• Title/Summary/Keyword: deficiency of Yin

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A Study for Distribution of Pattern Identification by Age in Stroke Patients (중풍 환자의 연령에 따른 변증 유형 분포에 대한 연구)

  • Yeo, Hyeon-Su;Hsia, Yu-Chun;Baik, Jong-Woo;Park, Jong-Hyung;Choi, You-Kyung;Ko, Ho-Yeon;Cho, Ki-Ho;Jang, Bo-Hyung;Ko, Seung-Gyu;Han, Chang-Ho;Bang, Ok-Sun;Jun, Chan-Yong
    • The Journal of Korean Medicine
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    • v.30 no.2
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    • pp.145-151
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    • 2009
  • Objectives: The purpose of this study was to investigate distribution of pattern identification by age in stroke patients. Methods: From 1 April, 2007 to 29 September, 2008, 903 patients within a month after onset of stroke were included. Stroke patients were interviewed by oriental medicine doctors who used standard operation procedures for this study. A questionnaire was completed by a question-and-answer form between patients and doctors after explanation of details to patients and patients' agreement given. Results: Distributions of pattern identification in stroke patients differed by age groups. Dampness-Phlegm pattern was more common in the younger group aged under 80 years, while Yin-Deficiency pattern was more common in the older group aged over 80 years. Conclusions: In this study, we found a character of distribution of pattern identification by age in stroke patients within one month after stroke onset. We have concluded that these differences should be considered in the management and treatment of stroke patients.

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Development of a Standard Tool for Pattern Identification of Gastroesophageal Reflux Disease (GERD) (위식도역류질환 변증도구 개발 연구)

  • Han, Ga-jin;Leem, Jung-tae;Lee, Na-la;Kim, Jin-sung;Park, Jae-woo;Lee, Jun-hee
    • The Journal of Internal Korean Medicine
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    • v.36 no.2
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    • pp.122-152
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    • 2015
  • Objectives: This study was designed to develop a standard tool for pattern identification of gastroesophageal reflux disease (GERD) patients. Methods: Korean and Chinese literature was selected that mentioned pattern identification of GERD. We gathered the pattern identification and their symptoms and a Chinese medical doctor proficient in Korean translated the Chinese characters into Korean. A Korean linguist then confirmed the translation results to develop a draft of the standard tool for pattern identification of gastroesophageal reflux disease (PIGERD). The final PIGERD was developed after assessment by an expert committee composed of professors from the Korean Medicine University, using the following items: inclusion of the pattern identification and its symptoms, importance of items, and validity of translation. Results: Six pattern identifications and 94 symptoms were selected from 45 references and translated into Korean. Four pattern identifications [pattern/syndrome of liver qi invading the stomach (肝胃不和), spleen-stomach weakness (脾胃虛弱), spleen-stomach dampness-heat (脾胃濕熱), and stomach yin deficiency (胃陰不足)] and 49 symptoms were then selected through the Delphi method by the expert committee. The final standard PIGERD tool was completed after the assessment of translation validity and reflection of individual opinions by the expert committee. This tool consists of 40 items including tongue and pulse diagnosis. The weighted value was also computed from assessment of the importance of items. Conclusions: We developed a standard tool for pattern identification of gastroesophageal reflux disease (PIGERD) to clarify the pattern identification of patients with gastroesophageal reflux disease for standardized diagnosis.

The Characteristics of Tongue Inspection and Relationship between Tongue Inspection and Differenitiation of Syndrome (중풍초기환자의 설상(舌象) 분포와 변증의 유용성에 관한 임상고찰)

