• 제목/요약/키워드: syndrome(證)

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Guiillain-Barre 증후군 환자의 치험 1례 (A case report of Guillain-Barre syndrome)

  • 김기훈;신동길;이진용;조백건
    • 대한한방소아과학회지
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    • 제17권2호
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    • pp.199-211
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    • 2003
  • 저자는 경희대학교(慶熙大學校) 한의과대학(韓醫科大學) 부속한방(附屬韓方) 병원(病院)에 내원한 Guillain-Barre syndrome 환자를 한약(韓藥)과 간접염(間接炎) 및 침치료(鍼治療를) 사용하여 환자의 증상이 호전되었음을 확인하였으므로 이에 문헌고찰과 함께 보고하는 바이다.

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위증(?證)에 관(關)한 문헌적(文獻的) 고찰(考察) -병인병기(病因病氣), 치법(治法) 및 치방(治方) 중심(中心)으로 - (A literatural study on the atrophy syndrome(?證))

  • 김성수;금동호
    • 동국한의학연구소논문집
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    • 제7권2호
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    • pp.81-95
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    • 1999
  • 위증(?證)과 이완성 마비는 각각 한의학과 서양의학에서 쓰여지는 증상의 개념이지만 두개의 개념간에는 많은 유사점이 있다. 즉, 용어가 조금 다를 뿐이지 지체(肢體)가 위약(委弱)하여 잘 쓰지 못하여 수의적인 운동이 잘 되지 않는 것을 가리키는 개념임을 알 수가 있다. 이 위증(?證) 이완성 마비는 양측성(兩側性), 상행성(上行性)이라는 특징을 가지고 있어서 편측성(片側性) 및 상하지(上下肢) 동시에 증상이 종종 발현하는 중풍의 후유증과 서로 다름에도 불구하고 실제 임상에는 같은 것으로 오인(誤認)되는 경우가 많아 이에 대한 감별이 필요하다. 이 고찰(考察)에서는 역대의 중요 문헌을 통하여 위증의 병인병기(病因病機) 및 치법치방(治法治方)과 치방(治方)의 빈도(頻度)를 각 시대별 대표적인 의가(醫家)의 순(順)으로 정리함으로써 위증의 이해를 넓히는데 도움이 되도륵 하였다. 따라서 위증에 대한 정확한 인식과 임상활용의 기초자료를 얻고자 고찰(考察)하여 보고하는 바이다.

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변증(辨證) 개념의 변천(變遷)에 대한 소고(小考) - 의미(意味)와 방법(方法)을 중심으로 - (A Study on The Changes of Concept of Syndrome Differentiation in The History of Traditional Medicine - Focusing on meaning and process -)

  • 백유상
    • 대한한의학원전학회지
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    • 제27권4호
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    • pp.133-151
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    • 2014
  • Objectives : In this study, the changes of concept of Bianzheng(辨證)[syndrome differentiation] in the traditional medical history are investigated for the purpose of understanding conditions of Korean Medicine in modern times. Methods : The concepts of Zheng(證)[syndrome] and Bianzheng[syndrome differentiation] in Sanghanron(傷寒論) and many important medical literatures were selected and analyzed to overview the historical changes of those. Results : To the modern ages, the concept of Zheng had included the two kinds of concepts, that is, symptom/sing and syndrome with slight changes of meaning. As a abstract meaning of syndrome, Zheng(證) has been systematized and complicated with the times, that means changes of syndrome differentiation. The concept of Zheng has been recognized as the symbol that expresses the characteristics of Traditional Medicine since the modern age that concepts of sign and symptom have flowed from Western Medicine into Traditional Medicine. Conclusions : One of the main key of studies about Bianzheng(辨證) in future would have been harmonizing the balance between the two trends of modern Traditional Medicine, ideation and objectification.

급성 Guiilain-Barre Syndrome 추정 환자 동서협진 치험 1례 (A Case Report of Integrative Medicine Therapy about Patient Suspected Acute Guillain-Barre Syndrome)

  • 소형진;손윤정;이범준;노병완;류재환;허홍
    • 대한한방성인병학회지
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    • 제10권1호
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    • pp.53-61
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    • 2005
  • Guillain-Barre syndrome (GBS) is a group of autoimmune syndromes consisting of demyelinating and acute axonal degenerating forms of the disease. Typically, Gullain-Barre syndrome can be diagnosed from the patient's symptoms and physical examination such as the rapid onset of weakness, paralysis and loss of reflexes. In most patients, resolution is complete or near complete. Treatment consists of supportive care, ventilatory management (in about one third of patients), and specific therapy with intravenous immunoglobulin or plasmapheresis. This clinical report is about suspected acute severe Guillain-Barre syndrome patient, 61-year-old man had quadriplegia, facial palsy, dysphasia, respiratory failure. After 5 weeks of East-West integrative medicine therapy - Conventional Conservative therapy(plasmaphresis and intravenous immunoglobulin) and Korean traditional medicine(Sasang medicine and acupuncture treatment) - most symptoms improved.

