가미태음조위탕 복용 후 감량성공군과 감량실패군의 초기 특성 비교 : 과체중 및 비만자를 대상으로

10.37928/kjsm.2021.2.1.1 대한미병의학회 2021 대한미병의학회지 Vol.2 No.1

Objectives The purpose of this study was to compare the initial characteristics of successful and failed weight loss groups after taking Gamitaeeumjowi-tang. Methods From January, 2017 to May, 2019, the subjects were 14,548 overweight and obese people (body mass index [BMI]≥23 kg/m2) who had taken Gamitaeeumjowi-tang for more than 1 month. After about 1 month, after setting the top 25% or more of the weight loss as a successful weight loss group and less than the bottom 25% as a weight loss failure group, the continuous variables among the initial characteristics were compared and analyzed by independent t-test and categorical variables by χ2-test. Results In the successful group, initial BMI, initial weight, skeletal muscle mass, male ratio, binge eating, and nighttime eating were significantly higher. In the failed group, age, light eating, diet drug experience over 3 months, hypothyroidism, and gastritis were significantly higher. Conclusions In this study, we found out the differences of the several initial characteristics between successful and failed weight loss group after taking Gamitaeeumjowi-tang, and these results may be useful as a reference for providing prognosis of weight loss.

생활습관병 사망률 및 유병률 변화 분석

조용운(Yongwoon Cho),최창희(Changhui Choi) 대한미병의학회 2020 대한미병의학회지 Vol.1 No.1

Objectives The life expectancy is extending in South Korea, the healthy life expectancy, however, is shortening. This study examined where this phenomena happened. Methods This study firstly produced the mortality rate of lifestyle diseases from the 1998-2017 death certificate data of National Statistical Office. This study secondly produced the prevalence of main lifestyle diseases such as essential hypertension, dyslipidemia, cerebrovascular disease, heart disease, diabetes mellitus over the age of 40 from Korea Centers for Disease Control & Prevention. Results The mortality rate of lifestyle diseases is rapidly decreasing more than the total mortality rate. But the prevalence is rapidly increasing. Conclusions Findings suggest that preventive health services such as health management services for people with metabolic syndrome should be provided to extend healthy life expectancy.

고지방식이로 유도된 비만 동물 모델에서 평위산, 후박, 창출의 항비만 효능 비교 연구

서민규(Min-gyu Seo),박예진(Yea-Jin Park),강윤미(Yun-Mi Kang),김희영(Hee-Young Kim),한인식(Insik Han),안효진(Hyo-Jin An) 대한미병의학회 2022 대한미병의학회지 Vol.3 No.1

Objectives Obesity is considered a global epidemic that greatly affects general population health, and there has been a growing interest in the development of anti-obesity drugs worldwide. There are many hepatic and gastrointestinal diseases for which obesity is the direct cause or is a serious risk factor. Pyungwi-san (PWS) is a traditional oriental herbal prescription used to treat gastrointestinal disorders. Atractylodes chinensis (DC.) Koidzumi (AC) and Magnolia officinalis Rehder & E.H. Wilson (MO) are main components of PWS. In this present study, anti-obesity effects of PWS, MO, and AC were investigated in high-fat diet (HFD)-induced obese mouse model. Methods Eight-week-old male C57BL/6N were fed 45% HFD for 8 weeks. For comparison of PWS, MO, and AC for obesity, the body weight, food intake, and white adipose tissue (WAT) weights were checked. In addition, hematoxylin and eosin staining for histological examination were performed to observe lipid droplets in epididymal WAT and liver tissue. Results Among them, AC had powerful effects on reduction of body weight, epididymal and visceral WAT weight, and regulation of the levels of serum total cholesterol and triglyceride. In addition, PWS, MO, and AC treatment ameliorated the HFD-induced histological changes in the epididymal WAT and liver tissue. Conclusions These findings demonstrate that AC has anti-obesity effects and would be evaluated as a potential treatment for obesity.

