• Title/Summary/Keyword: Clinical Prescription

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Comparison of Trunk Muscles Thickness in Three Different Bridge Exercises by Ultrasound Fusion Imaging (융합형 초음파 영상을 통한 세 가지 교각운동에 따른 몸통근육의 두께 비교)

  • Kang, Ji-Hyun;Shim, Jae-Hun
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.123-130
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    • 2015
  • This study examines the effects of different types of bridge exercises on the thickness of trunk muscles through ultrasound fusion imaging on 32 students. The thickness of the internal oblique (IO), external oblique (EO), transverse abdominis (TrA), and multifidus (Mf) muscles were measured in three different bridge exercises. The exercises included a supine bridge exercise, which was performed on a fixed support surface (Exercise A), a gym ball bridge exercise (Exercise B), and a sling bridge exercise (Exercise C). There were significant differences among the three bridge exercises in the IO, TrA, and Mf muscles. The IO was thickest in Exercise B followed by Exercise A and C. In contrast, the TrA and the Mf muscles were thickest in Exercise C followed by Exercise A and B. Therefore, the sling bridge exercise may be a more effective method of enhancing trunk muscle thickness than the exercises performed in other positions. Until recently, no previous studies had observed substantial changes in muscle thickness using ultrasound fusion imaging. This study suggests that sling bridge exercises contribute most to the activation of trunk muscles. Therefore, the research can contribute to the prescription and application of bridge exercises in clinical practices.

A Clinical Effect on Quality of Life to Allergic Rhinitis Patients treated by Quingbixiaoyanwan-Derivatives (청비소염환(淸鼻消炎丸)이 알레르기성 비염환자의 삶의 질에 미치는 임상적 효과)

  • Rhee, Hyung-Koo;Han, Dong-Ha
    • The Journal of Internal Korean Medicine
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    • v.23 no.1
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    • pp.73-81
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    • 2002
  • Objective : in order to be convinced of improvement in quality of life in allergic rhinitis patients, I observed clinically remedical effect of Quingbixiaoyanwan-Derivatives(淸鼻消炎丸) on allergic rhinitis with a questionnaire. Methods : We treated forty five allergic patients at the Nam Chun Oriental Medical Hospital from October, 2001 to January, 2002. They were treated with Quingbixiaoyanwan-Derivatives(淸鼻消炎丸), nasal cleansing solution and dietary treatment, and the health-related quality of life with a questionnaire. Results : 1. The gender proportion was twenty five males(55.6%) and twenty females(44.4%); seven teenagers (15.6%); ten patients in their 20s(22.2%); twenty patients in their 30S(44.4%); six patients in their 40s(13.3%); two patients in over 50s (4.4%) 2. The duration of the disease: 0 case within six months; three cases for six months to one year (6.6%); fourteen cases for one year to five years(31.1%); twenty six cases for over five years(62.2%) 3. Major symptoms; forty three cases for watery rhinorrhea (95.5%); thirty one caess for nasal itching(68.8%); 91.1 cases for sneezing(41.0%);thirty nine cases for nasal obstruction (86.6%); sixteen cases for difficulty in smelling(35.5%);seventeen postnasal drip(37.7%);three bloody rhinorrhea (6.6%);fourteen cases for headaches(31.1%); nine cases for eyelid itching (60.0%). 4. Seasonal Distribution: perennial allergic rhinitis occurred as follows: 55.6% in winter; 13.3% in fall; 11.1 % in spring;2.2% in summer. 5. Other combined allergic symptoms; sixteen cases for allergic conjunctives (37.8%); eight cases for sinus(17.8%);four cases for atopic dermatitis (8.9%); three cases for bronchial asthma(6.7%); sixteen cases for none(35.6%) 6. After a specific prescription of Quingbixiaoyanwan-Derivatives(淸鼻消炎丸), nasal cleansing solution and dietary therapy, the quality of life in allergic rhinitis patients was improved to 20.27%, which was significantly.(P<0.001) 7. The specific treatment did not affect GOT/GPT and BUN/Creatinine. 8. The specific treatment did not influence the level of total IgE serum significantly. Conclusions : Based on the above results, I have concluded that the specific treatment of Quingbixiaoyanwan-Derivatives(淸鼻消炎丸), nasal cleansing solution and dietary therapy can improve the quality of life in allergic rhinitis patients.

