• Title/Summary/Keyword: Qi-diagnosis

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A Clinical Study on the Relationship between Pattern and Ryodoraku Test Identifications for Patients with Functional Dyspepsia (기능성소화불량 환자의 한의 변증 설문과 양도락 결과의 상관성 연구)

  • Ko, Whee-hyoung;Ha, Na-yeon;Ko, Seok-jae;Park, Jae-woo;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.369-389
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    • 2019
  • Objectives: This study aimed to analyze the correlation between Ryodoraku diagnosis and three pattern identification questionnaires, namely, Spleen Qi Deficiency, Stomach Qi Deficiency, and Food Retention in functional dyspepsia (FD) patients. Methods: Forty FD patients who met the Rome IV diagnostic criteria for FD participated in this study. The Ryodoraku test was conducted, and three pattern identification questionnaires were filled up by all patients. The average Ryodoraku score was called total average (TA), and the scores on the Ryodoraku points were measured. The degree of Spleen Qi Deficiency, Stomach Qi Deficiency, and Food Retention was assessed by Spleen Qi Deficiency questionnaire (SQDQ), Scale for Stomach Qi Deficiency pattern (SSQD), and Food Retention Questionnaire (FRQ). Results: The TA scores in the SQDQ patient group were lower than those in the SQDQ control group (p=0.091). The TA scores in the SSQD patient group were higher than those in the SSQD control group (p=0.651). The TA scores in the FRQ patient group were lower than those in the FRQ control group (p=0.851). The scores on the LH5, RH5, and RH6 points were significantly lower in the SQDQ patient group than in the SQDQ control group. However, no significant difference was found in the Ryodoraku scores among the other groups. Conclusions: The results suggest that the low TA and low Ryodoraku scores on the LH5, RH5, and RH6 points could be a quantitative indicator to diagnose Spleen Qi Deficiency in FD patients in a simpler manner. Larger studies on the Ryodoraku test in FD patients, the health control group, and other pattern identification groups are required.

Donguibogam-Based Pattern Diagnosis Using Natural Language Processing and Machine Learning (자연어 처리 및 기계학습을 통한 동의보감 기반 한의변증진단 기술 개발)

  • Lee, Seung Hyeon;Jang, Dong Pyo;Sung, Kang Kyung
    • The Journal of Korean Medicine
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    • v.41 no.3
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    • pp.1-8
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    • 2020
  • Objectives: This paper aims to investigate the Donguibogam-based pattern diagnosis by applying natural language processing and machine learning. Methods: A database has been constructed by gathering symptoms and pattern diagnosis from Donguibogam. The symptom sentences were tokenized with nouns, verbs, and adjectives with natural language processing tool. To apply symptom sentences into machine learning, Word2Vec model has been established for converting words into numeric vectors. Using the pair of symptom's vector and pattern diagnosis, a pattern prediction model has been trained through Logistic Regression. Results: The Word2Vec model's maximum performance was obtained by optimizing Word2Vec's primary parameters -the number of iterations, the vector's dimensions, and window size. The obtained pattern diagnosis regression model showed 75% (chance level 16.7%) accuracy for the prediction of Six-Qi pattern diagnosis. Conclusions: In this study, we developed pattern diagnosis prediction model based on the symptom and pattern diagnosis from Donguibogam. The prediction accuracy could be increased by the collection of data through future expansions of oriental medicine classics.

Study about Practical Use of Radix Ginseng in Sanghanlon Based on Yakjing and Yoochuibang ((${\ll}$약징(藥徵)${\gg}$${\ll}$류취방(類聚方)${\gg}$을 통한 장중경(張仲景) ${\ll}$상한론(傷寒論)${\gg}$에서의 인삼(人蔘) 활용에 관한 고찰)

  • Lee, Jae-Won;Shin, Jin-Bong;Lee, Seung-Hee;Won, Jin-Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.5
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    • pp.1057-1064
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    • 2007
  • Traditionlly Radix Ginseng has been known to Qi-tonic medicine. Practically Radix Ginseng is listed in Shinnongbonchokyeong as the medicine for replenishing the Primordial-Qi, tranquilizing the mind and improving mental power. However, when we consider the text of prescriptions that contained Radix Ginseng in Jangjoongkyeong's Sanghanlon, Radix Ginseng had not been conjugated to replenish the Primordial-Qi. On the other hand, Yoshimasu todo had been taken up the position that Radix Ginseng in Sanghanlon was conjugated to treat Shimhabikyeong. Accordingly, author studied about practical use of Radix Ginseng in Sanghanlon based on Yakjing and Yoochuibang that Yoshimasu todo's writing. The result of study are summurized as follows. Jangjoongkyeong conjugated ginseng to treat Shimhabikyeong in Sanghanlon. The prescription that Shimhabikyeong was not mentioned is thought as it was omitted from the text. Jangjoongkyeong conjugated the bitter taste ginseng to treat Shimhabikyeong. Shimhabikyeong is abdominal diagnosis that the patient feel a subjectively blocked sensation and below the Kumi becomes hard as solid.

