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Acupuncture and Moxibustion, College of Korean Medicine Kyunghee University

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Acupuncture and Moxibustion, College of Korean Medicine Kyunghee University Korean Medicine : Current Status and Future Prospects Pusan National University School of Korean Medicine Korean Medicine : Current Status and Future Prospects Published on October 12, 2015 by Pusan National University School of Korean Medicine 49 Pusandaehak-ro, Yangsan-si, Gyeongnam 50612, Korea Tel.+82-51-510-8408 Fax.+82-51-510-8446 [email protected] http://kmed.pusan.ac.kr English Translated by Yeo Eun Park, OMD Mokin Translation Proofread by Hyunmi Jung Halen Bak Yuriy Pavlo Bilokonsky Division of Humanities and Social Medicine, School of Korean Medicine Pusan National University Designed and printed by Shinjin Communications 2F, 74-21, Taejeon-ro, Dong-gu, Daejeon, Korea Tel.+82-42-638-7889 Fax.+82-638-7889 This book is sponsored by Ministry of Health and Welfare, and Korea Institute of Oriental Medicine (Project for Globalization of Korean Medicine 2015). Copy right ⓒ 2015 by Pusan National University School of Korean Medicine All rights reserved including the right of reproduction in whole or in part in any form. ISBN 978-89-969318-7-4 Contributors Wungseok Cha, KMD, PhD Associate Professor Department of Medical History, College of Korean Medicine Kyunghee University Byunghee Koh, KMD, PhD Professor Department of Sasang Constitutional Medicine, College of Korean Medicine Kyunghee University Yongsuk Kim, KMD, PhD Professor Department of Acupuncture and Moxibustion, College of Korean Medicine Kyunghee University Byungmook Lim, MD, MPH, PhD Associate Professor Division of Humanities and Social Medicine, School of Korean Medicine Pusan National University Yunkyung Kim, KMD, PhD Professor Department of Korean Pharmacy, College of Pharmacy Wonkwang University Dongwoo Nam, KMD, PhD Assistant Professor Division of Acupuncture and Moxibustion, College of Korean Medicine Kyunghee University Youngju Yun, MD, KMD, PhD Associate Professor Department of Integrative Medicine, School of Korean Medicine Pusan National University Yangsup Song, PhD Director Korean Medicine Standards Center Korea Institute of Oriental Medicine Jinseok Moon, MS Team manager Korean Medicine Standards Center Korea Institute of Oriental Medicine Foreword Over the long history of Korean Medicine, it has contributed greatly to the promotion of health and treatment of disease throughout Korea. With the increase of chronic diseases that come along with an aging population, interest in Korean Medicine has seen a lot of growth in recent times. In keeping pace with this development, Korean Medicine is faced with an opportunity to contribute to the overall health of the human race. Despite its potential benefits, Korean Medicine is not as well known as it should be. That is why our government has invited you here as professionals from diverse countries in traditional, complementary, and alternative medicine. Through this workshop on traditional Korean Medicine in Modern Health Care we hope to support the improvement of health throughout the world. It is my personal hope that this conference can further the mutual understanding and progress in the fields of traditional medicine and modern health care in all of our countries. We have published this book in the interest of optimizing the understanding of participants in this program and its future iterations. It will be improved upon and updated continuously in the years to come in concert with this workshop. If this book helps the workshop participants, or anyone else who is interested in Korean Medicine, then I will be happy. I could ask for nothing more than that this book serve as a basis for continuous exchange and cooperation with the participants of our program, and see active use in the advancement of traditional medicine the world over. To all of you participants who have given your limited time and earnest effort to this workshop I extend my deepest thanks. Sincerely, Deukyung Ko Director General of Traditional Medicine Bureau, Ministry of Health and Welfare, Republic of Korea Preface Korea’s efforts to integrate its traditional medicine into its modern healthcare system have been some of the most successful in the world. Thanks to well-designed systems of education and licensing, Korean traditional medicine continues to treat disease and promote health throughout the country. According to the national survey from 2014, 27% of Koreans had visited doctors of Korean medicine within the past three months, and 68% felt that the treatment received had been effective. 