• Title/Summary/Keyword: oriental medical management and treatment

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The Clinical Evaluation of East-West Medical Management for Central Poststroke Pain (뇌졸중후 중추성 통증에 대한 동서협진의 임상적 효율성 평가)

  • Cheong, Byung-Shik;Kim, Keon-Sik;Lee, Doo-Ik;Choi, Do-Young
    • Journal of Pharmacopuncture
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    • v.4 no.2
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    • pp.95-103
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    • 2001
  • Background : Central poststroke pain(CPSP) can occur as a result of lesion or dysfunction of the brain from stroke and may cause many difficulty in the social activities and daily life. In this study, we evaluate the clinical effectiveness of east-west medical management for CPSP through VAS(visual analogue scale), infrared themography, MBI(Moderfied Barthel Index) and Rankin scale. Methods : We treated thirty patients with oriental medical treatment method and western & oriental medical treatment method. Each group has fifteen patients of the CPSP. We evaluated their pain(characterizes tingling and burning sensation, aching, hyperalgesia, and allodynia) through VAS(visual analog scale) pain score, the skin temperature of pain site by infrared thermography and assessed their mobility & rehabilitation ability through MBI(Moderfied Barthel Index), Rankin scale before and after pain treatment. Results : The skin temperature of pain site was lower than non-pain site. The difference of skin temperature improved from $0.65{\pm}0.45^{\circ}C$ to $0.39{\pm}0.25^{\circ}C$ after oriental medical treatment and $0.68{\pm}0.54^{\circ}C$ to $0.27{\pm}0.24^{\circ}C$ after western & oriental medical treatment VAS scores improved from $7.9{\pm}1.4$ to $4.7{\pm}1.6$ after oriental medical treatment and $8.1{\pm}1.3$ to $4.6{\pm}1.2$ after western & oriental medical treatment. MBI scores improved from $61.40{\pm}13.58$ to $85.00{\pm}13.85$ after oriental medical treatment and $52.26{\pm}13.52$ to $77.13{\pm}12.04$ after western & oriental medical treatment. And Rankin scale scores improved from $3.33{\pm}0.72$ to $2.46{\pm}0.74$ after oriental medical treatment and $3.60{\pm}0.82$ to $2.66{\pm}0.81$ after western & oriental medical treatment Conclusion : The difference of skin temperature and Rankin scale scores more significantly improved after western & oriental medical treatment than oriental medical treatment. According to the results, we thought east-west medical management is very useful treatment for CPSP and rehabilitation of the patients with stroke.

A Case Report of Oriental Medical Treatment for a Patient with Acute Paralytic Ileus (급성 마비성 장폐색 환자의 한방치험 증례보고)

  • Song, Chang-Hun;Cho, Hyun-Seok;Kim, Jung-Chul;Lee, Jae-Eun;Ha, Jang;Baik, Tae-Hyun;Park, Jung-Han
    • The Journal of Internal Korean Medicine
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    • v.26 no.4
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    • pp.946-953
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    • 2005
  • Ileus is blockage of the intestine that prevents the contents of the intestine from passing to the lower bowel. In western medical treatment, surgery is mandatory for severe cases such as strangulation ileus. However more generally, conservative management is used for treatment. Examples of conservative management are decompression with tube, fluid treatment, enema and fasting cure. Until now, many oriental medical studies have been conducted on chronic ileus, but almost none on acute ileus. The results for the case in this report suggest that oriental medical treatment such as acupuncture, moxibustion, herbal medicine is effective in treating acute ileus. We think that further studies should be conducted on a combination therapy with other oriental medical treatment such as retention enema.

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A Literature Review of the East-West Medical Combined Treatment (한양방 병용치료에 대한 문헌고찰)

  • Kim, Chang-Seok;Kim, Sang-Kyun;Kim, Young-Eun;Kim, Chul;Yea, Sang-Jun;Jang, Hyun-Chul;Song, Mi-Young
    • Korean Journal of Oriental Medicine
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    • v.18 no.2
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    • pp.101-116
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    • 2012
  • Objectives : This study aims to analyze the papers of the east-west medical combined treatment and suggest the research direction. Methods : 183 research papers were collected by using 25 keywords including combination(in korean words, 병용), collaborative practice(in korean words, 협진) in Korean Medical Database(KMbase) and Oriental Medicine Advanced Searching Integrated System(OASIS). We analysed the type of studies, the kind of diseases, the treatment method, the kind of herbs and drugs in frequent use, and the result of research. Results : Among the analysed 183 papers, clinical studies are 89 cases and experimental studies are 94. 5 cases of clinical studies are Randomized Controlled Trial(RCT). The cancer(50 papers) and diseases of the circulatory system(25 papers) occupied mostly in treatment studies. Because Combined treatment was actively progressed in oriental medicine, treatment was mainly applied the combined oriental medical treatment with herbs and western drugs. In herbal medicine, Mahwangyounpae-tang(麻黃潤肺湯) and Eunkyo-San(銀翹散) were frequently used in the papers. In western drugs, Cyclophosphamide, Cisplatin, and Mitomycin C were frequently used in the papers. 154 papers introduced the treatment effect, 14 papers announced the safety, and 4 papers mentioned the side effect. Conclusions : We suggested several future research direction as follows. Clinical studies based on experiment studies must be more activated and many RCT shoud be shown. Experimental group in clinical studies should be clearly separated to confirm the treatment method is effective or isn't effective. Studies about the side effect must be expanded, and every study should be confirmed both the treatment effect and safety.

