• Title/Summary/Keyword: Stasis

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Correlation Study between Atopic dermatitis and Comprehensive diagnosis of Qi Blood Water in Seoul Jungnang-gu nursery school children (서울 중랑구 소재 어린이집 소아의 아토피 피부염 이환 여부에 따른 기혈수(氣血水) 변증(辨證) 유형 관찰)

  • Shin, Yoon-Jin;Kim, Kyu-Seok;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.176-185
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    • 2009
  • Objective: The aim of this study was to investigate the correlation between atopic dermatitis and a comprehensive diagnosis of Qi Blood Water in children with or without atopic dermatitis. Methods: We surveyed 206 children in Seoul Jungnang-gu nursery by reviewing the questionnaires following a medical examination. Comprehensive diagnosis of Qi Blood Water was investigated by questionnaires and composition scores and total scores were calculated from the symptom scores. Atopic dermatitis was diagnosed by ophthalmo.otolaryngo.dermatologist and atopic dermatitis symptom was measured by a Visual analogue scale(VAS). Comparisons between the atopic and non-atopic groups were made based on the atopic dermatitis symptom scale, composition scores and total scores. Results : 1. Of the 206 patients, 153(74.27%) were included in the non-atopic group, while 53(25.73%) were included in the atopic group. There was no difference in average age between the two groups. 2. The atopic dermatitis symptom scale of atopic group(3.21$\pm$2.018) was significantly higher than that of non-atopic group(0.04$\pm$0.28). 3. Qi deficiency, Qi stagnation, Blood stasis and Water congestion scores and the total scores of the atopic group were higher than those of the non-atopic group, but it was not significant. 4. The Qi regurgitation and Blood deficiency scores of atopic group were significantly higher than those of the non-atopic group. 5. There was a highly significant correlation between the atopic dermatitis symptom scale and Qi regurgitation scores, and between the atopic dermatitis symptom scale and Blood deficiency scores. Conclusion : Atopic dermatitis seems to have a special feature reflecting the state of comprehensive diagnosis of Qi regurgitation and Blood deficiency in children.

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Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients (수정된 연하곤란사정도구와 비디오 연하영상 조영술의 흡인 위험 예측비교)

  • Moon, Kyung-Hee;Sohn, Hyun-Sook;Lee, Eun-Seok;Paek, Eun-Kyung;Kang, Eun-Ju;Lee, Seung-Hee;Han, Na-Ri;Lee, Meen-Hye;Kim, Deog-Young;Park, Chang-Gi;Yoo, Ji-Soo
    • Journal of Korean Academy of Nursing
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    • v.40 no.3
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    • pp.359-366
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    • 2010
  • Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis. Results: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy. Conclusion: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.

Relation between Metabolic Syndrome and Obesity Pattern Identification Questionnaire in Middle-aged Health Check-up Examinees (중년 건강검진 수진자에서 대사증후군과 한방비만변증의 관련성)

  • Yoo, Jeong-Eun;Cho, Young-Hye;Gu, Hyun-Gyung;Kim, Bo-Young;Yun, Young-Ju
    • The Journal of Korean Medicine
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    • v.35 no.1
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    • pp.124-134
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    • 2014
  • Objectives: Metabolic syndrome is considered a coronary heart disease risk factor and its prevalence rate is increasing in Korea. Because obesity is relevant to metabolic syndrome, we investigated the relationship between metabolic syndrome and the Obesity Pattern Identification Questionnaire in middle-aged health check-up examinees. Methods: This was a cross-sectional study with 125 patients who visited a health promotion center of university hospital from October 2012 to January 2013. We analyzed the association of Obesity Pattern Identification Questionnaire and the diagnostic criteria of metabolic syndrome. Results: Pi deficiency (脾虛), phlegm (痰飮), liver stasis (肝鬱) and food accumulation (食積) pattern showed significantly highs score in the group with hypertriglyceridemia. Also, females demonstrated significantly high scores of liver stasis (肝鬱) and food accumulation (食積) in the group with hypertriglyceridemia. The questions of Pattern Identification that showed especially significant high score in the group of hypertriglyceridemia are as follows: 'Easily get annoyed', 'Usually worried', 'Frequently overeating or bingeing', and 'Having more after getting full'. There are positive correlations between triglyceride and the score of Pi deficiency (脾虛), phlegm (痰飮) and food accumulation (食積) pattern. Conclusions: Obesity Pattern Identification Questionnaire can be used for the management of hypertriglyceridemia in an effort to prevent metabolic syndrome.

