Korean Oriental medicine (KOM), known as Hanbang in Korea, is the primary health care system for more than 20% of the population in Korea. Often integrated with allopathic Western medicine, it has been used and studied extensively in Korea for a variety of conditions, including stroke and Parkinson’s disease. Although KOM shares its origins with traditional Chinese medicine, its unique cultural contributions include a number of innovations in diagnosis and technique, such as Sasang constitutional medicine, Saam acupuncture, herbal acupuncture, and Korean hand acupuncture. This article reviews the development and use of KOM in Korea, focusing on a major component, Sasang constitutional medicine. It describes a preliminary study of effectiveness of Sasang constitutional medicine in the treatment of stroke and discusses the directions of future research in KOM.
Chae, H., Lyoo, I. K., Lee, S. J., Cho, S., Bae, H., Hong, M., et al. (2003). An alternative way to individualized medicine: Psychological and physical traits of Sasang typology. Journal of Alternative and Complementary Medicine, 9, 519-528.
2.
Chang, C. C., Kuwana, N., Noji, M., Tanabe, Y., Koike, Y., & Ikegami, T. (1998). Cerebral blood flow measurement in patients with impaired consciousness: Usefulness of 99mTc-HMPAO single-photon emission tomography in clinical practice. European Journal of Nuclear Medicine, 25, 1330-1332.
3.
Chen, Y. M., & Fang, Y. A. (1990). 108 cases of hemiplegia caused by stroke: The relationship between CT scan results, clinical findings and the effect of acupuncture treatment. Acupuncture and Electro-Therapeutics Research, 15, 9-17.
4.
Cheong, Y. S. P. I., Yoo, S. M., Kim, K. S., & Cheong, H. W. (1998). Use of traditional medicine and folk remedies in hypertensive patients. Journal of the Korean Academy of Family Medicine, 19, 141-148.
5.
Gaylord, S., & Coeytaux, R. (2002). Complementary and alternative therapies in family medicine. In P. D. Sloane, L. M. Slatt, M. H. Ebell, & L. B. Jacques (Eds.), Essentials of family medicine (pp. 97-116). Baltimore: Lippincott, Williams & Wilkins.
6.
Gosman-Hedstrom, G., Claesson, L., Klingenstierna, U., Carlsson, J., Olausson, B., Frizell, M., et al. (1998). Effects of acupuncture treatment on daily life activities and quality of life: A controlled, prospective, and randomized study of acute stroke patients. Stroke, 29, 2100-2108.
7.
Hirsch, R. C. (1985). Korean constitutional nutrition. College of Traditional Chinese Medicine, 1, 24-37.
8.
Hong, C. D. (2001). Complementary and alternative medicine in Korea: Current status and future prospects. Journal of Alternative and Complementary Medicine, 7(Suppl. 1), S33-s40.
9.
Hong, M. S., Chun, K. H., Song, H. J., Park, I. W., & Yoo, S. C. (1999). Attitudes towards complementary and alternative medicine in Suwon city. Korean Journal of Preventive Medicine, 32, 162-169.
10.
Huang, Y., & Xia, D. B. (2002). Treatment of stroke with “five-center needling”: Clinical observation of 78 cases. Di Yi Jun Yi Da Xue Xue Bao, 22, 657-658.
11.
Jiang, Z., Li, C., & Li, Y. (1999). Treatment of postapoplectic thalamic spontaneous pain by electroacupuncture at huatuojiaji points. Journal of Traditional Chinese Medicine, 19, 195-199.
12.
Jodorkovsky, R. (1999). Hand acupuncture. Physical Medicine and Rehabilitation Clinics of North America, 10, 563-571.
13.
Johansson, K., Lindgren, I., Winder, H., Wiklund, I., & Johansson, B. B. (1993). Can sensory stimulation improve the functional outcome in stroke patients?Neurology, 43, 2189-2192.
14.
Kaptchuk, T. J. (2002). Acupuncture: theory, efficacy, and practice. Annals of Internal Medicine, 136, 374-383.
15.
Kim, D. H. (1987). Acupuncture techniques in Korea. In D. H. Kim (Ed.), Oriental medicine (pp. 425-437). Seoul, Korea: Research Institute of Oriental Medicine.
16.
