• 제목/요약/키워드: Mechanism of Disease(病機)

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기구(氣口), 인영맥(人迎脈)의 진단(診斷)을 통(通)한 내상(內傷), 외감병기(外感病機)에 대(對)한 문헌적(文獻的) 고찰(考察) (Invastigating literatures about mechanism of internal·external damage, through Qi mouth and Renying)

  • 김무신;조명래;박영배
    • Journal of Acupuncture Research
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    • 제18권4호
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    • pp.161-177
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    • 2001
  • Objective : We have studied the part, definition, diagnostic generaliztion and pathological viewpoint of Qi mouth and Renying by refering literatures Methods : I refered to records from anciant to modern. The results are followings : 1. Qi mouth and Renying is ancient diagnostic method and the origin of diagnostic method through the pulsation of radial artery. And Qi mouth is recognized as the right and left Qi mouth and Renying is located on pulsation points of both common carotid arteries. 2. The yin of five viscera, nutritional blood and viscous liquid are diagnosed by Qi mouth which is inclued lung meridian. And the yang of six organs, guarding Qi and the rise and fall of stomach energy are diagnosed by Renying which is inclued stomach meridian. 3. It is possible that the position, process and transformational condition of disease are decided by comparing and examining Qi mouth and Renying.

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스트렙토토신-당뇨쥐의 유병기간에 따른 혈중지질패턴의 경시적 변화 (Changes in Plasma Lipid Pattern in Streptozotocin-Induced Diabetic Rats: A Time Course Study)

  • 이수자
    • Journal of Nutrition and Health
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    • 제32권7호
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    • pp.767-774
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    • 1999
  • This study was carrid out to examine a part of the mechanism for the etiology of diabetic complications. Thirty normal and forty streptozotocin(STZ)-induced diabetic rats were used as the animal models. Animals were sacrificed at the time points of 3 days, 1, 2, 4 and 6 weeks after STZ-injection and time course in body weight and organ weight, the levels of blood glucose, plasma lipid patterns, and atherogenic index were measured during 6 weeks. The STZ-diabetic animals showed 63% survival rate and fsting blood glucose levels of the diabetic animals measured in the range of 230-410mg/dL during the experimental period. The body weigh of diabetic animals decreased significantly throughout the experimental period and the relative weights of organs to body weight were significantly higher than the normal control ones. The enlargement of the kidney in the diabetic animals was especially remarkable. Plasma triglyceride concentration in diabetic rats substancially increased from the first week of onset of diabetes mellitus and maintained higher levels than the control ones throughout the whole experimental period. The plasma total cholesterol level and atherogenic index in the diabetic rats were significantly higher than the normal ones from the third day after STZ injection and showed a gradual increase with the duration of the disease. Throughout the experiment, the diabetic rats consistently showed a slightly lower HDL-cholesterol level compared to the normal animals. From the results of this study, it appears that the significant changes in blood lipid pattern in STZ-diabetic animals start from the first week after STZ injection.

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정신건강 관리용 모바일 헬스케어 앱 개발 -분노 관리를 중심으로- (Development of Mobile Healthcare App for Mental Health Management -Focused on Anger Management-)

  • 박종진;최규석;김정래;박인규;강정진;손병기
    • 한국인터넷방송통신학회논문지
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    • 제14권6호
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    • pp.13-18
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    • 2014
  • 본 논문은 현대인이 받는 각종 스트레스와 압박 및 내적 갈등으로 인해 발생되는 분노의 관리를 위해 정신건강 관리용 모바일 헬스케어 앱을 개발한다. 분노의 작동 기전과 신체 질병과의 관계성에 대한 내용을 다루고 이를 효율적으로 관리, 해결하기 위한 정보를 제공하는 앱 컨텐츠를 개발하고 웹앱(Web App)으로 구현하였다. 앱을 사용하는 사용자에게 분노관리와 관련된 유용한 정보를 제공하고 사용하기 편리하도록 메뉴를 구성하였다. 구현된 앱은 분노와 관련된 정보, 신체 건강과의 연관성에 대한 정보, A형 성격이나 적대감 테스트, 스트레스 경향 테스트, 정신 생산성 진단 테스트(KMPI), 일지 쓰기, 분노 관리, 상담 등의 기능을 제공한다.

