• Title/Summary/Keyword: Diagnostic Pattern identification

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A Case Report of a Patient Who Has Dysgraphia and Articulation After a Stroke Treated by Sohamhyung-Tang (구음장애, 필기장애를 중심으로 한 중풍후유증에 소함흉탕(少陷胸湯)을 투여하여 호전된 1례 보고)

  • Kim, Changsig;Yun, Hyo-Joong;Lee, Soong-In
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.115-124
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    • 2018
  • Objective : The purpose of this paper is to report the improvements of a patient who has suffered from aftereffects following stroke such as dysgraphia and articulation disorder, which is treated by herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient was diagnosed as Taeyang-byung Gyeolhyung and number 138 provision, and was administered Sohamhyung-tang for 90 days. We recorded the progress of improvements based on the patient's statement and documented the patient's writing Results : The patient can write the letters such as U, 2, ㄹ,ㅇ more clearly and become confident on both writing and speaking. Conclusions : This case shows the effects of Sohamhyung-tang on aftereffects following stroke such as dysgraphia and articulation disorder. It was induced according to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' so that it suggest a potential interpretation, which is different with it of the text books Herbal Formula Science and Sanghallonjeonghae, on the provision no. 138. Also the usage of Sohamhyung-tang in this case may support the way far from the diagnosis of oriental neurological medicine, which explain the pathology of stroke as fire-heat(火熱), dampness-phlegm(濕痰), static blood(瘀血) and dual deficiency of qi and blood(氣血兩虛).

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Insomnia Treated with Baekho-tang Based on the Shanghanlun Disease Pattern Identification Diagnostic System (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 백호탕(白虎湯) 투여 후 호전된 불면증 증례 1례)

  • Jeong, Yeon-il;Kim, Chang-sig;Lee, Soong-in
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.165-178
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    • 2021
  • Objective: This study aimed to report the improvement of a patient with chronic insomnia who was treated with Baekho-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: The patient's symptoms were checked on days 19, 37, and 52 after taking Baekho-tang. Chronic insomnia was evaluated by the degree of insomnia, hours spent asleep, and the number of times the patient woke up during the night, which were all assessed by a visual analog scale (VAS) with the Leeds Sleep Evaluation Questionnaire. In addition, new clinical implications for the interpretation of the 350th Shanghanlun provision were reviewed. Results: After administering Baekho-tang for 52 days, based on the 350th Shanghanlun provision according to the DPIDS, the VAS score decreased from 10 to 1. Conclusions: The patient recovered from chronic insomnia. This case report suggests that the words "滑," "厥," and "裏" in the 350th provision of Shanghanlun mean physical and psychological causes of insomnia. In addition, Baekho-tang had a therapeutic effect in improving the chief complaint of the patient. Therefore, the interpretation of the 350th Shanghanlun provision requires a new definition that includes the patient's lifestyle, family conflict, and past history of the patient as a cause of chronic insomnia.

Anorexia Treated by Jinmu-tang Based on the Disease Pattern Identification Diagnostic System of the Shanghanlun Provisions (『상한론(傷寒論)』 변병(辨病) 진단체계(診斷體系)에 근거하여 진무탕(眞武湯) 투여 후 호전된 식욕부진 증례 1례)

  • Seo, Young-ho;Hwang-bo, Min;Choi, Hae-yun
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.145-153
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    • 2021
  • Objective : This study aimed to report the improvement of a patient with anorexia by treatment with Jinmu-tang (Hyunmu-tang) based on the disease pattern identification diagnostic system (DPIDS) of the Shanghanlun provisions. Methods : We evaluated the progress of symptoms, patient compliance, and presence of side effects after the patient was administered Jinmu-tang. The clinical response was estimated according to the number of meals a day, the size of meals, the number of complaints of abdominal pain in a week, and a Likert scale. Results : According to the DPIDS, the patient was diagnosed according to provision 316 with soyinbing. After administration of Jinmu-tang for 45 days, the number of meals a day and the size of meals increased, the number of complaints of abdominal pain in a week decreased, and the Likert scale score decreased from 3 to 0. Conclusions : This case report suggests that the word "腹痛" (abdominal pain) in the 316th Shanghanlun provision indicates anxiety about abdominal pain, which affected anorexia in this case.

