• Title/Summary/Keyword: Physiology of TKM

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Comparisons of Discriminant Analysis Model and Generalized Logit Model in Stroke Patten Identifications Classification (중풍변증분류에 사용되는 판별분석모형과 일반화로짓모형의 비교)

  • Kang, Byoung-Kab;Lee, Ju-Ah;Ko, Mi-Mi;Moon, Tae-Woong;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.2
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    • pp.318-321
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    • 2011
  • In this study, when a physician make a diagnosis of the Pattern Identifications(PIs) of stroke patients, the development methods of the PIs classification function is considered by diagnostic questionnaire of the PIs for stroke patients. Clinical data collected from 1,502 stroke patients who was identically diagnosed for the PIs subtypes diagnosed by two clinical experts with more than 3 years experiences in 13 oriental medical hospitals. In order to develop the classification function into PIs using the 44 items-Fire&heat(19), Qi-deficiency(11), Yin-deficiency(7), Dampness phlegm(7)- of them was significant statistically by univariate analysis in 61 questionnaires totally, we make some comparisons of the results of discriminant analysis model and generalized logit model. The overall diagnostic accuracy rate of the PIs subtypes for discriminant model(74.37%) was higher than 3% of generalized logit model(70.09%).

Report on the Survey for the Necessity of Korean Standard Differentiation of the Symptoms and signs for the Stroke (한국형 중풍변증진단 표준안의 필요성에 대한 설문조사 보고)

  • Yu Byeong-Chan;Kim Joong-Kil;Seol In-Chan;Shin Seon-Hwa;Lee In;Jo Hyun-Kyung;Choi Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.273-278
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    • 2006
  • This survey was accomplished in order to find out the necessity of creation of Korean standard differentiation of the symptoms and signs for the stroke(KSDS) in clinical practice. The survey questions were developed by the consensus from the professors who major in internal traditional Korean medicine(TKM). May 11th to July 31th 2005, the questionnaire was given to 800 TKM doctors in the whole country of Korea listed on the National Korean Medical Hospital Associations address book dy postal mail. Total of 358(44.7%) questionnaires were retrieved out of the 800 subjects. The 311 (86.9%) of 358 TKM doctors given an answer to the survey responded to need development of KSDS, and 176(56.6%) of 311 TKM doctors who answered to need development of KSDS responded to have to consider consensus of clinical experts on the stroke for creation of KSDS. These results support a role for new KSDS might be usefully applied in diagnosis and treatment of the stroke.

Study on the Prerequisite Chinese Characters for Education of Traditional Korean Medicine (한의학 입문을 위한 필수한자 추출 및 분석연구)

  • Chae, Han;Hwang, Sang-Moon;Kwon, Young-Kyu;Baik, Yu-Sang;Shin, Sang-Woo;Yang, Gi-Young;Lee, Byung-Ryul;Kim, Jae-Kyu;Lee, Byung-Wook
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.3
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    • pp.373-379
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    • 2010
  • There has been a need for establishing operational curriculum for chinese characters and chinese writing used by traditional korean medicine (TKM), but it was not carefully recognized so far. We analysed the frequency of unicode chinese characters from five medical textbooks and showed prerequisite chinese characters for TKM beginners. It was found that 之, 者, 不, 也, 而, 氣, 陽, 陰, 下, 其, 病, 爲, 人, 以, 中, 則, 於, 脈, 上, 故 are the most frequently used 20 chinese characters. We also showed that adequate prerequisite chinese character should be designated for the more efficient education of TKM. This study was the first systematic approach to get essential and prerequisite chinese characters for the education of TKM. The prerequisite characters by this study will be used for the development of KEET (Korean Medicine Education Eligibility Test), entrance exam to the Colleges of Oriental Medicine and textbooks, and educational curriculum of premed students.

Report on the Korean Standard Differentiation of the Symptoms and Signs for the Stroke-1 (한의 중풍변증 표준안-I에 대한 보고)

  • Kim Joong-Kil;Seol In-Chan;Lee In;Jo Hyun-Kyung;Yu Byeong-Chan;Choi Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.229-234
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    • 2006
  • To develop the Korean standard differentiation of the symptoms and signs for the stroke(KSDS), the committee on Stroke Diagnosis Standardization of traditional Korean medicine(TKM) was organized dy nineteen experts in college of Korean medicine. On July 9th 2005, the second consultation meeting was held in Daejeon, Korea. Fifteen experts of the committee attended the meeting and they discussed the KSDS and came to a consensus. The 15-member committee consensus was as follows: First, board members defined the stroke on the basis of TKM. Second, they divided the symptoms and signs of stroke into five categories- fire and heat, dampness and phlegm, blood stasis, qi deficiency, yin deficiency. Third, the symptom indicator of each differentiation type for the stroke was recommended. KSDS-1 will be applied to the clinical practice and revised.

