한방의료서비스의 개선방향에 관한 연구

金泓錤,朴容信,李起男 한국전통의학연구소 2000 한국전통의학지 Vol.10 No.1

After we investigated cognitive degree to people's Korean oriental medicine, we saw to come out problem in oriental medical service and discussed the improvable course. Thus, we researched to object 1,233 inhabitants over 20 years old the whole country from March to June in 1999 for offering basic data, contributed to the oriental medical policy in the future. We reached the conclusion as follows, First, now, when we researched about developmental course of the oriental medicine, the result is, they were agreed parallel development of the Oriental and Western medicine by 63.5 % rates. That is, it double over 31.3% rates, wanted unification of Oriental and Western medicine. Like this, we confirmed that people support individual development of Korean oriental medicine. Second, respondent people, doubted cure effect in investigating of it about the Korean oriental medicine, were nothing but 15.1 %. That is, we knew that people's truth is considerable high about cure effect of Korean oriental medicine. But we need study of various fields and its publicity and are asked for correspondence plan of school education because the used disease in clinic attach too much importance to several disease. Third, people responded 55.9% which cost of medical treatment is expensive, and we were considered to solve the problem that we have to improve polity of the oriental medical insurance, i. e. the spread of the oriental medical insurance's range and actualization of cost of medical treatment. Fourth, respondent people about restorative image of Korean oriental medicine, came out 77.6% most negative among problems of the oriental medical system. Also, people of over half ones(59.1%) answered charge of oriental medicine was expensive comparing cure effect. Whereas people who considered to suitable charge of medicine, were 38.5% and people who considered to cheap one, were not going beyond 2.4%. And people who wanted the operation of herb-drug medical insurance, were 72.7%, but opposite opinion came out only 14.5%. That is, patients recognize that they may purchase expensive herb-drug medication relatively. Many people support to herb-drug medical insurance and it has the necessity that oriental medical class has to endeavor for operating of herb-drug medical insurance. Herb-drug medical insurance has the greatest oriental medical paradigm and has to find the method which it is easy to use for the nation Korean oriental medicine. Fifth, people who pointed out effort shortage of the oriental medical modernization came out 56.0%. Now, many modern medical equipments are introduced, but the right of command about medical scientific expert and so on don't vest this authority in oriental medical doctors. That is, it is the real situation not to be applied them. Therefore, it needs legal and systemic improvement besides we can see nation's fervent hope that they demand the modernization effort of oriental medical class.

첩약의 보험급여 적용을 위한 과제 및 접근방안에 대한 연구

박용신,조병희,김호,이시백,Park Yong-Sin,Cho Byung-Hee,Kim Ho,Lee Si-Baek 대한예방한의학회 2003 대한예방한의학회지 Vol.7 No.1

We met results like the followings through the literatures and questionnaires about the tasks and solutions about the insurance fee of packed medical herbs. 1) It's turned out that 74.8% of herb doctors agrees to the insurance fee of packed medical herbs. However, in comparison with the same survey of the herb doctor association the percentage of general approval went somewhat lower, and especially the percentage of 'positive approval' became notably lower$(43.7%{\rightarrow}26.5%)$ and the percentage of 'active objection' raised about 2 times$(6.8%{\rightarrow}12.9%)$. Inquiring into the approval reasons on the insurance fee application of packed medical herbs some heads such as 'development toward treatment medical science' and 'decrease of publics burden' were higher than the one of 'management income and expenditure.' 2) As a result of the research, 36.0% of the patients and 42.8% of the residents recognized that the pay range of Chinese herb health insurance is narrow. They recognized that less people have the experiences of Chinese medical hospital use and internal application of the packed medical herbs as they are older, men rather than women. 85.4% of the patients and 74.9% of the residents agreed on the insurance pay of packed medical herbs. It's shown that they agree on the Chinese medical hospital use more as the economic standard is lower, on the insurance pay as they have ever taken the packed medical herbs. In the aspect of increase of insurance fee, 66.7% of the patients and 44.3% of the residents agreed on the insurance pay of packed medical herbs, and 18.1% and 36.1% disagreed on the insurance pay of packed medical herbs. The main objective reason why they disagree on the insurance pay of packed medical herbs was 'because the insurance fee goes up higher,' which answered 95.2% of the patients and 78.8% of the residents. 7.22% of the patients and 1.80% of the residents answered that they can pay more insurance fee in case of the insurance pay of packed medical herbs. However, in the priority order of the insurance pay, it hold the 5th position between 2 target research groups which was less than medical examination, charges for hospital accommodation and taking MRI. 3) According to the result of analysis about the cost of packed medical herbs, current practice price is 115,000 won and the average prime cost of a packed medical herb is 73,000 to 106,000 won. It's examined that the herb doctors regard that 95,000 won will be reasonable when the packed medical herb is payed in insurance. However, it was found out that the public generally thinks that the price would be appropriate on the level of 30,000 to 40,000 won and the percentage of the answers of 20,000 won to 30,000 was fairly high. 4) the central system of a prescription should be change into the central system of demonstration and the sick and wounded. 5) To solve this problem, the government should regulate it to pass by the circulation gradation of [importer, $peasantry{\rightarrow}manufacturer{\rightarrow}wholesaler{\rightarrow}distributor$(Chinese medical hospital, pharmacy dispensary of Chinese medicine)]And it should intervene into the quality and the circulation steps of Chinese medicine through 'the office or organization which is in charge of certification of Chinese medicine' and 'the office or organization which is in charge of the circulation of Chinese medicine.' And some actions such as simple severance, lavation, drying should be included into the conception of manufacture and the boundary between food and medical supplies should be made at a manufactory. And the regulation of standardized goods at one's own house should be improved so that, the peasantry can sell the materials of Chinese medicine only to the manufacturer. 6) In company with the insurance pay of packed medical herbs, the study about the separation of dispensary from medical practice in the Chinese medicine should be accomplished.

