The main purpose of this study is to arrange the diseases, principal medicinal substances and the prescriptions for the Soumin's Sinsooyul-Pyoyul-Byung(少陽人 腎受熱表熱病) by historical examination in the viewpoint of the Constitutional Medicine(四象醫學). In this study, first I collected the original texts of the diseases and priscriptions in Dongyi-Soose-Bowon(東醫壽世保元), and described the development process of the Soumin(少陽人)'s diseases and priscriptions by comparing with the contents in Dongyi-Soose-Bowon(東醫壽世保元). Next, I collected the efficacy of the medicinal substances and priscriptions by the examination of successive literatures referred it, and tried to explain the efficacy of each medicinal substances in the viewpoint of the Constitutional Medicine(四象醫學) by the analysis of successive literatures. As a result, the conclusions could be summarized as follows. 1. The Differentiation of Syndromes(辦證) in the Existing Medicine(旣存醫學) was formed according to the Eight Principal Syndromes(八綱), the Five Elements(五行), the Merdian system(經絡), therefore there were many confusions with the changes of the times. The differentiation of Syndromes(辦證) in the Constitutional Medicine(四象醫學) was formed according to the pathological change of Ascending and Descending Yin Yang(陰陽升降) in the Four Internal Organs(四臟), therefore, there was the consistency in the recognition of diseases. 2. The classification of the Soumin's Pyoyul-Byung(少陽人 表熱病) was divided into Yukuang Disease(鬱狂證) and Mangyang Disease(亡陽證) according to sweating or not. The conception of these diseases was mostly achived in Shanhanlun(優寒論). The treatment of Shanhanlun(優寒論) was alike to that of Dongyi-Soose-Bowon(東醫壽世保元) in a part. 3. Je ma, Lee thinked that the cause of the Soumin's Pyoyul-Byung(少陽人 表熱病) is the breakdown of the balanced equilibrium in ascending and descending Yin Yang(陰陽升降) for a Large Sin and a Small Bi(腎大脾小), and it is treated by warming and ascending Yang(溫補升陽). 4. The medicinal substances composing prescriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is characterized with the efficacy of Ascending Yang and supplying Qi(升陽益氣) and regulating the digestive organs with the efficacy of warming it. 5. The medicinal substances composing the precriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is divided into four parts with the state of Yang Qi(陽氣) in the disease it used. 6. The purpose of prescriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is to strengthen the Soumin(少陰人)'s Yangnan Qi(陽暖之氣). Je ma, Lee kept the principle not to mix with another constitution's medicinal substances in the creation of the priscription.
Samhwajahyangyakbang, a medical book of Hyangyak which was presumed to be published by Samhwaja in the late Goryeo dynasty, became the original source of Hyangyakganibang. As Hyangyakganibang became the original source of Hyangyakjesengjipseongbang which was supplemented to be Hyangyakjipseongbang, Samhwajahyangyakbang is a fundamental book which is the original source of Hyangyak medical books such as Hyangyakganibang and Hyangyakjipseongbang in the late Goryeo and the early Chosun dynasty. I restored the articles of Samhwajahyangyakbang, mainly focusing on the remaining articles in Hyangyakjipseongbang, followed by supplementing some other remaining articles with the help of , a database of old medical books, and then, recorded and discussed the results in the paper. 1. The remaining articles of Samhwajahyangyakbang were found in Hyangyakjipseongbang, Uibo and Uibanghappyeon. Among them, there is a prescription which is not overlapped in Uibanghappyeon. 2. The classification system of Hyangyakjipseongbang was alternatively adopted due to the absence of classification or table of contents in Samhwajahyangyakbang. 3. There are a total number of 152 articles in the restored Samhwajahyangyakbang and 151 articles out of the total number have been restored from Hyangyakjipseongbang. There are 5 articles which remain as notes in the citations of other books in Hyangyakjipseongbang. 4. There are a total number of 246 prescriptions in the restored Samhwajahyangyakbang. 5. Even though Samhwajahyangyakbang is a concise medical book, it is one of the core medical books which are cited in Hyangyakjipseongbang. In addition, it is the most frequently cited in Hyangyakjipseongbang among the Korean medical books. It implies that the compilers of Hyangyakjipseongbang considered Samhwajahyangyakbang the most valuable book among the Hyangyak medical books. It is speculated that such results could be achieved because Samhwajahyangyakbang was very popular in those days and its' printing quality was also good. On the contrary, the number of citations of Hyangyakgugeupbang is much less than that of Samhwajahyangyakbang. It is presumed that Hyangyakgugeupbang could not be distributed widely not because it was less valuable but because its' printing quality was poor.