A Clinical Report of Conversion Disorder (전환장애(轉換障碍) 환아(患兒) 1례(例)에 대한 증례보고(證例報告))

  • Kim, Ha-Yan;Choi, Ka-Hye;Song, In-Song
    • The Journal of Pediatrics of Korean Medicine
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    • v.22 no.3
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    • pp.17-24
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    • 2008
  • Objectives : The purpose of this study is to report a case of conversion disorder child treated by oriental medical treatment. Methods : We diagnosed the patient as Soeumin Woolgwang disease and treated him with herbal medicine, acupuncture, moxa, consultation. We observed the improvement of his disease by checking his pseudo-seizure, stool, headache and chest discomfort. Results : By use of oriental medical treatment, we could make a considerable improvement of pseudo-seizure and other symptoms(stool, headache and chest discomfort). Conclusions : This study shows that oriental medical treatment can be an effective treatment for conversion disorder. But the symtoms may recur, so we need continuous observation and management.

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The Inpatients' Awareness of Co-operative Treatment System on Western Hospital and Oriental Hospital (양방과 한방병원의 협진체계에 대한 입원환자의 인식도)

  • Jin, Sam-Kon;Nam, Eun-Woo
    • Korea Journal of Hospital Management
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    • v.3 no.1
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    • pp.134-164
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    • 1998
  • The purpose of this study is to provide the data for the co-operative treatment of western and oriental hospital. The studies were made a questionnaire to analyze inpatients' awareness on the systems of co-operative treatment and to observe the differences in medical service satisfaction between inpatients who had experienced the co-operative treatment of western and oriental hospital(Group 1) and those who did not (Group 2). The survey was conducted in February 1998, on 250 inpatients who were in a hospital which provided co-operative treatment of western and oriental medicine in Pusan. Korea. The results of this study were disclosed as follows: 54.2% of western hospital inpatients and 90.5% of oriental hospital inpatients suffered from diseases of the nervous system 88.9% of Group 1 and 72.2% of Group 2 believed that the co-operative treatment of western and oriental hospital was more effective in curing diseases of the nervous system. 33.5% or inpatiens in the western hospital and 87.4% of inpatients in the oriental hospital had received the co-operative treatment. In the case of the oriental hospital inpatients who had experienced western treatment, 36.8% received an examination radiologic, 30.7% received a laboratory test, 17.8% received physical therapy, and 14.1% received medication. Whereas, in case of the western hospital inpatients who had experienced oriental treatment, 71.8% received acupuncture, 23.9% received herbal medicine, and 2.8% received oriental medical tests. As to the opinion on the systems of co-operative treatment, 49.6% of Group 1 agreed that 'New medical institutions that adopt the merits of both western and oriental medicine are absolutely necessary.', and 48.9% of Group 1 agreed that 'Since there are strong points and weak points in both western and oriental medicine, partial and gradual introduction of the two systems would be better.' Whereas, 49.6% of Group 2 agreed that the partial and gradual introduction, and 35.7% of Group 2 agreed that the necessity of the new medical institutions. As to the motives for visiting the hospital, the most popular reason for all the inpatients was "others' advice". In the case of Group 1, however, the most popular reason was "the possibility of co-operative treatment". In regards to medical cost, the oriental hospital inpatients felt that their medical cost was too expensive. On the other hand, a smaller percentage of the western hospital inpatients felt that western hospital medical cost were too expensive. And between Group 1 and Group 2, a higher percentage of Group 1 felt that their medical cost was too expensive.

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Clinical Study on Curative Effect of Uterus Myoma (자궁근종의 치료효과에 관한 임상적 연구)

  • Um, Yun-Kyung;Cho, Hye-Sook;Yu, Ju-Hee;Kang, Jong-Keun;Kim, Kyu-Kon;Lee, In-Seon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.4
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    • pp.1073-1077
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    • 2006
  • The purpose of this study is to find out oriental medical management and treatment of uterus myoma patients by investigating and analyzing them. We analyzed the results of medical records for 132 patients who were diagnosed as uterus myoma and visited Dong-Eui University Oriental Medical Center from March 2001 to December 2004. We investigated the frequency of symptom, the company frequency of symptom, the variety of treatment method. The frequency of symptom was dysmenorrhea 79 persons 59.85%, menorrhagia 61 persons 46.21%, subjective symptom of mass 12 persons 9.09%, infertility 4 persons 3.03%, lumbago 24 persons 18.18%, dysuria 10 persons 7.58%, dyschezia 22 persons 16.67'/), and the average number was 2.33. We investigated the company frequency of symptom, silent patients were 16 persons 12.12%, 116 persons 87.88(/) had myoma symptom. The treatment method; The frequency of taking herb medicine was 115 persons 87.12% and the average period was $50.65{\pm}5757$. The frequency of taking pill medicine was 56 persons 42.42% and the average period was $54.34{\pm}74.02$. The frequency of taking acupuncture treatment was 83 persons 62.88% and auricular acupuncture treatment was 30 persons 22.73%. We could find out the possibility of oriental medical management and treatment of uterus myoma.

