• 제목/요약/키워드: Oriental medicine diagnostic application

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반려견 인지기능장애증후군에 대한 한의 진단 및 한약치료 적용 가능성 고찰: 치매환자 국내한의치료기술과 비교 분석 (Potential application of herbal medicine treatment based on pattern identification for canine cognitive dysfunctional syndrome: a comparative analysis of Korea medicine therapy for patients with dementia)

  • 정경숙;조혜연;최유진;장정희
    • 대한수의학회지
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    • 제62권3호
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    • pp.25.1-25.9
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    • 2022
  • Canine cognitive dysfunction syndrome (CDS) is a neurodegenerative disease that causes cognitive and behavioral disorders and reduces the quality of life in dogs and their guardians. This study reviewed the complementary and alternative medicine (CAM) for CDS and compared the diagnosis and therapy of CAM between CDS in canines and dementia in humans. The evaluation tools for the diagnosis of CDS and dementia were similar in the neurological and neuropsychiatric examinations, daily life activity, cognitive tests, and neuroimaging, but the evaluation for dementia was further subdivided. In CAM, pattern identification is a diagnostic method for accurate, personalized treatment, such as herbal medicine. For herbal medicine treatment of cognitive impairment in canines and humans, a similar pattern identification classified as deficiency (Qi, blood, and Yin) and Excess (phlegm, Qi stagnation, and blood stasis) is being used. However, the veterinary clinical basis for verifying the efficacy and safety of CAM therapies for CDS is limited. Therefore, based on CAM evidence in dementia, it is necessary to establish CDS-targeted CAM diagnostic methods and therapeutic techniques considering the anatomical, physiological, and pathological characteristics of dogs.

다낭성 난소 증후군 여성의 DITI 특성 분석을 통한 한의학적 진단 활용성에 관한 연구 (A Study on Oriental Medicine Diagnostic Application through Analysis of Digital Infrared Thermographic Imaging In Polycystic Ovary Syndrome Females)

  • 김은경;이미주;황덕상;이창훈;이경섭
    • 대한한방체열의학회지
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    • 제8권1호
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    • pp.18-25
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    • 2010
  • Purpose : This study was performed to compare the characteristics of digital infrared thermographic imaging(DITI) in polycystic ovary syndrome(PCOS) patients with regulary cycling controls. Methods : We studied 19 patients visiting ${\bigcirc}{\bigcirc}$ korean hospital from 7th May 2010 to 8th January 2011. The subjects were categorized in two groups. 8 PCOS patients and 11 healthy regularly cycling controls. We investigated the difference of DITI between two groups by Mann-Whitney U-test using SPSS for window (version 17.0). Results : The average temperatures of five points(In-dang(EX-HN3), GV4, GV6, GV12, GV17) between PCOS and non-PCOS groups showed a little difference though p-value is not less than 0.05. The DITI differences of PCOS group between In-dang and thorax or between In-dang and abdomen showed lower than those of non-PCOS group though not a statistical significant level. Conculsion : The results suggest that DITI differences between PCOS and non-PC OS groups need to be developed to some degree for the diagnosis tool of PCOS.

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사상인(四象人)의 안면, 음성, 피부 및 맥진 특성에 관한 설문조사 연구 (Survey Study about Sasangin's Characteristics of Face, Voice, Skin and Pulse Diagnosis)