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Antispasmodic Effects of Junsibaekchul-San In Vivo and In vitro

  • Hur, Jin-Il;Byun, Joon-Seok;Kim, Dae-Jun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.1
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    • pp.143-151
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    • 2010
  • In Vivo and In vitro antispasmodic effects of Jun-Si-Baek-Chul-San, a Traditional Korean Polyherbal Medicineconsisted of 7 types of herbs were observed in the present study. To clarify the effects of Jun-Si-Baek-Chul-San, on accelerating small intestinal movement induced by the stimulation of cholinergic neurotransmission, we evaluated the effects of Jun-Si-Baek-Chul-San on In vivo carbachol (an acetylcholinergic agent)-accelerated mice small intestinal transit and on In vitro contractions induced by low-frequency electrostimulation, KCl, histamine or acetylcholine using isolated guinea pig ileum. To induce the acceleration of mice small intestinal transit, Carbachol 1 mg/kg was once subcutaneously dosed 15min before last administration of the test drugs. In the present study, Jun-Si-Baek-Chul-San 500, 250 and 125 mg/kg or domperidone 20 mg/kg were orally pretreated on the carbachol-accelerated mice small intestinal transit once a day for 7 days and the small intestinal transit rateof activated charcoal powder were monitored. In vitro assays, Jun-Si-Baek-Chul-San1, 0.1, 0.01 and 0.001 mg/ml or domperidone $2{\times}10^{-5}M$ were treated 10min before ileal contraction was induced by filed stimulation, acetylcholine, KCl and histamine, and the % changes of contractions were observed compared to the treatment of inducer alone. In spontaneous contraction, the % changes of contractions were observed compared to treatment of vehicle alone at 10min after Jun-Si-Baek-Chul-San or domperidone treatment. The efficacy of Jun-Si-Baek-Chul-San was compared to those of domperidone. High concentration, 1 mg/ml of Jun-Si-Baek-Chul-San was found to decrease the spontaneous contraction of the isolated guinea-pig ileum. In addition, Jun-Si-Baek-Chul-San decrease contractions induced by electrostimulation, acetylcholine, histamine and KCl in the isolated guinea-pig ileum. In addition, Jun-Si-Baek-Chul-San effectively inhibited the accelerated small intestinal movement induced by carbachol stimulation of cholinergic neurotransmission in In vivo. Based on the results, although the exact molecular or action mechanism and which herbs or compound in Jun-Si-Baek-Chul-San are responsible for actions, it was concluded that Jun-Si-Baek-Chul-San normalization in the accelerated intestinal motility might be interfere with a variety of muscarinic, adrenergic and histaminic receptor activities or with the mobilization of calcium ions required for smooth muscle contraction non-specificly. Therefore, it is expected that Jun-Si-Baek-Chul-San will be promising as a prescription of clinical treatment of digestive tract disorders such as accelerated the motility of intestine, diarrhea or intestinal painful contractions.

Study on The Effect of Lee Dong-Won's Eumhwalon on the Treatment of Internal Disease (이동원 음화론이 후대 내상병 치료에 미친 영향)

  • Shin, Jin-Bong;Lee, Jae-Won;Jeon, Ji-Young;Jeon, Yong-Cheol;Moon, Goo;Won, Jin-Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.2
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    • pp.267-276
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    • 2008
  • According to a treatment of internal disease in oriental medicine, we recognize that Lee Dong-won's Eumhwalon has a critical meaning. However, there is no well organized study about that so far even though medical treatments and prescriptions affected by Lee Dong-won's Eumhwalon have been used in clinical medicine. Hence I have studied the effect on a treatment of internal disease of after age affected by Lee Dong-won's Eumhwalon focused on medical treatments and prescriptions. For the comprehensive study on the effect of Lee Dong-won’s(李東垣) Eumwhalon(陰火論) on a treatment of internal disease for after age, I have examined, collected, and summarized the related descriptions from various books and papers in this subject such as <Naek-yung(內經)> which is the bible of oriental medicine. Followings are obtained as a result: Lee dong-won said Eumhwa(陰火) might be happened if there are abnormalities of the spleen and the stomach which exercise going up and coming down(升降). Lee dong-won offered Gamonjeyol(甘溫除熱) and Sengyangsanwha(升陽散火) as treatments of Eumhwa(陰火) Gamonjeyol(甘溫除熱) affected the treatment and the pathological recognition of Daekilon(大氣論) by Jang suk-sun(張錫純). Consequently there are some prescriptions such as Sengham-tang(升陷湯), Wandae-tang(完帶湯), Kerwonjern(擧元煎), and so on affected by Gamonjeyol(甘溫除熱). Sengyangsanwha(升陽散火) affected Yuklumanju(逆流挽舟) by Yu chang(喩昌) a lot. It is a meaning of Sengyangsanwha(升陽散火) that he used Insampaedok-san(人蔘敗毒散) to dysentery. As a representative prescription, there are Insampaedok-san(人蔘敗毒散), Kamisoyo-san(加味逍遙散), Baekchuljakyak-san(白朮芍藥散), and so on.