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비허(脾虛)(기허(氣虛).양허(陽虛))증(證)에 관(關)한 문헌적(文獻的) 고찰(考察)

  • 윤상협;류봉하;박동원;장인규;류기원
    • 대한한방내과학회지
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    • 제10권1호
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    • pp.53-64
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    • 1989
  • In an attempt to investigate the current of clinical researches on spleen yang or vital energy deficiency syndrome, the results were as follows. 1. It is possible to occure spleen deficiency syndrome which come from genetic factor. 2. The absorption disturbance in spleen deficiency syndrome can be likely caused by gastrointestinal mucosa injury, disorder of vagus nerve funtion and impairment of excretion of exocrine gland in pancreas. 3. Owing to the failure of tansporting and converting funtion of spleen, minerals, hematogenic substance and nutritional substance are scanty and then imbalanced metabolism state which heat production is decreasing is appeared. 4. By the failure of vital energy and blood growth, decreasement of $O_2$ transportation ability of RBC, disoder of blood coagulation, immune system disturbance which humoral immunity is enhanced and cellular immunity is decreased, are noted. 5. While there is not still an attemt to study the spleen deficiency sydrome in muscle disease or disease of four extremities, but it is likely suggested that spleen-stomach supplyment thereapy is very excellent effect on muscle disease and disease of four extremities.

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화타상한(華佗傷寒)에 관(關)한 소고(小考) (A Study of Huatuo's Shang-han (Cold Damage) Theory)

  • 강민휘;이병욱;김기욱
    • 한국의사학회지
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    • 제31권1호
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    • pp.71-87
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    • 2018
  • This study investigated Hua Tuo's Shang-han theory, which precedes the period of Zhang Zhong Jing's Shang-han theory, and considers the relationship between the two approaches. Researchers compared terminology and language of Hua Tuo's Shang-han theory as published in Theory in Qian Jin Yao Fang and Wai Tai Mi Yao, with Zhang Zhong Jing's Shang-han theory. In Hua Tuo's theory, Shang-han involves pathogenic invasion of the body surface, where the pathogen transforms to 6 different stages, Pi (皮), Fu (膚), Ji (肌), Xiong (胸), Fu (腹), Wei (胃). Among these, the stage sof Pi (皮), Fu (膚), Ji (肌) can be considered as exterior syndrome (表證). Those that invade the lower chest can be considered as lower chest disease, and those that violate the abdomen or stomach can be considered as Interior heat excess syndrome (裏熱實證). Stomach heat excess syndrome (胃中實熱證) is the most severe and is similar to septicaemia or bubonic plague. Hua Tuo's treatment used three methods which are 汗 (perspiration), 吐 (emesis), 下 (purgation). In the case of Phlegm syndrome (痰?證), HuoTuo's theory was similar to Zhang Zhong Jing's Shang-han exterior syndrome (傷寒表證) and therefore used Zhuling-powder (猪?散). In the case of deficiency hot flush Syndrome (虛煩證) in Shang-han disease, HuoTuo uses ZhuYe-decoction (竹葉湯), of which the drug contents is the same as Zhang Zhong Jing's ZhuYeShiGao-decoction (竹葉石膏湯), which was used for the same condition.

상한명리속론(傷寒明理續論).양독(陽毒)외 14증(證)에 대한 연구(硏究) (A Research on the Epidermic disease of Yang etc. in SangHanMyungRiSokLon)

  • 이동수;신영일
    • 대한한의학원전학회지
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    • 제19권2호통권33호
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    • pp.266-293
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    • 2006
  • Accumulation of pathogens in chest refers to a syndrome of fullness, stuffiness and pain in the chest, diaphragm, epigastrium and abdomen, which is ascribable to accumulation of pathogenic heat with stagnancy of fluid or phlegm in the chest. Retching refers to vomiting with sound but without any vomitus. It is usually ascribable to adverse flow of ki due to deficiency of stomach, or by pathogenic heat or cold, and failure in descending of the stomach-ki. It may also be found in Soyang disease. Bloody purulent stool refers to passing stool with blood and pus. It is formed mainly due to invasion of the stomach and the intestines by epidemic pathogenic summer-heat, steaming of stagnateed damp-heat fighting against ki and blood, or improper diet, obstruction of bu-ki stagnation of blood and ki.

