• 제목/요약/키워드: Deficiency-Stagnation pattern

검색결과 48건 처리시간 0.021초

과체중 및 비만 성인 여성의 비만변증 설문 결과 분석 (Analysis of Oriental Obesity Pattern Identification Questionnaire on Overweight and Obese Korean Adult Women)

  • 황미자;문진석;박경수;송미연
    • 한방비만학회지
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    • 제8권2호
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    • pp.63-72
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    • 2008
  • Objectives We aimed to explore obesity pattern among overweight and obese Korean adult women using oriental obesity pattern identification questionnaire. Methods This survey was performed using data of 83 overweight and obese women aged from 20 to 55 yrs (BMI ${\geq}\;23\;kg/m^2$ : n=18, BMI ${\geq}\;25\;kg/m^2$ :n=65) in Seoul, from 2007 to 2008. Subjects were given written consent and this study was performed under the permission of institutional review board of Kyung-Hee East-west Neo Medical Center. Results 1. The distribution of oriental obesity pattern identification did not show any differences between obese and overweight group(p>0.05). 2. The ratio of significantly-scored oriental pattern identification was ordered by Stagnation of the liver Qi(肝欝, 21.7%) > Indigestion(食積, 18.1%) > Spleen deficiency(脾虚, 16.9%) > Yang deficiency(陽虚, 14.5%) (n=83). 3. The frequency of top-scored oriental obesity pattern was ordered by Stagnation of the liver Qi(肝欝, 36.1%) > Indigestion(食積, 24.1%) > Yang deficiency (陽虚, 15.7%) (n=83). 4. The frequency of oriental obesity pattern identification was ordered by Stagnation of the liver Qi(肝欝, 41.7%) > Indigestion(食積, 29.2%) > Yang deficiency(陽虚, 12.5%) > Stagnation of the liver Qi and Yang deficiency(肝欝兼陽虚, 8.3%) (n=24). Conclusions In Korean adult overweight and obese women, Stagnation of the liver Qi(肝欝), Indigestion(食積), and Yang deficiency (陽虚) were found to be the main pathology based on oriental obesity pattern identification questionnaire. It suggests that not only physical status but also general condition and emotional problem should be concerned in treatment of obesity. This study could play a role as a preliminary data of oriental obesity pattern identification.

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허울(虛鬱) 기반 미병 평가도구 개발 및 예비타당성 검증 (Development and Preliminary Validation of Mibyeong Questionnaire(MQ) Based on Deficiency-Stagnation pattern)

  • 백영화;이영섭;박기현;이시우;유종향
    • 대한예방한의학회지
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    • 제19권3호
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    • pp.11-19
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    • 2015
  • Objective : This study aimed to develop and preliminary validate the Mibyeong Questionnaire (MQ) based on Deficiency-Stagnation pattern, which was report of a person's health condition that comes directly from the person. Method : The first phage of developing a MQ was to generate and exhaustive list of all MQ issue that are relevant to the domain of interest, using literature research and expert group discussions. Through those steps, we established MQ with 33 items divided into two parts: 21-item deficiency pattern and 12-item stagnation pattern. The second phage, we examined the preliminary tests of reliability and validity including the 16-item Deficiency of MQ (16D-MQ), with data (n=1,890) already collected on the Korean medicine data center in KIOM. Results : Exploratory factor analysis revealed three factors of the 16D-MQ. These factors were fatigue(Qi, 氣); psychic and physical elements(Shen, 神); and skin and hair(Jing, 精). Cronbach's coefficient alpha was 0.876 and the intraclass correlation coefficients was 0.368-0.538. In support of criteria validity, the 16D-MQ was weakly correlated with EQ-5D and physicians's opinion, but it was acceptable. Conclusion : The MQ shows that it has an appropriate level of internal consistency and validity. We think further study to reveal its reliability and validity, including stagnation pattern as well as deficiency pattern, is needed.

"동의보감(東醫寶鑑)" "내경편(內景篇)"의 포(胞), 소변(小便), 대편(大便)에 나타난 질병(疾病)의 변증화(辨證化) 연구 (Study on Mechanistic Pattern Identification of Disease for Uterine, Urine and Excrements Parts of DongEuiBoGam NaeGyungPyen)

