• Title/Summary/Keyword: 한의학 증상 진단

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A CLINLCAL STUDY OF the TYPE OF DISEASE AND SYMTOM ACCORDING TO SASANG CONSTITUTION CLASSWICATION (in the field of questionnaire analysis) (체질진단분류(體質診斷分類)에 따른 질병(疾病) 및 증상유형(症狀類型)에 관한 임상적 연구 - 문진표를 중심으로 -)

  • Kim, Jong-Wean
    • Journal of Sasang Constitutional Medicine
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    • v.8 no.1
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    • pp.337-347
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    • 1996
  • The 73 outpatients who had been treated in the Oriental Medical Hospital at Dong Eui Medical Center have participated in this study. The following conclusions were made in comparison with the type of disease and symptom and sasang constitution classification. (in the field of questionnaire analysis) 1. The symptom of "weight loss" is significant differences in sasang constitution classification. The frequency of Taeeum goup is more than Soyang group and Soeum group. 2. The symptom of "vomitig" is significant differences in sasang constitution classification. The frequency of Taeeum goup is more than Soyang group and Soeum group. 3. The symptom of "hoarseness" is significant differences in sasang constitution classification. The frequency of Soeum goup is more than Soyang group and Taeeum group. 4. The symptom of "respiratory distress" is significant differences in sasang constitution classification. The frequency of Taeeum goup is more than Soyang group and Soeum group. 5. The symptom of "arthralgia" is significant differences in sasang constitution classification. The frequency of Soyang goup is more than Taeeum group and Soeum group. 6. The symptom of "menstrual pain" is significant differences in sasang constitution classification. The frequency of Soeum goup is more than Soyang group and Taeeum group. 7. The analysis of past history and sasang constitution classification didn't show any significant differences. Only the analysis of past history and age show significant differences. I think that it is necessary to go deep into the clinical study of the type of disease and symptom according to sasang constitution classification.

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Case Report of Two Cases on Effect of Combined Bee Venom and CS Pharmacopuncture with Koream Medicine Treatment on HIVD of L-spine (요추 추간판탈출증 환자에 대한 봉약침과 CS약침을 병행한 한의학적 복합치료 효과에 대한 증례보고)

  • Hwang, Ji Hye;Kim, Deok-Hyun
    • Korean Journal of Acupuncture
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    • v.35 no.4
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    • pp.239-246
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    • 2018
  • Objective : This case study reports the therapeutic effect of Korean Medicine (KM) treatments including CS(care special pain) and BV(bee venom) pharmacopuncture on herniated intervertebral disc(HIVD) of lumbar spine(L-spine). Methods : Two patients diagnosed with HIVD of L-spine were treated with CS and BV pharmacopuncture on GV3 and EX-B2, acupuncture, cupping, and herbal medicine. The Numeric Rating Scale(NRS), the Oswestry low back pain Disablility Index(ODI) and the Roland Morris Disability Questionnaire(RMDQ) scores were evaluated before and after treatment for comparison. Results : Low back pain(LBP) and radiating pain was improved with a decrease in patients' NRS, ODI and RMDQ scores. Conclusion : These results suggest that KM treatments including combined CS and BV pharmacopuncture could be an effective treatment on patients with HIVD of L-Spine.

The Clinical Study on 1 Case of Allergic Contact Dermatitis Treated with Infra-red Therapy and Acupuncture (경피적외선 조사요법과 침치료로 병행 치료한 알레르기성 접촉 피부염 환자 치험 1례)

  • Park, In-Sun;Jung, Hyun-A;Yoon, Il-Ji
    • Journal of Haehwa Medicine
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    • v.20 no.2
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    • pp.125-131
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    • 2012
  • The number of allergic contact dermatitis patients is steadily increasing but a proper reliability treatment guide is not prepared in Oriental Medicine. Also, the number of clinical cases on allergic contact dermatitis is not sufficient in Oriental medicine. As such, the facial flushing of allergic contact dermatitis which has been improved by infra-red therapy is significant in its treatment purpose. We reported on 43-year old male patient with allergic contact dermatitis. We treated him with herbal concoction, acupuncture, infra-red therapy and cupping therapy. We have received a good result in this case by using the combination of infra-red therapy. We reached a conclusion that using infra-red therapy can improve the facial flushing of patient with allergic contact dermatitis. However, further research on the effect of infra-red therapy for these symptoms is desired.

