• 제목/요약/키워드: deficiency syndromes

검색결과 76건 처리시간 0.019초

한열허실변증(寒熱虛實辨證)을 이용한 비정격(脾正格) 적응증 고찰 (A Literature Study on the Application of Spleen Tonifying Sa-Am Acupuncture in the Diagnosis of Cold-Heat & Deficiency-Excess)

  • 최준수;임윤경
    • Journal of Acupuncture Research
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    • 제23권5호
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    • pp.31-37
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    • 2006
  • Objectives & Methods : We investigated the cases for which spleen tonifying Sa-Am acupuncture was applied in ${\ulcorner}$Sa-Am-chim-gu-jeong-jeon(舍巖鍼灸正傳)${\lrcorner}$ and classified them according to the concepts of cold-heat & deficiency-excess for a better understanding of the application of spleen tonifying Sa-Am acupuncture. Results : 1. Tonification of Spleen Sa-Am acupuncture can be used to treat heat syndromes such as deficient fire caused by collapse of the spleen qi, stagnation of evil qi or spleen yin deficiency, by way of tonifying spleen qi, activating the flow of qi and blood or harmonizing spleen yin and yang. 2. Tonification of Spleen Sa-Am acupuncture can be used to treat cold syndromes such as weakness of spleen yang by way of promoting fire to generate earth, strengthening spleen yang and raising the clear yang. 3. Tonification of Spleen Sa-Am acupuncture can be used to treat deficiency syndromes such as malnutrition or poor appetite caused by spleen deficiency by way of tonifying spleen qi. 4. Tonification of Spleen Sa-Am acupuncture can be used to treat excess syndromes such as stagnation of qi and blood, abdominal mass or toxication by way of tonifying spleen qi and promoting the flow of qi and blood.

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체계적 문헌고찰과 델파이 기법을 활용한 갱년기장애 변증(辨證)진단 도구 개발을 위한 기초 연구 (Development of a Guideline for the Application of a Diagnostic Tool for Menopausal Syndromes Based on the Use of Systemic Review and Delphi Method)

  • 이인선;김동일;유정은;강창완
    • 대한한방부인과학회지
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    • 제30권4호
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    • pp.175-202
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    • 2017
  • Objectives: This study was conducted towards developing a screening tool for syndrome differentiation in the diagnosis of menopause in menopausal and perimenopausal women. Methods: We conducted a literature review of studies on menopausal diagnosis based on syndrome differentiation, and examined well-founded differentiated syndromes and their respective clinical symptoms. Based on the findings, we created a questionnaire through consultations with Oriental medicine experts in physiology, pathology, and diagnostics. Finally, the research team conducted an expert Delphi study on differentiated syndromes and the associated clinical symptoms. Results: Seven differentiated syndromes were selected, including Liver Depression (肝鬱), Kidney Yin Deficiency (腎陰虛), Kidney Yang Deficiency (腎陽虛), Liver and Kidney Yin Deficiency (肝腎陰虛), Kidney Yin and Yang Deficiency (腎陰陽兩虛), Heart-Kidney Noninteraction (心腎不交), and Dual Deficiency of Heart and Spleen (心脾兩虛); 4 disease locations, including liver (肝), heart (心), spleen (脾), and kidney (腎); and 3 disease natures, including Yin Deficiency (陰虛), Qi Stagnation (氣滯), and Blood Deficiency (血虛). In addition, we added 3 supplemental disease natures, including Yang Deficiency (陽虛), Qi Deficiency (氣虛), and Heat (火熱), in consideration of syndrome differentiation categories that may possibly be added in a follow-up clinical questionnaire. Conclusions: This resulted in a total of 7 differentiated syndromes, 4 disease locations, and 6 disease natures. We translated the clinical symptoms of these 17 categories into Korean Hangeul. After consulting with 5 Oriental medicine experts and a psychology expert, we produced a questionnaire for use in diagnosing menopause based on syndrome differentiation. The calculation of scores for the syndrome differentiation screening tool will be confirmed through clinical research based on the results of a review of existing literature.