Diagnostic Values of the Measurement of Fungiform Papillae in Patients with Burning Mouth Syndrome (구강작열감증후군 환자에서 심상유두 수 측정의 진단적 가치)

  • Lee, Eom-jee;Park, Jae-woo;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
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    • v.37 no.6
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    • pp.978-989
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    • 2016
  • Objectives: This study evaluated the diagnostic values of measuring the number of fungiform papillae in patients with burning mouth syndrome (BMS). Methods: Seventy participants (35 BMS patients and 35 Healthy control) participated in this study. The number of fungiform papillae (FP) was measured on the anterior part of the tongue within an area of $9mm^2$ using a digital camera. The subjects were evaluated on their yin deficiency and blood stasis conditions using the Yin-Deficiency Questionnaire (YDQ) and Blood Stasis Questionnaire (BSQ). Moreover, the severities of subjective tongue pain in the BMS patients were assessed using Visual Analog Scale. Results: There were significant differences in the number of FP and the YDQ and BSQ scores between the two groups. The number of FP and the YDQ scores in the BMS group showed statistically significant correlations with the VAS score of tongue pain. In the bivariate logistic regression analysis, the factor that most strongly contributed to BMS was the number of FP. The optimal cut-off value of the number of fungiform papillae was calculated as 5.5 with 71.4% sensitivity and 82.9% specificity. There was no statistically significant correlation between the number of FP and the YDQ or BSQ score. Conclusions: According to these findings, measuring the number of FP could be a valuable evaluation indicator of BMS.

A Study on causes and remedies of hearing disturbance in chinese medical journals (難聽의 原因, 症狀, 治法에 對한 硏究;中醫雜誌를 中心으로)

  • Kim, Seong-Bae;Kim, Jong-Han;Lim, Gyu-Sang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.7 no.1
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    • pp.35-51
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    • 1994
  • This is the study on causes and remedies of hearing disturbance in chinese medical journals(1991-1993). The results were as follows. 1. The causes of sudden deafness(突發性耳聾) were usually fire in the liver(肝火).phlegmatic fire(痰火), deficiency of the vital function and essence of the kidney(腎虛), blood stasis or sludge due to stagnation of vital energy stagnation(氣滯血瘀). Remove endogenous heat or fire method(淸瀉火熱法). circulation of phlegm and dampness(運化痰濕). using tonics to cure disease due to deficiency of vital essence of both the liver and the kidney(滋補肝腎) were used for each treatment. 2.The causes of menieres disease were usually mental disturbance due to phlegmatit fire(痰化上搖). dampness-phlegm long standing(痰濕內停), water-dampness retention(水濕停滯), Method of remove heat and circulation phlegm(淸熱化痰法), method of remove water and dampness(利水渗濕法), invigorate function of the spleen and circulation of dampness method(健脾化濕法) were used for each treatment. 3. The causes of toxico-deafness(中毒性 耳聾) were usually heart, liver and kidney functional weakness(心肝腎虛), vital essence and blood weakness(氣血虛弱). Remove obstruction in the flow and circulation phlegm(通窮化痰), reinforce vital energy and tonify blood (補氣活血), using tonics to cure disease due to deficiency of vital essence of both the liver and the kidney(滋補肝腎) were used for each treatment. 4. The causes of deafness (耳聾), tinitus(耳鳴) were usually mental disturbance due to wind and heat(風熱上搖). flaming up of excessive heat of the liver(肝火上亢). exhaustion seat of reproductive essence in kidney(腎精虧虛). Remove endogenous heat and disperse wind(淸熱疏風). remove the fire of liver(淸肝瀉火), through nourish kidney check exuberance of yang(滋腎潛陽), nourish kidney yang(補腎陽). replenish vital energy and improve essential substance(益精血), blood activate for treatment of blood stasis(活血化瘀) were used for each treatment. 5. The effects of mainly used drugs were classified into method of water and dampness remove medicine(利水渗濕藥), nourishing liver and kidney medicine(補肝腎藥), improve blood and vital energy activate medicine(活血行氣藥), through nourish yan medicine check exuberance of yang(滋陰潛陽藥).

