• 제목/요약/키워드: 기혈(氣血)

검색결과 85건 처리시간 0.023초

서울 중랑구 소재 어린이집 소아의 아토피 피부염 이환 여부에 따른 기혈수(氣血水) 변증(辨證) 유형 관찰 (Correlation Study between Atopic dermatitis and Comprehensive diagnosis of Qi Blood Water in Seoul Jungnang-gu nursery school children)

  • 신윤진;김규석;김윤범
    • 한방안이비인후피부과학회지
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    • 제22권2호
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    • pp.176-185
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    • 2009
  • Objective: The aim of this study was to investigate the correlation between atopic dermatitis and a comprehensive diagnosis of Qi Blood Water in children with or without atopic dermatitis. Methods: We surveyed 206 children in Seoul Jungnang-gu nursery by reviewing the questionnaires following a medical examination. Comprehensive diagnosis of Qi Blood Water was investigated by questionnaires and composition scores and total scores were calculated from the symptom scores. Atopic dermatitis was diagnosed by ophthalmo.otolaryngo.dermatologist and atopic dermatitis symptom was measured by a Visual analogue scale(VAS). Comparisons between the atopic and non-atopic groups were made based on the atopic dermatitis symptom scale, composition scores and total scores. Results : 1. Of the 206 patients, 153(74.27%) were included in the non-atopic group, while 53(25.73%) were included in the atopic group. There was no difference in average age between the two groups. 2. The atopic dermatitis symptom scale of atopic group(3.21$\pm$2.018) was significantly higher than that of non-atopic group(0.04$\pm$0.28). 3. Qi deficiency, Qi stagnation, Blood stasis and Water congestion scores and the total scores of the atopic group were higher than those of the non-atopic group, but it was not significant. 4. The Qi regurgitation and Blood deficiency scores of atopic group were significantly higher than those of the non-atopic group. 5. There was a highly significant correlation between the atopic dermatitis symptom scale and Qi regurgitation scores, and between the atopic dermatitis symptom scale and Blood deficiency scores. Conclusion : Atopic dermatitis seems to have a special feature reflecting the state of comprehensive diagnosis of Qi regurgitation and Blood deficiency in children.

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심유혈(心兪穴) 자침이 HRV(Heart Rate Variability)로 측정한 자율신경에 미치는 영향 (The Effect of the Electro-acupuncture on Simsu($BL_{15}$) with the Heart Rate Variability as the Means of Measurement for Autonomic Nerve System)

  • 이현진;이동건;황지혜;조현석;김경호;김갑성
    • Journal of Acupuncture Research
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    • 제24권5호
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    • pp.1-12
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    • 2007
  • 목적 : 양심안영(養心安營), 청신녕지(淸神寧志), 조리기혈(調理氣血)의 효능을 가진 심유혈(心兪穴)($BL_{15}$)이 자율신경의 안정에 기여할 수 있다는 것을 입증하기 위하여 객관적으로 자율신경의 활성과 심장의 많은 연관성이 있다고 알려진 HRV(Heart Rate Variability)를 이용하였다. 방법 : 안정을 취한 후 29명의 남자 대상자를 HRV가 먼저 측정하였다. HRV 측정 후 대상자의 량측(兩側) 심유혈(心兪穴)에 자침하고 전침으로 지속적인 자극을 주었으며, 15분간 이 상태로 류침(留鍼)하였다. 발침(拔鍼) 후 다시 HRV를 측정하여 이를 측정 전과 비교하였다. 측정 결과의 비교 항목은 MHRT, SDNN, RMSSD, TP, VLF, LF, HF, Norm LF, Norm HF, LF/HF ratio로 하였다. 결과 : MHRT는 유의성이 있었다. SDNN은 유의성이 없었다. RMSSD는 증가하였으나, 유의성이 없었다. TP는 감소하였으나, 유의성이 없었다. VLF는 감소하였으나, 유의성이 없었다. LF는 감소하였으나, 유의성이 없었다. HF는 증가하였으나, 유의성은 없었다. Norm LF는 감소하였으나, 유의성이 없었다. Norm HF는 증가하였으나, 유의성은 없었다. LF/HF ratio는 감소하였으나, 유의성이 없었다. 결론 : 심유혈(心兪穴) 자침 결과는 교감 신경의 흥분을 가라앉히고 부교감 신경의 안정성을 증대하여, 심장의 안정도에 기여하는 것으로 보이나, 이는 통계적으로 의미가 없었다. 본 연구의 대상 집단이 소규모이며 스트레스가 아주 심하지 않은 집단이라는 점에서 유의성이 상대적으로 부각되지 못했다. 향후 비교할 만한 대조군을 설정하여 더 심한 스트레스를 받은 큰 집단을 대상으로 한 연구가 필요할 것으로 사료된다.

