• 제목/요약/키워드: 한의표준질병사인분류

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퍼지 신경망과 퍼지 추론 기법을 이용한 한방 자가 검진 시스템 개발 (System Development of Self Health Examination on Oriental Medicine using Fuzzy Neural Network and Fuzzy Inference Method)

  • 조승군;전현진;노현찬;신상호;김광백
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2010년도 춘계학술대회
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    • pp.189-192
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    • 2010
  • 본 논문에서는 개선된 Fuzzy ART 알고리즘을 이용하여 한의학을 기반으로 증상에 대한 질병을 진단하고 민간요법을 제시하는 한방 자가 검진 시스템을 제안한다. 제안된 방법은 신체 부위를 전신, 머리, 배, 다리 등 17부위로 분류하여 사용자가 증상을 선택하도록 제시하고, 사용자가 선택한 증상과 질병에 포함된 증상 그리고 결과로 도출될 질병간의 선택증상 비율에 대한 우선순위를 개선된 Fuzzy ART 알고리즘에 적용하여 증상을 분류한 후, 퍼지 추론 규칙을 적용하여 질병을 도출한다. 도출된 질병과 그 질병에 대한 원인 및 민간요법을 결과로 제시한다. 데이터베이스에 구축되어 있는 질병 데이터는 통계청에서 정리하여 배포한 한국표준질병 사인분류(K.C.D)를 토대로 표준 질병 정보를 얻어 각 질병의 증상과 원인, 민간요법을 정리한 후, 마지막으로 한의학 전문의의 검증을 거쳐 데이터베이스를 구축하였다. 제안된 한방 자가 검진 시스템에 대한 한의학 전문의의 분석 및 검증 결과, 본 시스템의 증상에 대한 질병 도출이 높은 정확도를 보임을 확인하였다.

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한국표준질병사인분류(KCD)에 오적(五積) 추가에 대한 제안 (A Proposal on the Addition of Wǔjī(五積) in KCD(Korean standard classification of disease and cause of death))

  • 이재흥;노주희;강한주;배재룡
    • 대한의료기공학회지
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    • 제19권1호
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    • pp.43-98
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    • 2019
  • Objective : The purpose of this study is to propose adding Wǔjī(五積) to KCD. Methods : The pathological details of Wǔjī(五積) mentioned in the classic literatures were extracted and compiled to provide the basis that Wǔjī(五積) should be registered in the KCD. Conclusions : 1. Jī(積) is a very important pathological and clinically element of Korean Medicine. So not only Shíjī(食積) but also Wǔjī(五積) should be registered in the KCD. 2. We suggest adding Wǔjī((五積) to the U-Code 64~71 of the KCD due to its pathological nature. 3. If Wǔjī((五積) is registered in the KCD, it will provide a more systematic and objective approach to Jī(積) in the future, and it is expected to provide an opportunity to drastically enhance the performance of Korean Medicine treatments for cancer or tumors by forming various and extensive big data. 4. Regardless of whether or not Wǔjī((五積) is added to the KCD, the clinical and pathological re-establishment of Wǔjī(五積) should be performed in accordance with the present period and social situation through continuous and extensive clinical research about Jī(積).

개선된 FCM 알고리즘을 이용한 한방의 질병 분류 시스템 (Disease Classification System of Oriental Medicine using Enhanced FCM Algorithm)

