• 제목/요약/키워드: Gi deficiency

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장개빈(張介賓)의 불면(不眠) 논치(論治) 연구(硏究) (A Study on Zhang Jiebin's Discussion of Treating Insomnia)

  • 朴基鎬;裵靚耘;柳姃我
    • 대한한의학원전학회지
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    • 제36권1호
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    • pp.79-107
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    • 2023
  • Objectives : This study aims to improve the diagnosis and treatment of contemporary insomnia by examining Zhang Jiebin's discussion on treating insomnia. Methods : The classical texts from the 'Insomnia' chapter of the Jingyue Quanshu were examined threefold in terms of symptom, treatment, and prescription analysis, after which the treatment discussion part was examined within the historical context of discussions on insomnia in major medical texts starting from the Huangdineijing. Results : According to Zhang, the cause of insomnia could be divided into two, after which criteria for diagnosis and treatment were set as excess pathogen and vital qi deficiency. He argued that insomnia could be naturally resolved through improvement of various pathogenic situations. Discussions on insomnia from various medical texts since the Huangdineijing suggest that pathology related to psychological function and emotions gradually increased and expanded over time. Conclusions : Zhang's discussion on symptom, treatment and prescriptions of insomnia suggests a new framework that could improve treatment effects through a Korean Medical Mind-Body approach, rather than the contemporary classification of organic insomnia and non-organic insomnia.

한국형 중풍 변증 표준안-Ⅱ의 변증별 변증지표의 분포 및 타당도에 관한 연구 (Study of the Indicators of Each Pattern Identification Based on Korean Standard Differentiation of the Symptoms and Signs for Stroke)

  • 문승희;강병갑;안정조;조현경;유호룡;설인찬;김윤식
    • 동의생리병리학회지
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    • 제22권2호
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    • pp.487-496
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    • 2008
  • The purpose of this study is to investigate clinical frequency and priority of five pattern identification settled by Korean Standard Differentiation of the Symptoms and Sign for Stroke. The present study was done over 177 hospitalized patient with stroke in the Daejeon University Oriental Medical Hospital in the period of November 2006 to July 2007. Stroke patients had been interviewed by residents and specialists who studied standard operation procedures in Fundamental study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. In Heat-transformation pattern group, men showed significantly high frequency and in Deficiency of Gi pattern group, women showed significantly high frequency. In Heat-transformation pattern group, the indicators such as 'aversion to heat during fever', 'flushed face', 'full and rapid pulse', 'dryness of the eyes, 'yellow coating of the tongue', 'feverishness of the limbs', 'dryness of the eyes' showed significantly high frequency. In Dampphlegm syndrome group, the indicators such as 'white coating of the tongue', 'yellowish face', 'thick coating of the tongue', 'wheezing in the throat with sputum', 'swollen tongue', 'slippery pulse' showed significantly high frequency. In Deficiency of Gi pattern group, the indicators such as 'pale tongue', 'lassitude', 'pale face', 'weakness pulse' showed significantly high frequency. In Deficiency of Eum group, the indicators such as 'short and rapid pulse', 'mirror-like tongue' showed significantly high frequency. For more sensitive Korean Standard Differentiation of the Symptoms and Signs for Stroke, Large scale study is to be done, giving weight on the important indicators.

진사탁(陳士鐸) 임상 이론의 특징에 관한 연구 (A Study on Characteristics of Jinsatak(陳士鐸)'s Clinic Theory)

  • 정경호;김기욱;박현국
    • 대한한의학원전학회지
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    • 제22권3호
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    • pp.31-51
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    • 2009
  • The characteristics of Jin's ideas on clinic theory can be arranged as follows. 1. Jin emphasized warming and tonifying[溫補] in treatment and the part that shows this the best is the taking care of[調理] the Vital gate[命門], kidney, liver, and spleen. His ideas were based on his understanding of a human life's origin, and was influenced by Seolgi(薛己), Joheon-ga(趙獻可) and Janggaebin(張介賓)'s Vital gate and source Gi theory(元氣說) so scholastically, he has that in common with them but was later criticized by later doctors such as Oksamjon(玉三尊) as an 'literary doctor(文字醫)' who followed the ideas of "Uigwan(醫貫)". 2. The warming and tonifying school[溫補學派], who were influenced by Taoism, said in their theory of disease outbreak[發病學說] that since one must not hurt one's Yin essence and Yang fire [陰精陽火] there is more deficiency than excess, so that was why they used tonifying methods. Jin was also like them and this point of view is universal in internal medicine, gynecology, pediatric medicine and surgery and so on. 3. Jin, who saw the negative form of pulse diagnosis[診脈] emphasized following symptoms over pulse diagnosis using the spirit of ‘finding truth based on truth[實事求是]' in "Maekgyeolcheonmi(脈訣闡微)", but emphasized 'the combination of pulse and symptoms[脈證合參]'. He understood pulse diagnosis as a defining tool for symptoms, and in "Seoksilbirok(石室秘錄)" simplified pulse diagnosis into 10 methods : floating/sunken(浮沉), slow/fast(遲數), large/fine(大小), vacuous/replete(虛實) and slippery/rough(滑澀). 4. Jin used 'large formulas(大方)' a lot that usually featured a large dose, and in " Bonchosinpyeon(本草新編)" he thought of the seven formulas(七方) and ten preparations(十劑) as the standard when using medicine. He did away with old customs and presented a 'new(新)' and 'extra(奇)' point of view. He especially used a lot of Insam(人蔘) when tonifying Gi and Geumeunhwa(金銀花) when treating sores and ulcers. 5. In the area of surgery Jin gave priority to the early finding and treatment of disease with internal treatment[內治] and was against the overuse of acupuncture. However records of surgical measures in a special situation like lung abscesses(肺癰) and liver abscesses(肝癰), and anesthetic measures using 'Manghyeongju(忘形酒)' and 'Singoiyak(神膏異藥)' and opening the abdomen or skull, and organ transplants using a dog's tongue are important data. 6. Jin stated the diseases of Gi and blood broadly. Especially in the principles of treating blood, blood diseases had to be forwarded[順] and Gi regulation[理氣] was the number one priority and stated the following two treatments. First, in "Jeonggiinhyeolpyeon(精氣引血篇)" of volume 6 of "Oegyeongmieon(外經微言)", for the rules for treating blood he stated the pattern identification of finding Gi in blood and blood in Gi. Second, he emphasized Gi regulation(理氣) in blood diseases and stated that the Gi must be tonifyed after finding the source of the loss of blood.

