Study of the Indicators of Each Pattern Identification Based on Korean Standard Differentiation of the Symptoms and Signs for Stroke

한국형 중풍 변증 표준안-Ⅱ의 변증별 변증지표의 분포 및 타당도에 관한 연구

  • Moon, Seung-Hee (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kang, Byung-Gab (Department of Medical Research, Korea Institute of Oriental Medicine) ;
  • An, Joung-Jo (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Jo, Hyun-Kyung (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Yoo, Ho-Rhyong (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Seol, In-Chan (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kim, Yoon-Sik (Department of Internal Medicine, College of Oriental Medicine, Daejeon University)
  • 문승희 (대전대학교 한의과대학 심계내과학교실) ;
  • 강병갑 (한국한의학연구원 의료연구부) ;
  • 안정조 (대전대학교 한의과대학 심계내과학교실) ;
  • 조현경 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실)
  • Published : 2008.04.25

Abstract

The purpose of this study is to investigate clinical frequency and priority of five pattern identification settled by Korean Standard Differentiation of the Symptoms and Sign for Stroke. The present study was done over 177 hospitalized patient with stroke in the Daejeon University Oriental Medical Hospital in the period of November 2006 to July 2007. Stroke patients had been interviewed by residents and specialists who studied standard operation procedures in Fundamental study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. In Heat-transformation pattern group, men showed significantly high frequency and in Deficiency of Gi pattern group, women showed significantly high frequency. In Heat-transformation pattern group, the indicators such as 'aversion to heat during fever', 'flushed face', 'full and rapid pulse', 'dryness of the eyes, 'yellow coating of the tongue', 'feverishness of the limbs', 'dryness of the eyes' showed significantly high frequency. In Dampphlegm syndrome group, the indicators such as 'white coating of the tongue', 'yellowish face', 'thick coating of the tongue', 'wheezing in the throat with sputum', 'swollen tongue', 'slippery pulse' showed significantly high frequency. In Deficiency of Gi pattern group, the indicators such as 'pale tongue', 'lassitude', 'pale face', 'weakness pulse' showed significantly high frequency. In Deficiency of Eum group, the indicators such as 'short and rapid pulse', 'mirror-like tongue' showed significantly high frequency. For more sensitive Korean Standard Differentiation of the Symptoms and Signs for Stroke, Large scale study is to be done, giving weight on the important indicators.

Keywords

References

  1. 전국한의과대학 심계내과학교실. 心系內科學. 서울, 군자출판사, pp 331-342, 393-408, 2006
  2. 통계청, 2004 사망원인통계연보. 한국, 통계청, 2004
  3. 강관호, 정인용, 박종영. 뇌졸중환자 290례에 대한 임상적 고찰. 대한한의학회지 18(2):223-244, 1997
  4. 국민건강보험공단. 2006 건강보험통계연보. 한국, 국민건강보험공단, 2007
  5. 이봉교 외. 한방진단학 사진. 서울, 성보사, p 21, 1992
  6. 강효신, 권영규, 박창국, 신양규, 김상철. 中風臨床資料에 대한 統計的 分析方法硏究. 대한한의학회지 17(1):302-328, 1996
  7. 노진환. 중풍변증진단기준안에 대한 임상적 연구. 서울, 경희대학교 대학원, 2001
  8. 陳貴延, 楊思澍. 實用中西醫結合診斷治療學. 北京, 中國醫藥科技出版社, pp 61-62, 1991
  9. 國家中醫藥管理局腦病急症科硏組. 中國病變症診斷標準, 北京中醫藥大學學報, 17(3):208-210, 1994
  10. 鄭筱萸 外, 中藥新藥臨床硏究指導原則, 北京, 中國醫藥科技出版社, pp 99-104, 2001
  11. 김중길, 설인찬, 이 인, 조현경, 유병찬, 최선미. 한국형 중풍변증 표준안-II에 대한 보고. 동의생리병리학회지 20(1): 229-234, 2006
  12. 고호연, 강경원, 강병갑, 고미미, 김보영, 문진석 외 4인. 중풍환자의 기허변증지표에 관한 연구. 대한한방내과학회지 12(3): 70-77, 2006
  13. 배희준. Epidemiology of Stroke & Cardiovascular Disorder. 2006, 대한뇌졸중학회보수교육, 1: 49-83, 2007
  14. 재편집동의학사전. 서울, 과학백과사전종합출판사, p 536, 537, 1990
  15. 조윤애, 신재용. 컴퓨터기종과 VDT작업종류가 안구건조에 미치는 영향, 대한안과학회지 43(11):2280-2287, 2002
  16. 李鳳敎, 朴英培, 金泰熙. 한방진단학. 서울, 성보사, pp 75-91, 1992
  17. 전국한의과대학 병리학교실. 한방병리학. 서울, 일중사, p 443, 2002
  18. 사전편찬위원회. 한의학 한영사전, 경기도, 지문당, 2004
  19. 조현경, 김중길, 강병갑, 유병찬, 백경민, 이 인 외 6인. 한국형 중풍 변증 표준시안의 습담 변증 지표에 대한 연구. 대한한방내과학회지 27(1):237-252, 2006