• Title/Summary/Keyword: Differentiation of Syndromes

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A Review of Attention Deficit Hyperactivity Disorder in Traditional Chinese Medicine (주의력결핍${\cdot}$과잉행동장애의 한의학 치료동향 (2005-2006년 중국 임상 논문 중심으로))

  • Park, Hyun-Chul;Kang, Mun-Su;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.2
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    • pp.35-44
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    • 2007
  • Objective : The purpose of this study is to take around the oriental medical treatment about Attention Deficit Hyperactivity Disorder in China. Method : We reviewed the 22 studies about ADHD which were published from 2005 to 2006. We selected those studies from CNKI (中國知識基礎設施工程 http://www.cnki.net). Result : We could find 22 studies about ADHD in CNKI from 2005 to 2006. DSM (III-R of IV) was used frequently in the diagnosis of ADHD. Herbal medicines, acupuncture, auricular therapy, moxibustion, chuna treatment, cupping therapy were used in the tre atments of ADHD. Differentiation of syndromes-Eum deficiency, heart and spleen deficiency, Damwha- was important in the diagnosis and treatments of ADHD in TCM. Jang and Bu(the internal organs; 臟腑) concerned in differentiation of syndromes about ADHD were Liver 肝, Kidney 賢, Heart 心, Spleen 脾. Most of studies reported very good results compared with western medicine treatment- Ritalin medication. Conclusion :There have been reported many ADHD clinical studies in China and these studies can be applied to the clinical practices in Korea.

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A Comparative Study on Acupuncture Using five Su points(五輸穴) - Sa-am Acupucture(舍岩鍼法), Taeguk Acupuncture(太極鍼法), 8 Constitution Acupuncture(八體質鍼法) - (오수혈(五輸穴)을 이용한 침법(鍼法)의 비교(比較) 고찰(考察) -사암침법(舍岩鍼法), 태극침법(太極鍼法), 팔체질침법(八體質鍼法) 중심(中心)으로-)

  • Jung, In-Gy;Kang, Sung-Keel;Kim, Chang-Hwan
    • Journal of Acupuncture Research
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    • v.18 no.2
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    • pp.186-199
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    • 2001
  • Objectives : Sa-am Acupucture(舍岩鍼法), Taeguk Acupucture(太極鍼法), and 8 Constitution-Acupuncture(八體質鍼法) are largely used acupuncture therapies which utilize Yin and Yang, The Five Elements, Interpromoting and Counteracting Relation(相生 相克 關係). We are here to compare and study each acupuncture methods in order to understand their fundamental principle and theory. Conclusion : 1. When prescribing Herb to patients, we can use the Differentiation of Syndromes method(辨證論治). As there is Constitutional Medicine prescription(四象醫學處方) using constitutional Large & Small Relation of Jang and Bu organs(臟腑大小 關係), in acupuncture treatment we can use the Differentiation of Syndromes method of Sa-am acupucture, applying constitutional Large & Small feature of Jang and Bu organs(臟腑大小) in Taeguk Acupucture and 8 Constitution Acupuncture we can derive a suitable prescriptions. 2. Taeguk Acupucture and 8 Constitution Acupuncture is an acupunture method created upon the constitutional theory. Taeguk Acupucture lacks a theory and has problems with its practical use. 8 Constitution-Acupuncture has a theory, thus it can give us the chance to make derived diverse prescriptions for each diseases. 3. Sa-am Acupucture uses exclusively Manual technique(手技法), breathing Posa method(呼吸補瀉法), YoungSu Posa method(迎隨補瀉法) and also retaining method(留鍼法). Taeguk Acupunctune is directed related with WonBang Posa method(圓方補瀉法), twirling method(撚鍼法) and uses retaining method. 8 Constitution-Acupuncture works only with YoungSu Posa method and also One-insertion method(單刺法). 4. If we apply The Five Elements of five Su points and Interpromoting and Counteracting Relation(相生 相克 關係), we can control discords between Jang and Bu organs. Sa-am Acupucture, Taeguk Acupture and 8 Constitution Acupuncture which use five Su points can make better results in Jang and Bu organs disease. 5. Sa-am Acupunture needs diverse applications of Organ picture theory(臟象論), Pathogenesis theory(病機學說) and an proper prescription studies by Differentiation of Syndromes(辨證). Taeguk Acupuncture and 8 Constitution Acupuncture has a organized prescription methods by constitutional Large & Small relation of Jang and Bu organs(臟腑大小), thus we need to focus on objectification in constitutional differentiation.