2013 saw 103 million visits to clinics or hospitals of Korean medicine, resulting in 1.9 billion US dollars’ worth of medical expenditures covered by national health insurance, which amounts to 5% of the national health insurance’s total expenditures. Korean medicine today is legally equivalent to Western medicine and contributes to addressing health problems through both the public and private health sectors. Having doctors of Korean medicine meet standards equivalent to those of Western Medical doctors ensures their quality is on par with the best the world has to offer. Korea provides an excellent model to other Eastern countries which hope to bring their traditional medicine into practice in the modern world. We hope that Korea can serve as an example for countries at all levels of development to bring their indigenous medicines to the rest of the world. By cataloguing the progress that Korean medicine has made in this regard, we hope that this book can serve as a tool in the effort to integrate the world’s medical traditions. We begin with an introduction to the history and nature of Korean medicine. The first chapter covers the development of Korean medicine from its infancy to the present, summarizing how it has taken shape as a branch of Eastern medicine and offering an overview of its basic theories. In chapter two, a brief introduction is made of its techniques of treatment such as acupuncture, moxibustion, cupping and herbal medicines, along with their indications and contraindications. This chapter also describes more modern techniques, such as Chuna (Tuina) and pharmacopuncture. The third chapter introduces Sasang constitutional medicine, the idea most unique to Korea among the forms of Oriental medicine. Sasang is an approach to categorizing human constitution codified by Lee Jema in the late 1800s. This section will cover the basic principles, the clinical use and the everyday application of Sasang medicine. Following this, the discussion turns to the systemic structures surrounding Korean medicine. Chapter four discusses the laws and regulations that have governed Korean medicine since the nation’s liberation from the Japanese. It focuses on Korean medicine’s position within Korea’s modern healthcare system. The fifth chapter moves the subject of focus to the education system for Korean medicine, the most developed of its type in the world. It explains the undergraduate programs that produce clinicians and interns while providing resident training, as well as the routes available for the continuing education of graduate students. Chapter six goes on to describe the regulation of herbal medicine in Korea, the requirements in production and distribution that must be met for approval by the Ministry of Food and Drug Safety. The final third of the book deals with the process of integrating Korean medicine with modern technology, with chapter seven introducing the development of new clinical skills and fields within Korean medicine and illustrating major breakthroughs in diagnostics and treatment which have been produced by combining modern technology with traditional theories. Chapter eight defines the system of co-practice and outlines its goals, successes and failures, and the shape that it is currently taking. The last chapter deals with the standardization of Korean medicine, its principal agents and mechanisms, as well as useful information regarding ISO, the results of standardization, and the trends developing in other countries. This book is intended to provide a clear picture of the present state of traditional medicine in Korea, and the direction in which its practitioners are working to steer it. I would like to take a moment to thank all of those who have contributed to this project in spite of their busy schedules, and especially the staff members who took great pains to design, edit and proofread this final product. October 2015 On behalf of the authors, Byungmook Lim Korean 2015 CUrreNt StatUS aNd Medicine: FUtUre ProSPeCtS CONTENTS 004 Foreword 005 Preface 008 Glossary 013 chapter 01 Foundations of Korean Medicine Written by Wungseok Cha 037 chapter 02 Sasang Constitutional Medicine Written by Byunghee Koh 057 chapter 03 Therapeutic Technologies in Korean Medicine Written by Yongsuk Kim 085 chapter 04 Policy and Management of Korean Medicine Written by Byungmook Lim 113 chapter 05 Contemporary Education in Korean Medicine Written by Byungmook Lim 137 chapter 06 Quality Control and Regulation of Herbal Medicine Written by Yunkyung Kimngwoo Nam 159 chapter 07 Recent Trends in Korean Medicine Written by Dongwoo Nam 177 chapter 08 Korean-Western Co-practice Written by Youngju Yun 201 chapter 09 Standardization of Korean Medicine Written by Yangsup Song and Jinseok Moon 219 Appendix 228 Index Glossary ABI Ankle Brachial Index AKOM Association of Korean Medicine ANDA Abbreviated New Drug Application CITES Convention on International Trade in Endangered Species of Wild Fauna and Flora CKM College of Korean Medicine CME Continuing Medical Education CMM Classic of Materia Medica COPD Chronic Obstructive Pulmonary Disease CPX
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