Korean Journal of Acupuncture

  • 제40권2호
  • /
  • Pages.44-53
  • /
  • 2023
  • /
  • 2287-3368(pISSN)
  • /
  • 2287-3376(eISSN)
경락경혈학회 (Society for Meridian and Acupoint)
권호 표지
DOI QR코드

DOI QR Code

한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구

Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry

  • Heeyoung Moon (Department of Science in Korean Medicine, Graduate School, Kyung Hee University) ;
  • Minsoo Kim (College of Korean Medicine, Kyung Hee University) ;
  • Su Hyun Lim (College of Korean Medicine, Kyung Hee University) ;
  • Younbyoung Chae (College of Korean Medicine, Kyung Hee University) ;
  • In-Seon Lee (College of Korean Medicine, Kyung Hee University)
  • 투고 : 2023.02.10
  • 심사 : 2023.04.24
  • 발행 : 2023.06.27
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

키워드

과제정보

This research was supported by the Institute of Information and Communications Technology Planning and Evaluation (IITP) grant funded by the Korea government (MSIT) [No. RS-2022-00155911, Artificial Intelligence Convergence Innovation Human Resources Development (Kyung Hee University)].

참고문헌

  1. Lee S. Trends in Mibyeong research of health promotion based on Korean Medicine. Korea Research Institute of Bioscience & Biotechnology (KRIBB). 2014 ; 3 : 1-13. Available from: URL: https://yesme.kiom.re.kr/attach/filedownloads/do_down/no/1101 101
  2. Lee JC, Dong SO, Lee Y, Kim SH, Lee S. Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web-based survey of Korean medicine practitioners. Integr Med Res. 2014 ; 3(2) : 60-6. https://doi.org/10.1016/j.imr.2013.09.001
  3. Kim CH, Shin HC, Won CW. Prevalence of chronic fatigue and chronic fatigue syndrome in Korea: community-based primary care study. J Korean Med Sci. 2005 ; 20(4) : 529-34. https://doi.org/10.3346/jkms.2005.20.4.529
  4. Kim C. Chronic pain syndrome. Clinical Pain. 2003 ; 2(1) : 17-24.
  5. Kim JA, Lee SY. Health behaviors and dietary habits according to sleep duration in Korean adults based on the 2013-2015 Korea national health and nutrition examination survey. KJHP. 2019 ; 19(4) : 237-47. https://doi.org/10.15384/kjhp.2019.19.4.237
  6. Tran Y, Wijesuriya N, Tarvainen M, Karjalainen P, Craig A. The relationship between spectral changes in heart rate variability and fatigue. J Psychophysiol. 2009 ; 23(3) : 143-51. https://doi.org/10.1027/0269-8803.23.3.143
  7. Leti T, Bricout VA. Interest of analyses of heart rate variability in the prevention of fatigue states in senior runners. Auton Neurosci. 2013 ; 173(1-2) : 14-21. https://doi.org/10.1016/j.autneu.2012.10.007
  8. Hellhammer DH, Wust S, Kudielka BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology. 2009 ; 34(2): 163-71. https://doi.org/10.1016/j.psyneuen.2008.10.026
  9. Ali N, Nater UM. Salivary alpha-amylase as a biomarker of stress in behavioral medicine. Int J Behav Med. 2020 ; 27(3) : 337-42. https://doi.org/10.1007/s12529-019-09843-x
  10. Kim YM, Kim JU. Current status of KIOM research and development for the advancement of pulse diagnostics technology. The Magazine of the IEEK. 2016 ; 43(12) : 24-34.
  11. Jeon YJ. Evaluation of clinical usefulness of pulse diagnosis index. Journal of the Institute of Electronics and Information Engineers. 2020 ; 991-3.
  12. Lee HJ, Kim JH, Kim HG, Kim JY. Analyzing pulse analyzer data for dividing pulse pattern. JKDAS. 2007 ; 9(6) : 2703-15.
  13. Choi Y, Kim SD, Kwon O, Park HJ, Kim JH, Choi W, et al. Cold-heat and excess-deficiency pattern identification based on questionnaire, pulse, and tongue in cancer patients: a feasibility study. JKM. 2020 ; 42(1) : 1-11. http://dx.doi.org/10.13048/jkm.21001
