특발성 안면신경 마비(Bell's Palsy)의 한방치료와 한양방 협진치료의 효과에 대한 임상적 비교 연구

권나현,신예지,김찬영,고필성,이원일,조병진,우현수,백용현,박동석,Kwon, Na-Hyoun,Shin, Ye-Ji,Kim, Chan-Young,Kho, Pil-Seong,Yi, Won-Il,Joh, Byung-Jin,Woo, Hyun-Su,Baek, Yong-Hyeon,Park, Dong-Suk 대한침구의학회 2008 대한침구의학회지 Vol.25 No.3

Objectives : The purpose of this study is to investigate the therapeutic effects of oriental medical treatment and oriental-western medical treatment on Bell's palsy. Methods : From 1st June, 2006 to 31th August, 2007, 30 Bell's palsy patients who visited the Facial palsy center at East-West Neo Medical Center within 7days of onset and treated for more than 4weeks were randomly divided into two groups. Group A was treated with oriental medical therapy(Acupuncture, Herb, Physical therapy) and Group B with both oriental and western medical therapy(Acupuncture, Herb, Physical therapy, Administration of prednisone). We evaluated the treatment effect of each group with the House-Brackmann Gross Grading System before treatment, after 1week, 2weeks, 3weeks and 4weeks of treatment. Results : After 1week of treatment, Group A showed better performance compared with Group B. After 3weeks and 4 weeks of treatment, Group B showed better performance than Group A. Conclusions : These results proved that combination treatment of oriental and western medicine was more effective than just oriental medical treatment in long term treatment of Bell's palsy. But we discovered that there were no significant differences between the two groups.

의료법의 현황과 과제 - 의료영역과 한방의료영역의 업무구분을 중심으로 -

범경철 한국외국어대학교 법학연구소 2009 외법논집 Vol.33 No.4

Doctors have the right to treat patient with no interference. However, in the present legal system, the treatment is divided into two parts, western and oriental treatment, and doctors who has acquired a licence in one sector are able to treat only in his acquired licenced part. Unlicenced treatment will be punished by criminal law. This division restricts the self regulations of doctors, and brings about the problem to hinder the development of medical services. For this, following paper will discuss the development of national medical services in the constitutional aspect, comment that the two-seperated treatment system is right or not. And this paper will figure out that whether doctor's treatment over his licenced part make a restriction of doctor's self-regulation or not. And finally adduce the way the medical law should be. First, It needs to show us the way how the individual medical law should be made. Because the importance of this law as a people's healthy right and human dignity which depends on this law, as one of constitutional law's main principals, the principal of state-medical service, it needs to be written and to be guided. This paper will produce the principal of state-medical service, and analysis the fundamental right of medical service in the point of constitutional view, and explain the individual laws in harmonizing with constitutional law, try to synthesis the individual medical laws with constitutional law as center. Second, in constitutional law, the principal of state-medical service is actualized with the individual laws in the end. The core of this principal is security of the doctor's self -regulated and independent treatment practices. But the division of western and oriental medical treatment restrict the autonomy of doctors in the name of professionalization and becomes an obstacle to the development of new medicine and treatment technic at the same time. And it threats the people's healthy right and the right of to be cured. Furthermore, since the self-regulation of doctors is the essence of medical laws, it would be asked whether the doctor who treat over his or her right should be punished is excessive or not. It needs to departmentalize the composition requirement and be improved to reduce the court sentences and, and regulate by the administrative measures as possible. Third, the purpose of medical law is to make every people could enjoy the high quality medical services, and to secure and to promote people's healthy life. I would like to propose the system of cooperated treatment system as a solution of this problem. Fortunately, last Jan. 2009. the ground rules have taken effect to regulate. But it still needs more efforts and guidances on specific direction and policies. This paper will introduce the specific strategies how to practice the cooperated medical treatments.

