• Title/Summary/Keyword: 기허증(氣虛證)

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왕청임(王淸任)의 어혈논치사상(瘀血論治思想)에 관한 연구(硏究)

  • Lee, Byeong-Jik;Yun, Chang-Yeol
    • Journal of Korean Medical classics
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    • v.20 no.4
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    • pp.267-287
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    • 2007
  • 경과대왕청임적어혈논치사상적연구득출여하결론(經過對王淸任的瘀血論治思想的硏究得出如下結論): 왕청임중시기혈이론(王淸任重視氣血理論), 강조치병지요결재어명백기혈(강調治病之要訣在於明白氣血), 취효지관건재어기통혈활(取效之關鍵在於氣通血活), 확립료보기활혈화축어활혈적치법(確立了補氣活血和逐瘀活血的治法), 명확제시료여지상응적임상응용체계(明確題示了與之相應的臨床應用體系). 중시보기약여활혈약적응용(重視補氣藥與活血藥的應用), 창제료이십다종방제(創制了二十多種方制), 용어치료육십종기허증화오십종혈어증등(用於治療六十種氣虛證和五十種血瘀證等). 재기창제적이십다종방제중(在其創製的二十多種方劑中), 이혈부축어탕(以血府逐瘀湯) 통규활혈탕(通竅活血湯) 격하축어탕(膈下逐瘀湯) 소복축어탕(少腹逐瘀湯) 신통축어탕(身痛逐瘀湯) 해독활혈탕등최위중요(解毒活血湯等最爲重要), 재임상응용빈번(在臨床應用頻繁), 차치료적병증범위역비상광범(且治療的病證範圍亦非常廣泛). 관기약법(觀其藥法), 재보기활혈적방제중이다용황기1-2양(兩), 혹중용황기4양(兩)-8양위용약특점(兩爲用藥特點), 재축어활혈적방제중이희용선용도인(在逐瘀活血的方劑中以喜用善用桃仁) 홍화(紅花) 적작약적등활혈축어약위주요용약특점(赤芍藥的等活血逐瘀藥爲主要用藥特點). 재방제응용방면(在方劑應用方面), 십분강구약물적용량(十分講究藥物的用量), 장어통과변화약량이달도부동적치료목적(長於通過變化藥量而達到不同的治療目的).

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Study on Clinical Diseases of Qi Deficiency Pattern (기허증(氣虛證)의 임상 질환 범위에 대한 고찰)

  • Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.5
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    • pp.487-496
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    • 2013
  • This article is a study on to which categories of modern diseases qi deficiency pattern types are assigned by reference to modern clinical papers to analyze and understand modern diseases with the perspective of Korean Medicine. Clinical papers were searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI) from 1994 to 2013. Conclusions are as follows. First, qi deficiency pattern types are roughly classified as qi deficiency pattern, qi-yin dual deficiency pattern and qi deficiency pattern related with viscera and bowels. Second, there are many patterns combined with static blood, qi stagnation, phlegm, dampness, heat, toxin, water or fluid deficiency and the level of pattern designation is more specific than pattern types in Korean Standard Classification of Diseases(KCD), which makes the pattern types more useful to clinical application. Third, static blood due to qi deficiency is the most frequent combined pattern and diseases related with blood circulation such as angina, atherosclerosis, hyperlipidemia and chronic obstructive pulmonary disease(COPD) were reported on that pattern. The detailed relation between modern diseases and pattern types can be an another topic.

A Study of Eight Cases According to Hyeongsang Diagnosis Applying Sa-am Acupuncture Therapy (8증례를 통한 사암침법(舍巖鍼法)의 형상의학적(形象醫學的) 운용에 관한 고찰)

  • Choi, Jun-Young;Nam, Sang-Soo;Kim, Yong-Suk;Lee, Jae-Dong
    • Journal of Acupuncture Research
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    • v.29 no.1
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    • pp.139-150
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    • 2012
  • Objectives : The puropse of this study was to report the availability of Hyeongsang diagnosis compensating for visceral pattern identification in applying Sa-am acupuncture therapy. Methods : Eight cases was presented to substantiate the above. Results : According to the characteristic diagnostic method of Hyeongsang medicine by feature such as face, ears, eyes, nose and mouth shape, There are 8 pattern differentiations, including essence family, Qi family, spirit family, blood family, fish type, bird type, beast(running) type and crust(crustacea) type which are correlated with essence deficiency, heat harassing the heart spirit, Qi stagnation, blood stasis, kidney essence deficiency, intense heart fire, liver blood deficiency and lung Qi deficiency in the established visceral pattern identification, respectively. Eight patients was diagnosed by the above Hyeongsang 8 pattern differentiations, of whom Sinjeonggyeok(kidney reinforcing prescription) was applied to a patient with fish type and essence family to nourish kidney essence, and Giul prescription(Qi stagnation prescription) was given to a patient with Qi family for regulating Qi, and Sanghwa priscription(ministerial fire prescription) was delivered to a patient with Spirit family to clear the heart fire and tranquilize, and Sojangjeonggyeok(small intestine reinforcing prescription) was used for a patient with blood family to nourish blood and remove blood stasis, and Sinjeonggyeok(kidney reinforcing prescription), Simhangyeok(heart heat clearing prescription), Ganjeonggyeok(liver reinforcing prescription) and Pyejeonggyeok(lung reinforcing prescription) were utilized for fish type, bird type, beast(running) type and crust(crustacea) type respectively to reinforce the relevant visceral function. Conclusions : It was suggested that characteristic diagnostic method of Hyeongsang medicine should be helpful for enhancing the accuracy of the established visceral pattern identification, applying Sa-am acupuncture therapy more appropriately.

Study II of Diagnosis Criteria for Qi deficiency in Stroke (중풍 기허증 진단 기준에 관한 연구 II)

  • Kang, Byoung Kab;Heo, Tae Young;Yun, Kyung Jin;Park, Tae Yong;Lee, Ju Ah;You, Soo Seong;Park, Geon Hee;Lee, Myeong Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.76-81
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    • 2014
  • The aim of this study was to build the diagnosis criteria of Qi deficiency using distribution of sum of 11 items for Qi deficiency in stroke patients. Between September 2006 and December 2010, 2,994 patients from 11 Korean medical hospitals were asked to complete the Korean Standard Pattern Identification for Stroke (K-SPI-Stroke) questionnaire as a part of project 'Fundamental study for the standardization and objectification of pattern identification in traditional Korean medicine for stroke (SOPI-Stroke). Each patient was independently diagnosed by two experts (traditional Korean medicine physicians) from the same site according to one of five patterns. 2,994 patients were divided modeling and testing in 70:30 ratio by stratification of pattern identification. We calculated the sensitivity, specificity, accuracy and odds ratio (OR) using distribution of sum of 11 items (signs and symptoms) for Qi deficiency. More than four from 11 items of Qi deficiency in modeling dataset, sensitivity, specificity, accuracy and OR was 70.07%, 74.94%, 73.92% and 7.00, respectively. In testing dataset, 78.31%, 73.45%, 74.47% and 9.98, respectively. Although this values are not high, after values of sensitivity, specificity, accuracy and OR should be more than current value, and then we should be able to suggest as objective diagnosing criteria.