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Study on Syndrome Differentiation of Gastritis by Korean Standard Classification of Dsease and Cause of Death (한국표준질병 사인분류에 따른 위염(胃炎)의 한의학적 변증 연구)

  • Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.31 no.5
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    • pp.255-263
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    • 2017
  • This article is for understanding relations between the classifications of gastritis and syndrome differentiation types of Korean Medicine through research on syndrome differentiations of clinically applied gastritis and literature of Korean Medicine. Clinical papers were searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI) from 1995 to 2015. Conclusions are as follows. First, disease mechanism of chronic gastritis are qi stagnation, damp stagnation, heat obstruction, blood stasis obstruction, yin damage, damage to collaterals with healthy qi deficiency and pathogenic qi. And qi movement stagnation is shown through the status of chronic gastritis. Second, chronic superficial gastritis belongs to qi aspect syndrome and mainly pathogen excess syndrome. And the key mechanisms are congestion and disharmony of stomach qi sometimes combined with liver depression, food accumulation and dampness-heat. Third, chronic atrophic gastritis belongs to qi-blood syndrome and deficiency-excess complex syndrome with the root of spleen qi deficiency and stomach yin deficiency and the tip of blood stasis, qi stagnation. And key mechanism is damage to collaterals with healthy qi deficiency and toxin-blood stasis. Forth, pathogen excess syndromes are shown at the early stage of chronic gastritis and healthy qi deficiency syndromes after the middle stage. Qi deficiency is shown at the beginning of the disease and yin deficiency at the late stage. And qi deficiency is related with superficial gastritis and yin deficiency with atrophic gastritis.

The clinical manifestation of migraine and correlation study with autonomic bioelectric response (편두통 환자의 임상 양상 및 생체전기 자율반응과의 상관성 고찰)

  • Lee, Hyun-jong;Jung, In-tae;Kim, Su-young;Lee, Doo-ik;Kim, Keon-sik;Lee, Jae-dong;Lee, Yun-ho;Choi, Do-young
    • Journal of Acupuncture Research
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    • v.21 no.3
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    • pp.215-229
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    • 2004
  • Objective : We had a clinical report in headache but didn't in migraine. We have planned this study in order to get the basic data of migraine in oriental medicine. Methods : The patient of 36 in migraine checked sex, age, onset, family history, severity of pain, influences of life, induced cause, clinical pain characteristics, associated symptom, treatment style, and prescription, frequency, using period of analgesics by a questionnaire and differentiated syndromes in migraine and evaluated autonomic bioelectric response recorder(ABR-2000). Results : There are 23.4% in prevalence rate of migraine. The ratio of sex is M:F=1:17. The age of an attack is the highest in thirties. The patient are the most in forties. The mean duration of illness is $12.0{\pm}9.9$ years. 83.4% had a family history. 61.1% had a moderate grade in severity of pain. 77.8% selected fatigue in induced cause of migraine. 69.4% had tingling sense, nausea and vomiting in the associated symptoms. 91.7% used analgesics for treatment and 51.5% of them used analgesics voluntarily. 61.9% of them take analgesics less than once in a week. 33.6% had the phlegm syncope headache in differentiation of syndrome. In ABR-2000 results, item of graph showed low tendency mostly. Conclusions : We expected that this report of clinical progress, differentiation of syndromes and ABR-2000 results in migraine would be used basic data by oriental medicine to treat migraine.

