• Title/Summary/Keyword: deficiency of Gi

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Literatural Consideration on the Classification of cause and Treatment of Tinnitus (耳鳴의 原因別 分類 및 治法에 關한 文獻的 考察)

  • Lee, Jeong-Yong;No, Seok-Seon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.5 no.1
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    • pp.45-59
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    • 1992
  • I have been studied the tinnitus. The results are summarized as follows. 1. The etiologies of tinnitus is classified the Zang fa endogenous factors of the Jong-Maek-Hae and exogenous factors of the Oun-Gi, in the Nei Ching. 2. In the endogenous factors the etiologies of the Zang fa is mostly hased deficiency of the kidney, which is concerned with Sim-Hae Gan-Darn-Hae and Bi-Wae-Hae, the etiologies of the phlegm fire is fire is divided into Sin-Hae, Om-Ju-Hu-Mi and No-Gi-Oaek-Sang. 3. The etiologies of the Jong-Maek-Hae is divided into deficiency of the stomach xu of both gi am blood and xu of the kidney. 4. In Nei ching,the etiologies of Oun-Gi divided into Gul-Eum-Pung-Mok and So-Yang-Sang-Hwa of the exgeous factors is regarded to wind and fire as following generations is regrded to wind the endogenous factors caused Sin-Hae Gi-Hae. 5. In the Nei ching, Since the O-Mi-Bo-Sa-Bub is uttered main treated of tinnitus is friquently used Bo-Sin Young-Sim-Sun-Gi and Choung-Gan-Sul- You1 as Zang-Fu Choung-Dam-Gang-Hwa as the Phlegm fire Bo-bi-Sin as the Jong Maek Hae and Gye-Pung-San-Hwa as the Oun-Gi.

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A review on composition, action, compatibility of ingredients, clinicical application of Gwibitang (귀비탕(歸脾湯)에 대한 방제학적(方劑學的) 연구(硏究))

  • Park, Yang-Gu;Kim, Yun-Kyung;Yun, Young-Gab
    • Herbal Formula Science
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    • v.15 no.2
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    • pp.1-8
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    • 2007
  • The source of Gwibitang(歸脾湯) is the book of Jesaebang(濟生方), The formulae is excluded Angelicae gigantis radix(當歸) and Polygalae radis(遠志) in the Jesaebang(濟生方), Jn the Guch iryuyo(口齒類要), Jeongcheryuyo(正體類要) and Gyojubuinyangbang(校註婦人良方), has been bec ame White Pria cocos Wolf(白茯笭) instead of Hoelen cum Pini Radix(白茯神), and is followed constitution of Uihagypmun(醫學入門) in the Donguibogam(東醫寶鑑). Basic formulae of Gwibitang(歸脾湯) consist of Sanjointang(酸棗仁湯), Sagunjatang(四君子湯). Hwanggitang, Danggwibohyeoltang(當歸補血湯), a kind of Jeongjihwan(定志丸類), a kind of Chongmyeongtang(聰明湯類). To deficiency of the heart and spleen, apply Sanjointang(酸棗 仁場), a kind of Jeongjihwan(定志丸), Sagunjatang(四君子湯) and Hwanggitang. To insufficiency of the spleen-gi(脾氣), apply Sagunjatang(四君子湯), Hwanggitang and a kind of Jeonssiigongsan(定志小丸). To deficiency of blood, apply Danggwibohyeoltang(當歸補血湯). Gwibitang(歸脾湯) is used for a mnesia and severe palpitation as a result of deficiency of the heart and spleen and deficiency of both gi(氣) and blood(血).

