• 제목/요약/키워드: Small viscera

검색결과 42건 처리시간 0.022초

티벳의학에 대한 연구 - "사부의전(四部醫典).근본의전(根本醫典)"을 중심으로 (Study on "Four Tantras", the Prime Textbook of Tibetan Medicine)

  • 장은영;윤창열
    • 대한한의학원전학회지
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    • 제11권1호
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    • pp.416-512
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    • 1998
  • The following conclusions are obtained from the studies on the chapters concerning phisiology, pathology, daily conduct, materia medica, pulse, and urinalysis from , of the "Four Tantras". 1. The theoretical basis forming the Tibetan Medicine is the substance of phlegm, bile, and wind each of which is divided into five kinds. These phisiological substances can be transformed into pathological factors when certain environment is formed. 2. In embryology, the semen of the father and menstral blood of mother is considered the most important condition in conception, and the Five factors are regarded as important. There is a detailed explanation of development of the fetus while it stays in the womb of mother during 38weeks, such as the formation of the viscera, channels, sense organs, etc. 3. There is metaphor which compares the human body with the king's palace. With the development of human anatomy, there is the detailed anatomical picture of anterior and posterior aspects of human body. And also there is the measurement of physiological constitution and the three fluids. 4. In division of the channels, they concerned the now of the blood and distribution of the nerve fibers, and each channel is connected with one another. The division of the cannel is namely embryonic channel, channel of existence, channel of connection, and the course of life principle. 5. The seven bodily constituents and three factors of phlegm, bile, and wind are important in sustaining the life of human body as well as growth and maturization, and when their equilibrium is broken, the human body is degnerated, and finally death comes. 6. The signs of death is divided into distant sign, remote sign, certain sign. and uncertain sign, and is used as a clue in diagnosis of the disease. Especially there is a mention about the mechanism of the dreams, and different dreams according to the condition of the patient. 7. In pathology, there is the cause of the disease, the environmental factors which can induce disease, the path by which disease come into the human body, the characteristics of the disease, and the kinds of disease. 8. There is a mention about the conduct, and it is divided into the daily conduct, the mental attitude, and the side-effects which can occur when one puts up with the physiological actions of the body. 9. The daily diet is divided into food and beverage. The food is divided again into grain, meat, fat, boiled food, and spiced food, and the beverage into milk, water, and wine. 10. The pulsation should be taken in lift hand to diagnose heart, small intestine, stomach, spleen, kidney, reproductive organ, and in right hand jungs, large intestine, liver, gall bladder, kidney, and bladder. In the healthy person, the pulse moves 5times in one perspiration, and the type of pulse is constant while the pulse moves 100times. But unhealthy person's pulse is different from this. The urinalysis is the unique part of Tibetan Medicine, and is important in examination of the disease. One should decide which of the three factors are dominant by the obervation of the color, amount of the steam and how long it lasts, odour, foam, and the shape of the swirl in three different states when the urine is hot, warm, and cold. One can determine the life of the patient and which viscera is the cause of the disease by the pulse, and whether the nature of the disease is hot or cold by the urinalysis. 11. The materia medica contains gemstones, minerals, plateau medication, and meat products.

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Carcass characteristics and meat quality of lambs that are fed diets with palm kernel cake

