• Title/Summary/Keyword: Korean Medicine diagnosis

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Developing an Intelligent Health Pre-diagnosis System for Korean Traditional Medicine Public User

  • Kim, Kwang Baek
    • Journal of information and communication convergence engineering
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    • v.15 no.2
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    • pp.85-90
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    • 2017
  • Expert systems for health diagnosis are only for medical experts who have deep knowledge in the field but we need a self-checking pre-diagnosis system for preventive public health monitoring. Korea Traditional Medicine is popular in use among Korean public but there exist few available health information systems on the internet. A computerized self-checking diagnosis system is proposed to reduce the social cost by monitoring health status with simple symptom checking procedures especially for Korea Traditional Medicine users. Based on the national reports for disease/symptoms of Korea Traditional Medicine, we build a reliable database and devise an intelligent inference engine using fuzzy c-means clustering. The implemented system gives five most probable diseases a user might have with respect to symptoms given by the user. Inference results are verified by Korea Traditional Medicine doctors as sufficiently accurate and easy to use.

Systematic Review of the Diagnosis of Pelvic Deviation for Chuna Manual Therapy (추나치료에 적용된 골반변위 진단법에 대한 체계적 문헌고찰)

  • Lee, Jun-Seok;Park, Kyeong-Won;Kim, Hyun-Tae;Park, Sun-Young;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.83-94
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    • 2022
  • Objectives This systematic review aimed to analyze research about pelvic deviation diagnosis for Chuna manual therapy (CMT) and to review the diagnosis methods, indices, and results of diagnosis. Methods Ten electronic databases were systematically searched up to January 4th 2022. Clinical studies and reviews containing pelvic deviation diagnosis for CMT or using CMT as a treatment of pelvic deviation were selected and evaluated. CMT diagnosis in clinical studies and reviews were isolated and analyzed by 2 independent reviewers. Results Thirteen clinical studies and three reviews were included in the evaluation. X-ray analysis and manual testing were the two main methods used in CMT diagnosis of pelvic deviation. For manual testing in clinical studies, leg length insufficiency testing was the most frequently used measurement index and the most common diagnostic results were anterior and posterior rotation. In the X-ray analysis, Obturator foramen and femur head line were the most frequently used measurement index and the most common diagnostic results were anterior rotation and posterior rotation. Conclusions The systematic review found that manual testing and X-ray analysis were mainly used for the diagnosis of pelvic deviation in CMT among clincial and review articles. As there was little research about diagnosing pelvic deviation in CMT and any existing research presented only low standards of evidence, further research should be updated with using a more standardized approach.

A Study on the Korean medicine Clinical Use of Moire topography in musculoskeletal diseases (근골격계 질환에 대한 경근무늬측정검사(모아레)의 한의약적 임상응용 고찰)

  • Ryu, Hongsun;Song, Aejin;Chong, Myongsoo
    • Journal of Society of Preventive Korean Medicine
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    • v.20 no.1
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    • pp.75-87
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    • 2016
  • Objectives : This study aims to classify and analyze literature related to moire topography, as a diagnostic device of Korean medicine, discuss research trends and major results, and demonstrate the value of moire topography. Methods : To investigate moire topography research trends, Korean keywords that signify 'moire' were searched in a Korean journal search engine. Initially, 2,988 papers were found in the research, and, after classifying them and removing those that are duplicate in other databases, only 37 papers were applicable for the literature review in this study. To analyze research trends, the 37 papers were analyzed based on the publication year, research field, journal, and research type, and, clinical articles were classified based on the diagnosis purpose, subject characteristics, diagnosis method, test method, and test result, for analysis. Results : Moire topography research in South Korea was first conducted in 1995 and most active in 2003, mostly in the field of Korean medicine. In the journal analysis, The Journal of Korea CHUNA Manual Medicine for Spine & Nerves published the highest number of papers, most of which were clinical articles and the rest were literature review. And, in the analysis of clinical papers, based on the diagnosis purpose, muscle somatotype measurement was most common, followed by diagnosis of scoliosis. In terms of subjects, most studies focused on elementary, middle, and high school students, and, in terms of the diagnosis method, other tests were used in most studies. The analysis of moire topography methods showed that most studies measured the shoulder, back, and hip, and the most common measurement method in the studies measured the difference in contour lines on the left and right by designating a central line of the body. In terms of the result, most moire topography brought about significant diagnosis results, and many studies demonstrated its use for musculoskeletal diseases in particular. Conclusions : Moire topography is believed to be highly significant for diagnosis and treatment of musculoskeletal diseases and further research will be needed to support it.