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양측성 절구공이 족관절에서의 불유합 -1예 보고- (Nonunion in Bilateral Ball and Socket Ankle Joint)

  • 박홍기;이경찬
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.231-233
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    • 2005
  • Ball-and-socket deformity of the ankle joint is a rare entity that is usually associated with inequality of leg length, fibular hyperplasia, coalition of the ankle, and ray deficiency. Etiology is unknown, congenital itself or secondary to congenital conditions in the ankle. Nonunion of medial malleolar is rare in bilateral ball and socket ankle joint without lower leg deformity. We report upon this case, and include brief reviwe of the literature.

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해양미생물로부터 면역증강물질 생산의 최적화

  • 최혜정;정명주;정영기
    • 한국생물공학회:학술대회논문집
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    • 한국생물공학회 2000년도 추계학술발표대회 및 bio-venture fair
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    • pp.309-312
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    • 2000
  • A halophilic bacterium was isolated from domestic marine. The bacterium was gram negative and motile. Transmission electron micrograph after cultivating for 6-, 20-, 72-, and 144 hrs showed that it was bacilli and contained intracellular granules, which were pleomorphic, larger in density by the time and considered to be PHB since they were positive on the sudan black B staining. The presence of sodium chloride was critical, because the isolated marine bacterium could not multiply and even produce any immunostimulant in the deficiency of sodium chloride. The strain produced an immunostimulant, which was investigated for the biological characteristics. The optimal conditions for the production of the immunostimulant were 1 % dextrose and 1 % yeast extract in artificial sea water for carbon and nitrogen sources, respectively. The initial pH and growth temperature for the production were 8.0 and $30^{\circ}C$ under the presence of oxigen, respectively.

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알레르기성 비염의 변증과 평가방법에 대한 고찰 (Research of Pattern Identification and Outcome Measurement in Allergic Rhinitis)

  • 김지은;백정한
    • 대한한방소아과학회지
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    • 제30권1호
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    • pp.32-39
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    • 2016
  • Objectives To evaluate the effectiveness of allergic rhinitis treatment, and to set the ground in clinical studies, adequate outcome measures must be established. Thus, this study was designed to develop useful criteria based on those that have been suggested, and those that we are using today. Methods To assess outcome measures used in allergic rhinitis in Korean medicine, related articles found in Korea Traditional Knowledge Portal from 2000-2015 were evaluated. Then pattern identification and outcome measures were reviewed in each study. Results Among 27 studies, we have found 24 studies used subjective symptoms as outcome measures, 9 studies used quality of life, and most of allergic rhinitis were caused by Spleen-Gi deficiency. Conclusions It is necessary to develop outcome measures that directly reflect pattern identifications in Korean medicine, and those measures need to be further evaluated for their applicability, validity and sensitivity.

GIS 교통 컴포넌트 개발을 위한 통행배정모형 구축 (A Study on the Trip Assignment Model for GIS Transportation Component Development)

  • 이경소;이성모;김창호
    • 대한공간정보학회지
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    • 제8권1호
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    • pp.65-72
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    • 2000
  • 교통수요예측과정은 교통정책개발 및 교통계획에 있어 매우 중요한 요소이며, 특히, 마지막 단계인 통행배정은 교통망의 결함을 판단하고 개선책을 제시하기 위한 매우 중요한 단계이다. 또한 지리정보시스템(GIS)은 다양한 장점으로 인해 교통분야에 활용될 경우 기대되는 효과가 매우 크며, 최근 프로그램 개발환경이 컴포넌트 기반으로 급속히 변하고 있어 교통계획 부문의 컴포넌트화가 절실히 요구되는 상황이다. 본 연구는 평형통행배정모형을 GIS를 이용하여 구현함으로써 교통 컴포넌트의 개발을 시도하였다. 그리고 구현된 시스템은 실제 청주시에 적용하여 보았다.

