• 제목/요약/키워드: Dampness

검색결과 339건 처리시간 0.032초

Aspergillus oryzae 배양물의 급여가 육계의 생산성, 장내미생물, 혈청성분 및 계사환경 요인에 미치는 영향 (Effects of Feeding Aspergillus oryzae Ferments on Performance, Intestinal Microflora, Blood Serum Components and Environmental Factors in Broiler)

  • 김상호;박수영;유동조;이상진;류경선;이동규
    • 한국가금학회지
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    • 제30권3호
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    • pp.151-159
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    • 2003
  • 본 연구에서 AO 배양물의 급여가 육계의 생산성, 장내미생물, 계사내 환경 및 혈청내 생화학성분의 변화에 대한 영향을 구명하고자 2차례에 걸쳐 시험을 실시하였다. 시험 I에서는 육계 초생추(Abor Acres) 360수를 평사에서 5주간 사양실험을 실시하였으며, 첨가된 AO 배양물은 AOS와 AOL 2종의 균주를 이용하여 각각 배양하였다. 대조구는 기초사료를 급여하였으며, 2개의 처리구에는 기초사료에 배양물을 각각 0.1%씩 첨가하였다. 시험 II도 육계 초생추(Abor Acres) 360수를 평사에서 5주간 사양실험을 실시하였다. 시험 I의 결과를 바탕으로 성적이 우수한 AOL균주를 이용하여, 적정 첨가수준을 조사하고자 첨가수준을 각각 0, 0.1, 0.2%로 하였다. 시험 I 에서 증체량은 AO 첨가구가 대조구에 비하여 22∼38g 높게 나타났으나 유의성은 인정되지 않았다. 사료섭취량은 증체량이 다소 높았던 AO 첨가구에서 많았으나 통계적 유의성은 인정되지 않았으며, 사료요구율 역시 처리간 차이가 없었다. 혈청내 생화학성분은 AO 배양물 급여구에서 당과 칼슘의 함량이 증가하였으며, cholesterol, blood urea nitrogen 및 총단백질의 함량은 감소하였다. 계분내 암모니아 가스 발생량은 최고발생량을 기준으로 대조구에 비하여 25∼50% 정도 감소하였으며, 바닥재 수준 함량은 차이자 없었다. 시험II에서는 종료시 체중이 AO 배양물 급여구가 무첨가에 비하여 모두 증가한 것으로 나타났다(P<0.05). 사료섭취량 역시 AO 배양물 급여구에서 높게 나타났으며, 사료요구율을 처리간에 차이가 없었다. 장내미생물은 AO 배양물 급여구의 회장과 맹장에서 유산균의 수가 대조구보다 많은 것으로 나타났다(P<0.05). 또한 회장에서는 살모넬라 및 대장균의 수가 감소하는 경향을 나타내었다. 이상의 결과에서 AO 배양물의 급여는 육계의 생산성을 향상시키며, 장내미생물총 및 사육환경을 개선시키는 것으로 판단된다.

월경통(月經痛)의 약물혈위첩부치료법(藥物穴位貼敷治療法)에 대한 고찰(考察) (A Study on the External Treatment of Dysmenorrhea using the Method of applying Herb-medicine at the acupoints)

