• Journal of Sasang Constitutional Medicine
• /
• v.7 no.1
• /
• pp.1-21
• /
• 1995

• The Journal of Dong Guk Oriental Medicine
• /
• v.7 no.2
• /
• pp.9-25
• /
• 1999

The results of the pathogenesis analysis of a diarrhea of the differential diagnosis s uggested in Sanghaulun and Dongyishoushibaoyuan are as followings. 1. The various factors such as cold, asthenia and sthenia are the pathogenesis of a diarrhea. Among of them, the asthenia-cold is the main pathogenesis, and theis sho ws that the above pathogenesis could belong under the constitutional pathogenesis of Shaoyinren. 2. Dong-Mu proved that all the symptoms of Sanyinbing were the symptom of Shao yinern. The case of Shanyinbing involved by the heat-evil, however, indicates that I t is not the pathogenesis of Shaoyangren. 3. To understand the various differential diagnosis of the pathogenesis in Sanghanlu n. the study on the theoretical relation with the constitutional pathogenesis in Dong yishibaoyuan will be necessary.

• Journal of the Korea Convergence Society
• /
• v.10 no.11
• /
• pp.501-510
• /
• 2019

This study aimed to find health related lifestyle factors that influence glycemic control for diabetes mellitus (DM) management strategies. This study used nested case-control design with matching variables that were not controlled by individuals such as age, sex, insulin or oral hypoglycemic agent (OHA) use, disease duration, education level and household income. This study analyzed 983 subjects with type 2 DM who enrolled in the $7^{th}$ (2016-2017) Korean National Health and Nutrition Examination Survey (KNHANES). The target HbA1c level of controlled glucose was defined as less than 6.5%, and 289 (30%) were achieved. Conditional multivariable logistic regression analysis was performed to find self-control factors associated with HbA1c levels. The results statistically significant for variables such as duration of diabetes, insulin or OHA use in overall cohort and body mass index (BMI), smoking and fundus Examination in matched cohort. These results are expected to provide as evidence for the intensive care criteria(disease duration, drug use) and lifestyle management strategy(BMI, smoking, fundus examination).

• Journal of Sasang Constitutional Medicine
• /
• v.4 no.1
• /
• pp.187-192
• /
• 1992

Skin conductance level (SCL) is used to analyze the individual differences in pathological states. The points of measurement were on the back of the second metacarpals, according to the Zhang's biological whole body medical treatment method. SCL was measured in 38 healthy men and women and in 98 patients in lung, liver, stomach, kidney, and paralysis. The classification of the physical constitution was done to them with respect to Lee's physical constitution theory. The following tendencies were observed. 1. SCL in patients group is lower than that in healthy group. 2. In healthy group, SCL in micro-positive physical constitution is higher than those of micro-negative and macro-negative physical constitution. 3. In patients group, SCL in micro-positive physical constitution is lower than those of micro-negative and macro-negative physical constitution vice versa.

• Journal of Korean Medical classics
• /
• v.24 no.6
• /
• pp.125-130
• /
• 2011

중의학에는 골다공증이란 병명은 없으나 현대 골다공증의 병인병기와 임상특징에 근거하며 중의학의 "골위(骨痿)", "골비(骨痹)"의 범주에 속한다. 고대 중의문헌에서 골위의 병인은 비교적 복잡하며 병기의 변화 역시 다양하나 "기혈이 유양(濡養)작용을 하지 못하는 것"을 위주로 하는 주요한 병리특징이 있으며, 골비의 병인은 외사, 계절, 병위, 체질 등 복합적인 인소로 인하여 "기혈이 막히는 것(閉阻)"을 위주로 하는 주요한 병리특징이 있다. 골위와 골비의 증상표현은 대략 비슷하나 골위는 하지가 위약(痿弱)하여 사용할 수 없는 것이 특징이며, 골비는 대부분 전신통증을 위주로 하기에 치료법칙에 있어서도 각자의 특징이 있다. 그러므로 본 논문은 중의학이 골다공증의 이론기초를 인식하는 기초를 다지는데 중요한 의의가 있다고 사료된다.

