• 제목/요약/키워드: Diagnostic Pattern

검색결과 676건 처리시간 0.026초

코크로프트-월톤회로와 반파공진인버터를 적용한 경두개 자기자극장치 (Transcranial Magnetic Stimulation using Cockroft-Walton Circuit and Half Bridge Resonant Inverter)

  • 김휘영;황보각
    • 한국콘텐츠학회논문지
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    • 제10권4호
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    • pp.257-264
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    • 2010
  • 기존의 경두개 자극장치는 일정한 자극치료 펄스의 정현파 모양으로 다양한 치료 및 진단을 하는데 한계가 있다. 본 연구에서, 치료 및 진단마다 요구되는 세기, 폭, 펄스모양이 다른 코로로프트-월톤회로와 반파브리지 공진 인버터를 도입하여 주파수와 전압이 가변되는 새로운 장치를 제안하고자 한다. 기존장치 보다 많은 장점을 가진다. 첫째로 고압 변압기를 가지지 않는다. 둘째로 스위칭손실이 적고, 출력에너지를 정밀하게 제어할 수가 있다. 세째로 자극의 세기, 폭, 펄스모양이 다양하다. 결과적으로 변압기를 사용하지 않는 반파브리지 인버터와 코크로프트-월톤회로를 적용하여 개선된 특성과 실험을 구하였다.

만성 요통 한의진단 도구 개발을 위한 변증 항목 번역 적합성에 관한 연구 (The Study about the suitability of the translations of categories in the Questionnaire for Pattern Identification of Chronic Low Back Pain)

  • 박창현;강용중;고성규;송윤경
    • 척추신경추나의학회지
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    • 제11권2호
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    • pp.45-56
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    • 2016
  • Objectives : The aim of this study is to verify if the translation of chronic low back pain questionary is done properly. Methods : We used pattern identification of chronic low back pain in the guideline suggested by Ministry of Food and Drug Safety when making the questionnaire. And we used expressions which four native korean speakers who have bachelor's degree on chinese and teach related subjects in university have agreed on for two times. Results : We examined translated sentences about 40 symptoms according to 9 large categories on the questionnaire and corrected them into agreed expressions. Conclusions : In this study, we carried out evaluations on the suitability of the translations of categories which identify symptoms of low back pain. From now on, it is necessary to verify the degree of accuracy of question items that have been subjected to translation verification in clinical diagnosis. Furthermore considering the characteristics of patients with low back pain, we think diagnostic tools which reflects objective diagnosis results other than diagnostic identification are needed in the clinical field.

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대황황련사심탕(大黃黃連瀉心湯) 투여 후 혈압이 안정된 고혈압 증례 보고 (Efficacy of Daehuanghuanglianxiexin-tang in stabilization of hypertension patient's blood pressure)

  • 최재영;이숭인;이성준
    • 대한상한금궤의학회지
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    • 제10권1호
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    • pp.125-132
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    • 2018
  • Objective : The purpose of this study is to review a case of hypertension. The patient was 41 years, a male. We stabilized blood pressure after administration of Daehuanghuanglianxiexin-tang. In this paper, we review the interpretation of Shanghanlun by analyzing the patient's progress, diagnosis, treatment. Methods : Blood pressure changes have been monitored during the period. Additionally, We have observed the patients' compliance and accompanied symptom by the timeline analysis. Results : According to Shanghanlun disease pattern identification diagnostic system, Wediagnosed a Greater yang disease. The patient was treated with Daehuanghuanglianxiexin-tang for 2 months. Daehuanghuanglianxiexin-tang was able to control blood pressure to under 120mmhg / 80mmhg. During the treatment period, the accompanied symptom Stiffness and pain in posterior neck has improved, patient's compliance was good, and symptoms improved without significant complication Conclusions : Taking of the Daehuanghuanglianxiexin-tang makes patient's blood pressure controlled to safe and stable range and eases the discomfort of posterior neck pain.

