• 제목/요약/키워드: phlegm

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한의사와 환자의 설문을 통한 비만 변증지표 연구 (A Study of Syndrome Index Differentiation in Obesity)

  • 문진석;강병갑;류은경;최선미
    • 한방비만학회지
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    • 제7권1호
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    • pp.55-69
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    • 2007
  • Objectives : The aim of the study was to investigate the principal symptoms and a syndrome differentiation in the obesity using surveys from Oriental medical doctors and obese patients. Methods : Seventy three Oriental medical doctors who participated in the 2006 autumn annual conference of Korean Oriental Association for Study of Obesity and 243 obese patients responded to the survey. Results : Twenty nine percent of Oriental medical doctors replied that the syndrome differentiation is the most important diagnosis index, and 21 percent of them replied they use Sasang Constitution classification during diagnostic process. The syndrome differentiations used were mainly phlegm-fluid, blood stasis, spleen vacuity, food accumulation, damp phlegm, and Gi deficiency order. In the response of doctors and patients about principle symptoms of 6 syndrom differentiation belong inside 5 place except phlegm fluid and liver stasis Conclusions : We should develop syndrome differentiation questionnaire about obese symptoms.

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오약(烏藥)이 주약(主藥)으로 배오(配伍)된 방제(方齊)의 활용(活用)에 대한 고찰(考察) (동의보감을 중심으로) (Study on Application of Lindera Radix Main Blended Prescription in Donguibogam)

  • 김창민;이장천
    • 대한한의학방제학회지
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    • 제13권2호
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    • pp.153-168
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    • 2005
  • This study was investigated to make sure the range of Lindera Radix' treatment, the nature of disease, the chief virtue of medicine, the pathology and the usage quantity of it in Donguibogam The results were as follows; 1. The Lindera Radix is used in 15 fields which contain the Cerebrovascular Accident chapter. 2. The Lindera Radix is used in 31 pathologies of the cerebral infarction, intracranial hemorrhage, etc. 3. The Lindera Radix is used in a range of the pathology of the C.V.A, eliminating phlegm, stagnated blood, etc. 4. The Lindera Radix is used in a range of $2.4g{\sim}40g$ in herbal-prescription. The main using dosage is 4g. 5. The Lindera Radix is used with various crude herbs in accordance with the pathogeny. The Lindera Radix has been used to reduce the C.V.A, eliminate phlegm and any blocking substances with dampness, to promote sober by sending qi and reduce pain, etc. According to the results, I suggest to use the Lindera Radix in a various pathogenic fields. The Lindera Radix is able to remove not only pathogenic cerebral infarction or intracranial hemorrhage, but also pathogenic phlegm and sputm, etc.

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설문지 분석법에 의한 담 혈어 한 열 습 조 병기의 표준 증상 및 남녀차이 연구 (Study on Standard Symptoms and Gender Differences of Phlegm, Blood Stasis, Cold, Heat, Dryness Pathogenesis on Questionnaire Analysis)

  • 오명택;엄현섭;김종원;이인선;지규용
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.532-538
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    • 2007
  • In order to establish the standard symptoms in men and women and highly frequent symptoms(HFS) of Phlegm(痰) Blood Stasis(血於) Cold(寒) Heat(熱) Dryness(濕) pathogenesis(病機), 969 questionnaires were analyzed through Cronbach alpha value and Pearson's correlative efficient. The Cronbach ${\alpha}$ value of each pathogensesis was Phlegm(0.83500)${\cdot}$Cold(0.823272)${\cdot}$Heat(0.816344)${\cdot}$Dampness(0.760292)${\cdot}$Blood Stasis(0.692551)${\cdot}$Dryness(0.672783) respectively. Through this study of frequency number of symptoms, followings were found that the physiological differences of men and women made some differences of main symptoms in each pathogenesis, and the differences of several clinical symptoms in a pathogenesis were resulted from the difference of specimens between textbook and this study.

비만 청소년에서 체질량지수와 한의변증의 상관성 (Relation between Body Mass Index and Pattern Identification in Obese Adolescents)

  • 박장경;김경한
    • 대한예방한의학회지
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    • 제21권2호
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    • pp.55-60
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    • 2017
  • Objectives : This study was conducted to analysis correlation of pattern identification and body mass index (BMI) in obese adolescents. Methods : A total of 228 middle school students, 226 students were agreed and included study and two were excluded because of disagreement. It was conducted cold-heat pattern questionnaire, phlegm pattern questionnaire and after height and weight were measured. Firstly, out of 24 who did not respond to all of questionnaires. Secondary, out of 159 who are normal range on international obesity standard(BMI < $30kg/m^2$) Results : The average height and weight of 43 subjects was $159.65{\pm}9.45cm$, $70.10{\pm}8.47kg$ respectively. The average score of pattern identification was cold pattern score(CPS) was $2.70{\pm}1.61$, heat pattern score(HPS) was $3.30{\pm}1.99$, phlegm pattern score(PPS) was $3.95{\pm}5.02$. There was no significant correlation with BMI and CPS, HPS, PPS. Conclusions : In this study, there was no significant correlation of pattern identification and BMI in obese adolescents.

