경근추나 치료 후 호전된 발음성 고관절 환자 치험례

김우영,이재영,한상엽,공덕현,박재영,이현종,Kim, Wu-Young,Lee, Jae-Young,Han, Sang-Yup,Kong, Deok-Hyun,Park, Jai-Young,Lee, Hyun-Jong 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2

단순 방사선검사와 이학적 검사에서 특이 소견을 발견할 수 없는 발음성 고관절 환자에서 대전자의 움직임을 통해 고관절의 움직임 이상을 발견하고 경근추나를 시행하였다. 1. 환자분이 복와위에서 능동적 신전운동, 앙와위에서 능동적 굴곡운동을 하는 동안 환자의 대전자를 통해 고관절이 전내측 방향으로 움직임을 관찰하였다. 2. 고관절의 전내측 방향으로 움직임의 과도를 유발할 수 있는 대퇴근막장근과 슬괵근의 단축을 평가하고 경근이완기법을 적용하였다. 3. 슬곽근에 대항작용을 하고 고관절이 관골구내에서 안정성을 유지하기 위해 필요한 대둔근, 대퇴근막장근에 대항작용을 할 수 있는 후중둔근과 장요근의 약화를 관찰하고 경근강화기법을 시행하였다. 4. 13회의 치료 후 발음성고관절의 주증상인 통증과 탄발음이 거의 소실되는 양호한 결과를 얻었다. 5. 고관절의 움직임 이상이 발견된 발음성 고관절 환자에서 해당 경근의 단축과 약화가 발견될 경우 경근추나수기법을 이용해 볼 수 있을 것으로 판단된다. Objectives : This study is designed to evaluate the effect of conservative oriental medical treatment using Chuna manual therapy for meridian sinew system for snapping hip patient who have hip joint movement system impairment. Methods : 28-year old snapping hip patient who have hip joint movement system impairment was treated with conservative oriental medical treatment using Chuna manual therapy for meridian sinew system. The improvement of the patient was evaluated by Numerical rating scale(NRS), Snapping Sound Degree(SSD), Range of Motion(ROM). Results: After 13 times treatment, the patient had significant improvement in Numerical rating scale(NRS), Snapping Sound Degree(SSD), Range of Motion(ROM). Conclusions: If hip joint movement system impairment cause a snapping hip, we can treat with Chuna manual therapy for meridian sinew system.

한의학적 치료법으로 호전된 요추 추간판 탈출증 환자의 영상의학적 변화

김우영,한상엽,김기역,공덕현,이현종,김창연,남항우,Kim, Wu-Young,Han, Sang-Yup,Kim, Ki-Yuk,Kong, Duck-Hyun,Lee, Hyun-Jong,Kim, Chang-Youn,Nam, Hang-Woo 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1

Objectives: The aim of this study was to evaluate the evolution of lumbar disc herniation in patients treated with oriental medicine. Methods: 14patients(15 cases) with lumbar disc herniation proved at MRI(Magnetic resonance imaging) underwent a follow-up MRI study. Follow-up MRI was performed $4{\sim}14$months(mean 7 months) after initial MRI. Results & Conclusions: 1. 13 cases(87%) had reduction of disc herniation. 1 showed no change in amount of disc herniation. 1 had an increase in disc herniation. 2. Comparison initial MRI with follow-up MRI showed that 2 of the herniations decreased between 0% and 25%, 3 decreased between 25% and 50%, 5 decreased between 50% and 75%, 3 decreased between 75% and 100%. The size of the herniation decreased on average by 49% in 14patients(15 cases). 3. On axial images, the proportion of the cross-sectional area of the spinal canal occupied by the herniated disc was 54.41% on the average on the initial scan, 29.65% on the follow-up scan.

한의사들에게 적합한 고문헌 지식체계에 대한 고찰 -『동의보감(東醫寶鑑)』증보를 중심으로-

김우영 ( Wu Young Kim ),권오민 ( Oh Min Kwon ) 대전대학교 한의학연구소 2013 한의학연구소 논문집 Vol.22 No.1

Objectives: The objectives of this study are to determine both what information Korean Medicine(KM) doctors want from medical classics and how classic KM knowledge should be structured. Methods: KM doctor survey was conducted in October 2012 via E-mail to determine what information Korean Medicine doctors want to collect from a larger volume of existing classics. Specialist survey was made in October 2012 through questionnaire and 8 workshops were held between April 2012 ~ February 2013 to discuss how to reorganize classic KM knowledge. Results: With two surveys and 8 workshops, we built a conceptualization of the classic KM knowledge system for KM practice. KM doctors wanted to engage with the design of KM knowledge system informed by authentic medical classics, and hoped that more information on common disorders would be added to the table of contents of classic KM books than now. A comprehensive knowledge system was also required to maximize information sharing. Conclusions: Future KM knowledge systems need to be more comprehensive and include more information about disorders with which patients commonly consult KM doctors.

