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          • WHO 전통의학 연구협력 허브 제도의 도입에 의한 동서의학 연구

            박슬기 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

            '모든 인류에게 건강'을 실현하기 위한 WHO의 많은 노력에도 불구하고, SARS,variant CJD, Ebola 등과 같이 새롭게 등장하는 질병들이 인류의 건강에 위협을 가하고 있다. 또한,결핵,천연두,페스트와 같이 우리가 건강의 역사에서 퇴치하였다고 여기는 질병들까지 다시 줄현하고 있는 실정이다. WHO에서는 세계 보건에 대한 일반적 연구 외에도,TM/CAM에 대해서 Collaborating Centers라는 자체 네트워크를 이용하여 활동하고 있다. 그러나 현재 협력센터들은 각 Region마다 산발적으로 지정되어 있어,통합적인 연구가 요구되는 실정이다. 전통의학에 대한 각국 서로의 이해와,협력센터들 간 교류를 증진하고,보다 임상적인 연구를 가능케 하는 「WHO 전통의학 연구협력 Hub 제도」를 도입해야 한다. 이를 통해 동서의학이 서로 발전하고,더불어 new, or re-emerging diseases를 퇴치하는 방법을 모색하고자 한다. 첫째,Hub 설립을 위한 예산 확보 방안과 Hub국가를 선정하는 방식을 제시한다 둘째,각국 전통의학의 다양성과 지역별 질병군의 차이에 의거하여 「연구목표질병」을 할당한다. 셋째,Hub의 연구결과를 3년마다 Authoritative information으로 만들어 세계적으로 정보를 공유하도록 하는 「전통의학 교류 연구원 제도」를 도입한다. 넷째,SARS나 A.I.가 과거 유럽 인구를 1/5로 줄어들게 만들었던 페스트처럼 되는 것을 막기 위해 Hub별 질병감시제도인「봉화(Fire Alarm)제도」를 제안한다. Western Pacific Region에서의 호흡기계 질환을 Hub 모델로 제시한다. Although the every effort to maintain health for human being of WHO, new-emerging diseases like SARS, variant CJD, Ebola are threatening our health. Also, Diseases like Tuberculosis, smallpox, plague which we think that we have conquested already are re-emerging nowadays. WHO is working for TM/CAM by its own network-Collaborating Centers for Traditional Medicine-as well as working for genaral human health. But as of now collaborating centers, are designated so sporadically, integrative study is demanding. To promote understanding of TM/CAM in each countries and exchange between collaborating centers, WHO have to attempt「WHO Collaborating Hub System for Traditional Medicine」. This study is to find a solution to develop East-West medicine and to wipe out new or re-emerging diseases. First, suggest a way to make a budget for Hub construction and to select the Hub's location. Second, assign 「Target Study Disease」by diversity of many countries in TM/CAM and regional diseases. Third, introduce the 「Exchange researchers for Traditional Medicine」. Fourth, Propose the 「Fire Alarm」system which can monitor the breakout of dangerous diseases. One Hub model-Respiratory diseases in the Westem Pacific Region-is exemplified by an assumption.

          • 한약제형 선호도에 관한 설문조사

            최현정,방나영,송보완,김남재,류봉하 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-

            In order to investigate to develop the new dosage form of the traditional herbal medicine which have been used for the treatment of disease in oriental medicine, we conducted a survey on 217 patients who visited oriental hospital in Kyung Hee University Medical Centre during one month since October 2003. They were given questionnaires to answer and results of this study were as the following: 1. About 45% patients visited in oriental hospital believed that oriental medicine was better remedy than modern medicine. 2. Most of patients felt that the oriental medical expenses were expensive. 3. About 60% patients preferred the modernized dosage form such as extract powder and granule, etc. rather than medicinal herbs in package. 4. Most of patients hope that decoction of medicinal herbs in package would change the advanced dosage forms such as tablet, capsule and extract powder, Because patients suffered from inconvenience of making a decoction, unhandy, unwieldy and keeping. 5. About 60% patients pointed out that merits of advanced dosage forms of medicinal herbs were convience to take and handy, etc.. However, they had an Intension that there were some difference of efficacy between decoction and modernized dosage forms of oriental medicine. Because of several defects such as unusual flavor and smell, incompatible food, large volume with amount, inconvenience of carrying and decocting oriental herbal medicines, most of patients would expect the development of the advanced dosage forms of them. In summary, this study show that it was needed to develop the new dosage forms of oriental herbal medicine on the basis of scientific research and economical cost of medical expenses.