  • Choi, Dong-Jun;Park, Sung-Uk;Moon, Sang-Kwan;Joh, Ki-Ho;Kim, Young-Suk;Bae, Hyung-Sup;Lee, Kyung-Sup
    • The Journal of Korean Medicine
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    • v.20 no.2
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    • pp.187-197
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    • 1999
  • To assess the usefulness of tongue inspection for evaluating the Pattern identification in oriental medicine, we observed stroke patient's tongue and tongue coat and compared it with Pattern identification. The test group was composed of 85 acute stroke stage patients(within 72 hours of onset). Subjects were randomly selected from stroke patients admitted in the KyungHee University, Hospital of Oriental Medicine from December 1 1998 to June 30 1999. We took pictures of patient's tongue and tongue coat within 72hours from onset and checked Pattern identification at the same time. Tongues colored pale rose or red greatly outnumbered other colors. Tongue shape tended to be prickly or fissured, and tongue condition tended to be unflexible or deviated. Regarding tongue coat color, there were great amounts of yellow or clark yellow tongue coats, which were moist, thick or greasy in substance. The red tongue was significantly related to Fire-heat and deficiency of Yin syndrome, while faint white tongue to Damp syndrome(P=0.006). In terms of tongue coat, thin coat was related to Wind and Fire-heat syndromes, thick coat to Damp and Blood stasis syndrome, respectively (P=0.002). In conclusion, we thought that tongue inspection could be a useful Oriental medicine diagnosis in stroke.

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Analysis of Pathogenic Factors in the Menopausal Symptoms of Middle-aged Women in Relation to Sasang Constitutional Type

  • Cho, Hye-Sook;Kim, Jong-Won;Lee, Yong-Tae;Kim, Kyu-Kon;Lee, In-Seon
    • The Journal of Korean Medicine
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    • v.35 no.2
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    • pp.60-68
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    • 2014
  • Background: Pattern identification is a unique diagnostic method of traditional Oriental medicine that has recently been the target of questionnaire-based research. Sasang (four-types) constitutional medicine (SCM) is a practice in traditional Korean medicine that seeks to promote objectivity in diagnostics. This paper attempts to illuminate the relationship between constitutions and the pathogenic factors of pattern identification through questionnaires completed by menopausal women about their symptoms. Methods: From March to October 2012, we examined 291 women from the general population, with ages ranging from 40 to 60 years, applying the Kupperman index, the Menopause-Specific Quality of Life Questionnaire (MENQOL), pattern identification based on the Diagnosis System of Oriental Medicine (DSOM), and SCM. We then analyzed the relationship between constitutional type and pathogenic factors. Results: No significant differences were found in the scores of either the Kupperman index or MENQOL questionnaire in relation to constitutional type. However, in a statistical analysis correlating the DSOM pathogenic factor scores (PFS) with the scores of the Kupperman index and MENQOL vasomotor subscale, heat showed a significant positive correlation with SoYang type (SY) and TaeEum type (TE), but not SoEum type (SE), while insufficiency of yin and insufficiency of yang, as well as blood deficiency, showed a significant positive correlation with the TE and SE types. Conclusion: The pathogenic factors in the menopausal symptoms of middle-aged women, specifically the prominent menopausal symptom of facial flushing, differed significantly according to constitutional type.

A Study on the Aesthetics of Women's Body in the Chinese Republican Period -Focused on Women's Magazines, Funüzazhi & Linglong- (민국시기 중국 여성들의 인체미 의식에 대한 연구 -푸뉘자즈(부녀잡지(婦女雜誌))와 링롱(영롱(玲瓏))을 중심으로-)

  • Lee, Soon-Jae
    • Journal of the Korean Society of Clothing and Textiles
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    • v.37 no.3
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    • pp.357-370
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    • 2013
  • The Republican Period of China (1912 to 1949) was when the archetypes of thought (constituting contemporary China) engaged in heated rivalry and were directly influenced by Korea through frequent exchanges. This study analyzes the characteristic of Chinese women's aesthetics towards the human body with a focus on visual materials (such as articles and illustrations concerning hairstyle, makeup, skincare, fashion, and gymnastics) featured in the Chinese women magazines of Fun$\ddot{u}$zazhi (婦女雜誌) and Linglong (玲瓏). This study analyzes these magazines and compares them with Korean counterparts. The movement of the developed and controlled human body was a common characteristic of this period; however, compared to the Chinese, the Japanese colonial period of Korea resulted in an introspective self-examination through excessively objectified eyes. Dress and adornment as the symbol of a new civilization acted as the most remarkable signifier. The overlapping of a western image with a Japanese image led to more resistance in Korea. The criterion for the value of a women's external appearance (that traditionally dualized womanly virtues) collapsed and dress was accepted as an expression of individuality instead of as a social class. The human body was traditionally recognized as a microcosm of the universe that dominated the natural principle of Yin-Yang and the Five Elements. However, the ideal human body was postulated and the aesthetic consciousness of the body changed into an imaginary view of the human body that proceeded to keep the body fit for and gave birth to the concept of supplementing the deficiency of the beauty of the human body with dress and makeup.

