• 제목/요약/키워드: oriental medical examination

검색결과 404건 처리시간 0.025초

『승정원일기(承政院日記)』의 진료기록 연구 (A Study on the Clinical Records of 『The Daily Records of Royal Secretariat of Chosun Dynasty』)

  • 홍세영;차웅석;김남일
    • 한국의사학회지
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    • 제21권2호
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    • pp.1-11
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    • 2008
  • "承政院日記" is a journal written by the scribes belonging to the Royal Secretariat and consists of objective and detailed records about events, dialogs, and actions that happened in the presence of the king and also collections of all the documents output by the Royal Secretariat. The medicine-related records in "承政院日記" are mainly records of the medical examination and treatment of the king and the royal family and related documents of operation. Of the many different entries involved with clinical practices, this study focuses on the medical examination and treatment of the king. Through the case studies displayed in the clinical records of "承政院日記", trial and error of its time as well as clinical results can be verified. Sorting out of affirmative tradition that could not be handed down due to institutional interruption is also made possible through comparison of effective treatment methods of late Chosun dynasty including patterns or distinctive methods of treating specific diseases against their counterparts in Traditional Korean Medicine of today.

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허실 변증 설문지 개발 가능성에 대한 고찰 (Study on Deficiency-Excess Pattern Questionnaire Development Possibility)

  • 유현희;이혜정;장은수;이시우;이기상;김종열
    • 동의생리병리학회지
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    • 제23권3호
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    • pp.534-539
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    • 2009
  • Deficiency and excess pattern differentiation is unique characteristic of traditional oriental medicine on diagnosis and treatment. This differentiation is accomplished through pulse, tongue diagnosis and question examination, but most of these processes need to be objectified for efficacious treatment and traditional medicine development. In this study, we developed the deficiency and excess pattern questionnaire for objectification of question examination. The deficiency and excess pattern questionnaire was made out through The Traditional Oriental Medical Literature with Delphi Technique. Patients who visited oriental medical hospital filled out the questionnaire by themselves. Diagnosis of deficiency and excess pattern are conducted separately by oriental medical doctors with more than 5 years' clinical experience. Various physical condition factors were derived for the deficiency and excess pattern questionnaire. (Ordinary health degree, pain pattern, fatigue, weight change, sweating, uncomfortable awareness on chest and abdomen) Deficiency symptoms group acquired internal consistency, but excess symptoms group did not. (Cronbach's ${\alpha}$ > 0.6) There were significant associations between doctor's diagnosis and deficiency and excess symptoms in 'ordinary heath degree', 'voice weakening', and 'chest distress' (p-value < 0.1) There were significant differences between deficiency and excess syndrome patients groups in deficiency questionnaire score but there were no significant differences between deficiency and excess syndrome patients groups in excess questionnaire score. We acquired the internal consistency and significant result of deficiency pattern questionnaire, but we can find out some difficulties in development of the excess pattern questionnaire. These difficulties are associated with insufficiency description of traditional literature and small number of patients diagnosed as excess pattern.

안면홍조를 중심으로 한 갱년기 여성의 동서의학적 임상양상 연구 (A Study on the East-West Medicine Clinical Aspect of Climacteric Women Focusing on Hot Flush)

  • 장준복;조정훈;이경섭;윤영진
    • 대한한의학회지
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    • 제29권4호
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    • pp.180-193
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    • 2008
  • Objectives: We intended to identify factors related to the severity of hot flush of climacteric women from an East-West medical point of view. Methods: We surveyed 446 climacteric women who had received Korean oriental medical questionnaires about clinical symptom patterns and health medical examinations at Kyung-Hee University Medical Center over 1 year, from June 2007 to May 2008. Then, we compared hot flush with clinical symptom pattern and health medical examination result. Results: As the severity of hot flush increased, hypnagogic disorder in sleep pattern, abdominal gaseous distention in digestion pattern, tenesmus in evacuation pattern, yellow or reddish urine in voiding pattern, spontaneous sweating in sweating pattern, chest oppression in psychologic pattern, not-pulling-bedclothes in cold-heat pattern and mouth dryness in craniocervical symptom increased (p<0.05). In relation to digestion pattern, the severity of hot flush showed statistical significance according to prevalence of gastritis diagnosed by gastroscopy and upper GI series(p<0.01). In relation to voiding pattern, the severity of hot flush showed statistical significance according to prevalence of urine protein diagnosed by urinalysis (p<0.05). In relation to sweating, psychologic & cold-heat pattern, triiodothyronine (T3) increase and thyroid stimulating hormone (TSH) decrease were significantly correlated as the severity of hot flush increased (p<0.01). Conclusions: The result showed that hot flush of climacteric women had to be considered in respect of digestion disorder related to gastritis and sweating psychologic cold-heat disorder related to thyroid hormone.

