한의학과 모유수유

KBS한의원(Research Center of Korean Medicine),동국대학교 한의학연구소(Dong-Guk University),유정한의원(Yujung Clinic),조선영(Sun Young Cho),천병태(Byoung Tae Chun) 대한모유수유한의학회 2015 대한모유수유한의학회지 Vol.1 No.1

Mother and baby should be managed together from pregnancy to the postpartum health in order to continue successful breastfeeding. Korean medicine have been proven to care many years to administer the health of lactation women and baby, whereas chemical drug have relatively high risk of side effects in pregnancy and lactation. Korean Academy of Breastfeeding Medicine (KABM) should make an effort to show scientific excellence of Korean medicine and to develop diagnostic techniques of Korean medicine based on methodology of maternal and infant health. And KABM will continue various education, research and academic work, health care, counseling, and health service.

대한모유수유한의학회 홈페이지의 모유수유 상담내용에 대한 질적연구 : 수유부에게 투입된 약물과 식품, 시술을 중심으로

권용주(Yong-Ju Kwon,),조선영(Sun-Young Cho) 대한모유수유한의학회 2019 대한모유수유한의학회지 Vol.5 No.1

Objectives: The Korean Academy of Breastfeeding Medicine has supported nursing mothers to address their concerns, provide the right knowledge, and provide positive breastfeeding with confidence. We will record this process and build a better counseling space. Methods: This study analyzed the contents of breastfeeding counseling posted on the bulletin board of the Korean Academy of Breastfeeding Medicine. Among the 128 questions published from December 10, 2013 to November 27, 2019. Results: 42 items were qualitatively analyzed, focusing on drugs, foods and procedures administered to breastfeeding mothers. The core concepts were derived through the subject analysis process. 5 questions about taking herbal medicines and herbal prescriptions in breastfeeding, 4 questions about food intake, 2 questions about taking out-of-life medications, 7 questions about taking medicines, 3 questions about procedures, 2 about cosmetics, and external medications 2 related items and 1 related item. Conclusion: Of the 128 breastfeeding-related inquiries posted on the Korean Academy of Breastfeeding Medicine s homepage bulletin board from 2013 to 2019, 42 questions were analyzed on drugs, foods, herbs and procedures performed on the body. The main focus was on the safety of those who were orally administered to the nursing mothers and the potential for percutaneous absorption, the effects of babies, and whether breastfeeding continued. Most were parallel to lactation. In the future, we considered the need for efforts to provide warmer, evidence-based, lactation counseling that did not neglect our traditional wisdom.

모유수유와 지능과의 연관성에 대한 최근 임상연구 동향

경희대학교 대학원 임상한의학과 소아과학교실(Graduate school of East-West Medical Science Kyung Hee University),경희대학교 동서의학대학원 의과학과 한의과(Oriental Medical Science, East-West Medical Science),이지나(Ji Na Lee),강성한(Sung Han Kang) 대한모유수유한의학회 2016 대한모유수유한의학회지 Vol.2 No.1

Objectives: The purpose of this study is to investigate recent clinical studies on Association between Breast Feeding and Intelligence in Korea and other countries. We have analyzed the studies on Association between Breast Feeding and Intelligence within cohort study for 5 years (from 2011 to 2015). Methods: The search database includes Oasis, KTKP (Korean Traditional Knowledge Portal), Medline, Embase, and Cochrane library. To narrow the search, the following key search terms were used: ‘Breast Feeding, intelligence, development’. The search was limited to the publication date from 2011 to 2015. 9 Cohort study and 1 cross-sectional study were selected for analysis. Results and Conclusions: Eight of the nine cohort studies were significantly higher in the breastfeeding group, While the other study concluded that breastfeeding was higher in breastfeeding group, but not significantly different from breastfeeding and non-breastfeeding. Breast Feeding is related to improved performance in intelligence tests. The longer you breastfeed, the higher intelligence will be.

