• 사상체질의학회지
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• 제33권1호
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• pp.57-89
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• 2021

Objectives This study is aimed to develop a standard instrument of diagnosis and assessment for the original symptom of Taeeumin. Methods 1. Based on the clinical practice guidelines, the works of Dong-mu, and the expert clinical judgment of the research team, the items to be used in the instrument of diagnosis and assessment for the original symptom of Taeeumin were extracted, and translation was proceeded in plain Korean for easy application and feasible use in daily clinical practice. As a result, candidate items for the diagnosis and assessment tool were derived. 2. An online questionnaire survey was conducted on the candidate items derived through the above process to the expert advisory group for (1) inclusion/exclusion as diagnosis and assessment index (2) evaluation of importance and (3) the validity of translation. Results & Conclusions Through survey of expert advisory group, the number of candidate items were reduced and the preliminary weights were assigned. And based on this, was developed. There were a total of 9 items for Exterior Cold[Wiwanhan] original symptom diagnosis and assessment tool, 21 items for Interior Heat[Ganyeol] original symptom, 15 items for Exterior Disease Unfavorable Patterns[Wiwanhan-paejo] original symptom, and 17 items for Interior Disease Unfavorable Patterns[Ganyeol-paejo] original symptom, and the weights were reflected in each response score so that the final total score could be calculated.

• 사상체질의학회지
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• 제32권4호
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• pp.65-85
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• 2020

Objectives The aim of study was to suggest diagnostic indicator according to Exterior-Interior disease for the Sasang Constitution based on original symptom. Methods We investigated the literature(『Dongeuisusebowon sinchukbon』) and another study(Clinical Practice Guideline for Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm). As a result, we developed diagnostic indicator of original symptom for Exterior-Interior disease in Sasang Constitutional Medicine. Results and Conclusions Diagnosis of Exterior-Interior disease in Sasang Constitution was decided by heat and cold of original symptom. Detailed indicators of diagnosis in Exterior-Interior disease were heat/cold sensitivity, the degree of sweating, the amount of drinking water, thirst, face color and somatalgia.

• 동의생리병리학회지
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• 제29권5호
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• pp.386-393
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• 2015

Bian-zheng(辨證) of Korean Medicine(KM) is based on four examinations(四診) of Korean medical doctor. The interrogation or questioning(問診) provides the most information of four examinations. The symptom obtained from the interrogation or questioning is the main basis of the Bian-zheng. KM is understood in the whole state of the body of a specified time without seeing the disease exist. So the observable symptom is disease itself. Symptom in KM is used as an important basis for the diagnosis. But if the interview when memories are not sure of the correct answer does not get much easier to find exactly the symptoms. So when recording original symptom(素證) and daily subjective symptom can be helpful for care. In this paper, we propose daily living symptom record system as a method that can be applied to the health care according to the importance of collecting the symptom in the KM. Daily living symptom record system can record the symptom in the individual to awaken daily. The system stores the symptom in structure and provides an open shared services. So it can be used as a symptom of other systems, such as PHR, EMR, CDSS. In addition, Doctor may be able to help in the treatment determined by reference to shared symptom.

• 한국의사학회지
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• 제22권2호
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• pp.43-62
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• 2009

Yoshimasi Todo (吉益東洞), who thought that the books on herbal medicines are the reason for the complicated explanation of the effects of herbs, thought that the articles from Treatise on Cold Damage Diseases (傷寒論) and Synopsis of Prescriptions of the Golden Chamber (金匱要略) are the only books that can identify the effects of herbs. He also thought that the practitioners from the later period have added too much on the original text, which led to his thought that the original text of Treatise on Cold Damage Diseases (傷寒論) and Synopsis of Prescriptions of the Golden Chamber (金匱要略) did not have the explanation that involves the theory of yin-yang(陰陽), the five phases(五行), and three yin and three yang(三陰三陽). From this, he investigated the standards of using the herbs in the Synopsis of Prescriptions of the Golden Chamber (金匱要略) by comparing the articles. In this point of view, Yoshimasi Todo (吉益東洞) said that Poria Scleotium (茯笭) treats palpitations (悸) and 肉瞤筋惕. This meant the symptom of unvoluntary palpitations and the trembling of muscles with wrenching pain. Also, he thought that the symptom of Poria Scleotium (茯笭) in the formula of decoction is shown by the symptoms of dizziness, palpatations, vomiting, trembling of muscles, and cramps. This paper studies on the symptoms that seems close to the meaning of the symptom of Poria Scleotium (茯笭) that Yoshimasi Todo (吉益東洞) meant, which can be summarized to palpatations and trembling of muscles. I wish this paper is of help to those who study Treatise on Cold Damage Diseases (傷寒論), Synopsis of Prescriptions of the Golden Chamber (金匱要略), and the medicine of Yoshimasi Todo (吉益東洞).