  • Santos, Rozilda da Conceicao dos;Gomes, Daiany Iris;Alves, Kaliandra Souza;Mezzomo, Rafael;Oliveira, Luis Rennan Sampaio;Cutrim, Darley Oliveira;Sacramento, Samara Bianca Moraes;Lima, Elizanne de Moura;Carvalho, Francisco Fernando Ramos de
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권6호
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    • pp.865-871
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    • 2017
  • Objective: The aim was to evaluate carcass characteristics, cut yield, and meat quality in lambs that were fed different inclusion levels of palm kernel cake. Methods: Forty-five woolless castrated male Santa $In{\hat{e}}s$ crossbred sheep with an initial average body weight of $23.16{\pm}0.35kg$ were used. The experimental design was a completely randomized design with five treatments, with palm kernel cake in the proportions of 0.0%, 7.5%, 15.0%, 22.5%, and 30.0% with nine replications per treatment. After slaughter, the gastrointestinal tract was weighed when it was full, after which it was then emptied. The heart, liver, kidney, pancreas perirenal fat were also collected and weighed. The carcass was split into two identical longitudinal halves and weighed to determine the quantitative and qualitative characteristics. Results: The empty body weight, carcass weight and yield, and fat thickness decreased linearly (p<0.05) as a function of palm kernel inclusion in the diet. There was no difference (p>0.05) for the rib eye area of animals that were fed palm kernel cake. There was a reduction in the commercial cut weight (p<0.05), except for the neck weight. The weights of the heart, liver, kidney fat, small, and large intestine, and gastrointestinal tract decreased. Nevertheless, the gastrointestinal content was greater for animals that were fed increasing levels of cake. For the other organs and viscera, differences were not verified (p>0.05). The sarcomere length decreased linearly (p<0.05), although an effect of the inclusion of palm kernel cake was not observed in other meat quality variables. It is worth noting that the red staining intensity, indicated as A, had a tendency to decrease (p = 0.050). Conclusion: The inclusion of palm kernel cake up to 30% in the diet does not lead to changes in meat quality characteristics, except for sarcomere length. Nevertheless, carcass quantitative characteristics decrease with the use of palm kernel cake.

한국의 장흡충에 관한 연구 IX. 실험동물내에서의 Fibricola Seoulens양 충체위수률 및 발육 (Studies on Intestinal Trematodes in Korea IX. Recovery Rate and development of Firbricola seoulensis in Experimental Animals)

  • 홍성종;이순형
    • Parasites, Hosts and Diseases
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    • 제21권2호
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    • pp.224-233
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    • 1983
  • 몇가지 실험동물의 Firbricola seoulensis 실험감염에 대한 감수성을 알아보고 숙주로서의 적합도를 관찰하고자 중간숙주로 알려진 뱀으로부터 피예유충을 분리하여 50∼2,000개군으로 나누고 횐쥐, 마우스, 개, 고양이, 토끼 및 닭등 총 127마리에 각각 실험감염시킨 다음 3일부터 8주까지 각 숙주내에서의 충체회수률 및 충체성숙도를 관찰하고 비교분석 하였다. 그 결과는 다음과 같다. 1. 총 충체회수률은 횐쥐에서 가장 높아 40.0%이었으며, 그 다음이 마우스로 33.9%이었고, 고양이 20.9%, 개 11.4%, 토끼 0.05% 및 닭 O%의 순으로 나타났다. 충체회수율은 감염기계이 길어짐에 따라 차차 저하되는 경향을 보였으며 감염피낭유충수에 따라서도 다양하게 변화하는 것으로 나타났다. 2. 횐쥐에는 피예유충 1,000개를, 마우스에는 200개를 감염시켰을때 충체회수률이 가장 높았으며 이 정도의 파낭유충수가 이들 동물을 감염시키는데 적당한 감염량으로 생각되었다. 3. 각 실험동물에서 주 기생부위는 소장이었고 고 중에서도 특히 십이지장이었다. 4. 각 동물에서 회수한 충체의 성숙도(성숙충체수/관찰충체수)는 횐쥐와 마우스에서 모두 100%이었고 개에서는 22.7%이었으며 고양이에서는 0%로 전혀 성숙된 충체가 없었다. 이상의 결과를 종합해볼 때 6종의 실험동물중 충체회수율 및 총체성숙도가 높은 횐쥐와 마우스가 Fibricola seoulensis의 가장 좋은 호적숙주로 생각되었다.