Clinical Demands for Evidence-based Medical Interventions and Diagnostic Technology in Oriental Medicine (근거중심의학에 기반한 한의치료기술 및 한방진단기기 개발을 위한 임상수요조사)

  • Kim, Gyeong-Cheol;Park, Sang-Woog;Song, Kyung-Hoon;Park, Joo-Yeon;Hong, Sang-Min;Lee, Hai-Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.2
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    • pp.121-133
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    • 2010
  • Objects : To establish directions to evidence-based medical interventions and diagnosis technology in oriental medicine, we did survey research among oriental medical doctors. Methods : Systematically-organized questionnaires were provided for survey. 105 Oriental medical doctors nationwide participated in the survey. We investigated diseases of their patients, differential diagnosis methods, frequently used medical interventions, needs for diagnosis devices, evidence-based clinical manuals, etc. Results : In oriental medical clinics, the most frequent patient class was patients with musculo-skeletal diseases. Oriental medical doctors assumed that the preparation of care solution for chronic life-style diseases was the most urgent. Dong-Eui-Bo-gam(東醫寶鑑) was the most frequently used reference for their herbal medication prescription. Fixed document for diagnosis and treatment were thought to be the most important in the developing evidence-based clinical manuals. Conclusions : Validity and reliability should be considered as very important in developing oriental diagnosis devices. Evidence-based clinical manuals are needed to build standardized document for diagnosis and treatment and to verify efficacy and safety of oriental medical diagnosis and treatment.

Correlation between Sasang Constitution and Eight Principle Pattern Identification, Qi-Blood Pattern Identification, Bing-Xie Pattern Identification by using Oriental Diagnosis System (전문가시스템을 활용한 사상체질과 팔강변증, 기혈변증, 병사변증간의 상관관계)

  • Hwang, Kyo Seong;Park, Jun Gwan;Choi, Seong Un;Noh, Yun Hwan;Cho, Young Seuk;Shin, Dong Ha;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.6
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    • pp.370-374
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    • 2018
  • Oriental Diagnosis System(ODS) is an artificial intelligence program that utilize entered diagnosis knowledge, determine patient's disease and decide right medicine. The purpose of this study is to find a correlation between pattern Identification in Korean medicine and each sasang types(Tae-Eum and So-Yang) by analyzing ODS diagnosis result. Eventually our study secure availability of using ODS program at clinical training or developing diagnosis program. Subject of this study is 50 patients who was performed Sasang constitution diagnosis (28 patients were Tae-Eum and 22 patients were So-Yang). We analyize patient's diagnosis records by using ODS program and obtained result about pattern Identification. We used SPSS statistics 23 in analyzing the differences of the scores of Eight Principle Pattern Identification, Qi-Blood Pattern Identification, and Bing-xie Pattern Identification in each Sasang types (Tae-Eum, So-Yang). The Heat and Heat-moisture scores were significantly different(p<0.05) and Qi-Blood Pattern Identification scores were not different in each Sasang types(p>0.05). And Weight was significantly different in each Sasang types(p<0.05). It is hard to generalize the result because subject of this study was not enough and had sample speciality(tinnitus patients). However, we explained correlation between pattern Identification in korean medicine and each sasang types based on quantifiable and objective evidence system. it can be used at education of korean medicine and evidence of practice diagnosis. Futhermore, there have been no studies about anaylizing correlation between pattern Identification in Korean medicine and each sasang types using ODS program. So it is worthy of being utilized at clinical evidence data of ODS program.

