• Title/Summary/Keyword: Sign and Symptom

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A Study on The Changes of Concept of Syndrome Differentiation in The History of Traditional Medicine - Focusing on meaning and process - (변증(辨證) 개념의 변천(變遷)에 대한 소고(小考) - 의미(意味)와 방법(方法)을 중심으로 -)

  • Baik, You-Sang
    • Journal of Korean Medical classics
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    • v.27 no.4
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    • pp.133-151
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    • 2014
  • Objectives : In this study, the changes of concept of Bianzheng(辨證)[syndrome differentiation] in the traditional medical history are investigated for the purpose of understanding conditions of Korean Medicine in modern times. Methods : The concepts of Zheng(證)[syndrome] and Bianzheng[syndrome differentiation] in Sanghanron(傷寒論) and many important medical literatures were selected and analyzed to overview the historical changes of those. Results : To the modern ages, the concept of Zheng had included the two kinds of concepts, that is, symptom/sing and syndrome with slight changes of meaning. As a abstract meaning of syndrome, Zheng(證) has been systematized and complicated with the times, that means changes of syndrome differentiation. The concept of Zheng has been recognized as the symbol that expresses the characteristics of Traditional Medicine since the modern age that concepts of sign and symptom have flowed from Western Medicine into Traditional Medicine. Conclusions : One of the main key of studies about Bianzheng(辨證) in future would have been harmonizing the balance between the two trends of modern Traditional Medicine, ideation and objectification.

A study on Symptom of Blood Stasis in "Geumgweyoryak(金匱要略)" "Gyeonggyetonyukhahyeolhyungmaneohyeolbyeongmaekjeungbyeongchi(驚悸吐衄下血胸滿瘀血病脈證幷治)" ("금궤요략(金匱要略).경계토뉵하혈흉만어혈병맥증병치(驚悸吐衄下血胸滿瘀血病脈證幷治)"의 어혈증(瘀血證)에 대한 소고(小考))

  • Baik, You-Sang
    • Journal of Korean Medical classics
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    • v.24 no.6
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    • pp.29-38
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    • 2011
  • The concept of Blood Stasis had been cognized merely as a sign in disorder of blood circulation since "Huangjenaegyeong(黃帝內經)" until "Sanhanron(傷寒論)" and "Geumgweyoryak(金匱要略)" started to describe, explain and apply independent symptom of blood stasis to practice. In this article, establishing the estimate feature of symptom of blood stasis in "Geumgweyoryak(金匱要略)" is the main subject, in sequence the pathological mechanism and targets of prescriptions suggested in "Geumgweyoryak(金匱要略)" are analyzed and restructured. In conclusion, the symptom of blood stasis in "Geumgweyoryak(金匱要略)" is caused not only from disorder of blood circulation but also from metal depression, therefore there are always appearances of excessive and deficient status simultaneously, in the process of symptom. The research on concept of blood stasis from the literatures in early ages will be the basis of future studies about disease of circulation in Korean Traditional Medicine.

A study of subjective oral health actual condition in elementary school teachers, Daegu area (대구광역시 일부 초등학교 교사들의 주관적인 구강보건실태)

  • Choi, Sung-Suk;Kim, Jae-Do;Ryu, Hae-Gyum
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.248-261
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    • 2009
  • Objective : This study was performed in order to figure out Oral Health Actual Condition in Elementary School Teachers in Deagu area. This study was conducted from March through May 2008. Method : A total of three hundred and ten Elementary School Teachers were surveyed. The collected data were analyzed by Oral Health Actual Condition and cognition, Diet habit or living and one's own intellect health state, Oral disease sign symptoms of percent and 2-test and One-way ANOVA test by using SPSS12.0 Program. Results : 1. The most of result Frequencies of tooth brushing per one day were 3 over 91.0% and Oral Examination, Oral Health Education need. 2. The result of oral disease sign and symptom were hypersensitivity due to cold food(39.0%), halitosis(21.6%), gingival bleeding tendency(21.3), clicking sound on TMJ(18.7%), hypersensitivity due to tooth burshing(17.1%), easy crown fracture and to be fine(10.0%), pain on TMJ or limitation of mouth opening(7.1%). 3. The most of result age a group oral hygiene assistance article age 20 for interdental tooth brushing(46.4%), age 50 over not used interdental tooth brushing 38.5%. 4. The result of sign and symptom and snack following was statistically significant(P<0.05), health of own cognition and Oral health of own cognition was statistically significant(P<0.001). Conclusion : The study of understanded the Subjective Elementary School Teachers Oral Health Actual Condition and Promotion of Oral Health follow up Oral examination and Oral Health Education have to system groping.