  • 임은미
    • 대한한의학회지
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    • 제16권2호
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    • pp.134-148
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    • 1995
  • 월경통(月經痛)은 부인과(婦人科) 질환중(疾患中) 가장 흔한 질환(疾患) 중의 하나로서 대부분의 여성(女性)들은 월경(月經)의 시작(始作)과 함께 그 정도(程度)가 경미(輕微)한 어느 정도(程度)의 복부불쾌감(腹部不快感)이나 피로감(疲勞感)등을 느끼지만 일상생활(日常生活)에 별다른 지장(支障)을 초래(招來)하지않을 뿐 아니라 월경직전(月經直前)에만 나타났다가 월경(月經)이 시작(始作)되면 정상(正常)으로 회복(回復)되므로 특별(特別)한 치료(治療)를 요(要)하지 않는다. 다만 그 정도가 심(甚)하여 강도(强度)가 높은 동통(疼痛)을 수반(隋伴)하거나, 혹(或)은 장기화(長期化)하여 심신(心身)에 장애(障碍)를 초래(招來)하게 되는 경우 이것을 월경통(月經痛)이라하니 치료(治療)를 하지 않으면 안된다. 월경통(月經痛)의 원인(原因)은 다양(多樣)하지만 병기(病機)는 모두 기혈(氣血), 허실한열(虛實寒熱), 경전(經前), 경후(經後)를 막론(莫論)하고 통(通)하지 않으므로 통(痛)하게 된 것이라고 할 수 있다. 그러므로 월경통(月經痛)의 치료원칙(治療原則)은 통(通)하게하여 불통(不痛)케하는 것이니, 활혈통락(活血通絡)하고 충임맥(衝任脈)과 기혈(氣血)의 조리(調理)를 위주(爲主)로 하여 온경지통(溫經止痛)하고 통창기혈(通暢氣血)한다. 월경통(月經痛)의 치료법(治療法)은 월경(月經)의 변화시기(變化時期)에 따라 치료법칙(治療法則)에 차이(差異)가 있으나 그 중에서 월경중(月經中)에 치료하는 것이 가장 치료효과(治療效果)가 우수하다고 한다. 이에 월경중(月經中)에 한약(韓藥)의 내복치료(內服治療)와 함께 병용(竝用)하여 사용할 수 있는 치료법(治療法)중 경락(經絡)에 약물(藥物)을 붙이므로서 약물(藥物)의 효능(效能)이 직접 경락혈위(經絡穴位)의 피부(皮膚)를 통하여 흡수(吸收)되어 종합적(綜合的)으로 효과(效果)를 발휘(發揮)하므로 치료효과(治療效果)가 신속(迅速)하며 통증(痛症)이나 부작용(副作用)도 없고 경제적(經濟的)인 혈위첩부요법(穴位貼敷療法)을 월경통(月經痛)에 이용한 자료를 조사하여 다음과 같은 결론을 얻었다. 1. 월경통(月經痛)의 혈위첩부요법(穴位貼敷療法)은 주(主)로 기체혈어(氣滯血瘀)와 한습응체(寒濕凝滯)한 실증(實症)의 월경통(月經痛)과 원발성월경통(原發性月經痛)인 경우(境遇)에 많이 응용(應用)되었다. 2. 월경통(月經痛)의 혈위첩부요법(穴位貼敷療法)에 있어서 치료혈위(治療穴位)는 신궐혈(神闕穴), 즉 제부위(臍部位)의 복부임맥혈(腹部任脈穴)들을 주로 선혈(選穴)하고 있다. 3. 월경통(月經痛)의 혈위첩부요법(穴位貼敷療法)의 치료약물(治療藥物)은 주(主)로 활혈거어(活血祛瘀)하고 온경통락지통(溫經通絡止痛)하는 약물(藥物)들로서 내치법(內治法)의 약물(藥物)과 동일(同一)하였다. 4. 월경통(月經痛)에 혈위첩부요법(穴位貼敷療法)으로 치료(治療)한 시기(時期)는 월경(月經) 3일전(前)부터 월경중(月經中), 또는 월경후(月經後)까지의 기간(期間)으로 주(主)로 월경전후기(月經前後期)에 집중(集中)되어 있다. 5. 월경통(月經痛)의 혈위첩부요법(穴位貼敷療法)의 치료효과(治療效果)는 우수(優秀)한 것으로 나타났으며, 주(主)로 기혈허약(氣血虛弱)이나 간신휴손(肝腎虧損)의 허증(虛症)보다는 기체혈어(氣滯血瘀)와 한습응체(寒濕凝滯)의 실증(實症)인 경우(境遇)에 더 치료효과(治療效果)가 우수(優秀)하였다. 6. 월경통(月經痛)의 혈위첩부요법(穴位貼敷療法)은 외치법(外治法)의 하나로서 간편하고 경제적(經濟的)이며 통증(痛症)과 부작용(副作用)이 없는 등(等)의 장점(長點)이 있다. 7. 이상(以上)으로 월경통(月經痛)의 혈위첩부요법(穴位貼敷療法)은 행경기(行經期)에 급치(急治)하고 표치(標治)하는 치법(治法)으로 활용(活用)할 수 있다.

