• 제목/요약/키워드: stasis

검색결과 426건 처리시간 0.027초

월경통의 변증별 증상특징에 대한 문헌 연구 (A Literature Review on Syndrome Differentiation of Dysmenorrhea)

  • 이지연;김정환;이인선
    • 대한한방부인과학회지
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    • 제32권1호
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    • pp.48-72
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    • 2019
  • Objectives: This study was conducted to comprehend the syndrome differentiations of dysmenorrhea and find out their clinical symptoms, tongue images and pulse patterns by analyzing previous studies. Methods: The following researches were collected by searching the medical journals published from November, 2007 to October, 2017, from KISS, OASIS, CNKI. : researches on the syndrome differentiation of dysmenorrhea, researches on the criteria of diagnosis of syndrome differentiation of dysmenorrhea, randomized controlled trials (RCT) used syndrome differentiation for treating dysmenorrhea. Results: By investigating the frequency of syndrome differentiations used in RCT studies, the frequent ones were chosen. They were qi stagnation and blood stasis (氣滯血瘀), qi-blood deficiency (氣血虛弱), congealing cold with blood stasis (寒凝血瘀), liver-kidney depletion (肝腎虧損), blood stasis with dampness-heat (濕熱瘀阻). Conclusion: 4 syndrome differentiations were frequently used in RCT studies. And the frequency of clinical symptoms on each syndrome differentiations from each RCT study was analyzed and compared. Clinical symptoms chosen as chief symptoms in more than one reference, appeared in more than half of the references, most frequent tongue images and pulse conditions were organized. The most frequent clinical symptoms included the period and pattern of pain, the accompanying symptoms of whole-body and the pattern of menstrual bleeding.

Assessment of Cerebral Circulatory Arrest via CT Angiography and CT Perfusion in Brain Death Confirmation

  • Asli Irmak Akdogan;Yeliz Pekcevik;Hilal Sahin;Ridvan Pekcevik
    • Korean Journal of Radiology
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    • 제22권3호
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    • pp.395-404
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    • 2021
  • Objective: To compare the utility of computed tomography perfusion (CTP) and three different 4-point scoring systems in computed tomography angiography (CTA) in confirming brain death (BD) in patients with and without skull defects. Materials and Methods: Ninety-two patients clinically diagnosed as BD using CTA and/or CTP for confirmation were retrospectively reviewed. For the final analysis, 86 patients were included in this study. Images were re-evaluated by three radiologists according to the 4-point scoring systems that consider the vessel opacification on 1) the venous phase for both M4 segments of the middle cerebral arteries (MCAs-M4) and internal cerebral veins (ICVs) (A60-V60), 2) the arterial phase for the MCA-M4 and venous phase for the ICVs (A20-V60), 3) the venous phase for the ICVs and superior petrosal veins (ICV-SPV). The CTP images were independently reviewed. The presence of an open skull defect and stasis filling was noted. Results: Sensitivities of the ICV-SPV, A20-V60, A60-V60 scoring systems, and CTP in the diagnosis of BD were 89.5%, 82.6%, 67.4%, and 93.3%, respectively. The sensitivity of A20-V60 scoring was higher than that of A60-V60 in BD patients (p < 0.001). CTP was found to be the most sensitive method (86.5%) in patients with open skull defect (p = 0.019). Interobserver agreement was excellent in the diagnosis of BD, in assessing A20-V60, A60-V60, ICV-SPV, CTP, and good in stasis filling (κ: 0.84, 0.83, 0.83, 0.83, and 0.67, respectively). Conclusion: The sensitivity of CTA confirming brain death differs between various proposed 4-point scoring systems. Although the ICV-SPV is the most sensitive, evaluation of the SPV is challenging. Adding CTP to the routine BD CTA protocol, especially in cases with open skull defect, could increase sensitivity as a useful adjunct.