비위(脾胃) 음양허손병기론(陰陽虛損病機論)의 발전에 관한 연구 (Study on the Development of Theory of the Deficiency of Yin-yang in Spleen-stomach)

  • 정지연;김영목
    • 동의생리병리학회지
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    • 제25권1호
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    • pp.1-7
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    • 2011
  • The aim of the present study was to investigate the development of theory of the deficiency of yin-yang in the spleen-stomach(脾胃). The spleen-stomach theory is a very valuable composition of the oriental medicine. Its first theoretical basis was established by Li Dong Yuan(李東垣) who wrote Piweilun("脾胃論"). He insisted the importance of spleen yang(脾陽) which is the "postnatal base of life" by transforming and transporting of food essence and fluids and raises the clear. After him, his theory had influenced many descendant medical men. one of them, Ye Tian Shi(葉天士) found out the differences of between stomach and spleen. Especially he focused on the stomach yin(胃陰) which is easy to be exhausted by dry-fire(燥火). And he also made another remedy, "the stomach yang should be moved well(宣通胃陽)", which emphasize on that cold and stagnant cause the deficiency of the stomach yang. After that, spleen yin(脾陰) theory was set up by Tang Zong Hai(唐宗海). His spleen yin(脾陰) was deeply related with digestive enzymes and pancreas, because his theory was established by comparing oriental and western medicine. These four theories became the theoretical basis of the deficiency of yin-yang in the spleen-stomach(脾胃), and similar symptom of the spleen-stomach(脾胃) could be categorized according to the pattern identification(辨證) which was developed from these four theory.

상한문헌에 나타난 수면장애 치료법에 대한 연구 (A Study on Treatment of Sleep Disturbance in the Books on Cold Damage)

  • 김상운;정현종
    • 한국의사학회지
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    • 제27권2호
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    • pp.99-120
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    • 2014
  • Purpose : There are two types of sleep disturbance: inability to sleep (不眠) and somnolence (多眠). This study is to examine treatments of the two types of sleep disturbance in the Books of Cold Damage and how those theories were established and formed. Methods : 1. Verses including the words related to inability to sleep and somnolence were extracted from "Treatise on Cold Damage Diseases" (傷寒論). 2. Among the Books on Cold Damages that are classified according to the symptoms, 17 books with contents related to inability to sleep and somnolence were selected to collect and classify data in three perspectives: mechanism of disease (病機), method of treatment (治法) and disease pattern (病證). 3. Data collected through the above methods were compared and diagramed. Results & Conclusions : 1. On Cold Damage, inability to sleep is mostly rooted when human body lacks yin energy while having excessive yang energy (陽盛陰虛) due to fire and heat (火熱). The reason could be misuse of perspiration inducing method (汗法) or purgation (下法) on the doctors' part. 2. On Cold Damage, somnolence is rooted when pathogen (邪氣) is spread to yin meridians (陰經) and the human body lacks yang while having excessive yin energy (陰盛陽虛) or when heat (熱邪) is invaded into interior parts (裏部). 3. Many scholars of Cold Damage in later periods had copied the "Treatise on Cold Damage Diseases" for treatments of sleep disturbance but many others have applied the verses from "Treatise on Cold Damage Diseases" or added new treatments. Do jeol-am (陶節庵) and Wang Geung-dang (王肯堂) particularly had deep understanding on "Treatise on Cold Damage Diseases" and utilized the content freely or suggested new remedies because they had thorough knowledge on relating formula as well.

초기 자궁 경부암에서 치료전 예후 인자 (Pretreatment prognostic Factors in Early Stage Caricinoma of the Uterine Cervix)