          • Basic Concepts and Treatment Methods of Obesity in Oriental Medicine

            Shin,Hyun-dae WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 1996 東西醫學硏究所 論文集 Vol.1996 No.-

            Nowdays, obesity and overweight constitutes serious health problems in a modern complex industrial society. They are either directly, or indirectly, associated with a wide variety of diseases that account for an ever-increasing annual mortality rate. In Oriental Medicine, doctors treat problems of obesity in another way in comparison with Western Medicine. They consider the metabolic disorders of five organs, Wind(風), Phlegm(痰), Damp(濕), and Heat (熱) also give rise to obesity and overweight problems. And also, the treatment of obesity in Oriental Medicine is very various and complex. Present forms of treatment include acupuncture, herbmedications and Qigong. In particular, starvation is carried out with manipulation, negative therapy, a contrast of bathing therapy, carbon therapy, behavior modification and counselling. As stated above, the concepts and treatment methods of obesity in Oriental Medicine are unique and original. In that, Chinese Medicine differs from the point of Western Medicine, it is regarded as the cause of obesity and the lack of energy in the paunch liver, spleen, lungs and kidneys. Disorders in the paunch and metabolism are caused by moisture, spectrum, palsy and fever, whose explanations are the same as disorders of the digestive system, metabolic functions and the endocrine system. To treat obesity, in Chinese medicine, many treatments like Chinese drugs, acupuncture and Qikong-therapy cures are being used. Manipulation, negative pressure, physical and breathing-exercise cures are used with the fasting cure stepped into reduction, fasting, convalescence and dieting. Also, this institute analyzes dietary habits with on obesity-evaluating questionnaire, grasps the causes and constitution of obesity, performs the action-correction cures to induce changes of a wrong dietary and living habits and solves psychological disorders that are observed in obese patients through counselling. Such like this, Chinese medicine has a peculiar concept on the basic causes and classification of obesity, and uses many safe treatments without any sideeffects.

          • EFFECT OF ORIENTAL MEDICINE ON THE RECOVERY FROM ACUTE STROKE

            Kim,Yong,Suk,Kang,Sung,Keel WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 1996 東西醫學硏究所 論文集 Vol.1996 No.-