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Study on Deficiency-Excess Pattern Questionnaire Development Possibility (허실 변증 설문지 개발 가능성에 대한 고찰)

  • Ryu, Hyun-Hee;Lee, Hae-Jung;Jang, Eun-Su;Lee, Si-Woo;Lee, Gi-Sang;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.3
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    • pp.534-539
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    • 2009
  • Deficiency and excess pattern differentiation is unique characteristic of traditional oriental medicine on diagnosis and treatment. This differentiation is accomplished through pulse, tongue diagnosis and question examination, but most of these processes need to be objectified for efficacious treatment and traditional medicine development. In this study, we developed the deficiency and excess pattern questionnaire for objectification of question examination. The deficiency and excess pattern questionnaire was made out through The Traditional Oriental Medical Literature with Delphi Technique. Patients who visited oriental medical hospital filled out the questionnaire by themselves. Diagnosis of deficiency and excess pattern are conducted separately by oriental medical doctors with more than 5 years' clinical experience. Various physical condition factors were derived for the deficiency and excess pattern questionnaire. (Ordinary health degree, pain pattern, fatigue, weight change, sweating, uncomfortable awareness on chest and abdomen) Deficiency symptoms group acquired internal consistency, but excess symptoms group did not. (Cronbach's ${\alpha}$ > 0.6) There were significant associations between doctor's diagnosis and deficiency and excess symptoms in 'ordinary heath degree', 'voice weakening', and 'chest distress' (p-value < 0.1) There were significant differences between deficiency and excess syndrome patients groups in deficiency questionnaire score but there were no significant differences between deficiency and excess syndrome patients groups in excess questionnaire score. We acquired the internal consistency and significant result of deficiency pattern questionnaire, but we can find out some difficulties in development of the excess pattern questionnaire. These difficulties are associated with insufficiency description of traditional literature and small number of patients diagnosed as excess pattern.

Literature Review on the Eight Acupoints for Gak-Gi(脚氣) (『각기팔혈(脚氣八穴)』에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Chae, Choong-Heon;Hong, Kwon-Eui;Yim, Yun-Kyoung
    • Journal of Haehwa Medicine
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    • v.13 no.2
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    • pp.147-168
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    • 2004
  • Objectives & Methods: We investigated 36 books to study etiology, pathology and acupuncture & Moxibustion treatment of Gak-Gi Result and Conclusion 1. Gak-Gi is a disease of legs. In the past, it was called Wan-poong(緩風) or Gueol(厥). Currently it is divided into two kinds; the Seup-Gak-Gi(Damp Gak-Gi) in which the legs swell; The Gun-Gak-Gi(Dry Gak-Gi) in which the legs do not swell. 2. Gak-Gi may be caused by exogenous wind, coldness, dampness and Excess of phlegm or damp-heat. It also can be caused by weakness of vital energy(Myungmoon fire;命門火), kidney Yin deficiency and vital energy deficiency in the Stomach and Spleen. 3. Gak-Gi-Pal-Hyul(Eight acupoints for Gak-Gi; 脚氣八穴) are GB31(Poonsi; 風市), ST32(Bok-to; 伏兎), ST35(Dok-bi; 犢鼻), Nae-seul-an(Extra point; 內膝眼), ST36(Chok-samni; 足三里) ST37(Sang-goho; 上巨虛) ST39(Hagoho; 下巨虛) GB41 (Choc-imup; 足臨泣) 4. Treatment plans for Gak-Gi are removing the exogenous wind, coldness and dampness, regulating meridians, alleviating the pain and swelling, more importantly, tonifying vital energy and nourishing Spleen and Stomach. 5. Three out of Eight acupoints for Gak-Gi, ST36(Chok-samni; 足三里), ST37(Sang-goho; 上巨 虛), ST39(Hagoho; 下巨虛) are Lower sea points of Fu organs( Stomach, Large Intestine, Small Intestine). Five out of Eight acupoints for Gak-Gi, ST32(Bok-to; 伏兎), ST35(Dok-bi;犢鼻) are onthe Stomach meridian, and Nae-seu1-an(Extra point; 內膝眼) is on the Spleen meridian. This result indicates that regulation of Middle-cho(中焦) is important in the treatment for Gak-Gi.