Correlation Analysis between Gastric Emptying Measured by Ultrasonography and Spleen Qi Deficiency Pattern in Patients with Functional Dyspepsia (기능성 소화불량 환자에서 초음파로 측정한 위 배출능과 비기허증(脾氣虛證)간의 상관성 분석)

  • Baek, Seung-hwan;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.36 no.4
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    • pp.527-546
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    • 2015
  • Objectives The purpose of this study was to investigate the correlation between gastric emptying measured by ultrasonography and Korean medical instruments of diagnosis and assessment in functional dyspepsia (FD) patients. Among the subgroups of FD, postprandial distress syndrome (PDS) is related to gastric motility disorder.Methods Ten patients with FD and particularly with PDS as well as 10 healthy controls were enrolled in the study from September to November 2015. The gastric emptying shown as the half-life of gastric volume (T1/2) was measured by ultrasonography. The severities of spleen qi deficiency and dyspepsia symptoms were assessed by a spleen qi deficiency questionnaire (SQDQ) and the Nepean Dyspepsia Index-Korean version (NDI-K), respectively. In addition, a food retention questionnaire (FRQ), a damum questionnaire (DQ), a cold and heat questionnaire (CHQ), a deficiency and excess questionnaire (DEQ), and a visual analogue scale (VAS) of distention and fullness were completed by every participant.Results In comparison with the control group, the FD group showed significantly higher scores for the SQDQ, NDI-K, FRQ, DQ, DEQ, and VAS of distention and fullness. T1/2 was also significantly higher in the FD group than in the control group. There were significant correlations between T1/2 and the SQDQ score. However, there were no significant correlations between T1/2 and other questionnaire scores except for one item of the NDI-K.Conclusions According to these findings, it was determined that measuring gastric emptying using ultrasonography could be a quantitative indicator to diagnose spleen qi deficiency in FD patients.

Co-relation between Questionnaire for Buzhongyiqi-Tang and Electrogastrography (보중익기탕 변증설문지와 위전도의 상관성 연구)

  • Kim, Sun-Hyeok;Park, Young-Bae;Park, Young-Jae;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.2
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    • pp.34-44
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    • 2009
  • Background : Currently, as a method of standardization of prescription, questionnaire for Buzhongyiqi-Tang[補中益氣湯] was developed, and which is a Objectives : The purpose of this thesis is to testify whether differentiation of Lao Juan Shang[勞倦傷] etiology is relative to mobility of gastric smooth muscle. Methods : The subjects(20 to 65 years old; 14 males, 46 females) were isolated from drinking alcohols for 24 hours before the experiment, and fasted for 8 hours, and measured for electrogastrography(EGG) and they filled out Questionnaire for Buzhongyiqi-Tang. Results : 1. Six factors from the factor analysis of Questionnaire for Buzhongyiqi -Tang were named and classified as Spleen-Qi deficiency syndrome factor [脾虛] (factor 1), Lung-Qi deficiency syndrome factor [肺虛] (factor 2), Working factor [習慣] (factor 3), Yin-Fire factor [陰火] (factor 4), Jung-Qi deficiency syndrome factor [中氣虛] (factor 5), and Stomach-Qi deficiency syndrome factor [胃虛] (factor 6). 2. As for the reliability of Questionnaire for Buzhongyiqi-Tang, we used Cronbach's alpha coefficient. Cronbach's alpha coefficient was 0.772 for the mean of the item-total. 3. Lung-Qi deficiency syndrome factor(factor2) had significant correlation with Bradygastria Time (r=-0.312, p<0.05). 4. Working factor(factor3) had significant correlation with Bradygastria Time (r=-0.329, p<0.05). 5. Yin-Fire factor(factor4) had significant correlation with Power Ratio (r=-0.328, p<0.05). Conclusions : It is shown that Bradygastria Time and Power Ratio tended to decrease against postprandial DP increased and postprandial frequency decreased in normal case.

