소아를 주요 대상으로 하는 한의원 웹사이트의 분석 및 고찰

김장현,서영민,Kim, Jang-Hyun,Seo, Young-Min 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

Objectives : The Internet is closely related to the live of modern people in the 21st Century. With increasing interest in health and disease of children, the public has access to a growing supply of information on oriental pediatrics clinic through Internet. The purpose of this study is to collect and analyze the Internet web sites concerning oriental pediatrics clinic in Korea, and study the effectiveness of internet toward oriental pediatrics. Methods : We selected 42 web sites by searching for such keyword as child and oriental Medical clinic at korea major web search engine. The sites were evaluated and analyzed on the basis of 24 is under three evaluation criteria such as quality of contents, the easy of use, reliability of web sites. Results: Study results indicated that 34% of web sites were built in 2004, 58% of oriental pediatrics clinic was located in Seoul & Kyunggi and 84% of them was connected network medical system. About health information was supplied in oriental pediatrics clinic web sites, the growth was high frequent information, 50% of web sites supplied high quality information and 19% of them was supplied high diversity information. Conclusions: It is necessary to control system as information certification system in the area of oriental pediatrics clinic web sites.

전염성 연속종 환아 1례 보고

김장현,황영준,Kim, Jang-Hyun,Hwag, Young-Jun 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

Objectives : The purpose of this study is to report Molluscum Contagiosum in an infant. Methods : We reported 5-year-old male patient who suffered from Molluscum Contagiosum. We treated him with Gami-Okbyungpung-tang. Results : After this treatment, the symptoms(papule on both thigh and gluteal sulcus region, itching) were improved. Conclusion : We had goal effects in oriental medical treatment on Molluscum Contagiosum. The further study is needed.

잠용유가 Streptozotocin으로 유발된 흰쥐의 실험적 당뇨에 미치는 영향

김장현,Kim Jang-Hyun 대한한방소아과학회 1996 대한한방소아과학회지 Vol.10 No.1

In order to study the effects of Jamyong-oil(蠶?油) on the diabetic rats induced by streptozotocin, during 15days rats were administered Jamyong-oil after streptozotocin injection(50mg/kg). On 2nd, 9th and 15th day, I investigated the levels of serum glucose, serum total cholesterol, serum triglyceride, serum amylase, and body weight. The last day, I killed rats and investigated hepatic lipid peroxide, tissue amylase. The results were obtained as follows: 1. Serum glucose levels of the sample group decreased effectively (p < 0.05) at the 15th day as compared with the control group. 2. Serum total cholesterol levels of the sample group decreased effectively (p < 0.05) at the 9th and 15th day as compared with the control group. 3. Serum triglyceride levels of the sample group decreased effectively (p < 0.05) at the 15th day as compared with the control group. 4. Activities of the serum amylase of the sample group increased respectively at the 9th (p < 0.05) and 15th (p < 0.01) day as compared with the control group. 5. Body weights of the sample group increased effectively (p < 0.05) at the 15th day as compared with the control group. 6. Hepatic lipid peroxide levels of the sample group decreased significantly (p < 0.01) as compared with the control group. 7. Tissue amylase levels of the sample group increased but not effective as compared with the control group.

소아폐렴(小兒肺炎)의 한의학적(韓醫學的) 연구(硏究)에 대한 고찰(考察) -중의학(中醫學) 문헌(文獻)을 중심(中心)으로-

김장현,권혁란,Kim, Jang-Hyun,Kwon, Hyuk-Ran 대한한방소아과학회 2003 대한한방소아과학회지 Vol.17 No.1

Pneumonia is an acute or recurrent infection of the parenchyma of the lung causing cough, fever, and respiratory distress. Pneumonia was named 'Feiyanchuansou(肺炎喘嗽)' in chinese medicine. This study was progressed for oriental medical treatment for pediatric pneumonia in china. The purpose of this study is current oriental medical approach to pediatric pneumonia In this study, the authors tried to figure out the cause of the pediatric pneumonia and its treatment and came to the conclusion as follows: 1. The study for pediatric pneumonia consists of basic, clinical and experimental study. 2. Basic study consists of etiology and pathogenesis(病因病耭), the rule of treatment(治療原則) and method of treatment(治法). 3. Clinical study consists of symptoms-based treatment(辨證論治), adequate prescription treatment(專病專方), acupuncture(鍼灸治療), and western diagnosis based treatment. 4. The majority of experimental study was pharmacology that consists of antiviral and antibacterial effect, removing heat(淸熱), releasing pulmonary qi(宣肺), dissipating phlegm(化痰).

