Objectives : The objective of this paper is to develop a standardized patient program with a focus on diagnosis and treatment of internal damage fever in Korean Medical education. Methods : First, cases of diagnosis and treatment of internal damage fever were collected from various classical texts, then a module was developed according to pre-existing standardized patient program's protocols based on selected cases. Careful consideration was given to developing evaluation criteria on history taking and physical examination that are necessary to accurately differentiating the 9 types. Results : Nine types of differentiation models on internal damage fever were selected, which are qi deficiency from overexertion/fatigue and famish; blood deficiency from overexertion/fatigue, famish and fullness; fire stagnation from excessive eating and cold foods; food damage; yang deficiency; yin deficiency; phlegm; stagnated blood; liver qi stagnation. For each type, evaluation criteria in regards to history taking, physical examination, communication with patient, and patient education were developed. Conclusions : When developing a standardized patient program using internal damage fever cases, it would better reflect the characteristics of Korean Medicine in clinical education of Korean Medicine if the program is based on classical texts. It would also be useful in evaluating students' graduation competence in exams such as CPX.
Objectives : This paper analyzes the new Majinhwiseong(麻疹彙成) manuscript discovered in Jeonju. The Majinhwiseong is a medical book specializing in measles co-authored in 1798 by Lee, Won-pung and three doctors from a middle class family. Until recently, the Handok (Korean-German) Medicine Museum copy was known to be the only existing version, but a new manuscript was recently discovered. Methods : The author, bibliography, organization, cited literature, and content of the book were studied. The contents of the Handok Museum of Medicine copy and other manuscripts were compared then reviewed. Results : 1. The book shows that middle class workers in the late 19th century were able to collaborate based on the results of their craft and form strong bonds. 2. The book was being prepared for publication in Pyeongan Gamyeong in December 1798, but failed to be published due to the sudden death of the Pyeongan-do governor. 3. For a correct understanding of this book, it is necessary to study the Handok Medicine Museum edition and the newly discovered manuscript (Jeonju edition) together. Conclusions : The two editions are of a different lineage. The Jeonju edition is overall more specific, while some parts are more detailed in the Handok edition. In conclusion, the Majinhwiseong is a book that was written by middle class doctors of late 18th century whose clinical experience was combined with Chinese medical theories. The book was specifically targeted to professional medical audiences.
Objectives : Pulse descriptions in Korean Medical texts are comprised of combinations of pulse terminology, where various combinations of pulse terminology are used to describe disease symptoms. For Korean Medical doctors and professionals, however, it is impossible to identify the entirety of pulse description combinations, and their understanding is mostly limited to those learned from classical texts studied individually. Methods :This research was carried out by using Access of Microsoft Office 365 in Windows 10 of Microsoft. Pulse descriptions were extracted from the text, 『Euijongsonik』. In the final stages, the automatically extracted list of pulse descriptions was refined through [excluded terminology of pulse description]. Results : The PC environment of this research was Intel Core i7-1065G7 CPU 1.30GHz, with 8GB of RAM and a Windows 10 64bit operation system. Out of 6,115 verses 6,497 descriptions were primarily extracted, and after a refinement process, the final list contained 5,507 pulse descriptions. Conclusions : Based on the assumption that classical texts are available in data form to be processed by programs, current research methodology demonstrated that it was more efficient in regards to time and man power to create a pulse description database compared to when the researcher manually created one.