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맥진기 연구에 대한 중의사의 인식에 대한 수요조사

  • 김경철;김중한;신순식;김훈;이해웅;김종환;두승희;박주연;조영일
    • 대한한의학원전학회지
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    • 제22권3호
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    • pp.299-320
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    • 2009
  • 한중 맥진기 관련 학술 교류와 맥진기 수출을 위한 전략으로 중국의 광주중의약대학 중의사를 대상으로 맥진과 맥진기에 대한 인식을 조사하여 보고하는 바이다. 임상에서 가장 중요하게 생각하고 활용도가 높은 전통적인 병증으로 장부병증과 팔강병증으로 나타났으며, 한방 진단방법 중 가장 중요하게 생각하고 활용하는 방법으로 문진과 맥진으로서, 그 이유는 진단 효율성과 환자와의 상담으로 나타났다. 또한 임상에서 한방 진단기기의 중요한 이유로는 측정기술과 데이터의 신뢰를 들었으며, 중요하지 않다고 생각하는 이유로는 측정기술과 데이터의 신뢰성 부족과 전통적인 진단법을 보조하기엔 적합하지 못함을 들었다. 진단방법 중에서 맥진의 중요도와 활용도는 75%가 가장 높게 나타났고, 맥진법 중에서 가장 잘 활용하는 부위는 촌구맥진법으로 나타났다. 촌구 맥진시 가장 중요하게 생각하는 요소는 환자의 자세와 손목 높이와 촌관척 부위였으며, 단안(單按)과 총안(總按)의 순서는 총안(總按)후 단안(單按)이 단연 우수하였다. 임상의 중요 맥상으로는 부침(浮沈)을 들었으며, 맥상 형성 기전과 표준화 연구에 가장 적합한 연구 방법론은 위수형세론에 입각한 문헌 연구와 병증별 맥상에 대한 임상 데이터 구축으로 나타났다. 그리고 대표적인 노인 특유의 맥상은 미세약맥이었으며, 그 이유는 노화로 인한 체력저하와 기혈부족을 들었다. 그리고 맥진기와 연계하는 만성 생활습관병 병증지표 연구개발에 가장 적합하다고 판단되는 병증 체계는 장부병증이었으며, 질병은 고혈압과 동맥경화증으로 나타났다. 또한 임상에서의 활용도와 유의성이 높은 맥진기로써의 주된 기능으로는 오장육부 상태 진단을 들었으며, 맥진기의 임상적인 활용도를 높일 수 있는 현대적인 임상 분야는 심혈관 질환이 가장 높게 나타났다. 맥진기 개발에 선행되어야 할 기반연구로는 촌관척 부위 찾기의 기준 확립과 임상 변증과의 관계 확립으로 나타났으며, 제공 받고자 하는 맥상 정보구성은 환자의 맥상명과 맥상 정도와 환자의 맥상에 따른 병증명 제시로 나타났으며, 제공되는 병증 서비스로는 장부병증이 가장 높게 나타났다.