Traditional Korean Medicine Management of Complications of Breast Surgery - A Case Report of Complications After Breast Surgery (유방수술 후 발생한 견관절 기능장애와 상지 저림에 대한 치험 2례)

  • Kwon, Ji-Myung;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.23 no.4
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    • pp.176-186
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    • 2010
  • Purpose: To review the effectiveness affecting to the shoulder functionalities and upper numbness by Traditional Korean Medical treatment who are given a surgical operation for breast resection by breast tumor Method: To report the patients with dysfunction of shoulder joint and numbness in upper limb after breast surgery who improved by Traditional Korean Medical treatment and to study Traditional Korean Medicine(TKM) management of complications of breast surgery. Results: After about 2weeks treatment, patient's symptoms and signs were improved. TKM management was effective in recovery of shoulder function and upper limb numbness after breast surgery. Conclusion: We need to actively participate in management of complications of breast surgery as adjuvant therapy. And more study is needed for developing Traditional Korean Medical indication of complications of breast surgery.

Two Cases of Epistaxis (육혈(?血) 환자 치험 2례 보고)

  • Jee, Seon-Young;Lee, Sang-Kon;Hwang, Sun-Yi
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.2
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    • pp.118-123
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    • 2005
  • Epistaxis is the condition which the blood comes out with the nose. It has been known that nasal bleeding happens with many reasons. In most cases, epistaxis is a slight illness, but sometimes, it leads to death because of longstanding or copious bleeding. First of all, to stop a hemorrhage is most important treatment for epistaxis, but the curative effect of oriental medical treatment for epistaxis does not become known well. We treated a patient suffered from epistasis with acupuncture, herb medication. After treatment we observed the improvement. Based on this study, it is considered that oriental medical treatment can be applied to the management of epistaxis.

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Survey of Oriental Medical Care for Traffic Accident Patients with Automobile insurance; 544 Cases Report (교통사고 환자 544례를 통한 한방자동차보험의 실태에 관한 조사)

  • Park, Seo-Young;Lee, Yun-Kyu;Kim, Jae-Su;Lim, Seong-Chul;Lee, Bong-Hyo;Jung, Tae-Young;Ha, Il-Do;Han, Sang-Won;Lee, Kyung-Min
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.1-10
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    • 2009
  • Objectives : The main purpose of this Survey is to make a research on the actual condition of Automobile insurance system in oriental medical care. Methods : In this research, we surveyed 544 patients of traffic accident who were visited oriental medical clinic or hospital in Daegu, Korea from January, 1, 2008 to December, 31, 2008 according to medical chart. They made up Questionnaire about sex, age, pattern of accidents, days to visit oriental medical clinic, motivation to visiting clinic, damaged part of the body, chief complaint, treatment given to them, medication, tests, days of treatment and the effect. Results : The patients visited oriental medical clinic or hospital were fewer numbers from most of traffic accident patients. And most of their symptoms were light and the treatment and test of oriental medicine was limited for them because of automobile insurance limitation. Conclusions : For this study, we confirmed a possibility for the treatment of traffic accident patients in oriental medical treatment. Still, we needs to expend the boundary of treatment and to come into application of insurance.

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Mobile Application for Supporting Medical Treatment in Korean Medicine (한의 진료 지원 모바일 애플리케이션)

  • Kim, Sang Kyun;Oh, Yong Taek;Kim, An Na;Kim, Ji Young;Yea, Sang Jun;Kim, Chul;Jang, Hyun Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.6
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    • pp.834-841
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    • 2012
  • We in this paper propose a mobile application for supporting medical treatment based on Korean medicine ontology. It has three processes for treating patients. First, after a pattern is decided for patient' symptoms, a formula for the pattern is selected and medicinal materials constituting the formula is added or removed. Second, formulas are searched and prescribed for patient's symptoms without the process of the pattern decision. Third, after medicinal materials are searched for patient's symptoms, formulas consisting of the medicinal materials are prescribed. Our application aims to help korean medicine doctors treat patients through providing decision supporting functions such as the recommendation of symptoms of diseases accompanying patient's symptom. Doctors generally diagnosis patients according to their experiences and knowledges. Nevertheless, our application can help them, providing diverse forms of information that they may miss in the medical treatment.