중국의 피로성 미병 진단기준

남동현(Donghyun Nam),한경숙(Kyungsook Han) 대한미병의학회 2022 대한미병의학회지 Vol.3 No.1

Objectives Fatigue sub-health is one of the representative types of sub-health, and refers to a sub-health state with fatigue as the main symptom. The purpose of this study was to review the diagnostic criteria for the fatigue sub-health in Chine, and to suggest a direction for developing diagnostic criteria suitable for Korea. Methods Chinese databases, CNKI, Wanfang and CQVIP, were used to search literatures related to fatigue sub-health, and articles describing the diagnostic criteria for fatigue sub-health were summarized. Results As the diagnostic criteria for fatigue sub-health was established, research to prepare full-scale diagnostic criteria started, and various diagnostic criteria for fatigue sub-health have been proposed by many researchers. Therefore, the world federation of Chinese medicine societies reviewed the diagnostic criteria for fatigue sub-health proposed, established new diagnostic criteria in 2020, and approved it as a society standard. Conclusions It is unreasonable to apply the Chinese diagnostic criteria for fatigue sub-health to Korea with different cultural and social backgrounds. Therefore, it is necessary to develop diagnostic criteria for fatigue sub-health that are suitable for Korea as soon as possible.

가미태음조위탕을 복용한 과체중, 비만인에서 초기 평균 체중 감량 예측

김은주(Eunjoo Kim),임영우(Young-Woo Lim),박영배(Young-Bae Park),강지훈(Jihoon Kang),김서영(Seo-Young Kim) 대한미병의학회 2022 대한미병의학회지 Vol.3 No.1

Objectives The purpose of this study is to predict the initial average weight loss in overweight and obese adults taking Gamitaeeumjowi-tang. Methods A retrospective analysis was performed on 25,988 overweight and obese people taking Gamitaeeumjowi-tang from January, 2017 to May, 2019. Exploratory data analysis (EDA) was performed using age, gender, weight, BMI (body mass index), Lf/Hf of heart rate variability (HRV), and patient health questionnaire-9 (PHQ-9). After categorizing using significant variables, multiple regression analysis was conducted with the average weight loss corresponding to the combinations of categories as the dependent variable. Results Through EDA, age, gender, initial weight, and initial BMI were identified as significant variables for the initial weight loss. As a result of multiple regression analysis after categorizing the significant variables, the R2 was 0.820 and the Adj. R2 was 0.798. Conclusions In this study, multiple regression analysis was performed using the combination of categorized age, sex, initial weight, and initial BMI. As a result, the initial average weight loss could be predicted with high explanatory power.

『의휘(宜彙)』의 침구법 연구

김남일(Namil Kim),조명래(Myoung-Rae Cho),국수호(Sooho Kug),정유옹(Yooong Jung) 대한미병의학회 2023 대한미병의학회지 Vol.4 No.1

Objectives “Uihwi” is a book of Korean medicine written under the pseudonym of Geumlisanin in the late Joseon Dynasty. At that time, it was published by collecting famous prescriptions of experience across the country, and it can be said to be an important data in that it gives a glimpse of oriental medicine at the end of the Joseon Dynasty, but there are not many studies on “Uihwi”. This paper attempted to examine the characteristics of oriental medicine at the end of the Joseon Dynasty. Methods Using the text of “Uihwi” as the subject of research, comparing to other medical texts, and to examine the position of acupuncture in it. Results Thus, the following conclusions were obtained. “Uihwi” was mainly edited by citing medical books published in Joseon, and is also a comprehensive medical book that combines the experiences of himself and other medical professionals. In addition, it can be seen that medicine at that time was very practical by presenting uncomplicated prescriptions. In the case of acupuncture, an acupuncture method that synthesizes the clinical achievements of Joseon was presented. Conclusions The practicality was emphasized by reducing the theoretical explanation, and based on this practicality, efforts were made to aggregate medicine in the late Joseon Dynasty.