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The research on the disease classifications of the traditional medicine in China, Japan, Taiwan, and North Korea (중국, 대만, 일본, 북한의 전통의학 질병분류 체계에 대한 연구)

  • Choi, Sun-Mi;Shin, Min-Kyoo;Shin, Hyeun-Kyu
    • Korean Journal of Oriental Medicine
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    • v.5 no.1
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    • pp.81-100
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    • 1999
  • The result from the research on the disease classifications of the traditional medicine in China, Japan, Taiwan, and North Korea are followings: 1. It is remarkable that China has two different classifications. One is of the diseases named by western medicine and the other is of the syndromes compounded with parts, characters, and pathology of the diseases. The Traditional Chinese Medicine has 615 codes for diseases in 7 departments, and 1684 codes for syndromes. It seems that they have tried to match each disease named by the traditional chinese medicine to each one named by western medicine. But, they have left the diseases impossible to be equivalent to the ones in western medicine themselves and used the same codes of western medicine when the diseases are the same ones in western medicine. 2. In Taiwan, they try to connect the diseases named by the traditional medicine to the ones named by western medicine based on ICD-9. But, they did not attempt to classify the diseases of the traditional medicine by its own ways. The names of diseases in Taiwan medicine include both diseases and syndromes. It is limited to name syndromes by the traditional medicine. And, Taiwan medicine follows ICD in naming injuries. 3. Japan has not got the disease classification for the causes of death, but only the Japanese disease classification for the causes of death, a translation 'The international disease classification for the causes of death. Therefore, The diseases named by traditional medicines are excluded in the public medicine by some Japanese medicines which diagnose through the western medicine and treat by Wa Kang medicine. 4. I can't find out the data over the disease classification for the causes of death by traditional medicine in North Korea. Instead, I can refer to case histories in which differentiation of symptoms and signs and points about them by traditional medicine and the final diagnoses and report about examination by the western medicine has been recorded. In conclusion, It is a distinctive feature that they connect the diseases and the syndromes by the traditional medicine to the ones by the western medicine, and don't tell the diseases from the syndromes.

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A study on the pulse symptoms of Shanghanlun (상한론(傷寒論)의 조문중(條文中) 맥증(脈證)에 관한 연구(硏究))

  • Kim, Jong-Soo;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.9
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    • pp.73-93
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    • 2000
  • Shanghanlun principally dealt with the differentiation of 'The six channels'(Taiyang, Yangming, Shaoyang, Tayin, Shaoyin, Jueyin), summing up such rich experiences as diagnoses and remedies about an acute fever before the Han dynasty, and establishing the basis of the differentiation of symptoms and signs based on prescriptions. And making it a principle to think of both pulse and symptoms important, it made a more organic method of diagnoses which compounded a reason, ncle, prescriptions and drugs, and considerably contributed to the development of Diagnostics. Therefore, as a result of classifying the contents concerned with the differentiation of Shanghanlun through the pulse symptoms, which is a way of research about the field of pulse feeling, it provided us with somewhat knowledge. 1. The pulse symptoms corresponds with the latter classification on the pulse symptoms. That is why, it seems, the traditional concept, which regarded the pulse and the symptoms as the basis of the differentiation and established the principle of the differentiation of symptoms and signs based on prescriptions, largely has an effect on the establishment of the latter pulse science. 2. The contents concerned with the pulse symptoms, including general principles and dicoction symptoms of each chapter, mounted up to 38%, and so the pulse symptoms informed that the pulse symptoms was the grounds of transformation and development, mechanism of differentiation of syndromes, advance or retreat of pathologic factors and application of drugs of each course of Shanghanlun. 3. Of pulse syndromes, there appeared Floating pulse most, and in addition there were also the high frequency of Yin pulse like Indistinctive pulse, Tense pulse, Deep pulse, and so on. 4. Any regularity between the pulse syndrome and the abdominal syndrome cannot be found.