  • 장수재;최경열;김광백
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2011년도 춘계학술대회
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    • pp.93-96
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    • 2011
  • 본 논문에서는 개선된 FCM 알고리즘을 적용하여 통계청에서 제공하는 한국 표준 질병 사인 분류표(K.C.D)를 기초로 질병을 분류한 후, 질병을 도출하고 애매한 증상의 차이의 정도를 퍼지 추론기법을 사용하여 정확한 질병 상세를 도출할 수 있는 한방 질병 분류 시스템을 제시한다. 기존의 FCM 알고리즘은 입력 벡터들과 각 군집 중심과의 거리를 이용하여 측정된 유사도에 기초한 목적 함수의 최적화 방식을 사용한다. 하지만 측정된 패턴과 군집 공간상의 패턴들의 분포에 따라 바람직하지 못한 군집화 결과를 보일 수 있다. 따라서 본 논문에서는 군집들의 대칭성 측도에 퍼지 이론을 적용하여 기존의 FCM 알고리즘으로 군집화 한 결과를 재 군집화 하여 군집화의 정확성을 개선시킨 후, 증상의 차이를 구분하기 위해서 애매한 증상의 정도를 퍼지 추론 방법을 적용하여 정확한 질병 상세를 도출할 수 있는 방법을 제시한다. 본 논문에서는 개선된 FCM 알고리즘을 적용하여 질병을 분류한 후, 퍼지 제어 기법으로 질병을 추출함으로써 기존의 한방 자가진단 시스템 보다 정확하게 질병을 도출한 것을 확인하였다.

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$\mathbb{\ulcorner}$한국표준질병사인분류(한의$\mathbb{\lrcorner}$의 분석과 개선안에 관한 연구 (Analysis of Korean Standard Classification of Diseases(Oriental Medicine) and Its Proposition of Amendment)

  • 박경모;신현규;최선미
    • 대한한의학회지
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    • 제21권3호
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    • pp.9-19
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    • 2000
  • Objective : We proposed fundamental rules of prospective Korean Standard Classification of Diseases(Oriental Medicine). Methods : We analysed Korean Standard Classification of Diseases(Oriental Medicine)(established in 1994) in comparison with ICD-10 and Chinese Standard Classification of Disease(Traditional Chinese Medicine). Secondly, we analysed the diagnostic structure of Modem oriental medicine. Results : Korean Standard Classification of Diseases has an inappropriate writing structure, logical errors of classification, confusion of symptoms, 'bing', and 'zheng', inappropriate comparison of disease designations in oriental medicine and western medicine, and the ommission of important items. Secondly, we demonstrate the relations of 'bing' and 'zheng' in modem oriental medicine and disease designations in oriental medicine and western medicine. Conclusions : We propose the separate classification of 'bing' and 'zheng', the qualification of designated names, the structure of 'bing' and 'zheng' system, and a different writing method.

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한국표준질병·사인분류에 따른 한의 변증 설문지 개발 및 활용현황 고찰 (Review on the Development State and Utilization of Pattern Identification Questionnaire in Korean Medicine by U Code of Korean Classification of Disease)

  • 장은수;김윤영;이은정;유호룡;정인철
    • 동의생리병리학회지
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    • 제30권2호
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    • pp.124-130
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    • 2016
  • The aim of this study was to suggest the future direction of diagnostic and evaluative pattern identification questionnaire (PIQ) by reviewing the state of development and utilization of PIQ according to Korean classification of disease-U (KCD-U). We surveyed the database of OASIS, NDSL, KISS, DBPIA, and Pub-med to know the kinds of developed and developing PIQ of Korean medicine. We used 'Pattern Identification' and 'Questionnaire' to find suitable papers. The inclusion criteria met 47 cases. The number of PIQ before 2000yrs, between 2001 to 2005, 2006-2010, 2011-2015 were 2, 5, 18, 22cases. The number of PIQ belonged to the disease of Korean medicine, the pathological symptom of korean medicine, the Sasang constitutional pattern identification and etc according to KCD-U were 20(42.6%), 8(17%), 9(19.1%) and 10(21.3%). Twenties among forty seven PIQ were validated, and the rest of them were not validated. The distribution of the numbers of PIQ were significantly different according to KCD-U (p=0.003). The direction of Utilization of PIQ was 36 questionnaires in diagnosing PI, 14 cases in evaluating health state, 4cases in evaluating effects of a treatment and 8 ones in diagnosing Sasang constitutional types. This study reveals the status on validated and non-validated PIQ of Korean medicine and suggests the basic information for the direction of developing PIQ in the future.