  • 김영목
    • 동의생리병리학회지
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    • 제24권5호
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    • pp.727-736
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    • 2010
  • This study is about researching mechanistic pattern identification of disease for DongEuiBoGam NaeGyungPyen by analysing with pattern identification of modern Traditional Korean medical patholgy as more logical, systematic and standardized theory. Disease pattern mechanisms of uterine, urine and excrements parts of DongEuiBoGam NaeGyun gPyen in NaeGyungPyen of DongEuiBoGam are these. Menstrual irregularities in DongEuiBoGam can be classified flui d-humor depletion, blood deficiency, qi deficiency, qi stagnation, qi stagnation complicated by heat, blood stasis, blood deficiency complicated by heat, syndrome of heat entering blood chamber, syndrome of cold entering blood chamber. The disease pattern of abdominal pain after menstruation in DongEuiBoGam is blood deficiency complicated by heat, and a dysmenorrhea represents blood stasis with heat, fluid-humor deficiency. Advanced menstruation represent dual heat of the qi and blood, delayed menstruation is blood deficiency. The disease pattern of inhibited urination in DongEuiBoGam can be classified deficiency heat pattern of kidney yin deficiency(yin deficiency with effulgent fire), kidney qi deficiency, yin deficiency with yang hyperactivity, fluid-humor depletion, spleen-stomach dual deficiency, and excess he at pattern of bladder excess heat. The disease pattern of urinary incontinence in DongEuiBoGam can be classified deficiency pattern of kidney-bladder qi deficiency, consumptive disease, lung qi deficiency, kidney yin deficiency(yin deficiency with effulgent fire), kidney yang deficiency and excess pattern of lower energizer blood amassment, bladder excess heat. And most of them are deficiency from deficiency-excess Pattern Identification. The disease pattern of diarrhea in DongEuiBoGam can be classified deficiency pattern of qi deficiency, qi fall, spleen yang deficiency, kidney yang deficiency and so on and excess pattern of wind-cold-summerheat-dampness-fire, phlegm-fluid retention, dietary irregularities, qi movement stagnation. And most of them are deficiency from deficiency-excess Pattern Identification. Like these, this study identify pattern of disease in DongEuiBoGam by mechanism of disease theory.

화병과 화병 ${\bullet}$ 주요우울증 중복진단군의 OMS-prime을 통한 변증유형 비교연구 (A comparative study on pattern identification by OMS-prime of Hwa-Byung group and Hwa-Byung with Major Depression double diagnosis group)

  • 김종우;김상호;정선용;박소정;변순임;김지영;황의완
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.1-14
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    • 2007
  • The objective of tills study is to identify the difference of somatic characteristics between Hwa-Byung and Major Depression by comparing the pattern identification of Hwa-Byung group and Hwa-Byung with Major Depression group(double diagnosis) Method: According to Hwa-Byung Diagnostic Interview Schedule(HBDIS) and SCID, 17 patients as diagnosed Hwa-Byung and 20 patients as diagnosed Hwa-Byung with Major Depression group(double diagnosis) were recruited. and by depression scale like Hamilton Rating Scale for Depression(HRDS) & Montgomery-Asberg Depression Rating Scale(MADRS), we excluded patients complaining moderate & severe depression among Hwa-Byung group and excluded patients showing mild depression among Hwa-Byung with Major Depression group. After this evaluation, we analysed and compared the pattern identification of both groups by OMS-prime. Result: 1. There were no significant differences of demographic data between both groups. 2. In the result of 'analysis on pattern identification' for all participant used by OMS-prime, most frequent pattern was deficiency of Yin and Yang of the heart(49%). 3. In the result of 'analysis on most correlated pattern identification' used by OMS-prime, for Hwa-Byung group was deficiency of Yin and Yang of the heart(45%) and the next were disharmony of the liver and spleen (20%), generation of phlegm due to stagnation of Gallbladder(15%) deficiency of Qi and Yin of the heart(l0%), And for Hwa-Byung with Major Depression group(double diagnosis) was deficiency of Yin and Yang of the heart(53%), the next were generation of phlegm due to stagnation of Gallbladder(18%), and deficiency of Qi and blood of the heart(l2%), 4. In the result of 'analysis on significant pattern identification' used by OMS-prime, for Hwa-Byung group was deficiency of Yin and Yang of the heart(20%) and the next were disharmony of the liver and spleen(15%), generation of phiegm due to stagnation of Gallbladder(15%), deficiency of Qi and Yin of the heart(14%), And for Hwa-Byung plus Major Depression group(double diagnosis) was deficiency of Yin and Yang of the heart(18%), the next were deficiency of Qi and Yin of the heart(18%), deficiency of Qi and blood of the heart(l0%), generation of phiegm due to stagnation of Gallbladder(18%), Conclusion: Hwabyung is syndrome that have many different symptoms, but there is no difference between Hwa-Byung group and Hwa-Byung with Major Depression group(double diagnosis) on the side of symptoms. Therefore, Hwabyung could be a new model for research on depression in Korean.