麥芽의 回乳 效果에 대한 문헌적 고찰

신혜진(Hye-Jin Shin),장규태(Gyu-TaeChang) 대한모유수유한의학회 2018 대한모유수유한의학회지 Vol.4 No.1

Objectives:ThisstudywasconductedtoinvestigatewhetherHordeiFructusGerminatus ismoreeffectiveandsafethanestrogenmedicationorconservativetreatmentinstopping lactationwithoutdiscomfort. Methods: 6electronicdatabasewereused tosearch forrandomized controlled trials (RCTs)andcontrolledclinicaltrials(CCTs)publishedbeforeSeptember2018.Andthen, selectedliteratureswerecollectedandanalyzed in orderofrecentpublication year.The qualityofincludedstudieswasassessedbyRiskofbias(RoB)toolandRiskofBias AssessmenttoolforNon-randomizedStudy(RoBANS). Results:6RCTswith595womenand4CCTswith2,852womenwereincludedfor analysis.4outof10studiescomparedtherapeuticeffectsofHordeiFructusGerminatusto estrogenmedication,andtheoverallefficacyoftreatmentgroupwassignificantlyhigher thanthatofcontrolgroup(p<0.05).Inaddition,thesafetyofHordeiFructusGerminatus treatmentgroupwasremarkablyhigh,andtherewasnoseriousadverseeventsreported. Thequalityofincludedstudieswasgenerallyunclearorlow. Conclusion:Maltcanbeeffectiveandsafeoptionfordelactationwithoutpainordiscomfort. However,additionalwell-designed controlled clinicalstudiesneed to be performed to establishafundamentalclinicalapproach.

신생아 질환에서의 한방치료 확대를 위한 문헌 조사

비발디 한의원(Vivaldi Clinic),김현지(Hyun Ji Kim) 대한모유수유한의학회 2015 대한모유수유한의학회지 Vol.1 No.1

Objectives: This study is to survey the literature in Korean medical treatment for neonatal diseases and to suggest the direction for improving Korean medical treatment for neonatal diseases. Methods: The search database includes Pubmed, CNKI-CAJ (China Academic Journal). In order to narrow the search, the terms were used: ‘infant, traditional treatment’, ‘infant, chinese medicine’, ‘infant, traditional medicine’, ‘infant, Korean medicine’, ‘胎黃’, ‘胎疸’, ‘neonatal jaundice’, ‘新生儿 寒冷损伤’, ‘neonatal cold injure syndrome’, ‘neonatal diarrhea’, ‘新生儿 腹泻’, ‘五遲’, ‘五軟’, ‘五硬’, ‘cerebral palsy’. The search was limited within the publication date between 2001 and 2014. Results & Conclusions: The studies research the effects of various treatments by acupoint application and the usage of herb for neonatal diseases. The Korean medical treatment seems to be effective for neonatal diseases, and this study suggests the benefits of the extended Korean medical treatment for neonatal diseases.

젖몸살의 한약 치료에 대한 중의학 임상연구 고찰

이보람(Bo ram Lee),권찬영(Chan Young Kwon),장규태(Gyu Tae Chang) 대한모유수유한의학회 2017 대한모유수유한의학회지 Vol.3 No.1

Objectives: The purpose of this study is to provide clinical evidence of herbal medicine for lactational mastitis by reviewing randomized controlled trials conducted in traditional Chinese Medicine. Methods: We searched literatures dated up to 9 October, 2017 in China National Knowledge Infrastructure (CNKI), and evaluated methodological quality of those studies using ‘Risk of Bias’ tool. Results: Eleven studies with 1,232 participants were selected for analysis. These studies indicated that the total effective rates were higher, and the time to lump reduction, the time needed for treatment, the duration of breast pain relief, and hospitalization period were significantly less in the herbal medicine treatment group, as compared to the control group. The most-commonly-used herbs were Taraxaci Herba (蒲公英), Angelicae Gigantis Radix (當歸), Trichosanthis Fructus (瓜蔞), Lonicerae Flos (金銀花), and Bupleuri Radix (柴胡). There were no serious adverse events found that were associated with herbal medicine treatment. The methodological quality of included studies was generally unclear or low. Conclusion: This study shows that the herbal medicine treatment may be effective in treating lactational mastitis. Further well-designed clinical trials with low methodological quality and appropriate assessment tools need to be performed to solidify these findings.

모유수유와 여성건강 - 리뷰

조준영(Jun young Jo) 대한모유수유한의학회 2017 대한모유수유한의학회지 Vol.3 No.1

Objectives: Emerging research has found lasting benefits of breast feeding for long term maternal health, including help in reduction in risk of chronic disease, breast cancer and ovarian cancer. In this review, the evidence for the beneficial effects of breast feeding on maternal health will be discussed. Methods: Literatures published in Pubmed until October 2017 were searched. Results: Increased duration of lactation was associated with a lower prevalence of hypertension, diabetes, hyperlipidemia, and cardiovascular disease. There is a statistically significant inverse association between breastfeeding and maternal risk of type 2 diabetes. Higher lactation intensity and longer duration were independently associated with lower 2-year incidences of diabetes after gestational diabetes mellitus pregnancy. Breastfeeding was associated with reduced risk of breast, endometrial and ovarian cancer. Conclusion: Breastfeeding benefits mothers. It can prevent breast cancer, reduce cardiovascular disease, and might reduce a woman’s risk of diabetes, endometrial and ovarian cancer.