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溫病學에서의 眼耳鼻咽喉科 疾患에 대한 文獻考察;臨證指南醫案을 중심으로 (A Literature Study of Ophthalmotolaryngologic Diseases from the Viewpoint of Onbyeong; On the Basis of Imjeungjinamuian)

  • 조재훈;채병윤;김윤범
    • 한방안이비인후피부과학회지
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    • 제15권1호
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    • pp.198-218
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    • 2002
  • On the basis of Imjeungjinamuian(臨證指南醫案), authors investigated the pathogenesis and treatment of ophthalmotolaryngobgic diseases from the viewpoint of Onbyeong(溫病). 1. The symptoms and diseases investigated according to department were as follows;. 1) Ophthalmology : blepharitis, blepharedema, lacrimal hypersecretion, hyperemia, ophthalmalgla, photopsia, visual disturbance, mydriasis 2) Otology : full-feeling, otorrhea, otalgla, mastoiditis, tinnitus, hearing disturbance, vertigo 3) Rhinology : rhinorrhea, nasal obstruction, sinusitis, epistaxis 4) Laryngology : sore throat, hoarseness 5) The Others : headache, cough, asthma 2. The pathogenesis and treatment of ophthalmotolaryngologic diseases were as follows. 1) When the pathogenesis of hyperemia, otorrhea, otalgia, mastoiditis, hearing disturhance. epistaxis, sore throat, headache and cough are wind-stagnanc(風鬱), wind-warm(風溫), wind-fire(風火), wind-dryness(風燥), dryness-heat(燥熱), the treatment of pungent-cool-evaporating(辛凉解表) with Dajosan(茶調散), Mori Folium(桑葉), Lonicerae Flos(金銀花), Forsythiae Fructus(連翹), Viticis Fructus(蔓荊子), Prunellae Spica(夏枯草), Arctii Fructus(牛蒡子), etc can be applied. 2) When the pathogenesis of hoarseness, cough and asthma are cold(寒), cold with endogenous heat(寒包熱, 外冷內熱), water retention(水邪), fluid retention(伏飮), impairment of YangKi by overexertion(勞傷陽氣), the treatment of pungent-warm-evaporating(辛溫解表) with Mahaenggamseoktang(麻杏甘石湯), Socheongryongtang(小靑龍湯), Jeongryeokdaejosapyetang(정력대조사폐탕), Gyejitang(桂枝湯), Armeniacae Amarum Semen(杏仁), etc can be applied. 3) When the pathogenesis of photopsia, otorrhea, otalgia, rhinorrhea, sinusitis, epistaxis, sore throat, hoarseness, headache and cough are stagnancy-induced heat(鬱熱), wind-dryness(風燥), wind-heat(風熱), summer heat(暑熱), summer wind(暑風), insidious summer heat(伏暑), autumn heat(秋暑), autumn wind(秋風), autumn dryness(秋燥), dryness-heat(燥熱), heat in Ki system(氣分熱), insidious warm(溫伏), brain discharge by fire in Ki system(氣火 腦熱), heat in stomach(胃熱), endogenous fire by deficiency of Yin(陰虛內火), deficiency of Yin in stomach(胃陰虛), the treatment of Ki-cooling(淸氣) with Bangpungtongseongsan(防風通聖散), Ikweonsan(益元散), Gyejibaekhotang(桂枝白虎湯), Geumgwemaekmundongtang(금궤맥문동탕), Gyeongokgo(瓊玉膏), Sojae Semen Praeparatum(두시), Scutellariae Radix(黃芩), Phyllostachys Folium(竹葉), Adenophorae Radix(沙參), Mori Cortex(桑白皮), Fritillariae Cirrhosae Bulbus(貝母), etc can be applied. 4) When the pathogenesis of blepharitis, hyperemia, ophthalmalgia, full-feeling, otorrhea, otalgia, tinnitus, hearing disturbance, sinusitis, hoarseness, headache and cough are fire in liver(肝火), fire in gallbladder(膽火), ministerial fire in Soyang system(少陽相火), wind-stagnancy(風鬱), stagnancy-induced fire(鬱火), brain discharge by phlegm-fire(痰火 腦熱), the treatment of mediation(和解) with Gardeniae Fructus(梔子), Moutan Cortex(牧丹皮), Saigae Tataricae Cornu(羚羊角), Artemisiae Annuae Herba(靑蒿), Cyperi Rhizoma(香附子), Poria(적복령), etc can be applied. 5) When the pathogenesis of blepharedema and cough are dampness in both spleen and lung(脾肺濕) damp-heat(濕熱), damp-phlegm(濕痰), the treatment of dampness-resolving(化濕) with Poria(백복령), Coicis Semen(薏苡仁), Tetrapanacis Medulla(通草), Armeniacae Amarum Semen(杏仁), Talcum(滑石), etc can be applied. 