• Title/Summary/Keyword: clinical diagnostics

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A Study of Pathogenesis Classification using Decision Tree Method (의사결정나무법을 이이용한 병인(病因)분류에 관한 연구)

  • Lee, Hyuk-Jae;Kim, Min-Yong;Oh, Hwan-Sup;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.2
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    • pp.27-40
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    • 2008
  • Background : In spite of the predominant of the theory of Pathogenesis, the method of Pathogenesis classification is depending on the doctor's clinical trials because od the lack of the objective test criteria. Methods and Results : This study is trying to improve the objectiveness of classification using a new statistical method, decision tree. Decision tree method -a classification technique in the statistical analysis- was used to analyze the result of pathogenesis questionnaire instead of using discriminant analysis. As a result, 10 among 38 pathogenesis questionnaire was selected as important questions and 12 terminal nodes was built to classify the pathogenesis. Conclusions : Using only 10 questions shown in the result of decision tree, we can classify and interpret the pathogenesis easily and effectively.

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An investigative report on the clinical use of traditional diagnosis modalities among Korean Medicine Doctors (현직 한의사의 한의진단 현황 조사 보고)

  • Jang, Jaesoon;Cho, Seungmo;Kim, Kiwang
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.2
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    • pp.156-168
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    • 2013
  • Objectives Although there have been someone who pointed out declining tendency of pure traditional diagnosis, there are no objective survey results on present state of diagnosis among Korean Medicine Doctors (KMDs). So we did a descriptive survey study to show traditional diagnostic modality usage among them. Materials and methods: 73 samples of responded questionnaire in Busan area were collected and descriptively studied. Results (1) U code (in KCD-6) usage showed low level (28.7%). (2) Diagnostic apparatuses for traditional medicine are rarely used. For example, pulse diagnosis machine was reported to be used only by 9.7 % of KMDs. (3) KMDs still prefer the treatment based on pattern identification and symptomatic therapy rather than treatments based on disease identification of modern biomedicine. Conclusion Overall, the portion of pattern identification is still high among KMDs, some kind of diagnostic methods which support pattern identification showed lack of usage.

Effect of the Geijibokryunghwan Water Extracts on Stimulus-induced Superoxide Generation and Tyrosyl Phosphorylation in Human Neutrophils

  • Choi, Meung-Hee;Park, Won-Han
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.2
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    • pp.477-481
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    • 2006
  • A clinical report indicates that 'Geijibokryunghwan(GBH) is very effective in treating thrombosis in those patients who have difficulties with more conventional antithrombotic drugs. The isolation and identification of various compounds from this plant and the same genus have been reported by several groups. However, the pharmaceutical effect of the GBH on superoxide generation in human neutrophils has not been studied. In the present report, we investigated the possibility of using herbal medicine as an alternative therapy. In particular, we studied tremor in antiatheroscleosis. In this report, we shows the GBH extract can be used as a potential atherosclerosis preventive agent in human. The effect of GBH on stimulus-induced superoxide generation and phosphorylation of tyrosine residues of protein in human neutrophils was investigated. In a conclusion, GBH suppressed tyrosine phosphorylase in a dose-dependent manner, and may have pharmacoceutical applications. These data suggest that GBH extracts merits investigation as a potential anti-atherosclerogenic agent in humans.

Development of International Versions of Pattern Identification Questionnaires using Cross-cultural Translation Methodology: Seven Emotions, Fatigue and Malaise, Phlegm, Food Retension, and Blood Stasis (칠정, 노권, 담음, 식적, 어혈 변증 설문지의 횡문화적 번역 연구)

  • Kim, Hyunho
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.22 no.1
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    • pp.33-44
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    • 2018
  • Objectives This study aimed to perform a cross-cultural translation of 5 kinds of pattern identification questionnaires from Korean to English: questionnaires for seven emotions, fatigue and malaise, phlegm, food retention, and blood stasis. Methods We followed the strict guideline on the cross-cultural translation of healthcare evaluation tool. Total five stages of study were conducted. First, translations of two individual translators. Second, synthesizing of the two results. Third, two back translations from synthesized version to Korean. Fourth, expert committee reviewed with the original version, synthesized version, back translated versions to make a pre-final version. Last, with the pre-final version, 5 Americans evaluated face validity of the pre-final version. We made a final version after the above-mentioned 5 stages. Result and conclusion International versions of the 5 kinds of pattern identification questionnaires were completed. We can expect this versions are widly used for clinical usage and following academical researches.