두드러기와 두통-현훈(頭痛-眩暈)을 주소(主訴)로 하는 담음형(痰飮型) 환자의 치험례 (Clinical Case of the Phlegm-retention Type Patient with Urticaria, Headache-Vertigo Symptoms)

  • 최변탁;김형준
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.252-255
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    • 2008
  • Phlegm-retention disease, which is called dameum(痰飮), is a kind of a pathologic secretion products, accumulated excessive water in a special part of a body. Urticaria is a common dermatopathy, coming under “eun-jin(隱疹)” in Korean herbal medicine. Headache and vertigo is a very common diseases in life. There are so many causes which induce uticaria, headache and vertigo. We experienced 31-year old woman case suffering from chronic urticaria, headache, vertigo with digestive disorder, nausea. We diagnosed those symptoms as dameum(痰飮). So we administered Jeongjeongamiyijintang-gamibang(正傳加味二陳湯加味方) to the urticaria, and Banhabaekchulcheonma-tang (半夏白朮天麻湯) to the headache, vertigo. They are both famous herbal medicines for treating dameum-related symptoms, because both of them contains Yijin-tang(二陳湯) which is the main Herbal medicine for dameum(痰飮). We suggest that dameun-related urticaria, headache, vertigo can be treated by preceding medicines.

칠정, 노권, 담음, 식적, 어혈 변증 설문지의 횡문화적 번역 연구 (Development of International Versions of Pattern Identification Questionnaires using Cross-cultural Translation Methodology: Seven Emotions, Fatigue and Malaise, Phlegm, Food Retension, and Blood Stasis)

  • 김현호
    • 대한한의진단학회지
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    • 제22권1호
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    • pp.33-44
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    • 2018
  • Objectives This study aimed to perform a cross-cultural translation of 5 kinds of pattern identification questionnaires from Korean to English: questionnaires for seven emotions, fatigue and malaise, phlegm, food retention, and blood stasis. Methods We followed the strict guideline on the cross-cultural translation of healthcare evaluation tool. Total five stages of study were conducted. First, translations of two individual translators. Second, synthesizing of the two results. Third, two back translations from synthesized version to Korean. Fourth, expert committee reviewed with the original version, synthesized version, back translated versions to make a pre-final version. Last, with the pre-final version, 5 Americans evaluated face validity of the pre-final version. We made a final version after the above-mentioned 5 stages. Result and conclusion International versions of the 5 kinds of pattern identification questionnaires were completed. We can expect this versions are widly used for clinical usage and following academical researches.

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경병(痙病)의 병인병기(病因病機)에 대(對)한 문헌적(文獻的) 고찰(考察) (The Thought of Etiology and Pathogenesis of Convulsion Disease)

  • 류호룡;황치원
    • 혜화의학회지
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    • 제8권1호
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    • pp.371-378
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    • 1999
  • Through the thought of etiology and pathogenesis of convulsion disease in past document, we concluded as follow. 1. Convusion disease brings about some symptoms such as myotonia, neck stiffness, myospasm of four limbs, and in the ancient times it was called in Gye-Jong, Chu-Pung(抽風), Chi. 2. Etiologies of convulsion disease are external invasion of Pung-Han-Seub(風寒濕) and Ybul-Sa(熱邪), mistreatment, great loss of blood, deficiency of Gi-Hyul(氣血), stagnation of phlegm and blood. 3. There are four pathologic cases which arise convulsion disease. They are muscular denutrition from meridian stagnation by external invasion, muscular denutrition of heat injury, stagnation of phlegm and thrombus in meridian, muscular denutrition with deficiency of Gi-Hyul(氣血). 4. The treatment methods of convulsion disease are divided into three. If caused by external invasion, the methods are San-Han-Hae-Gi(散寒解肌), Hwa-Yung-Jo-Joong(和營調中). If caused by deficiency of Gi-Hyul(氣血), the method is Bo-Gi-Ik-Hyul(補氣益血). If caused by stagnation of phlegm and blood, the methods are Hwal-Hyul-So-Eo(活血消瘀), Do-Dam-Gun-Bi(導痰健脾).