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경항부.요부 통증환자와 교통사고환자의 치료 전.후에 따른 7구역진단기의 특성연구 (Study on Characteristics of 7-Zone-Diagnostic System before and after Treatment in the Traffic Accident Patients and Patients with Low Back Pain or Nuchal Pain)

  • 김유진;차윤엽
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.225-231
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    • 2009
  • The purpose of this study was to compare the effectiveness of Dangkisoo-san(Dangguixu-san) and Gamihwalhyul-tang(Jiaweihuoxie-tang) herb-medication for the Traffic accident patient group with the effectiveness of common herb-medication for the general patient group by using 7-Zone-Diagnostic System. Two groups were selected from those who took the CP-6000A test in College of Oriental Medical Hospital of Sangji University from March 2007 to January 2008. Mean values of Factor AA on Skin Resistance Variability(SRV) of two groups were compared. The mean values of the deviation between measurement and 50 in pre-examination was higher than those of post-examination. Especially, there were remarkable difference between the mean values of the deviation between measurement and 50 in pre-examination and those of post-examination within the general patient group. When we compare pre-examination with post-examination in each area, 2 areas have remarkable difference within the general patient group. The mean values of positive deviation in pre-examination was higher than those of post-examination within both group. Especially, the TA patient group was remarkable. The other side the mean values of negative deviation in pre-xamination was remarkably higher than those of post-examination within the general patient group. By contraries the mean values of negative deviation in pre-examination was lower than those of post-examination within the TA patient group. These results suggest that Dangkisoo-san(Dangguixu-san) and Gamihwalhyul-tang(Jiaweihuoxie-tang) herb-medication will be less effective for chronic and weak traffic accident patients.

침도 치료를 위주로 시행한 침 치료로 호전된 박동성 이명 3례 (Three Cases of Pulsatile Tinnitus Improved by Acupotomy with Acupuncture)

  • 박소영;제하경;민예은;홍은빈;이나현
    • 대한한의학회지
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    • 제44권1호
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    • pp.99-107
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    • 2023
  • Objectives: The purpose of this study is to report the three cases of pulsatile tinnitus without any cause improved by acupotomy and acupuncture. Methods: Three patients diagnosed with pulsatile tinnitus with no abnormalities detected on examination were treated with acupotomy and acupuncture. The improvement of symptoms was evaluated by visual analogue scale(VAS). Results: The visual analogue scale has decreased from 7 to 0, from 5 to 1, and from 6 to 0, respectively. Conclusions: Acupotomy had shown a positive clinical effect in the treatment of the pulsatile tinnitus without any cause in this case reports.

한방치료를 적용한 척추분리성 척추전방전위증 환자의 치험 1례 (A Case Report of Spondylolytic Spondylolisthesis Treated with an Oriental Medical Treatment)

  • 박삼민;황동규;김은지;김재영;정선영
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.685-690
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    • 2016
  • Objective: To report the effect of an oriental medicine treatment, including chuna manual therapy, for a patient suffering with spondylolytic spondylolisthesis. Methods: One patient was treated by oriental medical treatment including acupuncture, pharmacopuncture, and chuna manual therapy and the results were assessed with a Numerical Rating Scale (NRS), walking distance, and radiological examination. Results: After treatment, the NRS changed from 6 to 2 and walking distance changed from 250 m to 1000 m. Conclusions: In this study, oriental medical treatment, including chuna therapy, was an effective treatment for patients with spondylolytic spondylolisthesis. However, additional studies are needed, as are more and observations of these patients.

한방의료기관내 응급실에 내원한 소아환자에 관한 임상적 고찰 (A Clinical study on the pediatric patients who visited Emergency Room of Oriental Medical Hospital)

  • 장규태;김장현;강미선
    • 대한한방소아과학회지
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    • 제17권1호
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    • pp.117-129
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    • 2003
  • We made a clinical analysis of 135 pediatric patients who visited Emergency Room of Dongguk University Oriental Hospital, during 1 year from March 2002 to February 2003. The results were as follows ; 1. Whether they received medical examination and treatment or not : new patients were 95(70.4%) and pediatric patients who received medical examination and treatment were 40(29.6%). 2. Seasonal distribution: Spring(March, April, May) was 45(33.3%), Summer(June, July, August) was 35(25.9%), Autumn(September, October, November) was 32(23.7%) and Winter(December, January, February) was 23(17.0%). 3. The time interval between onset and arrival : within 6 hours were 68(50.4%), 6-12 hours were 14(10.4%), 12-24 hours were 26(9.3%), 24-48 hours were 17(12.6%), 48-72 hours were 6(4.4), over 72 hours were 4(3.0%). 4. Whether they went through other hospitals or not : pediatric patients who didn't go through other hospitals were 105(77.8%), pediatric patients who went through other hospitals were 30(22.2%). 5. Systemic distribution of diseases: Infectious diseases were 1(0.7%), Physique diseases were 4(3.0%), Digestive diseases were 73(54.1), Nervous also Mental diseases were 32(23.7%), Cardiovascular diseases were 2(1.5%), Skin disorders were 1(0.7%), Respiratory diseases were 22(16.3%). 6. Medical care : Acupuncture and moxibustion were 1(0.7%), moxibustion and medication were 1(0.7%), acupuncture, moxibustion and medication were 1(0.7%), venesection was 24(17.8% ), venesection and medication were 17(12.6%), consultation was 16(11.9%), medication was 44(32.6%), acupuncture was 3(2.2%), acupuncture and medication were 14(10.4%) and transferred out patients were 14(10.4%). 7. Revisit: revisit patients were 30(22.2%).

