• Title/Summary/Keyword: Period of Prescription

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The effects of weight-control behaviors, the degree of fatness and dance major on eating disorders (체중조절 특성과 비만도 및 무용전공이 식이장애에 미치는 영향)

  • Kim, No-Eul;Moon, In-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.6
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    • pp.49-63
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    • 2005
  • The purpose of this study was to investigate the weight control behaviors, the degree of fatness and dance major on behalf of finding the effects of eating disorders. 779 female high school students, 283 dance major students and 496 general major students, were participated in the study. A self-reporting type of questionnaire survey was conducted during the period from $6^{th}$ May to $18^{th}$ April of 2005. Collected data were processed using SPSSW in 12.0; they were analysed through frequencies, percentages, means and standard deviation, and stepwise multiple regression analysis. The results of this study are as follows : 1. With regard to the level of eating disorders(EAT-26), 33.9% of risk group of eating disorder female dance students, and 13.7% of risk group of eating disorder female general major students. Weight-control behaviors in this research were 1) weight control concerns, 2) weight control trial, 3) weight control methods (prescription of M.D., ways of weight control), 4) eating habits. First, 56.6% of subjects had high concerns about weight control, and 92% of subjects had tried weight control. Second, only 5.1% of subjects were prescribed by M.D. Third, subjects had been using wrong methods(25.7%) of weigh control such as fasting, using drugs, vomiting, wearing laps etc. Fourth, 42.7% of the subjects had bad eating habits. The degree of fatness was as follows: 1) BMI(Body Mass Index), 2) self report about weight 3) distorted body image. Depending upon the BMI, the subjects with obesity were not found in female dance students; Comparatively, 36.9% of dance students were fat and 1.4% of the students were very fat. In terms of distorted body image, only 14.9% of all subjects were the same between the subjective degree of fatness and the objective degree of fatness. 2. As a result of multiple regression, six variables were found significant($R^2=11.6%$, P < 0.01). Concerns about the weight control significantly influenced on eating disorders(EAT-26). At the same time, major(dance), wrong methods of weight control, distorted body image, prescription of M.D, and eating habits had significantly influenced on eating disorders. This results indicates that the risk of eating disorders among female dancer students was very high. Therefore, professional intervention is needed for female dance students to prevent the eating disorders.

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Comparison of the effects of two different styles of orally prescribing prednisolone on postoperative sequelae of surgical extraction of an impacted mandibular third molar: a single-blind randomized study

  • Mohammed Mousa H. Bakri;Faisal Hussain Alabdali;Rashed Hussain Mahzari;Thamer Jabril Rajhi;Norah Mohammed Gohal;Rehab Abdu Sufyani;Asma Ali Hezam;Ahtesham Ahmed Qurishi;Hamed Mousa Bakri;Fareedi Mukram Ali
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.50 no.1
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    • pp.27-34
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    • 2024
  • Objectives: Surgical intervention for removal of an impacted third molar can lead to significant pain and swelling. Corticosteroids show promise for mitigating postoperative sequelae across various surgical contexts. The use of corticosteroids following minor oral surgery, though controversial, has already been proven effective. However, little research has explored peroral prescription of corticosteroids despite its convenience for outpatients and for non-surgeons like implantologists and periodontists and others who don't have access to needle injections. The aim of this study was to address a void in the literature by comparing the effects of two styles of preoral administration of prednisolone after surgical removal of the mandibular third molar and to determine which style minimizes postoperative sequelae. Materials and Methods: A randomized, split-mouth clinical study was conducted to investigate the efficacy of two different styles of preoral prednisolone in mitigating postoperative sequelae following surgical extraction of impacted mandibular third molars. Fifteen participants were enrolled in the study. Random selection was used to determine the prescription style for the right and left mandibular arch. Group A included those who received a single dose of prednisolone 25 mg, while group B received prednisolone 5 mg postoperatively for a period of three days (5 mg three times/day on the first postoperative day, 5 mg twice/day on the second postoperative day; 5 mg once/day on the third postoperative day). Results: There was a significant difference in the distance between the corner of the mouth and tragus, which decreased with the time interval with respect to group B when compared to group A. Conclusion: The present study showed that a three-day tapered dose of prednisolone postoperatively was more effective in reducing post-extraction sequelae than a single-dose regimen.

