"Sect of Integration of Chinese and Western Medicine" came into the world four hundred years ago when Traditonal Chinese Medicine(TCM) contacted Western Medicine(WM) at the begining of 17th century. It collected historical experiences showing that the cooperation of TCM and WM is more efficient for the cure and prevention of disease than each of them separately. Now the recognition that the cooperation of eastern and western medicine is more efficient to cure disease is spreading widely. This study will help Korean eastern and western medicine to find their directions. First, the concept of "sect of Integration of Chinese and Western Medicine" which was established between the beginning of 17th century and the middle of 20th century, and Integration of Traditional Chinese and Western Medicine(ITCWM) which was formed after the middle of 20th century will be discussed. The relationship of "sect of Integration of Chinese and Western Medicine" and ITCWM and political consideration for the establishment of ITCWM will also be discussed. Finally, the current status of ITCWM in China will be discussed. New trends of thought appeared in Chinese medicine, owing to the cultural background of modern China, the development of WM, and the academic backgound of the intellectual class. "sect of Integration of Chinese and Western Medicine" and ITCWM are different in historical and social background. However, purpose, foundation of thoughts and logical idea are fundamentally same. It can be said that "sect of Integration of Chinese and Western Medicine" provided academic mood to open the way for ITCWM and ITCWM is a succession of "sect of Integration of Chinese and Western Medicine". The concept of ITCWM has many ways of explanation. However, it can be said to build up the foundation of new medical area including Chinese special way of medical treatment and new methods of modern medicine, succeeding a legacy of TCM. ITCWM began before the establishment of People's Republic of China. Mao Ze-dong(1893-1976), a powerful politician, and Li Ding-ming(1881-1947) who had many experiences and insight for TCM and WM played important roles at this stage. The period from the New China to the Great Proletarian Cultural Revolution(1966-1975) is the term for the establishment of the shape of ITCWM. "The effort of research and development on TCM-WM integration" was adapted as one of hygienic policies for curing of epidemic disease and succession and development of the heritage of TCM to establish new medical area. TCM class for western medical doctors was opened and mass media was used to spread out ITCWM throughout China. During the period of the Great Proletarian Cultural Revolution, ITCWM has to be stepped back and stagnant. Only the TCM class of western medical doctors and some clinical applications were barely keep moving on and alive. From the period of the Great Proletarian Cultural Revolution to the end of 1980's, there are the movement of re-preparation of ITCWM, education of successors, and the establishment of the Institute of ITCWM. Hospitals began to establish department of ITCWM. Furthermore, it was clearly indicated in the constitutional law that "we not only have to develop modern medicine but also traditional medicine". The equality of TCM and WM was legally established in this time. From the 1990's, "equality of TCM and WM" was adapted as one of the hygienic policies, and department of ITCWM was opened in traditional chinese medical school and western medical school. ITCWM has been settled down as a new academic field through education, training, research, academic activity, and publishing text books. In conclusion, the motive of the development of ITCWM was the policy such as "the effort of research and development on TCM-WM integration" and "equality of TCM and WM" aimed at the development of Chinese medical area. It is no doubted helpful to organize systems and policy-making for the cooperation of eastern and western medicine in Korea.
China ; English Abstract ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Medicine, Traditional/*history ; Philosophy/*history ; Western World/*history