Proposal of Form-Color-Pulse-Symptom Diagnostic System for Enhancement of Diagnostic Rate of 8 Principle Pattern Identification - Focusing on Cold Heat Pattern Identification - (팔강변증의 진단율 향상을 위한 형색맥증진단(形色脈證診斷)시스템 설계 - 한열변증을 중심으로 -)

  • Chi, Gyoo Yong;Lee, In Seon;Jeon, Soo Hyung;Kim, Jong Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.3
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    • pp.163-168
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    • 2019
  • In order to enhance the 8 principle pattern diagnosis rate comparing with diagnostic method by self-report questionnaire on cold/heat pattern in the clinical practice, a new diagnostic method using form-color-pulse-symptom (FCPS) system is proposed. FCPS system is composed of outputs of cold/heat pattern through the calculation process of contribution degree to the cold, heat pattern and qi, blood, yin, yang deficiency patterns, based on analysis of 16 mechanisms of disease calculated by diagnostic system of oriental medicine (DSOM) first. And second component is an output of differentiated 8 principle patterns in detail through binding and calculating process with digital informations of pulse, color, form, constitution obtained by computerized measurement system. Putting together above two processes consecutively, cold-heat complex or true/false cold/heat patterns and personalized characters of cold/heat patterns of each patient can be subdivided through a computation method of determining each pattern. In conclusion, 8 principle pattern identification can be performed more accurately using FCPS system than existent self report questionnaire method. These hypothetic proposal is needed to be proven by clinical trial for the future and then the accurate numbers used in each calculational function should be revised properly.

A Study on the Pungent Taste of Huangbo (Phellodendri Cortex) - Based on Comparison of Its Application by the Yishui School and Zhu Danxi - (황백(黃柏)의 신미(辛味)에 대한 고찰(考察) - 역수학파(易水學派) 의가(醫家)들과 주단계(朱丹溪)의 활용 방식의 비교를 중심으로 -)

  • Shin, Sang-won
    • Journal of Korean Medical classics
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    • v.35 no.4
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    • pp.97-114
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    • 2022
  • Objectives : Background research on the history of Huangbo's taste being written as 'pungent' was undertaken, after which its clinical meaning was examined from the medical perspective that was behind the medicinal's taste designation. Furthermore, through various understandings on the 'pungent' taste within the process of clinical application, the meaning of 'pungent' in Korean medicinal research was re-evaluated. Methods : Description of Huangbo's taste as 'pungent' as written in medical texts were chronologically examined to determine its origin. The clinical meaning of the pungent taste of Huangbo was examined within the broad medical perspective of doctors who were behind these descriptions. Results & Conclusions : The pungent taste of Huangbo was first described by Zhang Yuansu, followed by doctors of the Yishui School such as Li Dongyuan, Wang Haogu, etc., during which such knowledge was established and contributed to recognition of Huangbo's effect as tonifying Kidney deficiency and treatment of fire within water, after reaching the Kidney. Li Dongyuan understood the meaning of Huangbo's pungent taste as eliminating Yin fire and restoring the upward direction, ultimately restoring the general 'Rising-Falling-Floating-Sinking' mechanism within the context of his inner damage treatment. On the other hand, Zhu Danxi interpreted the pungentness of Huangbo based on his understanding of the nature of fire and action towards it. It seems as Huangbo's effects were understood within a relatively narrow frame, application of its pungent taste became vague, which gave rise to criticism by later period doctors, ultimately leading to an ambiguous understanding of the pungent taste of Huangbo.

