• 제목/요약/키워드: Qi-diagnosis

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연쇄상구균을 동반한 피부증세를 치료한 소음인(少陰人) 환자(患者) 치험례 (A case report of a streprococcal skin disease patient who improved with soeumin therapy)

  • 김나영;신미란
    • 사상체질의학회지
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    • 제21권2호
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    • pp.153-162
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    • 2009
  • 1. Objectives : The purpose of this rase study is to evaluate the superiority of Sasang constitutional diagnosis and treatment in skin disease compared with western medicine and is to notify the importance of elevating requsite qi(保命之主) in treatment of skin disease. 2. Method : We compared to remedical value in two case. One is to use herbal medicine as well as routine antibiotic treatment. The other one is to use only herbal medicine. Antibiotics was focused on attacking the pathogen and herbal medicine was focused on elevating requsite qi(保命之主). 3. Result and conclusions : In result, the one using only herbal medicine showed satisfactory progress and predominant remedical value compared with one using herbal medicine and routine antibiotic. So It is necessary to approach skin disease in view of elevating requsite qi(保命之主).

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노인 구강건조증에 대한 음허 진단의 유용성 및 주관적 구강건조감의 영향요인 : 전향적 단면 조사 연구 (Availability of Diagnosis of Yin-deficiency in Elderly People with Xerostomia and Factors Influencing Subjective Oral Dryness: A Prospective Cross-sectional Study)

  • 김주연;김진성;박재우;류봉하
    • 대한한의학회지
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    • 제34권3호
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    • pp.13-24
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    • 2013
  • Objectives: The aims of this study were to investigate the availability of diagnosis of Yin-deficiency in the elderly with xerostomia and factors influencing subjective oral dryness. Methods: We surveyed 50 patients recruited by the clinical trial, 'Efficacy of Yukmijihwang-tang on Xerostomia in the Elderly: A Randomized, Double-blind, Placebo-controlled, Two-center Trial'. The subjects were assessed on their subjective oral dryness using the Dry Mouth Symptom Questionnaire (DMSQ). Their salivary functions were measured by Unstimulated Salivary Flow Rate (USFR) measurements. In addition, the subjects were evaluated on their Qi-stagnation and Yin-deficiency conditions using the Qi-stagnation questionnaire and Yin-deficiency questionnaire. Results: There were statistically significant correlations between three variables (USFR, DMSQ score and Qi-stagnation score) and Yin-deficiency score. In the multiple regression analysis, the regression model was statistically significant (F = 10.273, p < .001). The factor most strongly influencing the subjective oral dryness was USFR (${\beta}$ = -0.386). Yin-deficiency had the next strongest impact on the subjective oral dryness (${\beta}$ = 0.371). Qi-stagnation affected the subjective oral dryness weakly (${\beta}$ = 0.075). In the simple regression analysis, Yin-deficiency had a statistically significant effect on each of six subscales of DMSQ (p < .01). Among the six subscales, DMSQ-1 ('Oral dryness at night or on awakening') was the most strongly influenced by Yin-deficiency. Conclusions: The results of this study show that the diagnosis of Yin-deficiency in the elderly with xerostomia was available and Yin-deficiency was an important factor influencing the subjective oral dryness. Therefore, the consideration of Yin-deficiency is significant for diagnosis and treatment in the elderly with xerostomia.

한방진단설문지 임상자료에 근거한 기혈음양 허증병기 의사결정규칙 연구 (A Study on Decision Rules for Qi·Blood·Yin·Yang Deficiency Pathogenic Factor Based on Clinical Data of Diagnosis System of Oriental Medicine)

