• 제목/요약/키워드: Prescription

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한의학(韓醫學) 침(鍼) 처방(處方)의 구성 방법 및 주차(主次) 개념에 관한 고찰 (A Study on Methods of Acupuncture Points Combination and Hierarchy Concept of Acupuncture Prescription(鍼 處方) in Korean Medicine(韓醫學).)

  • 계강윤;김병수
    • 대한한의학회지
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    • 제41권3호
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    • pp.9-21
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    • 2020
  • Objectives: This study is to understand and develop Acupuncture treatment in Korean Medicine(韓醫學). Methods : Firstly, the definitions of Acupuncture Prescription(鍼 處方) and Methods of Acupuncture Therapies(鍼法) were clarified. Secondly, the results from the researches of previously existing Acupuncture Prescriptions(鍼 處方) were analyzed. Results & Conclusions : Acupuncture Prescription(鍼 處方) represents the results achieved from combining Acupuncture Points(腧穴) according to the symptoms of diseases. Methods of Acupuncture Therapies(鍼法) denote methodologies for proposing Acupuncture Prescriptions(鍼 處方) which were accomplished by combining Acupuncture Points(腧穴) based on a specific theory. The existing methods of combining Acupuncture Points(腧穴) derived from the analysis of Acupuncture Prescription (鍼 處方) have a meaning in suggesting a direction for acupuncture treatments. However, deficiencies still exist to restore the absence of universality and objectivity in acupuncture treatment. Researches on Methods of Acupuncture Therapies(鍼法) based on the principle are required accordingly. The concept of hierarchy exists in Acupuncture Prescription(鍼 處方) and it ranks Acupuncture Points(腧穴) as primary and secondary according to the indications of the Acupuncture Points(腧穴). Since there is the time difference in needling process, the concept of hierarchy is fulfilled through the needling procedure.

『보행결장부용약법요(輔行訣臟腑用藥法要)』에 기재된 『상한난병론(傷寒雜病論)』 방제(方劑)에 관한 소고(小考) (Discussion about prescriptions from Sanghanjabbyungron(傷寒雜病論), reported in Bohenggyuljangbuyongyakbubyo(輔行訣臟腑用藥法要))

  • 여민경;윤종화;김기욱
    • 대한한의학원전학회지
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    • 제26권4호
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    • pp.305-323
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    • 2013
  • Through the study of Bohenggyuljangbuyongyakbubyo(輔行訣臟腑用藥法要) focusing on the newly illuminated subject 'The study of Donhuang(敦煌學)' of China, the author analyzed and researched Donhuangzhongyiyakjunseo Bohenggyuljangbuyongyakbubyo(敦煌中醫藥全書 輔行訣臟腑用 藥法要) in order to study and report the origin of prescriptions from Sanghanjabbyungron(傷寒雜病論), which was written by Zhangzhongjing(張仲景). Among around 50 prescriptions included in Bohenggyul, 18 prescriptions similar to Sanghanjabbyungron could be classified in five different manners as follows. 1) There are nine examples whose prescription composition and chief virtue are same but names different. 2) There are five examples whose prescription composition is same but chief virtue and names different. 3) There are two examples whose names are same but prescription composition and chief virtue different. 4) There is one example of prescription as a combination of two or more prescriptions. 5) There is one example whose prescription composition and possible variations of prescription are same but chief virtue different.

글로벌 조화에 부합하는 국내 의약품 분류체계 개선방안 (New drug classification system in accordance with global harmonization)

  • 손성호;유봉규
    • 한국임상약학회지
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    • 제22권3호
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    • pp.260-267
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    • 2012
  • The objective of this study was to investigate drug classification system in Korea and other developed countries. Laws and regulations of Korea regarding the system were retrieved from sources posted in Ministry of Government Legislation. We also reviewed previous research reports performed as part of government's effort to reform the system The system in the foreign countries was retrieved from the official homepage operated by each country's government. There have been two research funded by Korean government, which strongly suggested that the system should be reformed. However, we found that the system was never reformed and still effective. Drug classification system in US and most western countries consists of two categories, i.e., prescription drugs and non-prescription drugs except UK, which classifies into three categories: Prescription Only Medicines, Pharmacy Medicines, and General Sales List Medicines. Interestingly, in Japan, non-prescription drugs are further classified into three groups: Group 1, 2, and 3. Recently, Ministry of Health and Welfare (MOHW) in Korea proposed a plan to reclassify all the approved drugs according to purportedly rational and scientific criteria. However, the plan does not include reform of the existing laws and regulations, which appears that it is just one-time action rather than a sustainable administration backed up by law. Therefore, it is recommended that Korean MOHW take appropriate action on laws and regulations with regard to the system to meet global harmonization standard.

