• 혜화의학회지
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• 제16권1호
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• pp.147-156
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• 2007

This study was performed to investigate the cause, symptom, treatment of OPLL through Western medicine and Dong-Eui-Bo-Kham(東醫寶鑑) Results & conclusins 1. Ossification of the posterior hgament(OPLL) have radiculopathy, myelopathy or both of them such as neck pain, numbness, myatonia 2. Neck pain of OPLL seems to be simular with pain in the neck(頸項痛), neck stiffness(項强), stiffness and pain of head and neck(頭項彈痛). The causes were usually Dampness and Cold, Wind. The treatments were classified according to pathoigenic factor(病因) and muscle along the regular meridian(經筋) 3. Radiculopathy of OPLL seems to be similar with numbness(痺證). The causes were usually, pathogenic Wind, Cold, Dampness. The treatments were classified according to diagnosis of three kinds of BI syndrome(三痺), five kind of Bi synrome(五痺), five jang Bi(五臟痺), six Bu Bi(六腑痺) 4. Myelopathy of OPLL seems to be simular with myatonia(痿證) The cause of myatoma was Lung scorched by Heat(肺熱葉無). And the treatment was purping the south and reinforcing the north(寫南方 補北方). We considered that more study to find various and effective methods oriental medicine for OPLL should be made.

• Journal of Oral Medicine and Pain
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• 제47권2호
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• pp.87-94
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• 2022

Purpose: This study aimed to evaluate the differences between clinical and quantitative sensory testing (QST) results among persistent idiopathic dentoalveolar pain (PIDP), inflammatory dental pain, and control group subjects to identify discriminative clinical features for differential diagnosis. Methods: Thirty-three patients (5 PIDP-a without surgical procedures 10 PIDP-b with surgical procedures, 8 dental pain patients, and 10 controls) were evaluated for clinical features and QST results. Cold pain threshold, heat pain threshold, mechanical pain threshold (MPT), mechanical pain sensitivity, and pressure pain threshold (PPT) were performed. Psychological factors were assessed using Symptom Checklist-90-Revision (SCL-90-R) and a chart review was conducted to evaluate additional discriminative clinical features such as pain quality and treatment prognosis. Results: The dental pain group had lower PPT than the PIDP-b and the control group. The PIDP-a group showed higher MPT and PPT than the PIDP-b and dental pain group but the difference was not statistically significant. Differences in SCL-90-R SOM (Somatization), O-C (obsessive-compulsive), ANX (anxiety), and PSY (Psychoticism) values were statistically significant among groups. PIDP-a and PIDP-b groups showed remaining symptoms after treatment and the pain tended to spread widely, whereas, in toothache patients, symptoms disappeared after treatment. However, factors that confound the diagnosis, such as an increase in pain during chewing and a decrease in the pain threshold at the affected site, could also be identified. Conclusions: PIDP and dental pain groups have distinct clinical symptoms, but there are also factors that cause confusing in diagnosis. Therefore, various clinical examination results should be carefully reviewed and comprehensively evaluated in the differential diagnosis process.

• 대한한의학원전학회지
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• 제19권4호
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• pp.169-181
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• 2006

The Samyang-Sameum(三陽三陰) is the movement form peculiar to the cosmic dual forces. Since Byunggi(病氣) along with the Gyungkki(經氣), The Samyang-Sameum(三陽三陰) is the standard for a diagnosis of a disease's outbreak and change. Anyone of The Samyang-Sameum(三陽三陰) can cause a disease in a Gyungkki(經氣) because each and every human being has different Gyungkki(經氣). And, a disease may outbreak by anyone of Wind-Cold-Warmth-Heat(風寒溫熱). Guiding principles of the six Meridians(六經提綱) is set to diagnose which one of the Gyungkki(經氣) causes a disease. Sanghallon(傷寒論) shows several measures to diagnose the lapse of a disease at the beginning stage of external affection(外感) by Wind-Cold(風寒). It is most serious when the Jeongyung(傳經) symptom appears within 6 to 7 days after a disease outbreak since it indicates the exhaustion of true Eum(眞陰). It means the lapse of a disease that formation of dry stool(燥尸) by fast Jeonsok(轉屬) to Yangmyeong(陽明) after a Taeyang(太陽) is diseased. It also means that a position of disease is worsening by a sticking phase of disease when Yipeum(入陰) symptom after anyone of Samyang-Sameum(三陽三陰) is diseased.

• 혜화의학회지
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• 제18권2호
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• pp.131-140
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• 2009

The aim of this study is to find out benefits of symptom questionnaire for oriental medical treatments. We analyzed symptom questionnaire of Korean association of abdomen diagnosis and treatment. Conclusions are as below. 1. Appetite, taste and digestion have a deep connection with accumulation and muscular contracture, with which the method of reinforcement and reduction is decided. 2. Feces, urine and, sweat have a deep connection with accumulation and water, with which the method of diaphoresis, emesis and purgation is decided. 3. Thirst and chillness and fever have a deep connection with water poisons and feverish feeling, based on which the cold and heat is classified. 4. we can find out the lesions with departmentalized physical sections of the head and the face, the chest, the abdomen, the articulations, the limbs and the skin. 5. It is possible to select appropriate prescription and assess before & after treatment through the questionnaire.