A Case Report of Hot Flashes Treated by Herbal Medicine Based on Shanghanlun Provision (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 한약 투여 후 호전된 일과성 열감 치험 1례)

  • Ha, Hyun-yee;Lee, Ji-Hwan;Lee, Sung-Jun
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.127-132
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    • 2015
  • Objectives: The purpose of this case is to report the effects of Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed as Gwoleum-byung(厥陰病). Visual analogue scale was used to check the symptoms while the patient taking herbal medicine Baekho-tang for 12 weeks. Results : After taking Baekho-tang, Visual analogue scale in hot flashes markedly decreased 9 to 1. Conclusions : This paper shows an efficient result of using Baekho-tang based on Shanghanlun disease pattern identification diagnostic system. Further studies should be needed to validate the effects of Baekho-tang.

A Case Report of Postpartum Disease Treated with Gyeji-tang Based on No.12 Shanghanlun Provision (『상한론(傷寒論)』 태양병(太陽病) 12조(條)에 근거하여 계지탕(桂枝湯) 투여 후 호전된 산후풍(産後風) 1례)

  • Jeong, Yeon-Il;Yun, Hyo-Joong
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.37-45
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    • 2018
  • Objective : The purpose of this paper is to report the improvement of a patient who had a postpartum disease treated with herb medication based on Shanghanlun provisions. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient was diagnosed with TaeYang-byung, number 12 provision, and was administered herb medication for 4 months. Visual Analogue Scale(VAS) was used to estimate the patient's status. Results : The VAS changed 10 to 0. These results suggest that cold pain and weakness in the legs have improved. Conclusions : The patient had an experience of miscarriage 3 times and finally got a baby but with postpartum disease. She treated with the herb medication for 4 months and the outcome was found effective and economical due to the diagnostic system based on Shanghanlun provisions.

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A Pilot Study for the Practical Usage of Traditional Korean Medicine Diagnostic Methods in Women Infertility (여성 불임환자에 대한 한의 진단도구 활용을 위한 기초연구)

  • Yoo, Jeong-Eun;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.1
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    • pp.102-112
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    • 2015
  • Objectives: This study was performed to obtain reference data of traditional Korean medicine diagnostic methods for the practical usage in women infertility. Methods: The study involved 38 female patients of age 20-38 years that had diagnosed of infertility. All the subjects answered to pattern identification questionnaire and Questionnaire for the Sasang Constitution Classification (QSCC II). Pattern identification scores and constitution types have been analyzed with variables of infertility factors and age. Statistical analysis was performed by adopting descriptive and inferential tests. Results: In pattern identification questionnaire analysis, the patterns were observed in order of frequency: liver stasis; blood deficiency; kidney-yang deficiency; kidney-yin deficiency; damp-heat; blood stasis; and phlegm. The group, less than 35 years old, had the higher average score of liver stasis (p<0.05). Also, the group with tubal and peritoneal factors, had the higher average score of blood deficiency (p<0.05). In QSCC II analysis, So-yang type had the higher average score of liver stasis, kidney-yang deficiency, and kidney-yin deficiency. So-eum type had the higher average score of liver stasis, kidney-yang deficiency, kidney-yin deficiency, and blood deficiency. While, Tae-um type had the higher average score of liver stasis and phlegm. Conclusions: We would accumulate the clinical data for the practical usage of traditional Korean medicine diagnostic methods in women infertility.

Two Case Reports treated with Jeodang-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 치료한 저당탕(抵當湯) 증례 2례)

  • Cho, Seonghwan;Choi, Woonyong
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.47-61
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    • 2019
  • Objective : This study was performed to report two cases diagnosed with the Shanghanlun disease pattern identification diagnostic system (DPIDS) and treated with Jeodang-tang. Methods : Based on DPIDS, we analyzed two cases treated with Jeodang-tang. Results : In the first case, the bipolar depression rating scale (BDRS) score improved from 44 to 13. In the second case, the fatigue severity scale (FSS) score improved from 55 to 24. Conclusions : In Shanghanlun, Jeodang-tang may not only treat pattern/syndrome of blood stasis but also many other diseases.