  • 이준희;김윤희;황민우;김종열;이의주;송병일;고병희
    • 사상체질의학회지
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    • 제19권3호
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    • pp.126-143
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    • 2007
  • 1. Objectives The purpose of this study is to find out the grade of practical use, the important element and the significant characteristics of Sasangin' s face, voice, skin and pulse diagnostic impression, in Sasang constitutional clinical diagnosis. 2. Methods We analysed the survey data about Sasangin' s face, voice, skin and pulse diagnostic impression, drawn up by specialist in Sasang constitutional medicine. 3. Results and Conclusions (1) In the application degree of face feature, the case which it was applied with 20-40% and 40-60% were 16 people(43.2%) respectively. In voice, the case applied with 0-20% was 19 people(51.4%), in skin, 0-20% and 20-40% were 14 people(37.8%) respectively and in pulse diagnosis, 0-20% were 25 people(73.0%). (2) In constitutional diagnosis, the important element of face were 'frontal whole shape', 'whole impression' and 'size and shape of eye, ear, mose and mouth', the important element of voice 'speed of speech', 'purity and impurity' and 'pitch', the important element of skin 'thickness', 'feel of touch' and 'size of skin pores' and the important element of pulse diagnosis 'speed of pulse', 'sinking and floating' and 'weakness and firmness'. (3) The important face characteristics of Taeyangin were 'bright eye', 'broad forehead' and 'strong impression', Soyangin 'protruding forehead', 'thin and small lips', 'narrowing and sharp chin', Taeumin 'thick lips', 'flat face', 'large eye, nose, ear and mouth' and Soeumin 'long and slender face', 'downward slanting eyes' and 'small eye, nose, ear and mouth', The important voice characteristics of Taeyangin were 'loud' and 'clear', Soyangin 'rapid' and 'high-pitched tone', Taeumin 'chick', 'slow' and 'low-pitched tone' and Soeumin 'small and feeble' and 'slow'. The important skin characteristics of Taeyangin were 'thin' and 'white', Soyangin 'thin', 'smooth' and 'elastic', Taeumin 'thick', 'large skin-pore', 'coarse' and Soeumin 'soft', 'thin' and 'subtle skin-pore'. The important pulse characteristics of Taeyangin were 'rapid' and 'large', Soyangin 'rapid' and 'floating', Taeumin 'tense', 'long' and 'solid' and Soeumin 'fine', 'weak' and 'slow'.

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한·양방 의료 사이에서 신뢰의 원칙이 적용되는 경우에 관한 고찰 (Application of the Principle of Trust to the Medical Service Division between Oriental and Western Medicine)

  • 박철
    • 의료법학
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    • 제16권1호
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    • pp.125-151
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    • 2015
  • 우리는 한방과 양방의 이원화적 의료체계를 가지고 있다. 한방의료와 양방의료는 학문적 원리, 진단이나 치료방법 등에서 서로 차이가 나며 이를 한방의료와 양방의료의 상위성(相違性)이라 부를 수 있다. 한 양방 의료행위의 구별기준으로는 학문적 기준, 진단방법, 치료방법 등이 있고, 양방의료행위에 비하여 한방의료행위는 침습성이 낮고, 체질성을 보다 중시하며, 높은 재량성을 지닌다는 특성이 있다. 한 양방 의료사이에서 분업적 관계가 이루어질 때 양자의 관계는 종속적 관계가 아니라 상호 동등한 관계로 보는 것이 타당하며 기본적으로 이들의 관계는 상호 분리적 독립적인 관계로 볼 수 있으므로 수평적 분업관계로 보아야 한다. 수평적 분업이라면 신뢰의 원칙이 적용이 가능하나 양자의 상위성으로 인하여 이의 적용은 제한적이며, 이 경우는 양방의료 내의 각 과들 간의 의료분업이 이루어질 때의 신뢰원칙의 적용과는 다르게 생각할 필요가 있다. 이때의 신뢰원칙의 적용은 양자 간의 업무분담의 범위, 분업이 이루어지는 의료기관들의 형태 그리고 어떠한 방법으로 진단하는가의 여부에 따라 판단할 필요가 있다. 양방에서 진단을 맡고 한방에서 치료를 맡는 형태의 분업에서 이때 양방의 진단을 의료기기를 이용한 진단과 그렇지 아니한 진단으로 나누어 신뢰원칙의 적용여부를 살필 수 있는데, 한방에서는 진단하기 어려운 것으로서 양방의 의료기기를 이용한 진단결과에 대해서는 한의사가 이를 신뢰할 수 있다. 이 경우 한 양방 의료 간의 상위성으로 인하여 양방의 진단결과에 대하여 한의사는 한방적 관점에서 환자에 대한 증세를 확인할 진단의 주의의무가 있으나, 후자의 경우와는 달리 전자의 경우의 한의사의 진단의 주의의무의 의미는 한의사가 양방의 진단결과를 신뢰하여 이를 인지한 채 다만 치료를 위하여 환자의 증세를 파악한다는 것이다. 한편, 양방의 진단과실에 대하여 치료를 맡은 한의사도 한 양방 간의 상위성으로 인하여 그 진단과실의 책임이 문제될 수 있는데, 이 경우 한의사에게 형사적으로는 진단과실에 대한 책임을 묻기 어려울 것이다.

