• Title/Summary/Keyword: Sasang Constitutional Diagnosis

검색결과 371건 처리시간 0.026초

중의 변증론치와 동의보감의 변증론치에 대한 연구 (Study of Relationship between China BeunJungLonChi and DongEuiBoGam BeunJungLonCh)

  • 고흥
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.16-21
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    • 2004
  • It is different from the DongEuiBoGam(東醫寶鑑) of Korea traditional medicine that China BeunJungLonChi(中醫辨證論治) was made for the scientific and systematic assortment of China medicine. Symptom(症)is more important than symptom complex(證)in china BeunJungLonChi at DonEuBoGam. And unusual symptoms generally are diseases in DongEuiBoGam. DongEuiBoGam is emphasis on body form, temper, body color, pulse(形氣色脈) and the functional difference of organs by body form and body color. there are many problems in order to unify the theory of Korea traditional medicine by china BeunJungLonChi. I suggest that a new assortment that can combine Sasang constitutional medicine(四象醫學), Constitution-Acupuncture(體質針), and Hyungsang medicine(四象醫學) will be necessary. BeunJungLonChi : diagnosis and treatment based on overall analysis of symptoms and signs, the cause, nature and location of the illness and the patient's physical condition according to the basic theories of traditional Chinese medicine

알코올성 간질환을 동반한 뇌내출혈환자 치험 1례 (A case of Intracerebral Hemorhage with Alcoholic liver disease)

  • 이태훈;조현석;이해연;박정한;이유경;김성균
    • 대한약침학회지
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    • 제6권3호
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    • pp.81-86
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    • 2003
  • Recently there has been an increase in annual per capita consumption of alcohol beverage and the incidence of Alcoholic liver disease is steadily and significantly increasing. Alcoholic liver disease includes alcoholic fatty liver, alcoholic hepatitis, alcoholic cirrhosis and it may lead to systemic influence, in a case of CVA. This report is about one case's treatment for ICH with alcoholic liver disease. In this case, we administrated Taeumjowetang and did acupuncture treatment to a patient suffering from ICH with alcoholic liver disease and its withdrawal symptoms. After administration of Taeumjowetang medication, clinical symptoms and liver function were prominently improved. This report showed that Taeumjowetang might be useful for alcoholic liver disease.

신체계측(身體計測) 및 검사소견(檢査所見)을 중심으로 한 사상인(四象人)의 특징(特徵)에 대한 분석(分析) (An analysis on the characteristics of Sa-sang constitution - centering on the body measures and diagnosis results -)

  • 이수경;이의주;홍석철;고병희
    • 사상체질의학회지
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    • 제8권1호
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    • pp.349-376
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    • 1996
  • 연구 목적 : 사상인의 각 체질별 특성을 파악하기 위한 통계조사 연구이다. 연구 방법 : 경희의료원 동서 종합 건강진단센타에 1995년 2월 3일부터 1996년 5월 10까지 내원한 검사자들의 인구학적 특성, 21 개 검사 소견, 체질증을 중심으로 각 사상인에 따른 특성을 빈도분석, Oneway Anava검정, 교차분석을 통한 ${\chi}^2$ 검정을 실시하여 사상인에 따라 유의성있는 차이가 있는지를 살펴 보았다. 연구 결과 : 사상인 체질 진단과 체질의 특성을 파악하기 위해 196례 검사자의 체질진단을 시행하고 각 사상인에 따른 일반적 특성 신체계측 완실무병 조건인 땀, 대 소변, 수면상태, 그리고 각종 검사소견을 살펴 아래의 결과를 얻었다. 1. 196례 검사자의 사상체질 진단 결과 태음인(太陰人) 110명 (56.1%), 소음인(少陰人) 58명(29.6%), 소양인(少陽人) 28명 (14.3%)으로 태음인(太陰人)이 가장 많았고 소음인(少陰人)이 소양인(少陽人)보다 많았다. 2. 직업에 따른 사상인의 분포는 사무직, 행정직, 주부는 태음인(太陰人)과 소음인(少陰人), 연구전문직은 소음인(少陰人), 사기업 경영은 태음인(太陰人), 서비스직은 소양인(少陽人)이 많았다. 3. 각 체질 진단 설문 조사의 특성은 QSCC(I)은 다른 체질이 태양인(太陽人)으로 진단되는 경향이 높고, 1번 설문지 는 소음인(少陰人) 판정 정확율이 76.4%로 높았다. 4. 각 체질별 체질중을 살펴 보면 태음인(太陰人)은 땀이 잘 나고 소음인(少陰人)은 땀이 잘나지 않는 것으로 나타났다. 태음인(太陰人)은 식욕이 좋으며 찬음식을 좋아하고 소화가 잘되나 소음인(少陰人)은 식욕이 좋지 않고 더운 음식을 좋아하며 소화가 잘 안되는 것으로 나타났다. 5. 비만도의 검사에서 태음인(太陰人)이 비만도가 가장 높은 것으로 나타났다. 6. 고혈압자의 사상인 분포에서 수축기 혈압과 확장기 혈압은 태음인(太陰人)이 높은 것으로 나타났고, 고혈압자의 발생빈도도 태음인이 사상인(四象人)중 가장 높게 나타났다. 7. 고지혈중과 사상인 분포에서 중성지방은 태음인(太陰人)이 가장 높은 것으로 나타나 태음인(太陰人)에게 중성지방이 높은 고지혈중 발생빈도가 높았으나 총콜레스테롤은 사상인(四象人)간의 유의성 있는 차이가 없었다. 8. 간기능 효소와 사상인 분포에서 GPT, GGT는 태음인(太陰人)이 소양인(少陽人)보다 높은 것으로 나타났고 GOT는 사상인(四象人)의 유의한 차이가 없었다. 9. 초음파 검사에 의한 지방간의 발생빈도는 태음인(太陰人)이 가장 높은 것으로 나타났다.