급성(急性) 뇌경색환자(腦硬塞患者)에서 활혈화어(活血化瘀) 치법(治法)의 응용(應用) (Clinical study on circulating blood and extinguishing blood stasis method in acute ischemic stroke patients)

  • 김동웅
    • 대한예방한의학회지
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    • 제3권1호
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    • pp.147-155
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    • 1999
  • In order to investigate the effect of circulating blood and extinguishing blood stasis method on acute ischemic stroke treatment, we compared muscle weakness in two groups. Dansamhwanotang was administered to experimental group and the Sopungtang was administered to comparison group. In prospective and consecutive study, 24 patients(male 14, female 10) were admitted to hospital within 6hours(median $4.21{\pm}2.45)$ after stroke attack. All of them were diagnosed computed tomography as acute cerebral infarction. We divided that patients into two groups. The experimental group was 13, took median $4.17{\pm}1.72hrs$ to admission after stroke attack and the comparison group 11, median $4.31{\pm}2.72hrs$ to admission after stroke attack. There was no statistical difference in time consumed from stroke onset to admission(P>0.05). Muscle weakness was measured on admission and 7 days later on AMA(American Medical Association) method. In the experimental group, muscle weakness on admission was $2.23{\pm}0.51$ and $2.79{\pm}0.72$ in upper and lower extremity, respectively. In comparison group, muscle weakness on admission was $2.17{\pm}0.43$ and $2.67{\pm}0.82$ in upper and lower extremity, respectively. There was no difference in muscle weakness(P〈0.05). In 7 days after, muscle weakness was $2.31{\pm}0.35$ in upper extremity and $3.15{\pm}0.12$ in lower extremity in experimental group, and $2.27{\pm}0.74$ in upper extremity and $3.45{\pm}0.48$, lower extremity in comparison group. There was no meaningful improvement statistically in upper extremity(p<0.05) but significant evolution in lower extremity(p<0.05). The muscle weakness comparison between admission time and 7 days later was as follows. Experimental group had improvement at the degree of $0.24{\pm}0.92$, $0.42{\pm}0.82$ in upper and lower extremity, respectively and comparison group, $0.12{\pm}0.82$, $0.27{\pm}0.97$ in same part(p<0.05). So, Dansamhwanotang administered group had more good muscle weakness improvement than Sopungtang administered group(P>0.05). From the above result, I suppose that circulating blood and extinguishing blood stasis method helps recover hemiparesis caused by acute ischemic cerabral disease, in acute stage at least.

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파킨슨병의 한의학적 고찰 -병인병리(病因病理)와 침구요법(鍼灸療法)을 중심으로- (Literature Review on Parkinson's Disease in Oriental Medicine)

  • 박상민;이상훈;인창식;강미경;장대일;강성길;이윤호
    • Journal of Acupuncture Research
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    • 제21권1호
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    • pp.202-210
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    • 2004
  • Objective: In order to find oriental medical therapies on Parkinson's disease and to make a fundamental basis for clinical application, this study was performed. Methods: We reviewed 35 kinds of the ancient and modern text, and related articles. Results: Parkinson's disease is an extrapyramidal disease characterized by akinesia, tremor at rest, rigidity, and slowness of movement. In old oriental medical text, Parkinson's disease is described as Jinjeon(振顫), Chi, Gyeong (痙), Gyejong, Ryeon(攣) and Pyeongo(偏枯), Tantan, Jungbu(中腑症) of Jungpung(中風). According to the text, major pathological causes were Wind(風), Fire(火), Phlegm(痰), and Blood stasis(瘀血). And Parkinson's disease can be classified into four clinical types as liver & kidney yin-deficiency, qi & blood deficiency, retention of phlegm-heat, and qi-stagnation & blood stasis. Standardized acupuncture points are GV20, GB20, GV14 on head, CV12, ST25 on abdomen, GV26, ST7, GB1, S14, LI20 on face, LI4, LI11, TE5, SI3, HT3, LI15, SI6 on upper extremity, and ST36, GB34, SP6, LR3, KI1, GB30, BL40 on lower extremity. Other methods, such as scalp acupuncture, electro-acupuncture, and herb-acupuncture, can be applied to treat Parkinson's disease. Conclusions: We find out that there are oriental medical concepts related with Parkinson's disease such as Jinjeon(振顫), Chi, Gyeong (痙), Gyejong, Ryeon(攣) and Pyeongo(偏枯), Tantan, Jungbu(中腑症) of Jungpung(中風), of which major causes are Wind(風), Fire(火), Phlegm(痰), and Blood stasis(瘀血). We can also apply many effective acupuncture points and acupuncture therapies according to differential diagnosis, for example, liver & kidney yin-deficiency. qi & blood deficiency, retention of phlegm-heat, and qi-stagnation & blood stasis.