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기능성 소화불량증 환자의 변증증후(辨證證候)에 의한 건강상태와 위 운동성의 상관성에 대한 연구 (기혈수(氣血水) 변증(辨證)과 위전도 지표를 중심으로) (Relationship between Gastric Motility and Health Condition Graded by Total Symptom Scores in Comprehensive Diagnosis of Qui Xue Shui in Functional Dyspeptic Patients)

  • 정하덕;김진성;류봉하;류기원;윤상협
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.158-166
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    • 2004
  • Background & Object : The aim of this study was to investigate the usefulness of electrogastrography in the diagnosis field of traditional medicine through a study of the relationship between gastric motility and health condition based on oriental medicine diagnostic theory in functional dyspepsia. Method : 86 patients (male 27, female 59) with functional dyspepsia and 10 healthy control subjects (male 5, female 5) were involved in the investigation. The disease information of functional dyspepsia (based on Rome criteria II) was used for dyspeptic index and scores were obtained from the comprehensive diagnosis of Qui, Xue, Shui was applied as index for health condition, those were all investigated by questionnaire. Gastric motility were recorded and analyzed using electrogastrography in fasting and postprandial period. Results : The total score of comprehensive diagnosis of Qui Xue Shui was influenced by the number of functional dyspepsia symptoms (p=0.026). In terms of electrogastrographical parameters, both postpranial normal slow waves regularity(p=0.003) and power ratio (p=0.001) in the patients had the statistical significance and they showed an incremental inverse correlation with the number of symptoms. Dominant frequency and fasting normal slow waves regularity ratio had no statistical significance. Conclusion : Results suggest that electrogastrography is useful in evaluating the health condition of patient by comprehensive diagnosis of Qui Xue Sui.

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턱떨림을 주증상으로 내원한 환자 3명에 대한 증례 보고 (A Clinical Study on 3 Cases in Submaxillary Tremor)

  • 김진형;국윤재;백동기;김태헌;강형원;류영수;양희숙
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.187-196
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    • 2004
  • 하악진전(下顎振顫)이 나타난 여자 노인 환자 3례를 발병 초기에 간신부족(肝腎不足), 기혈양허(氣血兩虛)로 변증하여 지황음자가미(地黃飮子加味), 귀비온담탕가미(歸脾溫膽湯加味)를 투여하고, 간정격(肝正格)시술, 백회구(百會灸) 요법을 병행하여 치료해서 좋은 결과를 얻었고 이를 보고하는 바이다. 하지만 연구 기간이 짧아 지속적인 관찰이 요구되며, 이번 연구에 서는 한약요법, 침요법, 백회구요법을 동시에 시행하였지만 각각의 치료 효과에 대한 비교 분석을 포함하여 향후 객관적이고 지속적인 연구가 필요하리라 생각한다.

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"동의보감(東醫寶鑑)" 내경편(內景編)에 나타난 질병(疾病)의 병기론적(病機論的) 변증(辨證)화 연구 - 정신기혈(精神氣血)을 중심으로 - (Study on Mechanistic Pattern Identification of Disease for NaeGyungPyen of DongEuiBoGam)