Journal of Physiology & Pathology in Korean Medicine
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v.31
no.2
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pp.83-93
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2017
This study covers pattern differentiation based on Korean medical references, research trend and modern clinical applications about Sleep-Wake disorders of Diagnostic and Statistical Manual of Mental Disorders(DSM-V) published by American Psychiatric Association. Insomnia disorder is mostly caused by yin deficiency of liver-kidney or liver qi depression and main patterns are heart-kidney non-interaction, deficiency-excess complex pattern containing phlegm-heat due to qi stagnation and blood stasis. Hypersomnolence disorder is more due to yang deficiency rather than yin deficiency and it's major pattern is spleen-kidney yang deficiency. Cataplexy is main feature in narcolepsy and corresponds to depressive psychosis or fainting in terms of Korean Medicine and narcolepsy is assumed to be relevant to liver wind. Breathing-related sleep disorders are related with phlegm-fluid retention brought on spleen deficiency with dampness encumbrance. Pattern of circadian rhythm sleep-wake disorders is combined with yin deficiency of liver-kidney or liver qi depression of insomnia disorder and spleen-kidney yang deficiency or dampness-phlegm of hypersomnolence disorder. Yin deficiency with effulgent fire brought on drugs or alcohol is one of main patterns of substance/medication-induced sleep disorder and combined patterns with yin deficiency of liver-kidney and blood stasis or dampness-phlegm-heat are mostly applied clinically. This study drew major and frequently applied patterns of sleep-wake disorders based on Koran medical literature and modern clinical applications. And that can be the groundwork for the task ahead like clinical practice guideline of sleep-wake disorders containing pattern differentiation, diagnosis and prescriptions.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.34
no.4
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pp.236-241
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2023
Objectives: According to the 10th revision of the International Classification of Diseases, the main categories of tic disorders (F95.0, F95.1, and F95.2) follow a diagnostic hierarchy based on the duration and diversity of tic symptoms. The present study investigated the use of this diagnostic hierarchy in real-world clinical practice. Methods: Based on the National Health Insurance Service-National Health Information Database, the diagnosis of transient tic disorder (F95.0) made after a diagnosis of chronic motor or vocal tic disorder (F95.1) or Tourette's syndrome (F95.2) and diagnosis of chronic motor or vocal tic disorder (F95.1) made after a diagnosis of Tourette's syndrome (F95.2) were referred to as type A errors. The diagnosis of transient tic disorder (F95.0) repeated after a period of >12 months was referred to as type B error. Demographic and clinical differences according to the diagnostic error types were analyzed using analysis of variance, Student's t-tests, and chi-squared tests. Results: Most participants (96.5%) were without errors in the diagnosis of tic disorders. Higher proportions of males (p=0.005) and antipsychotic prescriptions (p<0.001) were observed in patients with type A or B diagnostic errors. A higher proportion of health insurance holders was observed among those with type A errors (p=0.027). Conclusion: Errors were absent in majority of the tic diagnoses in real-world clinical practice in terms of the diagnostic hierarchy.
Journal of the Korean Institute of Landscape Architecture
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v.25
no.2
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pp.73-81
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1997
The main purpose of this study was to develop a new method for evaluation of stream naturalness in order to appraise and prescribe for streams effectively in the process of ecological restoration of stream corridors. The results are as follows : 1) For this purpose six factors were selected on considering the spatial axes of stream corridor variation and total 20 descriptors about the physical structure were selected. 2) The calculation of S.N.I. for each segment was consisted of three steps, such as calculation of S.N.I.s of the individual descriptors, averaging all the descriptors's for each factor, and finally averaging the factors's for the Total S.N.I. 3) The evaluation unit was decided to be 100m size. The score system ranging 1~5 was adopted. Weighting parameters of factors were unified with each other. 4) A GIS model was adopted for classification, calculation, querying, analysing, and presenting S.N.I. information. And the format of S.N.I. maps including statistical graphs and other spatial watershed information was designed for the GIS odel. The naturalness of stream corridor was was investigated by the naturalness of habitat, and assessed by the descriptors focused on physical structure, therefore the S.N.I. can manifest prescriptions for restoration of the stream corridor. On the other hand because some evaluation factors such as water quality, water volume, fauna, flora, functions of stream exosystem has been excluded, S.N.I. could have some limits on representing the full aspects of stream naturalness. This evaluation method is hypothetical one, so it would be investigated through iterative applicatons.
