• Title/Summary/Keyword: 허실(虛實)

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A Study on Reliability and Evaluate Deficiency and Excess on Visual Inspection of Eyes (안진(眼診)을 통한 허실(虛實) 평가 및 신뢰도 연구)

  • Seo, Jae-Ho;Choi, Jin-Yong;Oh, Whan-Sup;Park, Young-Bae;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.18 no.1
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    • pp.1-10
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    • 2014
  • Objectives Visual inspection is the first diagnostic method in Oriental medicine, and visual inspection of eyes is the one among them. This study was written in order to complement further understanding on visual inspection of eyes. Methods 1. Out of 102 photographs submitted to the Society of HyungSang Medicine in 2009, 27 portrait pictures were selected as samples in blind by 2 clinicians. The samples were copied to make 54 sample pictures, and then randomly assigned to 4 clinicians. 2. The 4 clinicians evaluated the 54 samples for excess and deficiency of the eyes. The results were recorded as 5-points-scale, and their average and standard deviation was calculated. 3. Intra and inter class reliability test were measured using SPSS 13. Results For intra- and inter-class correlation coefficient (ICC) values were measured as 0.654~0.967 and 0.756~ 0.783 respectively, with the P-value below 0.05. Out of 27 originally selected samples, 7 pictures were selected as Deficiency Samples (with 3 pictures of male and 4 of females), and 20 as Excess Samples (with 4 of male and 16 of female). Among them, Sample No. 1, 9, 22, and 26 were selected as models of 'Excessive Eyes' for females, no. 4 and 5 as 'Very Excessive Eyes' for male and females, and no. 15 as 'Moderate Eyes' for females. Conclusion This study is the first attempt of quantitative measurement of excess and deficiency using the Visual Inspection of eyes by the visual inspection experts. Still, additional studies are needed regarding the relationship visual inspection methods have with existing standards of diagnosis.

Correlations of Deficiency and Excess Patterns between Menstrual Symptoms and Whole Body Symptoms (월경통(月經痛) 증후(證候)와 전신 증후(全身 證候)의 허실(虛實) 상호 관련성 연구)

  • Hwang, Jae-Ho;Jeong, Hui-Jin;Lee, Geon-Seok;Yun, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.1
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    • pp.47-55
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    • 2012
  • Purpose: Dysmenorrhea mostly depends on the causative factor, which usually falls under the categories of Deficiency and Excess pattern in traditional Oriental medical theories and diagnosis. Thus, we investigated menstruation symptom and sign related to dysmenorrhea and verified the validity of Deficiency and Excess pattern identification. Methods: We investigated menstruation symptom and sign related to dysmenorrhea in total 14 gynecology-medical books including the book ${\ll}$Exemplar Of Korean Medicine (Dongui Bogam)${\gg}$ and whole body symptom and sign identifying Deficiency and Excess pattern at the same time. A survey based on this investigation was carried out targeting women of childbearing age. Results: Total of 14 gynecology-medical books have mostly narrated pre-menstrual and mid & post-menstrual pelvic pain depending on the time of its manifestation for identifying Deficiency and Excess pattern. Dysmenorrhea in pre-menstrual period belonged to Excess pattern and dysmenorrhea in mid & post-menstrual period belonged to Deficiency pattern. Among a total of 343 women, 196 subjects suffered from dysmenorrhea. The number of dysmenorrhea in pre-menstrual period (Excess pattern) was 116 people and in mid & post-menstrual period (Deficiency pattern) was 80 people. Deficiency and Excess pattern of dysmenorrhea in menstrual period significantly correlated to Deficiency and Excess pattern of whole body symptom and sign in the statistics(P-value < 0.05). Conclusion: The results suggest that pre-menstrual and mid & post-menstrual pelvic pain depending on the time of its manifestation is preferentially utilized as symptom and sign related to dysmenorrhea identifying Deficiency and Excess pattern.

A Study on Needs of 'Strolling (Yu)' at the Fine Arts Education - Focused on Oriental Painting - (미술교육에 있어서 '노닐음(遊)'에 대한 필요성 연구 - 동양화를 중심으로 -)