• 사상체질의학회지
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• 제28권4호
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• pp.338-349
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• 2016

Objectives This case study was about a Taeyangin patient with transient ischemic attack(TIA) due to vertebrobasilar insufficiency(VBI). In this study, we report the progress of mistreat with Taeyangin as Taeeumin and the improvement of symptoms after rediagnosis as Taeyangin. Methods Patient's chief complain was weakness of lower limbs, dysarthria and dizziness. Patient first time took Taeeumin prescription such as Chunghyulganggi-tang, Chunsimyonja-tang and Sanyakbopaewon-tang. After occuring side effects we changed the prescription to Taeyangin herbal medicine such as Ogapijangchuk-tang gagam and Mihudeungsikjang-tang gagam. Result and Conclusion Patient suffered from diarrhea by taking Taeeumin prescription and symptom was continue. After changing of prescription to Taeyangin herbal medicine, not only chief symptom but also original symptom was improved.

• 대한한의진단학회지
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• 제19권2호
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• pp.109-113
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• 2015

Byunzheng(辨證), 'Identification of Patterns' implies the process of identifying the original cause from symptoms and signs. Each symptom and sign has a meaning that manifests. But in Clinic, it is difficult to recognize the main cause through symptoms and signs by itself, because the patients complaint their symptoms differently. When considering Byunzheng, not only one symptom of one cause but relationship of manifested symptoms and causes are necessary. The object of Byunzheng is to diagnose Illness and disease through symptoms and signs and to coordinate Therapeutic Methods by Byunzheng. In Byunzheng, there are patterns according to the function of Internal Organs(臟腑), the Channels, the Eight Principles, the Five Elements and etc. Process to Diagnose Byunzheng is the most important. Until present, it is not clear to conclude the Byunzheng process or criteria. In certain case of Byunzheng is recognized by doctor's intuition, but most case is needed for conscious reasoning. Therefore, in this statement, process of conclude Byunzheng is reviewed rather than describing each character of Byunzheng.

• 사상체질의학회지
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• 제21권1호
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• pp.20-27
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• 2009

1. Objects Myunghyun Symptom(瞑眩現狀) is widely regarded as 'symptoms of discharge the accumulated poison in body', 'symptoms in the process of healing' apart from any other side effects of drugs. Recently, Natural Medicine of Europe and the U.S.A named it 'healing crisis'. However, this tends to be used indiscriminately. I took a look at the meaning of the Myunghyun Symptom correctly, and the meaning at a point of Sasang Constitutional view 2. Methods It was researched on the literal study about the meaning of the Myunghyun Symptom on the book "Seokyung"(書經), "Dongeuibogam(東醫寶鍵)", "Dongyi Suse Bowon(東醫壽世保元)", "Yakjing(藥徵)", and the meaninig at a point of Sasang Constitutional view through the "Dongyi Suse Bowon(東醫壽世保元)", "Dongyi Suse Bowon Sasang Chobonguen(東醫壽世保元 四象草本卷)". 3. Results and Conclusions 1. The original meaning of the Myunghyun symptom is 'dizziness by the use of massive effective drugs'. 2. Yoshimasu Todo interprεtated broadly the Myunghyun symptoms as the discharge of the accumulated poison in body, the symptoms in the process of healing. 3. Dongmu recognized the Myunghyun symptom as dizziness by massive effective drugs and shun the use of massive effective drugs. 4. Dongmu established the concept of 'Jang-gi(臟氣) and 'Yak-gi(藥氣)' and esteemed Jang-gi more than Yak-gi. So he contended that When there is no disease does not use drugs, even if the illness prioritized the use of mild drug, use the massive effective drugs a little while when there is an acute disease. 5. When the Sasnag Constututional Drugs help the Bomyungjiju(보명지주), Sometimes the Myunghyun Symptom is appeared. it is the process of Tongoi by Taeum Drugs, Chungjang by Soyang Drugs, Gojung by Tayang Drugs, Onri by Soeum Durgs. 6. Myunghyun symptoms which used indiscriminately in present is stopped and needs a clear observation and description about the drug reactions to the patient's condition.