한의학 고문헌을 통한 오매의 정신의학과 중추신경계 관련 효능 연구

김우영 ( Wu Young Kim ),전원경 ( Won Kyung Jeo ) 대전대학교 한의학연구소 2013 한의학연구소 논문집 Vol.22 No.1

Objectives : Fructus mume(F. mume) has been used as a medicine for thousands of years in East Asia and reported to have effect on cognitive deficits induced by chronic cerebral hypoperfusion. We investigated F. mume`s effects on psychiatric and central nervous system in medical classics. Methods : 25 materia medica books and Donguibogam were searched to find psychiatric and central nervous system effects of F. mume. Two Korean Medicine doctors reviewed the effects from the clinical point of view. Results : 安心(relieve psychiatric discomfort), 令人得睡·治不眠(Treat insominia), 去煩悶(relieve chest discomfort) were psychiatric effects and 偏枯不仁(hypoesthesia accompanied with hemiplegia) was central nervous system effect of F. mume. Conclusions : Further studies will be needed to demonstrate F. mume`s effects found in medical classics.

경도인지장애의 비약물요법에 대한 고찰

김우영 ( Wu Young Kim ),한창현 ( Chang Hyun Han ),허은정 ( Eun Jung Heo ),강형원 ( Hyung Won Kang ),전원경 ( Won Kyung Jeon ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.3

Objectives: As the number of patient with dementia increases, interest in mild cognitive impairment (MCI), which is a pre-dementia stage, has been expanding. In this study, we investigated the effects from selected clinical research articles to evaluate the effectiveness of non-pharmacological interventions. Methods: We searched MCI related articles on MEDLINE and the Web of Science using keywords related to MCI. We selected 26 articles, and 13 evaluated efficiency using the Jadad score. Results: Physical exercise and cognitive remediation techniques were effective for improving MCI. Transcutaneous electrical nerve stimulation, taichi, and music belonged to "perhaps" effectiveness group. Many of the 13 articles that evaluated MCI using the Jadad score evaluated them as "good" or "poor", and only three articles evaluated MCI as "excellent". Conclusions: The present evidence suggests that cognitive remediation techniques to improve memory and physical exercise were effective for people with MCI. However, further studies are needed to identify the physical exercise effects.

한의학 고전 문헌 데이터베이스에서 활용할 건망 유의어 연구

김우영(Wu-Young Kim),권오민(Oh-Min Kwon) 한국의사학회 2012 한국의사학회지 Vol.25 No.1

The aim of this study is to create a catalogue of amnesia synonyms in Traditional Korean Medicine for database utilization. A two-staged literature search was carried out. First, two databases(China National Knowledge Infrastructure:CNKI. Oriental Medicine Advanced Searching Integrated System:OASIS) were searched for eligible articles, and a set of candidate words was identified from the andes. Second, the candidate words were searched in 30 medical classics to check the frequency of use. As a result, 9 candidate words including 喜忘(huimang), 善忘(seonmang), 多忘(damang), 好忘(homang), 健忘(geonmang), 遂忘(sumang), 遺忘(yumang), 忘事(mangsa), and 易忘(imang) were identified from the 10 eligible articles. Among the 9 candidate words, 健忘(geonmang) was a descriptor and 7 other words including 喜忘(huimang), 善忘(seonmang), 多忘(damang), 好忘(homang), 遂忘(sumang), 遺忘(yumang), 忘事(mangsa) were non-descriptors. 易忘(imang) was not an adequate synonym for amnesia.

한의사들이 원하는 한의학 지식체계에 대한 고찰

손미주,김우영,정의민,박황진,한창현,Son, Mi-Ju,Kim, Wu-Young,Jerng, Ui-Min,Park, Hwang-Jin,Han, Chang-Hyun 대한예방한의학회 2012 대한예방한의학회지 Vol.16 No.3