한방부인과 변증(辨證) 진단(診斷) 설문지에 대한 평가(評價)와 연구(硏究) (Valuation and investigation of Oriental OB&GY Questionnaires)

  • 배경미;조혜숙;김규곤;강창완;이인선
    • 대한한방부인과학회지
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    • 제15권4호
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    • pp.111-127
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    • 2002
  • Purpose : This study investigated reliability of Oriental OB&GY questionnaires, valued the items and correlated relation of differentiation of syndromes of Oriental OB&GY questionnaires which is used by Dong-Eui OB&GY. Method : We analysised the result of 721 outpatients's questionnaires from March. 1. 1998 to March. 30. 2002 Results : 1. The reliability of Oriental OB&GY questionnaires above 95% is deficiency of Ki, deficiency of blood, dry of blood, deficiency of Um, stagnation of Ki, insuficiency of the kidneys, liver, heart, above 90% under 95% is deficiency of Yang, heat of constitution, heat of disease, dampness, stagnated blood, above 85% under 90% is phlegm, spleen above 80% under 85% is cold syndrom. 2. The order of frequency diagnosed by Oriental OB&GY questionnaires is dampness(78.7%), heart(66.8%), stagnation of Ki(63.8%), deficiency of blood(53.5%), deficiency of Ki(53.1%), phlegm(53.7%), insuficiency of the kidneys(50.1%), dry of blood(45.1%), spleen(41.4%), liver(36.2%), stagnated blood(36.2%), deficiency of Yang(35.6%), cold syndrom(29.8%), deficiency of Um(24.1%), heat of disease(22.5%), heat of constitution(20.1%). 3. The average of item of differentiation of syndromes above 90 is dampness, above 80 under 90 is deficiency of Ki, deficiency of blood, dry of blood, deficiency of Yang, cold syndrom, heat of constitution, stagnation of Ki, phlegm, stagnated blood, insuficiency of the kidneys, liver, heart, spleen, above 70 under 80 is deficiency of Um, heat of disease. 4. Deficiency of Ki is connected with question compounded of stagnation of Ki, deficiency of Yang is connected cold syndrom, cold syndrom is connected deficiency of Yang, stagnation of Ki is connected deficiency of Ki. 5. The differentiation of syndromes accompanied with others which is related to compounded question is deficiency of Ki, deficiency of blood, cold syndrom, stagnation of Ki, dampness, phlegm, stagnated blood, insuficiency of the kidneys, liver, heart, spleen, which isn't related to compounded question is dry of blood, deficiency of Um, deficiency of Yang, heat of disease.

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한방부인과 진단용 설문지의 신뢰도 연구 (Reliability Study of Oriental OB & GY Questionnaires)

  • 이인선;전란희;배경미;김미진;엄윤경;이용태;지규용;김종원;기규곤
    • 동의생리병리학회지
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    • 제18권3호
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    • pp.701-712
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    • 2004
  • This study investigated reliability of Oriental OB & GY Questionnaires, evaluated the items and correlation relation of differentiation of syndromes of Oriental OB&GY Questionnaires which was used by Dong-Eui OB&GY. We analyzed the results of 553 outpatients's Questionnaires from April 2002 to February 2004. The reliability of Oriental OB&GY Questionnaires above 95% was stagnated blood most, above 90% deficiency of blood, deficiency of Um, heat syndrome, dampness, kidney, liver, heart, spleen, with the exception of phlegm all that was above 80%. The frequency diagnosed of items of differentiation of syndromes dampness, hear, stagnation of Ki was most, the average of item of differentiation of syndromes stagnation of Ki, dampness, deficiency of Ki was most. Correlation coefficient of deficiency of Ki, deficiency of blood, deficiency of Um, cold syndrome, heat, stagnated blood, heart, spleen, kidney, dryness, stagnation of Ki, liver with more than pure question was above 0.8, phlegm was under 0.5. The frequency diagnosed of items of the differentiation of syndromes was not which is related to repeated question and physiology and pathology of oriental medicine.

"소문(素問).조경론(調經論)"의 유여(有餘).불족증(不足證)에 대(對)한 연구(硏究) (Interpretation of Excess and Deficiency Syndromes(有餘不足證) Described in "Somun . Jogyongron(素問.調經論)")