A Meaning of the Tan Pulse(彈脈) in the Qikoujiudaomai(氣口九道脈) Method for Examining the Eight Extra Meridians(奇經八脈) Pulse -Focusing on the Belt Pulse(帶脈)- (기경팔맥(奇經八脈)의 맥진법(脈診法)인 기구구도맥(氣口九道脈)에 나타난 탄맥(彈脈)의 의미에 관한 고찰 - 대맥(帶脈)을 중심으로 -)

  • Park, Geon Woo;Hwang, Min Sub;Yoon, Jong Hwa
    • Journal of Korean Medical classics
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    • v.35 no.1
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    • pp.33-42
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    • 2022
  • Objectives : This paper is to find the meaning of Tan pulse in Qikooujiudamai Diagnosis, Methods : In terms of Qikooujiudamai, the position to diagnose the Intermittent Pulse is Kwan(關) position and the pulse is Tan(彈) pulse. To find the meaning of Tan pulse, the symptoms of Intermittent pulse were analyzed. Then the symptoms were analyzed in terms of both Qikooujiudamai Diagnosis and 28-pulse diagnosis to find the correlation. Results & Conclusions : The Tan pulse at Kwan position is related to Hyen(弦), Kin(緊), Hwal(滑), Dan(短) pulse in 28-pulse diagnosis. The symptom of disease of Intermittent pulse's diagnosis is mostly concluded to those 4 pulses. Qikooujiudamai is the diagnosis for acupucture treatment, but with 28-pulse diagnosis, it can be developed to usage of medicine.

Concepts on Appearance Diagnosis and Four HyungSang Types - Fish, Bird, Horse, and Turtle - (장상논(臟象論)과 어조주갑류(魚鳥走甲類)에 대한 고찰)

  • Kim, Jong-Won;Jun, Soo-Hyung;Ji, Gyu-Yang;Kim, Kyung-Chul;Lee, In-Sun;Lee, Kwang-Young;Kim, Kyu-Kon;Lee, Yang-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.34-40
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    • 2009
  • After a research on appearance diagnosis and fish, bird, horse, and turtle types, this study concluded as following. Appearance diagnosis is a technique that exams five jang organs by color and shape of eye, nose, mouth, and ear. Four HyungSang types-including fish, bird, horse and turtle types-are evaluated upon the external shape that are created while type of seed changes. Appearance diagnosis focuses on five jang organs. Four HyungSang types focus on external shape, but are eventually related to five jang organs. Thus, two different techniques possess a point in common; five jang organs. The assignment of nose, eye, ear and mouth to the Five elements varies between two techniques. On the viewpoint of formation, appearance diagnosis assigns them to metal-water-wood-fire-earth and movement, and four HyungSang types do to wood-fire-earth-metal-water and constitution. On the viewpoint of body/use and static/dynamic, appearance diagnosis assigns them to metal-water-wood-fire-earth and constitution, and four HyungSang types do to wood-fire-earth-metal-water and movement. If nose, eye, ear, and mouth are assigned by on four HyungSang types, which are based on external shape, the assignment can be utilized in diagnosis. If, however, they are assigned by appearance diagnosis, it can be focus on treatment. Five jang organs and six fu organs are affected by internal conditions because they are located inside of human body, while four HyungSang types are affected by external conditions because it deals with external shape. If a disease occurs in the developed part of the body, it would be difficult to be cured because four HyungSang types depend on external shapes.

