• Title/Summary/Keyword: Diagnostic System based on Shanghanlun Provisions

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Two Case Reports treated with Jagyakgamcho-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 작약감초탕(芍藥甘草湯)을 투여한 증례 2례)

  • Lee, Sung-jun;Lim, Eun-Kyo;Heo, Joo
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.25-39
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    • 2016
  • Objective : 2 clinical cases were analyzed to report the improvement of patient having anger problem and patient of low leg pain treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : We collected 2 cases treated by Jagyakgamcho-tang according to a disease pattern identification diagnostic system and defined the conceptional meaning of each provision by analyzing each case. Results : Patients in 2 cases were cured by Jagyakgamcho-tang selected according to Shanghanlun provisions dualized with Je-Gang(提綱) and Jo-Moon(條文). Conclusions : This study suggests Shanghanlun provisions are the record of significant factors which are closely related with and aggravate disease.

A Case Report of Edema Treated by Mahwang-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병(辨病) 진단체계(診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 부종 증례 1례)

  • Seo, Young-ho;Wang, In-ho;Hwangbo, Min;Choi, Hae-Yun
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.103-111
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    • 2019
  • Objective : The purpose of this study was to report the improvement in a patient with edema treated by herb medication based on Shanghanlun provisions. Methods : According to 'A disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS)', a patient was diagnosed with Taeyang-byung, no. 46 provision and was administered with Mahwang-tang herbal medication for 30 days. The Numeric rating scale (NRS) was used to estimate the response. Results : The NRS score changed from 10 to 1 and the edema disappeared by 46th provision of Mahwang-tang selected according to Shanghanlun provisions. Conclusions : This case report suggests that the two words in the 46th provision of Shanghanlun, '陽氣重, 無汗' (Yang qi heavy, Absence of sweating) indicate a close relationship between photosensitivity and absence of sweating, thereby affecting edema in this case.

Two Case Reports treated by Mahwang-Haeangin-Gamcho-Seokgo-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황행인감초석고탕(麻黃杏仁甘草石膏湯) 투여 후 호전된 증례 2례 고찰)

  • Ha, Hyun-yee;Yun, Hyo-Joong;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.67-85
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    • 2016
  • Objectives: In this paper, two cases which showed the meaningful results on the patients' chief complaints were analyzed. The patients were treated with the Mahwang-Haengin-Gamcho-seokgo-tang herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods: The patients were diagnosed based on Shanghanlun, disease pattern identification diagnostic system. In case 1, the change of menstruation cycle was noted and pre-menstrual discomforts were measured with Menstrual Distress Questionnaire(MDQ). In case 2, Quality of life questionnaire for adult Korean asthmatics (QLQAKA) was used to estimate the quality of the patient's life. Results: All the symptoms were improved after the Mahwang-Haengin-Gamcho-seokgotang treatment. In case 1, the menstruation cycle decreased to 30 days average. MDQ score decreased 143 to 103. In case 2, the change of the QLQAKA score as 1.647 average point is considered as a meaningful improvement. Conclusion: With great difference to a 'Symptom-Medicine' diagnostic system, the disease pattern identification diagnostic system seeks the pathologic pattern through the patient's whole life. More studies and multiple cases based on the diagnostic system are needed to prove this possibility later.

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) (『상한론(傷寒論)』 '현(弦)'에 대한 고찰 : 소시호탕가감방(小柴胡湯加減方)을 이용하여 치료한 증례 2례에 근거하여)

  • Joo Heo;Sung-jun Lee
    • 대한상한금궤의학회지
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    • v.15 no.1
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    • pp.117-130
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    • 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.

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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.

3 Cases of Infertility Patients based on Shanghanlun Six Differential Diagnostic System (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거한 불임 환자 3례의 임상 보고)

  • Yun, Su-Min
    • 대한상한금궤의학회지
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    • v.6 no.1
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    • pp.37-54
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    • 2014
  • Objective : The purpose of this paper is to report the effect of three different herb medication based on Shanghanlun(傷寒論) six differential diagnostic system. Methods : According to six differential diagnostic system based on Shanghanlun provisions, they were diagnosed with Taiyang-byung(大陽病), Yangmyung-byung(陽明病), Gwoleum-byung(厥陰病). They took different herb medications more than 6weeks according to their diagnosis. This paper evaluated the results of treatment by pregnancy test result with improvement of symptoms. Results : The symptoms of three patients were improved and became pregnant. Conclusions : This case study suggests that herb medication based on Shanghanlun(傷寒論) six differential diagnostic system have effectiveness on unexplained infertility. And we need to have a diversified and new perspectives in women's position about pregnancy with this system.