수유부의 모유수유 결과와 체질 간의 상관성에 관한 문헌고찰

권찬영(Chan-YoungKwon),이보람(Bo-Ram Lee) 대한모유수유한의학회 2018 대한모유수유한의학회지 Vol.4 No.1

Objectives:Thisstudywasconductedtosynthesizeresearchesreportingtherelationship betweenbreastfeedingoutcomesandconstituition. Methods:Twoindependentresearchersdetermined whetherthesearched articlesmet fortheinclusioncriteria.Theresultsofincludedstudiesweresummarizedasfollows:the relationshipbetweenbreastfeedingoutcomesandconstitutionsuchaspostpartum lactation volume,hypogalactia,rateofbreastfeedingandmastitis. Results:A totalofnineobservationalstudieswereincludedinthisreview.Amongthe includedstudies,onestudyinvestigatedtheSasang(SS)constitution,whiletheremaining studiesinvestigatedthetraditionalChinesemedicine(TCM)constitution.IntheSSconstitution, Soyanginwasreportedtohavesignificantlyhigherpostpartum lactationvolumethanSoeumin orTaeumin.IntheTCM constitution,thegentlenesstypewasassociatedwithalowincidence ofhypogalactiaandmastitis,andahighrateofbreastfeeding,whilepathologicaltypes,especially qi-depressiontypeandqi-deficiencytype,werereportedtobemostrelatedtothenegative resultsofbreastfeedingresults,suchashypogalactia,mastitis,andlowerbreastfeedingrate. Conclusions:Severalstudieshavebeenconductedtoinvestigatetherelationshipbetween breastfeedingoutcomesandconstitution,andtheresultscanbeusedtoestablishcomprehensive managementforpromotionofbreastfeeding.FurtherresearchesareneededinSouthKorea toinvestigatetherelationshipbetweenSSconstitutionandbreastfeedingoutcomesandto establishconstitution-basedcomprehensivemanagementstrategiestoimprovebreastfeeding outcomes.

직장 여성과 전업 남편의 모유수유 경험과 한의사의 역할에 대한 질적 자료가 혼합된 단일 증례 보고

박슬기(Sul-GiPark),신현숙(Hyun-Sook Shin) 대한모유수유한의학회 2018 대한모유수유한의학회지 Vol.4 No.1

Objectives:Thisstudywasconductedtoinvestigatethecognitionanddifficultiesofa workingwomanand ahousehusband’sbreast-feedingexperienceand theroleofKorean medicinedoctorinthebreast-feedingcounseling. Methods:ParticipantswereaBelgianfatherandaKoreanmother,parentsofainfant breast-fedandtheyvisitedCheongdam InuriKoreanMedicineClinicforthehealthcounseling ofainfant.Theyvisited9timesfrom November26,2016toMay16,2018.Breast-feeding counselingbyaKoreanmedicinedoctorwasconductedinordertoencouragebreast-feeding, andtheresultwascollectedasqualitativedata. Results:Parentshaddifficultiesandquestionsaboutbreast-feeding.Therewerelackof milkduringmixedfeedingandababy’srefusaltoformulamilk.Also,therewerequestions abouttheproperamountoffeedingandthethingthatainfanttriestogetmilkwhile sleeping.Parentsvisitedthecliniceverytimetheyhaddifficultiesandquestionsandfelt relieved by receivingcounselingand correspondingtreatment.Ultimately,therewasan extensionofthebreast-feedingperiodabouteightmonths. Conclusions:Thisstudysuggeststhatthebreast-feedingcounselingbyKoreanmedicine doctorcanbevaluableoptiontopromotebreast-feedinginworkingwomen’sfamily.

산후풍 치료와 모유수유 상담 증례 보고

조선영(Sun-YoungCho) 대한모유수유한의학회 2019 대한모유수유한의학회지 Vol.5 No.1

Objective: To report case for Sanhupung treated by Gungguijohyeol-eum-gamibang and Breastfeeding consultation Method: The cases with Sanhupung were treated with only herb medication(Gungguijohyeoleum-gamibang(芎歸調血飮加味方) and then the clinical outcome was evaluated by Visual Analogue Scale. Result: The clinical symptoms of the patient improved over 2 months with treatment of Gungguijohyeol-eum-gamibang and breastfeeding consultation. Conclusion: The Gungguijohyeol-eum-gamibang and breastfeeding consultation may be considered in the Sanhupung.