• Title/Summary/Keyword: Korean Medicine diagnosis

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한열허실(寒熱虛實) 변증(辨證) 진단(診斷) 설문지의 개발에 대한 연구 (Research In Developing of Diagnosis Questionnaires on Cold, Heat, Deficiency and Excess)

  • 조혜숙;배경미
    • 동의생리병리학회지
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    • 제23권2호
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    • pp.288-293
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    • 2009
  • This study was investigated developing of Diagnosis Questionnaires which were used by Oriental Medical hospital of Dong-Eui University. We analyzed the results of Questionnaires about 620 outpatients who had participated study of diagnosis Dong-Eui University from April 2006 to March 2007. Pretest score in outcome reliability were similar on Cold, Heat, Deficiency and Excess. In Diagnosis Questionnaires, the number of variables below applied to Cold was 13, Hot was 8, Deficiency was 9, Excess was 7.

Diagnostic Performance of Radial Probe Endobronchial Ultrasound without a Guide-Sheath and the Feasibility of Molecular Analysis

  • Moon, Seong Mi;Choe, Junsu;Jeong, Byeong-Ho;Um, Sang-Won;Kim, Hojoong;Kwon, O Jung;Lee, Kyungjong
    • Tuberculosis and Respiratory Diseases
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    • 제82권4호
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    • pp.319-327
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    • 2019
  • Background: Radial probe endobronchial ultrasound (R-EBUS), is effective for tissue diagnosis of lung lesions. We evaluated the diagnostic performance of R-EBUS both a guide-sheath and fluoroscopy and identified factors associated with accurate diagnosis. The feasibility of molecular and genetic testing, using specimens obtained by R-EBUS, was also investigated. Methods: The study retrospectively reviewed 211 patients undergoing R-EBUS without a guide-sheath and fluoroscopy, June 2016-May 2017. After excluding 27 patients of which the target lesion was not reached, 184 were finally included. Multivariate logistic regression was used, to identify factors associated with accurate diagnosis. Results: Among 184 patients, R-EBUS-guided biopsy diagnosed malignancy in 109 patients (59%). The remaining 75 patients (41%) with non-malignant results underwent additional work-ups, and 34 were diagnosed with malignancy. Based on final diagnosis, diagnostic accuracy was 80% (136/170), and sensitivity and specificity for malignancy were 76% (109/143) and 100% (27/27), respectively. In multivariate analysis, peripheral location (adjusted odds ratio [aOR], 3.925; 95% confidence interval [CI], 1.203-12.811; p=0.023), and central position of the probe (aOR, 2.435; 95% CI, 1.424-7.013; p=0.035), were associated with accurate diagnosis of malignancy. Molecular and genetic analyses were successful, in all but one case, with inadequate specimens. Conclusion: R-EBUS-guided biopsy without equipment, is effective for tissue diagnosis. Peripheral location and central position of the radial probe, were crucial for accurate diagnosis. Performance of molecular and genetic testing, using samples obtained by R-EBUS, was satisfactory.

디지털 자동 설진 시스템 구축을 위한 설태 인식 알고리즘 기초 연구 (Basic Research for the Recognition Algorithm of Tongue Coatings for Implementing a Digital Automatic Diagnosis System)

  • 김근호;유현희;김종열
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.97-103
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    • 2009
  • The status and the property of a tongue are the important indicators to diagnose one's health like physiological and clinicopathological changes of inner organs. However, the tongue diagnosis is affected by examination circumstances like a light source, patient's posture, and doctor's condition. To develop an automatic tongue diagnosis system for an objective and standardized diagnosis, classifying tongue coating is inevitable but difficult since the features like color and texture of the tongue coatings and substance have little difference, especially in the neighborhood on the tongue surface. The proposed method has two procedures; the first is to acquire the color table to classify tongue coatings and substance by automatically separating coating regions marked by oriental medical doctors, decomposing the color components of the region into hue, saturation and brightness and obtaining the 2nd order discriminant with statistical data of hue and saturation corresponding to each kind of tongue coatings, and the other is to apply the tongue region in an input image to the color table, resulting in separating the regions of tongue coatings and classifying them automatically. As a result, kinds of tongue coatings and substance were segmented from a face image corresponding to regions marked by oriental medical doctors and the color table for classification took hue and saturation values as inputs and produced the classification of the values into white coating, yellow coating and substance in a digital tongue diagnosis system. The coating regions classified by the proposed method were almost the same to the marked regions. The exactness of classification was 83%, which is the degree of correspondence between what Oriental medical doctors diagnosed and what the proposed method classified. Since the classified regions provide effective information, the proposed method can be used to make an objective and standardized diagnosis and applied to an ubiquitous healthcare system. Therefore, the method will be able to be widely used in Oriental medicine.