Balancing Bleeding Risk and Thromboembolic Complications in Elderly Chronic Subdural Hematoma Patients Undergoing Burr Hole Trephination : A Multicenter Retrospective Cohort Study and Literature Review

  • Jin Eun;Stephen Ahn;Min Ho Lee;Jin-Gyu Choi;Jae-Sung Park;Chul Bum Cho;Young Il Kim
    • Journal of Korean Neurosurgical Society
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    • v.66 no.6
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    • pp.726-734
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    • 2023
  • Objective : Chronic subdural hematoma (CSDH) patients using antithrombotic agents (AT) at high risk for cardiovascular disease are increasing. The authors aimed to analyze the factors influencing outcome by targeting patients using AT and to establish a desirable treatment strategy. Methods : A retrospective analysis was performed on data from 462 patients who underwent burr hole trephination (BHT) surgery for CSDH at five hospitals from March 2010 to June 2021. Outcomes included incidence of postoperative acute bleeding, recurrence rate, and morbidity or mortality rate. Patients were divided into the following four groups based on their history of AT use : no AT. Only antiplatelet agents (AP), only anticoagulants (AC), both of AP and AC. In addition, a concurrent literature review was conducted alongside our cohort study. Results : Of 462 patients, 119 (119/462, 25.76%) were using AT. AP prescription did not significantly delay surgery (p=0.318), but AC prescription led to a significant increase in the time interval from admission to operation (p=0.048). After BHT, AP or AC intake significantly increased the period required for an in-dwelling drain (p=0.026 and p=0.037). The use of AC was significantly related to acute bleeding (p=0.044), while the use of AP was not (p=0.808). Use of AP or AC had no significant effect on CSDH recurrence (p=0.517 and p=1.000) or reoperation (p=0.924 and p=1.000). Morbidity was not statistically correlated with use of either AP or AC (p=0.795 and p=0.557, respectively), and there was no significant correlation with mortality for use of these medications (p=0.470 and p=1.000). Conclusion : Elderly CSDH patients may benefit from maintenance of AT therapy during BHT due to reduced thromboembolic risk. However, the use of AC necessitates individualized due to potential postoperative bleeding. Careful post-operative monitoring could mitigate prognosis and recurrence impacts.

The Effects of Pear Phenolic Compound and Herbal Drugs According to the dose and Duration on the Respiratory System of Asthma Mice Induced by Ovalbumin (배(이(梨)) 추출물과 고경(枯梗), 행인(杏仁) 배합제제의 용량 및 기간별 투여가 Ovalbumin으로 유발된 천식 생쥐에 미치는 영향)

  • Choi, Chan-Hun;Yun, Dae-Hwan;Kim, Jae-Hyun;Jeon, Jong-Gil;Na, Chang-Su
    • The Korea Journal of Herbology
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    • v.23 no.4
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    • pp.135-147
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    • 2008
  • Objectives: Oriental pear was used as traditional remedies for respiratory diseases like cough and asthma etc. The purpose of this study was to observe the effects of preventing asthma by the combination of phenolic compound extracted from pear and herbal drugs. Methods: In order to study the effects of preventing asthma by the combination of phenolic compound extracted from pear and herbal drugs(Platycodon grandiflorum, Prunus armeniaca) on allergic asthma, mice were pre-treated by oral administration of the solution before antigen sensitization for 10 days and 20days. And 2 days later, mice were actively sensitized with a subcutaneous injection of ovalbumin and 13 days later, they were provoked with ovalbumin aerosols. The experimental groups were divided 6groups(10d1P, 10d2P, 10d4P, 20d1P, 20d2P and 20d4P) by meditation quantity and period. We measured isometric contractile responses to acetylcholine(ACh) and KCl in the isolated tracheal smooth muscle(TSM), IL-4, eosinophil and lymphocyte in bronchoalveolar lavage fluid(BALF), IgE in serum, WBC, RBC and hemoglobin in blood. Results: Contractile responses of TSM to ACh, the sensitivity of TSM to Ach and the maximal contractile response of TSM to KCl were decreased by direct proportion of meditation quantity. Eosinophil and IL-4 level in BALF were more significantly decreased, and IgE level in serum was more significantly increased in 10d4P and 20d4P group than the control group. Conclusions: Based on the above results, it is assumed that oral administration of the combination of phenolic compound extracted from pear and herbal drugs(Platycodon grandiflorum, Prunus armeniaca) can help the preventing effects of allergic asthma.