A Case Report of VulvoVaginal Candidiasis treated by Dahuanghuanglianxiexin-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대황황련사심탕(大黃黃蓮瀉心湯)을 투여한 칸디다성 질염 치험 1례)

  • Choi, Ju-Young
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.53-63
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    • 2015
  • Objective : This case report show the effect of Dahuanghuanglianxiexin-tang on VulvoVaginal Candidiasis. Methods : According to disease pattern identification diagnostic system based on shanghanlun provisions, The author diagnosed Taeyang-byung kyeolhyung. The symptoms of VulvoVaginal Candidiasis were worsen when the patient had long sitting position and digestive problems. Therefore the patient treated with Dahuanghuanglianxiexin-tang for 3 months. The severity of Candida Vaginitis was evaluated by patient's subjective statements(Vaginal pruritus, Vaginal secretion, Burning sensation). Results : After the treatment, Level of syptoms decreased from Severe to Trace and Eliminated. Conclusions : Dahuanghuanglianxiexin-tang improved the symptoms of VulvoVaginal Candidiasis on this study. Although Dahuanghuanglianxiexin-tang is not an usual treatment for VulvoVaginal Candidiasis, the author could prescribe the medicine due to shanghanlun six meridian patterns diagnostic system.

A Case Report of Panic disorder treated by Jukyeopseokgo Tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 죽엽석고탕(竹葉石膏湯) 투여 후 호전된 공황장애 1례)

  • Kim, Dae-Dam
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.155-164
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with panic disorder treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods :, The patient with panic disorder was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions'. The changing symptom of panic disorder was estimated by BAI(Beck Anxiety Inventory). Results : The patient was diagnosed with yin-yang-yi-cha-hou-lao-fu bing, number 397 provision, and took Jukyeopseokgo-tang herb medication about 113 days. The BAI score changed 37 to 12. Conclusions : The therapeutic intervention and herb medication showed a therapeutical effect on the patient. The anxiety and helplessness of the patient was improved. This patient's panic disorder was associated with poor sleep patterns and sensitivity to minor things and controled by Jukyeopseokgo-tang. The relationships between poor sleep patterns and 陰陽易差後勞復病, shortness of breath when sensitive to minor things and 少氣 need further study.

A Case Report of Dizziness treated by Guizhieryuebiyi-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 계지이월비일탕(桂支二越婢一湯)을 투여 후 호전된 어지럼증 1례)

  • Heo, Joo
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.21-28
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    • 2017
  • Objective : The purpose of this paper is to report the improvement of patient with dizziness treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 27 provision, and took Guizhieryuebiyi-tang herb medication 30 days. The changing symptom of dizziness was estimated by VAS(Visual Analogue Scale). Results : The VAS changed 10 to 0. Conclusions : On the number 27 provision of Shanghanlun, '弱' means lower body helplessness. This is the first case report treating the dizziness with Guizhieryuebiyi-tang in Korea.

A Case Report of migraine and a case report of restless legs syndrome treated with Osuyu-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 오수유탕(吳茱萸湯)을 투여한 편두통 증례 및 하지불안증후군 증례 각 1례)

  • Heo, Joo;Lee, Wook-jea;Jeong, Jae-won
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.125-138
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    • 2019
  • Objective : This study was intended to evaluate if treatment with Osuyu-Tang following the disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS) worked analyzing the progress of patients with migraine and restless legs syndrome and to reinterpret the provision of 309 Soyinbing Osuyu-Tang based on the analysis of whether it worked. Methods : Two cases treated with Soyinbing Osuyu-Tang were analyzed using DPIDS. The migraine and restless legs syndrome in both cases were evaluated using the migraine disability assessment (MIDAS) and the Korean versions of the international restless legs scale (K-IRLS), respectively. Results : In the first case, during 45 days of treatment, the MIDAS decreased from 10 days to 3 days. In the second case, during 30 days of treatment, the K-IRLS decreased from 30 to 9. In both cases, Soyinbing was associated with the disease, although the activity was less; and Leng (冷) was associated with numbness in the kneeling position. Conclusions : It was confirmed that treatment with Osuyu-Tang was effective against migraine and restless legs syndrome and that Leng could be associated with numbness in the kneeling position. The etymological analysis of the Shanghanlun characters suggested the possibility of further clarifying the clinical significance and interpretation of Shanghanlun.