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PCOS 여성의 HRV 특성 분석을 통한 한의학적 진단 활용성에 관한 연구 (A Study on Oriental Medicine Diagnostic Application through Analysis of Heart Rate Variability in Polycystic Ovary Syndrome Females)

  • 이미주;황덕상;이진무;이창훈;조정훈;장준복;이경섭
    • 대한한방부인과학회지
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    • 제23권4호
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    • pp.155-163
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    • 2010
  • Purpose: The aim of the study was to compare the characteristics of the autonomic innervation of the heart in polycystic ovary syndrome(PCOS) patients with regulary cycling controls. Methods: We studied 21 patients visiting $\bigcirc\bigcirc$hospital from 25th June 2009 to 25th June 2010. The subjects were categorized in two groups, 11 PCOS patients and 10 healthy regularly cycling controls. We studied the difference of Heart rate variability (HRV) between two groups by Independent samples T-test using SPSS for windows(version 17.0). Results: The Standard deviation of all normal R-R intervals (SDNN), The spuare root of the sum of the spuare of difference between adjacent normal R-R intervals (RMS-SD) of PCOS group was non-significantly lower than non-PCOS group. High frequency power (HF) and Normalized high frequency power (HF norm) of PCOS group was significantly higher than non-PCOS group. Normalized low frequency power (LF norm) of PCOS was signficantly lower than non-PCOS group. The results means increased sympathetic and decreased vagal modulation. Total power (TP), Very low frequency power (VLF) of PCOS group was non-significantly lower than non-PCOS group. Low frequency power (LF), LF/HF ratio of PCOS group was non-significantly higher than non-PCOS group. Conclusion: The results suggest that PCOS can be related to decreased activity of parasympathetic nervous system.

팔체질 의학에 대한 논문 리뷰 (Review on Eight Constitution Medicine)

  • 이주호;김희주;신용섭;박영재;박영배
    • 대한한의학회지
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    • 제33권1호
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    • pp.90-106
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    • 2012
  • Objectives: Eight constitution medicine (ECM), which was first introduced in 1965, has been further developed and refined over the decades, and has consolidated its foundation through many studies on theories, diagnosis and clinical application. However, there have been few reviews on dissertations of ECM. In this study, we reviewed previously published studies related to ECM. Methods: We reviewed a total of 55 ECM-related studies published from 1965 to 2010 found on PubMed and various domestic Oriental medicine journals. Each thesis was classified as a theoretical, diagnostic, or remedy-related study. Results: 1. In the review of theoretical studies, shortly after ECM's introduction in 1965 by Kwon, the authors found studies on constitutional diseases, diets and food table which helped establish the background of ECM. ECM has further developed by comparing its theories with Sasang constitutional medicine, Huang-di-nei-jing, Saam, and Taegeuk acupuncture theories. 2. Research on diagnosis has been focused on its objectivity and accuracy. Constitution could be diagnosed by pulse-taking. To compensate for the lack of accuracy innate in pulse-taking, the Eight Constitution Questionnaire has been invented. 3. Remedies can be largely divided into acupuncture and diet. There were case studies comparing treatment effect of ECM acupuncture to other treatments. Diet related studies were carried out in the fields of immunology and nutrition. Conclusions: The authors reviewed studies that contributed to improved understanding of theories and clinical implications of ECM. Although there were various approaches to its theoretical and clinical grounds, more clinical research is needed. There is also a need to evaluate the accuracy of the experts' diagnoses of the constitution. The relationship between the diet and constitution also needs further research.

설진 시스템 특허동향 분석 (Analysis of patent trends of computerized tongue diagnosis systems)

  • 정창진;이유정;김재욱;김근호
    • 대한한의진단학회지
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    • 제17권2호
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    • pp.77-89
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    • 2013
  • Objectives Tongue diagnosis is an important diagnostic method in traditional Eastern medicine, and it has a high potential to be used in the future healthcare because of easy, quick, and non-contact measuring features. Recently, research and development efforts on computerized tongue diagnosis systems (CTDS) have been active that led to the technical advancements in the field of photographing techniques, image extraction and classification algorithms. In this study, we analyzed the trends in the CTDS patents. Using the WIPS search engine (www.wipsglobal.com), quantitative and qualitative patent analyses were performed through Korea, China, Japan, U.S.A and Europe. Methods For a systematic search and data analysis, we defined patent categories based on the application area and technical details. By applying thus-obtained categorical key words, we obtained 360 relevant patents on photographing techniques, image extraction and classification algorithms for the purpose of diagnosis or security. Results As a result, companies related to image acquisition, medical imaging and mobile devices and research groups of universities in East Asia were major patent applicants. In all the five countries, the number of patents have been increasing since 1980. In particular, technology related to color correction and image segmentation were most actively patented categories, and expected to continue a high application rate.

