Advances in Traditional Medicine

Kyung Hee Oriental Medicine Research Center (경희대학교 융합한의과학연구소)
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A study on consistency and accuracy of pulse diagnosis in Eight-Constitution Medicine

  • Shin, Yong-Sup (Department of Human Informatics of Oriental Medicine, Interdisciplinary Programs, Kyung Hee University) ;
  • Nah, Seong-Su (Department of Internal Medicine, Soonchunhyang University, College of Medicine) ;
  • Oh, Hwan-Sup (Health promotion clinic, Kyung Hee University Neomedical Center) ;
  • Park, Young-Jae (Health promotion clinic, Kyung Hee University Neomedical Center) ;
  • Park, Young-Bae (Department of Biofunctional medicine and Diagnosis, Kyung Hee University Medical Center)
  • Published : 2009.03.31
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Abstract

The aim of this study is to evaluate appraiser's consistency and accuracy about pulse diagnosis (PD) in discrimination of eight-constitutions using Gage R&R study. Cumulative numbers of PD for discrimination of eight constitutions of three appraisers' experience were 75,000 cases, 50,000 cases, 1,100 cases, respectively. Three Appraisers diagnosed subject's eight-constitutions by PD with blinded method. Gage R&R study was used to verify the results. In the measurements of consistency, appraiser B (agreement = 80%, Value of k = 0.8276) was very good, appraiser A (agreement = 70%, Value of k = 0.7465) was good, and appraiser C (agreement = 50%, Value of k = 0.5365) was moderate. In the measurements of accuracy, appraiser B (agreement = 70%, Value of k = 0.6812) was good, appraiser A (agreement = 60%, Value of k = 0.6414) was good, and appraiser C (agreement = 0%, Value of k = -0.1000) was poor. The results suggest that accuracy of discrimination of constitutions relatively depend on experience and number of cases of PD. Further large controlled study is needed to evaluate the accuracy of PD.

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