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제17대 대통령 후보 합동 토론 언어네트워크 분석 - 북한 관련 이슈를 중심으로 (Semantic Network Analysis of Presidential Debates in 2007 Election in Korea)

  • 박성희
    • 한국언론정보학보
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    • 제45권
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    • pp.220-254
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    • 2009
  • 대통령 후보 합동 TV토론은 후보들의 정책과 인성의 상호 검증을 통해 민주적인 방식의 대통령 선출에 기여하는 중요한 선거 캠페인이다. 본 연구는 제17대 대통령 후보들이 TV합동토론에서 상호 교환한 어휘군(群)의 연결망을 언어네트워크 분석 소프트웨어인 KrKwic와 UCINET을 통해 분석하고 단어의 사용과 단어 간 거리를 비교 고찰함으로써 정치 토론의 실효성을 점검하고 북한 관련 이슈에 대한 후보 간 입장 차이를 규명하고자 했다. 연구 결과 이명박, 정동영, 이회창 세 후보의 상호토론에는 중심 논제의 구성이 본래 토론이 지향하는 상호이해의 구성요건인 접점(stasis)을 형성하기에 부적합하고, 단어의 선택과 사용빈도에서 생산적인 공방이나 토론의 교육적 효과에 대한 한계를 노정시킨 것으로 나타났다. 북한 관련 이슈 8개 단어들의 공출현 단어 간 거리 분석(co-occurrence matrix) 결과, 각 후보가 연결시킨 단어들 간의 관계를 통해 입장의 차이를 도식화할 수 있었다. 이명박 후보는 북한 문제를 남한과의 상대성에서 파악하는 경향을 보였으며, 이회창 후보는 한-미간의 관계 틀 안에서 북한 문제를 고려하고 북한문제와 핵문제를 동일시하는 것으로 드러났다. 또 정동영 후보는 북한의 문제를 한반도 문제로 개념화하고 북한과 전쟁을 연결 짓지 않는 특징을 나타냈다.

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동의보감(東醫寶鑑)의 심종요통(十種腰痛)에 근거(根據)한 요통환자(腰痛患者)의 임상적(臨床的) 연구(硏究) (A Clinical Study about Low Back Pain Patients Based on 10 Classes Lumbago in Dong-Eui-Bo-Kham)

  • 염승철;이길승;김성철;이건목
    • Journal of Acupuncture Research
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    • 제22권4호
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    • pp.95-111
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    • 2005
  • Objectives : The analysis of prognosis about lumbago classes is important for low back patients. This study was designed to show the clinical significance about lowback pain patients based on 10 classes lumbago ill Dong-Eui-Bo-Kham. Methods : To analyze classify 80 patients who had received the hospital treatment for low back pain, they were classified according to 10 classes lumbago in Dong-Eui-Bo-Kham. To estimate the efficacy of oriental medical treatment, we used Quardruple Visual Analog Scale (QVAS). Results & Conclusion :1. According To 10 classes lumbago in Dong-Eui-Bo-Kham, the largest group of lumbago was due to muscle strain in 30(37.5%) cases, the next was due to wind pathogen group in 18(22.5%) cases, due to blood stasis group in 16(20%), due to Kidney deficiency by 12(15.0%), due to retention of food group by 2(2.5%), the lumbago due to humidity pathogen group by 2(2.5%) in order. 2. By the results which puts out the statistics in lumbago classes on a objectivity treatment record, the Lumbago due to blood stasis, the lumbago due to kidney deficiency, the lumbago due to muscle strain, the lumbago due to wind pathogen, the lumbago due to retention of food, the lumbago due to humidity pathogen showed $3.6({\pm}0.68),\;2.83({\pm}0.84),\;3.13({\pm}0.78),\;2.67{\pm}(0.77),\;3.00,\;3.00$. 3. By the results which puts out the statistics in lumbago classes as a subjectivity treatment record, the Lumbago due to blood stasis, the lumbago due to Kidney deficiency, the lumbago due to muscle strain, the lumbago due to wind pathogen, the lumbago due to retention of food, the lumbago due to humidity pathogen changed from $8.19{{\pm}1.68),\;8.58{\pm}(1.08),\;7.80{\pm}(2.28),\;8.67({\pm}1.46),\;9.00({\pm}1.41),\;8.50({\pm}0.71)\;to\;2.81({\pm}1.91),\;4.17({\pm}2.52),\;2.43({\pm}1.63),\;3.00({\pm}1.85),\;2.00,\;3.00$.