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Suggestions on Time-saving Processes of Receiving Medicines at the Outpatient Pharmacy in a University Hospital (일개 대학병원의 투약대기시간 단축방안)

  • Yu, Mi Seon;Park, Hye Soon;Park, Hyoun Jung;Kim, Ji Hwa;Kim, Hee Jeoung;Kim, Sun Young
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.28-40
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    • 1998
  • Background : Many patients have been frequently complaining that they have to spend couples of hours in hospital on visiting outpatient clinic. Among several steps, two major time consuming steps were waiting to see a doctor and/or waiting at pharmacy to get medicine. Therefore not only to provide the proper guidance for medication or counseling on health affairs but also to make waiting time short is very important for the better hospital services. The aim of this study is to validate several time-saving processes to reduce waiting time at outpatient pharmacy and its efficacy. Methods : We surveyed the time interval actually taken to receive medicine after issuing prescription by doctors, and analyzed the data on the bases of relevant or possible causative factors. Then following processes were given to reduce waiting time and resurveyed and compared both data to validate efficacy of those processes : 1. No work-off on Monday and Tuesday 2. Work hour shift to start 30 minutes earlier 3. Changeable work shift between outpatient pharmacy and ward pharmacy according to work load 4. Use of pre-made medicines prescribed more frequently by certain doctors at certain time 5. Cooperation with doctors to use set prescriptions. Results : Before the process, mean waiting time at pharmacy was 29.2 minutes and most time consuming period was from noon to 1 PM, 3 to 4 PM, 1 to 2 PM in order of frequency. Only 37.7 % of patients could get the medicine within 20 minutes. Three times of surveys after process showed mean waiting time at pharmacy were 18.1 minutes, 19.0 minutes, and 17.6 minutes, respectively. And 72.7 %, 81.3%, and 82.2% of patients could get the medicine within 20 minutes. Conclusion : The mean waiting time was markedly reduced with above mentioned processes which applied intradepartmently event hough with little cooperation from other department. Consequently, the complaints of patients were decreased with increasing the satisfaction degree. In conclusion, those suggestions were recommanded to improve the degree of satisfaction of patients.

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Study on 『BianZhengGiMun)』's medical characteristics - In view of ShangHan - (『변증기문(辨證奇聞)』의 의학적(醫學的) 특징(特徵)에 관(關)한 고찰(考察) -상한문(傷寒門)을 중심(中心)으로-)

  • Lee, Won-Suk;Park, Sun-Dong;Park, Won-Hwan;Kim, Jun-Ki;Kim, Jong-Dae
    • The Journal of Dong Guk Oriental Medicine
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    • v.6 no.2
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    • pp.33-85
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    • 1998
  • In order to find the characteristic medical methods of "BianZhengGiMun" by the author ChenShihTo, we have translated and analyzed the mentioned book. Upon analyses, the following facts were noted : 1) "BianZhengGiMun" is written and composed of case studies. Prescriptive methods described here differ rather from previously known methods, where as our nation's Oriental medicine practitioners refer and consider these methods as miraculous modern methodologies. 2) Book's content has much similarities to "ShangHanLun"'s original text. Moreover, the content is adjusted towards presenting methodologies not coverd in "ShangHanLun"'s text, together with adding more information to conserve "ShangHanLun"'s methods as well as to critique them. 3) Diagnostic methods mainly follow the ZangFuBianZheng(臟腑辨證)'s pattern, where it's recorded information and theories are valid. 4) "BianZhengGiMun"'s proscriptive methods usually follow BuYinShengJin(補陰生津)'s form, where they were appropriate for that period and circumstances. 5) In consideration of all of the above factors, ChenShihTo grasped ShangHan and WenBing(acute febrile disease due to exogenous factor) as WaiGanReBing(外感熱病)'s double sided characteristics, where this corresponds with the current belief. It is believed that this in turn would provide much practical value to the present time.