A Study of the Therapeutic Effects of Ginseng on Chi-deficiency Syndrome with Sphygmography (맥파계법을 이용한 인삼의 기부족 증상 치료효과에 관한 연구)

  • Chang Hen-Hong;Shen Yung-Yu;Chan Yat-Kwong;Wang Shu-Yu;Ma Chien-Chung
    • Proceedings of the Ginseng society Conference
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    • 1988.08a
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    • pp.70-76
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    • 1988
  • Since ancient times, records pertaining to chi-reinforecenent of ginseng have been documented in books of Chinese nedicine. We, therefore, assessed the therapeutic effects of ginseng on patients with chi-deficiency syndrome. Eigheen cases of chi-deficiency, screened at the outpatient service in the internal department of Chinse medicine at the China Medical College Hospital. were prescribed two grams of Korean red ginseng powder three times daily for a two week period. For evaluation, a questionnaire and diagnosis by sphygmography were conducted prior to and after administration of the prescription. For control purposes, fourteen volunteers fasted for more than five days (seven had access only to ginseng. and the other seven were given only mineral water) and were subsequently evaluated by the same criteria. Three results were obtained for the ginseng treated group: (1) improvements in symptoms of chi-deficiency such as fatigue and dizziness; (2) changes in pulse waves with time domains showing alternate P-waves, strengthened dicrotic waves, and some minute waves in the end-diastolic period; (3) frequency domains with enhanced amplitudes around 12Hz. These three findings, which are consistent with each other, suggest the reinforcement of the effect of ginseng on 'heart-spleen chi' in Chinese medicine.

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Suggestions for writing the medical records based on the symptoms in Sanghanron("傷寒論") (상한론 증상에 근거한 진료기록부 작성에 대한 제언)

  • Kim, Sang-Un;Lee, Hong-Kyu;Jung, Hyun-Jong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.18 no.2
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    • pp.85-110
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    • 2014
  • Objectives This study intends to present the writing of standardized medical records based on Korean medicine on the basis of the Sanghanron symptoms. Methods 1. Excluding the sentences unrelated to the Sanghanron symptoms, the symptoms in the rest of sentences were extracted. 2. Classifying the extracted symptoms as per the review of system, the similar symptoms were integrated. 3. Calculating the frequencies of each symptom, each strain rate was calculated. Results & Conclusion: 1. Resulting from the analysis on 378 sentences in Sanghanron, a total of 1566 different symptoms were extracted. 2. As results out of total, the symptom related to the temperature sensation accounted for 17.9%, that related to sweat did 6.5%, that related to pulse did 12.4%, that related to eye and nose and mouth and tongue and throat as well as thirst did 7.7%, that related to stool did 11.6%, that related to urination and urinary organs did 4.9%, that related to language and mind and sleep and agitation as well as heart did 10.0%, and that related to vomiting and abdomen as well as digestive organs did 15.4%. 3. There were found many symptoms were described in accordance with the severity of basic expressions. For examples, in case of fever, there were mild fever and high fever, and in case of sweat, there were profuse sweating and slightly sweating. 4. To create the medical records for cold damage disease, it may necessary to consider the factors to be recorded as per each symptom and write the detail of each symptom.

Suggestions for writing the medical records based on the symptoms in Geum-gwe-yo-ryak(『金匱要略』) (금궤요략 증상에 근거한 진료기록부 작성에 대한 제언)

  • Kim, Sang-Un;Jung, Hyun-Jong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.1
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    • pp.11-34
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    • 2015
  • Objectives This study intends to present the writing of standardized medical records based on Korean medicine on the basis of Geum-gwe-yo-ryak symptoms. Methods 1. Excluding the sentences unrelated to the Geum-gwe-yo-ryak symptoms, the symptoms in the rest of sentences were extracted. 2. Classifying the extracted symptoms as per the review of system, the similar symptoms were integrated. 3. Calculating the frequencies of each symptom, each strain rate was calculated. 4. The above results were compared with the results of existing similar study on Sang-han-ron("傷寒論") symptoms Results Conclusion 1. Resulting from the analysis on all sentences in Geum-gwe-yo-ryak, a total of 1486 different symptoms were extracted. 2. As results out of total, the symptom related to the temperature sensation accounted for 12.4%, that related to sweat did 3.8%, that related to thirst did 3.8%, that related to edema did 3.4%, that related to musculoskeletal system did 6.9%, that related to breathing did 8.6%, that related to chest and hypochondrium did 6.2%, that related to abdomen did 9.5%, that related to digestive system did 9.6%, that related to stool did 6.4%, that related to urination and urinary system did 5.7%, that related to mouth, eye, ear, nose, throat did 5.3%, that related to skin did 4.5%, that related to language, mind, sleep and emotion did 6.7%. 3. Compared with Sang-han-ron, Edema appear only in Geum-gwe-yo-ryak. Therefore, edema may be a characteristic symptoms of miscellaneous disease.

Relationship Between Characteristics of Five Woons in Asian Woman and Physical Tests and Symptoms based on Asian Medicine (아시아 여성의 오운체질(五運體質)별 검사특성 및 증상과의 관계 - 한국과 일본에서 태어난 미국에 거주하는 한국, 일본 여성을 위주로)

  • Jin, Seng-Hee;Choi, Kyung-Mee;Kim, Tae-Hee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.44-56
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    • 2010
  • Objective : To characterize Five Woons of Asian women who live at Los Angeles area in U.S.A Methods : A set of physical tests and diagnostic questions were given to 242 Asian female subjects who were treated for their symptoms at a clinic of Asian medicine near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The physical tests included a body composition via Inbody 4.0 and an autonomic bioelectric response record via ABR2000. The oneway analysis of variance was applied to compare the means of the Five Woons and the physical test results. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results : 1. In the body composition items, the LSD(least significant difference) showed that there were significant differences between the Soil Woon and the other Four Woons which are Water, Metal, Fire and Wood Woons in weight, fat, body fat %, BMI (p<0.2). 2. Based on the LSD, significant differences were observed among the Five Woons in R5, R6 and R7(p<0.2). 3. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema, fatigue and to take a medication for high blood pressure out of 24 diagnostic questions (p<0.2). Conclusions : Further clinical research is necessary to develop a more delicate questionnaire and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Oriental medicine.

