• 제목/요약/키워드: traditional oriental medicine diagnosis methods

검색결과 162건 처리시간 0.026초

한의 진단 지원 시스템의 시험 수행 및 평가 (Experiments and Assessment on Traditional Korean Medicine Diagnostic Support System)

  • 조우근;김명호;이상아;장명웅;최동준
    • 대한중풍순환신경학회지
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    • 제13권1호
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    • pp.63-70
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    • 2012
  • Object : Traditional Korean Medicine Diagnostic Support System(TKMDSS) is the diagnostic prescribing system based on ontology developed by Korea Institute of Oriental Medicine. We monitored and assessed its usefulness and searched for improvements. Methods : We collected 10 cases of stroke inpatients of Dongguk University Ilsan Oriental Hospital. They were diagnosed by primary care physician and another researcher who monitored using "TKMDSS" respectively. We compared the process and results of two diagnosis. Results : The diagnostic concordance rate between primary care physician and researcher were pretty high. Most of the problems were caused by expressions on symptoms inappropriate use of terminology. The severity of symptoms and vague symptoms which is hard to be diagnosed should be reflected and measured in this system. Conclusions : The problems were about terminology and definition. The terminology should be defined accurately and in-depth detail so that anyone can get the right information. If the problems were modified, "TKMMSS" could be utilized as supportive measures for oriental medicine doctors and students.

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"한국 한의과대학과 중국 중의약대학의 방제학(方劑學) 관련 교재중 "방제학(方劑學) 총론(總論)"의 구성내용 분석" (Analysis of Introduction to Science of Prescriptions in Teaching Materials Related with Science of Prescriptions at Colleges of Korean Oriental Medicine and Colleges of Traditional Chinese Medicine)

  • 김도회;신순식
    • 대한한의학방제학회지
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    • 제11권1호
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    • pp.1-18
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    • 2003
  • Science of prescriptions is an important part in the education of Korean Oriental Medicine. In spite of that, there is less agreement on measures for improving the education quality of science of prescriptions. Science of prescriptions can be classified into generalities and particulars. This study sought to present contents that must be incorporated into Introduction to Science of Prescriptions to enhance the quality of education by examining both teaching materials being used in colleges of traditional Chinese medicine and those of Korean oriental medicine and the Introduction part of books related with science of prescriptions. And when this study was carried out, training Korean oriental medicine practitioners and researchers and educators of science of prescriptions was taken into account. It is judged that Introduction to Science of Prescriptions needs to be divided into seven chapters and that each chapter requires containing opinions of ancient doctors and references to lay the basis of learning and revised and practical contents in addition to traditional ones. Chapter One Introduction (Conception, History, Disciplinery, Study, How to Learn, Range of Study, How to Study, Academic Activities) Chapter Two Prescriptions and Selection of Treatment Based on the Differential Diagnosis Chapter Three Prescriptions and Therapeutic Methods (Eight Therapeutic Methods, Sixty Four Therapeutic Methods etc.) Chapter Four Classification of Prescriptions Chapter Five Designing and Modification of Prescriptions (Compatibility, Designing, Modification) Chapter Six Preparation Forms of the Prescriptions (Origin, Charicteristics) Chapter Seven Methods of Decocting and Taking Korean Oriental Herbal Medicines Appendix Tables of Apothecaries' Measures and Weights in Current and Ancient Times

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증례를 통해 본 치매의 한양방 협진 모델 연구 (A Study on the System of Collaborative Practice between Korean Traditional Medicine and Western Medicine for Dementia based on a Case Study)

  • 이고은;양현덕;전원경;강형원
    • 동의신경정신과학회지
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    • 제24권3호
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    • pp.211-228
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    • 2013
  • Objectives : This report describes the diagnostic and therapeutic procedures of Collaborative Practice between Korean Traditional Medicine and Western Medicine for two dementia patients. Furthermore, through these cases, we suggest a model of collaborative practice between Korean traditional medicine and western medicine for the treatment of dementia. Methods : Two patients suffering from several symptoms related to dementia received collaborative practice between Korean traditional medicine and western medicine. Physicians of deparment which paient first visit interviewed patient and patient's guardians, discussed the symptoms and the status of the patient. Since then, the medical team made a differential diagnosis based on the results of brain imaging, hematology, urine test. and apprehended the status of dementia by the neuropsychological test. Korean traditional physicians examined the physical symptoms and identified the pattern of dementia in Korean traditional medicine. Following this, they decided on the method of acupuncture, moxibustion, cupping and herbal treatment. Western physicians decided on the type of medication after consideration of the patient's other medical conditions. Every intervention was decided by both Korean traditional physicians and western physicians after discussion. The medical team provided education on dementia and counseled the guardians. They also wrote the paper for using the long-term care insurance for the aged. Results : Two patients showed no improvement on the neuropsychologic and activity of daily living tests. However, the patients' subjective physical symptoms were improved. The collaborative practice between Korean traditional medicine and western medicine improved the patients' and guardians' satisfaction. Conclusions : Through these cases, we propose a model of collaborative practice between Korean traditional medicine and western medicine for dementia categorized diagnosis-test, treatment, prevention, management. More specifically, we supplement qigong and psychotherapy which was inadequate in these cases.

