• 제목/요약/키워드: Diagnostic Pattern identification

검색결과 172건 처리시간 0.022초

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 오령산(五笭散) 투여 후 호전된 메니에르병 1례 임상보고 (A Case Report of Meniere's Disease Treated by Oryeong-san Based on Shanghanlun Provisions)

  • 조성환
    • 대한상한금궤의학회지
    • /
    • 제13권1호
    • /
    • pp.99-110
    • /
    • 2021
  • Objective: This study aimed to report the effect of Oryeong-san on Menière's disease. Methods : A 48-year-old female complained of Menière's disease and daily frequent headache. Based on the Shanghanlun disease pattern identification diagnostic system, the patient was treated with Oryeong-san. The result was evaluated by the Dizziness Handicap Inventory (DHI) and a numerical rating score. Results : After administration of Oryeong-san for 46 days, the DHI score decreased from 42 to 4. The average number of dizzy spells decreased from 6 to 0. Conclusions : Some cases of Menière's disease can be treated by Oryeong-san.

『상한론(傷寒論)』 '만(滿)'에 대한 고찰: 변병진단체계(辨病診斷體系)에 근거하여 소시호탕가감방(小柴胡湯加減方)을 이용하여 치료한 증례 4례에 근거하여 (A Conceptual Study of "Man (滿)" in Shanghanlun Based on 4 Cases Treated with Modified Soshiho-tang)

  • 허주;임은교;이성준
    • 대한상한금궤의학회지
    • /
    • 제13권1호
    • /
    • pp.61-79
    • /
    • 2021
  • Objective : The objective of this study was to explore the meaning of "man (滿)" in Shanghanlun through the analysis of four cases. Methods : We analyzed four cases treated with modified Soshiho-tang, which is administered when 滿 aggravates chief complaints. All cases were diagnosed by the disease pattern identification diagnostic system based on the Shanghanlun provisions. Results : All 4 patients' chief complaints were improved after administration of modified Soshiho-tang. Swelling symptoms were reduced in all 4 cases. Through the etymological research and clinical treatment results, the clinical meaning of 滿 was deduced as "swelling." Conclusions : The etymological and clinical analysis suggest that the concept of "滿" may be defined as "swelling" in the Shanghanlun provisions.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 시호계지탕(柴胡桂枝湯) 투여 후 호전된 알러지성 피부염 증례 1례 (Allergic Contact Dermatitis Treated by Sihogyeji-tang Based on Shanghanlun Provisions)

  • 정재원;이성준
    • 대한상한금궤의학회지
    • /
    • 제13권1호
    • /
    • pp.121-132
    • /
    • 2021
  • Objective: This study aimed to report the improvement in a patient with allergic contact dermatitis treated with Sihogyeji-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: According to the Shanghanlun DPIDS, the patient with allergic contact dermatitis was diagnosed with greater yang disease chest bind (Shanghanlun provision 146), and was administered Sihogyeji-tang for 90 days. The results were evaluated using the Dermatological Life Quality Index (DLQI) and a visual analog scale (VAS). Results: After taking Sihogyeji-tang for 90 days, the DLQI decreased from 28 points to 8 points and the VAS decreased from 10 points to 3 points. Conclusions: This case shows the potential of treatment through herbal medicine for allergic contact dermatitis using the Shanghanlun DPIDS.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 회역탕(回逆湯) 투여 후 호전된 화폐상 습진 증례 1례 (Nummular Eczema Treated by Hoeyeok-tang Based on the Shanghanlun Disease Pattern Identification Diagnostic System)

  • 임은교
    • 대한상한금궤의학회지
    • /
    • 제13권1호
    • /
    • pp.155-164
    • /
    • 2021
  • Objective: This study aimed to report the improvement of a patient with nummular eczema treated with Hoeyeok-tang based on Shanghanlun provisions. Methods: According to the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions, the patient was diagnosed with lesser yin disease according to the 324th provision. The patient was treated with Hoeyeok-tang for 90 days. The severity of pruritus decreased, and changes in symptoms were estimated by a visual analog scale, Scoring Atopic Dermatitis Index and the Validated Investigator Global Assessment for Atopic Dermatitis. Results: The patient's symptoms were improved. The severity of pruritus decreased and they recovered from abrasions. Conclusions: This study suggests that the 324th provision of Shanghanlun refer directly to nummular eczema.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 복령계지백출감초탕(茯苓桂枝白朮甘草湯) 투여 후 호전된 부정맥 증례 1례 (A Case Report of Arrhythmia improved after administration of Bokryeonggyejibaekchulgamcho-tang based on Shanghanlun provisions)