  • 김미숙;하성환
    • Radiation Oncology Journal
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    • 제10권1호
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    • pp.59-67
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    • 1992
  • 1979년 3월 부터 1986년 12월까지 초기 자궁 경부암으로 서울대학교병원 치료방사선과에서 방사선 치료를 받은 124명의 환자를 대상으로 치료 결과 및 예후에 영향을 미치는 인자에 대하여 분석하였다. 병기 IB(35명)에서 5년 국소 치료율, 5년 무병 생존율 및 5년 생존율은 각각 $79.0\%$, $76.4\%$, $81.8\%$였다. 병기 IIA(89명)에서는 $78.0\%$, $66.8\%$, $72.1\%$였다. 나이, ECOG수행상태, 임신 횟수, 당뇨또는 고혈압의 여부, 병리조직학적 소견, 종양의 크기, 종양의 침투 양상, 전산화단층 촬영 소견 및 혈액 검사소견에 대한 후향적 분석을 단변수 분석과 다변수분석을 이용하여 5년 국소 치료율, 5년 무병생존율, 5년 생존율에 따라 실시하였다. 단변수 분석상 종양의 크기와 전산하단층 촬영상 직장 침윤이 5년 국소 치료율, 5년 무병 생존율 및 5년 생존율에 의미 있는 예후 인자이었다. 전산화 단층촬영상 자궁강 결합 조직 침범이 5년 국소치료율, 5년 무병 생존율에 의미가 있었다. 혈색소치가 5년 무병 생존율 및 5년 생존율에 의미가 있었다. 병리 소견과 환자의 나이가 5년 국소치료율에 의미가 있었다. 전산화 단층촬영결과를 제외한 다변수 분석결과에서 종양의 크기가 5년 국소치료율과 5년 생존율에 의미가 있었다. 혈색소치가 5년 무병생존율에 의미가 있었다. 전산화 단층촬영결과를 포함한 다변수 분석결과에설 병리소견이 5년 국소치료율과 5년 무병생존율에 의미가 있었다. 혈색소치와 전산화단층촬영상 직장침윤이 5년 국소치료율에 의미가 있었다.를 나타냈으나 통계학적으로 유의한 차이는 없었다. 결론적으로 선양 낭포암의 수술후 방사선치료에 있어서 60 Gy이상의 방사선양과 $64cm^2$이상의 field size로 치료함으로써 좀 더 좋은 국소치유율을 얻을 수 있었으며 환자의 생존율을 높이기 위해서는 좀 더 효과적인 항암제의 개발이 시급하다 하겠다.시에 비하여 심하지 않았으며 치료에 잘 적응하였다. 본 연구에서 DDP가 비교적 적은 합병증을 동반한 의미있는 방사선 민감제임을 확인하였으며 치료효과를 증대시키기 위하여 DDP와 방사선치료의 적절한 투여 계획을 결정하는 전향적 연구가 필요하다고 생각한다.C$-$43^{\circ}C$까지 잘 가온될 수 있음을 입증 하였다. 또한 폐의 온열요법시 종격동은 보다 높은 온도에 도달함으로 종격동의 열손상에 대한 고려가 필요함을 시사한다.r=0.990)로 각각 표시되었으며 각 간의 기울기에 대한 유의차는 없었다.18. 혈청중 LH와 total protein과의 상관계수는 +0.947이다. 19. 혈청중 FSH와 total protein과의 상관계수는 +0.709이다. 20. 혈청중 FSH와 triglycerides와의 상관계수는 +0.549이다. 21. 혈청중 estradiol-$17{\beta}$와 triglycerides와의 상관계수는 +0.673이다. 22. positive feedback mechanism에 의해서 LH, FSH와 estradiol-$17{\beta}$는 간을 자극시켜 albumin, total protein 및 triglycerides를 분필시킴으로서 난황형성(vitellosenesis)에 관여하는 것으로 나타났다.

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온병(溫病) 혈증(血證)의 낙맥병기(絡脈病機)에 대한 고찰 -주객교(主客交)와 건혈(乾血)을 중심으로- (A Study on the Collateral Vessel Pathology(絡脈病機) of Blood Disease(血證) in Onbyeong(溫病) with focus on Ju-Gaek-Gyo(主客交, guest-host minglement) and Dry Blood(乾血))

  • 김동휘;정창현;장우창;류정아;백유상
    • 대한한의학원전학회지
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    • 제25권1호
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    • pp.89-115
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    • 2012
  • Objective : Blood disease is common these days due to modern man's excessiveness in Yang heat (陽熱) and vulnerability of the Eum blood(陰血). This exposes them to warmheat/ dampness-heat diseases, where pathogenic heat easily penetrates the blood dimension(血分) creating stagnated blood(瘀血). Consequently, pathogenic symptoms in the collateral vessels increase, making it crucial to understand the pathogenic mechanism of the disease. Method : This paper examines the condition and region of the collateral vessel diseases(CVD) according to the blood diseases of Onbyeong, by analyzing each prescription's matching symptom. The disease in question in this paper is 'stagnated blood fixated in the collateral vessels'. Therefore diseases with stagnated blood in the Yang collaterals and Viscera collaterals or viscera themselves from the chapter of "On-Yeok-Ron(溫疫論)", and < Dry Blood-DaeWhangJaChungWhan(大黃蟅蟲丸) > chapter of "Geum-Gue-Yo-Rak(金匱要略)", were examined respectively. Result & Conclusion : The process of CVD according to the blood diseases of Onbyeong can be summarized as follows. First, bleeding in the Yang and Bowel collaterals, then stagnation in the Yang and Bowel collaterals, and finally stagnation in the viscera collaterals or Liver itself. The refractory nature of blood stagnation symptoms of the collateral vessels is mainly due to the characteristics of the collateral vessel itself. In structure, they are very narrow and small, situated at the most terminal part of the body where it is difficult for the Jeong Gi(精氣) to reach. Also, as they are symptomatic of degeneration of Jeong Gi, the root of the disease is very deep. Therefore to resolve blood stagnation in the cases of Ju-Gaek-Gyo and Dry Blood, general approaches using 'Gi communication(行氣)' or 'Blood vitalizing(活血)' medicinals will not suffice. Special medicinals such as crustacean and insects need to be appropriately applied.