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고령자 여성의 체질건강수준에 따른 맥파 특성 연구 (Characteristic Radial Pulse Properties of Elderly Females according to Sasang Constitution-based Health Level)

  • 김재욱;배장한;구본초;전영주;김근호;김종열;김영민
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.970-975
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    • 2012
  • In Sasang constitutional medicine, doctors diagnose and treat patients according to their Sasang consitutition (SC) type. In this work, by a clinical test with a radial pulse tonometer, we investigated radial pulse properties which were significant in distinguishing unhealthy subjects from healthy subjects for each SC type. We measured radial pulse properties on left and right Gwan locations with a pulse tonometer for 299 elderly female subjects of age of 50 years old or above. We used a newly developed SCAT system to determine subjects' SC types. Subjects' health levels of either healthy or unhealthy were determined independently by two Korean medical doctors. To investigate the statistical differences, we used either of Student's t-test or Mann-Whitney U test depending on the normality of distribution of test statistic. For TE type, unhealthy subjects were characterized with significant increases in heart rate, systolic to diastolic period, pulse depth, while they showed significant decreases in width of pulse in normal direction, pulse area in diastolic period, and high harmonic components (6th, 7th) of power spectral density. For SE type, unhealthy subjects were characterized with significant increases in pulse pressure and pulse depth, while no significant differences were found for SY type. We investigated the characteristic differences in radial pulse properties due to change in health levels on each SC type for elderly females. Pulse variables which were significantly different between healthy subjects and unhealthy subjects were found to vary between SC types. For TE type subjects, many variables were found significant at the left Gwan location, which is in support of the theory of hyperactive liver functioning for TE type. Irrespective of the constitution, the related changes in the pulse properties due to worsened health level were in support of elevated blood flow amount in compensation with weakened blood circulatory function.

사상의학(四象醫學)의 원리(原理)와 철학적(哲學的) 배경(背景)에 대(對)한 고찰(考察) (A Study on The Principles and Philosophical Basis of 'Sa Sang Medicine')

  • 송정모
    • 사상체질의학회지
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    • 제4권1호
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    • pp.5-29
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    • 1992
  • In this study, the author researched the process in which the philosophical basis of 'Sa Sang Medicine (四象醫學)' and its methodology build up the principles of Sa Sang Medicine, and then, examined how the principles were applied to the theoretical system of Sa Sang Medicine. The conclusion would be summarized as follows. 1. 'Nae Kyung Medicine (內經醫學)' was developed under the concept that the cosmos's order and its moving rule could be directly applied to that of human body, which corresponded to the 'Theory of Hwang-No (黃老之學)'. On the contrary, Sa Sang Medicine is a thoroughly human-oriented theory formed in the Confucianism system. 2. Lee Jae-Ma's Substantialism can be briefed into 'Mind 心' (Tae Keuk 太極), 'Mind-Body 心身' (Yang Eui 兩儀) and 'Activity-Mind-Body-Matter 事心身物' (Sa Sang 四象), which respectively represents one-elemented substance, two-elemented substance and four-elemented substance. Especially, Sa Sang was used as a basic framework in which he recognized all the objects and phenomena. So, most critical significance of his substantialism consists in the intention of Sa Sang type classifying. 3. By the method of Sa Sang type classifying, Lee Jae-Ma not only redefined the main concepts of confucianism and developed a unique philosophy of his own, but also, in the field of medical science, resystemized and re-explained the structure and function of human body. 4. From the recognition that Activity-Mind-body-Matter (Sa Sang) are four different existence forms of energy 氣 (or four variation types of energy), Yi Jae-Ma thinks that the viscera of human body have a vertical structure of 'four parts 四焦' (upper, mid-upper, mid-lower and lower parts) and its physiological function is operated by the rising and falling action of four energy presentations (sorrow 哀, anger 怒, joy 喜 and pleasure 樂). 5. In "Gyuk Chi Go 格致藁", Lee Jae-Ma understood the concept of joy, anger, sorrow and pleasure on the basis of nature-emotion theory 性情論 from the philosophical viewpoint. But, from the medical viewpoint of "Dong Eui Su Se Bo Won 東醫壽世保元", he understood them on the basis of vital energy theory. That is, sorrow, anger, joy and pleasure are expression of advance or reverse of nature vital-energy 性氣 and emotion vital-energy 情氣. 6. The rising and falling action principle of four energy presentations (sorrow, anger, joy and pleasure) which produces and helps each other is an identical principles of Sa Sang Medicine, distinguished from the Oh-Haeng 五行 circulating principle in Nae Kyung Medicine. Through this principle, Lee Jae-Ma explained the viscera physiology of human body, pathology & diagnosis and pharmacology.

