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저소득층 방문간호 관리를 위한 제안 - 강북구 방문간호 대상자를 중심으로- (A Proposal on a Management Model Applicable to Visiting Nursing Program for a Low-income Group)

  • 고미자
    • 한국보건간호학회지
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    • 제10권1호
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    • pp.118-138
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    • 1996
  • Because of accelerated urbanization public body visiting nursing project that started according as matter of health on urban class in the lower brackets of income was concentrated on Social interests has a unsatisfied points to propel project efficiently from the lack of rating materials. Therefore centering around written contents in documentary literature of citizen health by household in five years from starting year of project to now. visiting frequency by medical manpower was evaluated quantitatively and qualitatively in aspect of management hereupon. for the sake of giving a basic materials for public health project of this field. This research presents documentary literature of citizen health which become materials is that as one person's charged region of nurse in duty scale. district is Kang-Buck Gu. the object is resident in the lower brackets of income grounded livelihood protection law and who is admitted by the head of organ~chief of health care). and the number of material centering around the head of a household is 415 copy. The result of research is summarized. as follow. 1. Average visiting frequency examinated by medical manpower show difference according to valuables of supervision characteristics namely average visiting. Frequency of nurse has long term residence in case registration season is early and supervision season is the first year and is high incase a kind of house is unlicdnsed mountain town. Average visiting frequency with doctor is high incase supervision season is the first year and the medical insurance system is admitted by chief of health care. That shows that a man of discomfort behavior left alone are yet many in local society. The meaning of this result shows that the continuity of official relation about class in the lowest brackets of income of long term residence goes well between househole who is a user of visiting nursing service of the object according to midway income under management influences a given duty of nurse s and so causes quantitative decrease. 2. In case behavier and condition of health that nurse diagnoses are bad. as the type matter is a lack of health and the number of patient is large. the average visiting frequency of nurse is high. because average visiting frequency with doctor is high as the condition of health is bad and the number of patient is large. That is similar with that of nurse. CD Average visiting frequency of nurse s seen by matter of disease is very high only in apoplexy by 39.50 and is confined within limits from 7.63 to 11.36 in other disease. But average visiting frequency with doctor is double as many as that of nurse but defined in apoplexy hypertension and articulate. (1) Average visiting frequency of nurse by existence in inoculation of hepatitis is low by 6.73 in unidentified group and very high by 26.89 in group of non-inoculation and the case of the antigenic positive man of B type hepatitis or epileptic who can't be inoculated shows 13.00 and that even family nursing service is needed to them. That result shows that though one person nurse of local charge has a large scale of duty. as visting nursing service is given a class who has a large demand preferentially by respectively accurate nursing diagnosis. the number of diagnosis service is similar with it. 3. During five years. average visiting frequency of nurse is 10.84 and average visiting frequency with doctor is 76.50 seeing from the official scale of nurse. visiting by household is performed two more per year to the average. Seeing this by type of service. average visiting frequency of nurse is higher in indirectly nursing than in directly nursing and that suggests that at the time of visiting household nurse performs education of protection lively save patient but at the time of contrastedly visiting with doctor. directly nursing is more contents of service show no difference by man power and medication dressing by demand is 14.3 and 18.6 the aid of hardship term of doctor and nurse is high by 18.7 and 17.00 in the request of hospitalization when seeing by demands. 4. Action by turns exemplified 1994 is well in sequence of 2/4 turn. 3/4 turn. 1/4 turn. 4/4 turn. When seen by average visiting frequency of nurse but gradually is even. Without difference by turns. average visiting frequency of doctor is much higher in 1/4 turn than other turns. Type of service by turns is all even but directly nursing is inactive in 4/4 and indirectly nursing. Very increases in 4/4 and so. Nurse's quantity of duty is plentiful that shows that by evaluation of last turn and plan of project. Contents of service follows that medication and dressing is the highest by' 5.57 in 1/4turn. goes down gradually by turn. becomes 3.57 in 3/4 turn. and increases again by 4.83 in 4/4 turn. the rest service is higher in 2/4 turn than other turns. 5. Total visiting frequency of nurse is explained to total $37.5\%$ by six valuables of visiting frequency of doctor. nursing demand. demand of diagnosis. condition of behavior. year. Special terms and magnitude of influential power is the same as sequence of enumerated valuables. Namely. the higher the visiting frequency of doctor. the bigger nursing and demand of diagnosis is. the worse the condition of behavior is. the older the object is and the more the household of special terms is. the high total visiting frequency of nurse is.