구강작열감증후군의 한의학적 치료에 대한 최근 국내외 임상 연구 동향

최지민,홍석훈 대한한방안이비인후피부과학회 2023 한방안이비인후피부과학회지 Vol.36 No.4

Objectives : The purpose of this study is to analyze the oriental medical treatments of burning mouth syndrome, understand the tendency of treatment, and apply it to clinical settings. Methods : We collected case reports, retrospective cohort studies and RCT studies related to oriental medical treatments of burning mouth syndrome using domestic and Chinese databases(CNKI, KISS, RISS, OASIS, KCI). Search terms include 'Burning Mouth Syndrome', 'BMS', 'Burning Tongue', '灼口综合征', and 'oriental medicine', 'oriental medical treatment', 'Korean medicine' and '中医'. A search was conducted by appropriately combining keywords. Results : A total of 27 papers were included in the analysis. Among them, 9 are case studies, 1 is a retrospective cohort study, 1 is a before and after study and 16 are RCT studies. Treatments for burning mouth syndrome included herbal medicine, acupuncture, electro-acupuncture, acupoint injection, auricular acupuncture treatment, external use herbal medicine and gargling. In all studies, symptoms of burning mouth syndrome were alleviated after oriental medical treatments. In 14 RCT studies comparing western medical treatments, the results of the treatment group that included oriental medical treatments were found to be more significant, except for one. Conclusions : As a result of the study, oriental medical treatments are effective in treating burning mouth syndrome. In the future, we hope that clinical research related to oriental medical treatments of burning mouth syndrome will be actively conducted so that evidence-based treatment can be implemented.

의료영역과 한방의료영역의 업무구분에 관한 고찰

범경철 원광대학교 법학연구소 2009 의생명과학과 법 Vol.2 No.-

Doctors have the right to treat patient with no interference. However, in the present legal system, the treatment is divided into two parts, western and oriental treatment, and doctors who has acquired a licence in one sector are able to treat only in his acquired licenced part. Unlicenced treatment will be punished by criminal law. This division restricts the self regulations of doctors, and brings about the problem to hinder the development of medical services. For this, following paper will discuss the development of national medical services in the constitutional aspect, comment that the two-seperated treatment system is right or not. And this paper will figure out that whether doctor's treatment over his licenced part make a restriction of doctor's self-regulation or not. And finally adduce the way the medical law should be. First, It needs to show us the way how the individual medical law should be made. Because the importance of this law as a people's healthy right and human dignity which depends on this law, as one of constitutional law's main principals, the principal of state-medical service, it needs to be written and to be guided. This paper will produce the principal of state-medical service, and analysis the fundamental right of medical service in the point of constitutional view, and explain the individual laws in harmonizing with constitutional law, try to synthesis the individual medical laws with constitutional law as center. Second, in constitutional law, the principal of state-medical service is actualized with the individual laws in the end. The core of this principal is security of the doctor's self -regulated and independent treatment practices. But the division of western and oriental medical treatment restrict the autonomy of doctors in the name of professionalization and becomes an obstacle to the development of new medicine and treatment technic at the same time. And it threats the people's healthy right and the right of to be cured. Furthermore, since the self-regulation of doctors is the essence of medical laws, it would be asked whether the doctor who treat over his or her right should be punished is excessive or not. It needs to departmentalize the composition requirement and be improved to reduce the court sentences and, and regulate by the administrative measures as possible. Third, the purpose of medical law is to make every people could enjoy the high quality medical services, and to secure and to promote people's healthy life. I would like to propose the system of cooperated treatment system as a solution of this problem. Fortunately, last Jan. 2009. the ground rules have taken effect to regulate. But it still needs more efforts and guidances on specific direction and policies. This paper will introduce the specific strategies how to practice the cooperated medical treatments.

