• 제목/요약/키워드: Diagnostic Pattern

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대함흉탕(大陷胸湯) 투여로 호전된 공황 장애를 동반한 이명 1례 (A Case Report of Tinnitus with Panic Disorder treated by Daehamhyung-tang from the Disease Pattern Identification Diagnostic System based on Shanghanlun provisions)

  • 조강문
    • 대한상한금궤의학회지
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    • 제8권1호
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    • pp.109-119
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    • 2016
  • Objective : The purpose of this paper is to report the effect of Daehamhyung-tang(DHHT) on tinnitus with panic disorder from the disease pattern identification diagnostic system based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, the patient was diagnosed with 'Taeyang-byung Gyeolhyung'. He took DHHT for 82 days. This paper evaluated the results of treatment on tinnitus by Tinnitus Handicap Inventory(THI) and Verbal Numercial Rating Scale(VNRS). To assess the mental state of anxiety, this paper used Hamilton Anxiety Rating Scale(HAM-A) Results : The THI score was declined from 58 to 6 And the VNRS score was declined from 6 to 1. HAM-A score was declined from 28 to 3. Conclusions : This case study suggests that DHHT has effectiveness on a patient suffers from tinnitus with panic disorder and diagnosed with 'Taeyang-byung Gyeolhyung'.

Fault Diagnostic System Based on Fuzzy Time Cognitive Map

  • Lee, Kee-Sang;Kim, Sung-Ho
    • Transactions on Control, Automation and Systems Engineering
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    • 제1권1호
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    • pp.62-68
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    • 1999
  • FCM(Fuzzy Cognitive Map) is proposed for representing causal reasoning. Its structure allows systematic causal reasoning through a forward inference. Authors have already proposed a diagnostic system based on FCM to utilized to identify the true origin of fault by on-line pattern diagnosis. In FCM based fault diagnosis, Temporal Associative Memories (TAM) recall of FCM is utilized to identify the true origin of fault by on-line pattern match where predicted pattern sequences obtained from TAM recall of fault FCM models are compared with actually observed ones. In engineering processes, the propagation delays are induced by the dynamics of processes and may vary with variables involved. However, disregarding such propagation delays in FCM-based fault diagnosis may lead to erroneous diagnostic results. To solve the problem, a concept of FTCM(Fuzzy Time Cognitive Map) is introduced into FCM-based fault diagnosis in this work. Expecially, translation method of FTCM makes it possible to diagnose the fault for some discrete time. Simulation studies through two-tank system is carried out to verify the effectiveness of the proposed diagnostic scheme.

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변증 설문지 문항을 통해 살펴 본 알레르기 비염 환자의 특성 (Characteristics of Patients with Allergic Rhinitis through the Pattern Questionnaire Items)

  • 손재웅;이규진;장보형;장수빈;고성규;최인화
    • 대한예방한의학회지
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    • 제18권3호
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    • pp.81-90
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    • 2014
  • Objective : We performed a clinical study to investigate pattern characteristics in persistent allergic rhinitis depending on Korean Medicine pattern questionnaire items as a pattern identification diagnostic tool. Method : 32 patients with persistent allergic rhinitis were asked to interview with doctor of Korean Medicine and perform the 4 pattern questionnaires(Cold-Heat Pattern, Phlegm Pattern, Yin Deficiency pattern, bloodstasis pattern). Then, we analyzed the response rate of each pattern questionnaires. Results : After diagnosis of Korean Medicine Doctor's pattern identification, 17 individual items have higher response rate, 7 of 17 items have a common tendency in allergic rhinitis. The other 8 of 10 items belong to Lung qi deficiency cold and Lung-spleen qi deficiency group, these have higher tendency of deficiency. In bloodstasis pattern questionnaires, we don't decide the tendency of patients with allergic rhinitis. Conclusion : The result may provide that we don't use Korean Medicine pattern questionnaires as a major tool in the pattern identification of allergic rhinitis. Continuous studies are needed to develop the standardized pattern identification diagnostic tool.