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IS/IT Knowledge/Skill sets required by IS/IT Practitioners : findings from Korea

  • Kyung, Won-Hyun;Koh, Seok-Ha
    • 한국정보기술응용학회:학술대회논문집
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    • 한국정보기술응용학회 2005년도 6th 2005 International Conference on Computers, Communications and System
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    • pp.343-351
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    • 2005
  • It will not be impossible to develop an Information Systems and Information Technologies (IS/IT) program and a curriculum that represents the true needs of the IS/IT industry until IS/IT educator, reduce the gap perception and IS/IT practitioner's perception of IS/IT knowledge and technical skills that the industry might need. This paper represents and analysis of perceptions about IS/IT knowledge and skills that IS/IT practitioners might consider important. This study is based in Korean. The findings give us a very important lesson for IS/IT academicians that their understanding about the required knowledge and skills for the IS/IT career is not in line with that of IS/IT industry. Classifies the critical knowledge/skill set according to content or domain of knowledge by means of a survey. This is conducted in accordance with what IS/IT practitioners and educators can easily relate. The survey uses this approach and includes four broad categories of critical information Systems and Information technologies (IS/IT) knowledge/skills: IS/IT technology knowledge/skills, organizational and societal knowledge/skills, interpersonal knowledge/skills, and personal trait knowledge/skills.

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IS 개발 프로젝트 관리자의 지식과 기술 그리고 경력개발경로 (Knowledge/Skills and Career Path of IS Project Managers)

  • 문용은
    • 경영정보학연구
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    • 제4권2호
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    • pp.343-360
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    • 2002
  • IS 프로젝트 성공요인의 하나로서 프로젝트 관리자는 항상 관심의 대상이 되어왔다. 본 연구는 IS 프로젝트 관리자가 갖추어야 될 지식과 기술이 무엇이며, 그러한 기술을 위하여 어떠한 경력개발 경로가 필요한지를 알아보고자 하는 것이다. 프로젝트 관리자에게 필요한 지식과 기술은 기업의 경영전략을 이해하고 IS 전략계획으로 연결하는 능력, 전사적 업무기능을 이해해야 하는 현업 업무력, 새로운 업무를 위한 혁신, 프로젝트 계획과 통제와 같은 일반관리, 의사소통과 리더십과 관련된 인간관계의 관리력, IS 개발에 관련된 기술적 전문성 등의 6 가지로 밝혔다. IS 프로젝트 관리자를 양성하기 위한 경력개발 경로로는 엔지니어, 분석가, 기획가, 프로젝트 리더 등을 거치면서 프로젝트 관리자로 성장하게 되는 모형을 제시하였다. 이러한 연구는 우수한 프로젝트 관리자를 양성하여 IS 프로젝트의 성공 확률을 높이고, 나아가 정보산업의 경쟁력 제고에 도움이 되는 방안을 모색하게 해 줄 것이다.

국내(國內) 시판중(市販中)인 일반조제분유와 특수분유의 특성(特性)과 실태연구(實態硏究) (The Study on Characteristic and the Actual Condition of General Infant Formula and Special Infant Formula Published in Nation)

  • 이승희;김장현
    • 대한한방소아과학회지
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    • 제13권2호
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    • pp.41-77
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    • 1999
  • The purpose of this research is that infant artificial feeding products is used in clonic with the study on characteristic, ingredients and indication of geneal and special modified milks. The result is as follows. 1. The main ingredients of four company products-Maeil , Namyang, Pasteur, Aebout is similar but the functional is different 2. General infant formula is divided into 100days, 5-6months, 12months, 24months and 36months out of consideration for growth and development of infant. 3. The indication and sorts of the special infant formula used at a hospital is as follows. PKU-1, PKU-2 formula is available for phenylketonuria. MPA formula is available for propionic acidemia and methylmalonic acidomia. UCD is available for urea cycle disorder Leucine-free formula is available for isovaleric acidemia. Maeil LP is available for hypocalcemia. MCT formula is available for indigestion and malabsorption of fat. BCAA-free formula is available for Maple syrup urine disease. Protein-free formula is available for limit of protein uptake or mixture of peculiar amino acid or higher uptake of mineral, vitamin, calory. Methionine-free formula is available for homocystinuria and hypermethioninemia. Premature infant is available for premature and low birth weight. 4. The special infant formula published in nation is as follows. Maeil soy A, Maeil MF1, Namyang hope doctor and Maeil HA is available for diarrhea. Maeil HA, Maeil HA-21 and Namyang hope allergy is available for hypoallergy. Maeil soy A is available for diarrhea of milk allergy. Maeil MF1 or Namyang hope doctor is available for acute bacterial or viral temporal diarrhea. Maeil HA is available for allergic chronic diarrhea. Maeil HA and Namyang hope allergy as eHP-formula is available for chronic diarrhea for lactose intolerance and milk allergy. Maeil-21 as pHP-formula for neonates with allergy family, allergic symptoms such as atopic dermatitis, asthma except digestive system.

