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.

소아 및 청소년에서 버섯 유두 개수로 산출한 설 미뢰 밀도와 식습관의 상관성 연구

최현,배선재,이상용,이은혜,Choi, Hyeon,Bae, Sun-Jae,Lee, Sang-Yong,Lee, Eun-Hye 대한한방소아과학회 2010 대한한방소아과학회지 Vol.24 No.1

Objectives This study is to find out how fungiform papillae count, which represents the density of taste buds, is related to eating behavior of children and adolescents. Methods The authors measured fungiform papillae count, height, and weight of 50 healthy children aged from 2 to 15. To evaluate the severity of anorexia, parents of the subjects answered modified version of Korean Children's Eating Behaviour Questionnaire (K-CEBQ). Children with weight of less than 50th percentile were assigned to low-weight group, while the others to high-weight group. Pearson's correlation test was conducted in order to evaluate the relationship between modified K-CEBQ score and fungiform papillae count. Results Low-weight children scored $29.8{\pm}9.1$, while high-weight children scored $24.5{\pm}7.1$. (p<0.05) on modified K-CEBQ Pearson's correlation coefficient between modified K-CEBQ score and fungiform papillae count was 0.503 (p<0.05) in low-weight group, 0.260 in high-weight group, and 0.339 (p<0.05) in total. However, there were no statistical significance in correlations between modified K-CEBQ score and percentile of weight, height, or BMI. Conclusions Severity of anorexia was correlated to the density of taste buds, especially in children who weighed less than average. The analysis on each single question indicated that children with high taste bud density had poor appetite not because of their inadequate digestive function, but because of their fastidious eating habit. Further study should be focused on finding out which specific aspect of appetite is related to the taste bud density.

중증급성호흡기증후군(SARS) 치료에 사용된 한약 처방에 대한 고찰 - WHO 보고서(2004)에 사용된 처방을 중심으로

장인수,백유상,배선재,선승호,이재성,한창호,Jang, In-Soo,Baik, You-Sang,Bae, Sun-Jae,Sun, Seung-Ho,Lee, Jae-Sung,Han, Chang-Ho 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.3

Background : Early in November 2002, severe acute respiratory syndrome (SARS) began to spread throughout thirty-two countries around the world. A total of 5,327 cases were reported in China, including 1,755 cases in Hong Kong and 655 in Taiwan. The total number of cases reported from Canada and Singapore was more than 200. The total number of SARS cases world-wide reached 8,437 with incidences. Mortality from SARS is estimated at around 11%. Under the guidance of the World Health Organization (WHO), clinical studies on the use of integrated herbal medicine and western medicine for treating SARS were carried out in China and Hong Kong. The official report suggested that integrated treatment was more effective than western medicine alone in clinical symptoms, lung inflammation, blood oxygen saturation, immunological functions and others. Objective : To overview the treatment principle and the prescriptions according to the regimens and the stages for SARS of the reports, and further to broaden our knowledge of treatment of acute infectious diseases using natural herbal medicine. Methods : We reviewed nine of WHO SARS reports that comprehensively described the principles and methods of treatment and summarized them into eight treatment methods. We analyzed the herbal formulae on the basis of their treatment principles, evaluated them in accordance with warm disease study, listed frequently used herbs, and assessed patent prescriptions and herbal injections that were mentioned in the reports. Results and Conclusion : The reports divided the course of SARS into 3 to 6 stages such as high fever stage, fastigium stage, and convalescent stage. Frequently used herbs were Radix Scutellariae, Radix Paeoniae, Radix Astragali, Semen Armeniacae, Radix Pseudostellariae, Radix Ophiopogonis, and Fructus Schizandrae. Herbal decoctions were the primary method of treatment, while extracts or injections were secondary. Prescriptions were mainly based on the warm disease study. SARS is a viral disease caused by corona virus, and herbal medicine is proven to be effective against it. We believe that evidences and experiences from SARS cases can be a good reference to further researches on acute infectious diseases.

2009년 유행 신종인플루엔자 A(H1N1)의 한약 및 기타 비전형적 치료에 대한 고찰

선승호,장인수,백유상,배선재,한창호,Sun, Seung-Ho,Jang, In-Soo,Baik, You-Sang,Bae, Sun-Jae,Han, Chang-Ho 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.3

Background : Since March 2009, when the first patient of novel influenza A (H1N1) was reported, many deaths have occurred in North and Central America. The start of the 2009 influenza pandemic was declared by WHO Director-General Dr. Margaret Chan on 11 June 2009, and the level of influenza pandemic alert raised from phase 5 to phase 6. There was no vaccine yet developed, and many experts worried that the novel H1N1 virus could kill as many or more as did the influenza pandemic in 1918-1919. Objective : To evaluate the possibility of treatment for 2009 novel influenza A (H1N1) using herbal remedies and other non-conventional therapies. Methods : We researched the clinical studies for novel H1N1 influenza virus-related herbal medicine or non-conventional medicine treatment using internet search engines including PubMed and CNKI. In addition, we reviewed many reports and clinical practice guidelines (CPG) for influenza A (H1N1). Results : Two case series were selected after reviewing 701 papers, and two CPG published by the Chinese government and Jilin province identified. They reported that the clinical symptoms were no more significant than seasonal influenza, and the condition of patients more than 45 years old was milder than those less than 45 years old. There are no patients with gastric problems, and oseltamivir has been used at the same time in all patients. Conclusion : The efficacy and effectiveness of herbal medicine and other non-conventional treatments for the novel influenza A (H1N1) is questionable, and more studies are needed to draw a firm conclusion. However, in the severe acute respiratory syndrome (SARS) experience in 2002/2003, it was demonstrated that herbal medicine can relieve all symptoms of SARS patients, promote absorption of lung inflammation, improve the degree of blood oxygen saturation, regulate immunological functions, reduce the required dosage of glucocorticoid and other medicines, and reduce case fatality rate. In light of the current situation that there is no vaccine or conventional treatment yet available, the study of herbal medicine and other non-conventional therapies are also necessary for appropriate evaluation.

척수손상과 관련된 만성신부전환자에서 혈청지질에 대한 연구

최진학 ( Jin Hak Choi ),변종훈 ( Jong Hoon Byun ),김혜순 ( Hye Soon Kim ),김성환 ( Seong Hwan Kim ),배선재 ( Sun Jae Baek ),이난우 ( Nan Woo Lee ),한통석 ( Tong Suck Han ) 대한내과학회 1984 대한내과학회지 Vol.27 No.1