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A Study on the Composition of Shanghanluntiaobian(傷寒論條辨) (방유집(方有執)의 『상한론조변(傷寒論條辨)』 조문(條文) 구성에 대한 고찰(考察))

  • Ahn, Jin-hee;Kim, Hye-il;Jeong, Chang-hyun;Jang, Woo-chang;Baik, You-sang
    • Journal of Korean Medical classics
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    • v.29 no.1
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    • pp.1-15
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    • 2016
  • Objectives : The purpose of this study is to investigate the method of setting up logic and estimate Fang Youzhi's work through Shanghanluntiaobian. Methods : Wang Shuhe's old edition Shanghanlun and Fang Youzhi's Shanghanluntiaobian were compared and several essential provisions were analyzed and addressed the positive and negative aspects of Fang Youzhi's revising old edition Shanghanlun mixed bamboo tablets. Results : Fang Youzhi's changing Bianmaifa("辨脈法") and Pingmaifa("平脈法") and placement Bianchishiyemaizhengbingzhi chapter after Liujingbingmaizhengbingzhi for discriminating convulsion dampness summer heat stroke from febrile diseases is appropriate. Fang Youzhi's deletion Shanghanli("傷寒例") chapter that has a guiding characteristics shows his editorial policy. Fang Youzhi's addition Bianwenbingfengwenzabingmaizhengbingzhi chapter is for discriminating febrile disease from epidemic febrile disease wind warmth syndrome miscellaneous disease and it indicates Shanghanlun is a book of treatment after differentiation of syndromes containing epidemic febrile disease and miscellaneous disease. Through Fang Youzhi's revising method I can see several positive aspects. First he tried to refine the logic of the content of Shanghanlun and accord with an actual situation. Second he shows Shanghanlun is a book of treatment after differentiation of syndromes containing epidemic febrile disease and miscellaneous disease and tried to see Shanghanlun clearly. A criticism of the Preserving Old Edition Shanghanlun group could interrupt flexibility and creative thinking reading Shanghanlun and a criticism to the Sangangdingli Principles of the several exegetists is a productive criticism because medicine treats human being so it cannot be completed by a logic. Conclusions : All of these processes are Fang Youzhi's endeavour for strengthening the system and logicality of the old edition Shanghanlun and it is meaningful to show a method to read Shanghanlun to beginners.

The Study on the Books of Oriental Medicine Which Deal with Variation in Diagnosis on the Neck and Nuchal Pain (경항통(頸項痛)의 변증(辨證)에 관한 문헌고찰(文獻考察))

  • Hwang, Jong-Soon;Kim, Kyung-Ho
    • Journal of Acupuncture Research
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    • v.24 no.2
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    • pp.169-185
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    • 2007
  • Objectives : The studies on variation in diagnosis on the neck and nuchal pain has not been done thoroughly as we can use it in clinical practice of these days. For this reason, I examined the variation in diagnosis mentioned in the classics of Oriental Medicine as the preceding study on standardization of variation in diagnosis on neck and nuchal pain. Methods : I gathered the twenty kinds of classics of Oriental Medicine that were computerized, the textbooks on Oriental Medicine which are being used these days, and the theses on current clinical research. After gathering these data, I analyzed these according to the variation in diagnosis. Results : The classics of Oriental Medicine on the neck and nuchal pain mentioned very much about the neck and nuchal pain occurred by the pathogenic factor of Wind, Cold, and Dampness, disharmony created by deficiency of Liver and Kidney, and pathogenic state of Meridians of Taiyang. According to the texts of these days, the differentiation of syndromes can be divided into four kinds of items such as Wind-Cold pathogen, Wind-Dampness pathogen, Phelgm-Heat, and disharmony between Qi and Blood. The theses of these days rarely mentioned about variation in diagnosis on the neck and nuchal pain. Conclusions : The differentiation of syndromes on the neck and nuchal pain can be divided into four kinds items as affection by exopathogen like Wind, Cold, Dampness, Heat, and so on, stagnation of Qi and the coagulation blood, deficient syndrome of Liver and Kidney, and deficient syndrome of Qi and Blood.