  • 이욱제
    • 대한상한금궤의학회지
    • /
    • 제14권1호
    • /
    • pp.27-39
    • /
    • 2022
  • Objective : This study aimed to report the improvement of one patient with arrhythmia treated using Bokryeonggyejibaekchulgamcho-tang based on the disease pattern identification diagnostic system (DPIDS) by Shanhanlun Provisions. Methods : The patient with arrhythmia was treated using Bokryeonggyejibaekchulgamcho -tang according to to Shanghanlun provisions. The results were evaluated using Modified European Heart Rhythm Association symptom scale (mEHRA). Results : After taking Bokryeonggyejibaekchulgamcho-tang for 257 days, mEHRA decreased from 3 to 1. Conclusions : The Administration of Bokryeonggyejibaekchulgamcho-tang to patient with arrhythmia, based on Shanhanlun DPIDS was effective.

  • PDF

『상한론(傷寒論)』 '현(弦)'에 대한 고찰 : 소시호탕가감방(小柴胡湯加減方)을 이용하여 치료한 증례 2례에 근거하여 (A Conceptual Study on 'Hyun(弦)' in Shanghanlun : Based on 2 Cases Treated by Modified Soshiho-tang (Xiao-chai-hu-tang in China and Syo-saiko-to in Japan))

  • 허주;이성준
    • 대한상한금궤의학회지
    • /
    • 제15권1호
    • /
    • pp.117-130
    • /
    • 2023
  • Objective : The objective of this study is to explore the meaning of 弦 in Shanghanlun through analyzing two cases. Methods : Two cases treated with modified Soshiho-tang, which is administrated when 弦 aggravates chief complaints, were analyzed. All of the cases were diagnosed by disease pattern identification diagnostic system based on Shanghanlun Provisions. Results : The patients' chief complaints of all 2 cases were improved after administration of modified Soshiho-tang. As pulling symptom was reduced in all 2 cases, patients' disease were relieved. Through the etymological research and clinical treatment results, the clinical meaning of 弦 is deduced as 'pulling'. Conclusions : The etymological and clinical analysis suggest that the concept of '弦' maybe defined as 'pulling' in Shanghanlun.

  • PDF

계지가후박행자탕(桂枝加厚朴杏子湯)으로 호전된 만성기침 1례 증례보고 (Case Report : Chronic Cough Treated by Gyejigahubakhaengja-tang)

  • 정재원
    • 대한상한금궤의학회지
    • /
    • 제15권1호
    • /
    • pp.149-160
    • /
    • 2023
  • Objective: To report a chronic cough that has improved after administering the Gyejigahubakhaengja-tang using Shanghanlun DPIDS(disease pattern identification diagnostic system). Methods: Chronic cough patient who occurred after COVID-19 was presumed to be diagnosed with cough variant asthma. After that, it was diagnosed as Taeyang-byung, number 43 provision according to Shanghanlun DPIDS, and the result of taking the Gyejigahubakhaengja-tang for 30 days was evaluated as VAS (visual analogue scale) and LCQ (leicester cough questionnaire). Results: After taking Gyejigahubakhaengja-tang for 30 days, chronic cough decreased from VAS 10 to VAS 1. The LCQ increased from 24 to 122. Conclusions: For chronic cough patients, 喘 at Shanghanlun DPIDS can be considered as the cause.

  • PDF

갱년기장애 및 폐경기 후 증후군 변증진단 도구의 변증분류 조정과 진단의 간의 진단일치도 연구 (A Study on Aadjustment of the Patterns, and the Correlation between the Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (CaPSP) and Korean Medicine Doctors' Diagnosis)