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Role of 'Spot Sign' on CT Angiography to Predict Hematoma Expansion in Spontaneous Intracerebral Hemorrhage

  • Park, Soo-Yong;Kong, Min-Ho;Kim, Jung-Hee;Kang, Dong-Soo;Song, Kwan-Young;Huh, Seung-Kon
    • Journal of Korean Neurosurgical Society
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    • v.48 no.5
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    • pp.399-405
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    • 2010
  • Objective : Patients with spontaneous intracerebral hemorrhage (ICH) presenting within 24 hours of symptom onset are known to be increased risk of hematoma expansion which is closely correlated with morbidity and mortality. We investigated whether tiny enhancing foci ('Spot sign') on axial view of 3-dimensional computed tomography angiography (3D-CTA) source images can predict subsequent hematoma expansion in spontaneous ICH. Methods : During a 2-year period (March 2007-March 2009), we prospectively evaluated 3D-CTA of 110 patients with spontaneous ICH. Based on source images of 3D-CTA, patients were classified according to presence or absence of 'Spot sign'; 'Spot sign' (+) group, 'Spot sign' (-) group. Radiological factors and clinical outcomes were compared between two groups. Results : Hematoma expansion occurred in 16 patients (15%). Mean Glasgow Coma Scale (GCS) score of patients with hematoma expansion was significantly different compared to score of patients without hematoma expansion (5 vs. 9, P < 0.001). Nineteen patients (16%) of 110 ICH patients demonstrated 'spot sign' on 3D-CTA. Among the 'spot sign' (+) group, 53% of patients developed hematoma expansion. Conversely 7% of patients without 'spot sign' demonstrated the hematoma expansion (p < 0.001). Initial volume and location of hematoma were significantly not associated with hematoma expansion except shape of hematoma. Conclusion : Our study showed that patients with hematoma expansion of spontaneous ICH had significant clinical deterioration. And the fact that 'spot sign' (+) group have higher risk of hematoma expansion suggests the presence of 'spot sign' on source images of 3D-CTA can give a clue to predict hematoma expansion in spontaneous ICH.

A prevalence of clinical sign and symptom in temporomandibular disorders patients (측두하악장애 환자의 임상적 양태에 대한 연구)

  • Kim, Du-Yong;Yoo, Eem Hak
    • Journal of Dental Rehabilitation and Applied Science
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    • v.17 no.4
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    • pp.217-224
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    • 2001
  • A prevalence of temporomandibular disorders(TMD) based on the clinical sign and symptom in 155 patients were investigated. History taking with interview chart and clinical examination were performed. Age and gender of the patients, duration of TMD, location of pain, joint sound, limitation of mouth opening and more detailed diagnostic name were identified. The results of this study were as follows: 1. TMD was more prevalent in female than in male. TMD was the most prevalent at the age of 20s and decreased with age. 2. Acute TMD was more prevalent than chronic one. 3. About ninety percent of TMD patients had pain. Pain had mainly a unilateral origin. Muscle pain was mainly related with the masseter muscle. 4. Joint sound was identified in about fifty-six percent of the TMD patients and unilateral joint sound was more prevalent than bilateral one. 5. Limitation of mouth opening was observed in about forty percent of the TMD patients. 6. In TMD patients, muscle dysfunction was the most prevalent one. In muscle disorders local muscle soreness was the most prevalent one. In joint disorders, capsulitis was the most prevalent one. In muscle-joint disorders, trigger point pain with retrodiscitis was the most prevalent one.

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Clinical Analysis of Pituitary Apoplexy (뇌하수체졸중의 임상적 고찰)

  • Kim, Jung Tae;Park, Bong Jin;Sung, Jung Nam;Kim, Young Joon;Cho, Maeng Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.724-728
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    • 2001
  • Objectives : Pituitary apoplexy is a well-described clinical syndrome resulting from pituitary hemorrhage, hemorrhagic infarction, or infarction, almost invariably occurring in the presence of an adenoma. We analyzed pituitary apoplexy with an emphasis on clinical presentation, pathology and predisposing factors. Methods : We reviewed 35 histologically proven pituitary adenomas, operated from January 1995 to August 1999, to select 8 cases which showed clinical or operative findings compatible with pituitary apoplexy. These patients were analyzed in terms of symptom and sign, hormonal status, and predisposing factors, pathologic findings. Results : Among 35 surgically treated tumors of the pituitary gland, 8 cases(23%) were diagnosed as pituitary apoplexy. The pathologic findings revealed hemorrhage(7 cases) and infarction(1 case) of pituitary adenomas. One case had predisposing factor of appendectomy. The most common presenting symptom and sign were sudden severe headache and visual disturbance. Conclusion : We treated pituitary apoplexy surgically and obtained good outcomes. Pituitary apoplexy due to massive infarction of the pituitary gland is very rare condition but surgical treatment by trans-spheniodal surgery showed a good result.

