• Title/Summary/Keyword: symptom differentiation

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Study for Relationship between the Type of Differentiation of Symptoms and Signs of Oriental Gynecology and Sasang Constitution (In the Field of the Patiehts who chiefly complained Feeling of Cold) (부인과(婦人科) 냉증환자(冷症患者)의 변증유형(辨證類型)과 사상체질(四象體質)과의 관계에 대한 소고(小考))

  • Lee, In-seon;Kim, Jong-weon;Lee, Sang-hoon
    • Journal of Sasang Constitutional Medicine
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    • v.9 no.2
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    • pp.263-281
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    • 1997
  • We studied the relationship between each type which was figured out by the question paper given to the patients who chiefly complained feeling of cold and Sasang constitution. The results are as follows. 1. Diagnoses in woman's disease with feeling of cold(冷病) are abdomnal mass(uterine myoma, ovarian cyst), dysmenorrhea, leukorrhea and infertility, orderly in number. They have commoness in the origin of disease which are stagnation of Qi(氣滯) and blood stasis(血瘀), cold(寒), damp(濕) and we can find the causes of feeling of cold are stagnation of blood(血瘀) and harmness of damp(水毒). 2. In the type of survey through the question paper, the largest number of the origin of that disease is cold, the next is blood stasis and dificiency of Qi(氣虛), dificiency of blood(血虛), stagnation of Qi, damp phlegm(濕痰) etc. 3. (1)The numbers by constitutional assortment of object are like this. Taeumin are 23 persons,Soumin 14 and Soyangin 6, so we can find the feeling of cold turn up evenly in all constitution but the number of Soyangin was relatively small. (2)The inclination of constitutional type is the highest in Soumin and they often have and feel strongly disorders of their body. (3)We could find the corelation of theoretical background of Sasang Medicine in constitutional type of survey. 4. (1)The numbers by constitutional assortment of the patients with feeling of cold and numbness(冷痺症) are like this. Taeumin are 16 persons, Soumin 7 and Soyangin 3, as are like the distribution of 3-(1). (2)The inclination of constitutional type is the highest Soumin, so they have multiple type of differentiation of symptoms and signs and their symptoms is old and severe, therefore they need long time for cure. In all, except the symptom with feeling of cold caused by dificiency of the blood and insufficiency of yang(氣虛와 陽虛) that we meet frequently on clinic is numerous, the number of that caused by stagnation of Qi and blood(氣滯와 血滯) alike dysautonomia is also large. And we can find the feeling of cold turn up evenly in all constitution but the number of Soyangin was relatively small. Within the case of Soumin, they have both dificiency of Qi and blood, have complex source, so their symptoms are old and severe and they need long time for cure. In Taeumin, they are of large number with dificiency of Qi and we think thst that are concerned with the symptom of exterior cold.

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Comparative Study on Etiological Cause, Pathogenesis Mechanism of "Shanghanlun" and "Wenbingtiaobian" ("상한론(傷寒論)"과 "온병조변(溫病條辨)"의 병인병기론적 비교 연구)

  • Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.1
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    • pp.1-10
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    • 2013
  • We can understand "Shanghanlun(傷寒論)" and "Wenbingtiaobian(溫病條辨)" which are major books on externally contracted diseases well by making a comparative study of their similarities and differences. After studying etiological causes and characteristics of disease, disease pattern, syndrome differentiation, transmutation rules, following conclusions are derived. While cold is an etiological cause of Cold damage and harms Yang qi, heat is an etiological cause of Warm disease and harms Yin qi. Cold damage and Warm disease have something in common in the respect of damage to fluid and humor and Yang qi. Exuberant heat symptom of Yang brightness disease and lesser yin heat transformation pattern have similar damage to fluid and humor as Warm disease does. Warm disease can reach qi collapse syndrome through damage to Yang qi following fluid and humor damage. In the respect of water qi, as Cold damage makes water-dampness retain easily due to cold congealing, dampness-draining diuretic medicinal and warm yang medicinal are used together. As warm disease damages fluid and humor, yin-tonifying medicinal is used and dampness-draining diuretic medicinal can be used in the case of Warm disease with dampness. In the respect of disease pattern, cold syndromes arise mostly by Cold damage except heat syndrome of grater yang disease, chest bind syndrome, stuffiness syndrome, reverting yin disease and yang brightness disease. Warm disease is classified as pure heat syndrome and heat syndrome with bowel excess, damage to yin, qi collapse or damage to blood.