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타박(打撲)에 의한 활액낭종(滑液囊腫)의 치험례(治驗例) (Treatment Example of Bursitis Caused by Stroke)

  • 이수경;이용양;김영환;박원환
    • 대한한의진단학회지
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    • 제14권1호
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    • pp.79-95
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    • 2010
  • Background and Purpose : By preventing diseases caused by exogenous evil, disorder of internal organs, and seven modes of emotions and adapting to mother nature when the mind is unsettled, and keeping the body and mind relaxed diseases can be avoided, but there can be unpredicted situations caused accidentally by stroke. Currently the general prescription is regulating the flow of vital energy including drugs eliminating blood stasis. Even though the stroke is resulted from diseases caused by exogenous evil, by observing the patient's physical appearance, essence of life, vital energy, and mental faculties which are believed to be the functions of the heart to clear the upper body and invigorate the functions of the spleen and stomach and purge with drugs of warm nature is a closer approach than simply prescribing vital energy regulating drugs with eliminating blood stasis to the main purpose of treatment. Methods : 1) The subject of the study are 2 cases of patients who have visited the private hospital of the person who is announcing the results of the study. These patients have been given a diagnosis of edema or cystoma caused by bursitis in the knee joint through perception or medical examination and were waiting for operational application. 2) Sources related to stroke from Dong Eui Bo Gwam(東醫寶鑑) were used as the general standard of Korean Traditional Medicine, and to promote the understanding the original text and the translation has been given. 3) By observing the whole body such as the patient's usual physical appearance, essence of life, vital energy, and mental faculties which are believed to be the functions of the heart, or partly using the "Yin is even and well while Yang is firm" theory of "Plain Questions" as the background to present the results of the clinical study. Results and Conclusion : Generally the prescriptions from the first volume of Dong Eui Bo Gwam(東醫寶鑑) are mostly drugs eliminating stagnated blood including extravasated blood and the blood moving sluggishly in circulation or congested in a viscus, alleviating pain, invigorating blood circulation. Also prescriptions for bone fracture or fracture of bones and sinews are mostly to eradicate blood stasis with drastic drugs or coaptation drugs added to drugs eliminating stagnated blood including extravasated blood and the blood moving sluggishly in circulation or congested in a viscus, alleviating pain, invigorating vital energy, possessing warm properties for the Xue system.

金元四大家의 外科疾患에 對한 硏究;(癰疽瘍瘡을 中心으로) (A Literature Study on Surgical Disease of the Four Famous Physicians in JinYuan Period)

  • 김희택;노석선
    • 한방안이비인후피부과학회지
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    • 제12권1호
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    • pp.179-214
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    • 1999
  • The result were as follows: 1. Yu Wan So(劉完素) regarded the cause of surgical disease as the heat(熱). He used the three method to drain(疏通), promoting pus drainage(托裏) and the balance between ying-energy(營氣) and wei-energy(衛氣). 2. Jang Jong Jeung(張從正) only refered to medicines without entire theory. 3. Lee Dong Won(李東垣) regarded the cause of surgical disease as the greasy diet(膏梁厚味), damp air(濕氣), wetness heat(濕熱). For each treatment he used the method of Yu Wan So's treatment and emphasized the balance between ying-energy(營氣) and wei-energy(衛氣), stomach energy(胃氣). 4. Ju Jin Heung(朱震亨) distinguished the cause of surgical disease from enternal(內), external(外) and channel(經). For each treatment he used the method to drain(疏通), promoting pus drainage(托裏) and the balance between ying-energy(營氣) and wei-energy(衛氣). The first stage used the clearing away heat and toxic materials(淸熱解毒) and the last stage used the invigoration and dispersion(補托). 5. Yu Wan So(劉完素) used to be very busy of Moschus(麝香), Alumen(白礬), Olibanum(乳香), Coptidis Rhizoma(黃連), Minium(黃丹) and Scutel1ariae Radix(黃芩) In classification of the medical action, great part of the medicine are activating blood circulation to dissipate blood stasis(活血祛瘀), clearing away heat and toxic materials( 淸熱解毒) and external application(外用). 6. Jang Jong Jeung(張從正) used to be very busy of Olibanum(乳香), Angelicae Gigantis Radix(當歸), Minium(黃丹), Myrrha(沒藥), Calomelas(輕粉), Rhei Radix Et Rhizoma(大黃) and Phellodendri Cortex(黃柏). In classification of the medical action, great part of the medicine arc activating blood circulation to dissipate blood stasis(活血祛瘀), clearing away heat and toxic materials(淸熱解毒) and diverged wind-cold evil(發散風寒). 7. Lee Dong Won(李東垣) used to be very busy of Forsythiae Fructus(連翹), Scuteliariae Radix(黃芩), Angelicae Gigantis Radix(當歸). Astragali Radix(황기), Glycyrrhizae Radix(炙甘草), Bupleuri Radix(紫胡), Phellodendri Cortcx(黃柏), and Coptidis Rhizoma(黃連). In classification of the medical action, great part of the medicine are activating blood circulation to dissipate blood stasis(活血祛瘀), regulating vital energy(理氣) and clearing away heat and toxic materials(淸熱解毒). 8. Ju Jin Heung(朱震亨) used to be very busy of Glycyrrhizae Radix(甘草), Astragali Radix(황기), Angelicae Gigantis Radix(當歸), Phellodendri Cortex(黃柏), Scutellariae Radix(黃芩), Ginseng Radix(人蔘), Qlibanum(乳香). In classification of the medical action, great part of the medicine are clearing away heat and toxic materiaIs(淸熱解毒), activating blood circulation to dissipate blood stasis(活血祛瘀) and diverged wind-cold evil(發散風寒).