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Literature Review on Syndrome Differentiation of Tremor, Focusing on Chinese Journals (진전 변증에 관한 문헌적 고찰 - 중국 논문 중심으로 -)

  • Sun, Seung-Ho
    • The Journal of Internal Korean Medicine
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    • v.31 no.1
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    • pp.40-53
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    • 2010
  • Background : It was not enough to apply three kinds of syndrome differentiation in our oriental medical textbook to tremor's treatment according to reports of Korea and traditional medical textbook of China. Objective : To investigate syndrome differentiations by types of diseases related to tremor through Chinese journals review and to suggest adding possible syndrome differentiations. Methods : Literature search was performed using China Academic Journal (CAJ), the search engine of China National Knowledge Infrastructure (CNKI) from January 1994 to December 2009. Searching key words were Chinese characters in combination meaning tremor, paralysis agitans, and syndrome differentiation. We included all types of articles that explained or referred to definite syndrome differentiations. The symptoms and oriental medications by syndrome differentiation in selected articles were extracted and summarized. Results : 56 Chinese journals were ultimately selected. 37 kinds of syndrome differentiations about tremor were investigated, which included dual deficiency of qi and blood (氣血兩虛) quoted 31 times, liver-kidney yin deficiency (肝腎陰虧) 23 times, liver-kidney deficiency (肝腎不足) 21 times, and phlegm-heat stirring wind (痰熱動風) 20 times. 37 kinds of syndrome differentiation could by group into eight types, such as liver-kidney yin deficiency (肝腎陰虧), dual deficiency of qi and blood (氣血兩虛), phlegm-heat stirring wind (痰熱動風), heart deficiency and spirit weakness (心虛神弱), blood stasis due to qi stagnation (氣滯血瘀), sea of marrow deficiency (髓海不足), liver qi depression (肝氣鬱結), and liver yang transforming into wind (肝陽化風). Conclusion : We suggest that the syndrome differentiations of tremor, such as heart deficiency and spirit weakness (心虛神弱), blood stasis due to qi stagnation (氣滯血瘀), sea of marrow deficiency (髓海不足), liver qi depression (肝氣鬱結), and liver yang transforming into wind (肝陽化風), can be added to liver-kidney deficiency (肝腎不足), dual deficiency of qi and blood (氣血兩虛), and phlegm-heat stirring wind (痰熱動風) of the textbook. Further systematic research will be needed on them.

Clinincal Evidence on the Treatment of Benign Prostatic Hyperplasia (전립선비대증에 대한 치료의 근거)

  • Yoon, Han Sung;Jo, Han Shin;Kim, Dae Geon;Lee, Ji Hye;Kim, So Yeon;Choi, Jun Yong;Han, Chang Woo;Park, Seong Ha
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.5
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    • pp.361-369
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    • 2015
  • Benign prostatic hyperplasia(BPH) is a common disease among male. However, its cause and treatment are not known and it is easy to relapse to the patients again after some treatment. Chinese has got an active research on BPH of traditional Chinese medicine. We researched the Chinese clinical papers from 2000 to 2014. After translating those papers, we analyzed total 45 papers by classifying those according to frequently used prescriptions, differentiation of symptoms, signs, addition and subtraction of each medicine and the quantity of frequently used medicines. Through this study it was to provide evidence in the diagnosis and treatment of BPH. The prescription of BPH was classified according to its stage. Mainly damp heat patterns(濕熱型) induce dysuria, Qi-stagnation and blood stasis patterns(氣滯血瘀型) induce pain, While Kidney deficiency patterns(腎虛型) induce sexual function disorder. This analysis report would be able to provide the basis of taking a research on BPH. In addition, it could be applied on a stereotype of BPH as well as a variety of symptoms with frequently used prescription and addition and subtraction of each medicine.

