• 제목/요약/키워드: DITI

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수족냉증 중증도 판단에 영향을 미칠 수 있는 요인 분석 (Analysis of Factors that Can Affect the Assessment of Severity of Cold Hypersensitivity in Hands and Feet)

  • 김진우;박경선;이창훈;장준복;이경섭;이진무
    • 대한한방부인과학회지
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    • 제25권4호
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    • pp.38-45
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    • 2012
  • Purpose: The purpose of this study is to find the factors that can affect the assessment on severity of cold hypersensitivity on hands and feet by comparing the temperature distribution among the seasons, the scan time and the laboratory temperature. Methods: We compared the temperature distribution of the arms and legs, according to the season and scan time on the basis of the results of Digital Infrared Thermal Imaging(DITI) conducted on 178 women who visited the hospital in summer and winter. We evaluated the correlation between the laboratory temperature and temperature distribution of the arms and legs. Results: The temperature distribution of the arms and legs was significantly different between summer and winter. The temperature distribution of the arms and legs was not significantly different according to the scan time. There was no significant correlation between laboratory temperature and the temperature distribution of the arms and legs in summer and winter. Conclusions: The diagnostic criteria to assess the severity of cold hypersensitivity on hands and feet need to be changed according to the season. The scan time and the small variation($24^{\circ}C{\sim}27^{\circ}C$) of the laboratory temperature doesn't affect the assessment of severity of cold hypersensitivity.

한의표준임상진료지침 개발을 위한 수족냉증에 대한 한의사의 인식과 치료현황 (A Survey on Korean Medicine Doctors' Recognition and Treatment for Developing Korean Medicine Clinical Practice Guideline of Coldness of Hands and Feet)

  • 이동녕;김형준;유준상
    • 대한한방부인과학회지
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    • 제30권3호
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    • pp.92-116
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    • 2017
  • Objectives: The purpose of this study were to researched a Korean medicine doctors' recognition about coldness of hands and feet, and developing of korean medicine clinical practice guidelines (CPG) for coldness of hands and feet. Methods: We conducted a questionnaire survey targeting 399 Korean medicine doctors belonging to the Association of Korean Medicine by e-mail and analyzed the answers. Results: 1. 86.86% of the respondents agreed about the necessity of CPG for coldness of hands and feet. 2. 84.2% of respondents wanted coding of Korean Standard Classification of Diseases (KCD) on coldness of hands and feet. 3. To diagnosis a coldness of hands and feet, the respondents used a Subjective symptoms (98.5%), Infrared thermographic imaging device (DITI) (26.32%) Heart rate variablity test (HRV) (17.04%), Thermometer (9.77%), Cold stress test (2.76%) 4. Causing of coldness of hands and feet, the respondents considered a constitution or heredity (84.71%), stress (73.66%), lack of exercise (64.91%), irregular eating habits (51.63%), Cold meals (32.83%), depression (31.33%), etc. 5. Treating coldness of hands and feet, the respondents used a herbal medicine (66.85%), acupuncture (70.7%) Pharmacopuncture (23.85%) and moxibustion (60.08%) for $10.91{\pm}8.03week$. Conclusions: We researched a Korean Medicine doctors' recognition of CPG, clinical diagnosis, treatment on a coldness of hands and feet, and policy they required.

백중환이 유효했던 연수 경색 후 발생한 중추성 통증 환자 1례 (A Case Report on Central Post-stroke Pain in Medullary Infarction Treated with BackJun-pill)

  • 이유진;박호정;김근영;조기호;문상관;정우상;권승원;진철
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.931-938
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    • 2021
  • Objective: This study addressed a case of central post-stroke pain described as right arm painful with coldness and left lateral medullary infarction. Methods: A patient, 71 years old female with medullary infarction, was treated with a Korean herbal medication (BackJun-pill). The improvement of symptoms was evaluated using the Numeral Rating Scale and reports of coldness and pain in the affected areas. We also measured the body temperature difference between the left and right arms using digital infrared thermographic imaging (DITI). Results: After six weeks of treatment with Korean medicine, the patient's pain and sensation of coldness decreased. Conclusions: This clinical case study suggests that BackJun-pill may be effective for alleviating pain and coldness due to central post-stroke pain.