Awareness of the Causes of Drug-Induced Liver Injury: A Case of Hepatotoxicity Resulting from Antipsychotics (사례로 본 한방임상에서 양약으로 인한 약인성간손상에 대한 인식 필요성)

  • Chang-gue Son
    • The Journal of Internal Korean Medicine
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    • v.44 no.4
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    • pp.751-756
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    • 2023
  • Objective: This study attempts to increase awareness of hepatotoxicity caused by antipsychotic drugs and to provide updated information on drug-induced liver injury (DILI) to physicians in Korean medicine (KM) clinics. Methods: This study presents a detailed case of a female patient diagnosed with DILI attributed to antipsychotic drugs, highlighting the improvement observed through laboratory findings. Results: A 56-year-old female patient with underlying disorders, including mixed connective tissue disease and depression, was under medical care. One day, she reported experiencing intense fatigue and distressing sensations, prompting the author to order blood tests. The levels of AST and ALT were significantly elevated by more than 2.5-fold, indicating hepatocellular DILI. The RUCAM score for antipsychotic drugs was 9, as no other medications, including herbal medicine, were being taken. Upon discontinuation of the antipsychotic drugs, the patient's laboratory findings returned to normal levels within 2 weeks, accompanied by a recovery of subjective symptoms. Conclusion: This study presents a noteworthy case of hepatotoxicity caused by antipsychotic drugs, serving as an illustrative example that highlights the crucial need for awareness among doctors of KM in clinical settings.

Well-Managed Myelodysplastic Syndrome Patients Treated with Traditional Korean Medicine; Report of Two Cases (한방 치료를 통한 골수이형성증후군 치험례 2례)

  • Kim, Jun-young;Joung, Jin-yong;Son, Chang-gue;Cho, Jung-hyo
    • The Journal of Internal Korean Medicine
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    • v.37 no.3
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    • pp.539-547
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    • 2016
  • Myelodysplastic syndrome (MDS) is a typical myeloid malignancy characterized by cell dysplasia in bone marrow. Currently, there is no therapeutic treatment for MDS. The only available therapies either relieve symptoms or prevent the development of acute myeloid leukemia (AML). This study aimed to report the effects of traditional Korean medicine (TKM) on MDS by presenting two case reports. The patient in Case 1 was diagnosed with primary MDS and regularly received acupuncture treatments and herbal medicine. In Case 2, a patient with ovarian cancer was diagnosed with secondary MDS, which resulted from an adverse reaction to chemotherapy. This patient took herbal medicine for four years and was hospitalized three times. In order to have their condition evaluated, both patients underwent regular blood tests. The patient in Case 1, who showed blood transfusion dependency, received only two blood transfusions after TKM treatment, and the person’s health condition was stable as of January 2016 without any signs of AML development. The patient in Case 2 also has stable health condition. TKM treatment effectively treated their MDS symptoms and improved their general health conditions without any adverse effects. It also prevented the rapid development of AML and maximized the effects of conservative therapy.

Long-Term Survival of Patients with Lung Cancer Treated by Traditional Korean Medicine Combined with Western Treatment: Report of Two Cases (양한방 복합투여로 장기간 생존을 보인 폐암 환자 2례)

  • Kang, Ji-young;Kim, Jun-young;Son, Chang-gue;Cho, Jung-hyo
    • The Journal of Internal Korean Medicine
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    • v.36 no.1
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    • pp.58-68
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    • 2015
  • Objectives : To evaluate the long-term survival effects of traditional Korean medicine (TKM) on refractory metastatic lung cancer and small cell lung cancer (SCLC), which have historically poor survival rates. Methods : A retrospective study was conducted using the medical records of two patients in Daejeon University hospital. The first patient, with SCLC, was treated from January 2000 to December 2009 and the other, with metastatic pulmonary cancer from primary hepatocellular carcinoma (HCC), was treated from September 2004 to February 2014. The patients were treated with herbal medicines at one-month intervals. During hospitalization, acupuncture and indirect moxibustion were performed concurrent with the administration of Western therapy. Treatment efficacy was assessed monthly using chest radiography, chest computed tomography, and laboratory examination data, and by measuring patient performance status. Results : Both patients exhibited a stable disease course for more than 9 years after the initial diagnosis of intractable lung cancer, suggesting that their disease status was controlled by TKM. Conclusions : We suggest that a combination of TKM with conventional Western therapy for refractory lung cancer patients is effective in controlling various symptoms related to lung cancer and improving quality of life, and may potentially prolong overall survival.