Preliminary Study on Development of Korean Medicine Clinical Practice Guideline for Esophageal Cancer (식도암 한의 임상진료지침 개발 예비 연구)

  • Gwak, Si-Ra;Cui, Zhenyang;Joo, Jong-Cheon;Yoo, Hwa-Seung;Park, Soo-Jung
    • Journal of Korean Traditional Oncology
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    • v.22 no.1
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    • pp.37-48
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    • 2017
  • Objectives: The purpose of this study was to suggest the direction for the development of a clinical practice guideline (CPG) for esophageal cancer (EC). Methods: We collected and analyzed CPGs and related data about esophageal cancer by searching the database of domestic and foreign articles. Results: There were little contents or proposals related to Korean Medicine (KM) or Traditional Chinese Medicine (TCM), those related to KM or TCM can be found only in "Guidelines of Diagnosis and Therapy in Oncology with Traditional Chinese Medicine (惡性腫瘤中醫診療指南)". They were symptom factors, syndrome differentiation (SD) and 'treatment process of esophageal cancer by combination of western medicine and Korean medicine'. Conclusions: The topics of the development Korean medicine CPG for EC are (1) the method and procedure about combination of western medicine and Korean medicine (2) the process of SD and diagnosis (3) safety and efficacy of the herbal medicine and preparation (4) availability and timing of the tools related to KM or TCM like acupuncture, moxibustion, massage, etc.

Clinical Effect through Histological Characteristics of Focal Ischemia Region (뇌허혈성 부위의 조직학적 특성을 통한 임상적 영향)

  • Lee, Tae-Hoon
    • Journal of Industrial Convergence
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    • v.17 no.4
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    • pp.39-43
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    • 2019
  • Mouse embryonic stem cell could show an substitutional materials of cells of neuron differentiation, positively increasing their effectiveness in the treatment of nervous symptom. We examined that mouse embryonic stem cells (mESCs) can be induced to undergo neuronal differentiation. After neuronal induction, the phenotype of mESCs changed towards neuronal morphology and mESCs were injected into the lateral ventricle of the experimental animal brain. Transplanted cells migrated to various parts of the brain and ischemic brain injury by middle cerebral artery occlusion (MCAO) increased their migration to the injured cortex. Intracerebral grafting of mESCs mostly improve sensory and motor nervous system of neurological injury in focal cerebral rats.

Changes and characteristics of the biochemical components on the differentiation of soybean cell tissue cultures : (II) Changes and characteristics of the lipid on the differentiation of soybean cell tissue cultures (대두 기내 배양체의 분화에 대한 생화학적 성분의 변화와 특성 : (II) 대두 기내 배양체의 분화에 대한 지질의 변화와 특성)

  • Nam, Sang-Hae;Yang, Min-Suk
    • Applied Biological Chemistry
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    • v.34 no.2
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    • pp.142-148
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    • 1991
  • When cultured soybean immature seed on 15th days after flowering, suitable temperature in formation of callus were $24{\sim}27^{\circ}C$, and embryogenic callus(EC) were generated at medium containing NAA with growth regulators, and then, results were subcultured the EC, a plenty of shoots and roots were formed at medium supplemented BA 2mg/1 and IAA 2mg/1, respectively, however when used at medium the same time supplemented BA 2mg/1 and IAA 2mg/1, formation of cullus was energetic, and a symptom of organization was not showed , Total lipid contents include in each cultures were increased at low temperature of cultural conditions as much as possible, but glycolipid, phospholipid, free sterol contents were a little increased at $24{\sim}27^{\circ}C$, and free sterol content was increased at a case of embryogenic structure were generated. In fatty acid compositions in each cultures, the contents of unsaturated fatty acid were plenty in EC, and unsaturation rate was 0.837. Besides, in sterol compositions, cholesterol content was remarkably high in EC than that of other cultures.