• 사상체질의학회지
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• 제28권3호
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• pp.286-299
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• 2016

Objectives The purpose of this study was to report significant improvement of functional dyspepsia in 3 patients, who were diagnosed with 'Soyangin Spleen Cold-based Exterior Cold disease' and applied medication based on Sasang Constitutonal medicine.Methods The patients were treated with herbal medications, according to their own constitution. The objective outcome was measured by body composition analyzer and Gastrointestinal Symptom Rating Scale (GSRS), and the subjective sensation was assessed by using Visual Analogue Scale (VAS).Results The symptoms of functional dyspepsia improved remarkedly in all respects, without any side effects. Original symptoms also changed for the better.Conclusions This results show that it is available that functional dyspepsia is treated with medicines according to Sasang Constitutional medicine.

• 한국사회복지학
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• 제66권3호
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• pp.253-276
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• 2014

본 연구의 목적은 국내에서 단축형 간이정신진단검사(Brief Symptom Inventory-18, BSI-18)가 정신장애인의 정신과적 증상을 평가하고 치료 개입의 성과를 측정하는 도구로 활용될 수 있도록 타당도와 신뢰도를 검정하는 것이었다. BSI-18은 BSI-53의 축소버전으로 임상 현장에서 효과적인 개입을 위해 정신과적 증상을 확인하고 진단하며, 치료프로그램의 성과로서 증상변화를 측정하기 위해 개발된 도구이다. 본 연구에서는 정신장애인 180명을 대상으로 하여 첫째, BSI-18 전체 문항과 하위요인에 대한 내적일치도 및 검사-재검사 반복측정을 통해 신뢰도를 파악하였으며, 둘째, 확인적 요인분석을 실시하여 해당구성개념의 요인구조를 확인하였으며, 셋째, BSI-18의 우울 점수와 대표적인 우울척도인 BDI, CES-D 20의 우울 점수 간에 상관관계를 검토하여 준거 타당도를 살펴보았다. 연구의 주된 결과는 다음과 같다. 첫째, BSI-18 전체 문항과 하위요인 등의 검사-재검사 반복측정 결과 선행연구들과 유사한 높은 수준의 반복측정 신뢰도 및 내적일관성을 보여주었다. 둘째, 확인적 요인분석 결과 정신장애인을 대상으로 BSI-18은 3요인 모형이 가장 자료에 부합하는 것으로 나타났다. 셋째, BSI-18의 우울증상은 BDI, CES-D 20과 유의한 정적상관관계가 나타나 준거 타당도가 확보되었다. 이러한 결과들에 대한 연구함의를 논의하여 제시하였다.

• 동의생리병리학회지
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• 제30권6호
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• pp.458-465
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• 2016

The information relating to the health of person has been increasing. The information is such as medical information and personal health record and the information collected by utilization and dissemination of mobile devices. Therefore, the interest and demand for systems that can integrate and manage the Personal Health Record(PHR) is increasing. Quantity and quality of information that is collected from the patient can have a major impact on the diagnosis and treatment of Korean Medicine(KM) in clinical practice. Because closely observe the usual clinical symptoms of patients to utilize the treatment. But if the interview when memories are not sure of the correct answer does not get much easier to find exactly the symptoms. So when recording original symptom(素證) and daily subjective symptom can be helpful for care. Therefore, the personal health care services that can record and manage and own is necessary based on KM. In this paper, we propose Korean Medicine Personal Health Record Platform(KM PHR Platform). We have selected the significant symptoms that mean to the personal records from symptom information required for diagnosis in KM. And classifying and scoring as the symptoms were used as personal health care indicators. And significant symptoms were easily configure a screen that can be recorded. simple operation is recorded as a symptom. It was designed to reflect these functions. So KM PHR Platform helps to Personal health care. Doctor may be able to help in the diagnosis and prognosis observation by reference to shared symptom. We look forward to a variety of health services based on KM using a symptom, a medical record, personal health device information.