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토끼의 횡격막 파열 진단에 있어서 자기공명영상, 나선형전산화단층촬영 및 초음파의 가치 비교 (Comparative Evaluations of Magnetic Resonance Image, Spiral Computed Tomography and Ultrasound in the Diasnosis of Experimental Diaphragmatic Rupture in the Rabbit)

  • 김학희;정승은;이배영;최병길;신경섭
    • Investigative Magnetic Resonance Imaging
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    • 제1권1호
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    • pp.154-161
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    • 1997
  • 목적: 횡격막 파열은 그 진단이 어렵고 지연되는 경우가 많으며, 진단이 늦어지면 유병율과 사망율이 높아지므로 조기진다는 매우 중요하다. 저자들은 최근 많이 이용되는 영상진단법인 나선형 CT와 자기공명영상, 그리고 초음파건사중 어떤 방법이 가장 예민하고 정확한 진단방법인지 동물실험 모델을 통하여 평가하고자 하였다. 대상 및 방법: 토끼에서 인위적으로 횡격막파열을 대, 중, 소로 만든 후 1일, 3일, 7일째 나선형 CT와 자기공명영상, 그리고 초음파검사를 동시에 시행하였다. 결과: 횡격막파열의 진단 민감도와 특이도는 초음파검사가 94.4%와 92.9%, 자기 공명영상이 54.0%와 85.75, 나선형 CT가 46.0%와 78.6%이었다. 횡격막 파열의 진단은 초음파검사, 자기공명영상, 나선형 CT순으로 정확하였으며 초음파 검사가 자기공명영상이나 나선형 CT보다 유의하게 우월하였고(P<0.05), 자기공명영상과 나선형 CT는 유의한 차이가 없었다. 초음파검사는 파열의 크기와 상관없이 횡격막파열의 구별이 용이하였고 자기공명영상과 나선형 CT는 파열의 크기가 클수록 횡격막파열의 구별이 용이하였으나 통계적으로 유의한 차이는 없었다(P>0.05). 수술후 1일에는 전예에서 늑막삼출액이나 혈흉을 동반하였다. 이때에는 초음파나 자기공명영상이 나선형 CT에 비해 우월하였다. 시간경과에 따랄 초음파검사와 자기공명영상은 진단율이 상대적으로 저하되었으나 통게적으로 유의한 차이는 없었다(P>0.05) 탈장을 동반한 경우에는 진단의 민감도가 자기공명영상, 나선형 CT, 초음파검사순으로 높았으며 초음파검사가 상대적으로 낮았다. 그러나 통계적으로 유의한 차이는 없었다(P>0.05). 결론: 초음파검사가 횡격막파열의 진단에 가장 유용한 것으로 밝혀졌으며, 이러한 결과는 앞으로 임상에 적용하여 검증되어야 할 필요가 있다고 생각된다.

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한국의 간흡충에 관한 연구 X. Fibricola seoulensis 표피의 전자현미경적 관찰 (Studios on Intestinal Trematodes in Korea X. Scanning Electron Microscopic Observation on the Tegument of Fibricola seoulensis)

  • 서병설;이순향
    • Parasites, Hosts and Diseases
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    • 제22권1호
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    • pp.21-29
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    • 1984
  • 유혈목이에서 얻은 피낭유충을 생쥐(mouse)에 실험 감연시킨후 소장에서 수집한 Fibricole seoulensis 성충의 표피 메세구조를 주사전자현미경을 사용하여 관찰하였다. 1. 충체전반부는 자갈모양 원형질돌기(cobblestone-like cytoplasmic processes)로, 충체후반부는 손가락모양 원형질돌기(finger-like cytoplasmic processes)로 덮혀 있었다. 2. 전단 배면에는 상모양가시(spade shape spine)가 60∼70개 있었으며, 충체전반부에는 끝이 3∼4분지된 가시가 분포하고 있었는데, 특히 배면 전방 중앙부분에 밀집되어 있었다. 3. 구흠반 후면과 닥흡반에는 끝이 2∼3분지된 가시가 배열되어 있었다. Tribocytic organ 외면은 고사상으로 주름져 있었으며 stout recurved spine으로 무장되어 있었다. 충체후반부의 앞 1/3까지 끝이 분지되지 않은 가시가 발견되 었다. 4. 제 I형 감각유두(ciliated knob-like papilla)는 충체전반부 배면과 복면에 거의 과우대칭적으로 분포하였으며, 특히 구흡반, 복홈반, tribocytic organ 주위와 전반부의 외연에 밀집되어 있었다. 제 II형 감각유두(non-ciliated round swellings)는 구흡반과 복흡반의 외연(lip)에 각각 24개씩 배열되어 있었다. 제 III형 감각유두(plate-like elevation)는 충체후반부 전면에 걸쳐 분포하였다. 이 3가지 감각유두는 그 구조와 분포로 보아 tangoreceptor 혹은 rheoreceptor로 생각되었다. (이 연구를 진행하는데 정성을 다해 도와주신 서울대학교 의과대학 전자현미경실 이하규선생 과 강미숙양 그리고 좋은 사진을 찍을 수 있도록 배려해 주신 주식회사 한국 ISI이만희 사장님과 관계직원 여러분께 감사드립니다.)

