• Journal of Oriental Neuropsychiatry
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• v.34 no.3
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• pp.141-150
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• 2023

Objectives: This study aimed to comprehend the characteristics of Korean medicine patterns in relation to varying degrees of cognitive impairment in an elderly population. Methods: The dataset included 127 elderly individuals with cognitive impairment obtained from three Korean medicine hospitals between 2018 and 2021. The participants were categorized into two groups based on Clinical Dementia Rating-Sum of Boxes (CDR-SB) scores: those with questionable impairment (QI) and those with very mild dementia (VMD). A diagnostic framework for Korean medicine patterns encompassing Qi deficiency, Yin deficiency, Phlegm dampness, and Heat-fire was employed. Liver blood markers, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), and the AST/ALT ratio, were also analyzed. Results: The scores of the cognitive assessment tools (MoCA-K, MMSE-DS, and K-IADL) of the QI group significantly differed from those of the VMD group. CDR-SB exhibited a positive correlation with the scores of each pattern of Qi deficiency, Yin deficiency, Phlegm dampness, and Heat-fire, whereas ALT and AST values displayed negative correlations. Binomial logistic analysis, controlling for potential confounders, such as age, education years, body mass index, the presence of chronic disease, and the presence of medication, verified that the VMD group showed higher pattern scores and lower ALT and AST values than the QI group. Conclusions: Increases in pattern scores along with decreased AST and ALT levels might be indicative of more severe cognitive impairment.

• Journal of Physiology & Pathology in Korean Medicine
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• v.24 no.5
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• pp.883-891
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• 2010

The purpose of this study was to investigate the relation between each pattern identification such as Dampness-Phlegm, Fire-Heat, Deficiency of Qi, Deficiency of Yin and Blood Stagnation and blood lipid level in acute stroke patients. This study was done over patients hospitalized in 13 Oriental Medical Hospitals in the period of November 2006 to Jun 2009. Patients had been interviewed by residents and medical specialists who studied standard operation procedures in Fundamental Study for Syndrome of Oriental Medicine for Stroke. Study subjects consisted of group A that was distributed to specified pattern identification by medical specialist and discriminating program, group B that was distributed to specified pattern identification by medical specialist or discriminating program, and the control group that wasn't distributed to specified pattern identification by medical specialist and discriminating program. For the purpose of obtaining suitable result, we analyzed blood lipid level of each group by univariate analysis. In this study, there was not statistically significant relation between most of each pattern identification and blood lipid level except relation between Fire-Heat pattern group B and decreasing HDL cholesterol. Based on these results, it is suggested that Dampness-Phlegm would not be the independent predictors of hyperlipidemia unlike other studies that were presented in. More prospective studies between Fire-Heat and decreasing HDL cholesterol are to be done with more clinical data.

• The Journal of Korean Obstetrics and Gynecology
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• v.31 no.4
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• pp.147-164
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• 2018

Objectives: This study was performed to analyze the pattern identification in infertile women who participated in infertility support program of Cheongju-city. Methods: The project proceeded from October, 2016 to June 2017. Participants filled in the questionnaire which is composed of 33 symptoms before korean medical treatments. Data were collected from 17 participants. We classified symptoms into six pattern identifications based on previous research and rated each answer to score. Results: Throughout the study, the average age of 26 patients was $34.88{\pm}3.19$ years old, the average height was $162.51{\pm}4.99cm$, and average weight was $58.41{\pm}7.88kg$. The average duration of acupuncture treatment was $121.03{\pm}52.73$ days and the average times of acupuncture treatment was $27.42{\pm}10.77$ times. The average number of herbal medicine treatment was $2.65{\pm}0.69$, the majority of it was Chokyungjongok-tang. After the treatment, 3 patients of infertility became pregnant (11.54%) in twenty six patients. By analyzing pattern identification survey papers, We can classify infertile women into 6 pattern identification based on previous research. The majority of participants was identified as Blood deficiency and the other participants were identified as Kidney deficiency, Liver depression, Dampness-phlegm, Qi deficiency and Static blood in order of priority. Most of patients' pattern identification were combined with two kind of pattern identification. In terms of priority, Liver depression combined with Kidney deficiency, Blood deficiency combined with Kidney deficiency, Liver depression combined with Qi deficiency, Liver depression combined with Dampness-phlegm. Conclusions: After the study we confirmed that Korean traditional medicine is a safe treatment for infertile women. Further clinical study about herbal medicines of patients who have combined pattern identification is needed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.22 no.2
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• pp.453-458
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• 2008