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TICN 전술백본망 최적의 프로토콜 분석 및 설계 (Analysis and Design a Optimum Protocol for TICN Tactical Backbone)

  • 권태욱
    • 한국통신학회논문지
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    • 제36권12B호
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    • pp.1722-1727
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    • 2011
  • 한국 육군은 차기 전술통신망인 TICN을 개발 및 구축하고 있는데 전술통신망에서 백본망의 기능은 배우 중요한 역할을 수행하게 될 것이며, 따라서 백본망을 지원하게 될 표준 백본 프로토콜의 성능을 비교 분석하는 것은 매우 중요한 요소이다. 이전 연구에서는 대표적인 백본 라우팅 프로토콜인 OSPF와 IS-IS 프로토콜의 성능 분석 및 비교를 통하여 IS-IS 프로토콜이 향후 TICN 백본망 라우팅 프로토콜로 적합하다는 연구를 실시하였으며, IS-IS 프로토콜의 hello 시간 변수값 등을 조정하여 TICN 백본망 지원을 위한 IS-IS 프로토콜의 성능 개선이 가능하다는 결과를 얻었다. 이를 바탕으로 본 연구에서는 TICN 백본망의 QoS 정책을 지원할 수 있는 IS-IS 프로토콜을 수정 및 설계하였고 실험을 통하여 전술환경의 적용가능성을 분석하였다.

정보시스템 서비스의 종합적 품질평가모형에 관한 연구 (A Study on Total Quality Evaluation Model of Information System Services)

  • 이명호;윤재욱;이경근
    • 한국경영과학회지
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    • 제24권3호
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    • pp.13-26
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    • 1999
  • Recently, information technology and information system(IS) are rapidly diffused throughout the world. In the global competitive environment, the success of IS becomes the important one among the critical success factors(CSF) of the firm. For achieving it, the firm must continually involve itself in the quality evaluation and improvement of IS. The quality concept was changed into the customer-oriented quality one. There is no exception to the quality of IS. In the past, IS quality was determined by the IS developer or IS department offering service. Now it is evaluated by the user of IS service, and then the customer-oriented user satisfaction becomes an important issue. The purpose of this study is to develope the total quality evaluation model of IS through TQM approach. First, all success factors of the domestic IS are extracted from the foreign and domestic literatures of IS success factors contained the technical and behavioral aspects. And the extracted factors are classified with evaluation levels for quality evaluation and developed into a total quality evaluation model. Finally the model usefulness is analyzed.

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THE FINITE DIMENSIONAL PRIME RINGS

  • Koh, Kwangil
    • 대한수학회보
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    • 제20권1호
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    • pp.45-49
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    • 1983
  • If R is ring and M is a right (or left) R-module, then M is called a faithful R-module if, for some a in R, x.a=0 for all x.mem.M then a=0. In [4], R.E. Johnson defines that M is a prime module if every non-zero submodule of M is faithful. Let us define that M is of prime type provided that M is faithful if and only if every non-zero submodule is faithful. We call a right (left) ideal I of R is of prime type if R/I is of prime type as a R-module. This is equivalent to the condition that if xRy.subeq.I then either x.mem.I ro y.mem.I (see [5:3:1]). It is easy to see that in case R is a commutative ring then a right or left ideal of a prime type is just a prime ideal. We have defined in [5], that a chain of right ideals of prime type in a ring R is a finite strictly increasing sequence I$_{0}$.contnd.I$_{1}$.contnd....contnd.I$_{n}$; the length of the chain is n. By the right dimension of a ring R, which is denoted by dim, R, we mean the supremum of the length of all chains of right ideals of prime type in R. It is an integer .geq.0 or .inf.. The left dimension of R, which is denoted by dim$_{l}$ R is similarly defined. It was shown in [5], that dim$_{r}$R=0 if and only if dim$_{l}$ R=0 if and only if R modulo the prime radical is a strongly regular ring. By "a strongly regular ring", we mean that for every a in R there is x in R such that axa=a=a$^{2}$x. It was also shown that R is a simple ring if and only if every right ideal is of prime type if and only if every left ideal is of prime type. In case, R is a (right or left) primitive ring then dim$_{r}$R=n if and only if dim$_{l}$ R=n if and only if R.iden.D$_{n+1}$ , n+1 by n+1 matrix ring on a division ring D. in this paper, we establish the following results: (1) If R is prime ring and dim$_{r}$R=n then either R is a righe Ore domain such that every non-zero right ideal of a prime type contains a non-zero minimal prime ideal or the classical ring of ritght quotients is isomorphic to m*m matrix ring over a division ring where m.leq.n+1. (b) If R is prime ring and dim$_{r}$R=n then dim$_{l}$ R=n if dim$_{l}$ R=n if dim$_{l}$ R<.inf. (c) Let R be a principal right and left ideal domain. If dim$_{r}$R=1 then R is an unique factorization domain.TEX>R=1 then R is an unique factorization domain.