  • Jeong, Gyeong-Cheol
    • Journal of Science of Art and Design
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    • v.12
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    • pp.97-124
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    • 2007
  • The paper examined whether the fine arts education needed concept of 'Yu' that was suggested by, 'Soyoyu' of Jangja, a representative philosopher of Doka. At first, the paper defined concept of 'Yu' of Jangja as well as background and needs of the fine arts education, and investigated values of 'Yu' of the Oriental painting in aesthetic way to examine whether today's Yu concept can be applied to modern Oriental fine arts education to express. Chapter 2 examined concept and thought of 'strolling (Yu)', and Chapter 3 did background and needs of the fine arts education. Chapter 4 examined an access to practical technique education of the Oriental painting through 'strolling (Yu)': At first, the chapter investigated 'Heosil' of space concept that was researched at Chapter 2, 'Pilmuk' of expression technique, and 'Saeui' of state of spiritual canvas of painters. The findings were as follow: Firstly, when relation between Yu and Oriental paintings was investigated based on formative idea, 'Heo' reminded appreciators of association of ideas, hint and imagination, etc by, 'Sil' that other objects disclosed intrinsic attributes so that it indicated border of positive forgetfulness expressed by artists to have same border between 'Heo' and 'Yu'. Therefore, both 'Heo' and 'Sil' could build up expression as well as appreciation ability by experiencing formative idea to develop creativity and to build emotion and to cognize needs of the fine arts education. Secondly, the artistic state of 'Shin', 'Ki (Simjae)', 'Jeonshin' and, Saeui', etc could be expressed with strength and weakness of both Yin and Yang of Pilmuk. Therefore, the Pilmuk were linked even with creation of both Hyeongsa and artistic form of Saeui. Therefore, freedom at border of spiritual 'strolling' could produce creative power being expressed by thinking, natural appreciation ability, and education that could judge values of aesthetic culture. Therefore, cultivation of aesthetic eye, development of creativity, build up of formative ability and education of human nature, etc could keep identity of the Oriental fine arts education at various modern fine arts.

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Clinical Reports of the Meniere's Disease in the Diagnosis of Deficiency-Excess (메니에르 병 환자의 허실별(虛實別) 치험례)

  • Jang, Soo-Young;Shin, Hyeon-Cheol
    • The Journal of Internal Korean Medicine
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    • v.32 no.1
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    • pp.121-128
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    • 2011
  • Meniere's disease is an idiopathic syndrome of endolymphatic hydrops characterized by episodic vertigo, tinnitus, fluctuating hearing loss and ear fullness. The etiology and pathophysiology of the disease is still disputed. As yet, no treatment has conclusively modified the clinical course of the condition and thereby prevented the associated progressive hearing loss. We observed two cases of Meniere's disease treated with oriental herbal medication by the diagnosis of Deficiency-Excess. One patient had taken BangHyunOnDam-tang, and the other had taken ChungGanESa-tang. After treatment, vertigo attacks were controlled in both. Tinnitus and hearing loss were improved in one patient and unchanged in the other. Therefore, we believe that oriental herbal treatment may be a therapeutic modality that is effective in controlling Meniere's disease.

The Study on the Questionnaire Analysis and Agreement Diagnosis of the Same Patients Using Differentiation of Symptoms and Signs on Chronic Knee Joint Pain Including Osteoarthritis of Knee Joint (퇴행성 슬관절염 환자를 포함한 만성 슬통환자의 설문분석과 경락허실변증 진단일치도에 관한 연구)

  • Lee, Jong-Deok;Lee, Sang-Kwan;Lee, Sung-Young;Moon, Hyung-Cheol;Choi, Sun-Mi;Chung, Young-Hae;Kim, Sung-Chul
    • Journal of Acupuncture Research
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    • v.23 no.1
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    • pp.71-93
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    • 2006
  • Objectives : This study is performed for proposing reasonable clinical study protocol at International standard clinical study of osteoarthritis of Knee Joint. Methods : We gave the eighteen oriental medicine doctors the questionnaire and the video about female patient who diagnosed Knee joint of osteoarthritis above 60 years old and they tested same patients using differentiation of symptoms and signs. Then they retested it after We educated them with diagnosis education text. Conclusion : The improvement of diagnosis agreement can be possible by developing standardized the same patients using differentiation of symptoms and by reeducation about it.