Tongue of Fatigue by Classification of Sasang Constitution and Qi Blood Pattern Identification (특발성 피로의 사상체질 및 기혈변증 설진 분석)

  • Choi, Na-Rae;Park, Soo-Jung;Joo, Jong-Cheon;Kwon, Young-Mi
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.4
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    • pp.379-387
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    • 2015
  • Objectives The purpose of this study was to investigate the relevance of Sasang constitution, Qi Blood pattern identification, and tongue diagnosis in subjects complaining of fatigue.Methods Seventy-three subjects who complained of fatigue were assessed using the Chalder Fatigue Scale, tongue diagnosis, pattern identification questionnaire and Sasang constitution diagnosis. The association of tongue diagnosis with Qi Blood pattern identification and Sasang constitution was evaluated.Results 1. There was no significant association between tongue diagnosis and Sasang constitution.2. Tongue color, which is one of the diagnostic indicators in tongue diagnosis, was redder in the Qi stagnation group than in the Qi deficiency and Blood deficiency groups.Conclusions Tongue diagnosis can be utilized in future if proper research regarding Sasang constitution and Sasang constitution pattern identification is conducted.

Development of a Web Based Pattern Identification System with Questionnaire Optimization (설문 최적화를 통한 개방형 웹 변증 시스템 개발)

  • Lee, Jae Chul;Jin, Hee Jeong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.6
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    • pp.827-831
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    • 2013
  • This study aims to develop a pattern identification system (PIS) for general users to check up their body condition. We collected previous 3 PI questionnaires, with internal consistency reliability or validity of the diagnosis by experts, through a field test. For defining weights of pattern indices, we applied the analytic hierarchy process (AHP) method with 11 experts. PIS receive two kinds of symptoms of users : body region based symptoms and core symptoms for PIS. PIS suggest possible patterns and health information on the basis of selected symptoms with analysis by AHP. This study showed PIS could be easily used for general user who wants to access Korean Medicine compared to conventional PI system. Furthermore, it could be utilized with mobile environment or as remote medicine care.

Autonomic Conditions in Allergic Rhinitis Depending on Various Pattern Identifications (알레르기 비염 환자의 변증별 자율신경계 특성 분석 연구)

  • Choi, Eun-Ji;Jang, Soobin;Lee, Kyu-Jin;Yun, Young-Hee;Choi, In-Hwa;Ko, Seong-Gyu
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.4
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    • pp.110-120
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    • 2014
  • Objectives : We performed a clinical study to investigate autonomic conditions in persistent allergic rhinitis depending on various pattern identifications and the availability of heart rate variability (HRV) as a pattern identification diagnostic tool. Methods : 32 patients with persistent allergic rhinitis were asked to interview with doctor of Korean Medicine and perform the four pattern questionnaires (Cold-Heat Pattern, Phlegm Pattern, Yin Deficiency pattern, bloodstasis pattern). Then, they were examined their autonomic conditions with heart rate variability test. Results : Patients were classified as three pattern groups (Lung-stomach heat, Lung qi deficiency cold, Lung-spleen qi deficiency) by doctor. In the Lung qi deficiency cold group, Total power of the HRV (TP) and the power of the low frequency component (LF) significantly higher than in the Lung-stomach heat or Lung-spleen qi deficiency group (P < 0.05). Also, Patients were classified as 8 pattern groups (Cold/Heat, Phlegm/Non-phlegm, Yin deficiency/Non-yin deficiency, Bloodstasis/Non-bloodstasis) by four pattern questionnaires. Only in the Yin deficiency group, the power of the low frequency component (LF) significantly lower than in the Non-yin deficiency group (P < 0.05). There were not any significant differences in the rest groups. Conclusions : The result may provide that HRV doesn't reflect well the differences in the various pattern groups, and the HRV's availability is low. Continuous studies are needed to develop the objective and standardized pattern identification diagnostic tool for allergic rhinitis.