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흰쥐 퇴행성 관절염모델을 이용한 봉독약침의 치료효과 (Effect of Bee Venom Herb-acupuncture on the Repair of Articular Full-thickness Defect in Rat)

  • 조미애;함대현;이승기;최선미;김건호;심인섭;강성길;이혜정
    • 동의생리병리학회지
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    • 제19권3호
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    • pp.618-622
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    • 2005
  • Articular cartilage is an important target for studying the arthritic diseases. To verify the therapeutic effects of bee venom herb-acupuncture in vivo, 3${\mu}$l of diluted solution of bee venom for herb-acupuncture were injected into articular cavity once a day during 3 months after making full-thickness defects in rat articular cartilage. Histological examination and immunohistochemistry indicated that the chondrocyte-like tissue was formed during the repair process of cartilage injury, and the expression of a cartilage-specific protein, collagen type II, were significantly activated. It means that the expression of the gene encoding type I collagen was down-regulated, whereas those of collagen type II were up-regulated. Histological examination by hematoxylin-eosin staining indicated that the cells regained their original round morphology. In addition, a homogeneous distribution of articular cartilage extracellular matrices was detected around the cells. These results suggested that bee venom herb-acupuncture was very effective on the recovery of articular chondrocyte phenotype.

국내 뜸 요법 임상 실태 파악을 위한 전화조사 (Telephone survey for grasping clinical actual stage of moxibustion therapeutics in Korea)

  • 한창현;신미숙;신선화;강경원;박선희;최선미
    • Korean Journal of Acupuncture
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    • 제24권3호
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    • pp.17-31
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    • 2007
  • Objectives : Moxibustion therapeutics is one of the most popular oriental treatments in Korea. In this study, we operate the Telephone Survey for grasping clinical actual state moxibustion therapeutics in Korea. Methods : Survey questions were developed based on consensus of acupuncture professors. The list of the Korean medical doctors with experiences more than 10 years is provided by the Association of the Korean Oriental Medicine. A stratified random sample of Korean medical doctors is drawn for the telephone interviews. We choose a bound on the error of estimation equal to 6.5 percentage, and the sample size is 260 for the national sample. Telephone interviews with them were conducted by the well-trained interviewers of Korea Institute of Oriental Medicine in Medical researcher from 26th March 2007 to 6th April 2007. Results : Ninty -four percents of Korean oriental medical doctors were male and most commonly, clinical experience of doctors were 20-29 years(47.3%). Sixty-seven percent of Korean oriental medical doctors used moxibustion therapeutics. The most common treatment disease was Musculo-skeletal disorder(38.3%), Digestive disorder(28.6%), Gynecology(14.1%). Indirect moxibustion were as frequent as 65.5% of moxibustion method. The most common reason of unused respondents was 'Lots of smell and smoke'(28.3%), 'The wound left a scar'(20.8%), 'Less effects'(20%), etc. Eighty-three percents Korean oriental medical doctors were against that moxibustion therapy used without doctor's examination Conclusions : This survey provides unique insight into the perception of the Korea medical doctor at moxibustion therapeutics. Future research need to provide more in-depth insight into doctor views of the experience.

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근위축성 측삭경화증 환자 1례에 대한 임상증례 (Case of Amyotrophic Lateral Sclerosis(ALS) with Oriental Medical Treatment Evaluated by K-ALSFRS-R)

  • 조칠성;허지인;장상철;안훈모
    • 대한의료기공학회지
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    • 제14권1호
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    • pp.39-51
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    • 2014
  • Objects : This study is a report on treatment effect of the case that treated by using of oriental medical treatment to Amyotrophic Lateral Sclerosis(ALS) patient. Methods : The patient diagnosed with ALS was treated by using of acupuncture, physical therapy, Su-gi therapy, thermotherapy and herbal medicine during 180 days. K-ALSFRS-R score was used as the tool of treatment effect. Results : Despite the K-ALSFRS-R score reduction, the oriental medical treatment maintain the respiratory function and a speech. Conclusions : The oriental medical treatment is effective on local symptoms of ALS, but there were no functional improvement of ALS in this case study. It is necessary to have more examination about ALS.