의료기공(구 대한의료기공학회지)에 실린 임상논문의 경향 분석 (A Trend Analysis of Clinical Studies of Medical Gigong (formerly Journal of the Korean Academy of Medical Gi-Gong))

  • 나삼식;정재훈;안훈모
    • 대한의료기공학회지
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    • 제20권1호
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    • pp.68-84
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    • 2020
  • Objective : The purpose of this study is to suggest the evidence of traditional Korean medicine by analyzing the clinical research trends of the Korean Academy of Medical Gi-Gong and to use it as reference data for future clinical studies. Methods : The clinical studies published in the Journal of the Korean Academy of Medical Gi-Gong from 2011 to 2019 were reviewed and the study design, yearly trends, patient's disease, therapeutic intervention, and outcome measure were analyzed. Results : Of the 24 clinical studies, there are 13 Case Reports, 9 Case Series Researches, and 2 Case-Control Studies. In terms of disease group, Musculoskeletal Diseases and female Diseases were the most common, followed by neurological Diseases, dermatological Diseases, and rare Diseases. In terms of treatment methods, acupuncture, herbal medicine, and Sugi therapy were mainly used. And cupping, thermotherapy, and Korean medical exercise therapy were used as a supplement. As an evaluation tool, clinical symptom change was the most common, followed by DITI, VAS, survey, and X-ray. In most reports, Korean medical treatment has been effective in treating diseases. Conclusions : More clinical studies including controlled clinical trials should be conducted to provide a basis for verifying the effectiveness of Korean medicine.

하지 냉증을 호소하는 소음인 버거씨병 치험 1례 (A Case Study of Buerger's Disease of Soeumin with Lower Extremity Coldness)

  • 최송;정수민;손소은;변정원;최새롬;박혜선
    • 대한한방내과학회지
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    • 제44권4호
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    • pp.741-750
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    • 2023
  • Objectives: This study investigated the effects of Korean medicine treatments on Buerger's disease. Methods: From December 27, 2022, to January 16, 2023, we treated Soeumin patients with Buerger's disease admitted to a hospital specializing in Korean medicine. The patient's symptoms included feelings of coldness in the lower extremities, feelings of dullness, and stabbing pain. For treatment, Korean medicine treatments, such as acupuncture, moxibustion, and herbal medications (Sogyeonghwalhyeol-tang granules and Gwangyebujaijung-tang-gami) were administered. The patient's improvement was evaluated using the numerical rating scale (NRS) every day. Lower extremity and foot temperatures were evaluated using digital infrared thermal imaging (DITI). Results: Through the treatment regimen, the patient's NRS scores decreased, and lower extremity and foot temperatures increased. Conclusions: Korean medicine treatments for cold lower extremities, feelings of dullness, and stabbing pain caused by Buerger's disease are potentially effective.

스트레스와 소화기능을 활용한 체질별 맞춤 수면관리 (Individualized Sleep Management for Each Sasang Type Using Stress and Digestive Function)

  • 이슬;채한;박지은;김국화;이정윤
    • 사상체질의학회지
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    • 제36권1호
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    • pp.13-30
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    • 2024
  • Objectives This study aimed to analyze the influence of various sleep-related factors that affect sleep quality by each Sasang type. Methods A total of 400 subjects were included for this study, 108 males and 292 females. Sasang type was diagnosed using the SCAT. Then, the characteristics of each Sasang type were analyzed using HRV, DITI, and PSQI, PSS, and SDFI questionnaires. Logistic regression analysis was used to predict sleep-related factors that affect sleep disorders by Sasang types. Results This study shows that the pathophysiological characteristics for stress and digestive function of each Sasang type can differentiate sleep management through a logistic regression model including subscales of PSS and SDFI. Stress had no effect on the occurrence of sleep disturbance within only So-Eum, since the stress level is originally high in the So-Eum regardless of sleep quality. Rather, decreased appetite and poor eating habits had a significant impact on the decline in sleep quality. In addition, poor digestion and eating habits in So-Yang had a greater impact and poor digestion in Tae-Eum had a greater impact on the decline in sleep quality. Conclusion The stress and subscales of digestive function provide differentiated sleep management in So-Yang, Tae-Eum, and So-Eum types. The individualized sleep management for each Sasang type with statistically validated PSS and SDFI would be useful for sleep-related experts planning safe and effective person-centered health care as well as for Western clinicians who want to incorporate Sasang typology into their treatments as integrative medical technique in the future.