  • 이인선;김종원;전수형;지규용;강창완
    • 대한한방부인과학회지
    • /
    • 제34권1호
    • /
    • pp.1-14
    • /
    • 2021
  • Objectives: We studied for the adjustment of the patterns of 'The Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (hereinafter CaPSPI)' (studyI) and the correlation between CaPSPI and Korean medicine doctors' diagnosis which was carried out without knowing the results of CaPSPI (studyII). Methods: The studyI followed the previous study method in 2018 (2018-3). The studyII was conducted from June 1, 2019 to July 10, 2020 with ◯◯ University Korean Medicine Hospital IRB's approval (2019-4). Doctors' diagnosis was conducted face-to-face with the subjects. Doctors' diagnosis was carried out based on the Kupperman's questionnaire, 'Diagnosis System of Oriental Medicine (hereinafter DSOM)' and four examinations (四診) records. The diagnosis was marked with 0 for 'no', 1 for 'somewhat', 2 for 'yes' and 3 for 'very yes'. The correlation between CaPSPI and the mean of doctors diagnostic scores were investigated statistically. Results: The studyI showed that heart-heat (心火) pattern was added. The Factor loading coefficient for heart-heat was 0.551 to 0.789, and the Cronbach's coefficient was 0.896. The studyII showed that the diagnosis (Kappa statistic) of two doctors showed statistically significant concordance (all eight patterns), with correlation of them were 0.3 or higher. And the correlation between the CaPSPI score and the mean of doctors' diagnostic score showed a statistically significant correlation, with liver qi depression (肝鬱) being the highest at 0.552 and dual deficiency of the heart-spleen (心脾兩虛) being the lowest at 0.301. Conclusions: Since the diagnosis results of CaPSPI showed a significant correlation with the diagnosis of Korean traditional medicine experts, it was believed that the CaPSPI results can be trusted and used for clinical purposes.

반려견 인지기능장애증후군에 대한 한의 진단 및 한약치료 적용 가능성 고찰: 치매환자 국내한의치료기술과 비교 분석 (Potential application of herbal medicine treatment based on pattern identification for canine cognitive dysfunctional syndrome: a comparative analysis of Korea medicine therapy for patients with dementia)

  • 정경숙;조혜연;최유진;장정희
    • 대한수의학회지
    • /
    • 제62권3호
    • /
    • pp.25.1-25.9
    • /
    • 2022
  • Canine cognitive dysfunction syndrome (CDS) is a neurodegenerative disease that causes cognitive and behavioral disorders and reduces the quality of life in dogs and their guardians. This study reviewed the complementary and alternative medicine (CAM) for CDS and compared the diagnosis and therapy of CAM between CDS in canines and dementia in humans. The evaluation tools for the diagnosis of CDS and dementia were similar in the neurological and neuropsychiatric examinations, daily life activity, cognitive tests, and neuroimaging, but the evaluation for dementia was further subdivided. In CAM, pattern identification is a diagnostic method for accurate, personalized treatment, such as herbal medicine. For herbal medicine treatment of cognitive impairment in canines and humans, a similar pattern identification classified as deficiency (Qi, blood, and Yin) and Excess (phlegm, Qi stagnation, and blood stasis) is being used. However, the veterinary clinical basis for verifying the efficacy and safety of CAM therapies for CDS is limited. Therefore, based on CAM evidence in dementia, it is necessary to establish CDS-targeted CAM diagnostic methods and therapeutic techniques considering the anatomical, physiological, and pathological characteristics of dogs.

중년 건강검진 수진자에서 대사증후군과 한방비만변증의 관련성 (Relation between Metabolic Syndrome and Obesity Pattern Identification Questionnaire in Middle-aged Health Check-up Examinees)

  • 유정은;조영혜;구현경;김보영;윤영주
    • 대한한의학회지
    • /
    • 제35권1호
    • /
    • pp.124-134
    • /
    • 2014
  • Objectives: Metabolic syndrome is considered a coronary heart disease risk factor and its prevalence rate is increasing in Korea. Because obesity is relevant to metabolic syndrome, we investigated the relationship between metabolic syndrome and the Obesity Pattern Identification Questionnaire in middle-aged health check-up examinees. Methods: This was a cross-sectional study with 125 patients who visited a health promotion center of university hospital from October 2012 to January 2013. We analyzed the association of Obesity Pattern Identification Questionnaire and the diagnostic criteria of metabolic syndrome. Results: Pi deficiency (脾虛), phlegm (痰飮), liver stasis (肝鬱) and food accumulation (食積) pattern showed significantly highs score in the group with hypertriglyceridemia. Also, females demonstrated significantly high scores of liver stasis (肝鬱) and food accumulation (食積) in the group with hypertriglyceridemia. The questions of Pattern Identification that showed especially significant high score in the group of hypertriglyceridemia are as follows: 'Easily get annoyed', 'Usually worried', 'Frequently overeating or bingeing', and 'Having more after getting full'. There are positive correlations between triglyceride and the score of Pi deficiency (脾虛), phlegm (痰飮) and food accumulation (食積) pattern. Conclusions: Obesity Pattern Identification Questionnaire can be used for the management of hypertriglyceridemia in an effort to prevent metabolic syndrome.