• 대한상한금궤의학회지
• /
• 제6권1호
• /
• pp.1-25
• /
• 2014

Objective : The purpose of this study is exploring value of Shanghanlun six diagnostic system as Narrative Medicine by analyzing cases. Methods : In the article, we examined the theory of narrative medicine and current studies. And then key elements of narrative medicine was defined. On the basis of these, two medical cases were analyzed by reordering in accordance with time sequences and causality for confirming narrative factors. Results : The narrative approach to analyzing cases shows us that different diseases could be the result of same pathological patterns based on Shanghanlun. This tells us following four aspects. [1] Shanghanlun is the causes-oriented records and the text includes narrative factors. [2] Shanghanlun six diagnostic system is a process of constructing plot of medical case history through the clinical interpretation of contextual meaning of patient's life. [3] In the process of diagnosis, Schemata and script are engaged in assuming and confirming six patterns diseases. [4] The subjective factors of an individual can be applied universally through the provision of Shanghanlun. Conclusions : Narrative factors of Shanghanlun six diagnostic system suggest the possibility and value of Shanghan Medicine as Narrative Medicine in terms of Medical Humanities, essence of medical diagnosis and therapeutic action.

• 대한상한금궤의학회지
• /
• 제4권1호
• /
• pp.83-92
• /
• 2012

Objective : The purpose of study is to define the term Dong(動) in diagnosis view. Method : To define term Dong(動), I refer to Korean, Chinese, Japanese dictionary and Todo Yoshimasu (吉益東洞)'s writing, Yakucho(藥徵) Houkyoku(方極). Next, I search for the diagnosis definition of Dong(動) in 11 case reports. Results : The diagnosis definitions of Dong(動) are two meanings. One is objective symptoms which are doctor can examine, trembling, movement, etc. The other is subjective symptoms which are patient's feeling, emotional problems, etc. It seperates 6 meanings concretely. Conclusions: (1) visible moving of a focus, (2) movement of a focus, (3) appearance of abnormal secretion, (4) abnormal change of focus, (5) feel like moving, (6) change of emotion beyond patient's control. 1~4 are objective symptoms which are doctor can examine, and 5~6 are subjective symptoms which are patient's feeling.

• 대한상한금궤의학회지
• /
• 제4권1호
• /
• pp.37-47
• /
• 2012

Objective : This study is intended to demonstrate the effect of FulingXingrenGancao-Tang on worsened dyspnea after medical treatment for thymic cancer. Method : We diagnosed this case as XiongbiXintongDuanqi(胸痺心痛短氣病) in Jinguiyaolue and treated this patient with FulingXingrenGancao-Tang. Results : By using ZhishiXiebaiGuizhi-Tang, LingGuiWeiGan-Tang, Fuling XingrenGancao-Tang, the patient's symptoms were significantly decreased. Conclusion : This study shows that FulingXingrenGancao-Tang is effective on dyspnea after medical treatment of thymic cancer. However further clinical studies are needed.

• 대한상한금궤의학회지
• /
• 제7권1호
• /
• pp.75-85
• /
• 2015

Objective : This case report presents the effect of Soshiho-tang on Atopic Dermatitis. The patient was diagnosed with Yangmyung-byung based on Shanghanlun provisions. Methods : According to Shanghanlun six meridian patterns diagnostic system, we dianosed the patient as Yangmyung-byung and he had trouble getting out of bed and nighttime itch. The patient was treated with Soshiho-tang. We evaluated the results of treatment by Objective SCORAD Index and pictures. Results : After the treatment, Objective SCORAD Index decreased from 61 to 21.5. And he became to have no trouble in getting up and also nighttime itch vanished. Conclusions : This case report sowed and effectiveness of using Soshiho-tang according to Diagnostic system based on Shanghanlun provisions on Atopic Dermatitis.

• 대한상한금궤의학회지
• /
• 제7권1호
• /
• pp.53-63
• /
• 2015

Objective : This case report show the effect of Dahuanghuanglianxiexin-tang on VulvoVaginal Candidiasis. Methods : According to disease pattern identification diagnostic system based on shanghanlun provisions, The author diagnosed Taeyang-byung kyeolhyung. The symptoms of VulvoVaginal Candidiasis were worsen when the patient had long sitting position and digestive problems. Therefore the patient treated with Dahuanghuanglianxiexin-tang for 3 months. The severity of Candida Vaginitis was evaluated by patient's subjective statements(Vaginal pruritus, Vaginal secretion, Burning sensation). Results : After the treatment, Level of syptoms decreased from Severe to Trace and Eliminated. Conclusions : Dahuanghuanglianxiexin-tang improved the symptoms of VulvoVaginal Candidiasis on this study. Although Dahuanghuanglianxiexin-tang is not an usual treatment for VulvoVaginal Candidiasis, the author could prescribe the medicine due to shanghanlun six meridian patterns diagnostic system.