            중풍은 한국인의 3대사인중의 하나이다. 침치료를 포함한 한방치료는 수천년동안 중풍환자를 치료해 오고 있다. 저자들은 1995년 3월부터 1996년 2월까지 경희의료원 한방병원 침구1과에 입원한 급성 중풍환자중 뇌경색으로 판정된 150명의 환자를 대상으로 매일 침치료와 한약물치료를 하였다. 침치료는 百會,風池,陽陵泉,懸鍾,合谷,手三里,外關,豊隆,太衡은 患側에, 曲池와 足三里는 兩側에 0.5-1.0cm 깊이로 자침하고 득기감이 생길 때까지 염전하였다. 한약은 사상체질설문지에 의하여 분류하여 사상체질처방을 투여하였다. 대상환자의 평균연령은 65.77세(남자 64.13세, 여자 67.17세)이고 46.00%는 좌측마비이었고, 54.00%는 우측마비이었다. 모든 환자들은 입원후 5주동안 혹은 퇴원시까지 매주 Hemispheric Stroke Scale에 의하여 의식과 언어의 수준, 운동, 감각, 방광과 기타 피질 및 대뇌신경의 기능을 평균점수로 평가 하여 관찰하였다. 입원시 평균점수는 18.75(의식수준 1.18, 언어수준 4.71, 운동기능 7.39, 감각기능 0.50, 방광기능 1.10, 기타피질 및 대뇌신경 기능 2.36)으로 나타나 급성기 중풍회복에 침치료를 포함한 한방치료가 효과가 있는 것으로 입증되었다. Strokes are the third major cause of death in Korea. Oriental Medicine, including acupuncture, has been applied to the treatment of stroke patients. We have studied the effectiveness of Oriental Medicine by evaluation of their neurologic scores. One hundred fifty stroke patients were treated by Oriental Medicine at the Department of Acupuncture & Moxibustion. Hospital of Oriental Medicine, Kyung Hee University from March 1995 to February 1996. Acupuncture treatment was done everyday at the affected side points of GV20, GB20, GB34, GB39, LI4, LI10, TE5, ST40, SP6 and LR3, as well as at both sides of LI11 and ST36. Needles were inserted to the depth of 0.5 to 1.0cm and twirling insertion method was carried on until the patients felt strong numbness or De Qi sensation. The patients were classified under the criteria of the Constitutional chart designed by the Hospital of Oriental Medicine, Kyung Hee University Medical Center and they took the Constitutional herbal medicines three times a day. Every patient had his or her neurologic assessment score recorded weekly for the first 5 weeks after admission or until discharge. The average age was 65.77(male 64.13, female 67.17); 46.00% of them were left hemiparesis or hemiplegia and 54.00% right. The level of consciousness and language, as well as the functions of motor, sensory, bladder and other cortical function and cranial nerves were evaluated by the HSS(Hemispheric Stroke Scale, graded neurological scale designed by RJ Adams et al in 1987). The mean score at admission was 18.75(level of consciousness 1.18, language 4.71, motor function 7.39, sensory function 0.50, bladder function 1.10 and the other cortical function and cranial nerves 3.86). The mean score at discharge or after the first five weeks from admission was 11.75(level of consciousness 0.50, language 4.57, motor function 3.32, sensory function 0.36, bladder function 0.64 and the other cortical function and cranial nerves 2.36). It is evident that Oriental Medicine does have a certain effectiveness in the patient's recovery from acute stroke.

          • The Effect of Cranial and Penetrational Acupuncture on Recovery of Motor Disorder due to Stroke

            Lee,Jae-dong,Kim,Ji-hoon,Park,Dong-seok,Choi,Do-young,Ahn,Byung-choul,Lee,Yun-hp,Choi,Yong-tae,Seo,Jung-chul,Nam,Sang-soo,Rheu,Jae-hwan,Chung,Won-jae WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 1998 東西醫學硏究所 論文集 Vol.1998 No.-

            Wind stroke is characterized by an acute faint. hemiparesis. unconsciousness, dysphasia and facial palsy etc. It corresponds to the term of CVA which is defined as a disease characterized by acute mental and motor disorder. In oriental medicine, herbal medicine. acupuncture and moxibustion have been administered for the treatment of mortor disorder. Cranial and penetrationa1 acupuncture have not been widely used clinically. Therefore, in the present study, the efficacy of cranial and penetrational acupuncture on the motor disorder due to stroke was evaluated. Cranial acupuncture is a kind of neo-acupuncture technique, which has been developed through combinding acupuncture theory of oriental medicine with that of the knowledge of the function of cerebral cortex of western medicine, i.e. needling on the associated point on the scalp. The present study is to evaluate the effect of cranial and penetrational acupuncture on motor disorder due to stroke. The subjects were the patients who had been hospitalized with stroke from the first of May to the thirty-first of July. 1998. The results were as follows. l. The patients who were administered cranial and penetrational acupuncture showed higher score of improvement than the control group with statistical significance. 2. As for the changes of scores according to the lesion. in comparison with the patients with basal ganglia infarction, cranial and penetrational acupuncture-treated group showed higher score than the control group with no statistical significance. 3. As for the changes of scores according to time passage from the onset to the treatment, for the patients hospitalized within 10 days after onset. the cranial and penetrational acupuncture-treated group showed higher score than the control group with statistical significance. 4. For the patients hospitalized ll to 30 days after onset and more than 31 days after onset, cranial and penetrational acupuncture-treated group showed higher score than the control group with no statistical significance.

