개국약사의 한약에 대한 태도 및 취급실태에 관한 조사 연구

Abstract

[한글]

한방의학은, 현대의학과는 기본접근방법 및 철학이 다르며, 자연과학적인 체계가 부족하고, 체계화 되어있지 않아 현대의학을 전공한 의사나 약사에게 도외시 되어왔음은 주지의 사실이다. 그러나 최근 한방의약의 과학화 또는 현대화에 대한 약사들의 관심으로 약

국에서 한약 취급이 정차 증가 추세를 보이고 있는 상황이다.

본 연구는 서울특별시 성북구와 관악구에서 개국하고 있는 약사들의 한약에 대한 태도 및 취급실태를 비교분석하기 위하여 성북구의 176명, 관악구의 144명의 약사에 대하여 1984년 3월 15일부터 3월 25일까지 설문조사를 실시한 결과 다음과 같은 결론을 얻었다.

1. 성북구와 관악구의 한약 취급율은 성북구에서 51.5%, 관악구에서 64.4%로 두 구에서 모두 반수 이상이 취급하고 있었으며 관악구에서 더 높게 취급하고 있었다.

2. 개국약사의 한약에 대한 태도는 성북구 및 관악구에서 모두 필요성, 보약효과, 장래발전에 대한 태도는 매우 긍정적이였으나, 질병치료에 있어서는 한약보다는 양약에 의한 치료에 매우 긍정적 태도를 나타냈다(성북구 81.5%, 관악구 96.1%).

3. 성북구 및 관악구에서 한약 취급시 가장 많이 이용하는 학설은 고방이었고, 제제로는 엑기스(과립)제를 주로 사용하였으며, 한약 임상지식은 전문서적을 통하여 습득하는 것으로 나타났다. 투약이유는 양약의 결점을 보충하기 위한 것으로 나타났으며, 한약으로 약국을 방문한 환자는 부인병이 가장 많았다. 감기증후군에 한약 투약방법은 양약을 주로 쓰고 한약은 보조적으로 사용하고 있었으며, 만성질환에는 한약을 주로 쓰고 때로는 양약을 병용하는 방법을 사용하는 것으로 나타났다.

4. 성북구 및 관악구에서 한약 비취급약사의 비취급 이유는 임상지식의 부족(성북구 65.9%, 관악구 52.9%)으로 나타났으며, 성북구에서 64.7%, 관악구에서 88.2%가 한약 취급을 희망하고 있었고 관악구에서 더 높게 희망하고 있었다.

A Study on Private Pharmacists Attitude and Management toward Herbdrugs

Hong, Soon Yong

The Graduate School, Health Science and Management Yonsei University

(Directed by Prof. Kim, Myung Ho, M.D.)

The herb medicine is fundamentally different from the modern medicine in an

approach and philosophy toward diseases and treatment of diseases, scientific

nature and manufacturing goods etc.

Therefore many physicians and pharmacists who obtained their knowledge with

scientific basis usually deny herb medicine. However, some private pharmacists

began to have interests in herb medicine recently with showing an increase of

tendency of dealing herbdrugs at their drugstores.

This study was carried out with the questionnaire survey for 176 pharmacists owho

were practicing drugstores in Sungpuk-gu and for 144 pharmacists in Kwanak-gu,

Seoul respectively during March 15 to 25, 1984 in order to observe attitude toward

herb medicine through operation of their drugstores.

The results were obtained as fellows:

1. In the detailing rate of herbdrugs, both Sungpuk-gu and Kwanak-gu shewed 51.5%

and 64.6% respectively. The latter showed relatively higher than the former.

2. In the private pharmacists attitude toward herb medicine, both districts

showed affirmative attitude toward necessity of herbdrugs, effectiveness of

restoratives and an optimistic opinion for better recognition of herbdrugs in

future. However, in the effectiveness for disease treatment, they expressed more

affirmative attitude for the modern medicine rather than the herb medicine.

3. For an application of medical knowledge of herb medicine, pharmacists in the

both districts based on "Kobang" theory and they used mostly extract types of

herbdrugs than any other types. They learned clinical knowledge of herb medicine

through references in the each specific field. The reason why the they used

herbdrugs showed mostly as the supplementation of the modern medicine.

Patients of the gynecological field showed the most in the visitation to the

drugstores for purchasing herbdrugs. For treatment of common cold, the most

pharmacists used Western drugs with herbdrugs supplementarily. On the contrary,

they used herbdrugs in the combination with Western drugs often for the chronic

disease.

4 As pharmacists were lacking in clinical knowledge about herb medicine, many

pharmacists did not deal with herbdrugs when they were interviewed. However, they

wished to deal herbdrugs in Sungpuk-gu(65.9%) and in Kwanak-gu (52.9%)

respectively.

[영문]

The herb medicine is fundamentally different from the modern medicine in an approach and philosophy toward diseases and treatment of diseases, scientific nature and manufacturing goods etc.

Therefore many physicians and pharmacists who obtained their knowledge with scientific basis usually deny herb medicine. However, some private pharmacists began to have interests in herb medicine recently with showing anincrease of tendency of dealing herbdrugs at their drugstores.

This study was carried out with the questionnaire survey for 176 pharmacists owho were practicing drugstores in Sungpuk-gu and for 144 pharmacists in Kwanak-gu, Seoul respectively during March 15 to 25, 1984 in order to observe attitude toward herb medicine through operation of their drugstores.

The results were obtained as fellows:

1. In the detailing rate of herbdrugs, both Sungpuk-gu and Kwanak-gu shewed 51.5% and 64.6% respectively. The latter showed relatively higher than the former.

2. In the private pharmacists attitude toward herb medicine, both districts showed affirmative attitude toward necessity of herbdrugs, effectiveness of restoratives and an optimistic opinion for better recognition of herbdrugs in future. However, in the effectiveness for disease treatment, they expressed more

affirmative attitude for the modern medicine rather than the herb medicine.

3. For an application of medical knowledge of herb medicine, pharmacists in the both districts based on "Kobang" theory and they used mostly extract types of herbdrugs than any other types. They learned clinical knowledge of herb medicine through references in the each specific field. The reason why the they used herbdrugs showed mostly as the supplementation of the modern medicine.

Patients of the gynecological field showed the most in the visitation to the drugstores for purchasing herbdrugs. For treatment of common cold, the most pharmacists used Western drugs with herbdrugs supplementarily. On the contrary, they used herbdrugs in the combination with Western drugs often for the chronic disease.

4 As pharmacists were lacking in clinical knowledge about herb medicine, many pharmacists did not deal with herbdrugs when they were interviewed. However, they wished to deal herbdrugs in Sungpuk-gu(65.9%) and in Kwanak-gu (52.9%) respectively.