대방풍탕(大防風湯)이 galactosamine으로 유도(誘導)한 간중독(肝中毒) 흰쥐에 미치는 영향(影響)

김장현,Kim Jang-Hyun 대한한방소아과학회 1997 대한한방소아과학회지 Vol.11 No.1

In order to study the effects of Daebangpungtang on galactosamine induced hepatoxity in rats, the experimental rats divided five groups (Normal, Control, Sample A, B, C groups). Under the same condition, normal and control groups were administered normal saline for 16 days, control group was injected to abdomen with galactosamine at 8th day (800mg/kg). Sample A group was administered the Daebangpungtang aqueous solution($200m{\ell}/kg$ p.o) for 8 days and injected galactosamine(800mg/kg i.p) for the last day and was administered normal saline for 8 days. Sample B group was treated as same as group A for 8 days, and then was administered the Daebangpungtang aqueous solution($200m{\ell}/kg$ p.o) forfurther 8 days. Sample C group was administered the Daebangpungtang aqueous solution($200m{\ell}/kg$ p.o) for 16 days. The activity of GOT, GPT, ${\gamma}$-GTP, ALP, LDH and total bilirubin in serum were measured at 8th and last day. The results were obtained as follows: 1. The activity of serum GOT of the sample A group decreased effectively at the 8th day and sample B group decreased effectively at 16th day as compared with the control group. 2. The activity of serum GPT of the sample A group decreased effectively at the 8th and 16th day and sample B group decreased effectively at 16th day as compared with the control group. 3. The activity of serum ${\gamma}$-GTP of the sample B group decreased effectively at the 16th day as compared with the control group. 4. The activity of serum ALP of the sample A group increased respectively at the 8th and 16th day and sample B group decreased effectively at 16th day as compared with the control group. 5. The activity of serum LDH of the sample A, B groups decreased effectively at 16th day as compared with the control group. 6. The activity of serum total bilirubin of the sample A, B groups decreased effectively at 16th day as compared with the control group. 7. The activity of GOT, GPT, ${\gamma}$-GTP, ALP, LDH and total bilirubin in serum of the sample C group were analogous with thats of normal group.

영아 지루성(脂漏性) 피부염(皮膚炎)에 대한 증례(證例) 1례(例)

김장현,김기봉,Kim, Jang-Hyun,Kim, Ki-Bong 대한한방소아과학회 2006 대한한방소아과학회지 Vol.20 No.2

심한 두부(頭部) 발진(發疹), 소양(搔痒) 및 화농(化膿)을 호소하여 동국대학교(東國大學校) 분당한방병원(盆塘韓方病院) 한방소아과(韓方小兒科)에 내원(來院)한 영아 지루성(脂漏性) 피부염(皮膚炎) 환자(患者) 1예(例)에 대하여 초진(初診) 진료(診療) 후 Aroma Lotion과 Aroma oil을 혼합한 외용제(外用劑)를 사용한 도포치료(塗布治療)와 carbon 광선치료(光線治療)를 병행하여 37일간 치료(治療)한 결과 두부(頭部) 발진(發疹), 소양(搔痒) 및 화농(化膿)이 완전 소실되어 유효한 결과를 얻었기에 이에 치료경과(治療經過)를 보고하는 바이다. Objectives : The objective of this study is to assess the clinical effect of illinition and carbon-ray treatment on seborrheic dermatitis. Methods : This clinical study was carried out with one case(male) who visited the Department of Pediatrics, Dongguk University Bundang Oriental Hospital and it was diagnosed as seborrheic dermatitis. It is treated with illinition for 37 days and carbon-ray treatment in 12 times. We checked the aspect of wound. Results : The child's wound improved, and the seborrheic dermatitis disappeared. Conclusions : Illinition and carbon-ray treatment are effective in the treatment of seborrheic dermatitis and improve the function of removing inflammation and regerenating the skin in the body.

성장장애(成長障碍)에 관(關)한 임상적(臨床的) 연구(硏究)(I)

김장현,Kim Jang-Hyun 대한한방소아과학회 1998 대한한방소아과학회지 Vol.12 No.1

I intended to be helpful to understand significant cause for treated patients comed to Dept of Pediatrics growth clinic in short stature of delayed growth and effect of oriental medical therapy. I studied at first 54 patients(36 men and 18 women) comed to Dept. of Pediatrics growth clinic of Dongguk Pundang Oriental Hospital and investigated characteristics, remidial value and side effect which 20 patients(1l men and 9 women) treated oriental medical therapy in short stature of delayed growth between June 1997 and October 1998. First study resulted the average was 8.37 year(chronological age), 6.96 year(bone age), 15.43 (height percentile by age), 164.2 cm(mid parental height) and the ratio of using the prescription was Bojunggunatang-derivative at first. second study resulted the distribusions of remedial values were improved(55.0%) and no improved(45.0%) patients. remedial values was affected by appetite.