6) When the pathogenesis of vertigo and cough are deficiency of Yong(營虛), heat in Yong, system(營熱), the treatment of Yong-cooling(淸營) with Rehmanniae Radix(生地黃), Liriopis Tuber(麥門冬), Biotae Semen(柏子仁), Lilii Bulbus(百合), Phyllostachys Folium(竹葉), etc can be applied. 7) When the pathogenesis of epistaxis are heat in blood system of heart(心血熱), reversed flow of fire(火上逆), overexertion(努力), the treatment of blood-cooling(凉血) with Rhinoceri Cornu(犀角), Rehmanniae Radix(生地黃), Moutan Cortex(牧丹皮), Salviae Miltiorrhizae Radix(丹參), Scrophulariae Radix(玄蔘), etc can be applied. 8) When the pathogenesis of nasal obstruction is pathogen-stagnancy(邪鬱), the treatment of resuscitation(開竅) with Sosang(少商, LU11) acupuncture can be applied. When the pathogenesis of hoarseness is evil Ki(穢濁), the treatment of resuscitation(開竅) with Arctii Fructus(牛蒡子), Lasiosphaera Seu Calvatia(馬勃), Curcumae Radix(鬱金), etc can be applied. When the pathogenesis of headache is stasis of both Ki and blood(氣血瘀痺), the treatment of resuscitation(開竅) with Cnidii Rhizoma(川芎), Asari Herba Cum Radice(細辛), Scorpio(全蝎), moxibustion(灸), etc can be applied. 9) When the pathogenesis of lacrimal hypersecretion, visual disturbance, mydriasis, tinnitus, hearing disturbance, sinusitis, epistaxis, hoarseness and cough are deficiency of Yin(陰虛), deficiency of kidney(腎虛), deficiency of both liver and kidney(肝腎虛), deficiency of both heart and kidney(心腎虛), brain discharge by deficiency of Yin(陰虛 腦熱), exuberance of Yang in liver(肝陽上亢), overexertion(勞損), the treatment of Yin-replenishing(滋陰) with Yukmijihwanghwan(六味地黃丸), Hojamhwan(虎潛丸), Jeobutang(猪膚湯), Lycii Fructus(枸杞子), Polygoni Multiflori Radix(何首烏), Rehmanniae Radix(生地黃), Schizandrae Fructus(五味子), Liriopis Tuber(麥門冬), Asini Gelatinum(阿膠), etc can be applied. 10) When the pathogenesis of ophthalmalgia, mydriasis, vertigo and headache are deficiency of Yin in liver(肝陰虛), exuberance of Yang in liver(肝陽上亢), endogenous wind(內風), excess in upper and deficiency in lower part(上實下虛), the treatment of Yin-replenishing(滋陰) and endogenous wind-calming(熄風) with Rehmanniae Radix Preparat(熟地黃), Lycii Fructus(枸杞子), Polygoni Multiflori Radix(何首烏), Paeoniae Radix Alba(白芍藥), Ostreae Concha(牡蠣), Saigae Tataricae Cornu(羚羊角), Chrysanthemi Flos(菊花), etc be applied. 11) When the pathogenesis of mydriasis, sinusitis, hoarseness, headache, cough and asthma are exhaustion of vital essence(精氣無收藏), brain discharge(腦髓不固), floating Yang(陽虛浮), exsanguination(失血), deficiency of both Yin and Yang(陰陽不足), overexertion(勞損), deficiency of Yang in kidney(腎陽虛), the treatment of Yang-restoring and exhaustion-arresting(回陽固脫) with Yangyeongtang(養營湯), Cheonjinhwan(天眞丸), Bokmaektang(복맥탕), Geonjungtang(建中湯), Dogihwan(都氣丸), Singihwan(腎氣丸), Jinmutang(眞武湯), Ostreae Concha(牡蠣), Nelumbinis Semen(蓮子肉), etc can be applied. 12) When the pathogenesis of lacrimal hypersecretion, vertigo and headache are deficiency of stomach and endogenous wind(胃虛內風), endogenous wind with phlegm(內風挾痰), liver check of stomach(肝木橫擾), the treatment of concomitant-treating of both liver and stomach(肝胃同治) with Paeoniae Radix Alba(白芍藥), Uncariae Ramulus Et Uncus(釣鉤藤), Gastrodiae Rhizoma(天麻), Astragali Radix(황기), Pinelliae Rhizoma(半夏), etc can be applied. When the pathogenesis of asthma is failure of kidney to promote inspiration(腎不納氣), the treatment of kidney-tonifing and inspiration-promoting(補腎納氣) with Singihwan(腎氣丸), Psoraleae Fructus(補骨脂), Juglandis Semen(胡桃), Aquilariae Resinatum Lignum(沈香), etc can be applied. When the pathogenesis of asthma is deficiency of Ki(氣虛), the treatment of Ki-reinforcing(補氣) with Sagunjatang(四君子湯), Insamgeonjungtang(人參建中湯), etc can be applied.