부위별(部位別) 한출(汗出)의 기전(機轉)에 대한 연구(硏究) (A Study on the Principles of Regional Perspirations)

  • 류정아;정창현
    • 대한한의학원전학회지
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    • 제22권1호
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    • pp.71-85
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    • 2009
  • For having good therapeutic value, putting the ideal of diagnosis and treatment based on overall analysis of symptoms and signs[辨證施治] into practice is very important, so the Eastern Medicine's peculiar diagnosis without interference by the western medical diagnosis is very important. The peculiar method of Eastern Medicine's diagnosis is four methods of diagnosis(四診法), a joint term for inspection, auscultation and olfaction, interrogation, pulse feeling and palpation. In the process of interrogation[問診], from analyzing the perspiration phase, doctor can get various physical information. Especially perspiration from particular region can be a clue for founding focus or cause of disease. This thesis divide the phase of perspiration into eight bodily region, perspiration from all body, head, face, back, chest and armpit, stomach, pubic region and lower part, hands and feet, and inquire the possible causes and principles of these perspirations. In conclusion, the regional perspiration can be a clue point out the origin of fever and condition of Gi(氣) flow. Perspiration from head, back, chest and armpit, hands and feet means that certain fever cannot extend to the outside of body, and at the same time, means the Gi(氣) flow of outside is being intercepted. So the perspirations from that region become an object of medical treatment.

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홍채를 통한 사상체질진단: QSCCII 설문지조사와 비교연구 (Sasang Constitutional Diagnosis by Iridology: Comparitive Study with QSCCII Questionnaire)

  • 박형훈;정종운
    • 대한예방한의학회지
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    • 제12권2호
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    • pp.131-143
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    • 2008
  • This study aims at finding out the correlation between sasang constitution diagnosis using QSCCII which is self reporting questionnaire and sasang constitution diagnosis using iridology. In this study, 131 adult male and female participated as testees. The survey on questionnaires of QSCCII were carried out and then photos of irises of the participants were taken. The data from QSCCII was computed in WIN QSCCII version and they were translated into sasang constitution. For iris photos, the iris specialized camera with 1,300,000 picture elements was used, and then the iris photos were also read by computer. The correlation rate between QSCCII sasang constitution and iris sasang constitution was 52.4%, where kappa coefficient shows 0.323, which gives meaningful result statistically. And thus, the result can be used as a reference in sasang constitution diagnosis. For iridology to be served as a tool for sasang constitution diagnosis, criteria need to be developed for more concrete iris sasang constitution diagnosis in the future. And also comparative research is required among sasang constitution professionals and its iridological correlation of Sasang constitution carried out on more various group of people.

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

  • 황종순;김경호
    • Journal of Acupuncture Research
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    • 제24권2호
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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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팔요맥을 중심으로 살펴본 『동의보감』 27맥 속성 연구 (Properties of the Twenty-seven Pulses in DongUiBoGam Based on the Eight Important Pulses)

  • 이태형;정원모;고병호;박히준;김남일;채윤병
    • Korean Journal of Acupuncture
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    • 제32권4호
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    • pp.151-159
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    • 2015
  • Objectives : Pulse diagnosis is considered particularly important among several methods of diagnosis in DongUiBoGam. In spite of its importance, numerous and various pulse descriptions made it difficult to learn and practice pulse diagnosis. In this article, we tried to analyze properties of the twenty-seven pulses from pulse diagnosis cases from DongUiBoGam to enable the practical understanding of pulse diagnosis. Methods : We constituted the four axis according to the eight important pulses. And we analyzed properties of the twenty-seven pulses through the relationship between the four pairs of important pulses and the twenty-seven pulses. To quantify the relevances of important pulses to the twenty-seven pulses, we used the term frequency-inverse document frequency(TF-IDF) method. Results : We could elicit properties of the twenty-seven pulses according to the four axis. Also, we reexamined the categorization of the seven exterior pulses / the eight interior pulses and the similar pulses from DongUiBoGam with the analysis results. Conclusions : We could understand properties of the twenty-seven pulses more specifically with the eight important pulses. And we also could see the relationship among the twenty-seven pulses on each axis. However, the limitation arising from insufficient number of pulse diagnosis cases in this research requires further research with more sources such as other traditional medical records or clinical records in the present time.