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건강개염(健康槪念)의 사상의학적(四象醫學的) 고찰(考察) (A Study on 'Health' concept of Sasang Constitutional Medicine)

  • 황민우;임진희;정용재;김상복;이수경;고병희;송일병;이태규
    • 사상체질의학회지
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    • 제15권3호
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    • pp.88-99
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    • 2003
  • Background and Objective : The status of development of instruments to assess the 'health status' reflecting the concept of Sasang Constitutional Medicine is still far from satisfaction, despite their importance in building basic data for health promotion, evaluation of effectiveness of treatment, health policy and so on. for these reasons the health scale of Sasang Constitutional Medicine shod be developed. Therefore as from of preliminary research, this study is to review the concept of health and symptoms in health status in Sasang Constitutional Medicine. Methods : It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$(東醫壽世保元)${\ulcorner}Dongyi$ Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷)${\lrcorner}$ - Results and conclusion : 1. In Sasang Constitutional Medicine, it is suggested that Inherent vitality(命脈實數) has relations to health and Knowledge-Acting(知行) is a primary factor which affects health. And it is thought that Healthy condition(完實無病) is that human being has enough Healthy energy(保命之主) of Small viscera. 2. In Sasang Constitutional Medicine, it is thought that stool, urine, sweating and digestion become important indexes to measure the physical health state. 3. In Sasang Constitutional Medicine, it is thought that the mental health is in control of inclination of mind by golden mean(中庸) and in tranquillity of constant mind according to constitution. 4. In Sasang Constitutional Medicine, it is thought that the social health is state thar can do social acting harmoniously by keeping away from alcohol, sexual appetite, property and power.

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맥진(脈診)에 관한 도상(圖像)연구 (A Study on Images of the Pulse Diagnosis)

  • 한봉재
    • 한국한의학연구원논문집
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    • 제15권2호
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    • pp.101-109
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    • 2009
  • The Pulse diagnosis is in the boundary of the Four Examinations, and it is called 切診, or palpation. It has a great impact on people in reminding of the Traditional Medicine that it is probably the first thing that people think of when they hear about Traditional Medicine. Hu-Jun quoted in the Treasured Mirror of Eastern Medicine "東醫寶鑑" that the doctor finds out the deficiency and the excess of the meridian of the patiant through the pulse, and that it is of the utmost necessity to know the "deficiency and the excess" of the meridian to decide the formula (君臣佐使) of the herbal medicine and the acupuncture/moxibustion treatment. The research on the studies of pulse diagnosis have been concentrated on the origin, history, and the theory of the pulse diagnosis throughout the years; however, the number of research on the image from the classics on pulse diagnosis have been less. With this in mind, this paper was written to study more on the origin and the history of the pulse diagnosis as well as to study on the image of pulse diagnosis shown on the classics on Traditional Medicine in China and Korea. The history of the pulse diagnosis has its root on the attempt to find out what is happening inside the body through the indication of the small changes of the pulse that is shown on the outer boundaries of the body. There were various kinds of pulse diagnosis including "Three positions and nine indicators method" and "Carotid pulsation and wrist pulse method" in the ancient period, and wrist pulse-taking method became the most popular since the completion of studying on palpation by 初보. The image of the palpation helps the rudimentary practitioners of Traditional Medicine. They are divided into two large categories, which are the area of diagnosis and the shape of the pulse itself. The historical classics including the image of the pulse diagnosis can be found since the Song Dynasty of China. There are various kinds of image of pulse diagnosis in the classic such as "The picture of the hand meridian" from "脈訣指掌病式圖說", "The picture of the image of meridian" from "察病指南", "The picture of the Seven exterior and Eight interior" from "校正圖注脈訣", and "The picture of the six parts of meridian" from Treasured Mirror of Eastern Medicine "東醫寶鑑". The Treasured Mirror of Eastern Medicine "東醫寶鑑" have analyzed the basic theories and made up the standards of pulse diagnosis by establishing "The picture of the six parts of meridian" based on "The method of placing the viscera and bowels corresponding to cun-guan-qi, or the meridian".