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한방진단(韓方診斷)시스템 DSOM(r)D.1.1의 신뢰도연구(信賴度硏究) (Reliability Study of Diagnosis System of Oriental Medicine DSOM(r) D.1.1)

  • 이지행;조혜숙;김미진;엄윤경;유주희;이용태;지규용;김종원;김규곤;이인선
    • 대한한의학회지
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    • 제27권2호
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    • pp.23-35
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    • 2006
  • Objectives : This study examined the reliability of disease mechanism diagnosis, to evaluate items of questionnaires and inquire about the relationships between disease mechanisms and 'diagnosis program' questionnaires used for the objective diagnosis of Oriental medicine in the department of Oriental OB&GYN, Oriental Medical Hospital of Dongeui University. Method : We analyzed the results of questionnaires from 3504 outpatients of OB&GYN disease at the Oriental Medical Hospital of Dongeui University from April 2000 to April 2005. Results & Conclusions : 1. The research questionnaire had 188 questions, the summary questionnaire 137, and the diagnosis questionnaire 80. 2. The reliability of all questionnaires shows above 90% in deficiency of qi, deficiency of Yin, insufficiency of Yang coldness heat syndrome liver and spleen kidney in all, 8 case disease mechanisms. These are higher in the diagnosis questionnaires than in the research questionnaires and the summary questionnaires, except for kidney disease mechanism. 3. Cronbach a of the questionnaires decreased, especially blood deficiency, phlegm, heat syndrome, and insufficiency of Yang; these 4 case disease mechanisms were lower than 0.6. 4. For degree of correspondence of meeting points, both. the diagnosis and the summary questionnaires were above 80% with the exception of the 2 case disease mechanisms heart and blood deficiency. The meeting points of both the diagnosis and research questionnaires were above 80% in the to case disease mechanisms deficiency of qi blood stasis deficiency of Yim insufficiency of Yang damp dryness liver spleen kidney phlegm. 5. The change in the result values of questionnaires was a decreased level of deficiency of qi heat syndrome phlegm damp kidney and raised level of coldness heart disorder of qi dryness 6. The computation degree of disease mechanism in DSOM(r) D.1.1 was much lower on phlegm deficiency of qi heat syndrome disorder of blood, somewhat lower on insufficiency of Yang and higher on coldness than in the two different questionnaires.

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수족냉증을 호소하는 여성 환자의 임상 특성 및 한방 변증에 관한 연구 (Research on Pattern Identification and Clinical Characteristics of Female Patients with Cold Hypersensitivity of Hands and Feet)

  • 권나연;유준상;고호연;김형준;이동녕
    • 대한한의학회지
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    • 제41권2호
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    • pp.96-106
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    • 2020
  • Objectives: The purpose of this study was to research the demographical and gynecologic characteristics, quality of life, and analyze the pattern identification in female patients with cold hypersensitivity of hands and feet. Methods: 112 participants were recruited from May 2018 to April 2019 from three korean medical hospitals. The data was composed of general characteristics, degree of coldness of hands and feet, gynecological questionnaire, score of WHOQOL-BREF and pattern identification. We divided data into 2 groups: The group of patients who meet the criteria for diagnosis of coldness on feet and the group of patients who meet the criteria for diagnosis of coldness on feet and hands. We tried to compare data by groups using Excel 2016 for windows and SPSS for windows (Ver. 23.0). Results: Throughout the study, we found differences between 2 groups in weight, body mass index (BMI), VAS score of cold hypersensitivity on feet, temperature of PC8, ST32, and pattern identification. Conclusions: After the study, we confirmed that even though both groups suffer from cold hypersensitivity of hands and feet, they show clinical differences in each group and differences in pattern identification.