• 대한상한금궤의학회지
• /
• 제5권1호
• /
• pp.19-29
• /
• 2013

Objective : The purpose of this study is to analyze the naming of 'A diagnostic system based on Shanghanlun six meridian patterns and provisions' and to suggest an alternative naming. Methods : 1. The meaning of 'Six meridian(六經)' was reviewed on existing theories and Shanghanlun provisions. 2. Comparing the name of diangostic system with the term in 'Korean Standard Classification of Diseases-6(KCD-6)' and term in 'WHO international standard terminologies on traditional medicine in the western pacific region' was done. Results : 'Six meridian' is customary used in the Shagnhanlun study but its meaning is not match with original Shanghanlun system and could possibly make misunderstanding. So 'Disease pattern identification' is suitable than 'Six meridian' for this diagnostic system. Conclusions : This study suggests that using 'A disease pattern identification diagnostic system based on Shanghanlun provisions.'is more appropriate instead of using the name of the six meridian diagnostic system.

• 대한상한금궤의학회지
• /
• 제6권1호
• /
• pp.37-54
• /
• 2014

Objective : The purpose of this paper is to report the effect of three different herb medication based on Shanghanlun(傷寒論) six differential diagnostic system. Methods : According to six differential diagnostic system based on Shanghanlun provisions, they were diagnosed with Taiyang-byung(大陽病), Yangmyung-byung(陽明病), Gwoleum-byung(厥陰病). They took different herb medications more than 6weeks according to their diagnosis. This paper evaluated the results of treatment by pregnancy test result with improvement of symptoms. Results : The symptoms of three patients were improved and became pregnant. Conclusions : This case study suggests that herb medication based on Shanghanlun(傷寒論) six differential diagnostic system have effectiveness on unexplained infertility. And we need to have a diversified and new perspectives in women's position about pregnancy with this system.

• 대한상한금궤의학회지
• /
• 제8권1호
• /
• pp.25-39
• /
• 2016

Objective : 2 clinical cases were analyzed to report the improvement of patient having anger problem and patient of low leg pain treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : We collected 2 cases treated by Jagyakgamcho-tang according to a disease pattern identification diagnostic system and defined the conceptional meaning of each provision by analyzing each case. Results : Patients in 2 cases were cured by Jagyakgamcho-tang selected according to Shanghanlun provisions dualized with Je-Gang(提綱) and Jo-Moon(條文). Conclusions : This study suggests Shanghanlun provisions are the record of significant factors which are closely related with and aggravate disease.

• 대한상한금궤의학회지
• /
• 제8권1호
• /
• pp.145-153
• /
• 2016

Objectives : This case report presents the effect of Jisilchija-tang on hyperhidrosis. The patient was diagnosed with Eumyangyukchahoonobok-byung based on Shanghanlun provisions. Methods : According to Shanghanlun seven meridian patterns diagnostic system, we diagnosed the patient as Eumyangyukchahoonobok-byung and she has been suffering from hyperhidrosis. The patient was treated with Jisilchija-tang. and it was provided for 3 months. Results : After the treatment, the degree of hyperhidrosis reduced from 10 to 2 on VAS. Conclusions : This case study show an effectiveness of using Jisilchija-tang according to Diagnostic system based on Shanghanlun provisions on hyperhidrosis.

• 대한상한금궤의학회지
• /
• 제11권1호
• /
• pp.63-71
• /
• 2019

Objective : This case report aimed to demonstrate the effect of Baekhogainsam-tang on hypersomnolence. Methods : A 33-year-old woman complained of hypersomnolence with fatigue and lack of concentration in the daytime. According to the diagnostic system based on Shanghanlun provisions (DPIDS), the patient was treated with Baekhogainsam-tang decoction. The result was evaluated by the Epworth Sleep Scale. Results : After administration of Baekhogainsam-tang decoction for 30 days, the Epworth Sleep Scale score was decreased from 15 (pathologic sleepiness) to 1 (no clinically significant sleepiness). Conclusions : The patient completely recovered from hypersomnolence and fatigue following treatment with Baekhogainsam-tang decoction according to DPIDS.