 13 days. Clinical symptoms were evaluated with a Numerical Rating Scale (NRS) and laboratory tests, which included Liver Functional Test (LFT), Renal Functional Test (RFT), creatinine phosphokinase (CPK), myoglobin, and urine tests. Results: After treatment, the clinical symptoms were improved. In this case, acute renal failure did not occur. Laboratory results, including AST, ALT, CPK, and LDH, were also improved. Conclusions: Rhabdomyolysis can be treated cooperatively with Korean and western medical cooperative treatment.

Comparative Study of Physical Therapy between the Oriental and the Western Medicine (양.한방 물리치료의 차이점 연구)

  • Chang, Moon-Kyung
    • Journal of Korean Physical Therapy Science
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    • v.2 no.2
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    • pp.569-576
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    • 1995
  • The objective of this study was to investigate characteristics in physical therapy according to the oriental and the western medicine. Questionnaires were referred to 101 chiefs of physical therapy departments of 66 hospitals of western medicine and 35 hospitals of oriental medicine. The results were as follows ; 1) For therapeutic members, significant indicators related to difference of the two groups were number of therapist, kind of therapist, programmer of physical therapy and referer to physical therapy. 2) For therapeutic environment, the size of therapeutic room and the respective department. 3) The two groups regarding whether the treatment was carried out or not in 14 cases of treatment (42.4 % ), and whether the cost of treatment was requested by medical insurance or not in 23 cases of treatment (70.0%).

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The Study on Literature Review of Chinese Medical Treatment for Fibromyalgia (섬유근육통의 중의학적 치료에 대한 문헌적 연구)

  • Lee, Jong-Jin;Cho, Hyun-Chol;Song, Yeun-Kyung;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.169-181
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    • 2004
  • Fibromyalgia(FMS) is a heterogeneous construct of chronic and widespread musculoskeletal pain that is frequently associated with sleep difficulties, fatigue, and other adjunctive symptoms. This article aims to review the literature on the theory and treatment for fibromyalgia in the chinese language article. chinese language aricles In wanfang data between 2001 and 2004 were reviewed. this result of research demonstrate that Acupuncture, Negative Pressure Therapy(Buhang), the Electrical Acupuncture Stimulation Therapy. Acupoints TENS are applied to treatment for fibromyalgia and these therapic managements of chinese medicine are more effective than western drug treatment.

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Perception of Traditional Medical Doctors on Policy Issues in Korea: Cooperation with Western Medicine, and the Demand and Supply of Practitioners

  • Huang, Dae Sun;Shin, Hyeun-Kyoo
    • The Journal of Korean Medicine
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    • v.33 no.4
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    • pp.17-25
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    • 2012
  • Objectives: This study was conducted to explore the contemporary perception of traditional Korean medical doctors (TKMDs) on traditional Korean medicine (TKM) policies and issues. Methods: A questionnaire that included traditional medicine policy- and treatment-related issues was sent to 130 TKM medical centers and 4,300 TKM local clinical offices in Korea, and received responses from total 648 TKMDs in 122 TKM medical centers and 465 TKM local clinical offices. Results: Of the responding TKMDs, 40% believed that unification of Western and traditional medicines would benefit both modes of medical treatment, 67.6% were against allowing Chinese doctor certification to be effective in Korea through the Korea-China FTA (Free Trade Agreement), and 57.8% believed that the number of TKMDs should be reduced. We also found that 46.1% of TKMDs believed that more lectures on Western medicine would be needed in schools of TKM. Moreover, 87.5% of respondents regarded medical knowledge as necessary for treatment, and 49.4% believed National Certification Commission for Acupuncture and Traditional Medicine (NCCAOM) would be not necessary. TKMDs regarded governmental efforts as more vital than education in schools or individual efforts for enhancement of the traditional medical care market in Korea. To efficiently provide the advantages of complementary CAM, such as cost and safety, detailed research is required when policy is made. Conclusions: The TKM industry must implement policies how the relationship with Western medicine can be better defined under the current dual medical system. On the issue of human resources, more research will be needed on the current policy, which serves to maintain the status quo by blocking the importation of Chinese practitioners and by reducing the number of new practitioners.