This study aimed to develop an evaluation reliability of Korean pattern identification for wind stroke. We studied 643 patients with stroke and made a list of registry for each of them. The present study analyzed 553 cases, in which the resident’s pattern identification agreed with the specialist’s one, and the cases included five differentiation pattern: the fire-heat pattern (114), the dampness-phlegm pattern (157), the static blood pattern (11), the Yin deficiency pattern (81), and the Qi deficiency pattern (190). This study showed that none of the Cronbach's alpha reached 0.700, which is the general reliable level. The average Cronbach's alpha of each symptoms was 0.353 for the dampness-phlegm pattern, 0.571 for the fire-heat pattern, 0.443 for the Qi deficiency pattern, 0.451 for the Yin deficiency pattern, and 0.302 for the static blood pattern. This suggests the possibility that each pattern identification could be coincided with other symptoms, and it also shows the limits of pattern identification of this study that narrows the symptoms of paralysis patients into only a single pattern. Continuous compliments and researches should be done referring to this matter. However, the internal consistency analysis of all the pattern identification showed that every Cronbach's alpha were within the range of 0.670 to 0.703, and the Cronbach's alpha of the whole symptoms was evaluated as 0.692, which makes the reliability of the pattern identification as itself almost satisfactory to the general reliable level, and therefore, significant. In the future, continuous clinical research to develope this pattern identification for wind stroke actually applicable to stroke patients needs to be made through accumulating more cases, improving the objectivity.

• The Journal of the Society of Stroke on Korean Medicine
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• v.9 no.1
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• pp.19-24
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• 2008

Objectives : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we assessed what categories of stroke diagnosis these three most common risk factors of cerebro-vascular attack(CVA), hypertension(HTN), diabetes mellitus(DM) and hyperlipidemia(HL) fall into. Also we looked into stroke subtypes and its diagnosis in Korean medicine. Methods : 806 patients with acute stroke from 5 universities(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) across the country were involved from April, 2007 til August, 2008. We had data of 482 patients to be analyzed and diagnosed by a Korean medicine training doctor and a professor. Results : All three major stroke risk factors were diagnosed as being dampness-phlegm pattern, but no significant difference was observed except in hyperlipidemia patients. Stroke subtypes such as hemorrhage and infarction showed no significant difference in this study. Conclusions : This study provides evidence that hyperlipidemia can be diagnosed as dampness-phlegm by Korean medicine. Further studies with various subtypes of stroke patients are required to prove solid evidence with other stroke risk factors.

• The Journal of Korean Medicine
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• v.16 no.1 s.29
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• pp.141-159
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• 1995

The causes and treatment of alopecia are concluded based on the records found successive oriental medicine in order to persuade new treatments for alopecia as following : 1. In the context of modern medical science male-dominated alopecia was referred as dok-rak(禿落), cho-dok(早禿), chon-dok(全禿), pal-ju-tal-bal, chu-bal-sun and pal-sun(髮癬) alternatively, while alopecia areata was refereed as yu-pung(油風), pan-dok(斑禿), kwi-ji-du and kwi-che-du(鬼剃頭). 2. The causes of alopecia is related with condition of Gi(vital energy) and Hyul(blood) in the twelve channels, such as weakening of vital energy in the conduits, condition of internal organs as heat in the lung, weak kidney or liver vitality, and eating habits such as severe ingestion of bitter taste or sweet taste food. Other distinct reasons are penetration of wind and dryness into a head due to weakening Gi and Hyul inside human body, flaring up of the asthenic fire due to excessive eatings, hard labour or psychological sufferings deficiency of blood, deficiency of vital essence of kidney, phlegm caused by dampness and heat, and stagnated blood. 3. According to demonstration of alopecia, the causes of alopecia areata are listed as internal wind due to heat of blood, deficiency of liver and kidney, blookage of channels and collaterals by stagnated blood, and causes of male-dominated alopecia are listed as wind dryness caused by heat of blood, dampness and heat, and heat, wind and dryness due to deficiency of blood.

• Herbal Formula Science
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• v.21 no.1
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• pp.142-153
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• 2013