A Clinical Study on the Decreased Visual Acuity (視力低下에 對한 臨床的 考察)

  • Choi, Eun-Sung;Ryu, Hye-Jeong;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.9 no.1
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    • pp.146-158
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    • 1996
  • We observed 79 patients, who visited the Department of Oph. & Otorhinolaryngology in Oriental medicine of Kyung Hee University Medical Center from July 1995 to June. 1996, with the complaint of decreased visual acuity. The results were as follows. 1. In the incidence of decreased visual acuity, men's was $46.84\%$(37 cases) and women's was $53.16\%$(42 cases), which showed that more women were suffering decreased visual acuity than men. In the incidence of myopic ametropia and astigmatic ametropia among the total patients, men's was $44.62\%$(29 cases) and $37.50\%$(9 cases) each, and women's was $55.38\%$(36 cases) and $62.50\%$( 15 cases) each, which also showed that more women were suffering myopia and astigmatism than men. 2. The average age of patients was 11.08 years at the first visit. The most were the patients from 6 to 15 years old, with 63 cases($79.74\%$). 3. The age of onset in the decreased visual acuity was mainly 6∼10 years with 45 cases($56.96\%$). In the case of myopic ametropia and astigmatic ametropia, the age of onset was also mainly 6∼10 years with 65 cases($60.00\%$), and with 12 cases($50.00\%$) each. 4. In ABO blood type, the frequency was, A type, O type, B type and AB type in order. In men, O type was the most, while in women, A type. 5. In the liking for cool or warm food or tepidity, the liking for cool food was the most in both men and women. 6. The type of decreased visual acuity was mainly myopic ametropia with 65 cases($82.28\%$). Astigmatic ametropia was $30.38\%$ with 24 cases, hyperopic ametropia $2.53\%$ with 4 cases, and the decreased visual acuity accompanied by amblyopia $7.59\%$ with 4 cases. 7. At the first visit, the average visual acuity of O.D. was 0.29 and that of O.S.. 0.24, which showed that O.S.. is worse than O.D.. The visual acuity below 0.2 was the most, $63.29\%\;in\;O.D..\;72.15\%$ in O.S.. 8. In the treatment period, 4∼7 weeks occupied $35.44\%$ with 28 cases, 8∼11 weeks $30.38\%$ with 24 cases, so the treatment period was mainly these two periods with 52 cases($65.82\%$). 9. The average frequency of acupuncture treatment per week was mainly 2.1∼3.0 times with 45 cases($56.96\%$). In this case, men was 24 cases($53.33\%$) and women 21 cases($46.67\%$), so men was more than women. 10. The frequency of herbal prescription was mainly Gamijungjitang and Gamijingjibogansan with 76 cases($85.39\%$).

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Clinical Effect of Cupping Therapy on Cerebral Infarction Patients with Hyperlipidemia (뇌경색환자의 고지혈증에 대한 부항요법의 임상적 효과)