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구강작열감증후군 환자에서 양도락의 진단적 가치 및 변증과의 상관성 분석 (A Clinical Study on the Relationship between Pattern Identifications for Patients with Burning Mouth Syndrome and the Ryodoraku Test)

  • 김동윤;하나연;김진성
    • 대한한방내과학회지
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    • 제41권4호
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    • pp.624-643
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    • 2020
  • Objectives: The aim of this study was to analyze the correlation between Ryodoraku and two pattern-identification questionnaires in patients with Burning Mouth Syndrome (BMS). Methods: The study participants were 30 patients with BMS who visited the Oral Diseases Clinic of Kyung Hee Oriental Medicine Hospital from June to November, 2019. The Ryodoraku test and two pattern-identification questionnaires were administered to all patients. Measurements included the average Ryodoraku score, which is called the Total Average (TA), and each score on the Ryodoraku point scale. The degree of Yin-deficiency, Qi-stagnation, and pain were assessed with the Yin-deficiency Questionnaire (YDQ), Qi-stagnation Questionnaire (QSQ), and Visual Analogue Scale (VAS), respectively. Results: The average TA score was 29.90. The LF5 (p=0.013) and RF5 (p=0.016) scores were lower than the TA scores, and the RH5 (p=0.020) and RH6 (p=0.006) scores were higher than the TA scores. A negative correlation was detected between the YDQ scores and the LH1 (r=-0.366, p=0.046), LH2 (r=-0.507, p=0.004), LH3 (r=-0.374, p=0.042), RH1 (r=-0.361, p=0.050), RH2 (r=-0.403, p=0.027) points. The LF5 (p=0.050) and RF2 (p=0.048) scores were lower in the patients with Qi-stagnation patients than without Qi-stagnation. Conclusions: Our results suggest that low TA and Ryodoraku scores on LF5 and RF5 and high Ryodoraku scores on RH5 and RH6 could be quantitative indicators for the diagnosis of BMS. The LH1, LH2, LH3, RH1, RH2, LF5, and RF2 scores could also be an indicators for diagnosis of Yin-deficiency and Qi-stagnation in patients with BMS.

울증(鬱證)에 대한 문헌적 고찰 - 간기울결(肝氣鬱結)을 중심으로 - (A Literature Review on the Stagnation Pattern - Focusing on Liver-Qi Stagnation -)

  • 南杰;丁彰炫;白裕相;安鎭熹;張祐彰
    • 대한한의학원전학회지
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    • 제37권1호
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    • pp.57-75
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    • 2024
  • Objectives : The objective of this paper is to study the literature on stagnation pattern, to further determine reasoning for the emphasis on Liver-qi stagnation out of all the Five Zang stagnation patterns. Methods : Stagnation patterns in literature from the Xian-Qin/Liang-Han period, Sui-Tang-Song period, Jin-Yuan period and Ming-Qing period were studied and analyzed. Results & Conclusions : Based on chronological analysis on discussions of stagnation pattern, the Five stagnation in the Neijing were related to the excessiveness and deficiency of the Five circuits. After the discussions of the Four Masters of the Jin-Yuan period, WangAndao explained that stagnation could happen without relation to external contraction in his discussion of Benqiziyubing. Yutuan focused on the inter-relationship between the six stagnation patterns, emphasizing qi stagnation, while Sunyikui discussed stagnation pattern within the framework of the Five Zang stagnation. Zhaoxianke argued for the first time that one of the treatment methods of Wood stagnation could replace the five treatment methods, focusing on Wood stagnation which could be the clue to stagnation pattern. Of current Zangfu diagnostic terminology, the influential Liver qi stagnation remains to this day.

중의(中醫) 비만(肥滿) 변증(辨證) 연구에 대한 고찰(CNKI 검색을 중심으로) (The Review on the Study of Obesity Pattern Identification in Traditional Chinese Medicine: Research on CNKI)