  • 전수형;이인선;지규용;김종원;강창완;이용태
    • 동의생리병리학회지
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    • 제37권6호
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    • pp.172-177
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    • 2023
  • In order to deduce the pathogenic factor(PF) diagnosis logic of underlying in pattern identification of Korean medicine, 2,072 cases of DSOM(Diagnosis System of Oriental Medicine) data from May 2005 to April 2022 were collected and analyzed by means of decision tree model(DTM). The entire data were divided into training data and validation data at a ratio of 7:3. The CHAID algorithm was used for analysis of DTM, and then validity was tested by applying the validation data. The decision rules of items and pathways determined from the diagnosis data of Qi Deficiency, Blood Deficiency, Yin Deficiency and Yang Deficiency Pathogenic Factor of DSOM were as follows. Qi Deficiency PF had 7 decision rules and used 5 questions: Q124, Q116a, Q119, Q119a, Q55. The primary indicators(PI) were 'lack of energy' and 'weary of talking'. Blood deficiency PF had 7 decision rules and used 6 questions: Q113, Q84, Q85, Q114, Q129, Q130. The PI were 'numbness in the limbs', 'dizziness when standing up', and 'frequent cramps'. Yin deficiency PF had 3 decision rules and used 2 questions: Q144 and Q56. The PI were 'subjective heat sensation from the afternoon to night' and 'heat sensation in the limbs'. Yang deficiency PF had 3 decision rules and used 3 questions: Q55, Q10, and Q102. The PI were 'sweating even with small movements' and 'lack of energy'. Conclusively, these rules and symptom information to decide the Qi·Blood·Yin·Yang Deficiency PF would be helpful for Korean medicine diagnostics.

Growth and Tissue Nutrient Responses of Fraxinus rhynchophylla, Fraxinus mandshurica, Pinus koraiensis, and Abies holophylla Seedlings Fertilized with Nitrogen, Phosphorus, and Potassium

  • Park, Byung-Bae;Byun, Jae-Kyong;Park, Pil-Sun;Lee, Soo-Won;Kim, Woo-Sung
    • 한국산림과학회지
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    • 제99권2호
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    • pp.186-196
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    • 2010
  • Fertilization increases the crop productivity and produces high quality seedlings for plantation. We quantitatively measured both physical performances and nutrient responses of Fraxinus rhynchophylla, Fraxinus mandshurica, Pinus koraiensis, and Abies holophylla seedlings, which are commercially planted species in Korea, to nitrogen, phosphorus, and potassium fertilization. We analyzed the growth performances by using Dickson's quality index (QI) and the nutrient status by using vector diagnosis. Nitrogen or phosphorus treatment increased height and root collar diameter growth of F. rhynchophylla and F. mandshurica, however, did not increase those of P. koraiensis and A. holophylla. The order of QI was N > P > K > control for F. rhynchophylla, P ${\geq}$ N > Control ${\geq}$ P for F. mandshurica, P > Control ${\geq}$ K > N for P. koraiensis and A. holophylla. In F. rhynchophylla, fertilization diluted N concentration in tissues by 5-25% because growth responses were higher than fertilization uptake. P. koraiensis and A. holophylla showed N excess showing "toxic accumulation". F. rhynchophylla and F. mandshurica showed P deficiency with P fertilization, however, P. koraiensis and A. holophylla showed "luxury accumulation". Vector diagnosis indicated that more fertilization was applicable for F. rhynchophylla and F. mandshurica, and high fertilization rates were inefficient for P. koraiensis and A. holophylla. Both QI and vector diagnosis can be applied to verify seedling quality in the light of growth responses and nutrient status in fertilization trials.

문진(聞診) 중 성음(聲音).언어(言語)에 대한 연구 (Study on Listening Diagnosis to Vocal Sound and Speech)

  • 김용찬;강정수
    • 동의생리병리학회지
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    • 제20권2호
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    • pp.320-327
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    • 2006
  • This study was written in order to help understanding of listening diagnosis to vocal sound and speech. The purpose of listening diagnosis is that we know states of essence(精), Qi(氣) and spirit(神). Vocal sound and speech are made by Qi and spirit. Vocal sound originates from the center of the abdominal region(丹田) and comes out through vocal organs, for example lung, larynx, nose, tongue, tooth, lip and so on. Speech is expressed by vocal sound and spirit. They are controled by the Five Vital organs(五臟). Various changes of vocal sound and speech observe the rules of yinyang. For example, if we consider patient likes to say or not, we can diagnose heat and coldness of illness. If we consider he speaks loudly or quietly, we can diagnose weak and severe of illness. If we consider he speaks clearly or thick, we can diagnose inside and outside of illness. If we consider he speaks damp or dry, we can diagnose yin and yang of illness. If we consider change of voice, we can diagnose new and old illness. Symptoms of changes of five voices, five sounds, dumbness and huskiness are due to abnormal vocal sound, and symptoms of changes of mad talk, mumble, sleep talking and so on are due to abnormal speech.