A case report of patient who has spinal cord infarction with monoplegia and pain of lower extremity and dysuria (하지 단마비와 통증 및 배뇨장애를 주소로 하는 척수경색환자의 한방치료 치험 1례)

  • Yun, Seok-Hoon;Jung, Woo-Suk;Cho, Song-Hyun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.87-96
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    • 2011
  • Objective : The purpose of this study is to report the improvement after oriental medical treatment about a patient who has spinal cord infarction with monoplegia and pain of lower extremity and dysuria. Methods : We diagnosed that symptoms as Wejeung, and employed oriental medical treatment, acupuncture, herbal medicine and moxibustion. This study was measured by MMT(Manual Muscle Testing), VAS(Visual Analogue Scale) and the number of Nelaton Catherization. Results : After oriental medical treatment, power and pain of lower extremity and dysuria were improved. Conclusions : There is no specific treatment for spinal cord infarction in western medicine and the prognosis is not so good. But in the case of this patient, power and pain of lower extremity and dysuria were improved remarkably through oriental medical treatment. Further clinical studies are needed to verify the findings.

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Clinical Case of Symptoms Remaining after Western Medical Therapy in Ulcerative Colitis, with Herbal Medicine Dansamboheol-tang gagam, Acupuncture, and Moxibustion Treatment (단삼보혈탕가감과 침구치료를 통한 궤양성 대장염의 후유증에 대한 치험례 1례)

  • Kim, Sang-Heon;Kim, Hyo-Jin;Kim, Jung-Eun;Lee, Sang-Hee;Hong, Su-Hyun;Kim, Won-Il
    • The Journal of Internal Korean Medicine
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    • v.28 no.4
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    • pp.911-918
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    • 2007
  • This study is a clinical report of one patient with symptoms remaining after western medical therapy for ulcerative colitis. Ulcerative colitis, a diffuse inflammatory disease of the mucosal lining of the colon and rectum, is characterized by a remitting and relapsing course. Therefore treatment is difficult and the proper treatment typically isn't established. We provided acupuncture-moxibustion therapy 28 times and prescribed Dansamboheol-tang gagam, which functions by nourishing the blood (補血), strengthening the spleen (健脾), adjustment of ki (理氣), removal of extravasated blood (祛瘀), and warming of the kidney (溫腎), for 30 days. The patient improved in quality of life and the symptoms disappeared. This study suggests that Dansamboheol-tang gagam, acupuncture, and moxibustion treatment has an effect on improving the symptoms remaining after western medical therapy for ulcerative colitis.

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The Difference in Attitude toward Medical Care between Patients and Physicians (환자와 의사의 의료에 대한 태도 차이 -한 중소도시의 대학병원과 한의과대학 부속 한방병원을 중심으로-)

  • Kang, Myung-Guen;Park, Jong-Ku;Kim, Han-Joong;Sohn, Myong-Sei;Kim, Dal-Rae
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.516-539
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    • 1998
  • The objective of this study is to identify the difference in attitude toward medical care between patients who visited a university hospital or an oriental medical hospital of oriental medical college, and physicians who engaged in the same hospitals. The subjects of this study were 397 cases who agreed to respond the prepared questionnaire, including 288 patients(146 university hospital utilizers and 142 utilzers for an oriental medical hospital) and 109 physicians(76 physicians and 33 oriental medical doctors). The attitude toward medical care was measured by the structured questionnaire developed for this study, which had high validity and reliability according to factor analysis, item discriminant validity, and Cronbach's $\alpha$ coefficients. On the criteria of mean value of care and cure score, the attitude toward medical care was classified into 4 groups encompassing a group with dependent attitude on medical care, a group with skeptical attitude toward it, a group with cure-oriented attitude, and a group with care-preferred attitude. The results of chi-square test, discriminant analysis, and logistic regression analysis were as follows; patients who visited a univisity hospital, patients who visited an oriental hospital, physicians, and oriental medical doctors included in the group with dependent attitude, the group with cure-oriented attitude, the group with skeptical attitude, and the group with care-preferred attitude, retrospectively. Among the subdomains of care and cure domains, which classified in reference to the result of factor analysis on pilot study, those that patients ranked more importantly than physicians were 'the importance of medical equipment for diagnosis and treatment', 'authority of physician, 'aggressiveness of treatment', 'information giving', 'personal interest' in the case of western medicine. In the case of oriental medicine, those were 'the importance of equipment for diagnosis and treatment', 'aggressiveness of treatment', 'amenities and accessibility', 'coordination of medical staff'. Both physicans and patients put the subdomain, 'physicians' medical knowledge and skillfulness' on the highest rank. The differences in ranking the important attributes of medical care between patients and physicians were apparent in the area of an 'importance of medical equipment for diagnosis and treatment' and so on. It meant that patient had over-expectation on medical care and suggested that the policy on demanad side such as the developement and dissemination of an evidence-based recommendation protocol for health care consumers might be important in Korea. In addition, regarding the attitude of physicians, during the medical education and training it may be neccessary to emphasize the aspect of 'care' of medical care rather than 'cure'. In planning on heath care delivery system, it should be considered that there is a difference in the attitude toward medical care between western medicine and oriental medicine as well as between health care providers and consumers. We expect that more valid measurement tool be developed in this area, which may be major limitation of this study and that this kind of research be expanded into the non-academic settings.