동의보감(東醫寶鑑) 중(中) 활석(滑石)이 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (A Study on Applications of Talcum Mainly Blended Prescriptions in Dongeuibogam)

  • 황현택;유승훈;김규민;윤용갑
    • 대한한의학방제학회지
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    • 제16권2호
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    • pp.31-45
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    • 2008
  • This report describes 54 prescriptions related to the use of Talcum mainly blended prescriptions in Dongeuibogam. The following conclusion were reached through investigations on the prescriptions that use Talcum as a key ingredient. Prescriptions that Talcum was taken as a monarch drug are utilized for 22 therapeutic purposes. In particular, 35.2% of prescriptions appear in the chapter of urine, 7.4% of those appear in the chapter of heat. Prescriptions that utilize Talcum as the main ingredient are used in the treatment of uric disease, gonorrhea, heat disease, febrile disease, and they are also used for treating 16 different types of diseases. Talcum is used in pathogenic factors such as heat, wind with heat, and used in pathology related to the fever of small intestine and bladder. The dosage of Talcum is 3jeon(about 11.25g) to 2.5pun(about 0.94g), however 1jeon(about 3.75g) has been taken the most for clinical application. Ikwonsan is the most useful base prescription which use the Talcum as the main ingredient.

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식적으로 변증하고 투약한 환자군에 대한 임상연구 (A Clinical study on patients who were treated with Sik-jeok)

  • 조민군;김준철;강한주;안훈모
    • 대한의료기공학회지
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    • 제16권1호
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    • pp.59-77
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    • 2016
  • Objectives : The purpose of this study was to investigate the clinical characteristics of symptom improvement in patients who were treated with Sik-jeok. Methods : We investigated 31 patients who were treated with the prescription of Sik-jeok had hospitalized to hospital in M Korean medicine hospital in Gimpo city, Gyeonggi Province from January 4th, 2016 to September 10th, 2016. We evaluated the change of them by using Martins AN. Results : Prescription of Sik-jeok tend to be administered in a shorter period of time than the total length of hospitalization. We can make a hypothesis that the longer the prescription of Sik-jeok period, the more likely it would be better results, but it could not be used statistically. Pyeongwisan gagam and Jungritang is possible to expect a better score compared to other prescriptions of Sik-jeok, but it was not statistically effective. Conclusions : These outcomes suggest the need of In-depth consideration about prescription of Sik-jeok and development of medication scale associated with prescription of Sik-jeok.

처방 유사도 분석의 효율성 향상에 관한 연구 (A Study on Prescription Similarity Analysis for Efficiency Improvement)

  • 黃秀敬;禹東賢;金基郁;李丙旭
    • 대한한의학원전학회지
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    • 제35권4호
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    • pp.1-9
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    • 2022
  • Objectives : This study aims to increase efficiency of the prescription similarity analysis method that uses drug composition ratio. Methods : The controlled experiment compared result generation time, generated data quantity, and accuracy of results between previous and new analysis method on the 12,598 formulas and 61 prescription groups. Results : The control group took 346 seconds on average and generated 768,478 results, while the test group took 24 seconds and generated 241,739 results. The test group adopted a selective calculation method that only used overlapping data between two formulas instead of analyzing all number of cases. It simplified the data processing process, reducing the quantity of data that is required to be processed, leading to better system speed, as fast as 14.47 times more than previous analysis method with equal results. Conclusions : Efficiency for similarity analysis could be improved by reducing data span and simplifying the calculation processes.