'좌인영(左人迎)·우기구(右氣口)' 맥진법(脈診法)에 관(關)한 고찰(考察) (A Study on Left-Renying and Right-Qikou Pulse Diagnosis(左人迎·右氣口 脈診法))

  • 곽범희;윤종화
    • 대한한의학원전학회지
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    • 제33권1호
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    • pp.89-101
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    • 2020
  • Objectives : The purpose of this study is to research the Left-Renying and Right-Qikou pulse diagnosis. Methods : We set up locations of the Renying pulse(人迎脈) and the Qikou pulse(氣口脈) on left hand and right hand. On the basis of the medical texts and papers, we researched the relations between the Left-Renying and Right-Qikou pulse diagnosis and the etiological factors(病因), background of appearance of the Left-Renying and Right-Qikou pulse diagnosis, and practical use of medical practitioners of many generations to the Left-Renying and Right-Qikou pulse diagnosis. Results & Conclusions : The Left-Renying and Right-Qikou pulse diagnosis is a method to diagnosis the etiological factors, while it could also be assumed as a tool to apply herbal medicine. This assumption could be made based on the seventh volume of 『Maijing(脈經)』 of Wang Shuhe(王叔和). Chen Wuze(陳無擇) emphasized its function to distinguish etiological factors in 『Sanyinjiyibingzhengfanglun(三因極一病證方論)』, as did Li Dongyuan(李東垣) in 『Neiwaishangbianhuolun(內外傷辨惑論)』. Meanwhile, the connection between Left-Renying and Right-Qikou pulse diagnosis and Zangfu(臟腑) seems to have first been made in 『Maiyu(脈語)』 of Wu Kun(吳昆), while 『Zhenjiazhengyan(診家正眼)』 of Li Zhongzi(李中梓) shows traces of progress since the 『Maiyu』.

중풍 기허증 진단 기준에 관한 연구 II (Study II of Diagnosis Criteria for Qi deficiency in Stroke)

  • 강병갑;허태영;윤경진;박태용;이주아;유수성;박건희;이명수
    • 동의생리병리학회지
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    • 제28권1호
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    • pp.76-81
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    • 2014
  • The aim of this study was to build the diagnosis criteria of Qi deficiency using distribution of sum of 11 items for Qi deficiency in stroke patients. Between September 2006 and December 2010, 2,994 patients from 11 Korean medical hospitals were asked to complete the Korean Standard Pattern Identification for Stroke (K-SPI-Stroke) questionnaire as a part of project 'Fundamental study for the standardization and objectification of pattern identification in traditional Korean medicine for stroke (SOPI-Stroke). Each patient was independently diagnosed by two experts (traditional Korean medicine physicians) from the same site according to one of five patterns. 2,994 patients were divided modeling and testing in 70:30 ratio by stratification of pattern identification. We calculated the sensitivity, specificity, accuracy and odds ratio (OR) using distribution of sum of 11 items (signs and symptoms) for Qi deficiency. More than four from 11 items of Qi deficiency in modeling dataset, sensitivity, specificity, accuracy and OR was 70.07%, 74.94%, 73.92% and 7.00, respectively. In testing dataset, 78.31%, 73.45%, 74.47% and 9.98, respectively. Although this values are not high, after values of sensitivity, specificity, accuracy and OR should be more than current value, and then we should be able to suggest as objective diagnosing criteria.