• Journal of Nutrition and Health
• /
• v.42 no.7
• /
• pp.615-621
• /
• 2009

This study was conducted to evaluate the change of nutritional status and to analyze related factors in hospitalized tuberculosis (TB) patients during their hospitalization. The subjects were 398 men patients (mean age: 47.3 ${\pm}$ 14.4 y) who had hospitalized more than 3 months at TB hospital located in Seoul. The anthropometric and blood biochemical indices were measured, and dietary intakes were assessed. At the time of admission the body weight of subjects was about 76% of the average body weight of Korean men with same age, Body mass index (BMI) of subjects was 18.5 kg/$m^2$, and 53.8% of subjects were under weight status. Average level of blood hemoglobin and hematocrit of subjects was lower than the normal value. After 3 months of hospitalization period, the body weight and body mass index were significantly increased compared to admission by 3.9 kg (7.41%) and 1.4 kg/$m^2$ (7.61%)(p < 0.001), respectively. Blood levels of hemoglobin, hematocrit, albumin, and total protein were also significantly increased after 3 months of hospitalization period compared to admission (p < 0.001). The increment in the body weight and blood indices was significantly higher in below 29 years group than over 60 years group (p < 0.05). The increment in the body weight and body mass index was significantly higher in the under-body weight group compared to the normal-body weight group (p < 0.05). In conclusion the body weight and body mass index of subjects were significantly increased after 3 months of hospitalization period, and the age and body weight of subjects at admission were supposed to influence the degree of change in the nutritional status.

• Journal of Korean Medical classics
• /
• v.21 no.4
• /
• pp.193-196
• /
• 2008

최근에 "내경(内经)"의 연구(研究)가 이론연구(理论研究)에 편중되어서 그 내용(内容)이 문자훈고(文字訓詁), 판본류전(版本流傳), 음양오행(陰陽五行), 장상학설(藏象學說), 체질학설(體質學說), 병인병기(病因病機), 병증방약(病證方藥), 치칙치법(治則治法), 양생(養生)의 많은 분야를 섭렵하고 있으나,각가학설(各家學說)의 측면에서 "내경(內經)"을 연구한 사람은 비교적 적다. "내경(內經)"은 한 사람의 손에서 나온 것이 아니며, 한 시대의 저작(著作)도 아니고, 상당한 시간 동안에 많은 의가(醫家)들의 경험(經驗)이 집결(集結)되어 편집됨으로써 각가학설(各家學說)의 성질(性質)을 띄고 있다. 비록 그렇다 하더라도 "내경(內經)"의 각편(各篇)의 경문(經文)에 종합된 이론 체계는 그 일치성이 있으나, 구체적인 관점에서 같지 않은 것이 적지 않은데, 몇 가지의 학술관점(學術觀點)은 모두 고대의가(古代醫家)들의 귀중한 경험(經驗)의 결정(結晶)으로서 옛날부터 중점적으로 연구(研究)하였다. 각가학설(各家學說)의 측면에서 "내경(內經)"을 연구하면 중의학(中醫學)이 후세(後世)에 발전(發展)한 중(中)에 약간의 내용상의 불일치를 설명하는데 유용하고,여러 학술이론과 각종 학술류파(學術流派)의 형성(形成), 발전(發展) 과정(過程)을 심도 있게 이해하는 할 수 있어서 이론과 임상의 측면에 많은 도움을 준다.

• Clinical and Experimental Pediatrics
• /
• v.46 no.6
• /
• pp.585-590
• /
• 2003

Purpose : This study is designed to determine the prevalence of cardiovascular autonomic neuropathy and its relationship to risk factors in adolescents with diabetes mellitus(DM). Methods : Ninety-two diabetic patients(80 with type 1 DM and 12 with type 2 DM), ranging from eight to 26 years of age, were studied for cardiovascular autonomic function, and the relationship to age, duration of diabetes, glycated hemoglobin(HbA1c), urinary albumin excretion, and the presence of diabetic retinopathy and abnormal nerve conduction velocities(NCV) were analysed. Autonomic function was assessed by measuring heart rate variation during valsalva manoeuvre, deep breathing and standing from a lying position(30 : 15 ratio), and postural hypotension. Results : Among patients with type 1 DM, 22.5% had early, 8.7% had definite, and 1.3% had severe autonomic dysfunction, and among patients with type 2 DM, 16.7% had early, 8.3% had definite, and 8.3% had severe autonomic dysfunction. On logistic regression analysis including both type 1 and type 2 diabetic patients, the age of the patient(OR=1.133(1.003-1.279), P<0.05) and duration of diabetes(OR=1.148(1.009-1.307), P<0.05) significantly predicted cardiovascular autonomic dysfunction while HbA1c, blood pressure, urinary albumin excretion, and presence of diabetic retinopathy and abnormal NCV did not. The valsalva ratio was borderline or abnormal in 31.5% of patients, the heart rate variation on deep breathing in 41.3%, the 30 : 15 ratio in 14.1%, and postural hypotension in 9.8% of patients. The valsalva ratio and the heart rate variation on deep breathing significantly predicted cardiovascular autonomic dysfunction, but the 30 : 15 ratio and postural hypotension did not. Conclusion : Cardiovascular autonomic dysfunction was found in 32.6% of diabetic patients and 10.8 % of patients had definite or severe involvement. The risk of cardiovascular autonomic dysfunction increased with the patient's age and the duration of DM. This study suggests that the valsalva ratio and the heart rate variation on deep breathing are the most useful tests in evaluating the cardiovascular autonomic function in children and adolescents with DM.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.37 no.6
• /
• pp.172-177
• /
• 2023