방향성(芳香性) 본초(本草) 분류를 통한 향기요법(香氣療法) 연구(硏究)

엄지태 ( Ji Tae Uhm ),김경신 ( Kyoung Shin Kim ),강정수 ( Jung Soo Kang ),김병수 ( Byoung Soo Kim ) 대전대학교 한의학연구소 2011 혜화의학회지 Vol.20 No.1

In western, aromatherapy uses essential oils to prevent and treat disease, and is one of the ways to stay healthy. In oriental medicine, there was also a similar medical treatment using aromatic herbs for a long ago. The exisiting research of oriental medical herbs is mainly focused on the theory of qi and flavor(氣味論). But on aromatherapy used with aromatic herbs, it is necessary to study the aromatic herbs by aroma. So 『xiang pu, 香譜』 and 『ben cao gang mu, 本草綱目』 mainly contain the study about clinical effects of aromatic herbs. And 『ben cao pin hui jing yao, 本草品彙精要』 mainly explains the effects of medical herbs with five aroma classification of xing(腥), shan(전), xiang(香), chou(臭), xiu(朽). The former one makes more clinical uses of medical herbs, and the latter one grows up the theory of medical herbs. This study is expected to have a good influence on aromatherapy and classification of oriental medical herbs.

식품(과일 및 한약재) 폐기물에 의한 물 중 Cd^2+, P^b2+ 제거효과

김주영,오경철,백승화 한국식품영양학회 1999 韓國食品營養學會誌 Vol.12 No.6

과일 및 한약재 폐기물을 이용하여 중금속 제거력을 조사하기 위하여 Cd. Pb용액에서 사과껍질. 모과, 밤내피(밤 친 껍질). 인삼, 키위껍질. 대추. 원두커피 가루의 입자별, 농도별, 온도별 흡착 정도를 조사한 결과는 다음과 같다. 입자의 크기가 작아질수록 사과껍질을 제외한 모든 폐기물에 있어서 중금속 흡착력은 증가되었고, 중금속별 제거량은 Cd는 인삼폐기물이 3.506∼4.659㎎/g, Pb은 밤 친 껍질이 9.189∼9.582㎎/g으로 다른 과일 및 한약재 폐기물보다 높았다. 농도별 중금속 흡착량은 중금속의 농도가 높을수록 증가하였는데 Cd은 인삼 폐기물이 1.929∼3.800㎎/g. Pb은 밤 친 껍질이 0.930∼9.3685㎎/g으로 다른 과일 및 한약재 폐기물보다 높았다. 온도별 중금속 흡착량은 온도가 높아질수록 증가하여 Cd은 인삼폐기물이 3.800∼5.091㎎/g Pb는 밤 친 껍질이 9.368∼9.613㎎/g으로 다른 과일 및 한약재 폐기물보다 증가하였다. 이상의 결과로부터 물에 함유된 중금속을 제거하는데 과일 및 한약재 폐기물을 이용할 수 있을 것으로 생각된다. To investigate Cd and Pb removability by the waste materials of fruit and oriental herb's (apple peel. fruit of Chinese quince, chestnut-endoderm, ginseng, kiwi peel. Jujube after boiling, powder after brew coffee) in the heavy metal solution, Cd and Pb removability of seven kinds of fruit and oriental herb's waste was investigated in the various conditions particle size of fruit and oriental herb's waste(20, 40, 70 mesh), concentration of heavy metal(25, 50, 100 ppm) and reaction temperature(20, 30, 50℃). The removabilities by the fruit and oriental herb's waste solids were increased as the particle size decreased in except of apple peel powder, concentration of heavy metal increased, and reaction temperature increased, The Cd removal content at the condition of particle size, conentration and temperature by ginseng waste was highest that the range were 3.506 to 4.659㎎/g, 1,929 to 3.800㎎/g, 3,800 to 5.091㎎/g, respectively. The Pb removal content at the condition of particle size, conentration and temperature by chestnut-endoderm waste was highest that the range were 9.189 to 9,582㎎/g, 0.930 to 9.3685㎎/g, 9,368 to 9.613㎎/g, respectively. Of the seven kinds of fruit and oriental herb's waste materials, Cd and Pb removability by ginseng waste after boiling, chestnut-endoderm waste was highest, respectively.