  • Park, Hoi-Jin;Hwang, Kyu-Sun;Park, Hyun-Ae;Lee, Chang-Hee;Park, Hyun-Ho;Song, Soo-Cheol;Jeon, Seong-Ha
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.41-49
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    • 2008
  • Objectives : This study was aimed at examining significant curative effects of Cupping therapy on Cerebral infarction patients with hyperlipidemia. Methods : The subjects in this study were fifty-two patients visited or admitted to Dong-seo Oriental Hospital who broke out with Cerebral infarction from March 2007 through February 2008, with high total cholesterol(240mg/$d\ell$ above) or high triglyceride(200mg/$d\ell$ above) or low density lipoprotein(160mg/$d\ell$ above) Before prescription, they were tested for total cholesterol, triglyceride, low density lipoprotein with fasting and were then rescribed the cupping therapy for 4 weeks(take an average ten times), after which they were retested for total cholesterol, triglyceride, low density lipoprotein. Results : 1. In the high total cholesterol group(triglyceride and low density lipoprotein are normal), statistical significance of total cholesterol changes was recognized before and after the treatment. 2. In the high triglyceride group(total cholesterol and low density lipoprotein are normal), statistical significance of triglyceride changes was recognized before and after the treatment. 3. In the high low density lipoprotein group(total cholesterol and triglyceride are normal), statistical significance of triglyceride changes was recognized before and after the treatment. 4. In the high total cholesterol and high triglyceride group(low density lipoprotein is normal), statistical significance of total cholesterol changes was recognized before and after the treatment. But, triglyceride changes was not that. 5. In the high total cholesterol and high low density lipoprotein group(triglyceride is normal), statistical significance of total cholesterol and low density lipoprotein changes were recognized before and after the treatment. 6. In the high triglyceride and high low density lipoprotein group(total cholesterol is normal), statistical significance of triglyceride changes was recognized before and after the treatment. But, low density lipoprotein changes was not that. 7. In the high total cholesterol and high triglyceride and high low density lipoprotein group, statistical significance of total cholesterol changes and low density lipoprotein changes were recognized before and after the treatment. But, triglyceride changes was not that. Conclusions : Cupping therapy decreased total cholesterol in whole hyperlipidemia group including high total cholesterol.

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Development of Advanced TB Case Classification Model Using NHI Claims Data (국민건강보험 청구자료 기반의 결핵환자 분류 고도화 모형 개발)

  • Park, Il-Su;Kim, Yoo-Mi;Choi, Youn-Hee;Kim, Sung-Soo;Kim, Eun-Ju;Won, Si-Yeon;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.289-299
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    • 2013
  • The aim of this study was to enhance the NHI claims data-based tuberculosis classification rule of KCDC(Korea centers for disease control & prevention) for an effective TB surveillance system. 8,118 cases, 10% samples of 81,199 TB cases from NHI claims data during 2009, were subject to the Medical Record Survey about whether they are real TB patients. The final study population was 7,132 cases whose medical records were surveyed. The decision tree model was evaluated as the most superior TB patients detection model. This model required the main independent variables of age, the number of anti-tuberculosis drugs, types of medical institution, tuberculosis tests, prescription days, types of TB. This model had sensitivity of 90.6%, PPV of 96.1%, and correct classification rate of 93.8%, which was better than KCDC's TB detection model with two or more NHI claims for TB and TB drugs(sensitivity of 82.6%, PPV of 95%, and correct classification rate of 80%).

Treatment Example of Bursitis Caused by Stroke (타박(打撲)에 의한 활액낭종(滑液囊腫)의 치험례(治驗例))

  • Lee, Soo-Kyeung;Lee, Yong-Yang;Kim, Young-Hwan;Park, Won-Hwan
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.79-95
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    • 2010
  • Background and Purpose : By preventing diseases caused by exogenous evil, disorder of internal organs, and seven modes of emotions and adapting to mother nature when the mind is unsettled, and keeping the body and mind relaxed diseases can be avoided, but there can be unpredicted situations caused accidentally by stroke. Currently the general prescription is regulating the flow of vital energy including drugs eliminating blood stasis. Even though the stroke is resulted from diseases caused by exogenous evil, by observing the patient's physical appearance, essence of life, vital energy, and mental faculties which are believed to be the functions of the heart to clear the upper body and invigorate the functions of the spleen and stomach and purge with drugs of warm nature is a closer approach than simply prescribing vital energy regulating drugs with eliminating blood stasis to the main purpose of treatment. Methods : 1) The subject of the study are 2 cases of patients who have visited the private hospital of the person who is announcing the results of the study. These patients have been given a diagnosis of edema or cystoma caused by bursitis in the knee joint through perception or medical examination and were waiting for operational application. 2) Sources related to stroke from Dong Eui Bo Gwam(東醫寶鑑) were used as the general standard of Korean Traditional Medicine, and to promote the understanding the original text and the translation has been given. 3) By observing the whole body such as the patient's usual physical appearance, essence of life, vital energy, and mental faculties which are believed to be the functions of the heart, or partly using the "Yin is even and well while Yang is firm" theory of "Plain Questions" as the background to present the results of the clinical study. Results and Conclusion : Generally the prescriptions from the first volume of Dong Eui Bo Gwam(東醫寶鑑) are mostly drugs eliminating stagnated blood including extravasated blood and the blood moving sluggishly in circulation or congested in a viscus, alleviating pain, invigorating blood circulation. Also prescriptions for bone fracture or fracture of bones and sinews are mostly to eradicate blood stasis with drastic drugs or coaptation drugs added to drugs eliminating stagnated blood including extravasated blood and the blood moving sluggishly in circulation or congested in a viscus, alleviating pain, invigorating vital energy, possessing warm properties for the Xue system.