의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향 (The Effect of Korean Prospective Drug Utilization Review Program on the Prescription Rate of Drug-Drug Interactions)

  • 김동숙;박주희;전하림;박찬미;강현아
    • 보건행정학회지
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    • 제24권2호
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    • pp.120-127
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    • 2014
  • Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

방약합편 중 부인과에 관련된 방제의 활용에 대한 고찰 (Studies on Symptom, Pathology, Composition and Clinical Applications of Woman-related Disease Prescriptions in Bang Yahk Hap Peun)

  • 조대연;김영일;이용숙;강성현;박종찬;노의준;윤용갑
    • 동의생리병리학회지
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    • 제18권6호
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    • pp.1543-1547
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    • 2004
  • In this study, symptoms, pathologies, compositions and clinical applications of 52 prescriptions for woman-related disease treatment descripted in Bang Yahk Hap Peun were investigated. The results were same as following; Classification of prescriptions for woman-related disease treatments was 23 prescriptions in high-chepter, prescriptions in 16 medium-chepter, and prescriptions in 13 low-chepter prescriptions and the frequency of clinical applications for high-chepter, medium-chepter and low-chepter prescriptions was 44%, 31% and 25%, respectively. Clinical applications of woman-related disease prescriptions were identified aocording to pre-pregnancy and post-birth, uterus, breast disease, before pregnancy. Infertile, emmeniopathy, uterus Blooding made practical application to high frequency in the treatments. Oriental Medical Pathology applied with prescriptions were Biheo(脾虛), Ganbinoyool(肝脾怒鬱), Infirmity(虛弱), 熱入血室, Jungpung(中風), Gihyulguheo(氣血俱虛), hyulheo(血虛), Aeohyul(瘀血) etc. Prescriptions applied with the most frequency in woman-related disease were Samuoltang(四物湯), Sagunjatang(四君子湯), Gungkuitang(芎歸湯), Boanbaekchuolsan(保安白朮散), Dangguibohyeltang(當歸補血湯), Sanhyointang(酸棗仁湯), Dohongsamuoltang(桃紅四物湯), Jipeisan(芷貝散), Silsosan(失笑散).

Analysis of prescription frequency of herbs in traditional Korean medicine hospital using electronic medical records

  • Lee, Byung-Wook;Cho, Hyun-Woo;Hwang, Eui-Hyoung;Heo, In;Shin, Byung-Cheul;Hwang, Man-Suk
    • 대한한의학회지
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    • 제40권4호
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    • pp.29-40
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    • 2019
  • Objectives: To analyze the prescription frequency of various herbs as either individual or major herbs (in terms of dosage) and their usage patterns in the treatment of different diseases for standardization of traditional Korean medicine. Methods: We analyzed the prescription database of patients at the Pusan National University Korean Medicine Hospital from the date of establishment of the hospital to February 2013. The complete prescription data were extracted from the electronic medical records of patients, and the prescription frequencies of individual herbs, particularly, of major herbs, were analyzed in terms of gender, age, and international classification of diseases (ICD) code. Results: The prescription frequency of individual herbs based on age and gender showed a similar pattern. Herbal mixtures were also distributed in a similar manner. The use of some herbs differed according to age and gender (Table 1.). The herbs that were used at high frequencies for a given ICD code had similar usage patterns in different categories. However, some major herbs in the "Jun (King)" category were used uniquely for a given ICD code (Table 2.). There was significant difference between male and female on ICD code E and N, but the other ICD codes had small differences. The ratio of herbal medicine by gender showed different usage patterns in each gender. Conclusions: The findings of our study provide fundamental data that reflect the real clinical conditions in South Korea, and therefore, can contribute to the standardization of TKM.

소아의 한약복용에 관한 임상적 실태 조사 (Clinical investigation of child dose of herb medicine)

  • 서정민;이상곤;황순이;김상찬;왕향란;조성언;백정한
    • 대한한방소아과학회지
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    • 제20권3호
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    • pp.33-50
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    • 2006
  • Objectives : Oriental medicine has set the no herb medicamentous dose for child, on the other hand the western medicine has it standardizing of age, weight or dimension of body. Therefore, we aimed to research the herb medicamentous dose for child being in being used in clinic. Methods : We made up a question of the oriental medical doctors of the master's and doctor's course in ○○ university. Results : 1. Child dose of herb medicine a time likes this. 1 pack is written prescription most at children patients under 1 year. 1 pack and 2 packs are written prescription most at children patients over 1 under 2. 2 packs are written prescription most at children patients over 2 under 3. 4 packs are written prescription most at children patients over 3 under 4. 10 packs are written prescription most at children patients over 8 under 14. Dose of herb medicine written prescription at children patients over 5 under 8 is in decentralization from 2 to 10 packs. 2. 2 or 3 times are most in a number of taking medicine a day. 3. 3 days are common in period of taking medicine under 5, over 10 days are common over 5. 4. It is necessary to regulating child dose of herb medicine.

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