• Title/Summary/Keyword: korean medical clinic

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Genuine traditional Korean medicine, BaekJeol-Tang for the treatment of rheumatoid arthritis

  • Han, Na-Ra;Sim, Woo-Moon;Sul, Moo-Chang;Kim, Min-Cheol;Lee, Chang-Hee;Kim, Dong-Won;Lee, Se-Hun;Lee, Ho-Cheol;Ryu, Jong-Min;Nam, Bong-Soo;Kim, Jong-Ok;Moon, Seong-Oh;Jang, Hyeon-Lok;Kim, Young-Seok;Lee, Ihn;Yang, Jin-Young;Hwang, Kyu-Sun;Chun, Chang-Sun;Jeong, Hyeon-Seok
    • CELLMED
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    • v.3 no.2
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    • pp.18.1-18.7
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    • 2013
  • Inflammation in rheumatoid arthritis is characterized by immune cell infiltration and cytokine secretion. In particular, mast cells and their cytokines play an important role in the pathogenesis of rheumatoid arthritis. Korean medicine, BaekJeol-Tang (BT) was designed by traditional Korean medicine theory. We already reported therapeutic effect of BT in rheumatoid arthritis. Here, we report the specific underlying mechanism of BT in activated human mast cells, HMC-1 cells. In addition, we report for the first time that BT significantly inhibited the production and mRNA expression of proinflammatory cytokines including thymic stromal lymphopoietin, interleukin (IL)-$1{\beta}$, IL-6, IL-8, and tumor necrosis factor-${\alpha}$ in activated HMC-1 cells. BT also decreased the activation of mitogen-activated protein kinases, nuclear factor-${\kappa}B$, and caspapase-1. Taken together, these results indicate that BT has potential as a regulator of inflammatory reactions for the treatment of arthritis such as osteoarthritis and rheumatoid arthritis.

A Survey in the General Population on the Perception of the Common Cold Treatment at the Korean Medical Clinic (한방의료기관에서의 감기 진료에 대한 일반인의 인식 조사)

  • Kim, Do-hyung;Cho, Min-kyoung;Hong, Min-na;Choi, Jun-yong
    • The Journal of Internal Korean Medicine
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    • v.38 no.3
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    • pp.336-352
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    • 2017
  • Objective: This study investigated the perception, utilization, and satisfaction (in the general population), of the common cold treatment at the Korean Medical Clinic, to provide basic information for the development of Korean medicine clinical practice guidelines for the common cold. Method: A questionnaire was developed that consisted of questions about the general perception, utilization status, degree of satisfaction, willingness to use, and the improvement of the common cold treatment at the Korean Medical Clinic. An online survey was conducted using this questionnaire. Results: Three-hundred subjects responded to the survey. The results of the analysis were as follows. 1. 73.7% of the subjects recognized the common cold treatment at the Korean Medical Clinic. 2. 72% of the subjects had a positive perception of Korean medicine for common cold treatment. The major reason for the positive perception was the expectation about improving immunity and preventing recurrence. 3. Only 20% of the subjects had visited the Korean Medical Clinic for common cold treatment. The expensive cost was the major reason for not visiting the Korean Medical Clinic for common cold treatment. 4. The ratio of subjects who were willing to visit the Korean Medical Clinic for common cold treatment was 70%. 5. The expansion of health insurance coverage (67.7%), the activation of public relations (54.7%), and the development of a new herb medicine preparation that was easy to take (43.3%) were found to be necessary for improving the Korean medical service for common cold treatment. Conclusion: In spite of high recognition and positive perception, actual utilization of common cold treatment at the Korean Medical Clinic was relatively low. Multifaceted efforts are necessary to enhance the competitiveness of Korean medical service for treatment of the common cold.

How to cope with medical emergencies in the Dental Clinic (치과진료실에서 흔한 긴급상황의 처치)

  • Kim, Hyun Jeong
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.530-537
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    • 2015
  • Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.

