• Title/Summary/Keyword: Heat and Cold Diagnosis

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Retrospective Study of Patients with Cough Treated with Eunhwayeongyo-tang (은화연교탕(銀花連翹湯)을 투여한 기침 환자에 대한 후향적 연구)

  • Baek, Hyun-jung;Lee, Beom-joon;Jung, Sung-ki;Jung, Hee-jae
    • The Journal of Internal Korean Medicine
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    • v.37 no.6
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    • pp.961-977
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    • 2016
  • Objectives: This study was designed to analyze the treatment effects of Eunhwayeongyo-tang through retrospective chart reviews. We also checked the correlation between each pair of variables of the symptoms and curative rates of patients with cough. Methods: Thirty-three patients with cough who had satisfied the selection criteria were retrospectively reviewed through their basic medical records, nasal endoscopy, and questionnaires about cough on their first and second visits. The questionnaires used were "The questionnaire on clinical symptoms of cough & sputum", Leicester Cough Questionnaire Korean Version (LCQ-K), Total Nasal Symptom Scores (TNSS), Visual Analog Scale (VAS), and "Cold-heat patterns". The improvement rate, calculated by "The questionnaire on clinical symptoms of cough & sputum" was considered to be clinically effective if reduction of symptoms scored more than 30%. The state of nasopharyngeal mucosa was assessed to categorize the cold-heat patterns of the upper respiratory tract and for diagnosis. Results: According to this study, cough and sputum improved by $57.22{\pm}37.76%$. Most patients (76%) improved significantly after $12.18{\pm}6.59days$ of taking Eunhwayeongyo-tang. The cure rates of 26 patients among the 33 patients were judged as effective. All the mean scores of the questionnaires and the anterior nasal cavity states were significantly improved on the patients' second visits. After $18.39{\pm}15.68days$, 30 patients were completely cured and ended treatment. The nasopharyngeal mucosa states of all patients were categorized as heat patterns. Conclusions: The conditions of the patients with nasopharyngitis significantly improved after taking Eunhwayeongyo-tang. All of the patients had pharyngitis or rhinitis. The cold-heat pattern of nasopharyngeal mucosa was a significant indicator of upper respiratory inflammation diagnosis.

A study on a present condition of research on the experimental model in oriental medicine (실험동물의 병증(病證) 모형에 대한 연구현황 소고 - 중의(中醫) 자료를 중심으로 -)

  • Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.1 no.1
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    • pp.69-99
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    • 1995
  • In order to develop experimental research in oriental medicine, it is necessary to make experimental model of diagnostic pattern(證), On model of the condition of a disease maked in china, there are cold-pattern(寒證), heat-pattern(熱證), deficiency of vital energy-pattern(氣虛證), blood-deficiency-pattern(血虛證), yin-deficiency-pattern(陰虛證), yang-deficiency-pattern(陽虛證), deficiency of both yin and yang-pattern(陰陽俱虛證), yang-exhaustion-pattern(亡陽證), blood stasis-pattern(血瘀證), pattern of defferential diagnosis according to states of viscera(臟腑辨證).

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Study for the characteristic symptoms of Dampness in Donguibogam(東醫寶鑑) (동의보감(東醫寶鑑)에 나타난 습사(濕邪)의 특징 증상에 대한 고찰(考察))

  • Jung, Hyun-Jong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.2
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    • pp.90-111
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    • 2013
  • Objectives Migratory pathogenic factor(六淫) occupies an important position in the etiology of Korean Medicine. This paper shows how Dampness, one of Migratory pathogenic factor(六淫), is explained in Donguibogam(東醫寶鑑). And, based on this, we will figure out how to make a judgement of Dampness through diagnosis. Method 1. Collect parts of Dampness mentioned in Donguibogam(東醫寶鑑). 2. From the collection, extract contents about mechanism and symptom of Dampness, which is considered necessary for diagnosis. 3. Put all the extraction together, suggest the diagnosis element which can be criteria of judgement of Dampness through diagnosis. Result & Conclusions The occurrence of Dampness come from a wet climate and environment externally, and overeating of greasy food and digestive disorder internally. There are many different kinds of symptoms throughout the body cause of poor circulation. Dampness is classed as Cold-dampness, Damp-heat, and Dampness-phlegm depending on characteristic symptoms, and mainly shows musculoskeletal disease and digestive troubles. Typical symptoms are pitting edema, distention and fullness, moderate and thready pulse, volume of perspiration increase, loose feces, urine volume decrease, pain of joint and muscle, restriction of movement, etc.