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한국산 은어의 지질성분에 관한 연구- 2 중성지질 및 인지질의 성분 비교 (Studies on the Lipid Components in Sweetfish from Korea-2 Comparison of the contents of neutral and phospholipid components)

  • 문수경
    • 한국수산과학회지
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    • 제26권3호
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    • pp.241-249
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    • 1993
  • 전보(문, 1993)에 이어 은어의 중성 및 인지질의 class별 조성과 각각의 구성 지방산을 분석${\cdot}$비교 한 결과를 요약하면 다음과 같다. 1. 은어의 전 부위의 중성지질은 triglyceride가 주성분으로서 $94.8{\sim}99.5\%$를 차지하였으며, 다른 부위에 비하여 내장부위의 조성비가 가장 높았고, 머리부위가 가장 낮았다. 2. 은어의 인지질은 전 부위에서 phosphatidylcholine 및 phosphatidylethanolamine이 주성분이었으며, 이들 성분은 머리와 근육부위에 많은 양이 함유되어 있었다 내장에 cardiolipin, phosphatidylethanolamine, lyso-phosphatidylcholine이 주성분이었다. 3. 중성지질의 주요 지방산은 16:0, 88:1n-9, 16:1n-7, 18:2n-6, 18:0 및 14:0이었고, 크기와 부위에 따른 차이는 미미했다. 이들 중 16:1n-7 및 14:0의 조성비는 인지질에 비해 특히 높은 반면, polyene산의 조성비는 낮았다. 4. 인지질의 주요 지방산은 16:0, 18:1n-9, 22:6n-3, 18:0 및 18:2n-6 등이었다. 이들 중 22:6n-3 조성비는 머리 및 근육에서 특히 높아, 중성지질의 경우에 비해 6배 정도 높은 함량이었다. 은어의 크기에 따른 중성 및 인지질의 구성지방산 조성의 차이는 거의 없었다.

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후천성 면역 결핍 바이러스와 연관된 위장관 카포시 육종: 증례 보고 (Human Immunodeficiency Virus-Associated Gastrointestinal Kaposi's Sarcoma: A Case Report )

  • 임희중;박소현;최승준;박수영;이희영;정준원;정동해
    • 대한영상의학회지
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    • 제81권5호
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    • pp.1260-1265
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    • 2020
  • 카포시 육종은 후천성 면역 결핍 증후군(acquired immunodeficiency syndrome; 이하 AIDS)와 연관되어, 피부, 점막과 여러 장기를 침범하는 다발성의 혈관성 결절로 나타나는 신생물을 일컫는다. AIDS와 연관되어 생기는 위장관 카포시 육종은 내장에 파종성 질환으로 가장 흔하게 발생한다. 우리는 다양한 장기를 침범하여 복통과 함께 장관 내 출혈을 유발한 드문 카포시 육종의 영상 소견에 대해 보고한다. 회장 대장내시경을 통해 말단 회장, S자 결장, 직장 내 다양한 병변이 발견되었으며 소장 투시검사로 공장과 회장의 병변을 확인할 수 있었다. 복부 골반 전산화단층촬영에서 회장 내 조영증강된 다양한 납작한 병변과 복강 내 크기가 커진 림프절을 발견하였다. 조직병리학 검사에서 카포시 육종으로 최종 진단이 된 환자는 항레트로바이러스제로 치료를 시행 받았다. 최근 AIDS 환자의 수가 늘고 있는 상황에서, AIDS와 연관된 Kaposi's sarcoma의 영상학적 소견을 숙지하는 것은 영상의학과 의사를 비롯한 임상의사들에게 빠른 진단과 치료뿐만이 아니라 예상치 못한 AIDS의 감염 위험에 노출될 수 있는 의료진의 안전을 위해서도 필수적이다.