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가미귀비탕(加味歸脾湯)이 경행후기(經行後期)인 여대생들의 기울과 소화장애에 미치는 영향에 관한 연구 (A Study about Effects of Gamiguibi-tang on Stress and Digestive Disorder of Women Students with Oligomenorrhea)

  • 김미림;김윤상;이용현;임은미
    • 대한한방부인과학회지
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    • 제26권2호
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    • pp.104-119
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    • 2013
  • Purpose: The purpose of this study is to recognize menstrual pattern, stress, digestive disorder of female college students who have oligomenorrhea and effects of Gamiguibi-tang. Methods: We researched 30 female students who responded to have menstrual irregulation at ${\bigcirc}{\bigcirc}$ college by questionnaires investigating their menstruation, stress, digestive disorder, and changes of symptoms before and after taking Gamiguibi-tang. Results: 1. There was statistical correlation between menstrual pattern and Qi-Stasis Questionnaire symptoms. 2. There was statistical correlation between menstrual pattern and digestive disorder symptoms. 3. There was statistical correlation between improvement of Qi-Stasis Questionnaire symptoms and usage of Gamiguibi-tang. 4. There was statistical correlation between improvement of digestive disorder symptoms and usage of Gamiguibi-tang. Conclusions: This study showed the stress and digestive disorder symptoms are effectively relieved by Gamiguibi-tang. By this result we expect that Gamiguibi-tang can be used for oligomenorrhea caused by stress or digestive disorder.

The effects of Sa-Mul-Tang (Si-Wu-Tang), a Traditional Chinese Medicine, on Phenylhydrazine-induced Anemic Rats

  • Ryu, Jong-Hoon;Yook, Chang-Soo
    • Biomolecules & Therapeutics
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    • 제9권1호
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    • pp.1-6
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    • 2001
  • Sa-Mul-Tang (Si-Wu-Tang, SMT), a kind of Chinese medicine, has been used for the hemato-deficient disease for hundreds of years. In this work, investigations on the anti-anemic activity of an aqueous extract of SMT were undertaken in order to find the pharmacological basis for the ethnomedical use of the formulation. Three kinds of Angelicase species, such as Angelica sinensis, Angelica acutiloba, and Angelica gigas, were used for preparing the water extracts of SMT. Anemic model rats were induced by the treatment of phenylhydrazine (40 mg/kg/day, i.p.) for 4 days. After the treatment of phenylhydrazine, rats were divided into several groups for their different treatment of three kinds of SMT. Red blood cell (RBC), hemoglobin (Hg), and hematocrit (Hct) were determined on the day 0, 3, 6, 10, 14 after the treatment of SMTs and erythrocytes deformabilities were also determined at the end of experiments. Oral administration of SMT (1g/kg/day) for 14 days did not ameliorate drug-induced anemic states evaluated by RBC counts, Hg contents, and Hct values. However, the erythrocyte deformabilities were improved in phenylhydrazine-treated group by the administragest that SMTs (p<0.05). Especially, these effects were high in the Angelica acutiloba group. These results suggest that SMTs have an ameliorative effect on blood rheology related to the blood stasis syndrome in oriental diagnostics not on the blood deficient states related to the anemic syndrome.

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