Objectives : Examined the editing system and the characteristics of "Clinical Formula Science of Korean Medicine" to establish a basis for compilation system of the common formula science textbook for colleges of Korean medicine nationwide. Methods : Comprehended the "Clinical Formula Science of Korean Medicine" published by professor Hyeongok(1911-1987) in 1985 and analyzed its configuration system. Results : "Clinical Formula Science of Korean Medicine" has made it possible to understand the formula systematically by establishing and classifying 24 kinds of treatment method [the three treatment methods of cold-dampness, dryness-heat and interior deficiency and its subdivision, 19 kinds of treatment method (stomach, phlegm, eum, yang, spirit, essence, ki, blood, blood stasis, exterior, interior, half-exterior half-interior, water, wind, cold, heat, dampness) combined with reducing and vomiting] and main formula. These can be considered as professor Hyeongok's own method of classification, which is distinctive from the existing formula science system. Also, it suggests that a Korean medicine doctor should not use a biased formula science that is limited to some schools but apply the formula widely and synthetically because it is believed to pursue perfection in cure if the main formulas related to a physical disorder, pregnancy and childbirth, invigorating and purging five viscera, and Four-Constitution Medicine are added. Conclusions : "Clinical Formula Science of Korean Medicine" is seen as a formula science book which is to be consulted when compiling a common formula science textbook for colleges of Korean medicine by forming a Korean formula science system that is distinctive from that of China.

• The Journal of Korean Obstetrics and Gynecology
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• v.27 no.3
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• pp.41-65
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• 2014

Objectives: The purpose of this study is to find out the health condition and the etiology in oriental medicine of the high school girls menstrual disorders by Sasang constitution. Methods: The data from the 795 participants were collected using a structured menstrual history questionnaire. Based on the survey responses, we had 97 adolescents with menstrual disorder as the test group and 97 adolescents without menstrual disorder as the control group. The clinical trials subjects were asked to respond to another questionnaire for identifying their constitutional types and respond to the DSOM and undergo Inbody. We identified significant variables for dysmenorrhea from comparison between the test and control group. Results: The DSOM test showed that the scores of qi stagnation, static blood, cold, dampness, phlegm, heart, kidney were significantly higher in dysmenorrhea, scant menstruation, menstruation at irregular intervals. For the Sasang constitution, there is a difference on the cause of the outbreak. Soyangin from yin deficiency, dryness and blood deficiency is associated with menstrual disorders. Taeumin from cold, dampness and qi deficiency is associated with menstrual disorders. Soeumin from heart, qi stagnation, static blood and spleen is associated with menstrual disorders. Conclusions: For the Sasang constitution, there is a difference on the cause of the outbreak. The result of a comparison of the test and control groups showed that there's no relevance to the body fat mass and body fat percentage with menstrual irregularities.

• Journal of Physiology & Pathology in Korean Medicine
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• v.20 no.3
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• pp.735-739
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• 2006

The purpose of this case is to report the improvement after treatment about a patient with cerebral infarction by Sa-Am's Ohaeng-acupuncture and Liuqi-acupuncture. We treated the patient with acupuncture therapy from 6th September 2004 to 15th November 2004 Dy reinforcing Dadun(LR 1)Zusan Li(5736) Quchi(Li 11) and reducing Taibai(Sp 3) on the basis of etiological analysis and differentiation of endogenous wind caused by damp phlegm and heat. Right hemiplegia improved Gr. 1 to Gr. tV after acupuncture therapy. We interpreted 'reinforcing Dadun(LR 1) and reducing TaiDai(SP 3)'as using Simjeonggyeok in conjunction with Simseunggyeok on the basis of Sa-Am's Ohaeng-acupuncture. We interpreted 'reinforcing Dadun(LR 1) and reducing Taibai(Sp 3)' as excreting dampness in Spleen on the basis of Liuqi-acupuncture. We interpreted 'reinforcing Zusan Li(57 36) and Quchi(Li 11)' as eliminating wind-dampness and menstrual regulation.

• Korean Journal of Acupuncture
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• v.23 no.1
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• pp.137-145
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• 2006

Objectives : The purpose of this case is to report the improvement after treatment about a patient with cerebral infarction by Sa-Am's Ohaeng-acupuncture and Liuqi-acupuncture. Methods : We treated the patient with acupuncture therapy from 6th September 2004 to 15th November 2004 by reinforcing Dadun(Liv 1) Zusan Li(S36) Quchi(Li 11) and reducing Taibai(Sp 3) on the basis of Etiological Analysis and Differenciation of Endogenous Wind caused by Damp Phlegm and heat. Results .1. Right hemiplegia improved Gr. I to Gr.IV after acupuncture therapy. 2. we interpreted 'reinforcing Dadun(Liv 1) and reducing Taibai(SP 3)'as using Simjeonggyeok in conjunction with Simseunggyeok on the basis of Sa-Am's Ohaeng-acupuncture. 3. we interpreted 'reinforcing Dadun(Liv 1) and reducing Taibai(Sp 3)'as Excreting Dampness in Spleen on the basis of Liuqi-acupuncture. 4. we interpreted 'reinforcing Zusan Li(S 36) and Quchi(Li 11)'as Eliminating Wind-dampness and Menstrual Regulation.