한약재 수출증대 방안에 관한 연구

박진한(Jin-Han Park) 한국무역연구원 2007 貿易 硏究 Vol.3 No.1

The purpose of this study is to establish strategies for export expansion for medicinal herbs by strengthening an international competitive ability and improving the structure of medicinal herb industry. To meet this end, an attempt has been made to analyze the present structure of medicinal herb industry and product market conditions. By doing so, it is easy to establish strategies for export expansion in the oriental pharmaceutical products. All in all, the best step is that the government and the companies all must cooperate on a mutual basis to ensure the ever increasing export of medicinal herbs. To this end, it naturally has to follow that there appear composite and long term plan, multiple efforts and supports from both sides.

한의학과 아유르베다의학의 약재 비교 고찰(Ⅵ)

김원재 ( Won-jae Kim ),서부일 ( Bu-il Seo ),박지하 ( Ji-ha Park ) 한약응용학회 2016 한약응용학회지 Vol.16 No.2

Recently, There has been increased grobal interest in complementary and alternative medicine. Ayurveda and korean medicine is most widely spread in the world. We paid special attention about herbs of Ayurvedic medicine and traditional Korean medicin(TKM) and our research was limited to comparison of herbs. To compare the medicinal herbs between Ayurvedic medicine and TKM. We researched major publications related to Ayurvedic medicinal herbs such as Indian Herbal Remedies, Major herbs of Ayurveda, India, Prime Ayurvedic Plant Drugs. The results were summarized as follows : 1. Raphani Semen(蘿 葍子), Ricini Semen(蓖麻子), Sesami Semen Nigrum(黑芝麻), Smilacis Rhizoma(土茯苓), Maydis Stigma(玉米鬚), Zingiberis Rhizoma Crudus(生薑), Zingiberis Rhizoma(乾薑) used in Traditional Korean Medicine had a common original plant with Ayurvedic medicine. 2. In Ayurvedic medicine, Raphani Semen(蘿 葍子), Ricini Semen(蓖麻子), Sesami Semen Nigrum(黑芝麻), Maydis Stigma(玉米鬚), Zingiberis Rhizoma Crudus(生薑), Zingiberis Rhizoma(乾薑) reveal diverse efficacies according to parts of medical herb, compounding, dosage forms.

原著 : 한의학과 아유르베다의학의 약재 비교 고찰 (IV)

