The clinical study of Digital Infrared Thermographic Imaging on Depressed patients

전신체열촬영(全身體熱撮影)에 의한 우울증(憂鬱症)과 안면마비(顔面麻痺)의 객관적(客觀的) 진단방법(診斷方法) 모색(摸索)

  • Kim Tae-Heon (Dept. of Neuropsychiatry, College of Oriental Medicine, Won Kwang University) ;
  • Lee Yong-Keun (Dept. of Neuropsychiatry, College of Oriental Medicine, Won Kwang University) ;
  • Lyu Yeong-Su (Dept. of Neuropsychiatry, College of Oriental Medicine, Won Kwang University)
  • 김태헌 (원광대학교 한의과대학 신경정신과학교실) ;
  • 이용근 (원광대학교 한의과대학 신경정신과학교실) ;
  • 류영수 (원광대학교 한의과대학 신경정신과학교실)
  • Published : 2000.12.01

Abstract

Depression is a psychiatric syndrom consisting of dejected mood, psychomotor retardation, insomnia and weight loss. sometimes associated with irrational quilt feeling. And it is also similiar to Hwa-byung(火病) symptom in oriental medicine. But it is difficult to diagnose with objective method. Digital Infrared Thermographic Imaging(D.I.T.I.) is one of diagnotic method that measure the changes of skin temperature in body.Specially we checked the skin temperature on depressed patients by using D.I.T.I. and compared with Bell's palsy patients and normal persons group.The results are as follows:Average body temperature of the depressed patient group is 36.62${\cdot}$0.58$^{\circ}C$ , Bell's palsy patients group is 36.59${\cdot}$0.34$^{\circ}C$ and that of the control group is 36.71${\cdot}$0.43$^{\circ}C$ . So there is no meaningful difference. The depressed patient group has higher temperature than the Bell's palsy patients group and control group by $\delta$T〉1.0$^{\circ}C$ at the following acupuncture points in these body parts - upper and lower, left and right, anterior and posterior. When acupuncture points temperature was compared superior and inferior part of the body, depressed patient group have meaningful difference at the GV-4 (Myung-moon) and also in the Bell's palsy patients group and control group.When acupuncture points temperature was compared left and right part of the body. ddpressed patient group have no meaningful difference and also in the Bell's palsy patients group and control group.When acupuncture points temperature was compared in the anterior and posterior part of the body, depressed patient group have meaningful difference at the Gv-4(Myung-moon) and also in the bell's palsy patients group and control group.From this study. we think that D.I.T.I. could be used to diagnose objectively on the depressed patients and useful to another psychoneurogenic diagnosis in oriental medicine.

Keywords

References

  1. 編註醫學入門 傷寒 雜病 이천(編著)
  2. 中醫學 基礎 上海中醫學院(編)
  3. 大韓鍼灸學會誌 v.13 no.12 赤外線 體熱 測定 映像의 韓方 臨床 應用을 爲한 標準化 硏究 Ⅰ 權寄祿;高炯均
  4. 醫貫 趙獻河
  5. 금궤요약 張仲景
  6. 醫學哀中參書錄 張錫純
  7. 中醫臨床手編 原安徵中醫學院(編)
  8. 大韓韓醫學會誌 v.14 no.2 體幹全面의 赤外線 體熱映像에 관한 硏究 허준
  9. 黃帝內經素問 왕빙
  10. 醫宗金鑑(中) 吳謙(외編著)
  11. 中醫病因病機學 宋鷺永(외)
  12. 醫門寶鑑 周命新(編著)
  13. 中醫症狀鑑別診斷學 中醫硏究院(主編)
  14. 中醫耳鼻喉科學 何東燦
  15. 전공의진료편람 이비인후과 서울대학교 병원(편저)
  16. 頭面 脊椎 四肢病의 診斷과 治療 羅昌洙;李彦政;黃禑準(外)
  17. 類經 張介賓
  18. ICD-10[精神 및 行態障碍] 이부영(譯 )
  19. 정신장애의 진단 및 통계편람(제4판)(DSM-Ⅳ) 이근후(외14명)(譯)
  20. 정신병리학 v.4 no.1 한국판 Beck 우울척도의 표준화연구 Ⅰ. 신뢰도 및 요인분석 이민규(외8명)
  21. 東洋醫學大辭典 謝觀
  22. 心-腦-神志病 辨證論治 張明准;陳維華;徐國龍
  23. 景岳全書 張介賓
  24. 中醫精神科 臨證備要 李耀東;周秀芬
  25. 丹溪心法附餘 朱震亨
  26. 素問玄機原病式 劉河間
  27. 張子臨醫療經驗選輯 趙尙華
  28. 巢氏諸病源候論 巢元方
  29. 東垣十種醫書 이고
  30. 醫林改錯 王淸任
  31. 中醫症狀鑑別診斷學 中醫硏究院(主編)
  32. Arch. Otolaryngol. v.46 Bell's palsy Kettle, K.
  33. New Engl. J. Med. v.287 Prednisone treatment for idiopathic facial paralysis(Bell's palsy) Adour, K.K.;Wingerd, J.;Bell, D.N.(et al.)
  34. 痲醉 v.23 顔面神經痲痺 1000例의 統計的 觀察 十時忠秀(외)
  35. Arch. otolaryngol. v.23 Bell's palsy Desanto, L.W.;Schubert, H.A.
  36. 大韓鍼灸學會誌 v.14 no.2 컴퓨터 赤外線 全身 體熱 撮影으로 본 腰椎椎間板脫出症의 鍼灸治療 效果 李建穆
  37. Skeletal Radiol. v.15 Thermography, a revaluation Ediken, J.;Shaber, G.
  38. 應急處置 醫學校育硏究員
  39. 生理學 李炳熙
  40. 黃帝內經素問譯解 楊維傑
  41. 東醫病理學 文濬典
  42. 中醫內傷火病學 田合祿