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Differentiation in Pathogenicity of Alternaria kikuchiana Tanaka, Black Spot Fungus of Pear, and Conversion of Resistant Varieties into Susceptible ones (배나무 검은무늬병균(Alternaria kikuchiana Tanaka)에 병원성분화와 저항성품종의 이병화)

  • Ki Un Kye;Park Seur Kee;Cho Back Ho;Kim Ki Chung
    • Korean journal of applied entomology
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    • v.23 no.1 s.58
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    • pp.7-14
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    • 1984
  • Recently, a symptom similiar to black spot caused by Alternaria kikuchiana on the pear leaves is prevailing in Naju, Chonnam Province. This experiment was conducted in order to clarify causal agent and to survey present status on it. Disease lesions on the leaves were brown or black brown in color, circle or irregular circle in shape, $2\~6mm$ in diameter, and faintly zonal. Central part of lesions was gradually changed to greyish-white. The causal fungus was identified as Alternaria kikuchiana Tanaka causing black spot of pear reported previously on variety I-sib-se-gi (Nijisseki) of pear. However, this disease differed from that of typical black spot reported already in some aspects; It occurred more highly on matured leaves than on young ones. And it occurred severely in varieties Shin-heung, Shin-ko, Man-sam-gil(Okusankichi) etc. which have been reported as resistant varieties, while slightly in varieties Cho-ok(Hayadama), Park-da-cheung (Hakadahare) etc. which have been known as susceptible ones. From the results described above, it is considered that this disease is due to the differentiation in pathogenicity of Alternaria kikuchiana Tanaka in that area.

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The clinical manifestation of migraine and correlation study with autonomic bioelectric response (편두통 환자의 임상 양상 및 생체전기 자율반응과의 상관성 고찰)

  • Lee, Hyun-jong;Jung, In-tae;Kim, Su-young;Lee, Doo-ik;Kim, Keon-sik;Lee, Jae-dong;Lee, Yun-ho;Choi, Do-young
    • Journal of Acupuncture Research
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    • v.21 no.3
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    • pp.215-229
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    • 2004
  • Objective : We had a clinical report in headache but didn't in migraine. We have planned this study in order to get the basic data of migraine in oriental medicine. Methods : The patient of 36 in migraine checked sex, age, onset, family history, severity of pain, influences of life, induced cause, clinical pain characteristics, associated symptom, treatment style, and prescription, frequency, using period of analgesics by a questionnaire and differentiated syndromes in migraine and evaluated autonomic bioelectric response recorder(ABR-2000). Results : There are 23.4% in prevalence rate of migraine. The ratio of sex is M:F=1:17. The age of an attack is the highest in thirties. The patient are the most in forties. The mean duration of illness is $12.0{\pm}9.9$ years. 83.4% had a family history. 61.1% had a moderate grade in severity of pain. 77.8% selected fatigue in induced cause of migraine. 69.4% had tingling sense, nausea and vomiting in the associated symptoms. 91.7% used analgesics for treatment and 51.5% of them used analgesics voluntarily. 61.9% of them take analgesics less than once in a week. 33.6% had the phlegm syncope headache in differentiation of syndrome. In ABR-2000 results, item of graph showed low tendency mostly. Conclusions : We expected that this report of clinical progress, differentiation of syndromes and ABR-2000 results in migraine would be used basic data by oriental medicine to treat migraine.

