• Title/Summary/Keyword: differentiation of symptoms and signs

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Study on Body Constitution and Disease Symptoms and Signs (논체질여병증(论体质与病证))

  • Cui, Zheng-Zhi;Cui, Ming-Hua
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.241-247
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    • 2009
  • Body constitution research in Korean traditional medicine adopt the diagnosis and treatment theory of "image-differentiation[body constitution differentiation, disease differentiation] in combination with syndrome differentiation diagnostic model and symptoms and signs of herbal property belong to image" as its core, which is key national medical science research project of State Administration of Traditional Chinese Medicine, the project brought up 4 key scientific problem ? body constitution differentiation theory, correlation theory of body constitution and disease, body constitution adjustable theory and symptoms and signs of herbal property belong to image theory. In body constitution pathology, it brought up "correlation between body constitution and symptoms", "differentiation between body constitution and symptoms" which increase the diagnostic level and diagnostic accuracy rate. In the condition of pathology, it obviously has low reliability according to body constitution differentiation, sometimes happen the description not comply with body constitution and disease symptoms, which lead to decrease the clinic diagnostic and treatment level, treatment effect not satisfying too. Now taking 4 key scientific achievement as criterion to illustrate the body constitution and disease symptoms.

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Report on the Korean Standard Differentiation of the Symptoms and Signs for the Stroke-1(KSDSSS-1) (한국형 중풍변증 표준안-II에 대한 보고)

  • Go, Ho-Yeon;Kim, Joong-Kil;Kang, Byung-Kab;Kim, Bo-Young;Kim, Mi-Mi;Kang, Kyung-Won;Seol, In-Chan;Lee, In;Jo, Hyun-Kyung;Yu, Byeong-Chan;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1789-1792
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    • 2006
  • To develop the Korean Standard Differentiation of the symptoms and signs for the Stroke(KSDS), the committee on Stroke Diagnosis Standardization of Korean Traditional Medicine was organized by nineteen experts in College of Korean Medicine, The Consensus of the second Consultation Meeting was as follows : First is the definition of the stroke on the Korean Traditional Medicine. Second is the five categories to the Differentiation of the symptoms and signs for the Stroke - fire and heat, dampness and phlegm, blood stasis, qi deficiency, yin deficiency. Third is the indices of the Differentiation of the symptoms and signs for the Stroke respectively. KSDS-1 will be applied to the clinical practice and revised. The Consensus of the third Consultation Meeting had agreed 81 symptoms indexes of KSDS.

Report on the Korean Standard Differentiation of the Symptoms and Signs for the Stroke-1 (한의 중풍변증 표준안-I에 대한 보고)

  • Kim Joong-Kil;Seol In-Chan;Lee In;Jo Hyun-Kyung;Yu Byeong-Chan;Choi Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.229-234
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    • 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.

Survey of Stroke Subtype Classification (중풍의 아형분류에 관하여)

  • Go, Ho-Yeon;Kim, Joong-Kil;Kang, Byung-Kab;Kim, Bo-Young;Ko, Mi-Mi;Kang, Kyung-Won;Seol, In-Chan;Lee, In;Jo, Hyun-Kyung;Yu, Byeong-Chan;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.1
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    • pp.263-269
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    • 2007
  • In Korea, Korean Medicine is the first choice in treating stroke. Because stroke prognosis, risk of recurrence, and choices for management are influenced by stroke subtype, correct analysis of stroke subtype is important. Until now, the studies on differentiation of the symptoms and signs for the stroke were a few and the Korean standard differentiation of the symptoms and signs for the stroke don't exist. To develop the Korean standard differentiation of the symptoms and signs for the stroke, we go through subtype of stroke in traditional chinese medicine, Korean Medicine, western medicine.

A Clinical Study of Patients with Headache visited Neuropsychiatry (신경정신과(神經精神科)를 내원(來源)한 두통환자(頭痛患者)에 대한 임상적(臨床的) 고찰(考察))

  • Shim, Sang-Min;Heo, Seong
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.1
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    • pp.83-96
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    • 2000
  • Objectives: In order to study the effect of the oriental medical therapy on the patients who visited Neuropsychiatry and oriental medical differentiation of symptoms and signs with ABR (Autonomic Bioelectric Response recorder)-2000, these clinical studies were performed. Methods: Sixty six patients with headache were classified into three groups; the first is tension headache, the second is migraine headache, the last is the others, each group was investigated of a various characteristic, the effect of the oriental medical therapy and stress was measured by ABR-2000. Result: 1. According to the statics, the tention headache's rate was higher than migraine; on the whole woman's rate was higher than man's. however in the migraine the rate of sex was equal. 2. According to the cause facter, oversensitiveness, overexertion, dyspepsia, etc. were numorous in the order. 3. According to the oriental medical differentiation of symptoms and signs, the rate of stagnation of the liver-qi' s fire-transmission(肝鬱化火) and deficiency of qi(氣虛), these two types were highest. result of analyzing ABR-2000 is that stagnation of the liver-qi's fire-transmission(肝鬱化火) is the highest stress. 4. According to treatment rate, 80.3 percent of patients satisfied of treatment.