유전적(遺傳的) 분석법(分析法)에 의한 사상체질(四象體質)의 연구(硏究) (Study on Sasang Constitution by Genetic Analysis Using Four Short Tandem Repeat Loci)

  • 김민희;김경석;지상은;최선미;조동욱
    • 사상체질의학회지
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    • 제11권1호
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    • pp.169-183
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    • 1999
  • This study was carried out for the objectification and clinical application of the Sasang Constitutional Medicine(四象醫學). So, the Taeum Soyang, Soum groups were classified by diagnostic rules of Sasang constitution, and investigated by Amp-FLP method far genetic difference. The Amp-FLP was one of the most frequently used human genetic analysis methods which adopts STR typing. In this study, 100 genomic DNA samples of Taeum, Soyang, Soum constitution group were analysed by Amp-FLP method. Allele frequencies of four tetrameric short tandem repeat(STR) loci(TPOX, LPL, D21744, and D13S317) were determined in Taeum, Soyang, Soum groups. The heterozygosities and the polymorphism information content(PIC) values of forur STR loci were 0.812 and 0.789 in D3S1744, 0.811 in D13S317, 0.466 and 0.417 in LPL, and 0.625 and 0.561 in TPOX, respectively. The allele distribution of four STR loci was statistically evaluated. It was found out that the allele distribution of four STR loci was not significantly different among different constitutions. But all loci were found to be highly polymorphic in Taeum, Soyang, Soum groups. It was found out in this study that Taeum, Soum groups are genetically more related each other than they are related to Soyang groups.

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상한론(傷寒論) 조문중(條文中) 상견복증(常見腹證)에 관한 연구(硏究) (A Study of Abdominal Syndrome in Shanghanlun)

  • 신상습;박원환
    • 동국한의학연구소논문집
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    • 제7권2호
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    • pp.47-67
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    • 1999
  • 상한론(傷寒論)은 복증(腹證)에 관한 내용이 전체의 1/4에 달할 정도로 重히 다루고 있으며 방증변증(方證辨證)이 중심이 되어 복증(腹證)을 통한 변증이 매우 발달되어 있어서 진단학(診斷學)의 발전에 크게 기여하였다. 이후 진단학診斷學)의 발전(發展)은 진맥(診脈), 진설(診舌)을 위주로 했으며, 복진(腹診)의 운용(運用)에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 한의학적(韓醫學的) 진단방법(診斷方法)과 치료방법(治療方法)이 매우 강조되어 활발한 연구가 계속 진행되면서 복증변증(腹證辨證)에 관한 관심이 매우 집중되고 있기에, 복부진단(腹部診斷)에 관한 연구(硏究)의 한 방법(方法)으로써 상한론(傷寒論) 조문(條文)에 실려있는 상견복증(常見腹證)에 관련된 내용(內容)을 정리한 결과(結果) 약간의 지견(知見)을 얻었다.

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양도락의 진단적 활용에 대한 문헌 고찰 - 국내문헌을 중심으로 - (Ryodoraku Application for Diagnosis : a Review of Korean Literature)

  • 노승희;김건형;윤영진;양기영;김재규;이병렬;임윤경
    • Korean Journal of Acupuncture
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    • 제28권4호
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    • pp.125-135
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    • 2011
  • Objectives : This study is aimed to evaluate the diagnostic value of Ryodoraku for traditional Korean medicine practice reported in the Korean literature. Methods : A search of seven Korean databases was performed up to May 2011 using the search term 'Ryodoraku(in Korean)'. All clinical studies on diagnostic Ryodoraku characteristics were included. Results : The search yielded 59 studies, of which 5 were considered suitable for this analysis. Four were observational studies. Only one was a controlled trial. Average Ryodoraku score(RS), mean values for each measure point, physiologic limit, number of Pyesaek and Gyeokcha, and pattern classification were used as references for the analysis. Correlations were observed between average RS and idiopathic Parkinson's disease, some sub-groups of respiratory disease, chronic low back pain, and menopause. Some mean values for measure points showed particularly high or low tendencies in patients with idiopathic Parkinson's disease, chronic low back pain, and menopause. Positive correlations were observed between the number of Pyesaek and H-Y stage in idiopathic Parkinson's disease and F2(肝) and the modified Kupperman's index with menopausal women. The four classes, organized based on Ryodoraku pattern, showed differences in various characteristics. Conclusions : Since only five studies met the experimental conditions, this evaluation of the diagnostic value of Ryodoraku in various situations is limited. Future studies should be conducted using various physiologic and pathologic situations.