설진(舌診)의 진단적 의의에 대한 문헌고찰 (A Literature Review on Diagnostic Importance of Tongue Diagnosis)

  • 신윤진;김윤범;남혜정;김규석;차재훈
    • 한방안이비인후피부과학회지
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    • 제20권3호
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    • pp.118-126
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    • 2007
  • Tongue diagnosis is a profound and special part of the whole Oriental Medicine. We examined the method, the principle and the meaning of tongue diagnosis according to a literature cited, considered a meaning of tongue diagnosis. As a result, we come to a conclusion like that. 1. Tongue is related with internal organs by meridian system, especially has a direct connection with heart and spleen. 2. The heart, a master of internal organs, has its specific opening in the tongue. The spleen, source of nutrients for growth and development, has its specific body opening in the mouth. So tongue reflects states of internal organs, Qi, blood, the constructive energy and the defensive energy. 3. When doing tongue diagnosis, we must pay attention to the position and the order of inspection of the tongue. We must diagnose by referring to a ray of light, diet, season, age, physical constitution, habit and taste, can make a accurate diagnosis. 4. We can classify constitutions, distinguish syndromes, suppose prognosis, make a prescription by using tongue diagnosis. 5. Reddened tip of the tongue represents flaring-up of the heart fire, and it means psychologic stress. Dental identations on the tongue edges represents deficiency of Qi of the spleen, and it means physiologic fatigue. 6. Through observing humidity of fur of the tongue, we can guess psychologic stress and physiologic fatigue. Through observing thickness of fur of the tongue, we can guess function of spleen and stomach.

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기훈(氣暈) 환자 8례에 대한 임상보고 (Clinical Study of 8 Patients with Qi-dizziness(氣暈))

  • 안소현;박상우;조충식;김철중
    • 대한한방내과학회지
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    • 제31권3호
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    • pp.688-692
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    • 2010
  • The aim of this study was to report eight patients with dizziness, diagnosed as Qi-dizziness. The cause of Qi-dizziness is seven emotions(七情), and seven emotions induce liver qi depression(肝氣鬱結), spleen deficiency(肝脾不和) and dual deficiency of the heart-spleen(心脾兩虛). Guibisoyo-san($Gu\={i}p\'{\i}xi\={a}oy\'{a}o-s\`{a}n$) modified formula, which can treat the above diagnosis, was given to patients three times a day. To evaluate the therapeutic effect, visual analog scale(VAS) and inconvenience degree (ICD) were examined. After treatment, the VAS score decreased 7.37 points on average and ICD score decreased 1.62 points on average in patients with both peripheral vestibular dizziness and nonvestibular dizziness. This study shows that herbal therapy by traditional Korean medicine has considerable effects on dizziness, regardless of the etiological cause.

요부.슬부 동태손상증후군에서의 동씨침 동기요법의 활용 (Dong-Qi Therapy of Dong-Si Acupuncture to Movement System Impairment Syndrome of Lumbar Spine and Knee)

  • 윤우석;박영재;박영배
    • Journal of Acupuncture Research
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    • 제30권1호
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    • pp.13-22
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    • 2013
  • Objectives : The aim of this study was to show the application to add the Dong-Qi therapy of the Dong-Si acupuncture to exercise therapy of the movement system impairment syndrome(MSIS) and to determine the best acupuncture point for the Dong-Qi therapy. Methods : We reviewed Diagnosis and Treatment of Movement Impairment Syndrome and Movement System Impairment Syndromes Of The Extremities, Cervical and Thoracic Spines written by Sahrmann SA. to show the exercise therapy of the sort of MSIS. We reviewed complete works of Yang Wei Jie to show the acupuncture points of the Dong-Si acupuncture and the Dong-Qi therapy. Results : We showed the acupuncture point of the Dong-Si acupuncture by each type of MSIS based on the reference book of MSIS, the Dong-Si acupuncture. Also, we selected and tabulated the best possible acupuncture point of the Dong-Si acupuncture which could minimize a side effect of acupuncture during the therapeutic exercise by each type of MSIS. Conclusion : A specific acupuncture point of the Dong-Si acupuncture could be chosen for a specific MSIS therapeutic exercise. The best possible acupuncture point could be chosen when selecting an acupuncture point of the Dong-Si acupuncture.