지연성 근육통증 회복 평가를 위한 경혈 부위에서의 자기장자극에 대한 체열변화 분석 (Analysis of body surface temperature by Pulsed Magnetic Fields system for evaluation of therapeutic effect of Delayed Onset Muscle Soreness)

  • 이나라;이승욱;김영대;김수병;이경중;이용흠
    • 한국정보통신학회논문지
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    • 제15권3호
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    • pp.645-653
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    • 2011
  • 본 연구에서는 국소적 부위에 균일한 자극이 가능한 Pulsed Magnetic Fields(PMFs) 시스템을 개발하였으며, 지연성 근육통증에 대한 본 시스템의 효과를 확인하고자 하였다. 지연성 근육통을 유발시키기 위해 비주동팔에서 무게 5Kg의 아령으로 80회의 등장성운동을 실시하였다. 피험자를 세 군(PMFs군, TEAS군, 무자극군)으로 분류한 뒤 상완 이두박근에 위치한 청영혈(HT2)에 자극하였다. 지연성 근육통의 회복여부를 판별하기 위하여, 상완이두박근에서의 ${\mid}$좌/우 온도차${\mid}$를 DITI를 이용하여 비교 분석하였다. 그 결과, 운동 후의 ${\mid}$좌/우 온도차${\mid}$는 무자극군=$2.00{\pm}1.16^{\circ}C$, TEAS군=$1.73{\pm}0.52^{\circ}C$, PMFs군=$1.48{\pm}0.51^{\circ}C$로 나타났으며, 첫 번째 자극 후에는 무자극군=$1.37{\pm}0.71^{\circ}C$, TEAS군=$1.08{\pm}0.43^{\circ}C$, PMFs군=$1.23{\pm}0.15^{\circ}C$로 나타났다. 24시간이 지난 후에 자기장 군이 가장 먼저 $0.05{\pm}0.06^{\circ}C$의 좌/우 온도차이로 정상 체열 분포를 회복했으며, TEAS군은 48시간이 지난 후에 $0.1{\pm}0.08^{\circ}C$로 정상 체열 분포를 회복하였다. 무자극 군은 48시간이 지난 후까지 $0.37{\pm}0.06^{\circ}C$${\mid}$좌/우 비대칭적 온도차${\mid}$를 유지하였다. 결론적으로, 각 자극원에 따른 체열변화를 비교 분석한 결과, PMFs가 지연성 근육통에 대하여 가장 유의한 치료효과를 보임을 확인하였다.

족삼리(足三里)($ST_{36}$)혈(穴) 자침(刺鍼) 후 시행한 소산화법(燒山火法)과 투천량법(透天凉法)이 체표온도 변화에 미치는 영향 비교 (A Comparative Study of the Effects between Mountain-burning Fire Method and Heaven-penetrating Cooling Method at $Zusanli$($ST_{36}$) on Thermographic Change)

  • 임정균;이형걸;정다정;육태한;김종욱
    • Journal of Acupuncture Research
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    • 제29권2호
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    • pp.1-8
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    • 2012
  • Objectives : This study was performed to compare the effects between Mountain-burning fire method and Heaven-penetrating cooling method on thermographic change. Materials and Methods : The experiment was conducted to 20 students of College of Oriental Medicine, Woosuk University from July 12, 2011 to July 26, 2011. Acupuncture stimulation was applied at left $Zusanli$($ST_{36}$) with Mountain-burning fire method in A group(n=10) and Heaven-penetrating cooling method in B group (n=10). To estimate thermographic change, temperature of left $Zusanli$($ST_{36}$), $Shuigou$($GV_{26}$), $Zhongwan$($CV_{12}$) were measured by DITI(digital infrared thermographic image) before acupuncture stimulation and 30sec, 10min after needle removal. Results : In A group, the temperature of left $Zusanli$($ST_{36}$), $Shuigou$($GV_{26}$), $Zhongwan$($CV_{12}$) were decreased at 30sec after needle removal, statistically. And the temperature of $Zusanli$($ST_{36}$), $Zhongwan$($CV_{12}$) were decreased at 10min after needle removal, statistically. In B group, the temperature of $Zusanli$($ST_{36}$), $Zhongwan$($CV_{12}$) were decreased at 10min after needle removal, statistically. But, there was no significant difference between two groups on thermographic change, statistically Conclusions : Acupuncture stimulation applied at left $Zusanli$($ST_{36}$) with Mountain-burning fire method has more widespread effects than Heaven-penetrating cooling method. But further studies will be needed such as thermographic change with no stimulation and with more subjects.