Literature Review of Clinical Studies for the Relationship between Ultrasonographic Examination and Syndrome Differentiation Classification in Chinese Medicine (초음파영상검사와 한의변증분류와의 관계와 관련된 중의학 임상연구에 대한 문헌고찰)

  • Hwang, Ji Hye;Ko, Dongkun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.4
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    • pp.217-225
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    • 2018
  • This study was to investigate the relationship between ultrasonographic examination and pattern identification classification on cinical studies in chinese medicine. We searched clinical studies related correlation between ultrasonographic examination and pattern identification classification in chinese medicine, that published from 2013 to 2016 in China National Knowledge Infrastructure (CNKI) databases by keywords, 'ultrasound(超?)', 'chinese medicine(中?)', 'syndrome differentiation (辨?)'. Seventeen studies were found. There were 7 studies of gynecological diseases including polycystic ovary syndrome and uterine myoma, 5 studies of fatty liver, 3 studies of arthritis, and 1 studie of thyroid nodule and lymphadenopathy respectively. As a result, ii is thought that there was a certain degree of correlation between the change of the ultrasonographic image and the pathological types according to traditional chinese medicine (TCM) syndrome differentiation and ultrasonographic examination could be used as secondary means for the TCM syndrome differentiation classification. In conclusion, by using ultrasonograph device in a medicinal way of TCM and traditional korean medicine (TKM), it is thought that more detailed and accurate diagnosis and treatment are possible and the evidence for reasonableness of syndrome differentiation in TCM and TKM its validity can be secured.

Discriminant Model V for Syndrome Differentiation Diagnosis based on Sex in Stroke Patients (성별을 고려한 중풍 변증진단 판별모형개발(V))

  • Kang, Byoung-Kab;Lee, Jung-Sup;Ko, Mi-Mi;Kwon, Se-Hyug;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.138-143
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    • 2011
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. As a part of researches for standardization and objectification of differentiation of syndromes for stroke, in this present study, we tried to develop the statistical diagnostic tool discriminating the 4 subtypes of syndrome differentiation using the essential indices considering the sex. Discriminant analysis was carried out using clinical data collected from 1,448 stroke patients who was identically diagnosed for the syndrome differentiation subtypes diagnosed by two clinical experts with more than 3 year experiences. Empirical discriminant model(V) for different sex was constructed using 61 significant symptoms and sign indices selected by stepwise selection. We comparison. We make comparison a between discriminant model(V) and discriminant model(IV) using 33 significant symptoms and sign indices selected by stepwise selection. Development of statistical diagnostic tool discriminating 4 subtypes by sex : The discriminant model with the 24 significant indices in women and the 19 significant indices in men was developed for discriminating the 4 subtypes of syndrome differentiation including phlegm-dampness, qi-deficiency, yin-deficiency and fire-heat. Diagnostic accuracy and prediction rate of syndrome differentiation by sex : The overall diagnostic accuracy and prediction rate of 4 syndrome differentiation subtypes using 24 symptom and sign indices was 74.63%(403/540) and 68.46%(89/130) in women, 19 symptom and sign indices was 72.05%(446/619) and 70.44%(112/159) in men. These results are almost same as those of that the overall diagnostic accuracy(73.68%) and prediction rate(70.59%) are analyzed by the discriminant model(IV) using 33 symptom and sign indices selected by stepwise selection. Considering sex, the statistical discriminant model(V) with significant 24 symptom and sign indices in women and 19 symptom and sign indices in men, instead of 33 indices would be used in the field of oriental medicine contributing to the objectification of syndrome differentiation with parsimony rule.

Research Trends on the Clinical Studies of Qigong in the Korean Journal (한국 저널에 게재된 기공관련 대조군 임상연구 현황 분석)

  • Han, Chang-Hyun;Kwon, Young-Kyu;Lee, Sang-Nam;Park, Ji-Ha;Ahn, Sang-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.2
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    • pp.319-324
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    • 2009
  • Qigong is one energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong -neither itself nor its postulated mechanism of action- are within the paradigm of modern Western medical science, effects on the human body could be possible. This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'qi', 'qigong', 'doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Since the 1990s, Qigong papers in the Korean Literature is increased. Clinical research studies are among the most control design study. Research subjects are less patient than the general public. The most common treatment disease was hypertension. The depth study for the each Qigong is needed. Specifically, I think it should be a clinical studies and qualitative research methods for evaluation are needed.