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생체전기자율반응 측정기와 한방진단시스템 및 맥진기 검사 해석의 상관성 연구 (A Study about Correlations between the Interpretations of Autonomic Bioelectric Response Recorder (ABR-2000) and Diagnosis System of Oriental Medicine (DSOM) / 3D Blood Pressure Pulse Analyzer (3D-MAC))

  • 옥진유;이인선
    • 대한한방부인과학회지
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    • 제31권2호
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    • pp.31-48
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    • 2018
  • Objectives: This study was performed to observe the correlations between the results of ABR-2000 and DSOM / 3D-MAC to evaluate the feasibility of ABR-2000 as a oriental medical diagnostic criteria. Methods: We studied 547 women visiting ${\bigcirc}{\bigcirc}$ hospital from December 2012 to June 2015. The subjects were categorized in two groups, 'Hypotonia' and 'Non-Hypotonia' by the result of ABR-2000 and assessed the result of DSOM, 3D-MAC for each group. The differences of pulse wave factors by group also studied. Results: 1. There was no significant difference between two groups about the output frequency of pathogenic factors in DSOM while the result showed the higher correlation in Hypotonia group in terms of the companion tendency of pathogenic factors and syndromes formed by the combination of pathogenic factors. 2. The pulse waves of Hypotonia group were mostly slow, weak, tense and stiff than Non-Hypotonia group. Conclusions: 1. In Hypotonia group, yin deficiency (陰虛) factor was frequently accompanied and consumption (虛損) of various organs based on the yin deficiency (陰虛) was observed. It means chronic and severe condition of exhaustion syndrome (虛勞). 2. The result of 3D-MAC also means pathological feature of yin syndrome (陰 證) and consumption (虛損). Besides, lower scores of Body Surface Area (BSA), body weight, and Body Mass Index (BMI) were associated with body weakness (體瘦), a symptom of exhaustion syndrome (虛勞).

『동의보감(東醫寶鑑)』의 '형증(形證)' 개념(槪念)에 대한 고찰 - ≪한(寒)≫ <육경형증용약(六經形證用藥)>을 중심으로 - (A Study on the Concept of 'Physical symptom(形證)' in Dong-uibogam - Focused on Physical symptom & Medication of Six Meridians in the Han(寒) Chapter -)

  • 신상원;정창현;백유상;장우창
    • 대한한의학원전학회지
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    • 제27권4호
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    • pp.101-119
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    • 2014
  • Objectives : In Dong-uibogam, Heo Jun used the concept of 'Physical symptom(形證)' that had not used frequently in practical description of pathological condition. Especially, He used the terminology, 'Physical symptom(形證)' as a title in the Han(寒) Chapter that described Sanghan(傷寒). Methods : It has been done to analyse verses that include the concept of 'Physical symptom(形證)' in Dong-uibogam. And, to find the context including the terminology diachronically. Results : Diachronically, 'physical symptom' and 'pulse sign' had been considered as bilateral factors of disease, and Heo jun cognized the concept of 'Physical symptom' in these means in Dong-uibogam. Conclusions : Introducing the concept of 'Physical symptom' is an important decision of Heo Jun, it can express the purpose of an observation to objective symptoms.

ICD 연계 한의질병분류를 위한 전제로서의 공통개념어 연구 (Study on Common Conceptual Terms as a Premise for Korean Classification of Disease in Oriental Medicine in Connection with ICD-10)

  • 지규용
    • 동의생리병리학회지
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    • 제22권4호
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    • pp.718-724
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    • 2008
  • In order to classify diseases of oriental medicine in liaison with International Classification of Diseases, there should be intermediation and sharing concepts between the two in addition to proper classification. Classification units were settled for differentiation of diseases or syndromes first. And second, the standard forms of disease classification system were proposed. Third, this classification system was made of serial groupings of syndrome under the traditional disease name. Fourth, the location of disease and the interrelation between different syndromes were depicted with diagram in order to define more clearly. As the results and conclusion, The classification units were composed of 2 categories; topology, organ, meridian, somatic structure, body fluid units for description and various regulatory unit terms of western and traditional medicine for explanation. The mixed classification model of western diseases and traditional syndromes(證) was adopted as a fundamental classification system containing disease by exterior pathogen, systemic internal diseases, psychoneuronal diseases, metabolic diseases, diseases of sense organs, supportive structure diseases, obstetric-gynecology diseases, child diseases, 4-type constitutional diseases. And those were differentiated with generalized, localized, functional, oncogenic, environmental features in detail. The cause, site, condition, dispositions must be expressed in each disease name too. The types of diagnosis using classification system are principal and final diagnosis, principal procedure, main conditions, and these are applied to this Korean classification system equally. For more clarification of differentiation, a plane topological map and three dimensional coordinates were proposed to manifest the location, features and relation of disease itself or each other.