Byun Jeung Ok Ham, written by Jin Sa Tak(1627~1707, won gong, penname ju hwa ja) is composed of four books. this book is estimated of being written after A.D 1688 and composed of internal medicine, obstetrics and gynecology, ophthalmology, dental surgery and so on, total 36 parts of clinical medicine. This is the first book of that four studying about definition on eum yang of 31 diseases. 31 subjects follow, attack by wind and cold(傷風傷寒), paralysis(中風), vomiting(吐症), diarrhea(瀉症), malaria(瘧疾), dysentery(痢疾), epilepsy(癲狂), cough(咳嗽), constipation and urinal impossibility(大小便閉), heartache(心痛), abdominal pain(腹痛), headache(頭痛), eye disease(目痛), tonsillitis(雙蛾), tumor(癰瘡), exhaustion(脫症), perspiration(汗症), congestion(痰症), swelling(腫脹), heatstroke(暑症), asthma(喘症), evil influence(中邪), hematemesis(吐血), wet dream(夢遺), pyrosis(呑酸), backache(腰痛), intestinal convulsion(霍亂). childbirth(生産), hard labor(小産), after delivery(産後), sterility(子嗣). this treatise is the first book of four which deals with eum yang(陰陽) translating into korean and studying about medical theories. In every parts, author's unique clinical theory appears affluently and in that periods his study developmented a lot in those days' medical methods. second book is weaknessand strongness,third upper and low, fourth truth and untruth. first book, Jin Sa Tak says studying on eum yang is oriental medical basic theory and on incurable diseases or chronic symptoms, doctor must go back to that eumyang demonstration after can cure patients. second parts are on weakness and strongness demonstration, that weakness is weakness of patients' energy and strongness is prosperous condition of diseases' attack. third parts are on upper and low, that upper is upper parts of human body of painful parts and low is human low parts of pain, that is parts of under waist. fourth parts are truth and untruth, true symptoms and untrue symptoms, that is the real reaction of human condition and the other way. every prescriptions are author's creations. this book provides new viewpoints which surpasses original ancient medical theories. author suggests new opinions about chronic and incurable diseases. prescrisptions were made of following correct theory of gun sin jua sa theory (君臣佐使) and promoted levels of clinical methods. this treatise refers to dong ui bo gam(東醫寶鑑), huang je nei gyung(黃帝內經), sang han lon(傷寒論), ui hak yip mun(醫學入門) and modern physiology and pathology.
Objective : Liver cancer is common cancer generating 11.3% incidence in Korea. But Oriental medical doctor (OMD) often can't measure therapy on liver cancer positively because that the prognosis on it is not good. It is impossible the results on all of diseases not only liver cancer always to have to be good. Methods : It is studied the literature referencing liver cancer, experimental articles to insist the effects of Oriental medicine planet to liver cancer and the clinical cases on liver cancer to be treated as Oriental medicine therapy to have effects. Results : it is required to find out the causes of diseases and therapy method to conquest the diseases for the medical therapy. But because the results on medical therapy are not always good, it is necessary for the doctor who want to treat the diseases like liver cancer having the prognosis to be death to protect himself, like as the legal system, a medical policy. And consequently, this protecting legal system lead the medical therapy principle or method on some special diseases to therapy completion on it. As a results of policy, medical therapy have to be developed. Recently, there have been many other development in oriental medical therapy. This development can be grouped as two type. One type is clinical part and the other is experimental research part. Specially the experimental research and clinical research on live cancer in oriental medical therapy have been developed. So the present day is the time to make medical policy on liver cancer for OMD to measure oriental medical therapy and develop oriental medical theory. Conclusions : As a above results, we propose that the name of liver cancer have to use in Korean medicine security clinical name (한방의료보험상병명) to make oriental medical policy.
