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Convergent Research of Korean-Western Medicine: the Concept, Types and Suggestions for Promoting the Research (동서의학 융합연구: 개념, 유형, 활성화를 위한 제언)

  • Lee, Choong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.6
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    • pp.311-321
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    • 2019
  • In this paper, we try to define and classify the concepts of Convergent Research of Korean-Western Medicine (CRKWM) to clarify the goals of research. In addition, some suggestions that are necessary to promote the CRKWM were made. The results are as follows. First, the CRKWM should be used as a concept that refers to 'interdisciplinary research' jointly conducted by experts in both Korean and Western medicines beyond their own fields. Second, True CRKWM is an "eclectic combination of East-West" that combines the advantages of traditional Korean medicine and western medicine to create a new field; it is necessary to redefine the concept of 'Integrative medicine', which is used in different context by the traditional Korean medicine and western fields in Korea, as an "eclectic combination of East-West" type. Third, In order to promote the CRKWM, it is necessary to convert the current dual medical system of relativism to one of pluralism. Forth, In order for CRKWM to be promoted, methodologies, theories, and models that become the backbones of convergence should be developed. As of now, systems medicine and network science are the best fit. Fifthly, In order to promote convergent clinical research, the development of Korean-Western diagnostic model that integrates the pathologies of Western medicine and symptoms of Korean medicine is urgent. Lastly, Mutual understanding between Korean and Western medicine fields should be preceded in order for CRKWM to be stimulated.

Analysis of the Effect on Korean Medicine Alone and Korean-Western Medicine Combination Treatment for Herpes Zoster through Domestic Case Report (국내 증례 보고를 통해 본 대상포진의 한방 단독 치료와 한·양방 협진 치료의 효과 분석)

  • Kim, Hea-Ju;Kang, Ha-Ram;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.44-55
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    • 2021
  • Objectives : The aim of this article is to compare the effect of the korean medicine alone with korean-western combination treatment to herpes zoster. Methods : Domestic databases(OASIS, NDSL, RISS, KISS, KTKP, KMBASE, DBPIA, KoreaMed, National Assembly Library) were used to search case study papers related to herpes zoster and korean medicine treatment. We searched them using the term 'Herpes zoster' or 'Ramsey Hunt' combinated with 'Acupuntcure', 'Herbal medicine' or 'Korean medicine'. Results : A total of 36 studies were selected and analyzed. 25 studies treated with korean medicine and 11 studies treated with korean-western combination treatment which include any western medication. Of these 36 papers, there were a total of 24 cases in which a VAS test was undertaken. According to 36 published papers, no statistically significant difference in the periods of treatment with korean medicine alone from those of korean-western combination treatment was found. Also, no statistical difference in the VAS changes per period with korean medicine alone from those with korean-western combination treatment was found. Conclusions : According to the results, These findings suggest that korean medicine treatment can be effective for the herpes zoster the same as korean-western combination treatment.

Perception Difference between Korean Medicine Doctors, Western Medicine Doctors, and Patients on the Collaborative and Integrated Medicine for the Functional Dyspepsia (기능성 소화불량의 의한 협진과 통합의료에 대한 한의사, 의사, 환자의 인식도 차이)

  • Kim, Keumji;Jeon, Hye-jin;Ko, Seok-jae;Cha, Jae Myung;Park, Jae-Woo
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1285-1302
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    • 2021
  • Objectives: The aim of this study was to investigate the perception difference between Korean Medicine doctors, Western Medicine doctors, and functional dyspepsia (FD) patients on the 'Collaborative and Integrated Medicine (CIM)' for FD management. Methods: Between February and April 2021, 545 Korean Medicine doctors, 121 Western Medicine doctors, and 186 FD patients were invited to participate in this survey. A questionnaire was developed by both the Korean and Western Medicine doctors and consisted of questions about general perceptions of FD and perceptions of CIM for FD. Results: Responses from 424 Korean Medicine doctors, 113 Western Medicine doctors, and 153 FD patients were analyzed for the CIM of FD. Significant perceptional differences were noted between Korean Medicine doctors, Western Medicine doctors, and FD patients on the CIM for FD, including necessity, effectiveness, safety, cost, and reliability of CIM for the management of FD (p<0.001). The FD patients also more strongly supported the necessity of developing CIM for FD than did the Korean and Western Medicine doctors (p<0.001), and 87.6% of the FD patients strongly agreed or agreed with the use of CIM for FD. Conclusions: A significant perception difference was detected between Korean Medicine doctors, Western Medicine doctors, and FD patients regarding the use of CIM for FD. Patients with FD favored the necessity and were more willing to accept CIM for FD than were the doctors. Therefore, more efforts may be warranted for doctors to promote CIM for FD.