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Notion of descended reference about 『Soayakjeungjikgyeol(小兒藥證直訣)』 (『소아약증직결(小兒藥證直訣)』 전본(傳本)에 대한 소고(小考))

  • Baik, Yousang
    • The Journal of Korean Medical History
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    • v.17 no.1
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    • pp.105-118
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    • 2004
  • The four precious results are beard below after thorough study of Jeoneul(錢乙)'s descended piece and main citation reference from Song(宋) era. 1. Jeoneul(錢乙)'s historical period seems that he finished his life in the age of 82, from Cheonseong(天聖) 10years(Year 1032) to Jeonghwa(政和) 3years(Year 1113) in North Song(北宋) era. However, it also seems that his life terminated Seonhwa(宣和)元年in 1119. The title of "Soayakjeungjikgyeol(小兒藥證直訣)" was reflected in "Sagojeonseo(四庫全書)" as "Soayakjeungjikgyeol(小兒藥證直訣)", however according to various of previous descended references and citations indicate that "Soayakjeungjikgyeol(小兒藥證直訣)" is more appropriate than "Soayakjeungjikgyeol(小兒藥證直訣)". Furthermore, the name, Yeomhyochung(閻孝忠), who edited the reference "Soayakjeungjikgyeol(小兒藥證直訣)" was appeared as Yeomgyechung(閻孝忠) in many different old references. Thus, even though, Sagogoan(四庫館) and Juhakhae(周學海) looked as Yeomgyechung(閻孝忠), but it seems Yeomhyochung(閻孝忠) in "Songsa(宋史)" Yemunji(藝文志) is more authentic than others. 2. When first edition of "Soayakjeungjikgyeol(小兒藥證直訣)" was published, Yeomhyochung(閻孝忠)'s the first book of "Yeomssisoabangnon(閻氏小兒方論)" and the first chapter of Yugi's "Jeonjungyangjeon(錢仲陽傳)" were attached in one book. Not long after of the first edition, Donggeup(董汲)'s first book of "Soabanjinbigeupbangnon(小兒斑疹備急方論)" and Jeoneul(錢乙)'s additional attachment was added in prescription reference. Among these references which were published in Song era, the original copy which Jinsegeol(陳世傑) published in Chung era in Ganghi(康熙) 58years (Year 1719) was remained and the first edition that Yangsugyeong(楊守敬) collected in Japan was published in "(lbonbangseoji(日本訪書志)" called Seonhwabon(宣和本). 3. Ungjonglip(熊宗立)'s "LyujeungjuseokJeonssisoabanggyeol(類證注釋錢氏小兒方訣)", Seolgi(薛己)'s "Gyojeongjeonssisoayakjeungjikgyeol(校正錢氏小兒藥證直訣)" Muyeongjeon-Chuijinbon(武英殿聚珍本) were followed Yangsugyeong(楊守敬)'s called Seonhwabon(宣和本) theory, in addition Yubang(劉昉)'s "Yuyusinseo(幼幼新書)" and "Soayakjeungjikgyeol(小兒藥證直訣)" quoted from Chosun "Euibangyuchui(醫方類聚)" also followed Yangsugyeong(楊守敬)'s called Seonhwabon(宣和本) theory. On the other hand, Jinsegeol(陳世傑)'s Gisudangbon(起秀堂本) and reprinted Juhakhaebon(周學海本) belong to parts of Songbokganbon(宋復刊本). 4. In major references and citation materials descended from "Soayakjeungjikgyeol(小兒藥證直訣)", Yubang(劉昉)'s "Yuyusinseo(幼幼新書)" and "Soauisaengchongaminonbang(小兒衛生總微論方)" were cited in Song era and some related parts in "Yeongnakdaejeon(永樂大典)", "Soayakjeungjikgyeol(小兒藥證直訣)" related sections, Ungjonglip(熊宗立)'s reedited and annotated part of "Lyujeungjuseokjeonssisoabanggyeol(類證注釋錢氏小兒方訣)", Seolgi(薛己)'s proof reading and annotated "Gyojujeonssisoayakjeungjingyeol(校注錢氏小兒藥證直訣)", "Euibangyuchui(醫方類聚)"'s quotation. In Chung(淸)era, Jinsegeol(陳世傑)'s re-published reference, Gisudangbon(起秀堂本), which was simply printed in Song and proof read and republished Juhakhaebon(周學海本), Muyeongjeonchuijinbon(武英殿聚珍本) compiled from "Yeongnakdaejeon(永樂大典)", Yangsugyeong(楊守敬)'s "Jeonssisoayakjeungjikgyeol(錢氏小兒藥證直訣)" mentioned in "Ilbonbangseoji(日本訪書志)", Jangsui's annotation, "Soayakjeungjikgyeoljeonjeong(小兒藥證直訣箋正)" and Simgeumo(沈金鰲)'s "Yuguaseokmi(幼科釋謎)" which was applied Jeoneul(錢乙)'s theory and prescription.