In order to deduce the pathogenic factor(PF) diagnosis logic of underlying in pattern identification of Korean medicine, 2,072 cases of DSOM(Diagnosis System of Oriental Medicine) data from May 2005 to April 2022 were collected and analyzed by means of decision tree model(DTM). The entire data were divided into training data and validation data at a ratio of 7:3. The CHAID algorithm was used for analysis of DTM, and then validity was tested by applying the validation data. The decision rules of items and pathways determined from the diagnosis data of Qi Deficiency, Blood Deficiency, Yin Deficiency and Yang Deficiency Pathogenic Factor of DSOM were as follows. Qi Deficiency PF had 7 decision rules and used 5 questions: Q124, Q116a, Q119, Q119a, Q55. The primary indicators(PI) were 'lack of energy' and 'weary of talking'. Blood deficiency PF had 7 decision rules and used 6 questions: Q113, Q84, Q85, Q114, Q129, Q130. The PI were 'numbness in the limbs', 'dizziness when standing up', and 'frequent cramps'. Yin deficiency PF had 3 decision rules and used 2 questions: Q144 and Q56. The PI were 'subjective heat sensation from the afternoon to night' and 'heat sensation in the limbs'. Yang deficiency PF had 3 decision rules and used 3 questions: Q55, Q10, and Q102. The PI were 'sweating even with small movements' and 'lack of energy'. Conclusively, these rules and symptom information to decide the Qi·Blood·Yin·Yang Deficiency PF would be helpful for Korean medicine diagnostics.

• Journal of the Korean Institute of Oriental Medical Informatics
• /
• v.13 no.1
• /
• pp.39-46
• /
• 2007

종고대도현재하단전재건신양생방면점착흔중요위치. 의가(醫家), 도가(道家), 불가등위료보지건강타문주료흔다노력화각식적연구. 하단전시태아재모친복중생활적지방(下丹田是胎兒在母親腹中生活的地方), 시정자재부친체내생장적중요부위시생명성장적지방(是精子在父親體內生長的重要部位是生命成長的地方), 위료보유지건강적영혼화육체취요단련단전보지단전기중최보편적방법취시단전호흡화수기(爲了保維持健康的靈魂和肉體就要鍛鍊丹田保持丹田其中最普遍的方法就是丹田呼吸和手技)(침구(鍼灸), 약(藥), 안마(按摩)), 본고취시통과수기유지건강적단전소주적고찰(本告就是通過手技維持健康的丹田所做的考察). 한의학설(韓醫學說);(종동양사상주기초(從東洋思想做基礎))치인체질병유음양설(治人體疾病有陰陽說), 오행설등동양문화적근원음양설시포괄인간자연계적세계만물(五行說等東洋文化的根源陰陽說是包括人間自然界的世界萬物), 음화양적상대성(陰和陽的相對性), 상보성(相補性), 상련성등(相連性等) 원리주적관찰(原理做的觀察), 오행설시목(五行說是木), 화(火), 토(土), 금(金), 수자연계적삼라만상오류군적상생(水自然界的森羅萬象五類群的相生), 상극(相剋), 상화사득만물질서조율(相和使得萬物秩序調律), 인체시삼라만상(人體是森羅萬象), 우주중적소우주(宇宙中的小宇宙), 산화계곡(山和溪谷), 천화강해(川和江海), 동식물(動植物), 생활도구(生活道具), 건축물(建築物), 천체화무의등조성료인체구조자연화생명적조화중한의학시용침술화약재치료료인적질병(天體和巫醫等組成了人體構造自然和生命的造化中韓醫學是用鍼術和藥材治療了人的疾病). 저양조화유지료신체건강, 여과파배료저종조화상호보충적관계취회출현이상, 취회질인병기질병(就會疾引病起疾病), 소이위료유지신체적조화취요호호적이해신체적구성(所以爲了維持身體的調和就要好好的理解身體的構成), 관리호신체적각부분(管理好身體的各部分). 저시논문규명적취시신체내양생최중요적지방시단전, 하단전적구조이해지후취회명백유지신체조화적경혈적관계(下丹田的構造理解之後就會明白維持身體調和的經穴的關係).