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심통(心痛)의 원인(原因)에 대(對)한 문헌적(文獻的) 고찰(考察) (A Biblographic Study on the Cause of Sim-Tong)

  • 변일
    • 대한한방내과학회지
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    • 제12권1호
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    • pp.19-30
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    • 1991
  • By the literatural study of chest pain (Sim-Tong), I have been obtained following conclusions. This conclusions driveed into the 'Sam-In-Guk-Il-Beung-Jung-Bang-Ron' written by the Jin, Moo-Taek. 1. Chil-jung(seven modes of emotions), Gi-Yeuk(abnomal risting of vital energy), Yang-hue(deficiency of Yang) are the chief endogenouse factor of chest pain. 2. Han-sa(cold-evil), Euk-Em(six-evils), Pung-Han-Yeol-Sa (wind-cold-heat-evils) are the exogenous factor of chest pain, and Han-Sa(cold-evil) is chief factor among them. 3. Dam-Em(phlegm-retention disease), Jeong-Sik(undigestive meal), Hoi-Chung(ascaris), Sa-Heol(blood stasis) are the chief pathologic factor neither endogenous nor exogenous of chest pain.

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"상한론(傷寒論)" 맥진(脈診)의 원리 (The fundamental principles of pulse feeling(脈診) of "Sanghanlon(傷寒論)")

  • 정창현;장우창
    • 대한한의학원전학회지
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    • 제20권1호
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    • pp.137-149
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    • 2007
  • Diagnostic method by taking pulse is generally accepted as a clinical diagnosis of today. Theoretical foundation of the method was laid by "Hwangjenaegyeong" and "Nangyeong". Since then, it was quoted by "Sanghallon" and systematically applied to diagnoses by making a diagnosis in the light of pulse condition and symptoms observed so that the original form of the method was shaped thereby. And therefore, theoretical significance of diagnostic method by taking pulse was drawn in this paper to define the theory of pulse feeling. Furthermore, this paper is corroborative of that the purpose of diagnostic method by taking pulse is to diagnose pyo-lee and jang-bu; wind-cold-warmth-heat; and deficiency and excess of gi and blood as well as substantially prove it with the texts of "Sanghallon".

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변혈(便血)에 대한 문헌적(文獻的) 고찰(考察) (A Literature Study on Stercoremia(Fecal blood))

  • 장규태;김장현;김희은
    • 대한한방소아과학회지
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    • 제18권1호
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    • pp.105-129
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    • 2004
  • Methods: It was studied on the 47 kinds of oriental medical literature for fecal blood. Results: Fecal blood means bleeding with faces from anus and indicates all the three cases such as blooding before and after evacuation, evacuation of feces mixed with blood, and simple melena. The main causes are fire(火) and deficiency of spleen qi (脾氣虛). According to the color of fecal blood and the region of the bleeding, first, if the blood color is dark-red and blood discharges after emptying the bowels, it is called deposited poison into Jang(臟毒) or distant bleeding(遠血), and if the color of blood is clear and bowel emptying occurs after bleeding, it is bloody stool due to intestinal wind(腸風) or nearby bleeding(近血). For treating methods(治法). removing heat from the blood and stopping bleeding(淸熱凉血止血), removing dampness and stopping bleeding(淸熱除濕止血), invigorating Ki for promoting Hul-controJ(益氣攝血), warming the spleen and stomach to dispel cold and stopping bleeding(溫中散寒止血) etc are applied. As for the treating prescriptionl(治法), a Hwangtotang(黃土湯). Jeoksodudanggwitang(赤小豆當歸散). Gwihwasan(槐花散). Wipungtang(胃風湯). Hwangnyeonhwan modifying(黃連丸加減). Samultang modifying(四物湯加減). Paedoksan modifying(敗毒散加減) etc are used. As for acupuncture and moxibustion(鍼灸療法). if etiology(病因) is damp-heat(濕熱), acupuncture(刺鍼) at Janggang(長强); Charyo(BL 32); Sangeoheo(ST 37)(上巨虛); Seungsan(BL 57)(承山穴), and in case of deficiency of spleen Gi(脾氣虛), acupunture(刺鍼) with tonification(補法) at I Baek(EX-UE 2)(二白); Gwanwon(CC 4)(關元); Joksamni(ST 36)(足三里) Taebaek(SP 3)(太白); Hoeeum(CC 1)(會陰穴), or mxibuston(灸) at Baekoe(GC 2O)(百會); Myeongmun9GC (命門) or the point of opposite to umbilicus among spinal vertebrae(脊中對臍穴) are used. The external treatment(外治療法) was consisted of plastering umbilicus therapy(敷臍法) and enema therapy(灌腸法).

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