Objectives : This study was carried out to know the status of clinical utilization of Korean medical knowledge and the Korean medical knowledge system which Korean medical doctors want. Methods : Questionnaires were distributed to Korean medical doctors registered for the Association of Korean medicine via the email and 249 answered questionnaires were analyzed. Results : 50.6 % of Korean medical doctors utilized the textbooks for Korean medicine when they treated their patients. The reason why they did not utilize the textbooks for Korean medicine was mostly that 'it could not be applied directly into clinical application with only contents of textbook because clinical approach (diagnosis and treatment methods) was not clearly described in the textbook'. 48.6 % of Korean medical doctors utilized the EBM materials when they treated their patients. EBM materials that they referred included domestic articles, other EBM materials excluding papers and international academic papers based on PubMed in order. The reasons why they did not utilize the EBM materials were mostly that 'it was difficult to find the evidence' and 'EBM materials were not actually helpful for the clinical practice.' It was found that Korean medical doctors approached the disease in aspects of Korean and Western Medicine concurrently upon the diagnosis of patients and performed the diagnosis and treatment of Korean medicine on the diseases which seemed to be effective with Korean medicine. It was also found that they thought that they needed to know the Western medical knowledge as much as general doctors who have a doctor's license or family medicine specialists who comprehensively treat the general diseases know. Korean medical doctors wanted to have the systematic summary of modern research performance in fields of acupoint, acupuncture, herbal drugs and formula. They thought that constitutional medicine and Sa-am acupuncture therapy were representative characteristics in Korean medicine differentiated from Traditional Chinese medicine and Kampo medicine. Conclusions : Korean medical doctors wanted to establish the Korean medical knowledge system based on evidence focusing on clinical and practical contents. New Korean medical knowledge system should be established based on these requirements in the future.

동작 침법을 시행한 요추부 척추관 협착증 환자의 치험 2례 보고

김기역,이기하,김우영,이현종,김창연,Kim, Ki-Yuk,Lee, Ki-Ha,Kim, Wu-Young,Kim, Hyun-Jong,Kim, Chang-Yeon 척추신경추나의학회 2008 척추신경추나의학회지 Vol.3 No.1

Objectives : the purpose of this study is to report the improvement of stenosis patients, who treated by M.S.T.(Motion Style Treatment) Methods : the clinical study was done on 2 cases of patients with lumbar stenosis who admission in Jaseng Oriental Medicine hospital. We checked VNRS score after the treatment of M.S.T.(Motion Style Treatment) each day, and checked ODI score at admission and discharge. Results : VNRS score and ODI score decreased after the treatment of M.S.T.(Motion Style Treatment)

요추부 한 분절 유합술 이후 발생한 추간판 탈출증환자에 대한 보존적 치료 치험 1례

강명진,공덕현,김우영,조태영,남항우,Kang, Myung-Jin,Kong, Duck-Hyun,Kim, Wu-Young,Cho, Tae-Young,Nam, Hang-Woo 척추신경추나의학회 2010 척추신경추나의학회지 Vol.5 No.2

요추부 한 분절 유합술 이후 발생한 추간판 탈출증으로 내원한 외래 환자 1례에 한방치료를 적용하여 요통 및 하지방사통 통증 감소와 요추부 관절가동범위(ROM) 증가에 유의한 효과를 보였기에 보고하는 바이다. Objectives: The purpose of this study is the evaluation of conservative medical treatment on the herniation of intervertebral disc(HIVD) patient after the fusion surgery of a lumbar segment. Methods: We used acupuncture, herbal medication, and manipulation for this patient. And we measured of VNRS score and SLR test result to evaluate effect of conservative medical treatment. Results & Conclusions: Patient's low back and left leg pain VNRS is decreased, and the SLR test result is improved.

동의신경정신과학회지에 게재된 임상연구논문 동향분석 -2001년부터 2010년까지-

허은정 ( Eun Jung Heo ),전원경 ( Won Kyung Jeon ),김우영 ( Wu Young Kim ),한창현 ( Chang Hyun Han ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.3

Objectives: This study was aimed to review the trend of clinical studies in Journal of Oriental Neuropsychiatry since 2001 to 2010. Methods: We collected 260 clinical studies and analyzed them for publish year, sorts of disease or symptoms, pattern identification diagnosis, and classification of clinical studies. Among them, we selected 46 clinical experimental studies and these studies were further analyzed for publish year, research institution, sort of disease or symptoms, sorts of treatments, number of subject, and pattern identification diagnosis. Results: The number of clinical studies in Journal of Oriental Neuropsychiatry have increased since the year of 2001. There were 62 kinds of diseases and symptoms and Hwa-Byung had the highest number of studies followed by depression, headache, insomnia and so on. The clinical experimental studies, which took up 17% of the clinical studies, have increased since 2001 and was varied with year. There were 13 reserch institutions for clinical experimental studies and they studied about stress, dementia, Hwa-Byung, and so on. Most of studies researched treatment about acupuncture, herb medicine, and meditation treatment for persons under 144. There are only 22% of studies using pattern identification diagnosis. Conclusions: For the development of oriental medicine for psychiatric disease, we need more qualifying clinical studies like RCT. We hope more researchers for psychiatry disease of oriental medicine will be interested in the publication of clinical studies and this will serve to produce advance of oriental medicine as evidence based medecine.