Current Practice of Korean Medicine Sponsored by Ministry of Health and Welfare, and Korea Institute of Oriental Medicine (Project for International Promotion of Korean Medicine 2016) Approved by Society of Korean Medicine Published in December 2016 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 http://kmed.pusan.ac.kr E-mail: [email protected] English Translated by Jeong-min Ko, KMD, CEO Dr. Jeongmin Ko's Korean Medicine Clinic (Inc.) All that Korean Medicine Ye-Sle Emilie Shin, KMD Jaseng Medical Foundation Proofread by Hyunmi Jung Division of Humanities and Social Medicine, School of Korean Medicine Pusan National University Me-riong Kim, KMD (proofread Part 1, Chapter 4 Chuna Manual Medicine) Jaseng Medical Foundation Designed and printed by Shinjin Communications 2F, 74-21, Taejeon-ro, Dong-gu, Daejeon, Korea Tel.+82-42-638-7887 Fax.+82-42-638-7889 Reprinted in December 2017 with support of National Development Institute of Korean Medicine Copy right ⓒ 2016 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 979-11-88027-01-9 Contributors Byungmook Lim, KMD, MPH, PhD Professor Division of Humanities and Social Medicine, School of Korean Medicine Pusan National University Yongsuk Kim, KMD, PhD Professor Department of Acupuncture and Moxibustion, College of Korean Medicine Kyung Hee University Dongwoo Nam, KMD, PhD Assistant Professor Department of Acupuncture and Moxibustion, College of Korean Medicine Kyung Hee University Byunghee Koh, KMD, PhD Professor Department of Sasang Constitutional Medicine, College of Korean Medicine Kyung Hee University Byung-Cheul Shin, KMD, MPH, PhD Professor Department of Rehabilitation Medicine of Korean Medicine, School of Korean Medicine Pusan National University Woo Sang Jung, KMD, PhD Professor Department of Cerebrovascular & Neurologic diseases(Stroke Center), College of Korean Medicine Kyung Hee University Jinsung Kim, M.D.(KMD), Ph.D Professor Department of Digestive Diseases & Oral Diseases Clinic, Kyung Hee University Korean Medicine Hospital Deok-Sang Hwang, KMD, PhD Professor Department of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine Kyung Hee University Kibong Kim, KMD, PhD Associate Professor Department of Pediatrics, School of Korean Medicine Pusan National University Jongwoo Kim, KMD, Ph.D Professor Deptment of Neuropsychiatry, College of Korean Medicine Kyung Hee University Hojun Kim, KMD, PhD Professor Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine Dongguk University Mi-Rim Jung, KMD Chief Director Dongbaekmiz Korean Medicine Clinic Sungjin Lee, KMD, PhD Director Dongbaekmiz Korean Medicine Clinic Kim Dong il, KMD, Ph.D Professor Department of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine Dongguk University Foreword There are many types of traditional medicine worldwide, and some are considered ‘complementary medicine’ in the Western countries. With Western Medicine becoming the mainstream of a medical treat- ment method, traditional medicine has lost its former status in most countries. In many Asian countries, such as Korea, China, India, and Vietnam, however, traditional medicine is officially recognized and has played an important role in the country’s health care system. In Korea, Korean Medicine doctors have made continuous efforts to modernize traditional medicine, and it comes with the government’s policies to promote Korean Medicine, which has made it the most developed traditional medical system in the world. Legal status of Korean Medicine is almost equivalent to that of Western medicine, and qualified education system for Korean Medicine exists. Bureau of Korean Medicine under the Ministry of Health and Welfare sup- ports policy development for Korean Medicine, and National Health Insurance covers most procedures of Korean Medicine. As a part of the mainstream health care system, Korean Medicine is currently providing qualified medical services and is widely used in Korea, but international awareness is still not high enough. To sup- port Korean Medicine’s contribution to the people’s health around the world, the Korean government declared the ‘International pro- motion of Korean Medicine’ as one of the national tasks in 2014. With this background, this book was designed to introduce the outstanding clinical practice of Korean Medicine to traditional medicine professions, medical doctors, health related experts, and medical students all over the world. I hope this book provides an op- portunity to understand the true value of Korean Medicine for those who are interested in learning about the Korean Medicine system. 2016. 