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Effects of Czech get up Exercise on Functional Movement and Dynamic Balance in Female Office Worker

  • Kim, Chan-Yang;Lee, Jin-Wook
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.5
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    • pp.215-224
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    • 2022
  • The purpose of this study is to analyze how it affects functional movement and dynamic balance applying Czech get up exercise based on the principle of motor development of child for office worker women in 30s and 40s. Through random allocation, an Czech get up exercise group(n=15) and a control group(n=14) were formed to apply exercise for 12 weeks, 3 times a week, and 60 minutes a day, and the control group maintained daily life at the same period. As a result of the study, showed that Deep squat(p<.05), Hurdle step(p<.01), In-line lunge(p<.05), Trunk stability push-up(p<.001), Rotary stability (p<.01), Total score(p<.001), were significantly in the Czech get up Group, and Dynamic Balance of Lower Extremity(p<.001), Right Dynamic Balance of Lower Extremity(p<.001) were also significantly in the Czech get up Group. In conclusion, it is thought that Czech get up exercise based on the principle of motor development of child will have a positive effect on the functional movement and dynamic balance in office women, thereby increasing work efficiency as well as healthy life.

Effect of Wild Plant Extracts Based on Korea Traditional Prescription on Endurance Exercise Performance during Calorie Restriction Period (초저열량식이로 인한 체력 저하에서 산야초추출물의 지구력 증진 효과)

  • Kim, Joong-Hark;Kim, Hwa-Young;Chang, Hey-Eun;Chung, Ji-Sang;Hwang, Sung-Joo;Park, Mi-Hyoun;Hong, Seong-Gil
    • Korean Journal of Food Science and Technology
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    • v.38 no.1
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    • pp.147-151
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    • 2006
  • Effects of wild plant extract (Lak) based on Korea traditional prescription on maximal exercise performance and endurance were evaluated using calorie-restriction animal model. In acute forced swimming test with 10% body weight attached to tail, dietary Lak supplementation increased exercise performance endurance by increasing concentrations of ATP and insulin-like growth factor-1 (IGF-1) under calorie-restriction condition, and decrement of blood lactic acid concentration and increment of muscle ATP content were observed. These results suggest Lak is very effective for decreasing side-effects of obesity therapy using very low calorie diet.

A Study on the Current Status of Prescribed Drugs in Oriental Health Insurance and their Improvement (한방건강보험 약제 투약 실태 및 활성화 방안 연구)