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The Study on Treatment of Obesity by Oriental Medicine Music Therapy (비만의 3가지 병기(病機)에 따른 한방음악치료의 적용에 관한 소고(小考))

  • Lee, Seung-Hyun;Kim, Yeon-Sue;Kim, Yeo-Jin
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.2
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    • pp.15-23
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    • 2008
  • The purpose of this study is to introduce oriental medicine music therapy related to the treatment of obesity. Obesity is caused by deficiency of the spleen, retention of phlegm, stagnation of liver Gi. According to the patients' state, the musical instruments should be chosen. In case of deficiency of the spleen, retention of phlegm, and stagnation of liver Gi, the obese patients beat pulsatile instruments to Earth-Gi rhythm, Fire-Gi rhythm, and Wood-Gi rhythm respectively. In addition to beating the musical instrument to the Five Phases rhythm, an oral sound therapy, relieving constraint therapy, and dispersing therapy can be performed. This study describes the theory of oriental medicine music therapy that has a good possibility as a new method of oriental medical treatment. It is necessary to study in measuring the effects after oriental medicine music therapy from now on.

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The Jang suk-sun's explanation and clinical application about liver (장석순의 간에 대한 천발과 임상응용)

  • 김진옥;김용진
    • The Journal of Korean Medicine
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    • v.25 no.1
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    • pp.85-95
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    • 2004
  • The theory of liver by Jang suk-sun[張錫純] is that first, although liver exists at right side of body and spleen at left anatomically, function of liver presents at left side of body and function of spleen at right based on principle of 'interdependence between eum and yang' and 'join strength with elasticity', and in the relation between liver and spleen, if gi of spleen ascends, gi of liver also ascends, and if gi of stomach descents, gi of gall bladder also descents. So. care of spleen and stomach becomes main point in treating disease of liver. The meaning of 'the liver being in charge of the evaporation'[肝主氣化] is that first, it raises the primordial gi and forms the 'great g' for it's circulation of whole body. Second., it excretes the functional activity of gi and connects heart with kidney and guides the evaporation of the whole body by connecting innate nature with acquired nature. Third, 'the liver being in charge of the evaporation' is realized by the help of spleen and stomach. And he said that this functional activity of gi is one of distinctive features that distinguish Oriental medicine from Western medicine. He discoursed upon physiology of 'the liver being in charge of the evaporation' and 'the Body belonged to yin and the Use belonged to yang' after seeing an evil of abusing drugs that calm the liver and check hyperfunction of liver by contemporary doctors. And he established a treat of 'warming and recuperating the gi of liver' [溫補肝氣法] and used it for symptoms of 'deficiency of liver-gi'[肝氣虛], 'exhaution of liver-gi'[肝氣脫], and 'the liver-cold'[肝寒證].

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Hair Zinc Level Analysis and Correlative Micronutrients in Children Presenting with Malnutrition and Poor Growth

  • Han, Tae Hwan;Lee, Jin;Kim, Yong Joo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.4
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    • pp.259-268
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    • 2016
  • Purpose: Zinc deficiency can induce serious clinical problems in the gastrointestinal (GI) system and immune system and can affect growth and development. It is more severe in younger patients. Chronic zinc deficiency is reflected more precisely in hair than in serum. We studied hair zinc levels and other hair and serum micronutrients in chronic malnourished children to identify which micronutrients are affected or correlated with the other ones. Methods: Hair mineral analyses were performed in 56 children (age, 1-15 years) presenting with malnutrition, poor growth, poor appetite, anorexia, with/without other GI symptoms (diarrhea, abdominal pain, constipation) from August 2012 to March 2015. Biochemical studies for macronutrients and major micronutrients were also conducted. Results: Hair zinc deficiency was diagnosed in 88%, and serum zinc deficiency was diagnosed in 55% of the children. There was no statistical correlation between serum and tissue zinc level. Hair zinc levels were highly correlated with serum vitamin D (r=-0.479, p=0.001), which also showed correlation with hair levels of magnesium and calcium. (r=0.564, 0.339, p=0.001, 0.011). Hair calcium level was correlated with serum pre-albumin (r=0.423, p=0.001). These correlations may explain the phenomenon that the major clinical manifestation of zinc deficiency is poor body growth. Clinical symptoms were resolved in most children after zinc supplementation. Conclusion: Hair zinc and mineral analyses are useful as a therapeutic guide in the clinical investigation of children with malnutrition and poor growth.