In this chapter 8, I discuss a running piglet disease(奔豚氣病), its causes, symptoms and prescription. The name of the running piglet(奔豚) disease dates back to old times, and it is not clinically reported these days. The symptoms of the running piglet disease(奔豚氣病) is characterized by unberable pain in the lower abdomen, the chest and the throat, followed by complete disappearance of these symptoms with passage of time. In my view, the causes of the running piglet disease(奔豚氣病) can be divided into three categories: startle and panic, and the excessive fluid(水飮). In this chapter 13, I elaborate on three diseases: a wasting-thirst(消渴), a dribbling urination(小便不利),1)a strangury disease(淋病). I discuss these three diseases in one chapter because they share the same symptoms of thirst and abnormal urination and the symptoms occur mainly in the kidney(腎) and the urinary bladder(膀胱). A wasting-thirst(消渴) has the main symptoms of drinking water and eating food excessively as well as urinating a lot. A disease symptomized by thirst(消渴) is typically divided into upper wasting-thirst(上消), middle wasting-thirst(中消), and lower wasting-thirst(下消) by clinicians. Specifically, I discuss the mechanism of disease of upper wasting-thirst(上消) and lower wasting-thirst(下消), treatment principles of and prescriptions for upper wasting-thirst(上消) and lower wasting-thirst(下消), and pathology of middle wasting-thirst(中消) in this chapter. Based on the view that a dribbling urination(小便不利) is not a disease per se but a label for the symptom of short and insufficient urination, I discuss water amassment syndrome(蓄水證), yang bringtness disease pattern(陽明病), and a dribbling urination(小便不利) that is accompanied by various diseases. A strangury disease(淋病) has the main symptoms of insufficient and trickling urination that is often accompanied by pain perception. In this chapter, I discuss about stone strangury(石淋) in particular. These three diseases merit in-depth discussion since they are clinically observed with high frequency.
Objectives: This research is about the reliability of pulse wave analyzer and heart rate variability analyzer which are often used in the oriental medical clinics. Materials and Methods: Pulse wave analyzer and heart rate variability analyzer's reliability were compared with other devices-bioelectrical impedance analyzer, thermographer and transcranial sonography-. For each device, they were measured three times in a row. Here are the results of measuring intraclass correlation coefficients between first and second, and the ones between first and third. Results: 1. For pulse wave analyzer, seven items are higher than 0.7 in intraclass correlation coefficients, fourteen items are higher than 0.5 and eleven items are higher than 0.5. 2. Heart rate variability analyzer show that an item is higher than 0.9 and two are higher than 0.7. three items are higher than 0.5 and four are lower than 0.5. 3. For bioelectrical impedance analyzer, thermographer and transcranial sonography, nineteen items are higher than 0.9 and two are higher than 0.7. Conclusion: Pulse wave analyzer and heart rate variability analyzer showed low test-retest reliability compared to the one of bioelectrical impedance analyzer, thermographer and transcranial sonography. But both of analyzer's reliability are more than midium quality. Diagnosis trough these analyzers have a utility value. More research will be needed.
The topic of this study is the translation of [Byun Jeung Rok vol.V(辨證錄四卷)]. Byun Jeung Rok is a complete book of medicine which was written by Jin Sa tak(陳士鐸) in the early years of the Ching dynasty. Of this, the fourth volume is composed of 12 disease-patterns(病症) and 54 subtopics. Byun Jeung Rok(辨證錄), as a book that completely organized the medical knowhow of the Ming Dynasty, explains disease-patterns(病症) through the unique and outstanding perspective of the individual author. This topic was studied in hopes of helping later students by showing to the world, through its translation, the author's understanding of disease pattern. The organized characteristics of [Byun Jeung Rok vol.V(辨證錄四卷)] is as follows. 1. For each symptom, the state, cause and prescription for the disease was explained in detail. It was written primarily based on experience. Because the explanations are clear, it is easy to understand. 2. The theory and actual application of Yin yang and five phases is amazing. The actual cause and actual treatment was indicated clearly. 3. In relation to physiology and pathology, the relation between the liver and gall bladder in the middle(between the heart and kidney). In relation to treatment, the tonifying method was never excluded.
Objective : After arranged and estimated the result of Oriental Medical Health Examination Program, considered the way of improvement and how Oriental Medicine participate in industrial health service. Results : As a point at issue of occidental medicine examination, followings have been indicated, 1) Occidental medical examination is performed by mainly test and instrument and therefore, role of doctors could be excluded and it could be diagnosed only for target disease and 2) in Korea, it could not be conducted in public medical system and therefore improvement effect of public health promotion could not be made due to increase of total medical expenses and infirmity of post management. These points are substantial limit of paradigm resided in occidental medicine and also problem caused by unique characteristics of medical system of Korea. Conclusion : According to the estimate of present special health examination for workers, it seems that special health examination forworkers is a way of specializing the purpose of special health examination and searching the group that needs a special mediation for promoting the health and preventing the disease as a part of industrial health service that needs a connection with other industrial health service. A program replaced by the health effect-oriented methods that limits the purpose of special health examination be studied. After understood the potential health disorder of workers according to where they are exposed to, it also should be contained items for the disease which can be examined in health examination.