  • Kwon, Yong-Chan;Yoo, Wang-Keun;Seo, Bu-Il
    • The Korea Journal of Herbology
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    • v.27 no.2
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    • pp.1-16
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    • 2012
  • Objective : To investigate the current status of prescription drugs in Oriental medical institutes and to draw up a future plan for the revitalization of Oriental medical health insurance, this survey has been performed. Method : The survey has been made with 321 doctors working at Oriental medical institutes in Daegu and Kyungbuk areas for a period of 3 month from June 1, 2010 until September 1, 2010. Result : 1. When it comes to the current status of the use of herbal drugs in Oriental Health insurance, most of doctors surveyed prescribe insurance drugs, and they prescribe insurance drugs to patients, who are less than 20% of total patients visiting their clinics. 2. The awareness of Herbal Health Care Drugs is investigated. When it comes to the understanding of the difference between insurance drugs(powder type drugs) and granular type drugs, doctors admit that they differ only in one aspect, whether or not their being covered by health insurance. Based on the survey results on the understanding of insurance coverage of granular type drugs, doctors, even though they long for granular type drugs to be accepted as insurance drugs, are worrying whether the number of outpatients might dwindle due to increased insurance co-payments. They also point out that the biggest obstacles in the expansion of the granular type drugs as insurance drugs are the lack of understanding of the government and the objection of the Health Insurance Review and Assesment service (HIRA) for fear of increased insurance claims. 3. Upon investigation on Oriental medicine doctors' understandings of herbal pharmaceutical industry, it is found that doctors' responses on pharmaceutical industry are not all positive ones('new product development and neglect of R&D infrastructure' and 'smallness of industry'). When it is investigated what area needs the greatest improvement in herbal pharmaceutical industry, 'securing sufficient capital, good manufacturing, and strengthening quality control', is the highest. 4. When it is asked what are the most needed in order to improve herbal health insurance medicine, responses such as 'the increase in the accessibility to and the utilization of Oriental medical clinics through the diversification of the means of prescriptions', 'the improvement of insurance benefits(cap adjustments)', 'increase the proportion of high quality medicinal plants', 'the ceiling of co-payments(deductible) at 20,000 won or more', 'expansion of the choices of formulations', 'formulational expansions of tablets and pills', and finally 'admittance and expansion of granular type drug as insurance drug' are the highest. 5. Upon investigating the general characteristics of the current status of the usage of Oriental health care herbal drugs, the followings are observed. First, the frequency of use of health insurance drugs by the doctors who use health insurance with general characteristics shows similar differences in case of total monthly sales amount (p<0.001), average number of daily patients (p<0.05). Secondly, as to the willingness of the expanded usage of insurance drugs, similar differences are observed in case of total monthly sales amount (p<0.05). 6. Upon investigating the general characteristics of the perception of Herbal health care drugs, the followings are observed. First, inspecting general characteristics and insurance claims due to increased co-payments(deductible amount) reveals similar differences in case of working period (p<0.01) and in case of total monthly sales amount (p <0.01). Secondly, inspecting general characteristics and the obstacles that hinder granular type drugs from being accepted as health care insurance drugs shows similar differences in case of working period (p<0.05). 7. Upon investigating the general characteristics of the understanding of Oriental Herbal pharmaceutical companies, the followings are observed. First, opinions on the general characteristics of pharmaceutical companies, when examined with variance analysis, shows similar differences in case of total monthly sales amount (p<0.05). Secondly, when opinions are examined on general characteristics and the problems of herbal pharmaceutical companies, similar differences are found in case of working period (p<0.01) and in case of total monthly sales amount (p<0.001). Lastly, opinions on the general characteristics and reforms of pharmaceutical companies, similar differences are observed in case of working period (p<0.001). 8. Upon investigating the general characteristics of the improvement of insurance Herbal drugs, the followings are observed. First, regarding general characteristics and insurance benefits, similar differences are observed in case of working period (p<0.05), in case of total monthly sales amount (p<0.05), and in case of average number of daily patients (p<0.01). Secondly, opinions on the general characteristics and the needs for the improvement of Herbal insurance drugs are examined in 5 different aspects, which are the approval of granular type drugs as insurance drugs, the expanded practices of the number of prescription insurance drugs, the needs of a variety of formulations, the needs of TFT of which numbers of Oriental medical doctors are members for the revision of the existing system, and the needs of adjusting the current ceiling of the fixed amount and the fixed rate. When processed by the analysis of variance, the results show similar differences in case of average number of daily patients (p<0.01). Conclusion : From the results of this study the first measures to take are, to reform overall insurance benefit system, including insurance co-payment system(fixed rate cap adjustment), to expand the number of the herbal drugs to be prescribed matching with insurance benefit accordingly, and to revitalize herbal medicine insurance system through the change of various formulations. In addition, it is recommended to improve the effectiveness of herbal medicine by making plans to enhance the efficacy of herbal medicine and by enabling small pharmaceutical companies to outgrow themselves.