  • 방정균
    • 대한한의학원전학회지
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    • 제20권3호
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    • pp.49-56
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    • 2007
  • The "Somun Jogyongron(素問 調經論)" describes excess and deficiency syndromes. The study suggests that excess syndrome(實證) is caused by vigorous pathogenic fire(火邪)(the spirit(神)), pathogenic dryness(燥邪)(Gi(氣)), pathogenic wind(風邪)(blood(血)), pathogenic dampness(濕邪)(physique(形)) or pathogenic coldness(寒邪)(will(志)). When pathogenic fire is dominant within the body, Gi and blood becomes excessive and come out of the body, but the body cannot take them back, leading to the symptom in which the patient cannot stop laughing. When pathogenic dryness prevails, the lung(肺) cannot function properly. This means that the convergence(收斂) function of the clearing the lung and descending Gi(肅降) is deteriorated, and the patient shows symptoms of dyspnea and cough. Strong pathogenic wind increases the ascencling Gi in the liver(肝氣) and fuel angry emotion when the patient becomes upset. When pathogenic dampness is dominant, spleen(脾) function drops due to lumping effects, and the patient will experience abdominal distention(腹脹), which will disturb urination and defecation. When pathogenic coldness prevails, abdominal distention occurs due to condensating effects, and Yang Gj(陽氣) in the kidney(腎) is disturbed, leading to digestion disorders and eventually water-grain dysentery. Deficiency syndrome is caused by the lack of essential Gi(精氣) in the five viscera(五藏). Deficiency of sprit means the lack of Gi in the heart(心氣), so the patient becomes vulnerable to sadness. Deficiency of Gi means the lack of Gi in the lung(肺氣), so the patient may have breathing disorders. Deficiency of blood means the lack of Gi in the Liver(肝氣), so the patient can be easily scared. Deficiency of physique means the lack of Gi in the spleen(脾氣), making it difficult to use arms and legs. Deficiency of will means the lack of Gi in the kidney(腎氣), so Gowl syndrome(厥證) can ensue.

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일개 한방병원 내원환자 체질병증 연구보고 (A Study about Constitutional Disease Syndromes at a Hospital of Oriental Medicine)

  • 권은미;김선형;안지혜;송안나;김달래
    • 사상체질의학회지
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    • 제23권4호
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    • pp.503-513
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    • 2011
  • 1. Objective This study aimed to find out the epidemiologic characteristics of constitutional disease syndromes at a hospital of Oriental medicine in Seoul. 2. Methods The medical records of 1354 subjects who have received prescriptions and diagnosis of Sasang constitution from January 2008 to December 2009 at a hospital of Oriental medicine were reviewed. General factors and the frequency of the prescriptions according to Sasang constitution were compared and analyzed. 3. Results 1) Among the 1354 subjects, 562(41.5%) persons were males and 792(58.5%) females. 614(45.3%) persons were Soeumin, 369(27.3%) Soyangin, 364(26.9%) Taeumin, and 7(0.5%) Taeyangin. 2) The frequencies of the prescriptions of 14 constitutional disease syndromes were compared. Taeum Syndrome, Esophagus Cold Syndrome and Yin Deficiency Tidal fever Syndrome show the high frequencies among 14 disease syndromes. Chest Heat Syndrome, Deficiency of Yin and Blood syndrome and Soeum Syndrome show the low frequencies among 14 disease syndromes. Interior disease(63.4%) was higher than exterior disease(36.6%) and mild disease(61.8%) was higher than severe disease(38.2%). 3) Among all constitutional prescriptions, Jowyiseungchung-tang was the most common and next rankings were Gupoong-tang and Dokhwaljihwang-tang in turns. 4. Conclusions From all these considerations, it would seem that Taeum Syndrome in Soeumin, Esophagus Cold Syndrome in Taeumin and Yin Deficiency Tidal fever Syndrome in Soyangin show the high frequencies in a hospital of Oriental medicine in Seoul. Large-scale epidemiologic study in Sasang constitutional medicine may be needed on various ways and places.

Clinical Usefulness of Korean Red Ginseng in Postmenopausal Women with Severe Climacteric Disturbance

