• Title/Summary/Keyword: disease pattern identification

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A Case Report of Primary Dysmenorrhea treated by Danggwihweyeokgaohsuyusaenggang-tang from the Disease Pattern Identification Diagnostic System based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 당귀회역가오수유생강탕(當歸回逆加吳茱萸生薑湯)을 투여하여 호전된 원발성 월경곤란증 치험 1례)

  • Yun, Su-Min
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.133-147
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    • 2015
  • Objective : The purpose of this paper is to report the effect of Danggwihweyeokgaohsuyu-saenggang-tang(DHGOST) on primary dysmenorrhea from the disease pattern identification diagnostic system based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, the patient was diagnosed with 'Reverting Yin Disease'. She took DHGOST for 75 days. This paper evaluated the results of treatment by Measure of Menstrual Pain(MMP) and Menstrual Symptom Severity List(MMSL) Results : The MMP score was declined from 8.3 to 3.5. And the MMSL score was declined from 46 to 38. Conclusions : This case study suggests that DHGOST has effectiveness on primary dysmenorrhea who is diagnosed with 'Reverting Yin Disease'.

The Relationship between Risk Factors, Warning Signs, Tongue Diagnosis, Pulse Pattern, Pattern Identification and National Institute of Health Stroke Scale in Acute Stroke Patients (급성기 중풍환자의 위험요인, 경고증상, 전조증상 및 설진, 맥상, 변증과 NIHSS의 관련성 연구)

  • Kim, Mi-Young;Choi, Won-Woo;Park, Su-Kyung;Leem, Jung-Tae;Park, Sung-Wook;Jung, Woo-Sang;Cho, Ki-Ho
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.708-718
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    • 2009
  • Objectives : The aim of this study was to assess the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Methods : We studied patients hospitalized within 4 wks after their ictus who were admitted at the Internal Medical Department at Kyunghee Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University Songpa Oriental Medical Center, Kyungwon University Incheon Oriental Medical Center, Dongguk University Ilsan Oriental Medical Center from April 2007 to August 2009. We analyzed the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Results : 1506 subjects were included into the final analysis. 1. In the risk factors, the NIHSS mean score of atrial fibrillation was significantly higher than non-atrial fibrillation. 2. In the warning signs, the NIHSS mean scores of weakness, loss of eyesight, dysarthria, and sensory loss were significantly higher than in the non-warning signs. 3. There were no significant differences in lifestyle, tongue fur color, pattern identification between groups. 4. In the tongue color, the NIHSS mean score of red was significantly higher than pale or pale red. 5. There were significant differences statistically between forceful/weak, fine/not fine, slippery/not slippery pulse and NIHSS score. Conclusion : The above results show the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. These results can be utilized in the future as a basis material.

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Headache with Dyspepsia Treated by Sihogyejigungang-tang Based on Disease Pattern Identification Diagnostic System by Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 시호계지건강탕(柴胡桂枝乾薑湯) 투여 후 호전된 소화불량을 동반한 두통 1례)

  • Kim, Hyeong-seop
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.111-119
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    • 2021
  • Objectives: This case study aimed to report the effect of Sihogyejigungang-tang (SGGT) on headache with dyspepsia based on the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods: According to the DPIDS based on the Shanghanlun provisions, the patient was diagnosed with Greater Yang Disease Chest Bind and treated with SGGT. The results of treatment were evaluated by a numerical rating scale (NRS), the Korean Headache Impact Test (KHIT-6), and change in clinical symptoms. Results: After administering SGGT for 160 days, the NRS improved from 9 to 1 and the KHIT-6 improved from 70 to 44. No serious treatment-related adverse events were reported. Conclusions: This study shows the effective treatment of headache with dyspepsia using SGGT based on the DPIDS based on the Shanghanlun provisions.

A Study of the Reliability and Validity of Standard Tools for the Pattern Identification of Gastroesophageal Reflux Disease (위식도역류질환 변증도구의 신뢰도 및 타당도 평가)

  • Cho, Yun-jae;Ha, Na-Yeon;Ko, Seok-Jae;Park, Jae-Woo;Kim, Jinsung
    • The Journal of Internal Korean Medicine
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    • v.43 no.1
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    • pp.1-21
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    • 2022
  • Purpose: The standard tool for the pattern identification is used for identifying patterns in patients using a questionnaire. The purpose of this study is to reorganize the standard tool for the pattern identification of gastroesophageal reflux disease (GERD) developed in 2017 and to analyze the reliability and validity of the standard tool for pattern identification by applying it to GERD patients. Methods: To reorganize the standard tool for the pattern identification of GERD developed in the previous study, we searched the literature in the main databases, OASIS (Oriental Medicine Advanced Searching Integrated System) and CNKI (China National Knowledge Infrastructure). We added the search results to the data used in the previous study and went through the reorganizing courses, such as evaluating the validity of the translation, the Delphi technique, and a small survey. After reorganization, the patients who visited the Kyunghee University Korean Medicine Center for GERD symptoms were provided the questionnaire, including the reorganized standard tool for pattern identification. We analyzed the survey results to evaluate their reliability and validity. Results: Fifty patients completed the questionnaire. Reliability analysis results showed a pattern identification match rate of 86%, Cronbach's α coefficient of 0.834, and intraclass correlation coefficient of 0.907. The Mann - Whitney U test and logistic regression were implemented to check the relations between the survey questions and pattern identification results; the Pearson correlation, compared with other scales, showed a moderate score. Conclusion: We reorganized the standard tool for the pattern identification of GERD to be updated on current issues and so that it is easily used. The analysis results of the questionnaire showed that the reorganized standard tool had high reliability and moderate validity.