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계면활성제에 의한 피부 생리적 활성 변화에 대한 Rose, Lavender essential oil의 유효성 연구 (Efficiency Study of Rose and Lavender Essential oil in the Physiologic Active Changes of Skin Treated with Surfactant)

  • 남정해;최정숙
    • 한국패션뷰티학회지
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    • 제3권3호
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    • pp.48-55
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    • 2005
  • The summary of a study of efficacy of Rose essential oil and Lavender essential oil against physiologic active change s of skin caused to surfactant is as follows. 1. In feed intake efficiency, there is more significant difference than control group, and then in water intake, there are significant differences between each group. It is presented that the water intake efficiency ratio of the group treated by Rose essential oil and Lavender essential oil is higher than all of groups to be participated in experiment. And then, the reason that the group treated Lavender essential oil is lower than any other group is needed water intake to be caused by stress. 2. As the result of serum analysis, in atherosclerotic index(A.I), the cholesterol of control group is higher than that of the group treated. As HDL cholesterol is activated, the dan1aged group is higher than control group, in LDL cholesterol the control group is higher. It is seen that the damaged group of the quantity of HDL cholesterol is lower frequently in A.I. This fact is presented that HDL cholesterol that cholesterol is exhausted is changed, because of the dan1aged group that replacement is activated. 3. As the observed result of alteration of sebaceous glands, it is appeared that the demage of sebaceous glands is destroyed in the damaged group. It is observed that epidermis of the group applied by Rose essential oil after treated surfactant is dry, secretion of phenomenon of water and sebum is appeared more. It is observed that the epidermis recovery of the group applied by Lavender essential oil after treated surfactant is insufficient. And then it is seen that stratum corneum is recovered and the quantity of sebum secretion is decreased. 4. As the observed result of alteration of Mast cell group treated by Rose essential oil and Lavender essential oil for 3 weeks Luna's stain(${\times}100$), it is observed that the damaged group treated by Lavender essential oil is numerous in alteration of mast cell's number and Mast cell's size is larger than the dan1aged group. It is presented that the Mast cell's number and Mast cell's size is larger than the damaged group, the Mast cell's size and quantity of the group treated by Rose essential oil and Lavender essential oil is decreased more.

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웅담(熊膽).우황(牛黃) 약침(藥鍼)의 효능(效能) 관찰(觀察)을 위한 미세구조적(微細構造的) 연구(硏究) (Ultrastructural Study to the Effects of Fel Ursi and Calculus Bovis Aqua-acupuncture)

  • 나창수;김정상;김희철;김병수;황우준
    • 대한한의학회지
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    • 제18권1호
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    • pp.430-445
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    • 1997
  • In order to know the effects of Calculus $Bovis{\cdot}F디$ Ursi aqua-acupuncture ($C{\cdot}F$ aqua-acupuncture) to the liver damage, we carried out the treatment of $C{\cdot}F$ aqua-acupuncture and injection of Kam-Du-Tang on the liver damaged rat which is induced by aconitine, and then ultrastructural study has been to the liver tissue. The results were as follows: 1. In the hepatic cell of normal group, the nuclear envelope is round and electro-density of nucleoplasm is relatively low, and have one or two large nucleolus. Cell organelle is developed rough endoplasmic reticulum(RER) and many mitochondria, glycogen granules, smooth endoplasmic reticulum(SER) and Golgi apparatus. 2. In 24 hours control group, nuclear envelope is very irregular, RER and most of cell organell is shown that destroyed by aconitine. This is similar to the 48 hours control group. In 72 hours control group, RER is recovered somewhat but cristae of mitochondria is not seen the shape 3.In 24 hours $C{\cdot}F$ aqua-acupuncture group, nuclear envelope is very irregular and cristernae is very dilatable and many mitochondria is dilationed and the cristae is not definite like the control group. In 48 hours $C{\cdot}F$ aqua-acupuncture group, nuclear envelope is relatively round and chromatin is regular. Cristernae of RER and ribosme is somewhat imperfect but is similar the normal group, and the cristae of mitchondria is shown definitely like the normal group. In 72 hours $C{\cdot}F$ aqua-acupuncture group, nuclear envelope is round and cell organell is similar to normal group. 4. In 24 hours Kam-Du-Tang group, nuclear envlope is very irregular and cell organelles are destroyed by the effects of aconitine. In 48 hours Kam-Du-Tang group, nuclear envelope is somewhat irregular but chromatin is relatively regular. RER is seperated regularly through the cytoplasm, but cannot make the structure of lamina, and cistennae is very dilationed. many of glycogen granules is seperated regularly. In 72 hours Kam-Du-Tang group, RER makes the lamina. Mitochondria is a little but inner space is dilationed so the shape of is not definite and a lot of glycogen granules are accumulated in several places. It see the above result, hepatic cell that is damaged by aconitine is effected chiefly by the $C{\cdot}F$ acupuncture and effect of acupuncture is similar to the detoxicated effect of Kam-Du-Tang.