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Analysis of Pathomechanisms of Dysmenorrhea by Diagnosis System of Oriental Medicine Pattern Identification Instrument (DSOM변증도구에 의한 월경통의 주요 병기인자 분석)

  • Chi, Gyoo Yong;Lee, In Seon;Kim, Kyu Kon;Jeon, Soo Hyung;Kim, Jong Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.4
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    • pp.274-278
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    • 2016
  • In order to analyze the pathomechanisms of dysmenorrhea and efficiency of DSOM(diagnosis system of oriental medicine), clinical test was performed for 541 childbearing women having menstrual pain in P metropolitan city. The experimental group was composed of subjects who experience discomfort in daily life or interpersonal activities caused by menstrual pain with scores of 4 or above on the measurement of menstrual pain (MMP). The control group was composed of subjects reporting little or no discomfort with scores of 3 or below on the MMP. The menstrual period measurements were taken within 2-3 days following the first day of menstruation, when menstrual pain is at its peak. While non-menstrual period measurement were within 7-10 days after the last day of menstruation. The dampness pathomechanism was yielded most frequently in both groups, and then heart、heat、blood deficiency、cold、qi deficiency、phlegm、qi congestion、blood stasis in order. And the significant differences were in the pathomechanisms of blood deficiency、blood stasis、qi congestion、five viscera、phlegm and cold between the two groups. This means that general pathomechanisms of childbearing women in twenties mainly are dampness and heat, especially the experimental group has mostly disharmony of six qi and/but then move to insufficiency and stagnation of qi and blood and then to visceral disease pattern having statistically significant difference. Moreover in the two times of investigation, the output of pathomechanisms in each group has similar pattern in the same group. Therefore it can be concluded that the results of pathomechanisms by DSOM were in accordance with existing pattern classifications of dysmenorrhea in general and the DSOM showed reproducibility and stability in the data processing of questionnaires.

Analysis of Clinical Research Trends on Traditional Chinese Medicine Treatment for Depression Syndrome Similar to Hwabyung: Focusing on CNKI (화병(火病) 유사 병증의 한의학적 치료에 대한 임상연구 동향분석 - CNKI를 중심으로)

  • Choi, Eun-ji;Suh, Hyo-weon;Kim, Jong Woo;Chung, Sun Yong
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.4
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    • pp.349-358
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    • 2017
  • Objectives: To analyze whether a concept similar to Korean 'Hwabyung' exists in China. We investigated the status of clinical studies conducted in China for relevant diseases and trends of the traditional Chinese medicinal (TCM) treatment adopted in clinical studies. Methods: To explore the concept of a condition similar to Korean Hwabyung in China, we searched for the existence of concept and pattern that were parallel or similar to those of Hwabyung in TCM text-books and diagnostic guidelines. We searched and analyzed clinical studies of TCM treatment for depression syndrome similar to Hwabyung from CNKI using terms 'depression' and 'qi stagnation transforming into fire'. Using extracted data, characteristics of clinical research, herbal medicine, and acupuncture treatment used in the clinical research and their effects were systematically reviewed. Results: Symptoms of 'qi stagnation transforming into fire' were most similar to those of Hwabyung. Nine articles were selected from a total 258 articles. Most of them used DSM-IV or CCMD-3 for depression diagnosis. They applied 'diagnostic and efficacy guidelines for TCM diseases and syndromes' for pattern diagnosis of 'qi stagnation transforming into fire'. Danzhixiaoyao-san and Jiaweixiaoyao-san were found to be effective when they were used alone or in combination with antidepressants. Acupuncture treatment also showed remarkable effect on LR3, HT7, LI4, PC6, GV20 when it was used alone or in combination with antidepressants. However, careful interpretation is required because a small number of studies are included.Conclusions: 'Qi stagnation transforming into fire' seemed to have symptoms similar to Hwabyung. However, further research is needed to determine its diseases and pattern types compared to Hwabyung. According to included studies of 'depression with Qi stagnation transforming into fire', herbal medicine and acupuncture treatment tended to be effective in relieving depressive symptoms. However, more discussion is required for future application of herbal medicine and acupuncture for treating Hwabyung.

Growth and Tissue Nutrient Responses of Fraxinus rhynchophylla, Fraxinus mandshurica, Pinus koraiensis, and Abies holophylla Seedlings Fertilized with Nitrogen, Phosphorus, and Potassium at a Nursery Culture (묘포에서 질소, 인, 칼륨 비료주기가 물푸레나무, 들메나무, 잣나무, 전나무의 생장 및 양분에 미치는 영향)