한국표준질병사인분류중 한방내과영역의 분류체계 개선 및 진단명 구성에 관한 연구 (The Research about the Classification System Improvement and Cord Development of Korean Classification of Disease on Oriental Internal Medicine)

  • 이원철
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.1-10
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    • 2010
  • Objectives : It is necessary that the international classification of diseases (ICD) be examined in order to comprise the third revision of the Korean Classification of Disease on Oriental Medicine (KCD-OM) and disease classification in the oriental internal medicine field. It is essential that the selection, classification and definition of disease and pattern names of oriental concepts in internal medicine be clear. Since 2008, the fifth revision of the Korean Classification of Disease (KCD-5) has been used in Korea. It was required to use the reference classification from the Oriental medicine area based on the ICD-10. Methods : In this review, the necessity for, meaning of and content of the third revision are briefly described. The ICD system was reviewed and KCD-OM was reconstructed. How diagnosis in the oriental internal medicine area had changed is discussed. Review and Results : In 1973, the disease classification of oriental medicine was established the basis on the contents of Dongeuibogam. It was irrespective of the ICD. As to the classification system in the Oriental internal medicine field, systemic disease was comprised of wind, cold, warm, wet, dryness, heat, spirit, ki, blood, phlegm and retained fluid, consumptive disease, etc. Diseases of internal medicine comprised a system according to the five viscera and the six internal organs and followed the classification system of Dongeuibogam. The first and second revisions were of the classification system based on the curriculum in 1979 and 1995. In 1979, in the first revision, geriatric disease and idiopathic types of disease were deleted, and skin disease was included among surgery diseases. This classification was expanded to 792 small classification items and 1,535 detailed classification items to the dozen disease classes. In 1995, in the second revision, it was adjusted to 644 small classes and 1,784 detailed classification items in the dozen disease classes. KCD-OM3 did KCD from this basis. It added and comprised the oriental medical doctor's concept names of diseases considering the special conditions in Korea. KCD-OM3 examined the KCD-OMsecond revised edition (1994). It improved the duplex classification, improper classifications, etc. It is difficult for us to separate the disease names and pattern names in oriental medicine. We added to the U code and made one classification system. By considering the special conditions in Korea, 169 codes (83 disease name codes, 86 pattern name codes) became the pre-existence classification and links among 306 U codes of KCD-OM3. 137 codes were newly added in the third revision. U code added 3 domains. These are composed of the disease name (U20-U33, 97 codes), the disease pattern name (U50-U79, 191 codes) and the constitution pattern name of each disease (U95-U98, 18 codes). Conclusion : The introduction of KCD-OM3 conforms to the diagnostic system by which oriental medical doctors examine classes used with the basic structure of the reference classification of WHO and raises the clinical study and academic activity of the Korean oriental medicine and makes the production of all kinds of nation statistical indices possible. The introduction of KCD-OM3 promotes the diagnostic system by which doctors of Oriental medicine examine classes using the association with KCD-5. It will raise the smoothness and efficiency of oriental medical treatment payments in the health insurance, automobile insurance, industrial accident compensation insurance, etc. In addition, internationally, the eleventh revision work of the ICD has been initiated. It needs to consider incorporating into the International Classification of Diseases some of every country's traditional medicine.