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Case Report of Yukmijihwang-tang(Liuweidihuang-fang) on Diabetes Mellitus in Stroke Patients Diagnosed as Kidney-Yin Deficiency or Non Kidney-Yin Deficiency Syndrome (신음허(腎陰虛)로 변증(辨證)된 중풍환자(中風患者)와 신음허(腎陰虛)로 변증(辨證)되지 않은 중풍환자(中風患者)의 당뇨(糖尿)에 대한 육미지황탕(六味地黄湯)의 치험례(治驗例))

  • Jung, Woo Sang;Moon, Sang Kwan;Cho, Ki Ho;Kim, Young Suk
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.11 no.1
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    • pp.82-88
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    • 2010
  • Because syndrome-differentiation is one of the major characteristics in oriental medicine, there would be a possibility that the same herbal medicine show different effects on the same disease, if syndrome differentiation is ignored. In this report, we observed different response of Yukmijihwang-tang in diabetic stroke patients according to their syndrome differentiation. One case diagnosed as 'Kidney-yin deficiency syndrome' showed remarkable improvement on diabetes mellitus, whereas the serum glucose levels of the other 4 cases diagnosed as 'non Kidney-yin deficiency syndrome' were lowered little. These results are in accordance with the oriental medical theory that Yukmijihwang-tang can treat 'Kidney-yin deficiency syndrome'. Therefore, we suggest that subsequent clinical trials on oriental medicine would have to include the concept of differentiation of syndromes in order to take out the merit of oriental medicine.

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A Study on the Diseases and Pharmacy of the Soumin's Sinsooyul-Pyoyul-Byung theory (소음인(少陰人) 신수열표열병론(腎受熱表熱病論)의 병증(病證) 및 약리(藥理)에 대한 연구(硏究))

  • Joo, Jong-Cheon;Kim, Kyung-Yo
    • Journal of Sasang Constitutional Medicine
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    • v.9 no.2
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    • pp.67-94
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    • 1997
  • The main purpose of this study is to arrange the diseases, principal medicinal substances and the prescriptions for the Soumin's Sinsooyul-Pyoyul-Byung(少陽人 腎受熱表熱病) by historical examination in the viewpoint of the Constitutional Medicine(四象醫學). In this study, first I collected the original texts of the diseases and priscriptions in Dongyi-Soose-Bowon(東醫壽世保元), and described the development process of the Soumin(少陽人)'s diseases and priscriptions by comparing with the contents in Dongyi-Soose-Bowon(東醫壽世保元). Next, I collected the efficacy of the medicinal substances and priscriptions by the examination of successive literatures referred it, and tried to explain the efficacy of each medicinal substances in the viewpoint of the Constitutional Medicine(四象醫學) by the analysis of successive literatures. As a result, the conclusions could be summarized as follows. 1. The Differentiation of Syndromes(辦證) in the Existing Medicine(旣存醫學) was formed according to the Eight Principal Syndromes(八綱), the Five Elements(五行), the Merdian system(經絡), therefore there were many confusions with the changes of the times. The differentiation of Syndromes(辦證) in the Constitutional Medicine(四象醫學) was formed according to the pathological change of Ascending and Descending Yin Yang(陰陽升降) in the Four Internal Organs(四臟), therefore, there was the consistency in the recognition of diseases. 2. The classification of the Soumin's Pyoyul-Byung(少陽人 表熱病) was divided into Yukuang Disease(鬱狂證) and Mangyang Disease(亡陽證) according to sweating or not. The conception of these diseases was mostly achived in Shanhanlun(優寒論). The treatment of Shanhanlun(優寒論) was alike to that of Dongyi-Soose-Bowon(東醫壽世保元) in a part. 3. Je ma, Lee thinked that the cause of the Soumin's Pyoyul-Byung(少陽人 表熱病) is the breakdown of the balanced equilibrium in ascending and descending Yin Yang(陰陽升降) for a Large Sin and a Small Bi(腎大脾小), and it is treated by warming and ascending Yang(溫補升陽). 4. The medicinal substances composing prescriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is characterized with the efficacy of Ascending Yang and supplying Qi(升陽益氣) and regulating the digestive organs with the efficacy of warming it. 5. The medicinal substances composing the precriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is divided into four parts with the state of Yang Qi(陽氣) in the disease it used. 6. The purpose of prescriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is to strengthen the Soumin(少陰人)'s Yangnan Qi(陽暖之氣). Je ma, Lee kept the principle not to mix with another constitution's medicinal substances in the creation of the priscription.

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