Review on Nutrient and Blood (영(營)과 혈(血)에 대한 고찰)

  • Eom, Dong-Myung;Song, Ji-Chung;Jeong, Heon-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.4
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    • pp.553-558
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    • 2010
  • Nutrient and Blood are really common conceptions in Traditional Korean Medicine(TKM). However, those are used in mixed. not only because of their common points but users who doesn't have clear classifications between them. Therefore, I will explain those owns by explaining origins, places of origons, pathway, circulations, organs related to them and color. In addition, I will try to explain thi things in common without conceptions of their own. As a result, the first, nutrient is what is originated from water and food at middle energizer and circulated in meridian vessel by control of spleen. The second, blood is what is originated from qi of water and food and circulated in blood vessel by control of heart and its color is red. The third, nutrient blood is what is originated from water and food or qi of water and food and circulated in meridian or blood vessel by control of spleen and heart. Also it is red and its function is nourishing human body. The name of Nutrient blood is a new term that I made and it is different from nutrient or blood. Also it is different from nutrient and blood. Nutrient blood is combination by conceptions, nutrient and blood is combination by word itself.

Methanolic extract from the root of Bupleuri falcatum L. attenuates cocaine-induced c-Fos expression in rat brain. (시호 메탄올 추출물이 코카인 약물중독에 의한 흰쥐 뇌의 c-Fos 발현에 미치는 영향)

  • Choi, Seong-Hun;Ku, Sae-Kwang;Han, Chang-Hyun;Yang, Chae-Ha
    • Korean Journal of Oriental Medicine
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    • v.16 no.1
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    • pp.141-147
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    • 2010
  • Objectives : The aim of present study is to examine the effect of methanolic extract from the root of Bupleurum falcatum L. (BF) on acute cocaine-induced c-Fos expression in the rat caudate putamen (CPu), a major dopaminergic terminal. Methods : Male Sprague-Dawley rats were subjected to an intraperitoneal injection with either cocaine hydrochloride (20 mg/kg) or saline 30 min after an administration of either extract of BF (100 mg/kg, i.p.) or vehicle. Animals were sacrificed 2 hr after treatment with cocaine or saline for immunohistochemistry. Quantification of brain slices was examined for c-Fos positive nuclei using light microscopy. Results : Pretreatment with BF significantly attenuated cocaine-induced c-Fos expression in the rat CPu. Conclusions : This finding suggests that BF has the inhibitory effect on cocaine-induced c-Fos expression in the rat CPu via possibly modulating the activities of central dopaminergic systems.

A Synergy Effect of Combination of Acupoints in Cocaine Take (코카인 중독에서 경혈의 복합사용에 따른 상승 효과)

  • Jeon, Hyeon-Jeong;Lee, Bong-Hyo;Lee, Kyung-Min;Kim, Jae-Su;Lee, Yun-Kyu;Lee, Ji-Hye;Jung, Tae-Young;Yang, Chae-Ha;Yoon, Seong-Shoon;Kim, Hong-Yu;Choi, Seong-Hun;Han, Chang-Hyun;Lim, Sung-Chul
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.31-41
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    • 2010
  • 목적 : 침술은 한국과 같은 동아시아에서 잘 알려진 효과적인 치료법이며 정신 이상을 포함한 다양한 질환의 치료에 사용되어 왔다. 서양에서 침술은 유용한 보완대체의학으로서 각광을 받고 있다. 본 연구는 침술이 코카인 섭취를 줄이는 데에 있어서 효과가 있는지, 또 경혈의 복합 처방이 단일 경혈에 비해 더 효과적인지 여부를 알아보고자 계획되었다. 방법 : 본 실험에서는 270~300 그램의 웅성 흰쥐에게 FR 1 프로그램에서 먹이를 자가 섭취하도록 훈련시켰다. 동물이 3일 연속 3시간 이내에 100개의 먹이를 섭취하면 수술을 하였다. 복강주사로 마취를 시킨 뒤 오른쪽 경정맥으로 관을 삽입하고 천으로 고정시켰다. 회복기를 끝낸 동물은 매일 1시간 동안 FR 3 프로그램으로 코카인을 섭취하도록 훈련 받았다. 3일 연속 섭취량이 일정하면 다음날 한의사가 1분간 침 처치를 하였다. 대조군은 침 자극을 제외하고 똑 같은 조건으로 하였다. 결과 : 신문혈은 코카인 섭취를 줄였으나, 다른 경혈은 그렇지 못하였다. 더구나 신문과 태연을 같이 자침한 경우 단일 경혈에 비해 약간 더 억제하는 효과를 보였다. 그럼에도 불구하고 침술이 식욕에는 별다른 영향을 주지 않았다. 결론 : 이러한 연구 결과는 침술이 적어도 어느 정도 코카인 남용 치료에 있어서 유용하며 경혈을 복합으로 사용하는 것이 단독 사용보다 더 우수할 수 있음을 제시한다.