• 대한한방내과학회지
• /
• 제30권4호
• /
• pp.813-820
• /
• 2009

Background : Static blood is a kind of etiological factor including stagnated blood and blood overflowed out of the vessels. It is one of the causes of stroke in oriental medicine. Objectives : The purpose of this study was to evaluate the static blood pattern and its indicators in stroke pattern diagnosis. Methods : For the standardization of pattern diagnosis in stroke, we set 5 patterns (Fire-heat, Dampness-phlegm, Static blood, Qi deficiency, Yin deficiency) and developed 61 indicators. Patients with a first-ever stroke, within 1 month after the onset of stroke. Two physicians checked the indicators independently. They then performed pattern diagnosis and rechecked the indicators which were referred to pattern diagnosis. If pattern identifications were diagnosed the same, it would confirm pattern identification. We examined the frequency of all indicators and referred indicators in static blood pattern patients. Results : In 859 patients, static blood pattern was shared by 24(2.8%). The indicators which affect static blood pattern were mainly rough pulse and bluish purple tongue, other indicators were not major effectors. Conclusion : This result shows that it is inconsistent to set up static blood pattern as a major pattern in stroke. Nevertheless, static blood is still a valuable concept in the clinical field. Other study methods will be required to establish the pattern diagnostic indicators for static blood pattern.

• 대한한의학원전학회지
• /
• 제27권1호
• /
• pp.1-13
• /
• 2014

Objective : "Dochangbup" is one of the therapies that remove pathogenic qi[邪氣] from the Emetic Method in the Miscellaneous Disorders part of Dongeuibogam東醫寶鑑. It is, in particular, the method of treatment that removes phlegm[痰], the cause of various disorders. Method : Application of "Dochangbup" had a long history in Korea as well. The meaning and application of "Dochangbup" are mentioned in various texts from early Chosun dynasty to the post liberation. Result : In China, there are a lot of medical texts by physicians throughout Ming and Qing Dynasty, with GeZhiYuLun格致餘論 at the top of the list, dealing with the meaning and applicable scope of "Dochang" method and pharmacy of "Hacheongo霞天膏". Most of the physicians are affiliated with Dan Xi School, regarding ZhudanXi朱丹溪 as a suzerain. In "Dongeuibogam", it is mentioned that "Dochangbup" can treat various disorders caused by phlegm. Though, when there is a possibility of harming original qi[元氣] during the treatment or grave deficiency in patients, it is requested to consider tonifying while purging. Conclusion : "Dochangbup" can be applied not only to the disorders mentioned in classical medical texts, like heart pain[心痛], leg disease[脚氣], urine turbidity[小便濁], involuntary discharge of semen[遺精], cough[咳嗽], blood spitting[喀血], but also to metabolic syndrome such as obesity, hypertention and diabetes, commonly found in the modern era.

• 대한한의학회지
• /
• 제16권2호
• /
• pp.177-194
• /
• 1995

폐암(肺癌)의 치료법(治療法)에 대해 서의치료(西醫治療) 동의치료(東醫治療) 동서의(東西醫) 결합치료(結合治療)에 대해 최근문헌(最近文獻)을 중심(中心)으로 고찰(考察)해 본 결과(結果) 다음과 같은 결론(結論)을 얻었다. 1. 폐암(肺癌)의 서의치료법(西醫治療法)은 소세포암(小細胞癌)(SCLS)과 비소세포암(非小細胞癌)(NSCLS)으로 나누어 분기(分期) 및 증상(症狀)에 따라 수술치료(手術治療) 방사선치료(放射線治療) 화학치료(化學治療)를 단독(單獨)으로 또는 두가지 이상 복합(複合)해서 활용(活用)한다. 2. 폐암(肺癌)의 동의치료(東醫治療)는 초기(初期), 중기(中氣), 말기(末期)로 나누어 부정거사(扶正祛邪), 공보겸시(功補兼施), 기혈쌍보(氣血雙補)의 치법(治法)을 쓰거나 증상(症狀)에 따라 폐비기허형(肺脾氣虛型), 폐열음허형(肺熱陰虛型), 습담어조형(濕痰瘀阻型), 기혈어체형(氣血瘀滯型), 기음양허형(氣陰兩虛型)으로 분(分)하여 변증시치(辨證施治)하거나 혹은 단미(單味) 또는 복방(復方)으로 대증치료(對證治療)를 한다. 3. 폐암(肺癌)에 대(對)한 동서의결합치료(東西醫結合治療)를 함으로써 생존율(生存率)이나 생존(生存)의 질(質)에 있어서 현저(顯著)한 향상(向上)이 있는데 수술후(手術後) 동서결합치료(東西結合治療)는 수술후(手術後) 회복력(回復力)을 촉진(促進)시키고 생존율(生存率)을 높였다. 방사선치료(放射線治療)와의 결합치료(結合治療)는 방사선치료(放射線治療)에 의한 독부작용(毒副作用)을 감소(減少)시켜 치료효과(治療效果)를 높이고 생존율(生存率)을 높였다. 화학요법(化學療法)과 동의결합치료(東醫結合治療)는 화학요법(化學療法)의 독부작용(毒副作用)을 경감(輕減)시키고 생존(生存)의 질(質)과 생존율(生存率)을 높였다. 이상(以上)의 결과(結果)로 보아 폐암(肺癌)의 치료(治療)는 진단(診斷)에서부터 치료(治療)의 전과정(全過程)을 통(通)해서 서의치료(西醫治療)와 동의치료(東醫治療)를 결합(結合)하여 종합치료(綜合治療)를 하므로써 폐암(肺癌)의 치료효과(治療效果)를 높일 수 있는 새로운 치료법(治療法)으로 계속적인 연구(硏究)가 필요(必要)할 것으로 사료(思料)된다.