Development of Knee Pain Diagnosis Questionnaire and Clinical Study of Diagnostic Correspondent Rate (슬통 진단용 설문지개발 및 진단 일치도 평가연구)

  • Hwang, Ji-Hoo;Kim, Yu-Jong;Kim, Eun-Jung;Lee, Cham-Kyul;Lee, Eun-Yong;Lee, Seung-Deok;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.29 no.5
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    • pp.61-74
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    • 2012
  • Objectives : This study is perfomed for preparation of oriental medicine clinical guidelines for drawing up the standards of oriental medicine demonstration and diagnosis classification about the knee pain. Methods : Statistical analysis about Crane's-knee wind(鶴膝風), arthralgia syndrome(痺症), knee injury(膝傷), gout arthritis(痛風), Youk jeol poung(歷節風) classified experts' opinions about knee pain patients by Delphi method is conducted by using oriental medicine diagnosis questionnaire. The result was classified by using linear discriminant analysis(LDA), diagonal linear discriminant analysis(DLDA), diagonal quadratic discriminant analysis(DQDA), K-nearest neighbor classification(KNN), classification and regression trees(CART), support vector machines(SVM). Results : The results are summarized as follows. 1. The result analyzed by using LDA has a hit rate of 81.65% in comparison with the original diagnosis. 2. The result analyzed by using DLDA has a hit rate of 63.3% in comparison with the original diagnosis. 3. The result analyzed by using DQDA has a hit rate of 65.14% in comparison with the original diagnosis. 4. The result analyzed by using KNN has a hit rate of 74.31% in comparison with the original diagnosis. 5. The result analyzed by using CART has a hit rate of 75.23% in comparison with the original diagnosis when the test of selected 13 significant questions based on analysis of variance was performed. 6. The result analyzed by using SVM has a hit rate of 87.16% in comparison with the original diagnosis. Conclusions : Statistical analysis using oriental medicine diagnosis questionnaire on knee pain generally turned out to have a significant result.

A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults (공복혈당과 당화혈색소에 의한 당뇨병 진단 비교)

  • Yun, Woo-Jun;Shin, Min-Ho;Kweon, Sun-Seong;Park, Kyeong-Soo;Lee, Young-Hoon;Nam, Hae-Sung;Jeong, Seul-Ki;Yun, Yong-Woon;Choi, Jin-Su
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.5
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    • pp.451-454
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    • 2010
  • Objectives: The American Diabetes Association (ADA) has recently recommended the HbA1c assay as one of four options for making the diagnosis of diabetes mellitus, with a cut-point of $\geq$ 6.5%. We compared the HbA1c assay and the fasting plasma glucose level for making the diagnosis of diabetes among Korean adults. Methods: We analyzed 8710 adults (age 45-74 years), who were not diagnosed as having diabetes mellitus, from the Namwon study population. A fasting plasma glucose level of $\geq$126 mg/dL and an A1c of $\geq$ 6.5% were used for the diagnosis of diabetes. The kappa index of agreement was calculated to measure the agreement between the diagnosis based on the fasting plasma glucose level and the HbA1c. Results: The kappa index of agreement between the fasting plasma glucose level and HbA1c was 0.50. Conclusions: The agreement between the fasting plasma glucose and HbA1c for the diagnosis of diabetes was moderate for Korean adults.

Established Studies & Future Subjects in the Objectification of Sasang Constitutional Medicine (사상의학 객관화의 연구성과와 향후방향)

  • Han, Sun-Soo;Choi, Sun-Mi;Yoon, Yoo-Sik;Kim, Jong-Yeol
    • Korean Journal of Oriental Medicine
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    • v.10 no.2
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    • pp.51-62
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    • 2004
  • Through the survey of related studies for last ten years, it was known that accurate sample data of sasang constitution are the most important condition in sceintific research of sasang constitutional medicine. So we can propose three step for scientific sasang constitution medicine: firstly, the construction of SCIM(Sasang Constitutional Information Bank); secondly, the development of instruments for constitution diagnosis; thirdly, the new diagnosis methods based on the organic definition of sasang constitution.

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