기공의 한의학적 이해와 활용

박혜진(Hye-Jin Park),황의형(Eui-hyoung Hwang) 대한미병의학회 2023 대한미병의학회지 Vol.4 No.1

Objectives This study aims to provide information about history, theories about postures, and utilization of Qigong in Korean Medicine. Methods Qigong and Daoyin need distinction in aspects of both in historical and medical pratice in Korean Medicine. Therefore, we should distinguish the history of Qigong and Daoyin, and learn clinical use of Qigong. Results The modern Qigong has started in early 1900s. Qigong could be utilized in various disease theoretically, whereas clinical study of Qigong focuses on musculoskeletal disease. Patients who are new to Qigong need education with adequate intensity and level of difficulty. Conclusions Qigong will be one of the mainstream medicine if Qi is measured in using scientific method.

비만치료에서 수면장애, 불면증의 관리

김종우(Jongwoo Kim) 대한미병의학회 2023 대한미병의학회지 Vol.4 No.1

Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University Obesity and sleep may differ in terms of causes and effects, but they are highly related to each other, so sleep deprivation causes obesity, and obesity causes insomnia and other sleep disorders. Just as obesity management is necessary for the treatment of insomnia, sleep management is necessary in the treatment of obesity. In general sleep hygiene, circadian rhythm should be managed by activating daily life during the daytime, and in the clinical field of Korean Medicine, sleep management should be performed to help treat obesity by considering the treatment method of Korean Medicine. In addition, the choice of herbal medicine requires a prescription that considers both obesity and sleep.

노화의 개념, 진단 및 관리

배철영(Chul-Young Bae) 대한미병의학회 2023 대한미병의학회지 Vol.4 No.1

Anti-aging medicine is defined as ‘the newest clinical specialty, the optimum of wellness and longevity, and employs extensive therapies and treatment in the preventive health care field far beyond just cholesterol testing and mammogram, by American Academy of Anti-aging Medicine. Aging theories is dived into two main theories, genetic control theory and acquired theory. Though many aging theories have been developed, any single theory is not universally accepted. Aging is defined as a time-related decline in physiological functions and changes in morphology. Aging is usually evaluated by questionnaires (AGHDA), self-test, aging biomarkers tests, and biological age measurements. Biological age measurement is usually considered as the index to evaluate the overall health status and aging degree in clinical practice. The goal of aging management is not only to treat age-related diseases, but to improve the diverse function of body and improve quality of life. Five major methods for aging management are the elimination of risk factors, management of chronic diseases, caloric restriction with nutritional balance, medium-intensity regular exercise, and stress management. Many other methods, such as, anti-oxidant therapy, hormone replacement, smart drugs, immune boosters, detoxification, and alternative medicine have been tried for aging management.

노화와 근감소증

원장원(Chang Won Won) 대한미병의학회 2023 대한미병의학회지 Vol.4 No.1

With aging, skeletal muscle mass and its function decrease, and the changes lead to increased risk of falls, fractures, long-term care institutionalization, mortality, and even cardiovascular and metabolic diseases. Sarcopenia has been defined as low muscle mass together with low muscle strength and/or low physical performance. In 2019, Asian Working Group for Sarcopenia(AWGS) published a consensus paper about diagnosis and management of sarcopenia. The AWGS 2019 proposed algorithm starting with measuring SARC-F questionnaire or calf circumference (cut-off, <34 cm in men, <33 cm in women) and then measuring handgrip strength (cut-off, <28 kg in men, <18 kg women) or 5-time chair stand test (≥12 sec), and then ‘possible sarcopenia’ can be defined. Low appendicular skeletal muscle mass and either low muscle strength (handgrip strength) or low physical performance (gait speed or 5-time chair stand test) is used to diagnose sarcopenia. For management of sarcopenia, high protein nutrition and resistance exercise are highly recommended, and vitamin D may increase muscle strength, particularly in vitamin D deficiency.