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소청룡탕(小靑龍湯) 투여 후 호전된 이명(耳鳴) 증례 1례 (A Case Report of Tinnitus Treated by Socheongryong-tang based on Shanghanlun Provisions)

  • 서영호;황보민;최해윤
    • 대한상한금궤의학회지
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    • 제12권1호
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    • pp.71-80
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    • 2020
  • Objective : The purpose of this study was to report the improvement of a patient with tinnitus treated by herb-formulae medication based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, a patient was diagnosed with Taeyang-byung, 40th provision and was administered Socheongryong-tang herbal medication for 45 days. The numeric rating scale (NRS) was used to estimate the response. Results : The NRS score changed from 10 to 0 and the tinnitus disappeared by 40th provision of Socheongryong-tang selected according to Shanghanlun provisions. Conclusions : This case report suggests that the two words in the 40th provision of Shanghanlun, '表不解, 水氣'(exterior do not release, water qi) indicate a close relationship between economic difficulty and stuffiness of being in water, which affect tinnitus in this case.

『상한론(傷寒論)』변병진단체계(辨病診斷體系)에 근거하여 생강사심탕(生薑瀉心湯) 투여 후 호전된 달리 분류되지 않는 두통 증례 2례 (Two Cases of Headache Not Otherwise Classified Treated with Saengkangsasim-tang Based on Shanghanlun Provisions)

  • 이욱제
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.133-144
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    • 2021
  • Objective : This study aimed to report the improvement of two patients with headache not otherwise classified treated using Saengkangsasim-tang based on the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods : Two patients with headache not otherwise classified were treated using Saengkangsasim-tang according to Shanghanlun provisions, and the effect was also compared with Soshiho-tang. The results were evaluated using a numerical rating scale (NRS) and the Korea Headache Impact Test-6 (KHIT-6). In addition, new clinical implications for the interpretation of Shanghanlun provision 157 were reviewed. Results : As a result of analyzing the results of the two cases, treatment with Sosiho-tang was ineffective but improved when using Saengkangsasim-tang. After administration of Saengkangsasim-tang, all headaches decreased to the point where they were not uncomfortable in everyday life. Conclusions : The administration of Saengkangsasim-tang to patients with headache diagnosed according to Shanghanlun provision 157, suggesting that it is clinically effective when applied according to the definitions provided by the Shanghanlun provisions.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 당귀회역탕(當歸回逆湯) 투여 후 호전된 화폐상 습진 증례 1례 (Nummular Eczema Treated by Danggwihweyeok-tang Based on Shanghanlun Disease Pattern Identification Diagnostic System)

  • 박서연
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.179-188
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    • 2021
  • 화폐상 습진(Nummular eczema) 병변으로 내원한 환자에게 고문자적 해석을 바탕으로 당귀회역탕(當歸回逆湯)을 진단하여 다음 결론을 얻었다. 1. 화폐상 습진(Nummular eczema) 환자에게 당귀회역탕(當歸回逆湯)을 30일 투약 후 DLQI 18점에서 0점, VAS 10에서 1로 개선되었다. 2. 『상한론(傷寒論)』 351조(條)에서 궐(厥), 세(細)를 피부병변부 발생의 원인과 관계된 병리적인 단어로 추론하고 고문자적으로 해석하여 당귀회역탕(當歸回逆湯)을 투여하고 치료함으로써 한의학적 임상 진단 방법을 구체화할 수 있는 가능성을 제시하였다.

『상한론(傷寒論)』 양명병(陽明病) 소승기탕(小承氣湯)으로 진단된 과민 대장 증후군 환자 1례 (A case of a patient with irritable bowel syndrome diagnosed with Shanghanlun Yangmingbing Soseunggi-tang)

  • 최재영;이숭인;이미현;이성준
    • 대한상한금궤의학회지
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    • 제14권1호
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    • pp.81-93
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    • 2022
  • Objective : This study reports on the case of a patient with irritable bowel syndrome (IBS) diagnosed by the Shanghanlun disease pattern identification diagnostic system (DPIDS). We tried to verify the therapeutic effects of Soseunggi-tang (SSGT) administration and pathological character. Methods : The patient was administered SSGT for 31 days. We observed the progression of symptoms, patient compliance, and the presence of side effects. The progression of IBS was evaluated based the on Gastrointestinal Symptom Rating Scale (GSRS). Abdominal pain, flatus, visual findings, and patient statements were also assessed. Results : According to the DPIDS, the patient was diagnosed with Yangmingbing (陽明病). As a result, his GSRS score dropped from 15 to 5, the visual analog scale (VAS) score for abdominal pain lowered from 9 to 4, and the VAS score for flatus decreased from 8 to 4. The stool type changed from diarrhea to a loose stool form. Conclusions : SSGT showed therapeutic effects on the patient diagnosed with IBS and Yangmingbing.