Kim, Seong-ho;Bang, Min-woo;Lee, Byung-wook;Kim, Ki-woo
Journal of Korean Medical classics
/
v.31
no.3
/
pp.33-58
/
2018
Objectives : Literatures related to Bianque are studied to discover the path of development and the impact of Bianque school's pulse diagnosis system. Methods : Texts regarding Bianque were searched in history books such as Shiji and Zhanguoce, and medical texts such as the medical books of Mawangdui Han Tomb, Huangdineijng, Maijing, and Qianjinyifang to understand how the Bianque school's pulse diagnosis system was developed. Results : 1. Bianque school's pulse diagnosis system was used to inspect the distribution pattern of blood vessels and discover the location of the disease including the palpatation realm such as only hard or only fall. 2. The system of inspection was created when the diagnosis method that uses the color of the pulse by using the color of blood vessels was added to the diagnostic method of pulse condition. 3. Adding the concept of pulse to the visual information that derives from pulse condition becomes pulsation. This is a diagnostic method that falls under the realm of palpation, and it was used to discover the location of disease. 4. The qi of pulse is motor that induces pulse, and this concept is used in order to understand how normal and abnormal pulsations appear, and to treat the circulation disorder of qi and blood. 5. Cubit skin examination is a method that comprehensively take into account the upper arm skin's cold and heat, slippery and roughness, and relax and tension state. This method was used together with other diagnostic methods. As described above, it seems that the diagnostic method with blood vessels used by Bianque school seems to have developed from Bianque's special inspection ability to the stage where it uses palpation, and then to the stage of cubit skin examination which uses both palpation and inspection.
Objectives :The Shishimilu is a clinical treatise, published in 1687 by Qing period doctor, Chensiduo. The purpose of this study is to report the newly discovered Korean translation to the academic world and discuss its significance. Methods : The newly discovered Korean translated version was examined in detail focusing on bibliography and content items. In addition, the time of introduction of the Shishimilu to Joseon was studied philologically. Results : 1. The time of completion was during the period of the Korean Empire. 2. The original text was faithfully translated. 3. The book was rearranged from the original document to make it easier to apply in clinical practice. 4. Experiences of Joseon medicine were reflected, mainly prescriptions. 5. According to documentary evidence, the Shishimilu was first introduced to Korea only in the late 19th century, and was widely distributed during the Japanese colonial period. Conclusions : he Korean translated version of the Shishimilu was the earliest among known Korean translations of Chinese medical texts, and while faithfully translating the original text, the compilation was rearranged to make it easier to apply clinically. In addition, the experience of Joseon medicine was reflected mostly in prescriptions. It could be determined that if contents of the Shishimilu appear in Korean literature whose writing period is unknown, it can be historically verified to have been written after the late 19th century.
Objectives : This study examined the possibility of therapeutic application of natural pigments in the Joseon Period other than aesthetic purposes. Methods : The medicinal properties of natural pigments as written in the texts Sangayorok, Gyuhapchongseo, Imwongyeongjeji were searched and analyzed in the texts Bencaogangmu, Encyclopedia of Eastern Medicine, and the Encyclopedia of Chinese Medicinals focusing on their Qi, flavor, effects and application. Of the conditions they treated, we examined whether they treated skin conditions using external application. The Korean Medical effects of these pigments were examined based on the content of the skin chapter of the Donguibogam. Results : We were able to extract 47 kinds of natural pigments, most of which had cold nature and bitter tasting properties. In addition, most of the pigments had the effect of treating skin conditions, illnesses due to micro-organisms, and of detoxifying. Conclusions : After consideration of medicinal properties and effects of the herbs that were used as pigments in the Joseon period, it could be concluded that as these herbs not only function as pigments but also hold properties that prevent skin conditions, their therapeutic functions could have been considered when using them as pigments.