현직 한의사의 한의진단 현황 조사 보고 (An investigative report on the clinical use of traditional diagnosis modalities among Korean Medicine Doctors)

  • 장재순;조승모;김기왕
    • 대한한의진단학회지
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    • 제17권2호
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    • pp.156-168
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    • 2013
  • Objectives Although there have been someone who pointed out declining tendency of pure traditional diagnosis, there are no objective survey results on present state of diagnosis among Korean Medicine Doctors (KMDs). So we did a descriptive survey study to show traditional diagnostic modality usage among them. Materials and methods: 73 samples of responded questionnaire in Busan area were collected and descriptively studied. Results (1) U code (in KCD-6) usage showed low level (28.7%). (2) Diagnostic apparatuses for traditional medicine are rarely used. For example, pulse diagnosis machine was reported to be used only by 9.7 % of KMDs. (3) KMDs still prefer the treatment based on pattern identification and symptomatic therapy rather than treatments based on disease identification of modern biomedicine. Conclusion Overall, the portion of pattern identification is still high among KMDs, some kind of diagnostic methods which support pattern identification showed lack of usage.

한중일 어혈증 감별진단을 위한 도구의 비교 (Comparison among diagnostic tools used for differential diagnosis of blood stasis pattern in Korea, China and Japan)

  • 김지원;남동현
    • 대한한의진단학회지
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    • 제22권1호
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    • pp.1-10
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    • 2018
  • Objectives The purpose of this study is to compare the representative differential diagnosis methods of blood stasis pattern used in Korea, China and Japan, and then to characterize each diagnostic method. Methods Through the journal databases, we have selected representative tools that were developed for differential diagnosis of blood stasis pattern in Korea, China and Japan. In order to characterize the selected check-lists or questionnaires, we investigated the number of items, contents, score calculation method, internal consistency, and accuracy of each selected tool. Results A total of four diagnostic tools were finally selected; quantitative diagnosis scale of blood stasis syndrome (QDSBSS), diagnostic criteria for blood stasis (DCBS), blood stasis questionnaire (BSQ), and blood stasis syndrome questionnaire (BSSQ). The key points in the differential diagnosis for blood stasis were different for each of the diagnostic tool. The key point was oral mucosa (including tongue) status in the QDSBSS. Meanwhile it was abdominal pain/resistance in the DCBS, and general pain in the BSQ. Accuracy of the QDSBSS, the BSQ and the BSSQ were powerful but all of them was not generalized. Conclusions Therefore, it is desirable to select and apply a plurality of appropriate tools according to the characteristics of the blood stasis patients.

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변증 능력 평가 소프트웨어의 구현 (Development of the Software to test Pattern Diagnosis Ability in Oriental Medicine)

  • 김기왕;장재순
    • 대한한의진단학회지
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    • 제14권1호
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    • pp.70-78
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    • 2010
  • Objectives : To qualify or enhance the diagnostic ability of students in Oriental Medicine, so called standardized patients are ideal modality, but because it's a man-based method, more convenient tools are required. Computer-based diagnostic ability test program gives effective way for the very purpose. So we made a pilot software evaluating Pattern Identification ability in Oriental Medicine. Methods and Materials : The pilot software was coded with Microsoft's EXCEL VBA. 87 names of Zheng (Symptom Pattern) and 674 names of symptom (including some signs) are adopted from the former standardization works conducted by Korean Institute of Oriental Medicine (KIOM) in 1996. Results : Compared with some manned modalities to test Pattern Identification ability, the test by this software shows superiority in convenience and objectivity. Conclusion : This software is world's first program to perform computer-based evaluation of Pattern Identification in Oriental Medicine, and it gives effective way to complement both written test and manned clinical performance test (CPX).

갱년기 변증 진단 도구 CaPSPI(Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification) 임상적용 결과 분석 연구 (Study on the Data Analysis of CaPSPI for clinical application, a Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification)