한의 복진 정량화 연구 - 기능성 소화불량 환자의 복냉 진단을 중심으로 - (Study on the Possibility of Quantitative Measurement of Abdominal Examinations in Korean Medicine - A Focus on Diagnosis of Abdominal Coldness in Functional Dyspepsia Patients -)

  • 이재홍;조수호;고석재;김진성;박재우
    • 대한한방내과학회지
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    • 제39권4호
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    • pp.495-510
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    • 2018
  • Objective: This study was designed to investigate the possibility of quantification of the diagnosis of abdominal coldness (AC) in patients with functional dyspepsia (FD). Methods: Forty-four patients with FD were enrolled in this study. Three Korean medicine doctors each randomly examined all abdomens. Diagnosis of AC was made by consensus of at least two of the doctors. Body temperature (oral by digital oral thermometer) and skin temperature (by digital infrared thermal imaging [DITI]) were measured, followed by administration of the Cold and Heat questionnaire (CHQ) and the Instrument of Pattern Identification for Functional Dyspepsia (IPIFD). Results: Of the 44 patients with FD, 22 were assigned to the AC group and 22 to the non-AC group. The concordance rate of diagnosis among the three doctors was 63.6% (28/44), with a ${\kappa}$ of 0.504, indicating means moderate agreement). Neither the oral nor the skin temperatures showed statistically significant differences between the AC and non-AC groups. However, the CHQ scores and 'Simultaneous Occurrence of Cold and Heat Syndromes pattern' scores of the IPIFD were higher in AC group and showed statistically significant differences (p=0.010 and 0.009). Conclusions: This is the first study conducting quantitative measurements of abdominal coldness in patients with FD. Although oral and skin temperature showed no statistical significance between AC and non-AC groups, the concordance rate of diagnosis of AC among the three Korean Medicine doctors was moderate. The CHQ scores and 'Simultaneous Occurrence of Cold and Heat Syndromes pattern' scores of the IPIFD also suggest that diagnosis of AC is relevant to cold and heat patterns, and these questionnaires could be utilized as supportive data for the diagnosis of AC. Further studies should be conducted for the purpose of quantifying and standardizing abdominal examinations in Korean Medicine.

근거중심의학에 근거한 퇴행성 슬관절염에 관한 침치료 임상선행연구 (A Pilot Study of Acupuncture Treatment for the Osteoarthritis of the Knee Joint on the EBM(Evidence Basement Medicine))

  • 임정아;이종덕;이상관;이성용;문형철;최선미;정영해;김성철
    • Journal of Acupuncture Research
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    • 제23권1호
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    • pp.187-215
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    • 2006
  • Objectives : To determine whether the pragmatic acupuncture treatment provides more effective pain relief than treatment using the same acupuncture point to the all patients. Methods : We randomly allocated participants to treatment group 1 and 2. The group 1 is the pragmatic treatment group and the group 2 is using the same acupuncture point to the all patients. Primary outcomes were measured by the Western Ontario and McMaster Universities Osteoarthritis index(WOMAC) pain and function scores at 4, 8, and 14 weeks. Secondary outcomes were measured by 100mm VAS(Visual Analog Scale), ROM(Range of Motion) using Goniometer, and pain threshold using pressure algometer. Results : When patients were extension of the knee, they were statistically significant in improvement of the ROM in 14 weeks. Whole body condition and pain rate through VAS measurement were improved significantly in 14 weeks. Also pain score and function score of WOMAC were improved significantly in 14 weeks. We could get difference in pain score of two acupuncture groups significantly in 14 weeks. But we could not get difference in whole score of two acupuncture groups significantly. Local temperature using T.C thermometer was changed significantly in 14 weeks. But we could not get difference in whole score of two acupuncture groups significantly. Excluding above item, DITI, pain threshold, and ROM of the knee flexion were no difference in before and after treatment.

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