A Case Report of Chronic cough treated by Soshiho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소시호탕(小柴胡湯)투여 후 호전된 만성기침 1례)

  • Ryu, Hee-Chang;Lee, Soong-In
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.99-108
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with chronic cough treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 96 provision, and took Soshiho-tang herb medication 50days. The changing symptom of chronic cough was estimated by LCQ(Leicester Cough Questionnaire) and VAS(Visual Analogue Scale). Results : The LCQ score changed 57 to 111 and VAS changed 10 to 0. Conclusions : On the number 96 provision of Shanghanlun, '或欬' means 'H or K' sound cough. This is the first case report treating the chronic cough with herb medication of shanghanlun in Korea.

A Case Report of Tinnitus with Panic Disorder treated by Daehamhyung-tang from the Disease Pattern Identification Diagnostic System based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대함흉탕(大陷胸湯) 투여로 호전된 공황 장애를 동반한 이명 1례)

  • Jo, Gang-Mun
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.109-119
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    • 2016
  • Objective : The purpose of this paper is to report the effect of Daehamhyung-tang(DHHT) on tinnitus with panic disorder from the disease pattern identification diagnostic system based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, the patient was diagnosed with 'Taeyang-byung Gyeolhyung'. He took DHHT for 82 days. This paper evaluated the results of treatment on tinnitus by Tinnitus Handicap Inventory(THI) and Verbal Numercial Rating Scale(VNRS). To assess the mental state of anxiety, this paper used Hamilton Anxiety Rating Scale(HAM-A) Results : The THI score was declined from 58 to 6 And the VNRS score was declined from 6 to 1. HAM-A score was declined from 28 to 3. Conclusions : This case study suggests that DHHT has effectiveness on a patient suffers from tinnitus with panic disorder and diagnosed with 'Taeyang-byung Gyeolhyung'.

Two Case Reports treated with Chijabackpi-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 梔者蘗皮湯(치자벽피탕)을 투여한 증례 2례)

  • Choi, Woon-yong;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.101-113
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    • 2017
  • Objective : Patients complaining of severe chills and dizziness who were diagnosed and treated with the Shanghanlun disease pattern identification diagnostic system were analyzed to report cases Methods : Based on the Shanghanlun disease pattern identification diagnostic system, we analyzed two cases treated with the Chijabackpi-tang and counseling. Results : Chijabackpi-tang showed a rapid improvement in patients. During the period of more than 2 months, all of the chief complaints were greatly improved. Conclusions : The Chijabackpi-tang, which is not well known yet, can show rapid effect and can be diagnosed frequently through the Shanghanlun disease pattern identification diagnostic system.

Four Case Reports of Neck Pain based on Shanghanlun 燒針(shaozhen) Provisions (『상한론(傷寒論)』 '소침(燒針)' 조문(條文) 및 변병진단체계(辨病診斷體系)에 근거하여 치료한 목통증 증례 4례)

  • Heo, Joo;Cho, Seong-hwan;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.95-114
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    • 2018
  • Objective : This study is to report four cases complaining of neck pain that diagnosed by Shanghanlun disease pattern identification diagnostic system and treated with the Shanghanlun Shaozhen(燒針) provision herbal medicine. Methods : Based on the Shanghanlun disease pattern identification diagnostic system, we analyzed four cases treated with Shanghanlun Shaozhen(燒針) provision herbal medicine. Results : In all cases, the NDI and NRS score improved. Conclusions : In Shanghanlun, Shaozhen(燒針) may indicate neck pain. And neck pain can be relieved by administering Shanghanlun Shaozhen(燒針) provision herbal medicine.

Research about application of Shanghanlun disease pattern identification diagnostic system to 2 cases treated by Oreong-san (오령산(五苓散)을 활용한 2개 증례 분석을 통한 『상한론(傷寒論)』 변병진단체계(辨病診斷體系) 응용에 관한 연구)

  • Park, Jae-kyung;Lim, Eun-Kyo
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.81-94
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    • 2018
  • Objective : The objective of this study is to define the clinical meaning of Shanghanlun sentence by applying Shanghanlun disease pattern identification diagnostic system. Methods : 2 clinical cases, which were treated by Oreong-san according to Shanghanlun provisions dualized with Je-Gang(提綱) and Jo-Moon(條文), were analyzed. Results : According to the results of analysis of 2 cases, the patients' diseases were improved. The pain was decreased, and general weakness and anorexia were improved in 2 cases. Conclusions : These results suggests that the medicines from Shanghanlun are clinically effective when Shanghanlun is interpreted considering the origins of Chinese characters in the text, and Shanghanlun disease pattern identification diagnostic system is applied.

Weighting of Stroke Pattern Identification Using an AHP (AHP 기법을 이용한 중풍 변증지표의 가중치 설정)

  • Kang, Byoung-Kab;Kim, So-Yeon;Lee, Jung-Sup;Kim, No-Soo;Ko, Mi-Mi;Kwon, Se-Hyug;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.149-153
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    • 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.