In this study, the career and official ranks of the authors of the Sejong text(1443-1445), Sejo text(1451-1464), and Seongjong text(1475-1477) of {Classified Collection of Medical Prescriptions} were investigated. In the completion of Sejong text, Kim Rye-mong(1406-1469), Ryu Seong-won(?-1456), and Min Bo-hua(?) collected and arranged all medical books inside and outside of Choseon; Kim Moon(?-1448), Shin Seok-jo(1407-1459), Lee Ye(1419-1480), Kim Soo-on(1410-1481), Jeon Soon-eui(?), Choi Yun(?), and Kim Yu-ji(?-1469) took part in the edition; Lee Yong(1418-1453), Lee Sa-cheol(1405-1456), Lee Sa-soon(?-1455), and Rho Joong-rye(?-1452) participated in the editorial supervision. Ryang Seong-ji(1415-1482), Son So(1433-1484), Ryu Yo(?), Han Chi-ryang(?), An Geuk-sang(?), Han Kye-mi(1421-1471), Choi Young-rin(?) took part in the completion of Sejo text. Han Kye-heui(1423-1482), Rym Won-joon(1423-1500), Kueon Chan(1430-1487), Ryu Seo(?), and Baek Soo-heui(?) participated in the completion of Seongjong text. All 96 persons participated in the completion of draft text, revision text, and first-publication text of {Classified Collection of Medical Prescriptions}. 14 persons (14.58 %) participated in the completion of draft text. 77 persons (80.21%) participated in revision text, and 5 persons (5.21%) participated in first-publication text. Even though {Classified Collection of Medical Prescriptions} is a medical book, civil officials participated in its completion together with medical officials. The scholars of Jiphyeonjeon(The Jade Hall of Scholars) who led the academy at those days and famous medical officials were ordered to complete it by Sejong(1419-1450), Sejo(1455-1468), and Seongjong(1470-1494) who showed special interest in thier own heath and the health of common people.
Books/*history ; English Abstract ; History of Medicine, 15th Cent. ; Korea ; *Medicine ; Prescriptions, Drug/*history

The seasonal febrile diseases had been studied before Qing dynasty, but it was accomplished in Qing dynasty because of high incidence of the epidemics in those days. I studied and analyzed epidemics in Zai Yi Zhi of Qing Shi Gao on the reasons and patterns as yearly, regional, and seasonal parameters. Based on these analyses, I want to report how the doctrine of seasonal febrile diseases could be established in Qing dynasty. The incidence of epidemics was very high during the regimes of Kang Xi(1662~1722), Yong Zheng(1723~1735), and Qian Long(1736~1795) Emperors, the most advanced period in Qing dynasty. The diseases occurred at least once per two years, although, somtimes twice or 5 times per a year. Once it was developed and then smashed through the whole China, especially in Jiang Nan. It was the main reason why the four greatest scholars in the doctrine of seasonal febrile diseases came out from Jiang Nan. These diseases appeared most highly and worst in summer as pestilence. These resulted in the development of the studies of epidemics in those days. Based on the clinical studies of fever-related diseases, the scholars of seasonal febrile diseases tried to cure them with endless and continuous efforts. Finally, they could complete the doctrine of seasonal febrile diseases in Qing dynasty.
China ; Disease Outbreaks/*history ; English Abstract ; Fever/*history ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; Human ; Philosophy, Medical/*history ; *Seasons

So far, the research has not been actively carried out on the oriental medical books of traditional Korean origin, published before Koryo Dynasty. It was attempted in this study for better understanding of current and pre-Koryo Dynasty oriental medicine by introducing and translating those medical books originated from pre-Koryo Dynasty. However, the medical formularies of pre-Koryo Dynasty were written and handed down up to the present rather by Chinese and Japanese medical books. And this study was performed based on these books. It was assumed that Koryonosabang was written by an old master of oriental medicine, Backjaesinjibbang was written by a person who lived in the same period and Sillabubsabang, Sillabubsayugwanbimilyosulbang, Sillabubsabimilbang by a monk doctor during Kokuryo, Backjae and the Unified Silla Dynasty, respectively. Various prescriptions for emergency diseases were introduced in Koryonosabang and many creative clinical treatments were written in Backjaesinjibbang. Those books written during the Unified Silla Dynasty showed medical treatments in conjunction with Buddhism which was major cultural basis during that period. The complete volumes of above mentioned oriental medical books of pre-Koryo Dynasty are not available now, however it can be presumed that the level and quality of Korean medicine of that period was equivalent and even superior to that of Chinese medicine and was even transmitted to Japan as a result.
China ; English Abstract ; History of Medicine, Ancient ; History of Medicine, Early Modern ; History of Medicine, Medieval ; History of Medicine, Modern ; Japan ; Korea ; *Medicine ; Publishing/*history

We have investigated the clinical response of 12 patients with erythrodermic psoriasis to therapy with etretinate. Initial dosage of etretinate was 20-60mg/day. The time for complete disappearance of scales averaged 19.9 days. In 10 of 12 patients(83.3%) satisfactory results were obtained after 2 to 11 months of treatment. Cheilitis was the most common side effect. Three patients had mild elevation of blood lipids, which was corrected by dose reduction. Remission period, of ten patients who showed good result, averaged 4.2 months.
Acitretin* ; Cheilitis ; Etretinate* ; Humans ; Psoriasis* ; Weights and Measures