  • 박영희;이인선
    • 대한한방부인과학회지
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    • 제34권4호
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    • pp.78-96
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    • 2021
  • Objectives: It is a statistical study to examine the data of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification), developed for diagnosis of menopause disorders and to record the status of treatment of it. Methods: From November 1, 2020 to June 19, 2021, 36 cases of data of 33 respondents of the CaPSPI were analyzed. For the use of the basic data of the clinical menopausal disorder, we investigated frequency of menopausal symptoms and the difference between them depending on the period of menopause, and the presentation of usage prescriptions. And the diagnostic results for three kinds' diagnosis [for examination (D1), for treatment (D2), by doctors (D3)] were compared. The diagnostic consistency of D1 and D3 and the statistical significance between DT and disease elements (證素) was investigated. Results: 1. Hot flush was the highest in the symptom survey of the menopause that the subjects complained of, followed by insomnia. There was no significant difference in symptom expression according to menopausal period. 2. The diagnostic consistency of D1 and D2 showed significant diagnostic consistency only in liver depression, and the diagnostic consistency of D1 and D3 showed significant consistency in liver depression and Dual Deficiency of Heart and Spleen. 3. D3' diagnosis and disease elements had statistical significance for cases of P<0.1 was found to be related to the theory of oriental medicine. Conclusions: It is needed to continue to accumulate diagnosis and treatment results through CaPSPI in the future to strengthen the basis for patten identification and treatment of menopause disorders.

컬러와 혈관징후패턴 코드 생성에 의한 공막진단시스템 구현 (Scleral Diagnostic System Implementation with Color and Blood Vessel Sign Pattern Code Generations)

  • 류광렬
    • 한국정보통신학회논문지
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    • 제18권12호
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    • pp.3029-3034
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    • 2014
  • 이 논문은 사람 눈의 공막컬러코드와 공막혈관징후패턴코드 생성에 의한 공막진단시스템 구현에 관한 연구이다. 시스템은 고성능 DSP 영상처리 프로세서를 기반으로 PGC 프로그램어불 게인제어 선처리 및 RISC SD프레임저장 메모리 등으로 구성된다. PGC는 RGB신호를 최적화하고 그래리 영상에서 에지가 검출된다. 판별 및 매칭 처리알고리듬은 공막컬러코드화 및 혈관징후패턴코드 생성을 실행된다. 공막컬러코드는 메모리 맵의 위치에서 YCbCr값을 구하고 허용오차 범위를 적용하여 생성된다. 혈관징후패턴코드는 24시간등분과 13환형등분 구역에 의해 디지털화 되고 중첩매칭과 허용오차 적용에 의해 코드화된다. 실험결과 성능에서 시스템은 40ms로 동작하고 진단오차는 컬러판별이 평균 약20%, 혈관징후패턴 매칭이 약 24%이다. 이 시스템 및 기술은 세분화와 환자데이터베이스화 하면 공막진단 의용시스템으로 사용 할 수 있다.

Acupuncture: How Might the Mechanisms of Treatment Have Contributed to the Diagnosis of "Patterns" and Pattern-based Treatments - Speculations on the Evolution of Acupuncture as a Therapy. Implications for Researchers

  • Birch, Stephen
    • Journal of Acupuncture Research
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    • 제35권2호
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    • pp.47-51
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    • 2018
  • Acupuncture is a complex intervention that manifests varied theories, treatment methods, diagnostic methods and diagnostic patterns. Traditionally based systems of acupuncture (TBSAs) often have their own diagnostic approaches and patterns. Despite the wide variety that can be found amongst TBSAs, is it possible that they share a common background in clinical observation and practice? Research has shown that multiple physiological pathways and mechanisms can be triggered by different acupuncture techniques and methods. It is highly likely that clinicians will have observed some of the effects of these responses and used those observations as feedback to help construct the patterns of diagnosis and their associated treatments. This review briefly examines this possibility. Pattern identification will have developed out of a complex interaction of factors that include; theories current at the time of their development, historical theories, personal choices and beliefs, training, practice methods, clinical observations and the natural feedback that comes from observing how things change once the treatment is applied. Researchers investigating TBSAs and pattern identification need to be more explicit about the systems they have investigated in order to understand the biological basis of pattern identification and their treatments.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소시호탕(小柴胡湯)투여 후 호전된 만성기침 1례 (A Case Report of Chronic cough treated by Soshiho-tang based on Shanghanlun Provisions)

  • 류희창;이숭인
    • 대한상한금궤의학회지
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    • 제8권1호
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    • pp.99-108
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with chronic cough treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 96 provision, and took Soshiho-tang herb medication 50days. The changing symptom of chronic cough was estimated by LCQ(Leicester Cough Questionnaire) and VAS(Visual Analogue Scale). Results : The LCQ score changed 57 to 111 and VAS changed 10 to 0. Conclusions : On the number 96 provision of Shanghanlun, '或欬' means 'H or K' sound cough. This is the first case report treating the chronic cough with herb medication of shanghanlun in Korea.