• 제목/요약/키워드: 중풍변증

검색결과 78건 처리시간 0.023초

중풍변증에 관련된 임상지식에 대한 요인분석 (A study of factor analysis for clinical knowledge about cerebrovascular diseases)

  • 권영규;박창국;강효신
    • 대한한의학회지
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    • 제18권2호
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    • pp.73-81
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    • 1997
  • We have done factor analysis to study the effects of clinical knowledge on the diagnosis process. Clinical datas were made on 94 patients with cerebrovascular accident diagnosed by computed tomographic scan and who did not over 20 days after stroke. After analysis, totally 11 factors has been found. Among these factors, we interpreted significant 5 factors as oriental-medical meaning, Factor 1 meant Han-youl(寒熱) and factor 2 meant Huh-Shil(虛實). These were exactly corresponded with clinical experience.

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중풍의 증형 진단을 위한 판별모형

  • 신양규
    • Journal of the Korean Data and Information Science Society
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    • 제7권2호
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    • pp.283-287
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    • 1996
  • 본 연구는 중풍에서의 한의학의 풍부한 임상자료들에 대한 객관적이고도 논리적인 자료처리방법 및 변증으로부터 증형을 추론할 수 있는 통계적 방법을 연구하고자 한다. 중풍 전문의에 의해 수집된 65명의 환자들의 임상자료로부터 다변량 자료 분석의 하나인 판별분석을 이용하여 증후로부터 증형을 판단할 수 있는 수리적 판별모형을 구축하였다. 구축된 모형은 중풍 전문가 시스템을 개발하기 위한 기초가 될 것이다.

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중풍 관련 한의학 변증에 대한 정보학적 의미 분석 (Comparative Analysis of Informative Meaning to Stroke related Pattern Identifications in Korean Oriental Medicine with Western Medicine)

  • 진훈
    • 한국정보과학회:학술대회논문집
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    • 한국정보과학회 2012년도 한국컴퓨터종합학술대회논문집 Vol.39 No.1(B)
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    • pp.354-356
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    • 2012
  • '변증'은 전통 한의학에서 사용되어 온 독특한 진단 단위로써, 향후 정보적 관점에서 중요성이 점점 높아지고 있다. 이에 우리는 변증을 기반으로 서양 의학 관련 문헌 정보들로부터 텍스트마이닝을 통해 추출된 유전자들과 중풍을 일으키는 병인으로 알려진 유전자들과의 관련성을 파악하고자 시도하였다. 실험결과를 통해 뇌혈관질환 질병에 관하여 한의학에서의 변증 결과가 서양의학 기술의 결과와 유사한 생물학적 의미를 전달해내고 있음을 확인할 수 있었다. 우리의 연구는 몇 가지 제약에도 불구하고, 향후 한의학의 객관성을 회복함으로써 가치를 높이고, 서양의학 기술과의 접목을 이루기 위한 중요한 시발 연구가 될 것으로 기대된다.

신음허(腎陰虛)로 변증(辨證)된 중풍환자(中風患者)와 신음허(腎陰虛)로 변증(辨證)되지 않은 중풍환자(中風患者)의 당뇨(糖尿)에 대한 육미지황탕(六味地黄湯)의 치험례(治驗例) (Case Report of Yukmijihwang-tang(Liuweidihuang-fang) on Diabetes Mellitus in Stroke Patients Diagnosed as Kidney-Yin Deficiency or Non Kidney-Yin Deficiency Syndrome)

  • 정우상;문상관;조기호;김영석
    • 대한중풍순환신경학회지
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    • 제11권1호
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    • pp.82-88
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    • 2010
  • Because syndrome-differentiation is one of the major characteristics in oriental medicine, there would be a possibility that the same herbal medicine show different effects on the same disease, if syndrome differentiation is ignored. In this report, we observed different response of Yukmijihwang-tang in diabetic stroke patients according to their syndrome differentiation. One case diagnosed as 'Kidney-yin deficiency syndrome' showed remarkable improvement on diabetes mellitus, whereas the serum glucose levels of the other 4 cases diagnosed as 'non Kidney-yin deficiency syndrome' were lowered little. These results are in accordance with the oriental medical theory that Yukmijihwang-tang can treat 'Kidney-yin deficiency syndrome'. Therefore, we suggest that subsequent clinical trials on oriental medicine would have to include the concept of differentiation of syndromes in order to take out the merit of oriental medicine.

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한국형 중풍변증 표준 III을 이용한 변증진단 판별모형 (Discriminant Modeling for Pattern Identification Using the Korean Standard PI for Stroke-III)

  • 강병갑;고미미;이주아;박태용;박용규
    • 동의생리병리학회지
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    • 제25권6호
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    • pp.1113-1118
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    • 2011
  • In this paper, when a physician make a diagnosis of the pattern identification (PI) in Korean stroke patients, the development methods of the PI classification function is considered by diagnostic questionnaire of the PI for stroke patients. Clinical data collected from 1,502 stroke patients who was identically diagnosed for the PI subtypes diagnosed by two physicians with more than 3 years experiences in 13 oriental medical hospitals. In order to develop the classification function into PI using Korean Stroke Syndrome Differentiation Standard was consist of the 44 items (Fire heat(19), Qi deficiency(11), Yin deficiency(7), Dampness-phlegm(7)). Using the 44 items, we took diagnostic and prediction accuracy rate through of discriminant model. The overall diagnostic and prediction accuracy rate of the PI subtypes for discriminant model was 74.37%, 70.88% respectively.

