Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
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A Study on Decision Rules for Qi·Blood·Yin·Yang Deficiency Pathogenic Factor Based on Clinical Data of Diagnosis System of Oriental Medicine

한방진단설문지 임상자료에 근거한 기혈음양 허증병기 의사결정규칙 연구

  • Soo Hyung Jeon (Department of Sasang Constitutional Medicine, Dongeui University) ;
  • In Seon Lee (Department of Korean Gyneco-Obstetrics, Dongeui University) ;
  • Gyoo yong Chi (Department of Korean Pathology, College of Korean Medicine, Dongeui University) ;
  • Jong Won Kim (Department of Sasang Constitutional Medicine, Dongeui University) ;
  • Chang Wan Kang (College of Industrial Management & Big Data Engineering Major, Dongeui University) ;
  • Yong Tae Lee (Department of Korean Physiology, College of Korean Medicine, Dongeui University)
  • 전수형 (동의대학교 한의과대학 사상체질의학교실) ;
  • 이인선 (동의대학교 한의과대학 부인과학교실) ;
  • 지규용 (동의대학교 한의과대학 병리학교실) ;
  • 김종원 (동의대학교 한의과대학 사상체질의학교실) ;
  • 강창완 (동의대학교 산업경영빅데이터공학) ;
  • 이용태 (동의대학교 한의과대학 생리학교실)
  • Received : 2023.08.14
  • Accepted : 2023.12.18
  • Published : 2023.12.25
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Abstract

In order to deduce the pathogenic factor(PF) diagnosis logic of underlying in pattern identification of Korean medicine, 2,072 cases of DSOM(Diagnosis System of Oriental Medicine) data from May 2005 to April 2022 were collected and analyzed by means of decision tree model(DTM). The entire data were divided into training data and validation data at a ratio of 7:3. The CHAID algorithm was used for analysis of DTM, and then validity was tested by applying the validation data. The decision rules of items and pathways determined from the diagnosis data of Qi Deficiency, Blood Deficiency, Yin Deficiency and Yang Deficiency Pathogenic Factor of DSOM were as follows. Qi Deficiency PF had 7 decision rules and used 5 questions: Q124, Q116a, Q119, Q119a, Q55. The primary indicators(PI) were 'lack of energy' and 'weary of talking'. Blood deficiency PF had 7 decision rules and used 6 questions: Q113, Q84, Q85, Q114, Q129, Q130. The PI were 'numbness in the limbs', 'dizziness when standing up', and 'frequent cramps'. Yin deficiency PF had 3 decision rules and used 2 questions: Q144 and Q56. The PI were 'subjective heat sensation from the afternoon to night' and 'heat sensation in the limbs'. Yang deficiency PF had 3 decision rules and used 3 questions: Q55, Q10, and Q102. The PI were 'sweating even with small movements' and 'lack of energy'. Conclusively, these rules and symptom information to decide the Qi·Blood·Yin·Yang Deficiency PF would be helpful for Korean medicine diagnostics.

Keywords

Acknowledgement

이 논문은 2023학년도 동의대학교 교내연구비에 의해 연구되었음(202300640001)

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