궐증(厥證)의 병인병기(病因病機) 및 치방(治方)에 관한 문헌적(文獻的) 고찰(考察) -내경(內經)과 상한론(傷寒論)에 대(對)한 역대의가(歷代醫家)의 견해(見解) 차이(差異)를 중심(中心)으로- (The study of Literature Review on the pathological mechanism and Therapeutic methods of sudden coma -Focused on Different opinion of successive dynastic medical group in HwangJeNaeKyung and SangHanRon-)

  • 유형천;곽정진;최창원;이강녕;이영수;김희철
    • 대한한의학방제학회지
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    • 제11권1호
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    • pp.57-90
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    • 2003
  • The result of Bibliographic studies on the pathological mechanism of the sudden coma, we got the conclusion like this. 1. The sudden coma is an acute syndrome that refers to be a sudden fainting, an unconsciousness, an aphasia or a cold clammy limb, and immediately awakes or dies, and awakes in a short time, and if we awake, it doesn't leave over and above a sequela. 2. The clinical presentation of the sudden coma can be summarized as follows : The 1st is a disease raising the sudden death due to unconsciousness accompanied by wry mouth & sudden syncope with coma. The 2nd is simply the state of cold limbs. The 3rd is the meaning of the physique and symptomes of the six meridians. The last is the ancient method of expression in contrast of the beriberi. 3. The pathological mechanism of the sudden coma consists of the toxoid from outside, Qi and Xie, fatigue, damp phegm, the damage from seven emotions and the damage from five mental elements, especially the mental disorder due to the angry energy, causes the problems when the fleming-up of liver fire and the depressed of liver qi raise the physiological disorder. 4. Therapeutic methods of sudden coma are soothing the liver and remove stasis, soothing depression and circulating of the qi, calming the liver and suppressing yang. When that is early stage, at first, we must checking upward adverse flow of the qi after promoting the circulation of qi and awakening, and then, we must regulate excessive deficiency of yin yang by therapy that is based on differentiated in symptoms according to heat & cold, deficiency & excess, and use invigorating herb medicine for supporting vigour.

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한방진단설문지 DSOM (r) S.1.1의 Upgrade를 위한 신뢰도 연구 (Reliability Study for Upgrade of Diagnosis System of Oriental Medicine DSOM(r) S.1.1)

  • 이인선;김종원;지규용;이용태;김규곤
    • 동의생리병리학회지
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    • 제26권1호
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    • pp.88-97
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    • 2012
  • DSOM(Diagnosis System of Oriental Medicine), questionnaire for oriental medical(medicine) diagnosis is an online survey system containing 152 questions for female, 149 questions for male that asking the basic symtoms of 16 pathogenic factors(病機). The result of DSOM denotes reliability according to the level of major symptoms of each pathogenic factor. Standard level of reliability is equal to all 16 pathogenic factor basically except phlegm(痰). In case of phlegm(痰) we give different weight depending on whether the factor includes gray color under the orbit(痰飮氣) or not. To examine reliability of DSOM, statistical analysis has been done to the data of felmale 10101, male 1564 except for bad responses and stored between 1st April 2000 to 3rd June 2011. Based on the study, the conclusions were as follows. Reliability of DSOM. For female, all pathogenic factors showed over 85% confidence level except for phlegm 82.6%. For male, all pathogenic factors showed more than 90% confidence level except two factors, phlegm(痰) indicates 87.% and damp(濕) indicates 89.8%. HH rates among pathogenic factors were more than 50 points. For female, HH rates of other 14 pathogenic factors were all over 80% except for heat(熱) 78.2% and insufficiency of Yang(陽虛) 75.3%. For male HH rates of all pathogenic factors were more than 80% except HH rates of heat 78.2% and damp 77.8%. Research based on a degree of satisfaction of reliability derived from pathogenic factors with scores of HH results in for all 16 pathogenic factors showed over 85% of relatively high level of satisfaction for both sexes whose reliability standard come under 5~4 points. Comparing appearance frequency of pathogenic factors for both sexes. Male only displays higer than female in heat(熱). Whereas female were higher than male for other 15 pathogenic factors and the difference was biggest in heart(心) and least in insufficiency of Yin(陰虛). Comparing appearance frequency order of pathogenic factors for both sexes. Female outdistanced male in blood stasis(血瘀) coldness(寒) blood-deficiency(血虛) phlegm(痰), while male outdistance female in heat(熱) insufficiency of Yin(陰虛) deficiency of qi(氣虛). Male had lower average of each pathogenic factors than female except heat(熱) as well as deficiency of qi(氣虛).