요추추간판탈출증의 한방치료와 한ㆍ양방치료 병행에 대한 비교 연구

이세민,전현정,김성환,김지현,이윤규,이봉효,김재수,임성철,이경민,정태영 대한침구의학회 2010 대한침구의학회지 Vol.27 No.3

Objectives : The purpose of this study is to investigate the difference of treatment effect between Oriental Medical Treatment and Oriental-Western Combination Treatment on Herniated Lumbar Disc. Methods : From 1st November, 2008 to 31th August, 2009, 18 Herniated Lumbar Disc patients who admitted the Department of Acupuncture & Moxibustion, college of Oriental medicine, Dae-gu Hanny University were divided into two groups. Group A was treated with oriental medical theraphy (Acupuncuture, Moxibustion, Herb, Cupping, Physical theraphy) and Group B with both oriental medical theraphy and western medical theraphy(Acupuncuture, Moxibustion, Herb, Cupping, Physical theraphy, Intramuscular injection of Dexamethasone and Dicknol 2ml). We evaluated the treatment effect of each group with the Visual Analog Scale(VAS) and Pain Rating Scale(PRS), deviding two period(From first day to fourth day after Admission and From first day to ninth day after Admission). Results : Improvement Degree of Group A and Group B was significantly improvement (p<0.05) according to the VAS & PRS. Group B showed better performance compared with Group A. Conclusions : These results proved that combination treatment of oriental and western medicine was more effective than just oriental medical treatment of Herniated Lumbar Disc. And the difference between the two groups were significant according to PRS.

특발성 안면신경 마비(Bell’s Palsy)의 한방치료와 한양방 협진치료의 효과에 대한 임상적 비교 연구

권나현,신예지,김찬영,고필성,이원일,조병진,우현수,백용현,박동석 대한침구의학회 2008 대한침구의학회지 Vol.17 No.4

Objectives : The purpose of this study is to investigate the therapeutic effects of oriental medical treat- ment and oriental-western medical treatment on Bell’s palsy. Methods : From 1st June, 2006 to 31th August, 2007, 30 Bell’s palsy patients who visited the Facial palsy center at East-West Neo Medical Center within 7days of onset and treated for more than 4weeks were randomly divided into two groups. Group A was treated with oriental medical therapy(Acupuncture, Herb, Physical therapy) and Group B with both oriental and western medical therapy(Acupuncture, Herb, Physical therapy, Administration of prednisone). We evaluated the treatment effect of each group with the House-Brackmann Gross Grading System before treatment, after 1week, 2weeks, 3weeks and 4weeks of treatment. Results : After 1week of treatment, Group A showed better performance compared with Group B. After 3weeks and 4 weeks of treatment, Group B showed better performance than Group A. Conclusions : These results proved that combination treatment of oriental and western medicine was more effective than just oriental medical treatment in long term treatment of Bell’s palsy. But we disco- vered that there were no significant differences between the two groups.

의료영역과 한방의료영역의 업무구분에 관한 고찰

범경철 원광대학교 법학연구소 2009 의생명과학과 법 Vol.2 No.-

Doctors have the right to treat patient with no interference. However, in the present legal system, the treatment is divided into two parts, western and oriental treatment, and doctors who has acquired a licence in one sector are able to treat only in his acquired licenced part. Unlicenced treatment will be punished by criminal law. This division restricts the self regulations of doctors, and brings about the problem to hinder the development of medical services. For this, following paper will discuss the development of national medical services in the constitutional aspect, comment that the two-seperated treatment system is right or not. And this paper will figure out that whether doctor's treatment over his licenced part make a restriction of doctor's self-regulation or not. And finally adduce the way the medical law should be. First, It needs to show us the way how the individual medical law should be made. Because the importance of this law as a people's healthy right and human dignity which depends on this law, as one of constitutional law's main principals, the principal of state-medical service, it needs to be written and to be guided. This paper will produce the principal of state-medical service, and analysis the fundamental right of medical service in the point of constitutional view, and explain the individual laws in harmonizing with constitutional law, try to synthesis the individual medical laws with constitutional law as center. Second, in constitutional law, the principal of state-medical service is actualized with the individual laws in the end. The core of this principal is security of the doctor's self -regulated and independent treatment practices. But the division of western and oriental medical treatment restrict the autonomy of doctors in the name of professionalization and becomes an obstacle to the development of new medicine and treatment technic at the same time. And it threats the people's healthy right and the right of to be cured. Furthermore, since the self-regulation of doctors is the essence of medical laws, it would be asked whether the doctor who treat over his or her right should be punished is excessive or not. It needs to departmentalize the composition requirement and be improved to reduce the court sentences and, and regulate by the administrative measures as possible. Third, the purpose of medical law is to make every people could enjoy the high quality medical services, and to secure and to promote people's healthy life. I would like to propose the system of cooperated treatment system as a solution of this problem. Fortunately, last Jan. 2009. the ground rules have taken effect to regulate. But it still needs more efforts and guidances on specific direction and policies. This paper will introduce the specific strategies how to practice the cooperated medical treatments.