A Study on the Relationships between Edema Index of Body Composition and Pathologic Patterns (체성분 분석의 부종지수와 변증설문과의 상관성 연구)

  • Lee, Ju-Ho;Yoo, Seung-Yeon;Lee, Jin-Moo;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.1
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    • pp.27-34
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    • 2012
  • Objectives The purpose of this study was to find out whether if there is correlation between the pattern differentiation questionnaire and edema index of body composition analysis. Methods The authors obtained results of pattern differentiation Questionnaires and body composition analysis tests from 195 female patients who visited the Oriental gynecology department in Kyung Hee university Oriental medicine hospital at Gang-dong. The authors conducted correlation analysis between indicators of Body composition analysis and each part of the pattern differentiation Questionnaire. Pearson correlation analysis was performed on SPSS version 13.0 for windows. Results There was negative correlation between the Phlegm Questionnaire and right arm ECF, left arm ECF, and left arm ECW of the Body composition index. There was no correlation between Yin-deficiency Questionnaire and Body composition index. There was no correlation between Heat pattern Questionnaire and Body composition index. There was positive correlation between the Cold pattern Questionnaire and right leg ECF, and right leg ECW of the body composition index. There was no correlation between degree of edema self-awareness and Body composition index. Conclusions The result showed that each Questionnaire score has different correlation or even no correlation with Body composition index and degree of edema self-awareness. Further studies are needed for a better understanding and interpretation of the relationship between edema index on Body composition analysis and Questionnaires.

A Study on the Validity of DSOM According to Alcohol Intake (알코올 섭취량에 따른 한의변증설문(DSOM)의 타당성에 대한 연구)

  • Hong, Sang-Hoon;Kim, Jung-Eun;Kim, Sung-Hwan;Park, Sang-Eun;Hong, Su-Hvun;Kang, Chang-Wan;Lee, In-Sun
    • The Journal of Internal Korean Medicine
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    • v.30 no.1
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    • pp.119-128
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    • 2009
  • Purpose : This study was conducted to find the possibility of DSOM (Diagnosis System of Oriental Medicine) as a diagnostic method according to alcohol intake. Method : 49 men who drink alcohol over 40g per day and whose AUDIT scores were over 12 were allocated to the drinker group. 30 men who do not drink alcohol at all were allocated to the control (non-drinker) group. The study period was from June 15, 2006 to September 30, 2008. All of both groups were analyzed using DSOM. Result : There were some differences between the drinker group and the non-drinker group in stagnation of Ki(氣滯), deficiency of Yin(陰虛), insufficiency of Yang(陽虛), heat syndrome(熱), dryness (燥), and lung(肺). A group whose gamma-GTP is over twice the normal condition shows meaningful difference in stagnation of Ki(氣滯), heat syndrome(熱), dryness(燥), and insufficiency of Yang(陽虛). Conclusion : We found out that DSOM can be a diagnostic method on alcoholic liver disease patients. However, other studies to supplement it should be continued.

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Expert Survey about Frequencies of Symptoms and Signs in Attention-Deficit/Hyperactivity Disorder Pattern Identification (전문가 설문을 통한 주의력결핍 과잉행동장애 변증의 주요 증상 빈도 연구)

  • Kim, Lak Hyung;An, Yun Young;Kim, Mi Yeon;Jeong, Min Jeong
    • The Journal of Pediatrics of Korean Medicine
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    • v.33 no.2
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    • pp.1-11
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    • 2019
  • Objectives The objectives of this study is to investigate the characteristics of Attention-deficit/hyperactivity disorder (ADHD) pattern identification based on the survey of frequencies of symptoms and signs according to the pediatricians and psychiatrists in Korean Medicine. Methods Eleven pediatricians and fourteen psychiatrists participated in this study. 38 symptoms and signs of 4 ADHD pattern identifications (Kidney yin deficiency and liver yang ascendant hyperactivity 腎虛肝亢, Dual deficiencies in the heart and spleen 心脾兩虛, Phlegm-fire harassing the heart 痰火擾心, Spleen weakness and liver energy preponderance 脾虛肝旺) were used to evaluate the frequencies of ADHD. The differences in frequencies of symptoms and signs amongst ADHD pattern identifications, and the correlations between them were analyzed. Results There were significant differences in the frequencies of symptoms and signs between each pattern identification. Dual Deficiencies in the Heart and Spleen 心脾兩虛 is negatively related with hyperactivity and impulsivity, and positively related with inattention. Phlegm-fire Harassing the Heart 痰火擾心 is positively related with hyperactivity and impulsivity, and negatively related with inattention. Conclusions The results of the characteristics of ADHD pattern identifications from the survey analysis could be used in the clinical practices of ADHD as well as to improve the ADHD pattern identification questionnaire.