• The Journal of Korean Physical Therapy
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• 제24권3호
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• pp.171-180
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• 2012

Purpose: The purpose of this study was to investigate the clinical decision making (CDM) development process throughout the comparison between novice and expert physical therapist as well as develop a CDM model for physical therapists under the fee-for-service (FFS) and physicians' prescriptions. Methods: Purposive sampling techniques were used to select 10 clinical physical therapists paired into five groups (each pair consisted of 1 novice and 1 expert physical therapist). The coding schemes were extracted from interviews and through within- and across-case analyses, cases were summarized. The reliability of coding schemes was confirmed by checking of case summaries by the participants. Results: Novice and expert physical therapists were influenced by two themes, internalized theme and external forces or information. Novice clinicians depended more on external forces or information. Although clinicians should care patients under the FFS and physician's prescription, expert clinicians were more likely to rely on internalized knowledge. Conclusion: The findings of the present study may be used by educators or association officials enhance CDM abilities and knowledge pools of student or novices as well as develop a guide to suitable novices or students under the specific context limiting the development of their CDM.

• 보건행정학회지
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• 제22권4호
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• pp.579-596
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• 2012

The purpose of the study is to examine the use of medication among adults by comparing the pattern of outpatient prescription drug use with the pattern of long term taking lifestyle drug use. Furthermore, the study investigates factors associated with the use of medication, particularity focusing on socioeconomic factors. Korea Health Panel data of 2008 was used to conduct the study analysis. By performing four different logistic regression models, the study noticed different patterns of the medication use between prescription drugs and lifestyle drugs. More specifically, the study showed that adults with lower education level tend to more frequently receive prescriptions while adults with higher education as well as income level tend to more use lifestyle drugs than their counterparts. Furthermore, other control factors such as age and gender were statistically significant for the use of both prescription and lifestyle drugs in different patterns. The study findings expect that reimbursement structure of drugs may be significantly associated with the different patterns and accordingly the accessability of medicine in particularly vulnerable population. Therefore, these policy factors should be considered in future study to more comprehensively understand about the diverse patterns in the medication use.

• 대한한의학방제학회지
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• 제15권2호
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• pp.79-87
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• 2007

This study was investigated to make sure the range of the Colla Corii Asini treatment. the nature of disease and the pathology of it in D ongeuyboga. The following conclusion were reached through invetigations on the prescriptions that use the Colla Corii Asini as a ingredient. 1. The Colla Corii Asini was used a internal disease more than a surgical disease in the dongeuybogam. 2. The Colla Corii Asini was used lung and large intestine disease in abundance and especially anhidrosis. cough and dysentery. 3. The Colla Corii Asini was applied much more disease about blood in the dongeuybogam, but some was used almost bleeding disease. one was used blood deficiency. 4. The processed Colla Corii Asini was used more than the Colla Corii Asini in the dongeuybogam, because of convenience of preparation and ease of intestinla drug absorption. 5. The Colla Corii Asini was used more useful dysentery than tranquilizeing mind in cooperation with Rhizoma Coptidis in the dongeuybogam. 6. Instead of the Colla Corii Asini, we can apply the Colla Comus Cervi or they are mutual reinforcement.

• 대한한의학방제학회지
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• 제25권1호
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• pp.39-49
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• 2017

Objectives : The contents of the literature associated with the medical records were entered into the database. We want to find the structure and search methods for efficient utilization of the database. Methods : The contents were entered into the database using the 'Access 2014 of the MS'. The Query Sentences were created and utilized for a search. Results : We could find information about the prescriptions, medical records and patients by the herbs and symptom combinations using the single table named 'Integrated Knowledge' and queries. Integrated Knowledge is a table that gathered patient information, prescription information and symptom information together. Conclusions : If you store patient, prescription and symptom information on a single table, you could search and use the results by various combinations of the various elements included in the table. These results could help curing patients on the basis of evidence-based treatment at the clinics.

• 대한한의학원전학회지
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• 제28권2호
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• pp.1-16
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• 2015

Objectives : Nomenclature for medical terminology is the most important point in traditional medical standardization. For example, standard Romanized nomenclature for acupuncture points, herbal medicines, prescriptions and classic books have been achieaved. However, studies on standard Romanized nomenclature for persons who was involved in traditional medicine are rare. Methods : Following up all articles in Journal of Korean Medical Classics[J. KMC], which have Romanized name for persons and analyzing problems of those. Results : There were several methods to write in Romanized character even to an unique and replaceable name. Conclusions : Romanized nomenclature for persons' name who were involved in traditional medicine as a terminology must have unique expression. So we suggest that authors to write articles have to use unique Romanized nomenclature for persons who were involved in traditional medicine and persons had lived in a certain country should be written in Romanized characters with their own languages.

• 대한한의학방제학회지
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• 제24권3호
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• pp.195-211
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• 2016

Objectives : The purpose of this study was to investigate the interpretation of the Daeseunggi-tang(DST) in order to obtain the evidence for clinical applications.Methods and Results : We have analyzed the interpretation on the DST through translations and comparisons based on classic books about the oriental medical prescriptions.Conclusion : 1. 'Dae(大)' in DST means 'strong symptoms' or 'strong efficacy'. 'Seung(承)' in DST means 'smooth (順)', 'attach(連)' and 'serve(奉)'. 2. The main pathogenesis of DST's syndrome are heat binding(熱結)·qi stagnation(氣滯). 3. The main areas where disease pattern of DST is 'Yang brightness(陽明)'. It is also associated with 'Lesser yin (少陰)', 'Qi aspect(氣分)·Blood aspect(血分)' and 'Triple Energizer(三焦)'. 4. Laxative the Rhei Radix et Rhizoma(大黃) is sovereign medicinal(君藥) of DST, because of removing the heat binding(熱結) and the heat that spread throughout the body.