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Development of the Software to test Pattern Diagnosis Ability in Oriental Medicine (변증 능력 평가 소프트웨어의 구현)

  • Kim, Ki-Wang;Chang, Jae-Soon
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.70-78
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    • 2010
  • Objectives : To qualify or enhance the diagnostic ability of students in Oriental Medicine, so called standardized patients are ideal modality, but because it's a man-based method, more convenient tools are required. Computer-based diagnostic ability test program gives effective way for the very purpose. So we made a pilot software evaluating Pattern Identification ability in Oriental Medicine. Methods and Materials : The pilot software was coded with Microsoft's EXCEL VBA. 87 names of Zheng (Symptom Pattern) and 674 names of symptom (including some signs) are adopted from the former standardization works conducted by Korean Institute of Oriental Medicine (KIOM) in 1996. Results : Compared with some manned modalities to test Pattern Identification ability, the test by this software shows superiority in convenience and objectivity. Conclusion : This software is world's first program to perform computer-based evaluation of Pattern Identification in Oriental Medicine, and it gives effective way to complement both written test and manned clinical performance test (CPX).

A Study of the Chinese Research Trend on Effect of Erchentang utilized in the Digestive Diseases (소화기 질환에 활용된 이진탕(二陳湯)의 임상 치험례 분석 - China Academic Journal을 중심으로 -)

  • Kim, Jee-Soo;Park, Young-Bae;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.2
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    • pp.117-128
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    • 2009
  • Object : The purpose of this study is to reveiew recent 10 years chinese achievements on the use of digestive system on the utilization of Erchentang. Methods : From the China Journal Full Text Detabase we searched paper on the use of Erchentang by Keyword "二陳湯" Results : The researches are summarised into 7parts. (1) The Effect of Erchentang utilized in liver diseases, (2) The Effect of Erchentang utilized in constipation, (3) The Effect of Erchentang utilized in emesis, (4) The Effect of Erchentang utilized in Bile reflux gastritis, (5) The Effect of Erchentang utilized in gastroesophageal reflux disease, (6) The Effect of Erchentang utilized in gastralgia, (7) The Effect of Erchentang utilized in gastritis. Conclusion : The Effect of Erchentang's utilization has been estabalished for its usefulness in various chinese medical researches.

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Study On the Six Channels Demonstration Answering the Question in Treatise on Exogenous Febrile Disease (${\ll}$상한론(傷寒論)${\gg}$의 육경변증(六經辨證) 설문에 관한 연구)

  • Park, Min-Kwan;Kim, Min-Yong;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.2
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    • pp.83-93
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    • 2005
  • It is well known that Treatise on Exogenous Febrile Disease is one of the oldest and most authoritative books in Oriental Medicine, suggesting the concept of Exogenous Febrile and Six channels as a theoretical basis of clinical experience and prescription. But, since Thang Thongjing had written the book, the numberous medical practitioners and theorists asserted their various and different views on the concept of Exogenous Febrile and its Six channels. 3UM-3YANG of Treatise on Exogenous Febrile Disease is basically the thing of specialization UM-YANG, eventually UM-YANG are two functional characteristics in human body. It is specialized to 3UM-3YANG by spatial and time criteria Therefore, it is important to apprehend the concept correctly that was written on Treatise on Exogenous Febrile Disease. I'd like to look into a bodily state by answering the question that is easy to access and based on Six Channels.