          • 高血壓性 腦卒中(中風)에 對한 東西醫學的 疫學硏究

            鄭在赫,具本泓,張仁圭,崔栖瀅,柳洞俊 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 1983 東西醫學硏究所 論文集 Vol.2 No.1

            Epidemiological studies were done on the 162 hypertensive cerebrovascular accidents cases admitted in the affiliated Oriental Medicine School Hospital Kyung Hee University in 1983 and the following results were obtained. 1. The male to female ratio of the patients was 1.3:1 and the age distribution frequency was as follows; fifties, forties, seventies and thirties(Table 2.) 2. In the C.V.A., there were 119 cases of cerebral thrombosis(73.5%) and 45 cases of intracerebral hemorrhage(26.5%). The ratio was 2.8:1. In the former the male to female ratio was 1.3:1, in the latter it was 1.2:1(Table 3). 3. There were considerable numbers of recurrent cases as shown in Table 4. The first attack was noted in 125 cases(77.2%), the 2nd attack 30 cases(18.5%), the 3rd attack 6 cases(3.1%) , 4th attack 1 case(0.6%). The male to female ratio was as follows. In the first attack it was 1.3:1, in the 2nd attack 1.1:1, the 3rd attack 5.0:1, the 4th attack was noted only in one male case. 4. The occupational frequency order was as follows(Table 5). Unemployed initiated with 45 cases(27.8%), home care 21 cases, Unspecified 19 cases, office worker, business men, farmers and public official etc. 5. The regional distribution was as follows(Table 6). Seoul city led with 102 cases (63.0%) then it was followed by Kyung-Gi, Chung-Cheong, Kyung-Sang, Kang-Won and Jon-Ra province. 6. The systolic pressures at admission were disclosed as follows(Table 7). There were 42 cases(male 20 cases-12.3%, female 22 cases-13.6%) of systolic hypertensive over the WHO standard of 160mmHg, the mean value of systolic pressure was 145mmHg. The diastolic pressures at admission were shown as follows(Table 8). There were 92 cases(56.8%)(male 48 cases-29.6%, female 44 cases-27.2%) of diastolic hypertension over the WHO standard of 95mmHg, the mean value of diastolic pressure was 98mmHg. 7. The patient's favors to salty food, animal fatty food, cigarettes and alcoholic beverage were examined(Table 9). Salty foods were favored by 78 cases(48.2%), animal fatty foods by 78 cases(48.2%), cigarettes by 64 cases(39.5%) and alcohol imbibers were noted in 77 cases(47.5) as shown in table 9. 8. The family history of C.V.A and hypertension was studied (Table 10). In C.V.A there were 28 cases(17.3%) with parental history, 12 cases(7.4%) with siblings history and 7 cases(4.3%) with other relatives, and in hypertension there appeared 14 cases(8.6%) with parental history, 9 cases(5.6%) with sibling history and 6 cases(3.7%) with other relatives. 9. In the past history, hypertension led with 124 cases(76.5%), then C.V.A 37 cases(22.9%) and diabetes mellitus 33 cases(20.4%)(Table 11). 10. In treatment the frequently used herbal recipes were Gamichungshimtang(加味淸心湯), Bosimgunbitang(補心健脾湯), Kyuntongdodamtang(腱痛導痰湯) in 15% of the cerebral hemorrhage cases, respectively, Gamichungshimtang(加味淸心湯) in 20%, Yangkyeuksan(凉膈散), Chowisungchongtang(調胃升淸湯), Yukmichihwangtang(六味地黃湯) in 6%, respectively, in cerebral thrombosis. The most frequently used acupuncture points in C.V.A were shown in Table 12. Taechung(太衡) , Habgok(合谷), Joksamri(足三里), Oekwan(外關), Chungjue(中渚), Jokimeub(足姙泣), Kokji(曲池), Taebak(太白) were frequency order used in C.V.A of both cerebral thrombosis and hemorrhage. 11. In admitted C.V.A patient care, it was stressed that the Oriental Medical Hospital plays important roles and, accordingly, the propriety of East-West medical cooperation was addressed. 12. Through classified disease distribution of admitted patients in the Oriental Medicine Hospital the epidemiological epitome of cerebrovascular accidents and other diseases was presented.