중의(中醫) 양표학(量表學) 연구 동향 (A Review of the Scale Measurement Studies in Traditional Chinese Medicine)

  • 유재민;박영배;박영재
    • 대한한의진단학회지
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    • 제12권1호
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    • pp.93-102
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    • 2008
  • Purpose: To review the Scale Measurement studies on Traditional Chinese Medicine and it's prospection. Method: The papers reviewed in this study were searched through internet search engines such as China National Knowledge Infrastructure(www.cnki.net). we searched papers on Scale studies by the keyword "量表"(Scale) and "中醫"(TCM). Results: 263 papers which is truly related on "Scale" were collected. All the papers were reviewed briefly under the subtitle of diagnosis, evaluation of curative value, development of scale, reverse of overseas questionnaire to chinese literature and etc. Conclusions: Scale measurement studies on TCM proceeded so much but their medical application was on small and narrow field. Also Scale study had TCM's characteristics were only 18% of them. Neverthless, productions from China were precious and valuable to Korean Oriental Medicine and we have to learn their success on scale measurement studies.

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병인(病因)으로서의 식습관(食習慣)에 대한 고찰(考察) -동의보감(東醫寶鑑)을 중심으로- (A Study on Eating Habits as Etiological Factors based on DongUiBoGam)

  • 이청희;유승연;박영배;박영재
    • 대한한의진단학회지
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    • 제14권2호
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    • pp.25-42
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    • 2010
  • Background and purpose: The chronic diseases caused by lifestyle are on the increase. This study aims to review the eating habits as etiological factors and related symptoms from the perspective of Korean medicine. In this process, we will make a proposal on the treatment of the lifestyle related diseases. Methods: We studied the sentences about the eating habits and related diseases in Donguibogam Results and Conclusions: 1. The eating habits as etiological factors are overeating, irregular eating, late-night foods, fatty & heavy foods, cold foods, alcohols, etc. 2. The diseases caused by the eating habits are not limited to the gastrointestinal diseases(stomachache, vomiting, diarrhea, etc) but include the non-gastrointestinal diseases(edema, arthralgia, anal diseases, eye diseases, ear diseases, diabetes, cancers, etc.) 3. In the treatment of the diseases caused by the eating habits, the special regard should be paid to the etiological factors.

편작맥법(扁鵲脈法)에 관한 연구(硏究) (A Study on Bianque's pulse Diagnosis)

  • 방민우;김기욱
    • 대한한의학원전학회지
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    • 제30권3호
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    • pp.143-165
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    • 2017
  • Objectives : The paper seeks to provide a study on Bianque's Pulse Diagnosis in the contexts of Huangdi Neijing's Maijing and Nanjing. Methods : The paper provides a comparison of sentences regarding Bianque's Pulse Diagnosis discovered in Neijing, Maijing, and Nanjing. Results & Conclusions: 1. Bianque's Pulse Diagnosis was given birth through stages in accoradnce with the development of Pyobonjin, Maeggujin, Gyeongmaeghyjin, and Meridian Theory. 2. It seems that Neijing filled in Sambuguhujin and In-yeongbuyangmaegjin because they were not discovered in Canggong's Records of Diagnosis. 3. Bianque's Pulse Diagnosis diagnosed death using Osaegjin. Underneath each sentence within each biography regarding Meridian, there existed Pulse dead Hou. 4. Bianque's Pulse Diagnosis quantified the operation and length of pulse in time. The concept of small net was added which led to the establishment of Fifty circulations, Yeongwi theory, Meridians circulation, and chongu's boundary.