Oriental Diet Therapy Area Approach and Nutritional Composition Analysis of Yack-Sun Tea for Qi-stagnation and Blood Stasis Pattern' Overweight and Obesity (기체혈어형(氣滯血瘀型) 과체중 및 비만을 위한 약선차의 약선식료학적 접근 및 식품영양학적 분석)

  • Lee, Deok-Ja;Cho, Jung-Soon;Park, Jin-Young;Park, Sung-Hye
    • The Korean Journal of Food And Nutrition
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    • v.25 no.3
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    • pp.513-520
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    • 2012
  • This research was planned and executed to evaluate how the composition of Yack-sun tea can affect the health conditions of people who are suffering from diet-related such as being overweight, are obese and have hyperlipidemia, by taking Yack-sun tea in a form of a nutritional supplement with our daily meals. We produced Kangjieum with Lycium chinense Mill., Polygonum multflorum Thunb, Cassia tora L., Crataegus pinnatifida Bge and Salvia miltiorrhiza Bge. Thus, we approach of oriental diet therapy area research of Kangjieum and analysis proximate composition, water soluble antioxidant content. The content(%, dry basis) of total carbohydrate was 60.23%, crude protein was 18.18%, crude ash was 11.36% and crude fat was 10.23% in Kangjieum. Total water soluble antioxidant content was 1.027 ${\mu}g/m{\ell}$ of Kangjieum. We think that scientific and objective evaluation was done on the components of the Kangjieum prescription. This basic data could help guide the application of oriental medicinal resources into other foods and serve as a stepping-stone for use of Kangjieum in the burgeoning field of nutraceutical foods. Last, the scientific effects of oriental medicinal foods developed according to oriental medicinal theory. This theory is believed to be essential for government policy development concerning validation of medicinal effects and assessment, with the aim of fostering systematic development and providing guidance to food development in the interest of national health.

A Clinical Report of Traumatic Cervical Stenosis Patient with Half Length Paralysis and Sensory Disorder (편마비와 감각장애를 주소로 하는 외상성 경추관 협착 환자 1례에 대한 임상적 고찰)

  • Ryu Hyung Cheon;Lee Kyung Hwan;Kim Bang Qui;Choi Chang Won;Lee Young Soo;Kim Jong Seok;Kim Hee Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.279-284
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    • 2004
  • Excluding an operation remedy about an example of Traumatic Cervical Stenosis patient, by doing pattern identification such as blood stagnation in hospitalization for the early days and such as the stagnation of Oi for the middle days and such as Eum deficiency of liver and kidney for the last. We have done treatment by being based on method of therapy to promote blood flow to remove blood stasis and to promote the normal flow of Oi and to nourish the liver and the kidney. In result, we had remarkable conclusion and considered that we had to treat a patient like that appropriately by distinguishing & making a diagnosis correctly from now on. If we apply clinically by thinking of Oriental Medicine through more example of symptoms, we have considered that it will serve as a momentum that we can sympathize with the excellency of Oriental Medicine. In the future, we have considered that have to be necessary to make more researches and reports upon it.

The Study on the Eastern and Western Medical Literatures for Complex Regional Pain Syndrome (복합부위통증증후군에 대한 동서의학적 고찰)

  • Kim, Dong-Eun;Yu, Deok-Seon;Jung, Il-Min;Lee, Jeong-Han;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.2
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    • pp.157-185
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    • 2009
  • Objectives : The aim of this study is to suggest approach of oriental medical management and necessity by research of eastern and western medical literatures for Complex Regional Pain Syndrome(CRPS). Methods : We reviewed the clinical and experimental literatures of eastern and western concerned with CRPS which is related causation, signs and symptoms, diagnosis, etiology and management. Results : 1. CRPS is divided into type I and II by nerve injury. Two types of CRPS have been recognized: type I, corresponds to RSD and occurs without a definable nerve lesion, and type II, formerly called causalgia refers to cases where a definable nerve lesion is present. These conditions can be charaterized clinically by the sensory abnormalities, vascular abnormalities, oedema, sweating abnormalities, motor or trophic changes. 2. CRPS are well known to patients and physicians relatively, but the pathophysiology, causation and treatments are still unclear. 3. CRPS is needed to take the early diagnosis and multidisciplinary approach for significant effect. 4. CRPS can be regarded for obstruction syndrome of Ki and blood(痺證), blood stasis(瘀血), Wei symptom(痿證), numbness(痲木) in the oriental medical management of CRPS. Conclusions : Above the results, it is suggested that further studies and active approach of management of CRPS will be conducted precisely in oriental medicine.