• 대한한의학원전학회지
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• 제36권4호
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• pp.25-40
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• 2023

Objectives : This paper studies the Tangaek-Unhoei(湯液韻彙) index of herbal medicine in the Inje-Ji(仁濟志) of the Imwon-Gyeongje-Ji(林園經濟志), which contains about 4,800 formulas. Created by 19th-century Joseon scholar Seo, Yugu, it not only lists the formulas according to their names, but also provides index by topic, which enabled the collection and effective application of massive medical information. Methods : We quantitatively examined the nearly 4,800 herbal medicines in the Tangaek-Unhoei and their categorization. Any uncommon or particular categorization was examined further by analyzing the original text. Results & Conclusions : The prescriptions contained in the Inje-Ji are categorized under 26 headings. They are listed according to the 106 units of the Chinese character dictionary and organized by double headings. This unique index makes it easy to browse the contents of such a vast book containing massive medicinal knowledge. In addition, the fifty or so remedies called 'Fang(方)' exemplify the author's attitude toward medicinal knowledge, which is both rational and inclusive. This is an attitude that should be recognized beyond tradition.

• Advances in Traditional Medicine
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• 제1권1호
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• pp.1-7
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• 2000

Although Oriental medicines have long been used effectively in treating many diseases throughout the world, the pharmacological mechanisms of most Oriental medicines used have not been defined. As part of our continuing search for biologically active antiallergic drugs from natural sources, Oriental medicines were analyzed. Some Oriental medicines have been used against various allergic diseases for generations, and still occupies an important place in traditional medicine in Korea. It is also still unclear how Oriental medicine prevents allergic disease in experimental animal models. Some Korean folk medicines inhibited the mast cell-mediated allergic reaction. This review summarizes the effective folk medicine in experimental effect of allergic reaction. Potential antiallergic folk medicines include: Poncirus trifoliata; Siegesbeckia glabrescence; Solanum lyratum; Aquilaria agallocha; Ulmi radicis; Polygonum tinctorium; Hwanglyun-Haedok-Tang; Rehmannia glutinosa; Kum- Hwag-San; Syzygium aromaticm; Spirulina platensis; Sosiho-Tang; Sinomenium acutum; Schizonepta tenuifolia; Shini-San; Magnoliae flos; Sochungryoung-Tang; Oryza sativa; Cryptotympana atrata; Salviae radix; Rosa davurica; Asiasari radix; Chung-Dae-San; and Cichorium intybus. Understanding the mechanisms of action for these Oriental medicines can permit drug development and laying of the ground-work for evaluating potential synergistic effects by addition and subtraction of prescriptions.

• Korean Journal of Acupuncture
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• 제39권3호
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• pp.84-90
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• 2022

Objectives : Acupoints are divided into three categories: classical acupoints, extra-acupoints, and Ashi points. The aim of this study was to understand the meaning and features of Ashi points. Methods : We examined the original meaning of Ashi points from the classical medical texts, including the Beijiqianjinyaofang, the Essential Prescriptions Worth a Thousand Gold for Emergencies, and the Huangdi Neijing, the Yellow Emperor's Canon of Internal Medicine. Results : First, the Ashi method is to locate the points for the acupuncture and moxibustion based on the patients' reactions mainly manifested by sensations of comfort and pain, which can help identify not only Ashi points but also classical and extra-acupoints. Thus, Ashi points may or may not match to classical or extra-acupoints, and we propose that Ashi points should not be classified mutually exclusive to classical or extra-acupoints. Second, there are several similarities between Ashi points and myofascial trigger points. They are located by palpation and have no fixed anatomical positions. Patients experience painful but pleasant feeling when Ashi and myofascial trigger points are pressed, and stimulation of these points have treatment effects. Conclusions : We suggest that Ashi method be used to identify the acupoints based on how patients react when these points are pressed. Ashi points may or may not correspond to classical or extra-acupoints, and share traits with myofascial trigger points.

• 대한한방소아과학회지
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• 제31권1호
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• pp.1-11
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• 2017

Objectives The purpose of this study is to investigate commonly-used-pattern-identifications and to understand herbal medicine treatment for psoriasis based on recent clinical studies. Methods Keyword 'psoriasis' was used to search articles in National Digital Science Library (NDSL), Korean Traditional Knowledge Portal (KTKP), Oriental Medicine Advanced Searching Integrated System (OASIS) and Research Information Sharing Service (RISS). 19 relevant articles were reported between 2006 - 2016, and were obtained and reviewed. Results Among the 19 articles, the most commonly-used-pattern-identifications were 'blood heat pattern'. 'Gunsun-bang', 'Bangpungtongsungsan-gami'. Also, based on the search results, 'Yangdokbaekho-tang' were more frequently prescribed than other herbal medicines, and ingredients such as, Glycyrrhizae Radix (甘草), Saposhnikoviae Radix (防風) and Rehmanniae Radix (生地黃) were used repeatedly in those prescriptions. Conclusions This study showed what pattern identifications there are, and what herbal medicines are often used in clinical treatments. Developing new form of herbal medicines are also going to be possible with further research.