심양허증으로 변증한 확장성 심근병증 환자 치료 1례 (A Clinical Study on Dilated Cardiomyopathy Diagnosed as Deficient of Sim-yang)

  • 하유빈;신길조
    • 대한중풍순환신경학회지
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    • 제20권1호
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    • pp.75-81
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    • 2019
  • ■ Objectives The purpose of this study is to report the improvement of dilated cardiomyopathy after traditional Korean medical treatment; herb-med, acupuncture, moxibustion. ■ Methods A patient with cardiomyopathy whose chef complaint was oversleep, shortness of breath, fatigue and coldness of hand-foot received inpatient treatment from September 2nd 2019 to September 23rd 2019. And we analyzed treatment progress and result. ■ Results We observed that traditional Korean medical treatment decreased symptoms; Fatigue by 30% and Coldness of hand-foot by 100%. And The patient's general condition is improved. ■ Conclusion We report this clinical study to be helpful in treating patients of dilated cardiomyopathy by traditional Korean medicine.

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뇌경색 환자의 경동맥 초음파 검사와 한방 중풍 변증과의 관련성 연구 (Study on the Relationship between Carotid Intima-Media Thickness and Korean Standard of Pattern Identification in Ischemic Stroke Patients)

  • 김경민
    • 대한중풍순환신경학회지
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    • 제15권1호
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    • pp.29-38
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    • 2014
  • ■ Objectives The purpose of this study was to investigate the correlation of The Korean Standard Pattern Identification for Stroke and Intima-Media Thickness of common carotid artery(CCA-IMT). ■ Methods 100 subjects with acute ischemic stroke were recruited from the patients admitted to DongEui Medical Center from the June 2011 to January 2014. We assessed 100 patient's Common Carotid Intima Media Thickness data by B Mode ultrasonography. We investigated pattern identification of all subjects based on Korean Standard Pattern Identification for Stroke-III. then, We analyzed their characteristics, risk factor, blood test result, life style. ■ Results We analyzed indicators of Korean Standard Pattern Identification for Stroke-III by Common Carotid Intima Media Thickness difference. As a result, pale complexion, look powerless, drowsiness like to lie, heat vexation and aversion to heat were significantly higher in the CCAIMT ≧ 1.0mm group then in the CCA-IMT < 1.0mm group. ■ Conclusion According to the analysis, the Relationship between Carotid Intima-Media Thickness and The Korean Standard Pattern Identification for Stroke in Ischemic Stroke Patients were founded. To acquire more concrete conclusion on this theme, we need more research.

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중풍변증 진료기록부 및 변증지표 측정에 관한 내부연구자간 일치도 연구 (Study of Concordance Rate to Measure Symptoms in Interanl Researchers)

  • 강병갑;고호연;김중길;김보영;고미미;강경원;유병찬;설인찬;이인;조현경;최선미
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1728-1731
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    • 2006
  • To develop the Korean Standard Differentiation of the Symptoms and sings, We investigate concordance rate of symptoms between Korean Medicine Doctors. Two Korean medicine doctor surveyed symptoms with the Korean Standard Differentiation of the symptoms and sings for the Stroke(KSDS) case report form in stroke patients within 1 month of onset. The concordance rate of inspection, auscultation and olfaction, inquiry, and pulse feeling and palpitation are respectively 0.79, 0.90, 0.91,0.80. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate.

중풍 환자의 NIHSS에 따른 중풍 변증 분형 분포의 특성 연구 (A Study on the Relationship between NIHSS and Distribution of Pattern Identification in Stroke Patients)

  • 김미경;양나래;최동준;한창호
    • 대한중풍순환신경학회지
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    • 제10권1호
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    • pp.47-53
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    • 2009
  • Objectives : This study was aim to investigate the relationship between NIHSS and distribution of pattern identification in stroke patients. Methods : 1471 participants from the patients hospitalized for stroke within 4 weeks from April 2007 to August 2009 were included. They were grouped according to the NIHSS score; group 1 for the participants whose NIHSS were less than six, group 2 for seven to fifteen, and group 3 for over than sixteen. And the patients were re-divided into two groups according to their post-onset interval. The difference of distribution of five pattern identification for each group were investigated. And five pattern identification were re-analyzed according to the deficiency-excess pattern identification. K-W test was used for statistical synthesis, and the result was regarded as significant one, if its p-value was below 0.05. Results : Dampness-phelegm pattern was the most frequent out of five patterns in total participants as well as all the subgroups. In group 3 with more serious neurological deficit, larger proportion of patients in early acute stage was diagnosed as excess pattern including Fire-Heat pattern. On the other side the proportion of Deficiency of Qi and Yin was larger in late convalescent stage of group 3 than in other groups. But nothing was statistically significant. Conclusions : Further study including patients with more variant classification with follow-up evaluation is needed to reflect the real characteristics of stroke population.

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한열변증에 따른 중풍 환자의 제반특성 비교 (The Comparison on the General Characteristics of Acute Stroke Patient between Heat pattern group and Cold pattern group)

  • 김민경;이인환;신애숙;김나희;김혜미;심소라;나병조;조승연;박성욱;정우상;문상관;박정미;고창남;조기호;김영석;배형섭
    • 대한중풍순환신경학회지
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    • 제11권1호
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    • pp.18-25
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    • 2010
  • Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and cold pattern group. Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo medical center, Kyungwon university lncheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university llsan oriental medical center) from April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern patients. Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group. CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution of the heat pattern group, and So-eum type takes high distribution of the cold pattern group. Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold pattern group.

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