PURPOSE: Congenital hypothyroidism(CH) is not uncommon disorder, leading to retardation of mental development and growth, if not treated early. The aim of this study is to determine the factors influencing IQ of children with CH, diagnosed after 1 month of life. METHODS : Thirteen children with CH were included. They had intelligence test by KEDI-WISC(Korean Educational Development Institute-Wechsler Intelligence Scale for Children) and their medical records were reviewed. Their T4, TSH, height, age at diagnosis were investigated retrospectively. To evaluate the influence of T4, TSH, height, age at diagnosis on IQ, children were divided into three groups ; athyroid(n=8), sublingual(n=3), inborn errors of thyroid hormone synthesis(n=2) according to the result of thyroid scan. Results : In athyroid group, IQ closely correlated to VIQ and PIQ and had close relationship to T4 at diagnosis(.p=0.0086, r=0.8427), but no relation to TSH. There was no difference in height, T4 TSH, and IQ between athyroid and sublingual group. CONCLUSION : The results suggest that intellectual function in children with CH, diagnosed after 1 month of life depends on serum level of T4 at diagnosis. Further study is mandatory to elucidate the relationship between final IQ and factors, including thyroid function, age at diagnosis, adequacy of treatment, etc.
Child* ; Congenital Hypothyroidism* ; Diagnosis ; Growth and Development ; Humans ; Intelligence ; Intelligence Tests ; Medical Records ; Retrospective Studies ; Thyroid Gland

Anterior clinoid process is a small bony structure but it is very important regarding its location and relationships with neighboring neurovascular, dural, and bony structures. Removal of this process has been used in various modification of standard pterional approach. The authors have speculated how much expansion of operative window could be obtained with anterior clinoidectomy, so we measured the lengths of optic nerve, internal carotid artery, and the length and width of optico-carotid triangle(OCT) before and after extradural anterior clinoidectomy 17 times in 10 cadaveric heads. This procedure provided about two fold increase in the length of optic nerve and OCT, and over three fold expansion in the width of OCT. The results indicate that the addition of this relatively simple and easy procedure to standard approach makes the operative field more comfortable and safe than expected. We believe this procedure can be used routinely with or without combination of wide skull base exposure in cases of such lesions as belows: 1) lesions causing optic nerve or chiasmatic compression, 2) lesions encircling/covering the optic nerve and internal carotid artery, 3) lesions arising from or extending into the optic canal, orbital apex, and paraclinoid region, 4) suprasellar/parasellar lesions with limited operative windows(e.g. prefixed chiasm, infra-optic or subchiasmatic locations or adherence).
Cadaver* ; Carotid Artery, Internal* ; Head ; Optic Nerve* ; Orbit ; Skull Base

No abstract available.
Adenocarcinoma* ; Optic Nerve*

No abstract available.
Brain Edema* ; Brain* ; Decompressive Craniectomy*

Usually, acute subdural hematomas (ASDHs) result from head trauma and require urgent surgical treatment. However, there have been many reports of rapid spontaneous resolution of ASDHs since 1986. Recently, we experienced a case of a massive ASDH that resolved spontaneously within 1.5 days. A 76-year-old man was admitted to a local hospital after a head injury. According to his clinical records, his initial neurologic status was good (Glasgow Coma Scale score of 14). However, his head computer tomography (CT) scan demonstrated a massive ASDH to the right, with a significant midline shift. Based on his neurological status and general condition, surgery was not considered, and the patient was closely monitored in the intensive care unit. The next day, the patient was transferred to our hospital as requested by his family, after which his neurological state stabilized, and the customary follow-up brain CT was performed. It was about 32 hours after the patient's head injury, and it revealed an unexpected finding, near-total resolution of the ASDH. Herein, we review previously reported similar cases and relevant mechanisms of rapid resolution of the ASDH. We believe that neurosurgeons should comprehensively assess the patient's condition and CT findings and provide appropriate treatment, especially when surgical intervention is unnecessary.