• 제목/요약/키워드: Blood Stasis(瘀血)

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교통사고 환자의 한방 변증에 대한 임상적 연구 - 한방 진단 시스템(DSOM)을 통한 - (Comparative Study of Normal Person and Traffic Accident Patient by DSOM)

  • 김민규;허정은;박선미;최한나;이인선;김봉현;강연경
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.245-250
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    • 2009
  • The purpose of this study is to evaluate the difference about pathogenesis of normal person and traffic accident, author used DSOM to investigate pathogenesis. Patient group is consisted of people who one month does not pass from traffic accident, and normal group is consisted of people who do not have special symptoms and past history. DSOM was used for pathogenesis investigation of two group. There was significant difference between T.A. group and Normal group in deficiency of blood (血虛), stagnation of qi(氣滯), blood stasis(瘀血), dampness(濕), dryness(燥), liver (肝), heart(心), kidney(賢), phlegm(痰)(p<0.05). When it comes to comparison of sex, there was significant difference between male and female in dryness(燥), spleen(脾), and lung(肺)(p<0.05) in T.A. group. But in normal group, there was not significant difference between male and female, and in the case of male there was significant difference between T.A. group and normal group in deficiency of blood(血虛), stagnation of qi(氣滯), kidney(賢), phlegm(痰)(p<0.05). Also in the case of female there was significant difference between T.A. group and normal group in blood(血虛), stagnation of qi(氣滯), blood stasis(瘀血), dampness(濕), dryness(燥), kidney(賢), phlegm(痰)(p<0.05). This result showed that the pathogenesis are differs. This result showed that the pathogenesis of traffic accident patient and normal people are difference.

칠정, 노권, 담음, 식적, 어혈 변증 설문지의 횡문화적 번역 연구 (Development of International Versions of Pattern Identification Questionnaires using Cross-cultural Translation Methodology: Seven Emotions, Fatigue and Malaise, Phlegm, Food Retension, and Blood Stasis)

  • 김현호
    • 대한한의진단학회지
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    • 제22권1호
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    • pp.33-44
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    • 2018
  • Objectives This study aimed to perform a cross-cultural translation of 5 kinds of pattern identification questionnaires from Korean to English: questionnaires for seven emotions, fatigue and malaise, phlegm, food retention, and blood stasis. Methods We followed the strict guideline on the cross-cultural translation of healthcare evaluation tool. Total five stages of study were conducted. First, translations of two individual translators. Second, synthesizing of the two results. Third, two back translations from synthesized version to Korean. Fourth, expert committee reviewed with the original version, synthesized version, back translated versions to make a pre-final version. Last, with the pre-final version, 5 Americans evaluated face validity of the pre-final version. We made a final version after the above-mentioned 5 stages. Result and conclusion International versions of the 5 kinds of pattern identification questionnaires were completed. We can expect this versions are widly used for clinical usage and following academical researches.

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파킨슨병의 한의학적 고찰 -병인병리(病因病理)와 침구요법(鍼灸療法)을 중심으로- (Literature Review on Parkinson's Disease in Oriental Medicine)

  • 박상민;이상훈;인창식;강미경;장대일;강성길;이윤호
    • Journal of Acupuncture Research
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    • 제21권1호
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    • pp.202-210
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    • 2004
  • Objective: In order to find oriental medical therapies on Parkinson's disease and to make a fundamental basis for clinical application, this study was performed. Methods: We reviewed 35 kinds of the ancient and modern text, and related articles. Results: Parkinson's disease is an extrapyramidal disease characterized by akinesia, tremor at rest, rigidity, and slowness of movement. In old oriental medical text, Parkinson's disease is described as Jinjeon(振顫), Chi, Gyeong (痙), Gyejong, Ryeon(攣) and Pyeongo(偏枯), Tantan, Jungbu(中腑症) of Jungpung(中風). According to the text, major pathological causes were Wind(風), Fire(火), Phlegm(痰), and Blood stasis(瘀血). And Parkinson's disease can be classified into four clinical types as liver & kidney yin-deficiency, qi & blood deficiency, retention of phlegm-heat, and qi-stagnation & blood stasis. Standardized acupuncture points are GV20, GB20, GV14 on head, CV12, ST25 on abdomen, GV26, ST7, GB1, S14, LI20 on face, LI4, LI11, TE5, SI3, HT3, LI15, SI6 on upper extremity, and ST36, GB34, SP6, LR3, KI1, GB30, BL40 on lower extremity. Other methods, such as scalp acupuncture, electro-acupuncture, and herb-acupuncture, can be applied to treat Parkinson's disease. Conclusions: We find out that there are oriental medical concepts related with Parkinson's disease such as Jinjeon(振顫), Chi, Gyeong (痙), Gyejong, Ryeon(攣) and Pyeongo(偏枯), Tantan, Jungbu(中腑症) of Jungpung(中風), of which major causes are Wind(風), Fire(火), Phlegm(痰), and Blood stasis(瘀血). We can also apply many effective acupuncture points and acupuncture therapies according to differential diagnosis, for example, liver & kidney yin-deficiency. qi & blood deficiency, retention of phlegm-heat, and qi-stagnation & blood stasis.