• 한국한의학연구원논문집
• /
• 제11권1호
• /
• pp.127-138
• /
• 2005

We have examined the phase of Bian Zheng(辨證) by individual characteristics, who underwent the Oriental Medical Physical Examination, based on the Bian Zheng questionnaire of Korea Institute of Oriental Medicine. Since the correlations in all Bian Zhengs showed meaningful results at 0.01(p-value<0.05) in terms of level of significance and all coefficients are in positive value, the correlation in these Bian Zhengs could be said to exhibit the change toward the same direction with close correlation rather than contradictory change. The mean Bian Zheng score of women was generally higher than that of men, particularly in Blood-Deficiency, Qi-Stasis, Qi-Deficiency. But there is no difference of the mean Bian Zheng score in Sasang Constitution. We performed the Linear regression analysis to see the change of Bian Zheng score by age and could presume that the older they are, the higher Bian Zheng score, but statically the result is not meaningful. By the above result, we could come to the conclusion that the Bian Zhen questionnaire is more useful to the patient than the healthy people.

• 동의생리병리학회지
• /
• 제20권1호
• /
• pp.229-234
• /
• 2006

To develop the Korean standard differentiation of the symptoms and signs for the stroke(KSDS), the committee on Stroke Diagnosis Standardization of traditional Korean medicine(TKM) was organized dy nineteen experts in college of Korean medicine. On July 9th 2005, the second consultation meeting was held in Daejeon, Korea. Fifteen experts of the committee attended the meeting and they discussed the KSDS and came to a consensus. The 15-member committee consensus was as follows: First, board members defined the stroke on the basis of TKM. Second, they divided the symptoms and signs of stroke into five categories- fire and heat, dampness and phlegm, blood stasis, qi deficiency, yin deficiency. Third, the symptom indicator of each differentiation type for the stroke was recommended. KSDS-1 will be applied to the clinical practice and revised.

• 대한한의학회지
• /
• 제34권3호
• /
• pp.119-125
• /
• 2013

Objectives: Medically unexplained fatigue includes chronic fatigue syndrome (CFS) and idiopathic chronic fatigue (ICF). These disorders quite impair quality of life while no effective therapies exist. Therefore, patients with CFS or ICF frequently choose treatments based on traditional Korean medicine. The study aimed to analyze characteristic of patients visiting an Oriental clinic with CFS or ICF. Methods: Patients who met criteria for CFS or ICF were enrolled in this study, from March 2011 to Jun 2013. Clinical information focused on symptom differentiation and Sasang constitution was analyzed. Pearson's chi-square test was used to compare the frequency among sub-groups. Results: In total, 77 patients (49 male and 28 female) were diagnosed with CFS (17 male and 13 female) or ICF (32 male and 15 female). The symptom differentiation was 37.7%, 26.0%, 13.0%, and 23.3% for "Qi deficiency of both spleen and lung (脾肺氣虛)", "Yin deficiency of both liver and kidney (肝腎陰虛)", "Blood deficiency of both heart and spleen (心脾血虛)" and "Yang deficiency of both spleen and kidney (脾腎陽虛)", while Sasang constitutional distribution was 59.7%, 22.1% and 18.2% Soeumin, Taeumin and Soyangin, respectively. The fatigue severity was notably different between CFS ($63.7{\pm}12.1$) or ICF ($52.2{\pm}15.3$) according to the Chalder fatigue scale (10-point scale for eleven questions). There was statistical significance regarding symptom differentiation and Sasang constitution (p < 0.05). Conclusions: In the process of traditional Korean medicine-based development of therapeutics for patients with chronic fatigue or related conditions, this report can serve as reference data.