Changes and Distortions in the Meaning of yin and yang, cold and heat, exterior and interior, deficiency and excessiveness in the Constitutional Medicine (사상의학(四象醫學)에서의 음양(陰陽)·한열(寒熱)·표리(表裏)·허실(虛實) 병리(病理)의 변용(變用))

  • Choi, Yei-Kwen;Kim, Kyung-Yo
    • Journal of Sasang Constitutional Medicine
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    • v.9 no.1
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    • pp.25-101
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    • 1997
  • The physiologic and pathologic theories of "The Yellow Emperor's Canon of Internal Medicine (黃帝內經)" were based on yin-yang theory. It has been an important constituent of traditional Chinese medicine, and the eight principal syndromes have been main guidelines in diagnosis and treatment. Recently it had an great influene on the formation of the pathophysiology of Constitutional medicine. Therefore each constitution menifests special pathophysiologic propriorities of the eight pricipal syndromes, especially specific to one's constitution. So we can recognize specific patterns of the yin and yang, cold and heat, exterior and interior, deficient and excessive syndromes through a series of processes distinguishing one's constitution. The theory of the Constitutional medicine, however, has contained those achievements in a new angle and view the problem from a little different standpoint. The dynamic relationships inevitably have caused certain changes and distortions in the meaning and application of eight principles. These are a progress in medical science, and this advance is the stirring venture of Lee jaema. This thesis has intended to show the delicate relationship between the two, and investigate into these "changes and distortions".

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Associations Among Different Types of Quantitative Pain Measures in TMD Patients (측두하악장애환자에서 다양한 종류의 정량적 통각검사들의 연관성에 관한 연구)

  • Park, Ji-Woon;Kim, Yong-Woo;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.413-419
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    • 2007
  • The aims of this study were to investigate the relationships among several types of thermal pain thresholds, and pressure pain thresholds. This study was designed to examine whether there were associations among different types of pain thresholds, and among different recording sites for each pain threshold measurement. Pain sensitivity thresholds including cold pain threshold (CPT), heat pain threshold (HPT), heat pain tolerance threshold (PTT), and pressure pain threshold (PPT) of 56 subjects with symptoms of temporomandibular disorders were measured on temporal muscle, masseter muscle, TMJ, and tibial areas. Thermal pain thresholds including CPT, HPT, and PTT did not show any gender differences. However, women showed significantly lower PPTs than men on all recording sites. Three thermal pain thresholds including CPT, HPT, and PTT showed weak to high correlations on all the recording sites (r= 0.324 to 0.754, p<0.05). PPTs did not show any significant correlations between each thermal pain threshold. The pain threshold of each recording site showed weak to high correlations in all pain threshold measures (r= 0.284 to 0.878, p<0.05). Our study demonstrated that thermal pain thresholds, and pain tolerance thresholds were significantly correlated, but did not show any correlation between thermal pain thresholds and pressure pain thresholds. There were relatively high correlations among the pain thresholds of different recording sites.

A Study on the Medicinal Application in the Zangfuxushibiaobenyongyaoshi - Based on the Zangfuyaoshibuzheng of Zhang Shanlei - (『장부허실표본용약식(臟腑虛實標本用藥式)』에 나타난 약물(藥物) 운용(運用)에 관한 고찰(考察) - 장산뢰(張山雷)의 『장부약식보정(臟腑藥式補正)』을 중심으로 -)

  • Lee, Sang-Hyup
    • Journal of Korean Medical classics
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    • v.36 no.1
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    • pp.45-78
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    • 2023
  • Objectives : Based on the Zangfuyaoshibuzheng of Zhang Shanlei, this paper examines the tip/root division of the Zangfu, features of medicinal application according to deficiency/excess or cold/heat, and erroneous cases in the Zangfuxushibiaobenyongyaoshi of Zhang Jiegu. Methods : Categorization according to tip/root, cold/heat, deficiency/excess and respective medicinal applications in the Zangfuxushibiaobenyongyaoshi were organized, followed by thorough analysis based on the annotations in the Zangfuyaoshibuzheng. Results : First, in the treatment principle of the Zangfu diseases, each of their physiological function and pathological mechanism were analyzed so that the disease patterns are understood accurately and treated accordingly. Second, in categorizing treatment methods, terminology application was modified in overlapping or ambiguous cases so that they could be better distinguished. Third, medicinal categories that were designated to treat each Zangfu disease were explained well based on unique features. In cases where medicinals were falsely included, they were identified and corrected based on sound reasoning. Conclusions : The pattern diagnosis in the Zangfuyaoshibuzheng is clear, and medicinal application analysis is intelligible. As it thoroughly corrects and revises errors in Zhang Jiegu's theories, it could provide valuable assistance in selecting each medicinals when treating disease patterns of the Five Zang.