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『동의보감(東醫寶鑑)』의 '형기론(形氣論)'에 대한 소고 (A View on Hyung-Ki in Donguibogam)

  • 박준규;차웅석;김남일
    • 한국의사학회지
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    • 제23권1호
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    • pp.55-65
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    • 2010
  • The narration of "Donguibogam" is focused on humans whilst medical books before it focused on diseases. This is shown from the first subtitle of External Body(身形門) chapter, [The Origin of Hyung-Ki(形氣之始)]. The contents of [The Origin of Hyung-Ki] explains that the human body is composed of 'Hyung(形)' and 'Ki(氣)' This perspective is shown throughout "Donguibogam". First, in the aspect of construction, the viewpoint is shown from the JipRye(集例). It divides the body into inside and outside, which is a result of Hyung-Ki perspective. This continues in the table of contents. Naegyeongpyeon(內景) and Oehyeongpyeon(外形) describes the inside and outside of the body, in other words 'Hyung-Ki'. Japbyeongpyeon(雜病) describes complex illnesses with mixed insides and outsides. Tangaekpyeon(湯液) and Chimgupyeon(鍼灸) can be understood as division of treatment methods into inside and outside. When we look at the contents, the human body is created on the basis of the essence and vital energy of the world. Cheon-Ki becomes the 'Ki' that forms the functions of the body, while Ji-Ki becomes the 'Hyung' that constructs the bodily structure. It is considered that 'Hyung' is composed of SaDae(the body essence, vital energy, mentality and blood), and 'Ki' is composed of OSang(the five Jang organs and six Bu organs). 'Hyung' and 'Ki' show various appearances according to physiology and pathology. 'Hyung' is especially shown by obesity or thinness, 'Ki' by color. The obese may have Ki deficiency, coldness, dampness or phlegm. The thin could have blood deficiency, heat, fire or dryness. The color could show the pathology of the five Jang organs by the five colors, but it can simply be divided into black and white, where black means Eum deficiency, and white means Yang deficiency. It is said that the distinctive feature of traditional Korean medicine is that it is a constitutional medicine. In this perspective, further study on 'Hyung-Ki' is of value. If "Donguibogam" was the foundation of the Sasang Constitutional Medicine(四象醫學), study on 'Hyung-Ki' means searching for the origin of the Sasang Constitutional Medicine. Also, the study on Sasang Constitutional Medicine and Hyungsang medicine(形象醫學) will show the modern image of "Donguibogam". Hence, interchange study between "Donguibogam", Sasang Constitutional Medicine and Hyungsang medicine through the term 'Hyung-Ki' could hopefully lead to academic progression.