• 동의생리병리학회지
• /
• 제23권6호
• /
• pp.1226-1233
• /
• 2009

Common cold occurs frequently and occupies an important position in medical treatment however obvious treatment is not suggested. There has been no agreement of pattern identification for common cold in oriental medicine. The purpose of this study is to develop a standard instrument of pattern identification for common cold which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 9 oriental respiratory internal medicine professors of 11 oriental medical colleges nationwide. The experts attended 3 consultation meetings and discussed developing the instrument, and we also took professional advices by e-mail. The results were as follows; First, we divided the pattern identification of common cold into nine pattern: Wind-cold type, Wind-heat type, Contain summerheat type, Contain dampness type, Qi deficiency type, Blood deficiency type, Yang deficiency type, Yin deficiency type, Influenza. Second, we got the mean weights to each symptom of nine pattern identification which had been scored on a 5-point scale - ranging from 0 to 4 by the 9 experts. Third, we made out the Korean instrument of the pattern identification for common cold. It was composed self reporting questionnaire and researcher reporting questionnaire. Though this study is not proved about validity, reliability, the instrument of pattern identification for common cold is meaningful and expected to be applied to the subsequent research. And also, we hope to improve the instrument and make up for this study through various research and discussion.

• 동의생리병리학회지
• /
• 제25권1호
• /
• pp.149-153
• /
• 2011

In this study, we structuralized the diagnostic indices used for pattern identification (PI) of stroke, and suggested an AHP method to obtain the weights of PI indices. AHP of the subjects under consistency ratio 0.1 showed that the critical indices for stroke PI consists of 9 for Qi-deficiency, 13 for Phlegm/dampness, 7 for blood stagnation, 12 for Yin-deficiency and 16 for Fire/heat. Furthermore, AHP analysis rendered the weights of indices of each PI that will be useful for oriental medical experts to perform objective PI.

• 동의생리병리학회지
• /
• 제16권3호
• /
• pp.507-513
• /
• 2002

Jaeumgenby-tang(JGT) have been used in oriental medicine for many centries as a a therapeutic agent of vertigo caused by deficiency of qi and blood. The effects of JGT on the regional cerebral blood flow(rCBF), mean arterial blood pressure(MABP) and cardiac muscle contractile force(CMF) is not known. The purpose of this Study was to investigate effects of JGT on the rCBF, MABP, CMF and mechanism of JGT induced changed rCBF, MABP, CMF. The changes of rCBF, MABP and CMF were determinated by Laser-Doppler Flowmetry(LDF). The results were as follows; JGT extract was increased rCBF, MABP and CMF in a dose-dependent, specially JGT extract was significantly increased rCBF and MABP. Pretreatment with propranolol was significantly inhibited JGT induced increase of rCBF but pretreatment with indomethacin and methylene blue were accelerated JGT induced increase of rCBF. Pretreatment with propranolol and indomethacin were inhibited JGT induced increase of MABP, but pretreatment with methylene blue was accelerated JGT induced increase of MABP. Pretreatment with propranolol was significantly inhibited JGT induced increase of CMF but pretreatment with indomethacin and methylene blue were accelerated JGT induced increase of CMF. This results suggest that JGT increased rCBF by increasing MABP and CMF and the action of JGT is mediated by adrenergic β-receptor.

• 혜화의학회지
• /
• 제15권1호
• /
• pp.59-69
• /
• 2006

Objectives & Methods : I investigated 45 literature of Oriental and Western medicine about the treatment of pain in shoulder and arm. Result and Conclusion : 1. The etiological causes of Pain in Shoulder and Arm based on literatures of Oriental medicine are attack of wind-heat on the lung, wind cold, damp-heat struggle between the vital energy and pathogenic factor and six pathogenic factors. And all these causes are the conception of blockage syndrome, Qi and blood stagnating in meridian system. 2. The treatment of Pain in Shoulder and Arm based on Oriental medicine is mainly composed of both medical therapy for Bi syndrome due to pathogenic wind, deficiency of both Qi and blood, consumption of the liver and the spleen, and also acupuncture and moxibustion treatment by selection for acupoint. And those treatments are for treating etiology. And also there are treatments using the meridian system and Twelve Muscle Region and Ashihyeol for the purpose of treating the symptoms. 3. The etiological causes of Pain in Shoulder and Arm based on literatures of Western medicine are degenerative cut of tendon and nerve symptoms caused by tendonitis, bursitis, calcification, ruptured cervical disc and thoracic outlet syndrome. 4. The treatment of Pain in Shoulder and Arm based on Western medicine is for alleviation of pain, such as giving an anodyne, steroid products, local anesthetic injection and stretching and strengthening the muscles.