  • Kikuchi, Yoshihiro;Tode, Takehiko;Hirata, Junko;Nakataand, Hideyui;Kita, Tsunekazu
    • Journal of Ginseng Research
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    • 제27권3호
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    • pp.98-102
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    • 2003
  • The aim of this study is to evaluate clinical usefulness of Korean red ginseng (RG) on various postmenopausal syndromes. Total plasminogen inhibitor-l (tPAI-l) in peripheral blood from 9 postmenopausal women with climacteric syndromes (CS) was measured before and 3 months after treatment with daily oral administration of 6 g RG and that from 8 postmenopausal women without any CS was also measured as healthy controls. Blood samples were collected in the early morning on the bed-rest. Psychological conditions of postmenopausal women with CS were measured before and 3 months after treatment with RG using simplified menopausal index (SMI). In addition, OKETSU (blood stagnation) syndrome scores and KI deficiency (generalized energy stagnation) scores proposed by Terasawa et al., were recorded before and 3 months after treatment with RG in postmenopausal women with CS and in healthy postmenopausal women. OKETSU syndrome scores and tPAI-l levels in postmenopausal patients with CS were significantly (P<0.001 and P<0.01) higher than those in healthy postmenopausal women without CS. Similarly, SMI scores and KI deficiency scores in postmenopausal patients with CS were about three-fold higher than those without any CS. When RG was administered for 3 months, KI deficiency scores and OKETSU scores as well as SMI scores declined around the levels of healthy postmenopausal women. Although tPAI-1 levels significantly (P<0.05) decreased after treatment with RG, those did not reach the levels of healthy postmenopausal women. Clinical usefulness of administration of RG to postmenopausal women with CS was confirmed from evaluation not only by modem medicine but also by traditional KAMPO medicine.

소시호탕(小柴胡湯)의 복합적(複合的) 효능(效能)에 대한 고찰(考察) (A Study on the Complex Efficacy of Sosihotang)

  • 백유상
    • 대한한의학원전학회지
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    • 제27권2호
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    • pp.137-152
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    • 2014
  • Objectives : Through the study on the complex efficacy of Sosihotang(小柴胡湯), it would be expected to comprehend the concept of diseases and syndromes that will be treated and principle of composing formula. Methods : It has been done to compare and analyse provisions of Shanghanlun related with Sosihotang(小柴胡湯). Results : Sosihotang(小柴胡湯) is fit to treat symptoms based on diseases having half exterior and half interior, deficiency and excess syndromes, because it is well-composed to focus on Soyangbyeong(少陽病) and Sosihotang(小柴胡湯) syndrome caused from lose of homeostasis in human body. Conclusions : Sosihotang(小柴胡湯) is one of the multipurpose formula that can be used to treat the syndromes and diseases of exterior and interionr(表裏), cold and heat(寒熱), deficiency and excess(虛實). Therefore it is necessary to research and develop the formula with the type.

眼病의 病因 病機에 對한 文獻的 考察 (Literatural study of the cause and mechanism of Eye Disease)

  • 강승원;노석선
    • 한방안이비인후피부과학회지
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    • 제5권1호
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    • pp.27-44
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    • 1992
  • The cause and mechanism of eye diseases are follow in biblography. The etiological factor of eye diseases are nearly caused by heat. It is important to distinguish deficiency and substance. In external etiologic factors wind-fever is most of all in six exogenous factors. In internal etiologic factors xu(deficiency) of kidney, blood and fire of seven emotions are lots. In factors other than the internal and external, eating greasy food and hyper-caloric food are a lot of case. In relation with the yin-yang andxu-shi, ther are a lot of eye diseases symptom as dark-dizziness due to the yin-xu of hepatic-kidney. According to eight principles of differentiation of syndromes, syndromes of exterior, heat, shi, almost fall into the category of yang and syndromes of interior, cold, xu, nearly fall into the category of yin. In interior treatment, inducing wind and clearing heat, using Qi and tonifying blood, tonifying and suing of hepatic-kid ney are useful and often used treatment.

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현곡 윤길영의 변증요강에 대한 연구 (Study on the HYUN-GOG′s Main Principles of Differentiation of Syndromes)

  • 김경철;신순식;이용태
    • 동의생리병리학회지
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    • 제17권3호
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    • pp.595-604
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    • 2003
  • We study on the HYUN-GOG's main principles of Differentiation of Syndromes. HYUN-GOG insisted upon the main principles of Differentiation of Syndromes based on the individual-physiology. The system of Differentiation of Syndromes was composed of the Korean oriental medicine's physiological system. The main principles of Differentiation of Syndromes was mutually explained for the standpoint of eight principal syndromes(differentiation of pathological conditions in accordance with the eight principal syndromes) and the system of Syndrome-complexes based on the physiological system. BON-HER(original deficiency-syndrome), BON-HAN(original cold excess-syndrome), BON-YEOL(original heat excess-syndrome), the three representative syndrome-complexes is previously carried out the details of Differentiation of Syndromes. And the oriental medicine history was rearranged centering around the theory of Differentiation of Syndromes by HYUN-GOG. The theory of Syndrome-complexes was closely connected with prescription by the presentation of the basic organical prescription for the three representative syndrome-complexes.