한양방 협진 병원 종사자의 한의학 지식정도 및 교육요구도 평가

이현주,김선림,정민수,최만규,Lee, Hyun-Ju,Kim, Sun-Lim,Jung, Min-Soo,Choi, Man-Kyu 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.1

This study investigated the Oriental medicine knowledge and educational requirement of medical staff working in Oriental-Western collaborative medicine hospitals(except for Oriental and Western medicine doctors) based on the recognition that not only mutual understanding and cooperation between Oriental and Western medicine doctors but also the knowledge of Oriental medicine of medical support staff such as nurses, medical technologists, pharmacists and administrative staff are very important to promote Oriental-Western collaborative medical treatment. The study results are summarized as follows : First, it was found that the ratio of nurses who took Oriental medicine education was much higher than those of other groups. They took Oriental medicine education in the types of school curriculum (27.0%) and special lectures in workplace(20.4%). Second, many of the people who took Oriental medicine education were found to be not satisfied with the education in general - 32.7% of them answered the education content was "so so" and 48.4% of them answered "unsatisfactory." Third, the general necessity of Oriental medicine education was found to be an average of 3.60 out of 5, and the number was higher "after employment"(average=3.85) than "before employment"(average=3.04). Fourth, the study found that Oriental-Western collaborative medicine hospital staff are well aware of the necessity of the knowledge of Oriental medicine in the cases of communications between different occupational types, consultations with patients or their guardians, treatment and nursing and the establishment of the practice of specialized Oriental medicine institutes. Fifth, the levels of Oriental medicine knowledge showed a difference in average value according to the role range(p<0.000), and it was found that there is an interaction effect between occupation type and role range(p<0.015).

돌발성 난청 치료에 관한 임상적 고찰

하미경,최인화,Ha, Mi-kyung,Choi, In-hwa 대한한방안이비인후피부과학회 2003 한방안이비인후피부과학회지 Vol.16 No.1

Introduction : The causes of sudden sensorineural hearing loss have not been detemined with precision until recently, but viral infections and vascular insufficiencies, such as vascular spasm, occlusion of sludging of erythrocytes were considered as major factors. The treatment has not been determined with precision until recently. It is similar to dizziness(眩暈). sudden dcafncss(暴聾) and congestion-fire deafness(痰火聾) in Oriental Medicine. It is very rare that someone has sudden hearing loss and visit Oriental Medicine Clinic right that time. But we expect if they take a Oriental treatment on thc right time. more effective for their symptom. Subjects : Following conclusions were reached by measuring results of oricntal medical treatments for 40 patients who visited the clinic between January of 2000 and December of 2002, and received treatments continuously for more than 1 months of time. Methods : Among the selected 40 patients. 30 patients belong to Group Ⅰ, which consisted of patients who had already visited a general hospital prior to visiting this clinic, achieved no recovery at all from sudden deafness despite going through more than 5 days of hospitalized treatments of steroidal medications. Group Ⅱ was consisted of 10 patients of sudden deafness who did not experience any steroidal treatments from other hospital prior to the oriental medical treatment. Results and conclusion : According to differentiation of syndrome. among 30 patients of the Group Ⅰ. 21 were categorized as excess syndrome patients and remaining 9 as deficiency syndrome paticnts. Among 10 patients of For Group Ⅱ, 5 were excess syndrome patients and remaining 5 were deficiency syndrome patients. Among Group Ⅰ, recovery ratio of excess syndrome patients was 47.7$\%$ and deficiency syndrome patients was 44.4$\%$ adding up recovery ratio of the group to be 46.1$\%$. Among Group Ⅱ, recovery ratio of excess syndrome patients was 80$\%$ and deficiency syndrome patients was 100$\%$ adding up recovery ratio of the group to be 90$\%$. Oriental medical treatments are generally more effective(90$\%$ recovery ratio) for Sudden Deafness than steroidal treatments. Oriental medical treatments are almost equally effective for both excess syndrome patients and deficiency syndrome patients. However, steroidal treatments for excess syndrom patients(45$\%$ recovery ratio) is much less effective than deficiency syndrome patients(73$\%$ recovery ratio). This indicates that steroidal treatments should be applied selectively to deficiency syndrome patients if applied at all. Even for patients with sudden deafness which hospitalized steroidal treatments did not result in any recovery at all, oriental medical treatments were able to achieve 46.1$\%$ recovery ratio.