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관중탕의 임상적 활용에 대한 연구 (The Study About the Clinical Use of Gwanjung-tang)

  • 임동환;김달래
    • 사상체질의학회지
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    • 제20권2호
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    • pp.30-42
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    • 2008
  • 1. Objectives This paper was tried to find out the clinical use of Gwanjung-tang by comparing patients' chief complain and natural symptom. 2. Methods The study was researched as clinically with medical records of 88 patients who visited a certain oriental medicine clinic which is in Seoul during January, 2000 and June, 2006. 3. Results 1) The male patient who was treated with Gwanjung-tang(寬中湯) is rare. The rate of patients who visited clinic in her forties is 27.3%, in fifties is 18.2%, in thirties is 15.9%, in sixties is 12.5%, in twenties is 10.3%. 2) Chief complain which made patients to visit clinic is a chest pain(19.3%), back pain and shoulder pain (15.9%), edema (12.5%), headache (9.1%), irregular menstruation (8.0%), dyspepsia (8.0%), fatigue (8.0%), insomnia (5.6%), menopausal disorder (4.5%), lumbago (4.5%), abnormal condition of stools (2.3%), and abnormal condition of urine (2.3%). 3) Natural symptom is classified into appetite, digestion, stools, urine, sweat, and sleep. The rate of patients who complained abnormal condition of digestion is 71.6%, of sleep is 59%, of stools is 52.3%, of urine is 47.7%, if sweat is 34.1%, and of appetite is 30.7%. 4) The rate of patients who is treated with Gwanjung-tang between thirty and forty packs is 43.2%, twenty packs is 39.7%, between fifty and sixty packs is 5.7%, between seventy and eighty packs is 2.3%, and between ninety and hundred packs is 3.4%. 5) The rate of patients who is treated with Gwanjung-tang during 15 days is 45.5%, between 16 and 30 days is 26.2%, between 31 and 60 days 7.9%, between 61 and 90 days 3.4%, between 91 and 120 days is 4.5%, and more than 120 days is 12.5%. 6) There are not many cases that chief complain was abnormal condition of digestion (8.0%), sleep (5.6%) stools (2.3%), and urine (2.3%). But the rate of patients who complained discomfort of digestion(71.6%), sleep(59%) stools (52.3%), and urine (47.7%) is significantly high. 7) According to "Sasang Sin Pyeon", Gwanjung-tang was used in To-sa-gwak-ran (吐瀉藿亂), Hae-su (咳嗽), Jeok-chui (積聚), Pyo-han -bu-jong (表寒浮腫), Chang-man (脹滿), Chil-gi (七氣), Dam-um (痰飮), Dam-goe (痰塊), Seom-jwa-yo-tong (閃挫腰痛), Bi-tong (臂痛) of Soeumin, and it is corresponds with clinical cases for various components. 4. Conclusions Gwanjung-tang is a medicine of reconciliation, and it makes Stomach to be warm and take down Yin Qi. The most important effect of Gwanjung-tang is Sun-qi(順氣). So it is considerable that Gyejibanhasenggang-tang (少陰人 桂枝半夏生薑湯), Hyangsayangwi-tang (少陰人 香砂養胃湯), and Gwakhyangjunggi-san (少陰人 藿香正氣散) is also effective to symptoms above, because these are medicines of reconciliatio.

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