"동의보감(東醫寶鑑)" "내경편(內景篇)"의 포(胞), 소변(小便), 대편(大便)에 나타난 질병(疾病)의 변증화(辨證化) 연구 (Study on Mechanistic Pattern Identification of Disease for Uterine, Urine and Excrements Parts of DongEuiBoGam NaeGyungPyen)

  • 김영목
    • 동의생리병리학회지
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    • 제24권5호
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    • pp.727-736
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    • 2010
  • This study is about researching mechanistic pattern identification of disease for DongEuiBoGam NaeGyungPyen by analysing with pattern identification of modern Traditional Korean medical patholgy as more logical, systematic and standardized theory. Disease pattern mechanisms of uterine, urine and excrements parts of DongEuiBoGam NaeGyun gPyen in NaeGyungPyen of DongEuiBoGam are these. Menstrual irregularities in DongEuiBoGam can be classified flui d-humor depletion, blood deficiency, qi deficiency, qi stagnation, qi stagnation complicated by heat, blood stasis, blood deficiency complicated by heat, syndrome of heat entering blood chamber, syndrome of cold entering blood chamber. The disease pattern of abdominal pain after menstruation in DongEuiBoGam is blood deficiency complicated by heat, and a dysmenorrhea represents blood stasis with heat, fluid-humor deficiency. Advanced menstruation represent dual heat of the qi and blood, delayed menstruation is blood deficiency. The disease pattern of inhibited urination in DongEuiBoGam can be classified deficiency heat pattern of kidney yin deficiency(yin deficiency with effulgent fire), kidney qi deficiency, yin deficiency with yang hyperactivity, fluid-humor depletion, spleen-stomach dual deficiency, and excess he at pattern of bladder excess heat. The disease pattern of urinary incontinence in DongEuiBoGam can be classified deficiency pattern of kidney-bladder qi deficiency, consumptive disease, lung qi deficiency, kidney yin deficiency(yin deficiency with effulgent fire), kidney yang deficiency and excess pattern of lower energizer blood amassment, bladder excess heat. And most of them are deficiency from deficiency-excess Pattern Identification. The disease pattern of diarrhea in DongEuiBoGam can be classified deficiency pattern of qi deficiency, qi fall, spleen yang deficiency, kidney yang deficiency and so on and excess pattern of wind-cold-summerheat-dampness-fire, phlegm-fluid retention, dietary irregularities, qi movement stagnation. And most of them are deficiency from deficiency-excess Pattern Identification. Like these, this study identify pattern of disease in DongEuiBoGam by mechanism of disease theory.