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복합부위통증증후군에 대한 동서의학적 고찰 (The Study on the Eastern and Western Medical Literatures for Complex Regional Pain Syndrome)

  • 김동은;유덕선;정일민;이정한;염승룡;권영달
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.157-185
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    • 2009
  • Objectives : The aim of this study is to suggest approach of oriental medical management and necessity by research of eastern and western medical literatures for Complex Regional Pain Syndrome(CRPS). Methods : We reviewed the clinical and experimental literatures of eastern and western concerned with CRPS which is related causation, signs and symptoms, diagnosis, etiology and management. Results : 1. CRPS is divided into type I and II by nerve injury. Two types of CRPS have been recognized: type I, corresponds to RSD and occurs without a definable nerve lesion, and type II, formerly called causalgia refers to cases where a definable nerve lesion is present. These conditions can be charaterized clinically by the sensory abnormalities, vascular abnormalities, oedema, sweating abnormalities, motor or trophic changes. 2. CRPS are well known to patients and physicians relatively, but the pathophysiology, causation and treatments are still unclear. 3. CRPS is needed to take the early diagnosis and multidisciplinary approach for significant effect. 4. CRPS can be regarded for obstruction syndrome of Ki and blood(痺證), blood stasis(瘀血), Wei symptom(痿證), numbness(痲木) in the oriental medical management of CRPS. Conclusions : Above the results, it is suggested that further studies and active approach of management of CRPS will be conducted precisely in oriental medicine.

기계학습을 적용한 자기보고 증상 기반의 어혈 변증 모델 구축 (Machine Learning Approach to Blood Stasis Pattern Identification Based on Self-reported Symptoms)

  • 김현호;양승범;강연석;박영배;김재효
    • Korean Journal of Acupuncture
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    • 제33권3호
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    • pp.102-113
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    • 2016
  • Objectives : This study is aimed at developing and discussing the prediction model of blood stasis pattern of traditional Korean medicine(TKM) using machine learning algorithms: multiple logistic regression and decision tree model. Methods : First, we reviewed the blood stasis(BS) questionnaires of Korean, Chinese, and Japanese version to make a integrated BS questionnaire of patient-reported outcomes. Through a human subject research, patients-reported BS symptoms data were acquired. Next, experts decisions of 5 Korean medicine doctor were also acquired, and supervised learning models were developed using multiple logistic regression and decision tree. Results : Integrated BS questionnaire with 24 items was developed. Multiple logistic regression models with accuracy of 0.92(male) and 0.95(female) validated by 10-folds cross-validation were constructed. By decision tree modeling methods, male model with 8 decision node and female model with 6 decision node were made. In the both models, symptoms of 'recent physical trauma', 'chest pain', 'numbness', and 'menstrual disorder(female only)' were considered as important factors. Conclusions : Because machine learning, especially supervised learning, can reveal and suggest important or essential factors among the very various symptoms making up a pattern identification, it can be a very useful tool in researching diagnostics of TKM. With a proper patient-reported outcomes or well-structured database, it can also be applied to a pre-screening solutions of healthcare system in Mibyoung stage.

포황이 흰쥐의 식이성 고지혈증 치료에 미치는 영향 (Curative Effects of Typhae Pollen on the Diet-Induced Hyperlipidemia in Rats)