The Effect of Yoga and Pilates Training on Obesity Indexes, muscle mass in each body part and Physical Fitness in Male College Students (요가와 필라테스 트레이닝이 비만 남자대학생의 비만도, 신체 부위별 근육량 및 체력에 미치는 영향)

  • Kim, Ji-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.5888-5896
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    • 2015
  • The purpose of this study was to examine the effect of Yoga and Pilates training on the obesity indexes, muscle mass in each body part and physical fitness of male college students in an effort to provide some clinical information on exercise prescription. The subjects in this study were 20 selected obese male students. A yoga group and a pilates group were organized with 10 students each, and the training was provided for 12 weeks, 5 times a week, 90 minutes each. The findings of the study were as follows: First, both of yoga and pilates made significant differences to obesity indexes(an increase in skeletal muscle mass, a decrease in BMI, a decrease in body fat rate and a decrease in WHR), to muscle mass in each body part(an increase in muscle mass on the right arm, left arm, trunk, right leg, and left leg), and to physical fitness(an increase in lower extremity muscle strength, muscular endurance, flexibility, left balance and right balance). Second, pilates exercised a more signifiant influence than yoga on an increase in skeletal muscle mass, the improvement of muscle mass in each body part(an increase in muscle mass on the right arm, left arm, trunk, right leg and left leg), and the improvement of balance(left and right). Third, yoga had a more significant impact on a decrease in BMI, body fat rate and WHR. Given the findings of the study, yoga and pilates seem to be efficient exercise programs to improve the obesity indexes of obese male college students and promote their health.

Classify the Acute Drug Intoxication Patients with Poisoning Severity Score(PSS) and Calculate the Optimal Cutoff Value of PSS, PSSsum to Predict Poor Prognosis (급성 약물 중독 환자에서 Poisoning Severity Score (PSS)를 이용한 중증도 분류와 중증도 분류에 있어 PSS 값과 PSSsum 값의 Optimal Cutoff Value)

  • Park, Hyun Woo;Park, Ha Young;Kim, Han Byeol;Park, Keon Woo;Lee, Sang Hun;Lee, Hyun Wook;Lee, Je Won;Hwang, Tae Sik
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.75-85
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    • 2018
  • Purpose: This study examined the Poisoning Severity Score (PSS) from acute poisoning patients, to determine the relationships among the PSS, PSSsum, the primary outcome (prolonged stay at the ER over 24 hours, general ward and ICU admission and the application of intubation and mechanical ventilator, and the administration of inotropes). Methods: A retrospective study was conducted through the EMR for 15 months. The PSS grade was classified according to the evidence of symptoms and signs. The differences in the primary outcomes between the PSS of when a single organ was damaged, and the PSS, PSSsum combined with the grade of when multiple organs were damaged, were studied. The cutoff value was calculated using the receiving operating characteristics (ROC) curve. Results: Of the 284 patients; 85 (29.9%) were men with a mean age of 48.8 years, and their average arrival time to the ER was $4.4{\pm}6.7\;hours$. The most frequently used drug was hypnotics. The number of patients with PSS grade 0, 1, 2, 3, and 4 was 17, 129, 122, 24, and one, respectively. No ICU admissions, application of intubation and mechanical ventilators, administration of inotropes were observed among the patients with PSS grades 0 and 1 but only on patients with PSS grades 2 to 4. At PSS, when separating the patients according to the number of damaged organs, 17 had no symptoms, 133 had one organ damaged, 75 had two organs damaged, 36 had three organs damaged, and 23 had four organs damaged. Significant differences were observed between increasing number of damaged organs and the primary outcome. Conclusion: Among the acute poisoning patients, the PSS was higher in severity when the grade was higher. The number of damaged organs and the primary outcome showed meaningful statistical differences. This study confirmed that when the patients' PSS>2 and PSSsum>5, the frequency of ICU admission was higher, and they were considered to be severe with an increased prescription risk of application of intubation and mechanical ventilator, and the administration of inotropes.