A study of Utilization behavior in patients receiving Korean Medicine and Western Medicine collaboration (의·한의 협진 의료이용 행태 분석 연구)

  • Kim, Hyun-Min;Kim, Nam-Kwen;Nam, Soon-Hoo;Lee, Hye-Yoon
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.2
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    • pp.25-32
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    • 2018
  • Objectives : This study was conducted to investigate the frequent diseases among the people who had been treated by collaborative treatment of Korean medicine and Western medicine, and to compare their medical use behaviors before and after the collaborative first-stage pilot project between Korean medicine and Western medicine. Methods : 4,467 patients were identified as the patients who are participated in the collaborative first-stage pilot project between Korean medicine and Western medicine during the period between July 15, 2016 and March 31 2017. We used 28,480 records of Korean national health insurance claim data from January 1 2016 to March 31 2017 to analyzed present condition of cooperative medical usage. Also we conducted a paired t test to compare the percentage of collaborative treatment days before and after the pilot project period. Results : We found that the most frequent diseases treated in the pilot project were the diseases of musculoskeletal and nervous system and then 10 major diseases such as H, K, J, C (D), N, L, E, A, H and F disease codes in order. Also it was confirmed that 14 major and 53 medium diseases are included from more than 90% of total patients. As a result of high frequency of medical treatment in Western medicine or Korean medicine is "administration of Korean medicine", which is same as before and within the pilot project. The ratio of utilizing both Western and Korean medical care for the same disease on the same day by both general patients and patients in KCD-7 disease code group C, G, I, M and S had been increased significantly. Conclusions : The pilot project might change the behavior of utilizing the medical care service by increasing the ratio of collaborative treatment of Western medicine and Korean medicine for the same disease on the same day.

Current Status of Combination Western and Korean medicine in Public Health Center in a Rural Area (일개 보건소의 양약-한약 병용투여 현황 보고 : 2019년 의무기록에 대한 후향적 분석)

  • Park, Seongjun;Choi, Seong-hun;Park, Chanjong;Lee, Keun-hee;Kong, Kyu-dong;Hong, Jieun;Chu, Hongmin;Kang, Kyung-ho
    • Journal of Society of Preventive Korean Medicine
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    • v.24 no.2
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    • pp.57-62
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    • 2020
  • Objectives : This study is retrospective chart review research on the combined-prescription of Western and Korean medicine in Public Health Center in rural area. Methods : Researchers reviewed medical records of patients who was prescribed Korean medicine and Western medicine from 1st, Jan, 2019 to 31st, Dec, 2019 in Public Health Center. 50 patients' medical records were included. Results : Total number of treatment is 3,808 cases and 1.3% of them is prescribed Korean medicine and Western medicine simultaneously. Prescription of Korean medicine is 153 cases and Western medicine is 160. Jowiseunggi-tang and Diroba tablet were the most frequently prescribed Korean medicine and Western medicine. Furthermore, Korean Medicine Doctors of Public Health Center use muscular skeletal disease system code(M code among KCD code) for prescription and Western Medicine Doctors use diseases of the circulatory system(I code among KCD code) frequently. Conclusions : We analyze 50 patients who were prescribed both Korean medicine and Western medicine. Mostly, patients were prescribed medicine for different diseases in each clinic. In western medicine clinic, drugs about circulatory or endocrine disease were prescribed frequently and in Korean Medicine clinic, drugs about muscular skeletal disease were most frequently prescribed. This result imply the real world's combination of prescription status that was different from result of National health insurance corporation database. Senior patients in rural area take medicine long period and have various underlying disease. We call for some attention about senior and rural area patients' prescription status in interaction studies of Korean medicine and Western medicine.

Clinical Case of Drug Induced Liver Injury Treated with Herbal Medicines in Conjunction with Western Medicines (한약과 양약의 병용 치료를 통한 약인성 간손상 치험례 1례)

  • Lee, Eun-Hyoung;Kim, Sang-Heon;Park, Sang-Eun;Song, Su-Jin;Seo, Chang-Un;Lee, Yong-Tae;Kim, Won-Il
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.1
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    • pp.285-290
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    • 2007
  • A liver is responsible for drug metabolism in a body. 10% of all medicine side effects lead to liver injury. Herb medicine is not an exception to this rule but all Herb medicines do not lead to liver injury absolutely. As for two times of occurrence of the drug induced liver injury during treatment of a CVA patient, we gave him Herb medicines in conjunction with Western medicines and Western medicines alone for each case. We meet with the result that giving the patient Herb medicines in conjunction with Western medicines reduces the duration of decreasing AST, ALT level as compared with giving him Western medicines alone. So we are now reporting the result.