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산란계 사료의 영양수준과 개선대책

  • 강창원
    • Korean Journal of Poultry Science
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    • v.15 no.2
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    • pp.115-145
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    • 1988
  • 우리나라 축산업이 과학적인 축산으로 변모하는 과정에서 선도적 역할을 해온 것이 양계분야인 만큼 생산성적에 있어서도 어느 타 선진국에 뒤지지 않을 만큼 높아지고 있다. 그러나 사료원료의 해외 의존도가 높고 개방경제시대에 접어들음으로서 외국의 양계산물과 경쟁을 벌리게 되는 이 시점에서 생산비중 가장 높은 비율을 차지하는 사료를 가장 경제적으로 이용함으로서 생산 효율을 극대화시킬 책임이 우리에게 있다. 우리나라의 년 중 기온차이가 심하고 대부분의 산란계가 유창계사에서 사육되고 있는 만큼 계절에 따른 온도 변화에 맞추어 계절 사양을 함으로서 하절기에는 영양소 결핍현상을 방지하고 동절기에는 영양소 과다 섭취로 인한 영양소 허실을 줄일 수 있다. 난중에 따른 난가 형성이 되는 시장 상황에서 난중을 조절함으로서 생산효율을 높일 수 있다. 비록 난중이 생리적인 현상에 의해서 결정되지만 닭이 섭취하는 아미노산과 지방의 함량을 증감함으로써 어느 정도의 난중조절이 가능하다. 산란율과 난중에 영향을 미치지 않는 범위에서는 산란계의 체중이 작을수록 경제성이 있다. 가급적 육성기간중의 사료비를 줄이고 성계 체중을 줄이는 방법으로 육성기간중의 사료비를 줄이고 성계 체중을 줄이는 방법으로 육성기간중 단백질 점증법이 시험되고 있다. 이러한 육성체계를 보급화 하기에 앞서서 좀 더 많은 비교 시험이 필요하리라 본다. 사료 원료의 영양가를 정확하게 평가하는 것은 닭이 필요로 하는 영양소 요구량을 충족시키기 위한 필수조건이 된다. 단지 영양성분의 화학분석만으로 사료배합에 임하지 말고 생물가를 측정함으로서 닭이 섭취하는 영양소의 이용률이 함께 고려하여야 한다.

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A Literature Study on the Application of Spleen Tonifying Sa-Am Acupuncture in the Diagnosis of Cold-Heat & Deficiency-Excess (한열허실변증(寒熱虛實辨證)을 이용한 비정격(脾正格) 적응증 고찰)

  • Choi, Joon-Soo;Yim, Yun-Kyoung
    • Journal of Acupuncture Research
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    • v.23 no.5
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    • pp.31-37
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    • 2006
  • Objectives & Methods : We investigated the cases for which spleen tonifying Sa-Am acupuncture was applied in ${\ulcorner}$Sa-Am-chim-gu-jeong-jeon(舍巖鍼灸正傳)${\lrcorner}$ and classified them according to the concepts of cold-heat & deficiency-excess for a better understanding of the application of spleen tonifying Sa-Am acupuncture. Results : 1. Tonification of Spleen Sa-Am acupuncture can be used to treat heat syndromes such as deficient fire caused by collapse of the spleen qi, stagnation of evil qi or spleen yin deficiency, by way of tonifying spleen qi, activating the flow of qi and blood or harmonizing spleen yin and yang. 2. Tonification of Spleen Sa-Am acupuncture can be used to treat cold syndromes such as weakness of spleen yang by way of promoting fire to generate earth, strengthening spleen yang and raising the clear yang. 3. Tonification of Spleen Sa-Am acupuncture can be used to treat deficiency syndromes such as malnutrition or poor appetite caused by spleen deficiency by way of tonifying spleen qi. 4. Tonification of Spleen Sa-Am acupuncture can be used to treat excess syndromes such as stagnation of qi and blood, abdominal mass or toxication by way of tonifying spleen qi and promoting the flow of qi and blood.

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Acupuncture in Practical Veterinary Medicine