  14. Moon JS, Park KM, Choi SM. Study on the development of a questionnaire software for health examination in oriental medicine. Korea Journal of Oriental Medicine. 2007 ; 13(2) : 135-42.
  15. Ryu HH, Lee HJ, Jang ES, Choi SM, Lee SG, Lee SW. Study on development of cold-heat pattern questionnaire. JPPKM. 2008 ; 22(6) : 1410-5.
  16. Ryu HH, Lee HJ, Jang ES, Lee SW, Lee GS, Kim JY. Study on deficiency-excess pattern questionnaire development possibility. JPPKM. 2009 ; 23(3) : 534-9.
  17. Park YJ, Park JS, Kim MY, Park YB. Development of a valid and reliable phlegm pattern questionnaire. J Altern Complement Med. 2011 ; 17(9) : 851-8. https://doi.org/10.1089/acm.2010.0504
  18. Park YJ, Yang DH, Lee JM, Park YB. Development of a valid and reliable blood stasis questionnaire and its relationship to heart rate variability. Complement Ther Med. 2013 ; 21(6) : 633-40. https://doi.org/10.1016/j.ctim.2013.08.019
  19. Park YJ, Lim JS, Park YB. Development of a valid and reliable food retention questionnaire. Eur J Integr Med. 2013 ; 5(5) : 432-7. https://doi.org/10.1016/j.eujim.2013.06.002
  20. Jang E, Yun YG, Yoo HR, Yoo JE, Kim IC, Park JY, et al. Preliminary study to develop the instrument of Korean medical pattern identification and functional evaluation for five organ. JPPKM. 2017 ; 31(2) : 126-37. https://doi.org/10.15188/kjopp.2017.04.31.2.126
  21. Kim JT, Shin D. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978 ; 21(11) : 69-75.
  22. Kim S, Lee EH, Hwang ST, Hong SH, Lee K, Kim JH. Reliability and validity of the Korean version of the Beck Hopelessness Scale. Journal of the Korean Neuropsychiatric Association. 2015 ; 54(1) : 84-90. https://doi.org/10.4306/jknpa.2015.54.1.84
  23. Park H, Lee JM. A validation study of Korean version of PANAS-Revised. Kor. J. Psychol.: Gen. 2016 ; 35(4) : 617-41. https://doi.org/10.22257/kjp.2016.12.35.4.617
  24. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989 ; 46(10) : 1121-3. https://doi.org/10.1001/archneur.1989.00520460115022
  25. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath. 2012 ; 16(3) : 803-12. https://doi.org/10.1007/s11325-011-0579-9
  26. Koh KB, Park JK, Kim CH, Cho S. Development of the stress response inventory and its application in clinical practice. Psychosom Med. 2001 ; 63(4) : 668-78. https://doi.org/10.1097/00006842-200107000-00020
  27. Kim SH, Jo MW, Lee SI. Psychometric properties of the Korean short form-36 health survey version 2 for assessing the general population. Asian Nurs Res (Korean Soc Nurs Sci). 2013 ; 7(2) : 61-6. https://doi.org/10.1016/j.anr.2013.03.001
  28. Jo MW, Yun SC, Lee SI. Estimating quality weights for EQ-5D health states with the time trade-off method in South Korea. Value Health. 2008 ; 11(7) : 1186-9. https://doi.org/10.1111/j.1524-4733.2008.00348.x
  29. Lee SY, Choi SC, Cho YK, Choi MG. Validation of the Nepean dyspepsia index-Korean version. J Neurogastroenterol Motil. 2003 ; 9(suppl) : 48S.
  30. Choi SA, Son CN, Lee JH, Cho S. Confirmatory factor analysis of the Korean version of the short-form McGill pain questionnaire with chronic pain patients: a comparison of alternative models. Health Qual Life Outcomes. 2015 ; 13 : 1-5. https://doi.org/10.1186/s12955-014-0195-z
  31. Sung JK, Choi JH, Jeong J, Kim WJ, Lee DJ, Lee SC, et al. Korean version of the painDETECT questionnaire: a study for cultural adaptation and validation. Pain Pract. 2017 ; 17(4) : 494-504. https://doi.org/10.1111/papr.12472
  32. Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural adaptation of the Korean version Of the Oswestry Disability Index (ODI). J Kor Spine Sur. 2005 ; 12(2) : 146-52. https://doi.org/10.4184/jkss.2005.12.2.146