12. Director for Korean Medicine Policy Ministry of Health and Welfare, Republic of Korea Hyunghoon Lee Preface Although traditional medicine such as acupuncture, herbal therapy, and massage has been pop- ularized in Western countries, most are still at the level of ‘complementary medicine’. Howev- er, Korean traditional Medicine has been a kind of medical system that is more than comple- mentary. Through the historical stages of ‘colonization’ and the ‘advent of scientific medicine’, Korean Medicine has maintained its fundamental basis and played a great role in the Korean health care system since the liberation. In the eyes of Westerners, it may be surprising that traditional medicine is based on theories from thousands of years ago and has been existed as an important part of a health care system that was chosen by the public, even in this modern era, which has been flooded with the devel- opment of new medical techniques and knowledge. There are three main reasons that Korean Medicine has maintained an official status and been widely utilized. First, from a cultural view- point, Koreans have confidence and preference for Korean Medicine. Second, from a political viewpoint, Korean Medicine doctors have made an effort to maintain and develop Korean Med- icine as a part of the national medical system. Lastly, techniques of Korean Medicine have been shown to be efficient. This book is designed to promote an understanding of the structure and function of clinical Ko- rean Medicine; how it is clinically used and how specific diseases can be approached according to Korean Medicine perspective. Although Korean Medicine is considered traditional medicine, modernized Korean Medicine has made it different from its practice of hundreds years ago. It has been changed technically and even theoretically over time. Korean Medicine, as described in this book, is the most modernized Korean Medicine that is currently utilized in Korea. This book is composed of two parts. Part I. Understanding the Clinical System of Korean Med- icine is about how Korean Medicine is integrated into the health care system in Korea, and it discusses the uniqueness of Korean Medicine compared to other traditional medicines of East- ern Asia. Part Ⅱ. Korean Medicine Treatments for Various Medical Conditions discusses major diseases along with the diagnosis and treatment methods of Korean Medicine and promotes the understanding of clinical techniques. The first chapter of Part I is Korean Medicine in the Modern Health Care System. This chapter examines the systematic development and use of Korean Medicine, showing the current status of modern Korean Medicine in the legal system, educational system, and health care system. This will facilitate understanding of the systemic basis that supports Korean Medicine to func- tion as a significant part of the health care system. The second chapter, Therapeutic technologies of Korean Medicine, introduces basic techniques that are used in clinical Korean Medicine. The main tools of Korean Medicine are acupuncture, moxibustion, cupping, and herbal medicine. These are described with their uses, and unique Korean acupuncture methods, such as Taekeuk acupuncture, Saam acupuncture, and Embed- ding acupuncture. The third chapter addresses Sasang Constitutional Medicine. It is a medical theory created at the end of the 1800s stating that people can be categorized into four typologies; Taeyangin, Taeeumin, Soyangin, Soeumin, according to their inborn constitution. Each constitution has different physiological, pathological, and psychological characteristics. Also, suitable and un- suitable herbs are introduced for each constitution. Sasang constitutional medicine is the main theory of Korean Medicine different from other Eastern traditional Medicine systems. The fourth chapter introduces Chuna Manual Medicine. Chuna is a modified method of a tradi- tional manual technique combined with a modern technique. It has been shed new light on since the 1980s. Due to the preference of the public, as of 2017, a pilot program for Chuna manual medicine for the coverage of National Health Insurance will be implemented. Part Ⅱ describes Korean Medicine diagnosis and treatment methods for nine different types of diseases and health problems. The first chapter of part Ⅱ is muscular skeletal diseases, which are the most frequent disorders treated by Korean Medicine in Korea. In both outpatient and inpatient care, the top ten common disorders mostly consist of musculoskeletal disorders. Treat- ments for these disorders that are covered by the National Health Insurance include acupuncture and cupping therapy, which have shown high efficacy in treating musculoskeletal disorders. The second