  • 신형섭;김규열;김호현;서일복
    • 동의생리병리학회지
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    • 제17권1호
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    • pp.225-229
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    • 2003
  • In Oriental Medicine, hyperlipidemia is considered as the phlegm stagnancy(痰飮) and blood stasis(瘀血). Typhae Pollen helps remove blood stasis and hemorrhage and it also has an effect of relieving pains caused by blood stasis. The purpose of this study is to investigate the curative effects of Typhae Pollen on diet-induced hyperlipidemia in rats. Thirty-two rats were divided into normal, control and treated group. Control and treated group were fed with 1.5% cholesterol diet during 4 weeks, and fed with normal diet during next 4 weeks. Treated group was also administrated with extract of Typhae Pollen during last 4 weeks. Blood samples were collected from each of animals at 4, 6 and 8weeks, and used for the blood chemical analysis. Animals were sacrificed at 8 weeks, and chemical analysis was performed on the collected liver samples. The serum total cholesterol(47.82±2.03㎎/㎗), LDL-cholesterol(11.09±1.27㎎/㎗), HDL-cholesterol (19.64±1.23㎎/㎗), triglyceride(85.09±3.48㎎/㎗) values of treated group were significantly decreased compared with the serum total cholesterol(73.73±5.34㎎/㎗), LDL-cholesterol(22.09±3.09㎎/㎗), HDL-cholesterol(25.18±1.45㎎/㎗l), triglyceride(124.27±6.72㎎/㎗) values of control group at 8weeks. The liver total cholesterol and triglyceride values of treated group show no statistically significant differency compared with those values of control group. On the basis of these results, it is confirmed that Typhae Pollen has the curative effects on the hyperlipidemia in rats induced by hyper-cholesterol diets.

흰쥐의 식이성 고지혈증에 대한 포황의 예방 효과 (Preventive Effects of Typhae Pollen on the Diet-induced Hyperlipidemia in Rats)

  • 신형섭;김규열;서일복;김호현
    • 대한한의학회지
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    • 제24권2호
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    • pp.32-39
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    • 2003
  • Objectives : In Oriental Medicine, hyperlipidemia is considered as phlegm retention (痰飮) and blood stasis (瘀血). Typhae pollen helps remove blood stasis and hemorrhage, and it also has an effect of relieving pain caused by blood stasis. The purpose of this study is to investigate the preventive effects of Typhae pollen on diet-induced hyperlipidemia in rats. Methods : Thirty-two male Sprague-Dawley rats were divided into normal, control and treated groups. The control and treated groups were fed with a 1.5% cholesterol diet over 4 weeks, and extract of Typhae pollen was administered to the treated group during the same period. Blood samples were collected from each animal at 0 and 4 weeks and used for the blood chemical analysis. Animals were sacrificed at 4 weeks and chemical analysis was performed on the collected liver samples. Results : The serum total cholesterol ($122.45{\pm}4.96mg/dL$), LDL-cholesterol ($54.27{\pm}4.95mg/dL$), and triglyceride ($122.00{\pm}7.33mg/dL$) values of the treated group were significantly lower compared with the serum total cholesterol ($147.91{\pm}7.22mg/dL$), LDL-cholesterol ($81.91{\pm}8.34mg/dL$), and triglyceride ($169.27{\pm}12.34mg/dL$) values of the control group. The liver total cholesterol (TEX>$230.18<{\pm}18.81mg/dL$) values of the treated group were significantly higher compared with the liver total cholesterol ($178.54{\pm}$10.11mg/dL) values of the control group. Conclusions : On the basis of these results, it is confirmed that Typhae pollen has preventive effects on diet-induced hyperlipidemia in rats.

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궁귀조혈음가미방(芎歸調血飮加味方)을 복용한 여성의 산욕 초기 증상과 어혈 변화에 대한 연구 (A Study on the Changes of Early Puerperium Symptoms and Blood Stasis Index of Women Taking Gungguijohyeol-eum-gamibang)

  • 최석영;김찬우;김남훈;박경선;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제31권1호
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    • pp.1-19
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    • 2018
  • Objectives: The purpose of this study was to investigate the changes of early puerperium symptoms and Blood Stasis Index in women during the first two weeks after childbirth. Methods: 38 women staying at Korean postpartum management facilities were studied. Questionnaires were filled out on the date of arrival and departure. Changes in overall physical conditions including neuropsychiatric, circulatory, digestive, musculoskeletal, and urogenital and breast symptoms as well as Blood Stasis Pattern were studied. Results: 1. Neuropsychiatric symptoms were shown in order of Depressed Feeling, Insomnia, Dizziness, Headache, and Easy to Anger and Nervous on arrival. All symptoms showed improvement after two weeks, without significance. 2. Circulatory symptoms were shown in order of Excessive Sweating, Edema, Fatigue, Hot Flash, Anemic Feeling, Alternating Chills and Fever, Cold Hypersensitivity, Chills, Oppression in the Chest, and Palpitation on arrival. Hot Flash, Excessive Sweating, and Edema showed significant improvement after two weeks. 3. Digestive symptoms were shown in order of Dyspepsia, Dry Mouth, Constipation, and Loss of Appetite. All symptoms showed improvement after two weeks, without significance. 4. Pain of Muscles & Joints showed improvement after two weeks, without significance. Pain of Teeth & Gingiva showed slight worsening after two weeks, without significance. 5. Urogenital and Breast symptoms were shown in order of Wound Pain, Fever and Distending Pain in the Breast, and Lower Abdominal Pain on arrival. All symptoms showed significant improvement after two weeks. 6. Blood Stasis Index showed significant improvement after two weeks. Conclusion: Most symptoms were improved in women staying at Korean postpartum management facilities for two weeks. Hot Flash, Excessive Sweating, Edema, Wound Pain, Lower Abdominal Pain, Fever and Distending Pain in the Breast and Blood Stasis Index showed significant improvement.