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A Case Report of Acute Transverse Myelitis Managed in Oriental Medical Hospital (한방치료만을 시행한 급성 횡단성 척수염 2례에 대한 증례보고)

  • Lee, Myeong-Jong;Song, Mi-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.1
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    • pp.15-25
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    • 2006
  • Objectives : This report is about a case of a patient who improvement in general condition, Infection and bowel after and urinary dysfunction. Methods : We diagnosed that symptoms as Wejeung(?證), and employed oriental medical treatments, herb medication, acupuncture, electro-acupuncture, moxibustion and physical therapy. Results : In the first case, neurologic impairment was aggravated despite of 15 days of treatments. In the second case, motor and defecation was improved. Conclusions : There is no specific treatment for acute transverse myelitis in the Western medicine. Several case reports revealed clinical improvement of subacute or chronic transverse myelitis in the oriental medicine. We anticipated that the researches regarding treatment for acute transverse myelitis in the oriental medicine will be encouraged in the near future.

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Clinical Study of Acupuncture Theraphy of Gastrointestinal Side Effect of Levodopa: Focused on Idiopathic Pakinson's Disease Patients (레보도파제제의 위장관계 부작용에 대한 침치료 효과 연구-특발성 파킨슨병 환자를 대상으로-)

  • Yang, Dong-Ho;Lee, Kyung-Yun;Shin, Hyun-Seung;Jo, Song-Hyun;Lim, Chang-Sun;Lim, Jun-Hyuk;Yun, Suk-Hoon;Lee, Han;Kang, Myoung-Jin
    • Journal of Acupuncture Research
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    • v.27 no.6
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    • pp.11-21
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    • 2010
  • Objective : This study was aimed at investigating the therapeutic effects of acupuncture on gastrointestinal side effect of Levodopa on idiopathic Pakinson's disease patients. Methods : The subjects of this study were 42 patients with idiopathic Parkinson's disease. We divided them into two groups; acupuncture treatment group, no treatment group. We treated the former group with acupuncture therapy focusing on gastrointestinal side effect of Levodopa while administering Levodopa as well. And the latter group was also dosed up with Levodopa without acupuncture therapy. To see the effect of acupuncture treatment clearly, we used gastrointestinal syndrome rating scale (GSRS) and visual analog scale (VAS) and compared the GSRS grade and VAS score of two groups statistically, after 1, 2, 3, 4 weeks since they have been under the treatment. Results : This study suggests that the group who has been treated with acupuncture on gastrointestinal side effect of Levodopa on idiopathic pakinson's disease patients showed higher GSRS grade and VAS score than the one that has not. But, We could't find statistical significance between the two groups on improvement of GSRS grade and VAS score. Conclusions : These results proved that acupucture theraphy might be available for re lieving symptoms related with gastrointestinal side effect of Levodopa than the one that has not. But further studies are necessary.