  • 김갑수
    • Journal of the korean veterinary medical association
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    • v.33 no.1
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    • pp.38-43
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    • 1997
  • 동서양을 막론하고 최근들어 수의침술의 관심이 높아지고 있다. 지금까지의 입장을 고수하려는 서양의 학자(school medicine)들 중에서 종양의학에 관심을 갖는 것 뿐만아니라, 환축을 갖고 있는 사람들로부터 부작용이 심한 약물치료로 부터 벗어나 좀더 자연적인 방법으로 환축을 최소의 부작용을 유발할 수 있는 치료법을 찾으려는 노력의 댓가인 것이다. 본 내용에서는 침술의 근본이론인 동양철학의 의미를 다시 한번 상기시키고 1991-1994년 사이에 Berlin소재 본인 근무하던 대학병원과 개인병원에서 직접 치료했던 말과 소동물(애완견)을 증례별로 정리하였다. 도표(Table 1-5)에서 알 수 있듯이 아직도 그 작용기전이 밝혀지지는 않았지만 실제임상에서 침술이 차지하는 비중이 점점 증가하고 있다. 약물의 투입만을 고수하려는 우리의 수의임상과는 대조적으로 이러한 상황으로부터 탈피하려는 서양의 움직임이 오히려 최근에 들어서는 수의침술을 배우기 위하여 유럽이나 구미지역으로 유학을 떠나야 하는 실정으로 전도되어 버렸다. 본 내용에서는 자세하게 다루지는 못하였지마는 모든 환자들을 음양오행으로 분석을 하여 질환의 원인을 구명하고 진단, 치료하였다. 그렇기 때문에 임상학적으로나 전통적인 서양의학적으로는 같은 질병이라도 동양의학적으로는 환축의 성격이나 감정표현방식의 차이에 따라서 전혀 다른 진단과 치료방법을 선택하여야 하는 경우가 종종 나타난다. 이러한 동양의학의 질서를 이해할 수 없는 서양의학자들에게 침술을 단지 하나의 효과만으로 파고드는 것은 어려운 일이 아닐 수 없다. 이러한 상황을 보다 효과적으로 극복할 수 있는 길은 우리 스스로 동양철학을 보다 더 많이 이해하고 침술이론의 허실을 분석하여 체계적이며 이론적인 수의침술발전의 기여하여야 할 것이다. 그리고 수의침술의 생리적인 기전을 현대의학적인 관점에서 해석하고 증명하는 노력이 좀더 많이 기울어져야 할 것이다.

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A Study on the Relationship between the Eight Principle Pattern Identification of Cold-Heat, Deficiency-Excess and the Sasang Constitution -500 Women with Menstrual Pain and Women without Menstrual Pain as a Target- (한열허실 팔강진단과 사상체질과의 관련성 연구 -월경통이 있는 여성과 없는 여성 500명을 대상으로-)

  • Kim, Jong-Won;Jeon, Soo-Hyung
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.3
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    • pp.18-32
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    • 2020
  • Objectives In order to find out the relationship between the Eight Principle Pattern Identification of Cold-Heat, Deficiency-Excess and the Sasang constitution, we analyzed the clinical data from 500 women with menstrual pain and women without menstrual pain. Methods In the previous study, the subject's information of Typology Complexion Pulse and Symptom was collected, and Eight Principle Pattern Identification was executed based on this. Later, the relationship between the Sasang constitution and the Eight Principle Pattern Identification was statistically analyzed. Results and Conclusion 1. The obvious difference between the experimental group and the control group in the patterns of Cold-Heat and Deficiency-Excess is that patients who complain of menstrual pain do not maintain harmony with the yin-yang ratio, it can be said that the patterns of Cold-Heat and Deficiency-Excess can be a Identification standard that significantly obscures the condition of the disease. 2. There was a significant difference between the Sasang constitution and the Eight Principle Pattern Identification of Cold-Heat. There was no significant difference between the Sasang constitution and the Eight Principle Pattern Identification of Deficiency-Excess.

A Study on the Medicinal Application in the Zangfuxushibiaobenyongyaoshi - Based on the Zangfuyaoshibuzheng of Zhang Shanlei - (『장부허실표본용약식(臟腑虛實標本用藥式)』에 나타난 약물(藥物) 운용(運用)에 관한 고찰(考察) - 장산뢰(張山雷)의 『장부약식보정(臟腑藥式補正)』을 중심으로 -)

  • Lee, Sang-Hyup
    • Journal of Korean Medical classics
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    • v.36 no.1
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    • pp.45-78
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    • 2023
  • Objectives : Based on the Zangfuyaoshibuzheng of Zhang Shanlei, this paper examines the tip/root division of the Zangfu, features of medicinal application according to deficiency/excess or cold/heat, and erroneous cases in the Zangfuxushibiaobenyongyaoshi of Zhang Jiegu. Methods : Categorization according to tip/root, cold/heat, deficiency/excess and respective medicinal applications in the Zangfuxushibiaobenyongyaoshi were organized, followed by thorough analysis based on the annotations in the Zangfuyaoshibuzheng. Results : First, in the treatment principle of the Zangfu diseases, each of their physiological function and pathological mechanism were analyzed so that the disease patterns are understood accurately and treated accordingly. Second, in categorizing treatment methods, terminology application was modified in overlapping or ambiguous cases so that they could be better distinguished. Third, medicinal categories that were designated to treat each Zangfu disease were explained well based on unique features. In cases where medicinals were falsely included, they were identified and corrected based on sound reasoning. Conclusions : The pattern diagnosis in the Zangfuyaoshibuzheng is clear, and medicinal application analysis is intelligible. As it thoroughly corrects and revises errors in Zhang Jiegu's theories, it could provide valuable assistance in selecting each medicinals when treating disease patterns of the Five Zang.