Study and three Cases Report for Lumbar Spinal Stenosis Treatment Using a Combination of Acupotomy and Existing Treatments (기존치료법과 침도침 시술을 병행한 요추관협착증의 증례보고 및 분석)

  • Jung, Ki-Yong;Sur, Young-Chan;Jang, Woo-Soon;Lee, Ji-Eun;Kim, Kyoung-Hoon;Shin, Gwang-Soon;Han, You-Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.1
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    • pp.120-127
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    • 2012
  • This study reports the effect of acupotomy for patients diagnosed with lumbar spinal stenosis(LSS). We treated three patients diagnosed with LSS using acupotomy. We measured the Numerical Rating Scale(NRS), Oswestry Disability Index(ODI) scores and Odom's criteria before and after treatment to assess improvements in symptoms and functions. In all patients, NRS, ODI scores and Odom's criteria were improved. We found a beneficial effect with acupotomy for three patients diagnosed with LSS. Thus, these data suggest LSS may be treated successfully with acupotomy.

Management of Spinal Cord Injury Pain with Small Divided Doses of Intravenous Ketamine -Two case reports- (케타민의 소량 분할 정주에 의한 척수손상 환자의 통증 관리 -증례 보고-)

  • Han, Chan-Soo;Park, Jin-Hyeok;Kim, Jin-Soo;Kim, Il-Ho;Kim, Yu-Jae;Kim, Chun-Sook;Ahn, Ki-Ryang
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.123-127
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    • 1999
  • Chronic pain is a frequent complication after spinal cord injury. Various medical and surgical approaches have been applied for management of spinal cord injury pain but none of them are definitive. The N-methyl-D-Aspartate (NMDA) receptor antagonist, ketamine has been reported to have a significant effect in the management of neuropathic pain. We used small divided doses of intravenous ketamine (30 mg divided by 6 equals 5 mg, 5 min interval) in spinal cord injury patients suffering from chronic pain, and accomplished significant pain relief without side effects.

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Four Cases of Korean Medical Treatment for Infertile Married Couple (난임 부부의 한의약 치료를 통한 자연임신 치험 4례)

  • Park, Nam-Chun;Kim, Jung-Kwon;Seo, Young-Gwang;Seo, Jae-Young;Shin, Dong-Seol;Lee, Geun-Chun;Hwang, Deok-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.3
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    • pp.164-173
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    • 2018
  • Objectives: This study aims to report the clinical effect of Korean medicine on infertile married couple. Methods: Four infertile married couples received Korean medicine therapies such as herbal medication, acupuncture and moxibustion. Results: After treatment, four couples were successful in spontaneous pregnancy. All patients gave birth to healthy babies. Conclusions: This study suggests that Korean medicine is effective in infertile married couple and shows possibility to increasing pregnancy rates.

A Case Report of Pregnancy of Infertility Patient with Thin Endometrium (자궁내막이 얇은 불임 환자 자연임신 1례)

  • Kwon, Ji-Myung;Kim, Nam-Huyng;Jang, Eun-Ha;Kim, Eun-Seop;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.1
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    • pp.138-146
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    • 2015
  • Objectives: To report the effect of Korean medicine on 39-year-old infertile patient with thin endometrium. Methods: The patient who had thin endometrium was treated with herbal medication, acupuncture, moxibustion and steam bath for 4 months. Results: After the Korean medical treatment, the patient could give a natural birth to a healthy baby. Conclusions: The case report suggests that Korean medicine, especially herbal medicine and acupuncture is effective on thin endometrium.

Ganglion Impar Block in the Management of Rectal Tenesmoid Pain (항문 이급후중의 치료에 있어 외톨이 신경절 차단)

  • Kim, Soo-Kwan;Ahn, Cheol-Soo;Cho, Yong-Roew;Lim, So-Young;Shin, Keun-Man;Hong, Soon-Yong;Choi, Young-Ryong
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.226-228
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    • 1996
  • Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. The pain is usually spasmodic in nature and most commonly encountered in patients with carcinoma of the rectum or other pelvic organs. In 1988, Bristowand Foster reported that patients with severe spasmodic painful tenesmus were relieved with chemical sympathectomy. In 1990, Plancarte introduced block of Ganglion impar. This technique is proposed as an alternative means of managing localized perineal pain of sympathetic origin. Ganglion impar block was performed on a 54-year-old female patient when analgesic or psychotropic drugs failed to control the symptoms of post-traumatic severe spasmodic painful tenesmus. Postoperatively, patient was free of tenesmoid pain for only 7 days. We then performed neurotomy by RF lesion generator which provided complete pain relief.

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