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Comparison of Diagnostic Accuracy and Prediction Rate for between two Syndrome Differentiation Diagnosis Models (중풍 변증 모델에 의한 진단 정확률과 예측률 비교)

  • Kang, Byoung-Kab;Cha, Min-Ho;Lee, Jung-Sup;Kim, No-Soo;Choi, Sun-Mi;Oh, Dal-Seok;Kim, So-Yeon;Ko, Mi-Mi;Kim, Jeong-Cheol;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.938-941
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    • 2009
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. In the present study we tried to develop the statistical diagnostic tool discriminating the subtypes of oriental medicine diagnostic system, syndrome differentiation (SD). Discriminant analysis was carried out using clinical data collected from 1,478 stroke patients with the same subtypes diagnosed identically by two clinical experts with more than 3 year experiences. Numerical discriminant models were constructed using important 61 symptom and syndrome indices. Diagnostic accuracy and prediction rate of 5 SD subtypes: The overall diagnostic accuracy of 5 SD subtypes using 61 indices was 74.22%. According to subtypes, the diagnostic accuracy of "phlegm-dampness" was highest (82.84%), and followed by "qi-deficiency", "fire/heat", "static blood", and "yin-deficiency". On the other hand, the overall prediction rate was 67.12% and that of qi-deficiency was highest (73.75%). Diagnostic accuracy and prediction rate of 4 SD subtypes: The overall diagnostic accuracy and prediction rate of 4 SD subtypes except "static blood" were 75.06% and 71.63%, respectively. According to subtypes, the diagnostic accuracy and prediction rate was highest in the "phlegm-dampness" (82.84%) and qi-deficiency (81.69%), respectively. The statistical discriminant model of constructed using 4 SD subtypes, and 61 indices can be used in the field of oriental medicine contributing to the objectification of SD.

Chunggangunbi-tang-gamibang's Effect on Alcoholic Liver Cirrhosis with Ascites (청간건비탕가미방(淸肝健脾湯加味方)으로 복수(腹水)를 동반한 알코올성 간경변(肝硬變) 환자(患者) 치험 1례)

  • Jeong, Eun-Woo;Cho, Yoon-Sung;Kim, Hyun-Sik;Kim, So-Yeon;Lee, Sang-Kwan
    • Herbal Formula Science
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    • v.15 no.2
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    • pp.161-169
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    • 2007
  • We applied Chunggangunbi-tang-gamibang to a 64 year-old male patient who had alcoholic liver cirrhosis with ascites. Chunggangunbi-tang-gamibang has been used to treat alcoholic liver disease and because of its beneficial effects. The patient with the disease expected several symptoms induced by Alcoholic liver cirrhosis, and we diagnosised differentiation of symptoms, using Chunggangunbi-tang-gamibang while removing dampness through diuresis and invigorating the spleen. After medication we could find remarkable effects on clinical symptoms, blood test results and abdomen ultrasonographic images. From this case, it is thought that using Chunggangunbi-tang-gamibang is very effective to improve the symptom of alcoholic liver cirrhosis with ascites.

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Frontotemporal Dementia (전두측두엽 치매)

  • Jun, Byoung Sun;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.23 no.3
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    • pp.69-79
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    • 2016
  • Frontotemporal dementia (FTD) is a degenerative disease characterized by the selective frontal and temporal lobe atrophy, and progressive deficits in behavior, executive function, or language. The prevalence and incidence of FTD are 15-22/100000 and 2.7-4.1/100000, respectively, in midlife. Hereditary is an important risk factor for FTD. Although there is some controversy regarding the further syndromatic subdivision of the different types of FTD, FTD is clinically classified into behavioral variant of frontotemporal dementia, semantic dementia and progressive nonfluent aphasia. FTD can be misdiagnosed as many psychiatric disorders because of similarity of the prominent behavioral features. Advances in clinical, imaging, and molecular characterization have increased the accuracy of FTD diagnosis, thus developing for the accurate differentiation of these syndromes from psychiatric disorders. We also discuss about therapeutic strategies for symptom management of FTD. Medications such as serotonin reuptake inhibitors, antipsychotics, and other novel treatments have been used in FTD with various rates of success. Further advanced research should be directed at understanding and developing new diagnostic and therapeutic modalities to improve the FTD patients' prognosis and quality of life.