The Oriental and Western Medical Study on the Viewpoint in Human System (동서의학의 인체에 대한 관점 비교 고찰)

  • Lee, Soo-Jin;Kim, Kyoung-Shin;Kim, Byoung-Soo
    • Journal of Haehwa Medicine
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    • v.19 no.1
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    • pp.99-109
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    • 2010
  • Oriental medicine which is based on internal activeness has constantly been developed for over thousands years and during that time it has encountered Western medicine that has the different system. Because of a lot of different viewpoints of how to understand human and nature, there exist lots of problems to cope with for the integration of two medicines as follows: (1) Oriental medicine regards each person as a cosmos in miniature but Western medicine is based on dualism, substantialism and mechanism. (2) Oriental medicine thinks much of totality as a cosmos in a miniature but Western medicine investigates individual structure and function of human organ and system. (3) Oriental medicine considers that organs are the core of the Oriental medical physiology and makes much account of their functions and their relationships with fundamental texture, but Western medicine gives much emphasis on the structure than functions. Despite of these differences, Oriental medicine and Western medicine should develop mutual understanding and this will facilitate the achievement of the third medicine that is suitable for the primary object of medicine that is to enhance human health and cure diseases.

Comparison of Oriental and Western Nutrition for the Improvement of Health and Chronic Diseases Therapy (건강과 질병치료 효능 증진을 위한 한방영양과 현대영양관리의 비교)

  • Yang, Kyung-Mi;Kim, Mi-Rim
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.8
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    • pp.1106-1114
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    • 2006
  • Good health and longevity are the goal of human beings. Dietary treatment for the improvement of health and chronic diseases therapy has been occupied an important position in Oriental and Western medicine. In this paper, the viewpoints of dietary treatment in Oriental and Western medicine were compared. The principle of Yin-Yang and five elements, as a standing rule that establishes the theory of Oriental medicine and origin of the oriental philosophy, it provides the based of the Oriental medicine's outlook of the world. The principles of dietary treatment in Oriental medicine was reasonable combination of food, balance of Oh-Mi and temperance of food. Nutritional therapy in Oriental medicine has done the phase of Bian Zheng by individual characteristics. The theory of Yin-Yang and five elements, Ki-Mi, Sasang Constitution Medicine and Kyi-Kyung were obviously recognized the theory of nutrition therapeutics in Oriental medicine. In Western medicine, dietary treatment supplies individuals with a recipe of calorie and specific nutrients. The Food Exchange System was very convenient way of practice in nutrition therapy. But each of dietary treatment in Oriental and Western nutrition has strong and week points. So we need to study enough materials to treatment of Oriental nutrition and Western nutrition for the improvement of health and chronic diseases therapy.

Study on Attitudes of Officials Depending on System of Collaborative Practice between Traditional Korean Medicine and Western Medicine (한양방협진 이용에 따른 일부 공무원들의 인식도 조사)

  • Song, Min Sun;Yoo, Yong Kwon;Choi, Chan Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.4
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    • pp.446-451
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    • 2014
  • The purpose of this study was to investigate different attitudes of officers depending on system of collaborative practice between traditional Korean medicine and western medicine. A total of 103 officials were surveyed using structured questionnaires. Data were analyzed using descriptive statistics, ${\chi}^2$ test with the SPSS program. Use of oriental medicine clinic was significantly higher and use of general hospitals was significantly lower in a group of users (p=.021). Higher rates of disease status were found in a group of users (p=.024). 'Overcome limits of Traditional Korean Medicine and Western Medicine' and 'collaborative practice would bring benefits' as the reasons of using collaborative practice between Traditional Korean Medicine and Western Medicine showed higher rates (p<.001). It showed high interests in collaborative practice between Traditional Korean Medicine and Western Medicine in two groups, but higher rates of prospect of collaborative practice between Traditional Korean Medicine and Western Medicine revitalization were found in the group of users. Also, more than 60% of the officers showed positive attitudes in the system of the collaborative practice. Therefore, correct researches on actual conditions about collaborative practice between Korean and Western Medicine and positive and negative aspects of this collaborative practice pointed by candidates need to be considered in order to improve candidates' health condition.

Oriental and western study on medication treatment of obesity (비만(肥滿)의 약물치료(藥物治療)에 관(關)한 동서의학적(東西醫學的) 고찰(考察))

  • Kim, Jong-kook;Oh, Min-seok;Song, Tae-Won
    • Journal of Haehwa Medicine
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    • v.11 no.1
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    • pp.193-199
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    • 2002
  • Objective : The purpose of this study is to find out the mutual relationship with oriental medication and western medication of obesity Results : 1. Medicational efficacy on obesity is controled by three thing - weight decrease, food intake acting, energy consumption. 2. Western medication is sorted Appetite inhibiter, Food absorption inhibiter and Heat making promoter. 3. Oriental medication is sorted the xu(虛;deficiency) and the shi(實;excess). medication of xu and shi is sorted various method each other. 4. Appetite inhibiter and Food absorption inhibiter of western medication is related to Enrich the blood and Enrich yin(補血養陰) of oriental medication. Heat making promoter of western medication is related to Invigorate vital energy and Invigorate the spleen(補氣健脾) and Warm yang(溫陽). 5. Medication of shi of oriental medication is difficult to find in western medication.

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