Kim, S. H., Koh, B. H., & Song, I. B. (1996). A study on the Standardization Questionnaire for Sasang Constitutional Classification (the 2nd edition revised in 1995). Journal of Sasang Constitutional Medicine, 8(1), 187-246.
17.
Kim, Y. S. (2000). Antispastic effects of electroacupuncture, TENS and NMES in stroke patients. Korean Journal of Acupuncture and Moxibustion, 17, 209-220.
18.
King, R. (1996). Quality of life after stroke. Stroke, 27, 1467-1472.
19.
Kjendahl, A., Sallstrom, S., Osten, P. E., Stanghelle, J. K., & Borchgrevink, C. F. (1997). A one year follow-up study on the effects of acupuncture in the treatment of stroke patients in the subacute stage: A randomized, controlled study. Clinical Rehabilitation, 11, 192-200.
20.
Ko, B. E. (2002). Interview with Professor Ahn Kyoo-seok. Retrieved May 25, 2005, from http://www.koreanmedicine.net/2news/2news_02.html
21.
Lee, J. H., Lee, H. M., Jung, B. S., Yoon, H. S., Cho, S. K., Lee, S. H., et al. (2001). Effect of GV20 acupuncture on cerebral blood flow. Journal of Acupuncture and Moxibustion, 18(6), 105-113.
22.
Lee, J. M. (1996). Longevity and life preservation in Oriental medicine (C. Seung-Hoon, Trans.) Seoul, Korea: Kyung Hee University Press.
23.
Lee, K. S., Ahn, K. S., Hwang, H., Lee, Y. S., & Koo, B. H. (1998). Utilization of alternative therapies in cancer patients. Journal of the Korean Cancer Association, 30, 203-213.
24.
Li, G. (1995). Clinical analysis of Parkinson’s disease treated by integration of traditional Chinese and Western medicine. Journal of Traditional Chinese Medicine, 15, 163-169.
25.
Li, J. (2001). Forty-five cases of apoplexy treated by electroacupuncture at the points of yin meridians. Journal of Traditional Chinese Medicine, 21, 20-22.
26.
Magnusson, M., Johansson, K., & Johansson, B. B. (1994). Sensory stimulation promotes normalization of postural control after stroke. Stroke, 25, 1176-1180.
27.
National Institutes of Health Consensus Development Panel on Acupuncture. (1998). Acupuncture. Journal of the American Medical Association, 280, 1518-1524.
28.
Park, J., Hopwood, V., White, A. R., & Ernst, E. (2001). Effectiveness of acupuncture for stroke: A systematic review. Journal of Neurology, 248, 558-563.
29.
Pei, J., Sun, L., Chen, R., Zhu, T., Qian, Y., & Yuan, D. (2001). The effect of electro-acupuncture on motor function recovery in patients with acute cerebral infarction: A randomly controlled trial. Journal of Traditional Chinese Medicine, 21, 270-272.
30.
Shim, B. S., Koh, B. H., & Ahn, K. S. (2004). Education in Oriental medicine in Kyung Hee University. Evidence-Based Complementary and Alternative Medicine, 1, 331-334.
31.
Sze, F. K., Wong, E., Or, K. K., Lau, J., & Woo, J. (2002). Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke, 33, 2604-2619.
32.
Wang, J. (n.d.). Observations of Korean family and social life regarding KOM. Unpublished manuscript.
33.
Wong, A. M., Su, T. Y., Tang, F. T., Cheng, P. T., & Liaw, M. Y. (1999). Clinical trial of electrical acupuncture on hemiplegic stroke patients. American Journal of Physical Medicine and Rehabilitation, 78, 117-122.
34.
Xu, X. (2001). Acupuncture in an outpatient clinic in China: A comparison with the use of acupuncture in North America. Southern Medical Journal, 94, 813-816.
35.
Xu, Z. F., Wu, G. C., & Cao, X. D. (2002). Effect of electroacupuncture on the expression of interlukin-1beta mRNA after transient focal cerebral ischemia. Acupuncture and Electro-Therapeutics Research, 27, 29-35.
36.
Yoo, T. W. (1988). Koryo hand acupuncture. Seoul, Korea: Elm Yang Jin.
37.
Zhuang, X., & Wang, L. (2000). Acupuncture treatment of Parkinson’s disease: A report of 29 cases. Journal of Traditional Chinese Medicine, 20, 265-267.