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A Study of Abdominal Syndrome in Shanghanlun (상한론(傷寒論) 조문중(條文中) 상견복증(常見腹證)에 관한 연구(硏究))

  • Shin, Sang Seup;Park, Won Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.7 no.2
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    • pp.47-67
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    • 1999
  • The subject of Abdominal syndrome in the field of Shanghanlun takes a quarter of the whole research quantity, and has greatly contributed to the development of diagnoses due to the well-growth of syndrome differentiation through the differentiation of symptoms and signs based on prescription-centered abdominal syndrome. Since then, while the diagnostic has been developed mainly in the field of pulse fee ling and the inspection of the tongue, application of the abdominal diagnostic has not been continuously improved because of special historical and social environments. Recently, since interest in the differentiation of symptoms and signs based on abdominal syndrome has been raised by emphasis of Oriental diagnostic methods and medical treatment which have led to the study of Abdominal Syndrome in Shanghanlun. The following is the results of the study. 1. Shanghanlun abdominal syndrome is categorized into all abdominal symptoms. Epigastric symptoms, Hypochondrium symptoms, and Lower abdomen symptoms. 2. Subjective symptoms and Objective symptoms have been found in Abdominal syn drome, and Subjective symptoms have been more often than Objective symptoms. Both of the symptoms have been found more to co-exist in abdominal syndromes. 3. more cases of fullness of abdomen symptoms in All abdominal symptoms, a smaller number of cases in Taiyang disease, Yangming disease, disease, disease involving all three yang, Tayin disease and Jueyin disease have been found, but there have not been found in shaoyin disease. 4. More cases of Epigastric fullness and rigidity in Epigastric symptoms, Epigastric throbs in Palpitation symptoms, and sense of fullness-in-chest in Abdominal syndrome of chest and hypochondrium have been recognized. 5. Any regularity caused by abdominal symptoms has not been identified. 6. Diagnosis of the abdomen caused by abdominal symptoms has been identified in Epigastric fullness, Epigastric pain, Epigastric procrastination, Epigastric throb, fullness of abdomen and distension of lower abdomen.

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The analysis about the course of studying renal stones -On the basis of incurable and relapse renal stones' differentiation of symptoms and signs- (요로결석(尿路結石) 연구동향(硏究動向)에 대한 분석(分析) - 난치(難治)와 재발(再發)의 판증(辦證)을 중심으로 -)

  • Lee, Jung-Won;Kim, Chueng-Jung;Cho, Chung-Sik
    • Journal of Haehwa Medicine
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    • v.14 no.2
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    • pp.143-151
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    • 2005
  • Gobjectives and Methods to investigate into the course of incurable and relapse renal stones' differentiation of symptoms and signs and to effectively improve treatment of incurable and relapse renal stones through Oriental Medicine. To search for the papers about treatment of incurable and relapse renal stones from 1994 till 2004, and re-search papers about treatment for indicated differentiation of disease. Result and conclusions : 1. It is the kidney vacuity additionally the deficiency of qi(氣) in middle-burner that the incurable and relapse renal stones' differentiation of disease. 2. The cause is taking an overdose of attacking renal stones to eliminate dampness and heat medicine, aging, chrome disease. a sex act excess, insufficiency of congenital qi(氣), insufficient exercise, wrong treatment and stress. 3. Herb medicines are constituted supplementing kidney drugs for inhibition of renal stone's creation, drugs to diuresis and dissolve calculi, and drugs 10 exclude stasis blood(瘀血) on account of renal stones. 4. Anti-renal stone measures me sufficiently drinking water, not eating greasy food. taking medicine for supplementing kidney, diuresis and dissolve calculi by periods, and drinking substitute water to boll down medical herb as Lysimachiae Herba (金錢草) Polygoni Avicularis Herba(篇蓄).