다기관 임상연구를 통해 도출된 중풍변증표준안의 진단프로그램개발에 관한 연구- I (Study for Diagnosing Program of Korean Standard Differentiation of the Symptoms and Signs for the Stroke by Multi Center Trials- I)

  • 박세욱;강병갑;장인수;홍석;한창호;권정남;선승호;전찬용;조기호;박세진;이인;설인찬;최선미
    • 대한한의학회지
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    • 제28권3호통권71호
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    • pp.126-137
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    • 2007
  • Objectives : Standardization of pattern identification for stroke and development of a diagnostic tool for Korean medicine. Methods : We organized a committee for stroke diagnosis standardization of Korean traditional medicine and submitted the Korean standard differentiation of the symptoms and signs for stroke (KSDSS). We collected cases through a multi-center network consisting of twelve university hospitals and one local hospital. We analyzed the data with discriminant function and logistic regression. Results : 321 cases were confirmed by diagnosis of medical specialists and residents. They were divided into qi deficiency 30.84%, dampness & phlegm 25.55%, fire & heat 22.43%, eum deficiency 18.69% and blood stasis 2.49%. The accordance rate between discriminant function and doctor's diagnosis was calculated. Conclusions : To make a stroke diagnostic program, we must raise the accordance rate between doctor's diagnosis and the program.

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급성기 중풍환자의 재발군과 초발군에 대한 단면조사연구 - 다기관 임상연구 (Cross-sectional and Comparative Study between First Attack and Reattack Groups in Acute Stroke Patients - Multi-Center Trials)

  • 이인환;곽자영;조승연;신애숙;김나희;김혜미;나병조;박성욱;정우상;문상관;박정미;고창남;조기호;임영석;배형섭
    • 대한한방내과학회지
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    • 제30권4호
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    • pp.696-707
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    • 2009
  • Objective : We designed this study to investigate differences between stroke reattack and stroke first attack group to establish fundamental data and prevent a secondary stroke. Methods : 826 subjects were recruited from the patients admitted to the department of internal medicine at Kyung Hee University Oriental Medical Center, Kyung Hee University East-West Neo Medical Center, Kyungwon University Incheon Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Dongguk University Ilsan Oriental Medical Center from 1 April 2007 to 31 August 2009. We compared general characteristics, classification of diagnosis, subtypes of cerebral infarction, risk factors, Sasang constitution, diagnostic classifications between stroke reattck and stroke first attack groups. Results : 1. In general characteristics, age differed significantly between the reattck and first attack groups. 2. Classification of diagnosis differed significantly between reattck and first attack groups. 3. In risk factors, hypertension, diabetes mellitus, alcohol drinking, and stress were significantly different between reattck and first attack groups. 4. Diagnostic classifications were significantly different between reattck and first attack groups. Conclusion : To prevent recurrence of stroke, education on stroke risk factors associated with recurrence is needed. In addition, those who are diagnosed as Dampness-Phlegm need to be well-controlled.

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한의 중풍 변증 표준화 연구에서 어혈증에 관한 고찰 (A Review of Static Blood Pattern in Stroke Pattern Diagnosis)

  • 이정섭;김소연;강병갑;고미미;김정철;오달석;김윤식;이인;조기호;전찬용;한창호;방옥선
    • 대한한방내과학회지
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    • 제30권4호
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    • pp.813-820
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    • 2009
  • Background : Static blood is a kind of etiological factor including stagnated blood and blood overflowed out of the vessels. It is one of the causes of stroke in oriental medicine. Objectives : The purpose of this study was to evaluate the static blood pattern and its indicators in stroke pattern diagnosis. Methods : For the standardization of pattern diagnosis in stroke, we set 5 patterns (Fire-heat, Dampness-phlegm, Static blood, Qi deficiency, Yin deficiency) and developed 61 indicators. Patients with a first-ever stroke, within 1 month after the onset of stroke. Two physicians checked the indicators independently. They then performed pattern diagnosis and rechecked the indicators which were referred to pattern diagnosis. If pattern identifications were diagnosed the same, it would confirm pattern identification. We examined the frequency of all indicators and referred indicators in static blood pattern patients. Results : In 859 patients, static blood pattern was shared by 24(2.8%). The indicators which affect static blood pattern were mainly rough pulse and bluish purple tongue, other indicators were not major effectors. Conclusion : This result shows that it is inconsistent to set up static blood pattern as a major pattern in stroke. Nevertheless, static blood is still a valuable concept in the clinical field. Other study methods will be required to establish the pattern diagnostic indicators for static blood pattern.

