한중일 어혈증 감별진단을 위한 도구의 비교

Comparison among diagnostic tools used for differential diagnosis of blood stasis pattern in Korea, China and Japan

  • 김지원 (상지대학교 한의과대학 진단.생기능의학 교실) ;
  • 남동현 (상지대학교 한의과대학 진단.생기능의학 교실)
  • Kim, Jiwon (Department of Biofunctional Medicine and Diagnosis, College of Korean Medicine, Sangji University) ;
  • Nam, Dong-Hyun (Department of Biofunctional Medicine and Diagnosis, College of Korean Medicine, Sangji University)
  • 투고 : 2018.06.12
  • 심사 : 2018.07.06
  • 발행 : 2018.07.27

초록

Objectives The purpose of this study is to compare the representative differential diagnosis methods of blood stasis pattern used in Korea, China and Japan, and then to characterize each diagnostic method. Methods Through the journal databases, we have selected representative tools that were developed for differential diagnosis of blood stasis pattern in Korea, China and Japan. In order to characterize the selected check-lists or questionnaires, we investigated the number of items, contents, score calculation method, internal consistency, and accuracy of each selected tool. Results A total of four diagnostic tools were finally selected; quantitative diagnosis scale of blood stasis syndrome (QDSBSS), diagnostic criteria for blood stasis (DCBS), blood stasis questionnaire (BSQ), and blood stasis syndrome questionnaire (BSSQ). The key points in the differential diagnosis for blood stasis were different for each of the diagnostic tool. The key point was oral mucosa (including tongue) status in the QDSBSS. Meanwhile it was abdominal pain/resistance in the DCBS, and general pain in the BSQ. Accuracy of the QDSBSS, the BSQ and the BSSQ were powerful but all of them was not generalized. Conclusions Therefore, it is desirable to select and apply a plurality of appropriate tools according to the characteristics of the blood stasis patients.

키워드

참고문헌

  1. 문준전, 안규석, 최승훈. 동의병리학. 고문사. 1990. 74.
  2. WHO international standard terminologies on traditional medicine in the Western Pacific region. WHO 2007.
  3. Li SM, Xu H, Chen KJ. The diagnostic criteria of blood-stasis syndrome: considerations for standardization of pattern identification. Chin J Integr Med. 2014;20(7):483-489. https://doi.org/10.1007/s11655-014-1803-9
  4. Chen KJ. Blood stasis syndrome and its treatment with activating blood circulation to remove blood stasis therapy. Chin J Integr Med. 2012;18(12):891-896. https://doi.org/10.1007/s11655-012-1291-5
  5. 전병훈, 우원홍, 정우열. 한국의 어혈발전과정과 최근의 연구동향. 동의병리학회지. 1996;10(1):1-5.
  6. Wang J, Chen RJ. Research on the diagnostic criteria of the blood-stasis symptom-complex. Chin J Integr Tradit West Med. 1988;8(10):585-7, 589, 580.
  7. Fu CG, Gao ZY, Wang PL. Study on the diagnostic criteria for coronary heart disease patients of blood stasis syndrome. Chin J Integr Tradit and West Med. 2012;32(9):1285-1286.
  8. The First Term Conference of Chinese Association of Integrated Traditional and Western Medicine. Tentative diagnostic criterion for BSS. Chin J Integr Tradit West Med. 1983;3:inside front cover.
  9. The Second Term Conference of Chinese Association of Integrated Traditional and Western Medicine. Revised version of BSS diagnostic criterion. Chin J Integr Tradit West Med. 1987;7:129.
  10. Specialized Committee of ABC, CAIM. Consensus of integrative medicine on BSS diagnosis and treatment. Chin J Integr Tradit West Med 2011;31:839-844.
  11. Yao KW, Chu FY, Wang J. A clinical epidemiological study of the quantitative diagnosis scale of blood stasis syndrome. Chin J Integr Med. 2011;17(3):200-204. https://doi.org/10.1007/s11655-011-0667-5
  12. Terasawa K. Scientific approach to OKESTU (Blood stasis) syndrome, Jpn Soc Oriental Med. 1998;48(4):409-436.
  13. 양동훈, 박영재, 박영배, 이상철. 어혈변증설문지 개발. 대한한의진단학회지. 2006;10(1):141-152.
  14. Kang B, Park T, Lee J, Jung J, Lee M. Development of a blood stasis syndrome questionnaire and its reliability and validity. Eur J Integr Med. 2016;8(6):942-946. https://doi.org/10.1016/j.eujim.2016.07.003
  15. Park YJ, Yang DH, Lee JM, Park YB. Development of a valid and reliable blood stasis questionnaire and its relationship to heart rate variability. Complement Ther Med. 2013;21(6):633-640. https://doi.org/10.1016/j.ctim.2013.08.019
  16. Kang BK, Park TY, Jung J, Ko M, Lee MS, Lee JA. The optimal cut-off value of blood stasis syndrome score in BSS diagnosis in Korea. Evid Based Complement Alternat Med. 2017;2017:8049481.
  17. Lee J, Kang B, Park T, Lee H, Kim J, Park S et al. CORE-DITEC-BS (COnvergence REsearch of the DIagnostic TEChnology for Blood Stasis):Study protocol. Eur J Integr Med. 2015;7(4):417-422. https://doi.org/10.1016/j.eujim.2014.10.009
  18. 양동훈, 박영재, 박영배. 어혈변증설문개발을 위한 기초연구. 대한한의진단학회지. 2005;9(1):84-97.