7구역진단기와 심박변이도의 연관성에 대한 임상연구 (A Clinical Study of the Relation between the 7-Zone-Diagnostic System and Heart Rate Variability)

  • 송범용;권경숙
    • Journal of Acupuncture Research
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    • 제25권1호
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    • pp.15-23
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    • 2008
  • Objectives : The aim of our study was to demonstrate the clinical application of a diagnosis relating the 7-zone-diagnostic system and heart rate variability. Materials and Methods : Subjects were divided into two groups according to the factor AA form of the 7-zone-diagnostic system(VEGA-DFM722, VEGA, Germany). Subjects in group A showed a factor-AA red bar graph in which zone 2 was higher than the normal range, and zone 6 was lower than the normal range. Subjects in group B showed a factor-AA red bar graph in which zone 2 was lower than the normal range, and zone 6 was higher than the normal range. We investigated how to differentiate the index of heart-rate variability(HRV, LX-3202, LAXTHA, Korea) for each group. We did independent sample t-tests and evaluated the results of the HRV at the 5% significance level using SPSS 10.0 for Windows. Results : The differences of the MeanRR, MeanHRV, SDNN, complexity, HRV-index, RMSSD, SDSD, and pNN50 values between the groups was not significant. The differences of the Ln(TP), Ln(VLF), Ln(HF), LF/(LF+HF), LF/HF, norm LF, and norm HF values between the groups was also not significant. The differences were not significant, but generally the values of SDNN, complexity, RMSSD, SDSD, Ln(VLF), Ln(HF) and norm LF for group B were higher than those for group A, and the values of pNN50 and norm HF for group B were lower than those for group A. Conclusions : This study suggests that differences in the HRV values between the groups was not significant, but group B has a tendency to be healthier than group A because of stress. Accordingly, further study will be required.

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감기 환자와 건강대조군 간의 설 특성 비교연구 (Comparative Study of Tongue Color in Common Cold Patients and Controls)

  • 김지혜;주종천;박수정;김근호
    • 동의생리병리학회지
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    • 제30권5호
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    • pp.320-326
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    • 2016
  • Tongue diagnosis is convenient and non-invasive method to examine the body's functional condition, and it has been frequently used in traditional Korean Medicine (KM). The aim of this study was to investigate the difference of the tongue color assessed by computerized tongue image analysis system (CTIS) between the common cold (CC) patients and healthy subjects. A total of 85 participants, including 45 CC patients without organic diseases and 40 healthy subjects, were asked to complete the CC symptom questionnaire. A tongue image was acquired by using CTIS. Color differences in Commission Internationale de l'Eclairage (CIE) L*, a* and b* between the CC patient group and the control group were analyzes by using paired t-test analysis. The variable CIE b* of the tongue body was significantly lower in CC than that in controls (P=0.019). The variable CIE L* of the tongue coating was significantly higher in CC than that in controls (P=0.032). In CC, the color of the tongue body seems to be changed to intense red color. The color of the tongue coating seems to be changed to thick fur. The present study demonstrated that the CTIS can be used as a diagnostic and monitoring tool for the objective and standardized evaluation of common cold in clinics.

한의표준임상진료지침 개발을 위한 수족냉증에 대한 한의사의 인식과 치료현황 (A Survey on Korean Medicine Doctors' Recognition and Treatment for Developing Korean Medicine Clinical Practice Guideline of Coldness of Hands and Feet)

  • 이동녕;김형준;유준상
    • 대한한방부인과학회지
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    • 제30권3호
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    • pp.92-116
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    • 2017
  • Objectives: The purpose of this study were to researched a Korean medicine doctors' recognition about coldness of hands and feet, and developing of korean medicine clinical practice guidelines (CPG) for coldness of hands and feet. Methods: We conducted a questionnaire survey targeting 399 Korean medicine doctors belonging to the Association of Korean Medicine by e-mail and analyzed the answers. Results: 1. 86.86% of the respondents agreed about the necessity of CPG for coldness of hands and feet. 2. 84.2% of respondents wanted coding of Korean Standard Classification of Diseases (KCD) on coldness of hands and feet. 3. To diagnosis a coldness of hands and feet, the respondents used a Subjective symptoms (98.5%), Infrared thermographic imaging device (DITI) (26.32%) Heart rate variablity test (HRV) (17.04%), Thermometer (9.77%), Cold stress test (2.76%) 4. Causing of coldness of hands and feet, the respondents considered a constitution or heredity (84.71%), stress (73.66%), lack of exercise (64.91%), irregular eating habits (51.63%), Cold meals (32.83%), depression (31.33%), etc. 5. Treating coldness of hands and feet, the respondents used a herbal medicine (66.85%), acupuncture (70.7%) Pharmacopuncture (23.85%) and moxibustion (60.08%) for $10.91{\pm}8.03week$. Conclusions: We researched a Korean Medicine doctors' recognition of CPG, clinical diagnosis, treatment on a coldness of hands and feet, and policy they required.