  • 박원형;차윤엽;송윤경;박태용;김호준;정원석;황의형;신승우;장보형;고성규
    • 한방재활의학과학회지
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    • 제24권2호
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    • pp.95-106
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    • 2014
  • Objectives The purpose of this study is to analyse research trends about obesity pattern identification in traditional chinese medicine. Methods Electronic searches were performed with China National Knowledge Infrastructure (CNKI). The first key words were "肥畔", "肥滿" and second key words were "病因", "分型", "病機", "辨證", "分流". We classified the papers by year and content. We investigated frequency of chinese obesity pattern identification. Results 48 studies were finally included. Papers were published between 1987 and 2013. More than half of the total were published since 2009. 36 studies were literature and Paper review studies. 16 studies were clinical research. There were 'qi deficiency', 'spleen deficiency', 'yang deficiency', 'yin deficiency', 'stomach heat ', 'qi stagnation', 'liver qi depression', 'phlegm-dampness', 'phlegm-heat', 'blood stasis' in chinese obesity pattern identification studies. 'Phlegm-dampness' was used most frequently, followed by 'spleen deficiency', 'yang deficiency', 'blood stasis', 'qi stagnation', 'liver qi depression', 'stomach heat ', 'qi deficiency', 'yin deficiency ' and 'phlegm-heat' in literature and paper review studies. 'Phlegm-dampness' was used most frequently, followed by 'yang deficiency', 'spleen deficiency', 'liver qi depression', 'stomach heat ', 'blood stasis ', 'yin deficiency', 'qi deficiency', 'phlegm-heat ' and 'qi stagnation' in clinical research. Conclusions Based on studies of chinese obesity pattern identification, More clinical trials and obesity pattern identification studies are needed.

한방 피부 진액 변증론 연구 (study on pattern identification about fluid-humor of skin in Oriental Medicine)

  • 김경신;조가영;김덕희;김병수
    • 혜화의학회지
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    • 제19권2호
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    • pp.35-42
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    • 2011
  • The purpose of this study is to evaluate the difference about pathogenesis of skin type. the theory that explains each individual react to certain stress is generally accepted in traditional oriental medicine. The aim of this experiment is to find out relationship between the effect of facial condition and the vital conditions of traditional Oriental medicine. We recognized that pattern identification of fluid-humor could be divided into 4 different groups. The reason is that the fluid-humor could be interpreted as Qi & Blood, furthermore Qi & Blood were categorized into deficiency and excess groups. Korean female volunteers in good health participated in this experiment. Three doctors of Oriental medicine classified them into 4 groups based on qi-blood and deficiency-excess concept(qi-deficiency; qi-excess:qi-stagnation; blood-deficiency; blood-excess:static-blood). Volunteers were assessed with non-invasive skin measuring devices. And we analyzed the correlation of skin physiological parameters with vital conditions; moisture, sebum and elasticity. Measurement moisture and sebum of facial skin tended to deacease only in static blood group.

기허증(氣虛證)의 임상 질환 범위에 대한 고찰 (Study on Clinical Diseases of Qi Deficiency Pattern)

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제27권5호
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    • pp.487-496
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    • 2013
  • This article is a study on to which categories of modern diseases qi deficiency pattern types are assigned by reference to modern clinical papers to analyze and understand modern diseases with the perspective of Korean Medicine. Clinical papers were searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI) from 1994 to 2013. Conclusions are as follows. First, qi deficiency pattern types are roughly classified as qi deficiency pattern, qi-yin dual deficiency pattern and qi deficiency pattern related with viscera and bowels. Second, there are many patterns combined with static blood, qi stagnation, phlegm, dampness, heat, toxin, water or fluid deficiency and the level of pattern designation is more specific than pattern types in Korean Standard Classification of Diseases(KCD), which makes the pattern types more useful to clinical application. Third, static blood due to qi deficiency is the most frequent combined pattern and diseases related with blood circulation such as angina, atherosclerosis, hyperlipidemia and chronic obstructive pulmonary disease(COPD) were reported on that pattern. The detailed relation between modern diseases and pattern types can be an another topic.

청소년들의 변증에 대한 단면조사 연구 - 2017 성남시 교의사업을 중심으로 - (A Cross-sectional Study of Pattern Identification in Adolescents - School doctor Program of Seongnam - city in 2017)

  • 이동녕;신선미;박정수;성현경;고재언;고호연
    • 대한예방한의학회지
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    • 제23권2호
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    • pp.101-115
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    • 2019
  • Objective : This study is aimed to application possibility and status of pattern identification in middle and high school students. Method : This study was cross-sectional study. We recruited 277 students through school doctor program of Seongnam city in 2017. Male students are 66 in middle school, 32 in high school. Female students are 117 in middle school, 62 in high school. For pattern identification, we used the tool of Qui Xui Shui pattern identification in students. Students fill questionnaires in inquiry of pattern identification and Korean medicine doctor diagnosis inspection and palpation of students. Results : Among 277 students, no pattern identification were 114(41.2%). It appeared in the order of phlegm, blood deficinecy, qi deficiency, qi stagnation and qi reversal. Qi deficiency, qi stagnation, qi reversal, blood deficiency and phlegm pattern are statistically significant by gender except blood stagnation. of 277 students, 105 (37.9%) had one more pattern identification. Conclusions : This study showed possibility of Qui Xui Shui pattern for student health management. In the future, large scale follow up study will be needed to clarify the relationship of pattern identification and student's health.