한방치료 실손보험 보장 항목 확대에 관한 일반인의 인식

최준영,구본상 경북대학교 사회과학기초자료연구소 2024 연구방법논총 Vol.9 No.2

본 연구는 한방치료 실손보험 보장항목 확대에 대해 일반인들이 어떠한 인식을 가졌는지 그리고 그와 같은 인식이 어떠한 요인에 의해 영향을 받고 있는지를 경험적으로 분석해 보고자 한다. 2024년 1월에 시행한 설문조사 결과를 활용해 보험 보장항목 확대와 한방치료에 관한 다양한 잠정적 가설을 검증해 보았다. 그 결과는 다음과 같다. 첫째, 실손보험 보험료 인상이나 건강보험 재정 안정성에 대해 우려하고 있는 경우 보장항목 확대에 대해 부정적인 태도를 보였다. 둘째, 대한의사협회나 언론 등에서 언급되고 있는 것처럼 과학에 대한 신뢰가 강하다고 해서 한방치료 실손보험 보장항목 확대에 반드시 부정적인 것은 아닌 것으로 확인됐다. 오히려 과학이 사회문제 해결에 중요하다고 생각할수록 한방치료 보장항목 확대에 긍정적인 태도를 보였다. 셋째, 보험료 인상 가능성을 전제하면, 보편적 복지를 지향할수록 그리고 공동체적 가치관을 지니고 있을수록 보장항목 확대에 찬성하는 것으로 나타났다. 넷째, 보험료가 인상될 가능성이 있다는 사실을 인지하고 있음에도 평생 한 번이라도 한방치료를 경험한 적이 있는 응답자들은 보장항목 확대에 긍정적인 태도를 보였다. 다섯째, 한의학이 양의학을 보완할 수 있다고 생각하는 사람일수록 보장항목 확대에 찬성하는 모습을 보였다. 마지막으로 보험료 인상 조건에서 일제강점기 한의사들이 항일 독립운동을 전개했다는 역사적 사실을 인지하고 있는 응답자는 한방치료 보장항목 확대에 관해 긍정적으로 반응했다. 이러한 경험적 결과는 한의학이 앞으로도 어떻게 국민건강의 중요한 축을 담당하며 발전해 나갈지에 관한 통찰력을 제공한다는 점에서 의의를 지닌다. This study seeks to examine public perceptions regarding the extension of actual loss insurance coverage for oriental medical treatment and the factors influencing these perceptions. Drawing on data from a January 2024 survey, the study tests several hypotheses concerning insurance coverage expansion and oriental medicine treatment. The empirical findings are as follows: First, concerns about increased insurance premiums or financial stability lead to negative coverage expansion. Second, strong trust in science, as advocated by institutions like the Korean Medical Association and the media, does not consistently correlate with negative attitudes towards expanding insurance coverage for oriental medical treatment. Third, advocates for universal welfare and community values tend to support coverage expansion. Fourth, respondents who have undergone oriental medicine treatment show positive attitudes despite potential premium increases. Fifth, belief in oriental medicine’s complementarity with Western medicine predicts support for coverage expansion. Last, awareness of historical factors, such as oriental medicine’s role in anti-Japanese movements, can influence support for coverage expansion. These findings provide insights into how oriental medicine can evolve as a significant component of public health services.