  • 김영목
    • 동의생리병리학회지
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    • 제24권2호
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    • pp.177-186
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    • 2010
  • This study is about researching DongEuiBoGam by analysing with pattern identification of modern Traditional Korean medical patholgy as more logical, systematic and standardized theory. Disease pattern mechanisms of essence, spirit, qi and blood in NaeGyungPyeb of DongEuiBoGam are these. In Essence, this explain mechanism of disease patterns those are seminal emission, dream emission, spermatorrhea, white ooze. These disease pattern's mechanisms are kidney yang deficiency, kidney yin deficiency, heart yang deficiency, heart yin deficiency, heart qi deficiency, spleen qi deficiency and so on. On viewpoints of viscera and bowels they are related with heart, kidney, spleen. And most of them are deficiency from deficiency-excess Pattern Identification. Classifying disease pattern of qi is about upward, downward movement and more concentrated deficiency than excess pattern. Fright palpitations can be classified heart deficiency with timidity, heart blood and qi deficiency, heart qi deficiency, heart blood deficiency, heart qi movement stagnation, water qi intimidating the heart, phlegm-fire harassing the heart, phlegm clouding the pericardium, and so on. Palpitations can be classified heart blood deficiency, heart yin deficiency, heart deficiency with timidity, heart spleen blood deficiency, spleen qi deficiency, phlegm-fire harassing the heart, intense heart fire, and so on. Forgetfulness can be classified heart spleen blood deficiency, heart spleen qi deficiency, kidney essence deficiency, heart qi deficiency, non-interaction between the heart and kidney, etc. for deficiency pattern, phlegm clouding the pericardium for excess pattern. In Blood just say inside bleeding pattern's category, there are nose bleeding, flopping syncope, qi counterflow, blood vomiting, hemoptysis, spitting of blood, bloody stool, hematuria, and so on. Like these, this study identify pattern of disease in DongEuiBoGam by mechanism of disease theory.

침구갑을경(鍼灸甲乙經)의 침구금기혈(鍼灸禁忌穴)에 대한 소고(小考) (Review on Needling or Moxibustion-prohibited Points in Chimgugapeulgyeong)

  • 권선오;김승태;서병관;박히준;함대현;이혜정
    • Korean Journal of Acupuncture
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    • 제27권2호
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    • pp.57-70
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    • 2010
  • Objectives : To investigate the meaning and the importance of needling or moxibustion- prohibited acupoints in Chimgugapeulgyeong(鍼灸甲乙經). Methods : We found needling or moxibustion-prohibited acupoints in Chimgugapeulgyeong, then investigated the causes of the prohibitions from the various literatures and the anatomical structures near the acupoints. Results : In Chimgugapeulgyeong, the needling and moxibustion-prohibited points were ST9, ST17, ST32, CV5, and CV15. The needling-prohibited points were LU2, LI13, ST12, BL56, KI2, KI7, TE8, TE19, GB3, CV8, GV24, and jwagak(左角). The moxibustion-prohibited points were LU3, LU8, ST1, ST7, ST8, ST30, ST33, BL5, BL6, BL15, BL30, TE18, TE21, TE23, GB22, GB33, GB42, GV6, GV15, GV16, GV17 and GV25. The major cause of developing prohibited needling or moxibustion was due to the possibility to damage vessels or organs near them; other causes were side effects brought by applying wrong stimulating method or inducing women sterilized. Conclusions : The prohibition of needling or moxibustion on the points found in Chimgugapeulgyeong had acceptable causes. Therefore the techniques of needling or moxibustion on the acupoint should be performed with care.

"동인수혈침구도경(銅人腧穴鍼灸圖經)"과 "침구자생경(鍼灸資生經)"에 수록된 침구금기혈 연구 (Review on Needling- or Moxibustion-Prohibited Points in "Illustrated Manual for the Practice of Acupuncture and Moxibustion with the Help of a Bronze Figure bearing Acupuncture Points" and "The Classic of Supplementing Life with Acupuncture and Moxibustion")

  • 이장천;서병관;권선오;박히준;함대현;이혜정;김승태
    • Korean Journal of Acupuncture
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    • 제29권1호
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    • pp.1-15
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    • 2012
  • Objectives : This research was projected to verify the validities of needling or moxibustion- acupoints in Illustrated Manual for the Practice of Acupuncture and Moxibustion with the Help of a Bronze Figure bearing Acupuncture Points (IMPAM) and The Classic of Supplementing Life with Acupuncture and moxibustion(CSLAM) Methods; We investigated acupoints which have prohibitions, notices or adverse events when performing needling or moxibustion in IMPAM and CSLAM, then verified it in various literatures and today's medical knowledge. Results; In IMPAM, 2 acupoints were prohibited both needling and moxibustion, 22 acupoints were prohibited from needling and 29 were prohibited from moxibustion. In CSLAM, 3 acupoints were prohibited from both needling and moxibustion, 24 acupoints were prohibited from needling and 31 were prohibited from moxibustion. Most of the prohibition, the notices and adverse events of the acupoints written in IMPAM and CSLAM had medical or philological bases, and the number of them increased compared to that in A-B Classic of Acupunture and Moxibustion(ABCAM). Conslusion : The prohibotions, the notices and the adverse events when performing acupunture or moxibustion in IMPAM and CSLAM reflected the medical experience and knowledge of the time. And the knowledge was increased compared to that in ABCAM.