한국표준질병 사인분류에 따른 위염(胃炎)의 한의학적 변증 연구 (Study on Syndrome Differentiation of Gastritis by Korean Standard Classification of Dsease and Cause of Death)

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제31권5호
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    • pp.255-263
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    • 2017
  • This article is for understanding relations between the classifications of gastritis and syndrome differentiation types of Korean Medicine through research on syndrome differentiations of clinically applied gastritis and literature of Korean Medicine. Clinical papers were searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI) from 1995 to 2015. Conclusions are as follows. First, disease mechanism of chronic gastritis are qi stagnation, damp stagnation, heat obstruction, blood stasis obstruction, yin damage, damage to collaterals with healthy qi deficiency and pathogenic qi. And qi movement stagnation is shown through the status of chronic gastritis. Second, chronic superficial gastritis belongs to qi aspect syndrome and mainly pathogen excess syndrome. And the key mechanisms are congestion and disharmony of stomach qi sometimes combined with liver depression, food accumulation and dampness-heat. Third, chronic atrophic gastritis belongs to qi-blood syndrome and deficiency-excess complex syndrome with the root of spleen qi deficiency and stomach yin deficiency and the tip of blood stasis, qi stagnation. And key mechanism is damage to collaterals with healthy qi deficiency and toxin-blood stasis. Forth, pathogen excess syndromes are shown at the early stage of chronic gastritis and healthy qi deficiency syndromes after the middle stage. Qi deficiency is shown at the beginning of the disease and yin deficiency at the late stage. And qi deficiency is related with superficial gastritis and yin deficiency with atrophic gastritis.

일개 한방병원에 내원한 산욕초기 산모의 한국표준질병·사인분류 분석 (Korean Standard Classification of Diseases of Early Postpartum Women in a Korean Medicine Hospital)

  • 김평화
    • 대한한방부인과학회지
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    • 제32권1호
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    • pp.73-84
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    • 2019
  • Objectives: The purpose of this study is to collect and analyze the KCD codes applied to the treatment of 27 postpartum women who had been treated with Korean traditional medicine in a Korean medicine hospital, so that this study may be used as a basic data for setting the direction of postpartum Korean medical treatment research. Methods: It was approved by the Institutional Review Board (IRB) of ${\bigcirc}{\bigcirc}$ University medical center (IRB approval number : WSOH IRB H1708-02-01). Twenty-seven postpartum women who had been treated at ${\bigcirc}{\bigcirc}$ University medical center were received outpatient treatment for two weeks (from September 27, 2017 to January 5, 2018), and the KCD codes applied to the mothers were collected after obtaining the consent. On the day of registration of the study, the fertility, obstetric history and high-risk pregnancies were identified through an interview. Results: 1. The mean age of the 27 subjects was $33.33{\pm}3.99\;years$ old. Among the subjects, 17 mothers (63.0%) were high-risk pregnancy and 10 mothers (37.0%) were normal. 2. Among the 22 major disease categories, 8 categories were used. M code (musculoskeletal system) was used 243 times (70.85%), followed by R code (unclassified symptom) of 51 times (14.87%) and U code (special purpose code) of 23 times (6.71%). 3. The most commonly used code among the ten frequently used codes was M25.57 (joint pain, ankle and foot), a total of 47 times. Of the remaining nine codes, except for R60.1 (systemic edema) and U68.4 (The deficiency of yang in Bi), all codes were M codes (musculoskeletal system). 4. The M code (musculoskeletal system) was the most used major disease category in high-risk group, a total of 159 times. But in specific categories, the most commonly used code was R60.1 (systemic edema), a total of 28 times. 5. In normal group, the M code (musculoskeletal system) was the most used major disease category, a total of 84 times. Also, in specific categories, the most commonly used code was M25.57 (joint pain, ankle and foot), total 29 times. 6. The U code, corresponding to 'the diagnosis of childbirth and other obstetrical medical use', was used 23 times (6.71%), O code three times (0.87%) and Z code two times (0.58%), which was less than 10% of the total number of codes used. Conclusion: When analyzing KCD codes related to Korean medicine treatment for postpartum diseases, it is important to select the KCD codes that reflect the actual clinical state.