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이명(耳鳴)에 관한 정신의학적 문헌고찰(文獻考察) (Study of oriental medical science documentory records of tinnitus and neuropsychiatric aspect of hiccup)

  • 장영주;정인철;이상룡
    • 혜화의학회지
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    • 제18권1호
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    • pp.67-81
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    • 2009
  • 1. According to causes of attack and symptoms, tinnitus is divided into two categories; deficiency and excess. Causes of excess syndrome of tinnitus were wind fire in the liver and gallbladder, phlegm fire, blood stagnation, and heat in meridian system and the causes of deficiency syndrome of tinnitus were qi deficiency or blood deficiency after an illness or delivery, yin deficiency of liver and kidney, and deficiency of sea of the marrow. 2. Tinnitus was related to the vicera and bowels, especially to liver, gallbladder and urinary bladder. 3. In regard of method of treatment, tonify kidney, nourish heart, clear the liver and discharge heat are used according to visera and bowel theory. Clear phlegm and downbear fire are used for phlegm fire. Tonify spleen and kidney is used for ancestral vessel deficiency. Dispel wind and dissipate fire can be used according to theory of five elements' motion and six kinds of natural factors. 4. The basal meridian of acupuncture and moxibustion treatment were the channels of Shaoyang.. 5. Regarding neuropsychiatric aspect of tinnitus, sudden anger and depression of mind were the main mechanism of disease and liver fire was the main cause. The prescriptions for neuropsychiatric tinnitus were Dangguiyonghuehwan, and Yongdamsagantang.

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중풍 환자에서 비수, 비만지표, 변증간 연관성에 대한 고찰 (Study on the Relationship among Bi-Su Type, Obesity Index, and Pattern Identification in Stroke Patients)

  • 정소연;이정섭;강병갑;고미미;김정철;오달석;방옥선
    • 대한한방내과학회지
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    • 제30권3호
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    • pp.550-557
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    • 2009
  • Objectives : The purpose of this study was to investigate the possibility of Bi-Su as a pattern identification (PI) index in stroke patients. Methods : The subjects were 424 hospitalized stroke patients within 1 month from onset and diagnosed with the same PI subtypes (dampness & phlegm, qi deficiency, fire & heat, eum deficiency, and blood stasis) by agreement of two clinical experts. Bi-Su type is a kind of body shape (Bi : fat, Su : lean). Bi-Su type and degree (Bi-Su score) were decided by clinical expert. Body mass index (BMI) and waist-hip ratio (WHR) were used as an obesity index. Correlation analysis between Bi-Su score and obesity index (Spearman) and variance analysis for Bi-Su score, BMI, and WHR among PI subtypes (ANOVA) and sex were carried out. Results : While there was partial correlation between Bi-Su type and BMI($r^2$=0.634, p<0.001), the distribution of the BMI group based on the Bi-Su group showed the broadest range. The Bi-Su score in the dampness & phlegm group was higher than in the other groups (p<0.001). BMI in the dampness & phlegm groups was also higher but the BMI differences among PI subtypes was low (p=0.002). The Bi-Su score in the dampness & phlegm group was similar in both sexes, although the hand score in the eum deficiency group was the lowest, especially in males. Conclusions : Although BMI is not an objective enough tool for evaluating Bi-Su type, Bi-Su type is more appropriate than BMI as PI index. Therefore Bi-Su type could be used as one of the PI indices for dampness & phlegm or eum deficiency group in stroke patients.

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변증과 심박변이도의 상관성 연구 (Clinical Study on Relationship between Pattern Identifications and Heart Rate Variability)

  • 최상옥;박선영;정희진;정소연;안수연;김경민;김영균
    • 동의생리병리학회지
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    • 제27권3호
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    • pp.318-326
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    • 2013
  • This study was performed to investigate relationship between each pattern identification and heart rate variability(HRV) indices. We analyzed 201 subjects who participated in stroke check up. We classified the subjects into four groups of pattern identifications; Fire-Heat pattern(FH), Yin Deficiency pattern(YD), Qi Deficiency pattern(QD) and Dampness-Phlegm pattern(DP) that based on Korean Standard Pattern Identifications for Stroke-III. We investigated significance of HRV indices between each pattern identification and heart rate variability indices. The total number of the subject group was 201, whereas the groups were divided into four groups; Fire-Heat pattern group(n=47), Yin Deficiency pattern(n=65), Qi Deficiency pattern(n=33), and Dampness-Phlegm pattern(n=56). SDNN, TP, Ln(TP), VLF, Ln(VLF), LF, Ln(LF) and HF were significantly higher in the Fire-Heat pattern(FH) group than other groups of pattern identifications, but there was no differences among the Yin Deficiency group, the Qi Deficiency group and the Dampness-Phlegm group. Ln(HF), LF(NORM), HF(NORM) and LF/HF ratio were significantly higher in the Fire-Heat group than in the Qi Deficiency group. However, there was no significant differences among the Dampness-Phlegm group, the Yin Deficiency group, Fire-Heat group and the Qi Deficiency group. Through this study, we found out some significant relationships between each pattern identification group and HRV indices. The result of this study demonstrates that sympathetic nerve was more active in the Fire-Heat group than other groups.