지력증진(智力增進)에 관(關)한 방법론적(方法論的) 연구(硏究)

김장현,Kim Jang-Hyun 대한한방소아과학회 1999 대한한방소아과학회지 Vol.13 No.2

The intelligence is the capacity to recognize the things and implies the meaning of abstract thought, learning and adaptability to the circumstance. Recently, as the promotion of learning ablility and memory attracts many people's attention, many studies of this have been accomplished but the pharmacological methods could not promote the intelligence and memory. In oriental medical theory, the human body is composed of four elements - essence, energy, sprit, blood and among these elements, sprit is considered as the concept of vital energy and mind. Especially, from the Jang-Fu physiological point of view, the memory is closly related with the heart and kidney In oriental medicine, some experiments on animal and literature studies on the subject of memory promotion have done. But because of difference in memory mechanism between man and animal, it is not in reason to apply the result of experiment on animal to human. Therefore I have methodological study of memory promotion to set up the concept of oriental medicine and experimental theory about this and can obtain such conclusion. 1. The oriental medical therapy for memory promotion is following. nourishing the heart and blood, regulating the function of spleen, relieving the mental stress, reinforcing the heart and kidney, invigorating and enriching the blood. 2. The insufficient intelligence in a child is considered to not be full and in an old man, it is considered to decline by degrees. 3. It is needed to molecular biological study of neurotransmitter after the using of oriental medical therapy. 4. It is possible to study using the genetic mutation or observing the collateral of brain nerve cell.

PubMed를 통한 소아질환에 대한 침술치료 연구의 최신 동향

김장현,박보경,Kim, Jang-Hyun,Park, Bo-Kyoung 대한한방소아과학회 2005 대한한방소아과학회지 Vol.19 No.1

Objectives : We aimed at reviewing the studies related to the treatment of children by acupuncture therapy. Methods : We referred to PubMed by using searching words of acupuncture and the terms of pediatrics, such as child, children, adoiescence, baby, infant, juvenile. 22 journals with 23 paper were searched and reported. Results : 1. We found 23 articles in 22 journais, whose authors were in China, Japan, Germany, Russia, America, Brazil, etc. 2. Clinical trial was the method which these studies had used mostly the pattern of the rest were reviews, case reports of undetermined articles. 3. We analysed articles and found many articles of nocturnal enuresis, postoperative vomiting, etc. 4. The result of clinical studies represented the significant cure rate. 5. The acupuncture instruments on children's diseases were laser acupuncture, acupressure. and herbal skin sticking as well as body acupuncture,. Conclusion : Study of pediatric acupuncture was increasing and effective result was reported.

뇌성마비(腦性痲痺)의 한의학적(韓醫學的) 접근(接近)에 관한 최신(最新) 동향(動向)

김장현,한윤정,Kim, Jang-Hyun,Han, Yun-Jeong 대한한방소아과학회 2003 대한한방소아과학회지 Vol.17 No.2

Back ground : Cerebral palsy(CP) is a static encephalopathy caused by an insult to the brain during the prenatal, perinatal, or postnatal period (ie, up to 2 years). CP can lead to global dysfunction but always includes motor problems Objective : The purpose of this study is to investigate the current tendency of oriental approach to the CP and promote oriental treatment of CP in Korea Method : Investigation of current literature and clinical paper in Korea and Chinese Result and Conclusion : 1) CP fall under the category of wu-chi(five kinds of retardations : 五遲), wu-ruan(five kinds of flaccidity : 五軟), wu-ying(five kinds of Stiffness : 五硬) in oriental medicine and correspond to naoxing-tanhuan in current chinese medicine. 2) CP is mainly caused by weakness of the liver and kidney(肝腎不足), weakness of the spleen and stomach(脾胃虛弱), and the method of treatment is tonify the liver and kidney(補益肝腎), tonify the spleen and replenish qi(補脾益氣), but yu-chi(the faculty of speech : 語遲) is caused by deficiency of the heart(心虛) so that treated with method of invigorating the heart and nourishing blood(補心養血). Recently blood stagnancy the stagnation of qi(氣滯血瘀) is considered as the cause of CP, promoting qi circulation to invigorate blood(行氣活血) is mentioned the treatment of method. 3) In addtion to a herbal medication and acupuncture, the various treatments of scalp acupuncture(頭鍼), acupoint injection(穴位注射), catgut embedding therapy(埋鍼) etc. had been applicated to CP and for the objective evaluation of remedial value, TCD, EEG, BMD have been used.