생명 문화 정립을 위한 시론적 모색 (Contemporary Explorations to Establish Life Culture)

  • 이재복
    • 비교문화연구
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    • 제21권
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    • pp.165-188
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    • 2010
  • One of the things that should be done first in establishing the cosmic life culture is to reflect on the old human-oriented culture. If the cosmic life culture absolutizes everything except for humans according to the logic of reason, its foundation will weaken or eventually get lost. Separating humans from the universe is just like separating life from it. Given that all life, whether it is humans or the earth, originated from the universe, such an effort for separation merely values an individual life by excluding all life or whole life. When the human body and the cosmic chi' blood are not in an active flow, it means there is a problem with life. What is in the greatest need in such a case is the sincere human mind that follows the principle of cosmic life. It is like the sincerity found in the pasonri singer, who mellows all the hardships and difficulties in the world out and create songs out of them like the shadow. It is the pansori singer's shadow that changes the universe. It is only when the extreme force of human mind communicates with that of the universe that the cosmic life or cosmic life culture can be created. In that sense, it is urgent to create life out of the universe inside me and create a universe out of all life in and outside me. It is such a grave plan in human history in that it involves finding the "Sanal" which is the core of life living hidden inside the body whose life force gradually goes away or inside the universe, and creating the culture of Bokseung in which it bursts out. The most important thing in life is the flow, and the mankind is currently standing in the life flow of the massive universe's chaosmos. The greatest task the mankind is currently faced with is to think over how to deal with the period of Big Chaos in the massive universe's chaosmos reversely and establish the cosmic life culture anew.

음양기혈대사(陰陽氣血代謝)와 비만(肥滿)의 상관관계 (Correlation between Eum, Yang, Ki and Blood Metabolism and Obesity)

  • 신순식
    • 동의생리병리학회지
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    • 제33권1호
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    • pp.1-9
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    • 2019
  • This paper aims to present a model of obesity and leanness based on eum, yang, ki and blood metabolism of Korean medicine. I analyzed the theory of eum, yang, ki and blood metabolism, yang transforming ki and eum forming the body on Korean medicine, and compared them with energy homeostasis by anabolism and catabolism of modern medicine. In the eum and yang theory, the metabolic process of the human body is dominated by synergism and antagonism between eum force and yang force. When the balance of eum and yang collapses, all the pathological actions of the human body appear, and in the eum and yang metabolic process, an imbalance between yang transforming ki and eum forming the body occurs. The function of yang transforming ki is reduced to ki deficiency, and the function of eum forming the body is increased to blood excess. When blood excess and ki deficiency is given, energy intake increases, energy expenditure decreases, overweight and obesity occur. On the contrary, the function of yang transforming ki is increased to ki excess, and the function of eum forming the body is decreased to blood deficiency. When ki excess and blood deficiency is done, energy intake decreases and energy expenditure increases, the body becomes leanness. When the balance of eum, yang, ki and blood metabolism collapses and becomes blood excess and ki deficiency, overweight and obesity occur, and when ki excess and blood deficiency is done, the body becomes leanness. The energy homeostasis of the human body can be explained by eum, yang, ki and blood metabolism of Korean medicine and it contains the concept of anabolism and catabolism of modern medicine.