  • Park, Byung-Bae;Byun, Jae-Kyung;Kim, Woo-Sung;Sung, Joo-Han
    • Journal of Korean Society of Forest Science
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    • v.99 no.1
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    • pp.85-95
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    • 2010
  • The purpose of this study was to quantitatively measure both growth performances and nutrient responses of Fraxinus rhynchophylla, Fraxinus mandshurica, Pinus koraiensis, and Abies holophylla seedlings, which are commercially planted in Korea, to nitrogen, phosphorus, and potassium fertilization. We used Dickson's quality index (QI) to compare growth performances and vector diagnosis to interpret nutrient status. Nitrogen fertilization increased more height and root collar diameter growth in F. rhynchophylla and F. mandshurica relative to no fertilization treatment. The QI of F. rhynchophylla and F. mandshurica was the highest on N treatment, but there were no significant differences between treatments for P. koraiensis and A. holophylla. Nitrogen fertilization increased total dry weight by 43, 41, 26, -9% for F. rhynchophylla, F. mandshurica, P. koraiensis and A. holophylla, respectively. In F. rhynchophylla, N fertilization increased N contents with similar N concentrations ("sufficiency"), decreased both P concentrations and P contents ("antagonism"), and decreased K contents with similar K concentrations ("toxic accumulation"). In P. koraiensis, N fertilization decreased N, P, and K concentrations because of more dry weight increases compared to uptaken contents ("dilution"), but N fertilization decreased N, P, and K contents with similar N, P, and K concentrations ("toxic accumulation"). In the light of quality index and vector diagnosis, F. rhynchophylla and F. mandshurica seedlings treated with N fertilization would have high field performance.

A Study on the Great Principle of Pulse Diagnosis in the 『Nanjing』 (『난경(難經)』의 진맥(診脈) 대법(大法)에 관한 고찰)

  • Jang, Woochang;Kim, Yuna
    • Journal of Korean Medical classics
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    • v.33 no.4
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    • pp.83-105
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    • 2020
  • Objectives : This paper aims to examine the system, principle, and fundamentals of the great principle of pulse diagnosis in the 『Nanjing』. Methods : The system, principle, and fundamentals of pulse diagnosis in the 『Nanjing』 were examined within the book's description framework and logical structure in light of its relationship to the 『Huangdineijing』. Previous studies that follow pulse diagnosis of 『Nanjing』 and 『Wangshuhe Maijue』 were referenced. Results & Conclusions : The structure of pulse diagnosis in the 『Nanjing』 is systematically organized under the principle of the three positions and nine indicators as the great principle to which the yinyang and five viscera pulse theories are included. The great principle of the three positions and nine indicators is consisted of a system that allows for a multiple and comprehensive interpretation wherein the theories of yinyang and five elements are interweaved within the pulse diagnosis system, which is comprised of a great principle and particular principles. The theory follows that of the three yin three yang theory of the five circuits and six qi, its principles manifesting as the three positions and nine indicators and integration of pulse and symptoms.

Comparative literature study between Ovietal and Western medicine on the treatment and prescription for Su-Cheon(水喘), Hwa-Cheon(火喘) and Cardiac Asthma. (수천(水喘), 화천(火喘) 및 심장성천식(心臟性喘息)의 치법(治法), 처방(處方)에 관(關)한 동서의학적(東西醫學的) 문헌고찰(文獻考察))

  • Kim, Young-Tae;Kwon, Hyuk-Sung;Jung, Sung-Ki;Rhee, Hyung-Koo
    • The Journal of Korean Medicine
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    • v.16 no.1 s.29
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    • pp.172-183
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    • 1995
  • According to the literature surrey, we summarized the treatment and prescription for Su-Cheon(水喘), Hwa-Cheon(火喘) and Cardiac Asthma as follows. 1. The aim of treatment for Su-cheam(水喘) is I-Su-Hwa-Daw(利水火痰), Pynng-Cheon-Ick-Qi(平喘益氣) and Mokbangki-tang(木防己湯), Jungryuk daejosapye-tang(亭曆大棗瀉肺湯) Socheong ryong-tang(小靑龍湯), Gagamshinki-hwan(加減腎氣丸) and Shinbi-tang(神秘湯) are often used. 2. The sim of treatment for Hwa-Chean(火喘) is Cheong-Kuem-Kwang-Hwa(淸金降火祛痰) and Backho-tang(白虎湯) and Dodamtang-gamibang(導痰湯加味方) are useful. 3. In Oriental medicine, Sangmak-Sun(生脈散) and Sambutang-gamibang(參附湯加味方) for Ink-Qi-Ryum-Eum(益氣斂陰) and On-Yang-I-Su-Qi(溫湯利水化氣) are often used for cardiac asthma. 4. As the treatment for Su-Cheon(水喘), Hwa-Cheon(火喘), and cardiac asthma are Similar to, it is supposed to be need of careful differential diagnosis and treatment.

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