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Research trend of Korean Medicine for Musculoskeletal Disorders of the Hand and Wrist (국내 의료기관에서 시행된 손/손목 근골격계 질환의 한방치료 연구동향)

  • Oh, Eunsu;Kim, Anna;Oh, Yongtaek
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.21-36
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    • 2022
  • Objectives The purpose of this study is to investigate the research trend of Korean traditional medicine for musculoskeletal disorders related to wrist and hand under Korean healthcare facilities. Methods We collected data from search engines for research including foreign and domestic online database using the keywords ligament tendon, wrist sprain, tendinitis, trigger finger, carpal tunnel, ganglion cyst, de Quervain's and Raynaud. Results A total of 45 articles were about ligament tendon, wrist sprain, tendinitis, tenosynovitis, trigger finger, carpal tunnel syndrome, ganglion cyst, de Quervain's tenosynovitis and Raynaud disease. Out of 45 articles, 20 articles were about carpal tunnel syndrome and the most commonly used measurement was visual analog scale. Conclusions This study shows the research trend of musculoskeletal disorders related with the wrist and hand. Through the collected data, the treatment methods and specific information of treatments were organized. This study can be used in clinical environments and will contribute for further study in musculoskeletal disorders related with the wrist and hand.

A Study on the Acupuncture sensation Characteristics of Bee Venom and Sweet Bee Venom (Bee Venom 약침과 Sweet Bee Venom 약침의 득기감 특성에 관한 연구)

  • Jo, Na Young
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.23 no.1
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    • pp.1-8
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    • 2019
  • Objectives The purpose of this study is to determine if there is a difference in acupuncture sensation depending on the bee venom pharmacopunctures. The study was designed to identify the intrinsic acupuncture sensation of the bee venom pharmacopunctures compared to saline. Methods Bee venom,(BV), Sweet bee venom(SBV), and normal saline were injected in order to the left of ST36 (Joksamni), ST37 (Sang-geoheo), right ST36 (Joksamni), ST37 (Sanggeoheo) each. The order of insertion of the BV, SBV, and normal saline was randomly assigned using a computerized random number table. The questionnaire used in this study was based on the Massachusetts General Hospital Acupuncture Sensation Scale (MASS). Results : BV and SBV was statistically significantly higher than saline in soreness, aching, distention, sharp pain and itchiness. Above this, BV was statistically significantly higher than saline in tingling and throbbing. And SBV was statistically significantly higher than saline in warmth. BV was statistically significantly higher than SBV in ichiness. Conclusion. BV and SBV were mainly strong, heavy, and gave a sharp feeling to the subjects. The results of the study can be used as references for future bee venom pharmacopunctures use. In addition, the results of the study can be used as basic data for clinical trials using bee venom pharmacopunctures.

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A Case Report of Korean Medicine Treatment Focused on Acupotomy Therapy for Acute Cervical Radiculopathy Presenting with Shoulder Pain (어깨 통증 양상으로 나타난 급성 경추부 신경뿌리병증 환자의 침도치료를 중심으로 한 한의치료 1례)

  • Taehyeong, Kim;Dasol Park;Jungtae Leem;Gawon Choe
    • Korean Journal of Acupuncture
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    • v.41 no.2
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    • pp.51-57
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    • 2024
  • This case report aims to illustrate the diagnostic challenge and effective management of acute cervical radiculopathy presenting as shoulder pain, differentially diagnosed through physical examinations, and subsequently treated with acupotomy. A male patient in his late 20s with no significant medical history or comorbidities reported acute left shoulder pain upon awakening, rated at a severity of 7 on the numeric rating scale (NRS). Initial physical evaluations of the shoulder assembly revealed no abnormalities, but a positive Spurling test, relief with cervical distraction, and diminished sensation across the left C5~C8 dermatomes pointed towards a cervical spine origin. Immediate acupotomy at identified tender points significantly reduced pain, with additional therapies enhancing recovery. Pain was eliminated after the second treatment, and this resolution was sustained at the 4-week follow-up, confirming the treatment's effectiveness and verifying the absence of adverse effects. This case presents the critical need for precise diagnosis in cases of neck and shoulder pain. Additionally, the employment of acupotomy provided a swift and effective resolution of symptoms in acute cervical radiculopathy, showing its value in clinical practice.