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Improvement of Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke for Clinical Application (중풍변증표준안 진료기록부 임상적용을 위한 증례기록부와 표준작업지침서의 개선과정)

  • Lee, Min-Goo;Kang, Byeong-Kab;Kim, Bo-Young;Ko, Ho-Yeon;Choi, Sun-Mi;Seol, In-Chan;Jo, Hyun-Kyung;Yun, Jong-Min;Moon, Byung-Soon;Lee, In
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.1
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    • pp.347-351
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    • 2007
  • This study was done to report the improvement of second case report form(CRF) and standard operating procedure(SOP) of Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke. We were in charge of developing case report form(CRF) and educating the investigators. In the process of this project, we needed to develop standard operating procedure(SOP) for this CRF. So we made Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke and tried clinical application at Department of Oriental Internal Medicine of Wonkwang University and Daejeon University in 2005. And in this pilot study we can find out some problems and need to improve it. We strengthen the incision and exclusion criteria of CRF We canceled the Chief complains entry for efficiency. We reflected the decision of Stroke standard committee. We reduced the differentiation index of CRF to promote efficiency and accuracy. We rearranged the order of the differentiation index to promote rationality and practicality. We regulated detail item belonging to Differentiation index. We used a colloquialism in question. We inserted flow chart in SOP. We inserted picture of diagnostic index.

The Study on the Questionnaire Analysis and Agreement Diagnosis of the Same Patients Using Differentiation of Symptoms and Signs on Chronic Knee Joint Pain Including Osteoarthritis of Knee Joint (퇴행성 슬관절염 환자를 포함한 만성 슬통환자의 설문분석과 경락허실변증 진단일치도에 관한 연구)

  • Lee, Jong-Deok;Lee, Sang-Kwan;Lee, Sung-Young;Moon, Hyung-Cheol;Choi, Sun-Mi;Chung, Young-Hae;Kim, Sung-Chul
    • Journal of Acupuncture Research
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    • v.23 no.1
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    • pp.71-93
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    • 2006
  • Objectives : This study is performed for proposing reasonable clinical study protocol at International standard clinical study of osteoarthritis of Knee Joint. Methods : We gave the eighteen oriental medicine doctors the questionnaire and the video about female patient who diagnosed Knee joint of osteoarthritis above 60 years old and they tested same patients using differentiation of symptoms and signs. Then they retested it after We educated them with diagnosis education text. Conclusion : The improvement of diagnosis agreement can be possible by developing standardized the same patients using differentiation of symptoms and by reeducation about it.

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Study of the Indicators of Dampness-Phlegm Pattern Identification Based on Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke (한국형 중풍 변증 표준시안의 습담 변증 지표에 대한 연구)

  • Jo, Hyun-Kyung;Kim, Joong-Kil;Kang, Byeong-Kab;Yu, Byeong-Chan;Baek, Kyung-Min;Lee, In;Choi, Sun-Mi;Seol, In-Chan
    • The Journal of Internal Korean Medicine
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    • v.27 no.1
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    • pp.237-252
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    • 2006
  • Objectives : This study was done to investigate clinical frequency and correlation among the indicators of dampness-phlegm pattern identification settled by tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke. Methods : The subjects were 147 hospitalized patients with stroke, and a list of registry was made for each of them. Among the five types of pattern identification, fire-heat, dampness-phlegm, blood-stasis and deficiency of Qi and of Yin, those that have shown a high frequency in dampness-phlegm type were categorized as the dampness-phlegm pattern group. Frequency of dampness-phlegm indicators was compared with those from the non-dampness-phlegm pattern group. Correlations among dampness-phlegm indicators were also studied. Results : 1. Dampness-phlegm pattern group included 26 patients out of 147. 2. Among the indicators of dampness-phlegm pattern. those, in order of highest frequency, were 'tiredness or sluggishness', 'white Coated tongue' and 'sputum'. 3. In comparing dampness-phlegm pattern group with non-dampness-phlegml group, the indicators such as 'lightheadedness', 'nigrescence', 'sputum', 'dermatic dysaesthesia' showed significantly high frequency. 4. Among the indicators, 'sputum' and 'tiredness or sluggishness', 'sputum' and 'yellow coated tongue', and 'white coated tongue' and 'yellow coated tongue' showed significant correlation. 5. In investigation of the correlation of scale in symptoms, various results such as positive correlation and negative correlation were obtained. Conclusion : In this study, more sensitive indicators of dampness-phlegm pattern identification were found. Based on these results, it is suggested that a more practical Korean Standard Differentiation of the Symptoms and Signs of Stroke would be established through continuous clinical studies by giving weight on each specific type of pattern identification.

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