Objectives : The purpose of this paper is to study how medical experts understood 'Specially Selecting Yangming' for clinical application. Methods : After collecting medical texts related to 'Specially Selecting Yangming', its meaning and clinical application were examined thoroughly. Results : 1. The meaning of 'Specially Selecting Yangming' was identified in different ways according to the meaning of 'Yangming.' It was perceived as Stomach, Yangming meridian, Stomach meridian of Foot Yangming, Spleen and Stomach, Intestine and Stomach by medical experts. 2. Chen Wu-ze and Liu Wan-su understood Wei disease as a form of consumption, and regarded 'Specially Selecting Yangming' as tonifying Yangming while Zhang Zi-he put emphasis on Communicating Stomach Qi(胃氣) through vomiting or purgation. Sun Yi-kui insisted on applying it as a precaution. 3. Li Dong-yuan emphasized the cause of Wei disease to be Damp-Heat in the Summer and suggested Qingshuyiqitang and Qingzaotang as remedy. 4. Zhu Zhen-heng's Purging the South and Reinforcing the North is a more fundamental way of treating Wei disease by stimulating the Water-Fire Axis. Conclusions : Through a diachronic study of 'Specially Selecting Yangming' and its remedy, most medical experts regarded 'Specially Selecting Yangming' as tonifying Yangming, but tonifying Liver and Kidney was thought to be a more fundamental treatment.
Objectives : The objective of this research is to look deeper into the thoughts of Sajudang in her book on fetal education, Taegyoshin-gi(TGSG), published in the early 19th century Joseon, which focused on her understanding of human development and bodily relationship the mother has with her child with comparison to Korean Medical texts. Methods : The characteristics of TGSG were laid out with comparison to previous texts on fetal education of both China and Korea. After this, they were closely cross-examined with Korean Medical thoughts on human creation, mother-child relationship, and mind-body relationship. Results : Sajudang's thoughts on fetal education as written in TGSG, show a deep understanding of human development and the father and mother's roles in it, expanding the responsibility of fetal education from just the mother to both father and mother. There is also awareness of the importance of the Heart that is at the center of the fetal education process, and of the mother-child relationship through blood. Conclusions : Fetal education as discussed in TGSG expands from previous discourses on the topic, distinguishing itself with thorough understanding of how fetal education works, when it begins, and what the roles of the parents and the community are. This attributes to Sajudang's knowledge that came from both books and her actual experiences.
Objectives : To examine the progression and presentation of King Jeongjo's Gyeok-ki(膈氣) symptoms during his reign. Methods : Based on recordings in the The Daily Records of Royal Secretariat of Joseon Dynasty related to Gyeok-ki(膈氣), characteristics of King Jeongjo's case was analyzed, then compared and examined against the political situation he was in. Results : During the 24 years of reign, King Jeongjo's Gyeok-ki(膈氣) developed in four stages; beginning stage with mild symptoms, intrinsic stage where it became the King's main disease, peak stage where symptoms intensified, and chronic stage where symptoms became rather manageable but the disease occurred regularly. Conclusions : From the year of accession to the year of death, King Jeongjo consistently complained of Gyeok-ki(膈氣), which seems to be strongly related to his family history and political situation.
Objectives : The purpose of this paper is to collect basic data about Seo, Byung-Hyo and lay the groundwork for future analysis of his medical ideas. Methods : The life of Seo in regards to family and relationships was reconstructed through his genealogy and newspaper articles. His medical ideas were analyzed through the treatment records in books and historical material. Results : 1. Seo was primarily a clinician rather than a social worker throughout the Korean Empire and Japanese colonial era. 2. 『Summary of Experienced Old Prescriptions (經驗古方要抄)』 was a concise book that mainly took after the 『New Edition on Universal Relief (濟衆新編)』, supplemented by contents from the 『DongUiBogam(Treasured Mirror of Eastern Medicine)』. 3. It is meaningful that Seo's book restored and developed the single-ingredient prescription tradition of the 『DongUiBogam(Treasured Mirror of Eastern Medicine)』. 4. Seo faithfully followed the tradition of royal court medicine and utilized new prescriptions that were proven effective. Analysis of the prescription contents of 『A royal palace's diary(內殿日記)』 displays such characteristic. Conclusions : Seo, Byung-Hyo could be regarded as a clinician who faithfully inherited and developed 『DongUiBogam(Treasured Mirror of Eastern Medicine)』 and 『New Edition on Universal Relief (濟衆新編)』.
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