- Volume 24 Issue 3
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A Study on the System of Collaborative Practice between Korean Traditional Medicine and Western Medicine for Dementia based on a Case Study
증례를 통해 본 치매의 한양방 협진 모델 연구
- Lee, Go-Eun (Department of Neuropsychiatry, College of Korean Traditional Medicine, Wonkwang University) ;
- Yang, Hyun Duk (Department of Neurology, Sanbon Hospital of Wonkwang University, School of Medicine, Wonkwang University) ;
- Jeon, Won Kyung (KM-Based Herbal Drug Development Group, Korea Institute of Oriental Medicine) ;
- Kang, Hyung-Won (Department of Neuropsychiatry, College of Korean Traditional Medicine, Wonkwang University)
- 이고은 (원광대학교 한의과대학 한방신경정신과교실) ;
- 양현덕 (원광대학교 산본병원 신경과교실) ;
- 전원경 (한국한의학연구원 한의신약개발그룹) ;
- 강형원 (원광대학교 한의과대학 한방신경정신과교실)
- Received : 2013.08.27
- Accepted : 2013.09.17
- Published : 2013.09.30
Objectives : This report describes the diagnostic and therapeutic procedures of Collaborative Practice between Korean Traditional Medicine and Western Medicine for two dementia patients. Furthermore, through these cases, we suggest a model of collaborative practice between Korean traditional medicine and western medicine for the treatment of dementia. Methods : Two patients suffering from several symptoms related to dementia received collaborative practice between Korean traditional medicine and western medicine. Physicians of deparment which paient first visit interviewed patient and patient's guardians, discussed the symptoms and the status of the patient. Since then, the medical team made a differential diagnosis based on the results of brain imaging, hematology, urine test. and apprehended the status of dementia by the neuropsychological test. Korean traditional physicians examined the physical symptoms and identified the pattern of dementia in Korean traditional medicine. Following this, they decided on the method of acupuncture, moxibustion, cupping and herbal treatment. Western physicians decided on the type of medication after consideration of the patient's other medical conditions. Every intervention was decided by both Korean traditional physicians and western physicians after discussion. The medical team provided education on dementia and counseled the guardians. They also wrote the paper for using the long-term care insurance for the aged. Results : Two patients showed no improvement on the neuropsychologic and activity of daily living tests. However, the patients' subjective physical symptoms were improved. The collaborative practice between Korean traditional medicine and western medicine improved the patients' and guardians' satisfaction. Conclusions : Through these cases, we propose a model of collaborative practice between Korean traditional medicine and western medicine for dementia categorized diagnosis-test, treatment, prevention, management. More specifically, we supplement qigong and psychotherapy which was inadequate in these cases.
Supported by : Korea Institute of Oriental Medicine (KIOM)
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