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한의 중풍변증표준안-III에 대한 보고 (Report on the Korean Standard Pattern Identifications for Stroke-III)

  • 이주아;이정섭;강병갑;고미미;문태웅;조기호;방옥선
    • 대한한방내과학회지
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    • 제32권2호
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    • pp.232-242
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    • 2011
  • Objectives : The purpose of this study was to develop the Korean standard pattern identifications for stroke-III (KSPIS-III). KSPIS-III includes 4 major pattern identifications (PIs) and clinical indicators for each. Methods : To extract the indicators for 4 major PIs, we analyzed 1548 clinical data from 15 traditional Korean medicine hospitals. Patients got acute stroke within 30 days from onset. Two physicians independently checked 65 indicators and performed pattern diagnosis. If the PI were diagnosed the same, PI would be confirmed. First we built an assumption model that set up the relationship among pattern identifications. Second, we extracted the indicators for fire-heat pattern and qi deficiency pattern by comparison between excessive and deficiency group, heat and non-heat group. By comparing yin deficiency pattern and 3 other patterns respectively, we extracted the indicators for yin deficiency pattern. Dampness-phlegm pattern indicators were extracted by the same method. Results : After cross tabulation with 65 indicators on the basis of our assumption model, we finally extracted 19 indicators for fire-heat pattern, 11 for qi deficiency pattern, 7 for yin deficiency pattern, and 7 for dampness-phlegm pattern. Conclusions : KSPIS-III was more improved than KSPIS-II because it was based on more clinical data. Further study to establish the PI diagnostic model would be required for practical use in the clinical field.

특발성 피로의 사상체질 및 기혈변증 설진 분석 (Tongue of Fatigue by Classification of Sasang Constitution and Qi Blood Pattern Identification)

  • 최나래;박수정;주종천;권영미
    • 사상체질의학회지
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    • 제27권4호
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    • pp.379-387
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    • 2015
  • Objectives The purpose of this study was to investigate the relevance of Sasang constitution, Qi Blood pattern identification, and tongue diagnosis in subjects complaining of fatigue.Methods Seventy-three subjects who complained of fatigue were assessed using the Chalder Fatigue Scale, tongue diagnosis, pattern identification questionnaire and Sasang constitution diagnosis. The association of tongue diagnosis with Qi Blood pattern identification and Sasang constitution was evaluated.Results 1. There was no significant association between tongue diagnosis and Sasang constitution.2. Tongue color, which is one of the diagnostic indicators in tongue diagnosis, was redder in the Qi stagnation group than in the Qi deficiency and Blood deficiency groups.Conclusions Tongue diagnosis can be utilized in future if proper research regarding Sasang constitution and Sasang constitution pattern identification is conducted.

양도락의 진단적 활용에 대한 문헌 고찰 - 국내문헌을 중심으로 - (Ryodoraku Application for Diagnosis : a Review of Korean Literature)

  • 노승희;김건형;윤영진;양기영;김재규;이병렬;임윤경
    • Korean Journal of Acupuncture
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    • 제28권4호
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    • pp.125-135
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    • 2011
  • Objectives : This study is aimed to evaluate the diagnostic value of Ryodoraku for traditional Korean medicine practice reported in the Korean literature. Methods : A search of seven Korean databases was performed up to May 2011 using the search term 'Ryodoraku(in Korean)'. All clinical studies on diagnostic Ryodoraku characteristics were included. Results : The search yielded 59 studies, of which 5 were considered suitable for this analysis. Four were observational studies. Only one was a controlled trial. Average Ryodoraku score(RS), mean values for each measure point, physiologic limit, number of Pyesaek and Gyeokcha, and pattern classification were used as references for the analysis. Correlations were observed between average RS and idiopathic Parkinson's disease, some sub-groups of respiratory disease, chronic low back pain, and menopause. Some mean values for measure points showed particularly high or low tendencies in patients with idiopathic Parkinson's disease, chronic low back pain, and menopause. Positive correlations were observed between the number of Pyesaek and H-Y stage in idiopathic Parkinson's disease and F2(肝) and the modified Kupperman's index with menopausal women. The four classes, organized based on Ryodoraku pattern, showed differences in various characteristics. Conclusions : Since only five studies met the experimental conditions, this evaluation of the diagnostic value of Ryodoraku in various situations is limited. Future studies should be conducted using various physiologic and pathologic situations.