강병훈 ( Byung Hoon Kang ),박지하 ( Ji Ha Park ) 대구한의대학교 제한동의학술원 2012 東西醫學 Vol.37 No.2

We investigated 34 genus of original plant used in Ayurvedic medicine. To achieve this study, we reserached major publications related to Ayurvedic medicinal herbs such as Major herbs of Ayurveda, Indian Herbal Remedies, Prime Ayurvedic Plant Drugs, The results were summarized as follows 1. Myristicae Semen(肉豆苟), Oryzae Fructus Germinatus(穀芽), Papaveris Fructus Deseminatus(罌粟穀), Picrorrhizae Rhizoma(胡黃蓮) used in Traditional Korean Medicine had a common original plant with Ayurvedic medicine. 2. Original plant of Nardostachyos Rhizoma(甘松香) used in TKM is Nardostachys jatainansi DC, such as that of Ayurvedic medicine, In addition to this, Nardostchys grandiflora DC, and Voleriana jatamansi auct, non, Jones, also is original plant which have the same efficacy in Ayurvedic medicine. We anticipate that it will be alternative plant of medicinal herbs. 3. In Ayurvedic medicine, Myristicae Semen(肉豆魃) Nardostachyos Rhizoma(甘松香), Oryzae Fructus Genninatus(穀芽), Papaveris Fructus Deseminatus(罌粟殼) Picrorrhizae Rhizoma(胡黃蓮) reveal diverse efficacies according to compounding, dosage forms, additives, parts of medical herb.

한의학과 아유르베다의학의 약재 비교 고찰(3)

성희정 ( Hui Jeong Seong ),서부일 ( Bu Il Seo ),박지하 ( Ji Ha Park ) 대구한의대학교 제한동의학술원 2011 東西醫學 Vol.36 No.4

We investigated 62 genus of original plant used in Ayurvedic medicine. To achieve this, we took reference of major publications related to Ayurvedic medicinal herbs such as Indian Herbal Remedies, Major herbs of Ayurveda, Prime Ayurvedic Plant Drugs. The results were summarized as follows 1. Original plants of Leonuri Herba(益母草), Styrax(蘇合香), Meliae Cortex(苦련皮) used in TKM did exactly correspond with those of Ayurvedic medicine. 2. Original plant of Hordei Fructus Geninatus(麥芽) used in TKM is Hordeum vulgare Linne such as that of Ayurvedic medicine. In addition to this, Hordeum saivum also is original plant which have the same efficacy in Ayurvedic medicine. We anticipate that it will be alternative plant of medicinal herbs. 3. In Ayurvedic medicine, Glycyrrhizae Radix(甘草), Hordei Fructus Germinatus(麥芽), Leonuri Herba(益母草), Styrax(蘇合香), Meliae Cortex(苦련皮) reveal varied efficacies according to compounding, additives, dosage forms, parts of medical herb.

한의학과 아유르베다의학의 약재 비교 고찰(5)

조훈범 ( Hun Bum Cho ),서부일 ( Bu Il Seo ),박지하 ( Ji Ha Park ) 한약응용학회 2012 한약응용학회지 Vol.12 No.1

To compare the medicinal herbs between Ayurvedic medicine and traditional Korean medicin. We researched major publications related to Ayurvedic medicinal herbs such as Major herbs of Ayurveda, Indian Herbal Remedies, Prime Ayurvedic Plant Drugs. The results were summarized as follows: 1. Piperis Longi Fructus(?撥), Piperis Nigri Fructus(胡椒), Psoraleae Semen(補骨脂), Granati Pericarpium(石榴皮) used in Traditional Korean Medicine had a common original plant with Ayurvedic medicine. 2.Original plant of Portulacae Heba(馬齒?) used in TKM is Portulaca oleracea Linn. Such as that of Ayurvedic medicine. In addition to this, Portulaca quadrifida Linn. also is original plant which have the same efficacy in Ayurvedic medicine. We anticipate that it will be alternative plant of medicinal herbs. In Ayurvedic medicine. Piperis Longi Fructus(?撥), Piperis Nigri Fructus(胡椒), Portulacae Heba(馬齒?), Psoraleae Semen(補骨脂), Granati Pericarpium(石榴皮) reveal diverse efficacies according to parts of medical herb, compounding, dosage forms.

Comfrey 등으로 발생한 독성 간손상 환자의 한방치료 1례

박봉기,정태영,조정효,손창규,Park, Bong-Ky,Jung, Tae-Young,Cho, Jung-Hyo,Son, Chang-Gue 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.1

Currently, drug-induced liver injury (DILl) has been reported to be common cause of acute hepatitis, and oriental medicine and folk remedies are no exception. However, because many studies about DILl have been reported by western medical society. they has taken the initiative of DILl not only for western drugs but also herbs. So, academia of oriental medicine should make an effort to progress herb-related DILl studies. We describe a patient of acute liver injury which had been caused by comfrey, albizzia julibrissin, ulmus davidiana var. japonica, red ginseng. We hope that this report helps for studying the diagnosis and management of herb-derived DILl. and for establishing a standard of oriental therapy to DILL.