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중풍환자에서 대사증후군과 적혈구변형능의 관련성 (The Relationship between Metabolic Syndrome and Erythrocyte Deformability in Small Vessel Disease Stroke Patients)

  • 임정태;박수경;김미영;최원우;정우상;조기호;박성욱;고창남;이정섭
    • 대한한방내과학회지
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    • 제30권4호
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    • pp.761-771
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    • 2009
  • Objectives : The aim of this study was to assess the relationship between metabolic syndrome and erythrocyte deform ability in acute stroke patients. Methods : Among 88 of the recruited patients, 52 were diagnosed as metabolic syndrome. We assessed their general characteristics, risk factors. We compared the assessed variables between metabolic syndrome and control group. We analyzed the relationship between metabolic syndrome and erythrocyte deform ability. We analyzed relationship between cardiovascular risk factors and erythrocyte deformability. Results : The general characteristics waist and hip circumference, waist/hip ratio were higher in metabolic syndrome group. The metabolic syndrome group was also diagnosed with hypertension, DM, and hyperlipidemia more often than the control group. The blood test metabolic syndrome group showed higher triglycerides, total lipids, fasting blood sugar, and 2 hours postprandial plasma glucose level and lower HDL-cholesterol than the control group. There were more patients diagnosed with Dampness-Phlegm in the metabolic syndrome group. There were more patients showing lower erythrocyte deform ability in the metabolic syndrome group. The plasma homocysteine level was negatively correlated with erythrocyte deform ability. Conclusion : The results reconfirmed that the risk factors are more in metabolic syndrome group. The results indicated that metabolic syndrome lead to a lower erythrocyte deform ability in small vessel disease stroke patients. The Plasma homocysteine level was negatively correlated with erythrocyte deform ability.

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60세 이상 뇌경색환자에서 황태는 심혈관질환의 유용한 지표가 될 수 있는가? - 다기관임상연구 (Can Yellow Fur on the Tongue be Useful as an Index of Cardiovascular Disease in Stroke Patients over 60 Years Old? - Multi Center Trial)

  • 임정태;박수경;우수경;곽승혁;정우상;문상관;조기호;박성욱;고창남
    • 대한한방내과학회지
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    • 제31권3호
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    • pp.569-577
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    • 2010
  • Background & Objectives : Yellow fur on the tongue is known to be associated with prognosis of disease in oriental medicine. Higher ratios of low-density lipoprotein cholesterol(LDL) to high-density lipoprotein cholesterol(HDL) & total cholesterol (TC) to high-density lipoprotein cholesterol(HDL) are associated with a greater risk of cardiovascular disease. The aim of this study was to assess the relationship between cardiovascular disease index and yellow fur - oriental medical index - in stroke patients over 60 years old. Methods & Subjects : Among 802 of the recruited patients(434 male, 368 female), 340 were yellow fur group(209 male, 131 female). We assessed their general characteristics and risk factors. We compared the cardiovascular disease index between yellow fur and non-yellow fur groups by sex. Results : On the General Characteristics males have yellow fur more often than females. In cardiovascular disease index, the male yellow fur group showed higher ratios of TC/HDL(atherogenic index), (TC-HDL)/HDL, LDL/HDL and higher LDL and showed lower HDL than the non-yellow fur group. In female patients, there were no differences between the two groups about cardiovascular disease index. There were more patients diagnosed with Fire & Heat in the male yellow fur group, and Dampness & Phlegm in the male non-yellow fur group. The male yellow fur group eat fast food more than the non-yellow fur group. Conclusions : The results indicated that yellow fur may be associated with a high risk of cardiovascular disease. We can thus use yellow fur on the tongue as a cardiovascular disease index in male stroke patients over 60 years old.