          • 夢精에 對한 臨床的 硏究

            黃相皓,柱鎬京,安永敏,安世永 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 1998 東西醫學硏究所 論文集 Vol.1998 No.-

            한방병원 남성클리닉에 몽정을 主訴로 래원한 14명의 환자들을 대상으로 한 임상적 연구결과를 요약하면 다음과 같다. 1. 평균 25.7세의 미혼 남성들인 14명의 환자들은 몽정의 빈도 및 수반된 신체적 증상들로 보아 모두 병적 유정에 해당되었으나 한방치료를 받기까지에는 2년 이상이 경과한 뒤였다. 2. 몽정 환자들이 호소한 신체적 증상들은 대체적으로 동양의학의 腎虛證에 해당되며, 補腎攝精煎 등을 복용한 환자들의 85.7%가 평균 2.9 주만에 好轉될 정도로, 몽정에 대한 한방 치료는 매우 우수하였다. The purpose of this study is to make a clinical investigation of 14 patients of Male Sex Clinic of Kyung Hee Oriental Medical Hospital whose chief complaint is nocturnal emission. The results are as following. 1. The 14 unmarried male patients, whose average age is 25.7, have had unsound emission for more than two years. 2. Symptoms which they complain of generally correspond to Shinheojeong in Oriental Medicine. And the fact that those who take Boshinseopjungjun grow better in 2.9 weeks on the average seems to show the excellence of the treatment of Oriental Medicine for nocturnal emission.

          • 한의과대학 부속 한방병원 한방응급실 내원환자에 대한 임상적 분석

            소형진,류재환,김영철,이범준 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

            Objectives : By recording basic data of patients visiting the emergency room of the oriental medicine center, we can understand their characteristics and gain better insight about them. Methods : We performed a retrospective study of 2,674 patients who visited the emergency room of Kyunghee Oriental Medical Center, from June 1, 2006 to May 31, 2007. Results : 1. Of 2,674 total patients, the male to female ratio was 0.94:1 and the 6th decade of life was the peak age group. 2. The majorit of patients visited our emergency room between 06:00 and 24:00(midnight). 3. Most patients visited on a Saturday or Sunday. 4. By monthly distribution, the patients incrcased slightly during June, July, August and October. 5. The majority of patients visited the emergency room within 24 hours of onset. 6. The patients were categorized as follows : neurological diseases 71.15%, musculoskeletal diseases 16.02%, internal medical discase 9.04% psychiatric and related disease 3.79%. 7. The average transit time waS about 1 hour 30 minutes. 8. Admission rate was 48% and the rate of admission to the intensive care unit (ICU) was 5% of total visiting patients. Conclusion : Assuming that this research will continue adding patien's data continuously, this work will help us to understand the features of patients who visiting the emergency room of the oriental medical center.

          • 勃起不全 患者의 韓方治療 前後 赤外線 體熱撮影을 利用한 陰莖溫度의 變化

            安世永,柱鎬京,安永敏 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 1998 東西醫學硏究所 論文集 Vol.1998 No.-