Should asymptomatic young men with iron deficiency anemia necessarily undergo endoscopy?

  • Kim, Nam Hee;Park, Jung Ho;Park, Dong Il;Sohn, Chong Il;Choi, Kyuyong;Jung, Yoon Suk
    • The Korean journal of internal medicine
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    • v.33 no.6
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    • pp.1084-1092
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    • 2018
  • Background/Aims: There has been no evidence for the necessity of endoscopy in asymptomatic young men with iron deficiency anemia (IDA). To determine whether endoscopy should be recommended in asymptomatic young men with IDA, we compared the prevalence of gastrointestinal (GI) lesions between young men (< 50 years) with IDA and those without IDA. Methods: We conducted a case-control study on asymptomatic young men aged < 50 years who underwent both esophagogastroduodenoscopy (EGD) and colonoscopy as part of a health checkup between 2010 and 2014. Results: Of 77,864 participants, 128 (0.16%) had IDA and 512 subjects without IDA were matched for several variables including age. Young men with IDA had a significantly higher proportion of colorectal cancer (CRC) (0.8% vs. 0.0%, p = 0.045), villous adenoma (0.8% vs. 0.0%, p = 0.045), and inflammatory bowel disease (IBD; 2.3% vs. 0.4%, p = 0.025) than those without IDA. Additionally, the prevalence of advanced colorectal neoplasia (ACRN) tended to be higher in subjects with IDA than in those without IDA (3.1% vs. 1.0%, p = 0.084). The prevalence of significant lower GI lesions including ACRN and IBD was higher in subjects with IDA than in those without IDA (5.5% vs. 1.4%, p = 0.011). Regarding upper GI lesions, a positive association with IDA was observed only for gastric ulcer (4.7% vs. 1.0%, p = 0.011). Conclusions: GI lesions including CRC, villous adenoma, IBD, and gastric ulcer were more common in asymptomatic young men with IDA. Our results suggest that EGD and particularly colonoscopy should be recommended even in asymptomatic young men with IDA.

Severe vitamin D deficiency in preterm infants: maternal and neonatal clinical features

  • Park, Sook-Hyun;Lee, Gi-Min;Moon, Jung-Eun;Kim, Heng-Mi
    • Clinical and Experimental Pediatrics
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    • v.58 no.11
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    • pp.427-433
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    • 2015
  • Purpose: We investigated the vitamin D status of preterm infants to determine the incidence of vitamin D deficiency. Methods: A total of 278 preterm infants delivered at Kyungpook National University Hospital between January 2013 and May 2015 were enrolled. The serum concentrations of calcium, phosphorous, alkaline phosphatase, and 25-hydroxyvitamin D (25-OHD) were measured at birth. We collected maternal and neonatal data such as maternal gestational diabetes, premature rupture of membranes, maternal preeclampsia, birth date, gestational age, and birth weight. Results: Mean gestational age was $33^{+5}{\pm}2^{+2}$ weeks of gestation and mean 25-OHD concentrations were $10.7{\pm}6.4ng/mL$. The incidence of vitamin D deficiency was 91.7%, and 51.1% of preterm infants were classified as having severe vitamin D deficiency (25-OHD<10 ng/mL). The serum 25-OHD concentrations did not correlate with gestational age. There were no significant differences in serum 25-OHD concentrations or incidence of severe vitamin D deficiency among early, moderate, and late preterm infants. The risk of severe vitamin D deficiency in twin preterm infants was significantly higher than that in singletons (odds ratio, 1.993; 95% confidence interval [CI], 1.137-3.494, P=0.016). In the fall, the incidence of severe vitamin D deficiency decreased 0.46 times compared to that in winter (95% CI, 0.227-0.901; P=0.024). Conclusion: Most of preterm infants (98.9%) had vitamin D insufficiency and half of them were severely vitamin D deficient. Younger gestational age did not increase the risk of vitamin D deficiency, but gestational number was associated with severe vitamin D deficiency.