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A Study on Epistemology of Tumor in Oriental Medicine (한의학의 종양에 대한 인식론)

  • Park Jong Hyun;Shin Sang Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.5
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    • pp.867-872
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    • 2002
  • Traditional oriental medicine and western medicine have not only their own views of disease but also their own practical approach to disease. So, We should not identify the thing which is expressed as ‘ai’(癌) in traditional oriental medicine with the thing which is expressed as ‘cancer’ in western medicine. In traditional oriental medicine, the name of malignant tumor is also designated by it's sign and symptom as same as different disease. So it is difficult to compare directly ‘ai’(癌) with cancer. However, when we analysed processes and characteristics of disease, we can find many instances which is related to the things which is called as cancer by western medicine. So at first, we analysed the meaning of word, ai(癌). Secondly, through the searching many instances which are mentioned above, we classified four groups and investigated these. Four group is following like, First, the cases that ai(癌) is used in. Second, the case that is recognized as mass. Third, the case that has different shape with ai. Fourth, the case that has similar sign and symptom with cancer.

A clinical study of the treatment prescribed Hwalsuckgosamtang(滑石苦蔘湯) for the acute diarrhea (급성설사(急性泄瀉)를 활석고삼탕(滑石苦蔘湯)으로 치료(治療)한 증례(症例))

  • Park, Eun-kyung;Park, Seong-sik
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.2
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    • pp.385-389
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    • 1999
  • Acute diarrhea is fastly progressing and its most symptom are caused by virus. It usually continue within 3 weeks. And also it company fever, chilling sign, anorexia and vomitting. Mostly, it is getting better by basic treatment but must be cautious about progressing to dehydration, sepsis or other complications. In this study, it is experienced that acute diarrhea patient, got sick by food, became better by treating in the point of Sasang Medicine. 75 years old male patient having abdominal pain with aqueous diarrhea (about 10th a day before admission), chilling sign, general weakness was classed as Soyangin having Shinhanbocktongmangeumjeung(身寒腹痛亡陰證). I prescribed Hwalsuckgosamtang(滑石苦蔘湯) by Peueumganggy(表陰降氣) therapy and his symptom was getting better. So report it.

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The Clinical Study of Lumbar Spinal Stenosis in Oriental Medical Hospital (요추관협착증의 한의학적 보존적 치료에 대한 임상적 고찰)

  • Hwang, Jae-Yeon;Do, Won-Seok
    • Journal of Acupuncture Research
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    • v.17 no.3
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    • pp.116-124
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    • 2000
  • This clinical study was carried out 15 cases with lumbar spinal stenosis patients, who had been admitted and diagnosed by Computed Tomography from June, 1999 to May, 2000, in the department of acupuncture and moxibustion. Hanseo University Oriental Medical Nospital. The results obtained from this study were as follows; 1. We investigated 10 female and 5 male patients. The age distribution was from early 20's to 70's, among which 30's and 50's were most common. 2. The most common duration of symptom was less than a year(46.7%). 3. Regarding to the number of the involved levels, one was 12 cases(80%), two was 3 cases(20.0%). In the one level cases, L4~5 was the most common involved site. 4. Regarding to the clinical symptoms, low back pain was the most common, followed by lower extremity radiating pain, intermittent claudication, lower extremity paresthesia. 5. In orthopaedic examinations, positive sign in Milgram test was 80.0%, positive sign in straight leg raising test was 40.0%, and positive sign in Braggard test was 33.3%. Inneurologic examinations, sensory loss was seen in 60.0%, motor weakness and decreased deep tendon reflex were 26.7% in each. 6. According to clinical symptom scale proposed by Chae(1989), grade I1I was the most common (53.3%), followed by grade II, grade IV, grade I . 7. According to treatment outcome scale proposed by Chae(1989), Good was the most common (73.3%), followed by Excelleat, Fair and Poor.

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Herbal Medicine Treatment for Persistent Night Sweats in Soyangin Patients: A Retrospective Case Series (한약 단독 치료로 호전된 소양인 환자의 도한 : 후향적 증례보고 6례)

  • Lee, Min-jung;Lee, Jiyeon;Hwang, Min-woo
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.3
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    • pp.146-160
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    • 2021
  • Introduction This study is the first to report a significant improvement of Soyangin patients with persistent night sweats through herbal medicine treatment. Methods We reviewed the total of 6 Soyangin patients with moderate to severe persistent night sweats who visited the outpatient clinic. The patients received herbal medicine treatment alone for 4 to 9 weeks. We evaluated the treatment outcome using Night Sweats Degree criteria, developed by Lea and Aber(1985), every other 2 to 4 weeks. In addition, we recorded the treatment period from the first visit to symptom alleviation. Results Persistent night sweats improved significantly in all 6 Soyangin patients, and 4 out of 6 patients had better sleep quality after the treatment. It took 1 to 3 weeks until the symptom alleviated from moderate or severe to mild, and 3 to 7 weeks until the patients have no sign of night sweating. The progression of persistent night sweats and treatment period until no sign of symptom varied according to the Soyangin External and Internal disease diagnosis. Discussion The Soyangin patients having persistent night sweats treated with herbal medicines showed a significant improvement in their symptoms. This result proposes the possibility of using herbal medicine in primary care patients experiencing persistent night sweats.