소아 근시에 대한 임상 연구 고찰 - 최근 중의학 문헌을 중심으로 - (Clinical Trial Study for Childhood Myopia in Traditional Chinese Medical Journals)

  • 장규태;김장현;최은영
    • 대한한방소아과학회지
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    • 제20권1호
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    • pp.207-218
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    • 2006
  • Objective : The aim of this study was to investigate treatment of childhood myopia in current Traditional Chinese Medical Journals. Material and Method : We searched for treatment of childhood myopia in all Traditional Chinese Medical Journals published from January 2001 to October 2005. Results : Thirteen articles were selected and 7 of them showed total improvement rate was higher than 90% in childhood myopia. Treatment methods were acupuncture, auricular acupuncture, moxibustion, herbal medicine, adhesive plaster. Conclusion : Oriental medical treatments for childhood myopia were presumed to be effective in most trials. But there remains a debate about diagnosis and outcome criteria. Further studies are needed.

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최근 5년간 전간(癲癎)에 관한 중의학의 연구 경향 (A Study on the Research Tendency in Traditional Chinese Medicine in Recent 5 Years)

  • 이승기
    • 동의신경정신과학회지
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    • 제21권4호
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    • pp.113-122
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    • 2010
  • Objectives : This study was performed to review the research tendency in traditional medical journals of epilepsy in China. Methods: 26 studies were selected by searching CNKI(China National Knowledge Infrastructure) from 2006 to 2010. Results : Those were analyzed and classified into cause, symptoms, herbal therapy, acupuncture therapy, diagnosis, clinical trials, case studies and evalution of treatment in epilepsy. Conclusions : The results show that traditional medical researches of epilepsy are performed variously and actively in China and there are some differences comparing with Korea. I hope these results activate the studies on eilepsy in Korean traditional medicine.

척추 신경섬유종 진단을 받은 요통 환자에 대한 복합적 한방처치 및 영상학적 경과 관찰 증례 보고 1례 (A Patient with a Diagnosis of Spinal Neurofibroma and Complaining of Lower Back Pain: A Case Report, Including Two Follow-ups after Discharge)

  • 문희영;류광현;주아라;최요섭;추원정;박지원;김두리;전용현
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.938-947
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    • 2019
  • Objective: This study was performed to report the changes in symptoms and radiological consequences of a patient diagnosed with spinal neurofibroma and complaining of lower back pain. Methods: The patient was diagnosed with a spinal neurofibroma after MRI examination and was treated with traditional Korean medicine, including traditional Korean medication and acupuncture. We measured the change in symptom severity using a numerical rating scale (NRS) and the Oswestry Disability Index (ODI). We also used the EQ-5D (EuroQoL-5D) scale to assess the patient's quality of life. In addition, we examined the change in the size of the cyst by MRI twice after discharge: at about 3 months after discharge and at about 8 months after discharge. Results: After about 6 weeks of treatment, most pathological symptoms had decreased. The patient showed a decline in NRS and ODI scores and showed an increase in quality of life. The two MRI examinations after the discharge revealed a decrease in the size of the cyst. Conclusions: Traditional Korean medicine can be a solution for patients with spinal neurofibroma causing neurological pain.

위식도 역류질환에 대한 한의학 연구 경향 분석: 국내 논문을 중심으로 (The Review of Domestic Research on Traditional Korean Medicine for Gastroesophageal Reflux Disease)