A literal study on the Gu-Chang (구창의 문헌연구)

  • Jung Han Sol;Park Jong Hoon;Ryuk Sang Won;Lee Kwang Gyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.1
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    • pp.32-44
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    • 2002
  • Gu-Chang is a disorder characterized by recurring ulcers confined to the oral mucosa. Despite much clinical and research attention, the causes remain poorly understood. In this paper, we will compare Gu-Chang with Recurrent Aphthous Stomatitis(RAS) in order to know what is the similiarity between Gu-Chang and RAS. So we will arrange various oriental and western medical literatures which are important. As a result of arrangement of the causes, symptoms and therapys of Gu-Chang, we can conclude through the studies as follows. 1. The etiologies of Gu-chang are following. In the Sthenia syndrome, there are evil heat of external factor, heat of heart and spleen, insomnia, heat of upper warmer, stress and diet, heat of lung and heart, excessive heat of upper warmer, inappropriate food intake, heat conveyance of organ, heat of stomach merdian, moistured heat of spleen and stomach and stasis of liver energy. In the Asthenia syndrome, there are deficiency of stomach energy, deficiency of upper warmer leading to heat, deficiency of middle warmer leading to cold, deficiency of lower warmer leading to heat, deficiency of middle energy, deficiency of blood, decreased fire and deficiency of soil, yin fire of lower warmer, deficiency of heart yin, deficiency of spleen yin and deficiency of qi and blood. 2. In western medicine the causes of RAS is presumed as local, microbial, systemic, nutritional, genetic, immunologic factors. 3. Once Gu-chang is compared with RAS, in the deficiency of yin leading to hyperactivity of fire, deficiency of yin leading to floating of fire and stasis of liver energy, recurring of Gu-chang is similar to RAS. Although recurring of Gu-chang due to tripple warmer of excessive fire has no recurrance, since there are the degree of Pain, site of lesion, dysphagia etc, it is similar to major RAS. It is may be believed that Sthenia Gu-chang is similar to major RAS, shape of recurring, site of lesion, degrree of Pain and white color of Asthenia Gu-chang are similar to minor RAS, but there is no similarity concerning herpes RAS in the literatures that describe the symptoms. 4. Generally, the treatment of Gu-chang is divided into Asthenia and Sthenia Syndrome. The method of cure to Sthenia syndrome is heat cleaning and purge fire, Asthenia syndrome is nourish yin to lower and adverse rising energy and strength the middle warmer and benefit vital energy. 5. Following is the medication for Sthenia syndrome. Heat of heart and spleen is Do Jok San, Yang Gyek San, Juk Yup Suk Go Tang, evil heat of external factor is Yang Gyek San Ga Gam, Stasis of liver energy is Chong Wi Fae Dok Yum, moistured heat of spleen and stomach is Chong Gi Sam Syep Tang. The medication for Asthenia Syndrome is following. Deficiency of upper warmer leading to heat is Bo Jung Ik Gi Tang, deficiency of middle warmer leading to cold is Bu Ja Lee Jung Tang, deficiency of lower warmer leading to heat is Yuk Mi Ji Hwang Tang, deficiency of yin leading to hyperactivity of fire is Ji Baek Ji Hwang Hwan, deficiency of yin leading to floating of fire is Lee Jung Tang Ga Bu Ja Medicine for external use were Yang Suk San, Boo Wyen San, Rok Po San, Yoo Hwa San ate. 6. In western medicine, there is no specific treatment for RAS, and management strategies depend on dinical presentation and symptoms and includes antibiotics, oral rinses, glucocorticoids, immunomodulatory drugs, vitamines, analgesics, laser and antiviral agents.