A literatual studies on the suppurative osteomylitis(附骨疽) (附骨疽에 關한 文獻的 考察)

  • Hwang, Do-gun;Roh, Sek-seon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.11 no.1
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    • pp.99-140
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    • 1998
  • In the literatual studies on the suppurative osteomylitis(附骨疽), the results were as follows. Suppurative osteomylitis(附骨疽) is called 'Mudujur(無頭疽)', is concerned with Pyogenic osteomyelitis in western medicine. The pathogenic factors of Suppurative osteomylitis were caused by exposing to wind-cold-wetness evil, or body weakness, or wound a bodily injury caused by physical means. The symptoms of Suppurative osteomylitis was alternating episodes of chills and fever, pain on buttock or thigh in onset. The differential diagnosis of Suppurative osteomylitis was divided three parts. One was the stagnation of virulent fire-evil. Another was the deficiency of both vital energy & blood. The other was wind-cold-wetness evil. The treatments of Suppurative osteomylitis was clearing away heat-evil and wetness evil, removing blood stasis and promoting meridian. In the frequency of prescription, the most numerous prescription were Osintang(五神湯) and Hwangyunhaidoktang(黃連解毒湯), the next were Neitakganghwaltang(內托羌活湯), Taibangpungtang(大防風湯) etc.

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The Comparison on the General Characteristics of Acute Stroke Patient between Heat pattern group and Cold pattern group (한열변증에 따른 중풍 환자의 제반특성 비교)

  • Kim, Min-kyung;Lee, ln-whan;Shin, Ae-sook;Kim, Na-hee;Kim, Hye-mi;Shim, So-ra;Na, Byung-Jo;Cho, Seung-yeon;Park, Seong-uk;Jung, Woo Sang;Moon, Sang Kwan;Park, Jung-mi;Ko, Chang-nam;Cho, Ki Ho;Kim, Young Suk;Bae, Hyung-sup
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.11 no.1
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    • pp.18-25
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    • 2010
  • Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and cold pattern group. Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo medical center, Kyungwon university lncheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university llsan oriental medical center) from April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern patients. Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group. CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution of the heat pattern group, and So-eum type takes high distribution of the cold pattern group. Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold pattern group.

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A Clinical Trial on Efficacy of Gagamchengyoung-tang(Jiājiǎnqīngyíng-tāng) in the Alopecia Patients with Febrile Tendency (열성 탈모환자에 대한 가감청영탕(加減淸營湯) 효과의 임상적 연구)

  • Hong, Jung-Ae;Kang, Su-Jin;Jang, Jin-Young;Kang, Yeo-Reum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.2
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    • pp.19-29
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    • 2013
  • Objectives : The main purpose of this study is to investigate the efficiency of Gagamchengyoung-tang (Ji$\bar{a}$ji$\check{a}$nq$\bar{i}$ngy$\acute{i}$ng-t$\bar{a}$ng) and examine the febrile tendency in the alopecia patients Methods : Of the patients who have visited Balmers Korean Medicine clinic for alopecia from December first 2012 to December 31st 2012, we enrolled 30 patients and performed heat and cold diagnosis, examine scalp and check hair density. We administrated Gagamchengyoung-tang(Ji$\bar{a}$ji$\check{a}$nq$\bar{i}$ngy$\acute{i}$ng-t$\bar{a}$ng) and acupuncture to all patients. The effect was assessed by scalp condition and hair density Results : The scalp disorder index decreased and hair density increased in alopecia patients with febrile tendency Conclusions : All patients had febrile tendency and Gagamchengyoung-Tang(Ji$\bar{a}$ji$\check{a}$nq$\bar{i}$ngy$\acute{i}$ng-t$\bar{a}$ng) can be effective in the scalp disorder and alopecia.

Study on Application of the Herbal Medicines Mentioned in ${\ulcorner}$Sanghanron${\lrcorner}$, ${\ulcorner}$GeumGweyoryak${\lrcorner}$ with Regards to the abdominal Diagnoses Impressions of Epigastric Fullness and Rigidity (심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구)

  • Choi, Myong-Hee;Kim, June-Ki
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1375-1387
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    • 2006
  • Through abdominal diagnoses, deficiency and excess, and cold and heat of the eight principles for differentiating syndromes can be determined, pathogens such as fluid retention, dry stool, retention of undigested food, abdominal mass, blood stagnation, stagnation of Gi, deficiency of Kidney Yang, and, spermatorrhea can be identified, nature and stages of the symptoms can be understood and then pathogenesis analyzed. Abdominal diagnosis can be one of primary factors in deciding treatment, expecting prognosis and treatment effect, and choosing herbal prescriptions. Representative herbs for epigastric stuffiness/fullness are Radix Ginseng, Pericarpium Citri, etc; for fullness of epigastrium, Rhizoma Pinelliae, Pericarpium Citri, Rhizoma Rhei, etc.; for severely rigid epigastrium, Radix Glycyrrhizae, Radix Ginseng, etc.; for epigastric pain, Rhizoma Pinelliae, Pericarpium Citri, etc.; for epigastric fullness and rigidity, Rhizoma Coptidis, Radix Ginseng, etc.; for feeling of obstruction in the epigastirum, Radix Bupleuri, Radix Ginseng, etc.; for palpitation in the epigastrium, Radix Glycyrrhizae, Ramulus Cinnamomi, etc. It is essential to rightly diagnose through comprehensive analysis of the data gained by the four methods of diagnosis, and in doing this, further studies on how to utilize abdomen diagnosis for clinical practice.