어혈처방 3종이 지방전구세포 분화에 미치는 영향 (Anti-adipogenesis Effects of 3 Herbal Formula on Blood Stasis)

  • 이호영;심은형;이명수;이주아
    • 대한본초학회지
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    • 제31권6호
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    • pp.29-35
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    • 2016
  • Objectives : Blood stasis (BS) is related to be caused by blood circulation and stagnation which are cancer, atherosclerosis and hyperlipidemia in traditional medicine. We extracted 3 kinds of BS formula; Seogakjihwang-tang (SGT), Tonggyuhawlhyul-tang (THT), Hyulbuchukeo-tang (HCT). This study was conducted to investigate whether the 3 kinds of herbal formula extracts have inhibitory efficacy association with anti-adipogenesis. Methods : To investigate the anti-adipogenesis, we used the mouse fibroblast cell line, 3T3-L1 which differentiated into adipocytes in response to insulin, IBMX and dexamethasone (MDI). Cytotoxicity of herbal formula extracts were examined by CCK-8 kit. Intracellular lipid droplets were detected by Oil-Red-O staining. Triglyceride (TG) and leptin were measure using elisa kit. Results : The yield of water extracts was 14.62% (SGT), 21.27% (THT), 20.02% (HCT). Lipid accumulation was reduced significantly by 3 kinds of herbal formula compared to control. Especially, THT and HCT decreased lipid droplet, respectively at all concentration. The TG and leptin were also inhibited by 3 kinds of herbal formula. The IC50 of TG were $280.51{\mu}g/m{\ell}$ (SGT), $52.62{\mu}g/m{\ell}$ (THT), $313.99{\mu}g/m{\ell}$ (HCT). The IC50 of leptin were $348.76{\mu}g/m{\ell}$ (SGT), $164.02{\mu}g/m{\ell}$ (THT), $257.00{\mu}g/m{\ell}$ (HCT). THT was better than other herbal formula on anti-adipogenesis. Conclusion : kinds of herbal formula inhibited adipogenesis in MDI-induced 3T3-L1 adipocytes, as indicated by the significant reduction in TG and leptin concentration without cytotoxicity. Therefore, 3 kinds of herbal formula for BS might act as a therapeutic agent for preventing lipid diseases, such as obesity and atherosclerosis.

'비통혈(脾統血)'의 개념(槪念)과 기전(機轉)에 관한 고찰(考察) (A Study on the Concept and Mechanism of 'The Pi Controls the blood(脾統血)')

  • 김종현
    • 대한한의학원전학회지
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    • 제29권2호
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    • pp.165-176
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    • 2016
  • Objectives : This study was done to investigate the formation process of the 'The Spleen controls the blood(脾統血)' concept, to clarify what this concept means and the mechanism of its physiology. Methods : Contents including 'Controlling blood(統血)' and 'Binding blood(攝血)' were searched and analyzed in medical classics. Previous researches were applied. Results & Conclusions : The concept of 'Controlling blood' could be defined as the control of blood movement. This means that it sends blood to where it's needed, and inhibits flow from where it's excessive. 'The Spleen controls the blood' was not used as a physiologic term in early books like Huangdineijing(黃帝內經). It was first used in the 13C, then widely after the 16C. The mechanism of 'Controlling blood' could be classified as the function of 'Production', 'Distribution', and 'Adjustment' of blood. 'Production' of blood can reduce blood fever(血熱) and blood stasis(瘀血), and prevent bleeding. 'Distribution' of blood can reduce the symptoms raised by lack of blood in the five viscera and body. 'Adjustment' of blood means maintaining homeostasis and stability of the human body. Pi can adjust blood flow and prevent blood from being imbalanced.