            The incidence rate of impotence is increasing because of the too much stress, post-traumatic syndrome and the various side effect of many drugs. So the interest on the impotence is increasing, too. Impotence means that the erection is not sufficient to make a love with satisfaction and it does not continue more than 75% of the time during all the sexual intercourses. It is meaning that impairment of general health, because normal sexual function related to numerous normal human physiologic functions, such as neurologic, endocrinologic, hereto dynamically psychogenically etc. In the Oriental medicine, the impotence develops when the Kidney, Liver, Heart and Pancrease functions are not enough or because of some factors like the Humid and Heat. And we have managed it to compensate the function and to remove the functional defect by using the Herb medication and Acupuncture treatment. And that brings us a satisfactory results. But we have always needed more objective and reasonable evaluation method. So we decided to carry out this research to solve the problem that the effect of the Oriental-medicine treatment should be evaluated only by the subjective feeling of the patients. We took a hint from the article "Impotence shows the cold at both scrota, penis and glans penis.(陰위??弱 兩丸冷 前陰冷 陰頭寒)". The method is a measuring the temperature of Glans Penis, Penile shaft and Both Scrota using DITI between the pre-treatment and post-treatment. We got the following results by invesgation the temperature of the each part. l. The thermo-difference of left thigh and Glans penis increased significantly(0.2917℃ averagely, p<0.05). 2. The thermo-difference of left thigh and Both scrota increased significantly(0.325℃-Right scrotum, 0.3080℃-Left scrotum averagely, p <0.05). 3. The thermo-difference of left thigh and Penile shaft increased but was not significant(0.2417 averagely, p<0.05). Like above, the relatively rising temperature gives the ground to the article "Impotence shows the cold at both scrota, penis and glans penis(陰위??弱兩丸冷 前陰冷 陰頭寒)" and it also means that article is worth to diagnose impotence. We think that the Oriental-medicine treatment gives sufficient blood flow to glans penis and both scrota to help erecting. Hereafter we think that more research should be progressed by using like a penile doppler and at the clinic we should use the DITI to evaluate the effect of Oriental-medicine treatment on the impotence.

          • 동북아지역 WHO 전통의학 연구협력센터의 새로운 역할

            배선재 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

            보건의료분야의 특성상, WHO는 정책올 수립하고 시행하는데 있어 전문가집단의 보조를 필요로 하는데, 이 기능을 담당하는 것이 WHO 연구협력센터이다. 전통의학 분야에서 도 9개국 18개 기관이 연구협력센터로 지정되어 활동하고 있다. 하지만 각 기관이 지금까지 쌓아온 탁월한 업적과 관계없이 WHO 전통의학 연구협력센터 프로그램에는 아직 활용의 여지가 많다. 본 연구에서는 동북아시아 지역의 연구협력센터로 대상을 구체화하여, 이 지역이 가지는 특성에 기초하여 WHO 및 타 연구협력센터와의 새로운 관계를 모색하였다. 첫째로 동양의학의 객관화 작업이 필요하다. 이는 두 가지 측면을 내포하는데, 하나는 치료 효과의 평가이며 나머지 하나는 타문화권자를 위해 간략화 · 객관화 된 진료지침을 개발하는 것이다. 치료 효과 평가 작업은 현재 집중적으로 진행되고 있으나,동양의학과 서양의학의 근본적 차이에서 오는 연구 방볍론상의 문제를 해결하기 위한 노력이 필요하다. 둘째로 동양의학 세계화의 노력이 필요하다. 객관적으로 동양의학을 평가하는 것만큼 중요한 것이 동양의학의 독자성을 인정받는 것이다. 장기적 목표는 동양의학의 사상적 배경이 범세계적으로 일정 수준 이상 이해되고 수용되는데 있으며,이를 위해 동양철학 및 동양문화 연구자들파 협력하여 동양철학의 사유방식을 소개하는 문화컨텐츠의 개발이 시급하다. 한편 타 인종에 대한 동양의학적 치료의 적합성과 유효성을 평가하는 작업이 필요하며, 서양의학 외의 의학 체계와도 학문적 교류를 시도해야 한다. 동북아시아 3국이 전통의학 분야에서 차지하는 독보적인 위치를 고려할 때, 전통의학 체계화의 경험을 공유해야 한다. 이런 과제들은 동북아지역 연구협력센터간의 굳건한 상호협력 위에서 해결될 수 있을 것이다. 공동연구,인력교환 및 상호교육,공동 데이터베이스 구축 및 이용 둥의 연구 분야의 협력과 더불어 협조 조약 체결, 공동 연구 기금 조성 등 행정적인 협력이 가능할 것이다.

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