  • 남현서
    • 대한한의학회지
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    • 제44권2호
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    • pp.70-105
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    • 2023
  • This study was conducted to examine the current status of traditional korean medicine studies on gastroesophageal reflux disease in Korea, identify deficiencies, and suggest the direction of future medicine research methods to lay the foundation for traditional korean medicine treatment. All domestic papers on the korean traditional treatment of gastroesophageal reflux disease were selected among the literature published until August 2022 in six domestic databases. A total of 52 selected research data were classified into experimental research papers, clinical research papers, and review papers. In experimental papers, to evaluate the effectiveness of treatment, improvement of esophageal mucosal lesions, anti-inflammatory mechanisms, antioxidant mechanisms, esophageal mucosal protection mechanisms, gastric peristalsis control, and gastric acid secretion inhibition mechanisms were used as evaluation measures. In the clinical research paper, the basis for diagnosis of cases was clinical symptoms through medical history listening and diagnosis through visits to hospitals in the past. The average treatment period was 40.7 days, and the duration of treatment was not significantly affected by the duration of the disease. The most widely used Korean medicine treatment intervention was herbal medicine. There were 3 literature review studies, 3 systematic literature review and meta-analysis studies, 1 comparative review study for clinical trial guideline development, all using Chinese papers. This study included all domestic papers on gastroesophageal reflux disease to identify the research trend of the Korean oriental medicine community, and based on this, it is meaningful to confirm areas that need to be supplemented in future research plans.

문헌을 통한 맥상의 물리적 요소 분석 (Analysis of Physical Quantification of Pulse Types by Pulse Diagnosis Literatures)

  • 유현희;이시우;이전;이유정;김종열
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1381-1387
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    • 2007
  • Pulse diagnosis that is one of important examination methods in traditional oriental medicine has been investigated for the standardization in many ways. Pulse analyzer device and clinical studies have been tried for this purpose. Additionally, literature study has significance for this standardization. In this study, we analyzed pulse types in literatures from the viewpoint of physics. We refered to Maijing, Maijue, siyanjuyao, Binhumaixue, Yixuerumen, zhenjiazhengyan. We established some physical factors for analysis. This factors that can be detected through pulse analyzer are depth, speed, power, width, and length. In this study, we defined 18 kinds of pulse types among 28 total types by physical factors. Furthermore, 6 kinds of pulse types were classified as basic pulse from these. The results of this study will improve the pulse analyzer to detect these pulse types.

뚜렛 증후군에 대한 중의학 임상연구 동향 (Review of Clinical Studies on Traditional Chinese Medicine for Tourette Syndrome)

  • 김종환;조희근;설재욱
    • 동의신경정신과학회지
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    • 제28권4호
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    • pp.303-318
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    • 2017
  • Objectives: To establish a base for further research by reviewing studies on traditional Chinese medicine treatment for Tourette Syndrome. This is the purpose of this study. Methods: Clinical studies involving the effects of traditional Chinese medicine treatment for Tourette Syndrome, published January 2010~June 2017, were obtained from CNKI, Pubmed. Selected Studies were evaluated by the Jadad Scale. Results: Among a total of 252 articles, 39 articles that meet the criteria were selected. 'Diagnostic and Statistical Manual for Mental Disorders, 4th edition (DSM-IV)' was most frequently used as diagnosis criteria. 'Yale Global Tic Severity Scale (YGTSS)' was primarily used for outcome measurements. Most of the studies showed effective results of traditional Chinese medicine therapy. However, the quality of a selected clinical studies was low. Conclusions: Despite several limitations, various studies to prove limited yet effective traditional Chinese medicine treatment on Tourette Syndrome provides much significance. Subsequent studies conducted by the complementary systematic review and well-designed clinical trials using the methodological quality will be needed to more firmly validate the effect of traditional Chinese medicine therapy.

한의학 연구에 있어 의료서비스연구가 갖는 의의 고찰 (Study on the Significance of Health Services Research Methods for Studying Traditional Korean Medicine)

  • 박유리;서상록;김영진;김유리;김재효;안성훈;손인철
    • Korean Journal of Acupuncture
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    • 제27권2호
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    • pp.79-94
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    • 2010
  • Objectives : Many researchers in western societies raised questions on methodological limitations of randomized controlled trial (RCT) for studying Complementary and Alternative Medicine (CAM), and they have tried to find alternatives to RCT. Some of them recently have interest in health service research as one of the alternatives. Discussing the significance of health services research in CAM studies will be helpful to guide the researchers in Korea who are also interested in developing an appropriate research methodology for traditional Korean medicine. Methods : Previous studies on methodological issues of studying CAM and health service researches published in western societies until 2009 were searched mainly from Pubmed. The definition, main research domains, and research methods of health service research and the significance of it for researches on CAM were summarized. Results & Conclusions : Health service researches are important in two aspects. First, health service researches evaluate the actual practice of CAM, including the individualized diagnosis as well as treatment and interaction between practitioners and patients. Second, when evaluating the outcomes, they put an emphasis on subjective evaluation by patients as well as objective evaluation by doctors. Thus, it can reflect the treatment goals of CAM which is improving the overall quality of life and the physical and psychological health. Therefore, health services researches such as descriptive studies, qualitative studies, outcomes studies including economic evaluation, and whole systemic research should be more utilized in order for studying traditional Korean medicine.