The purpose of this study is to investigate the organization and contents of "CheongKangEuiGam" and raise interests in study on Oriental Medicine in the 20th century. Songjae, LeeJongHyeong was a disciple of Cheongkang and published this book in 1984 by organizing the medical theory of Cheongkang, KimYoungHoon who lived in the turbulent period from the late period of Joseon to a chaotic state of Korea after the independence of Korea. Even though it is relatively recently published, it is a very important clinical book as well as historical material to look at the aspects of Oriental Medicine in the 20th century. The book contains several notable medical thoughts. First, you can look at one perspective of the 20th century Oriental Western medical study which is initiated by the introduction of Western Medicine in classification schemes and description of disease symptoms. In addition, he uses medicinal herbs such as Cyperus rotundus L., Pinellia ternate(Thunb.) Breit., Poria cocos Wolf, Angelica gigas Nakai, Cnidium officinale, and Paeonia lactiflora Pall as important items, it is found that qi and blood depressed gallbladder is considered as the main pathology of the disease. In terms of names and meaning of prescriptions, he prefers to use mild medicinal herbs rather than intense medicinal herbs. It seems that he tries to help people's lives with cheap and effective medicinal herbs.
Objectives : This study aims to improve the diagnosis and treatment of contemporary insomnia by examining Zhang Jiebin's discussion on treating insomnia. Methods : The classical texts from the 'Insomnia' chapter of the Jingyue Quanshu were examined threefold in terms of symptom, treatment, and prescription analysis, after which the treatment discussion part was examined within the historical context of discussions on insomnia in major medical texts starting from the Huangdineijing. Results : According to Zhang, the cause of insomnia could be divided into two, after which criteria for diagnosis and treatment were set as excess pathogen and vital qi deficiency. He argued that insomnia could be naturally resolved through improvement of various pathogenic situations. Discussions on insomnia from various medical texts since the Huangdineijing suggest that pathology related to psychological function and emotions gradually increased and expanded over time. Conclusions : Zhang's discussion on symptom, treatment and prescriptions of insomnia suggests a new framework that could improve treatment effects through a Korean Medical Mind-Body approach, rather than the contemporary classification of organic insomnia and non-organic insomnia.
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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v.35
no.4
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pp.106-122
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2022
Objectives : In this study, we aimed to analyze the latest knowledge of pityriasis rosea(PR) through oriental-western medical review on PR. Methods : We searched Pubmed, CNKI, and OASIS to select papers related to the cause, mechanism, diagnosis, classification, treatment, and herbal treatment of PR. Results : The results are as follows. 1. Although the exact cause of PR is not known, it has recently been found that reactivation of latent human herpesvirus-6 and human herpesvirus-7 infection is a possible etiology. Most patients require emollients, antihistamines, topical steroids, and macrolides. Acyclovir, and narrow-band UVB therapy are also used. 2. The cause and mechanism of PR in Chinese and Korean medicine can be mainly summarized as wind-heat, blood heat, and blood deficiency and wind-dryness. Most of the herbal medicine used have the effects of clearing heat, cooling the blood, detoxifying, dispelling wind, relieving itching, nourishing blood, and moistening dryness. Conclusions : In Chinese and Korean medicine, it is necessary to organize the representative prescriptions according to pattern identification, and it is also necessary to study the atypical types of PR and its treatment methods. It is thought that research on oriental and western combination therapy should be continuously conducted, and efforts to develop Korean medicine formulations are needed to revitalize clinical research in Korea.
1. Objectives Herbal Extracts are used in Korean Oriental Medicine clinics. The sixty eight kinds of single herbal extracts and fifty six kinds of mixed herbal extracts has been using since the first year of execution of Korean medicine national insurance policy in 1987. This paper was performed to make a guideline of using herbal extracts. Single herbal extracts and mixed herbal extracts were discussed and classified according to Sasang constition. 2. Methods The sixty eight single herbal extracts were classified into four categories according to Sasang Constitution and fifty six mixed herbal extracts were classified by six Korean oriental medical doctors. Mixed herbal extracts were considered in terms of drug roles[sovereign, minister, assistant and courier(君臣佐使)] or most included ingredient herb. 3. Results Sasang constitutions which were suitable for fifty six mixed herbal extracts were Soeumin(46.4%), mixed constitution(39.2%) and Soyangin(8.9%), Taeeumin(5.3%). Sasang constitutions which were suitable for sixty eight single herbal extracts were Soeumin(47.1%), Soyangin(32.4%) and Taeeumin(20.6%). 4. Conclusions The rate of Soeumin herbal extracts was the most highest among all constitutions. It is regarded that warming and enforcing herb medicine were most used in all prescriptions.
Found on the 19th century, GuiLinGuBon can have more several unique features than the other extinguish editions. GuiLinGuBon has been Receiving attention, because it contains both and 's contents, as well as it consistt of 16 books to the same as the preperce, and then it analyzed the chapter on Wending Disease(溫病) and Liuyin Disease(六淫病) in detail which is not written in current book, and gives several clues to solve many questions that caused the controversy. This thesis is the study the GuiLinGuBon on the overall composition and the prescriptions for the overall analysis to book configuration, herbs configuration, 8 method(八法) according to the prescribed frequency, SinNongBonChoGyong(神农本草经) according to the herbs of the SamPum(三品) classification and statistical processing GuiLinGuBon the specific features were analyzed.
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