• 동의생리병리학회지
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• 제24권6호
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• pp.1094-1098
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• 2010

With the high prevalence of functional dyspepsia in the world, it was difficult to get objective diagnosis, treatment and assessment for the reason that there were many different symptoms and signs. The purpose of this study is to develop a standard instrument of pattern identification for functional dyspepsia which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 11 oriental division of gastroenterology professors of oriental medical colleges nationwide. The experts discussed developing the instrument, and we also took professional advices by e-mail. We divided the symptoms and signs of functional dyspepsia into 6 pattern identification, such as disharmony of liver and stomach, retention of undigested food, damp-heat in the spleen and stomach, simultaneous occurrence of cold and heat syndromes, deficiency and cold of the spleen and the stomach, and insufficiency of stomach eum. We got the mean weights to each symptom of six pattern identification which had been scored on a 5-point scale ranging from 1 to 5 by the 11 experts. We made out the Korean instrument of the pattern identification composed of 45 questions for functional dyspepsia. Although there are some limitations in our study, the instrument is meaningful and certain worth of its own. We hope to improve the instrument through the further clinical studies and discussions.

• 한방안이비인후피부과학회지
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• 제30권2호
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• pp.112-125
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• 2017

Objectives : The prevalence of allergic rhinitis (AR) is 10-40% worldwide and there are many demands for Traditionl Medicine (TM) treatment for AR. Pattern identification (PI) is essential process in diagnosis and treatment of TM, however, objective assessment measurement for PI of AR in TM is lacked. Methods : PI questionnaire for AR was developed in 2008 by specialists in the department of Otolaryngology of TM, based on systemic and nasal symptoms and signs. However, that questionnaire had many problems in application to clinical practice and has since been revised based on several studies and delphi method. Consequently, the PI questionnaire for AR version 3.0 has been developed. Results & Conclusions : This questionnaire classifies patients with AR as possessing lung-heat, lung-cold, or spleen qi deficiency based on nasal symptoms and general conditions of AR patients. This is first questionnaire for pattern identification of AR. We plan to conduct a validation and reliability study, and revise the questionnaire based on the results of this study.

• 혜화의학회지
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• 제10권1호
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• pp.79-92
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• 2001

According to the literatural study on the Acupuncture & Moxibustion and Traumatherapyof hysterorrhea, the results were as follows. 1. The acupuncture & moxibustion of hysterorrhea is focussed on bloody uterine discharge, leukorrhea and we must carefully diagnose the etiology & the machanism of disease. 2. The causes of hysterorrhea are dampness, impairment of seven emotion, irregular food intake, excessive intercourse and they are impotantly related to liver, spleen, kidney, the ren channel, the chong channel. 3. The diagnosis is grossly divided into the flowing downward of damp-heat, the weaknessof the qi of the spleen, dificiency of yuan of the kidney and according to the each diagnosis, we should select adquate points representing the treatment of cooling(zhongji, yinlingquan, xingjian, etc), desiccation, heiping qi(qihai, zusanli, sanyinjiao, etc), tonificating yang (guanyuan, mingmen, shinshu, etc). 4. The moxibustion is the warming the lower jiao and eliminating the cold, the points are the mingmen point, the zhongji point, the guanyuan point, etc. 5. Besides the acupuncture & moxibustion of hysterorrhea, we can make use of acusetor, ear acupuncture, endermosis, dong shi shen fa. 6. As of traumatherapy of hysterorrhea, fumigation,abluent and soppository are generally used. and the prescriptions as GAMISASANGSAN, BANSUKSAN are used. 7. The medical herbs used on the treatment of hysterorrhea are the tonificating yang, dissipeting, desiccating medicines generally composed of CNIDII FRUCTUS, ALUMEN, ZANTHOXYLI FRUCTUS.

• 한국한의학연구원논문집
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• 제16권3호
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• pp.33-44
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• 2010

Pulse diagnosis is considered one of the most important diagnostic methods in traditional Korean medicine. Nonetheless, there have been troubles of using pulse diagnosis practically, for the lack of its differential standards and standardized terminology. Rapid pulse belongs to the several traditional pulse types. Rapid pulse was first mentioned in the chinese medical book Haungdineijin that matched it to the fever as well as yang in the human body. Meanwhile, chinese doctors in Ming Ching dynasty of China suggested that rapid pulse meant more of the yin, cold-related reaction than yang and fever. In this study, we organized the past arguments of the rapid pulse and went back tracking what biological activities could be possibly linked to the rapid pulse. Thus, we figured out that the inflammatory mechanism has a close connection with the rapid pulse. The definition of the rapid pulse in Haungdineijin was indicating the acute inflammatory response, while in Ming Ching dynasty, it indicated the chronic inflammation. This is the deficiency-excess pattern of the rapid pulse. Furthermore, we discussed the nonexpression pattern of the rapid pulse which could be happened in case of the heat stroke, etc.

• 동의생리병리학회지
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• 제24권1호
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• pp.35-41
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• 2010

Dang Jonghae put in order symptoms to volume one of Uihakgyeonneung by the attack region of illness, to volume two of Uihakgyeonneung by systemic symptoms, and ones peculiar to gynecology and pediatrics to volume three of Uihakgyeonneung. He presented the basis of a differential diagnosis by Yin-Yang, heat and cold, weakness and firmness. He seized the cause and mechanism of a disease obviously and took measures to cope with a disease. These were the result of his rationality that he integrated the Chinese and Western medicine. That is to say, he summarized the voluminous medical books and extracted the essential ones to utilize conveniently, and he made us grasp the essence of medicine to make symptoms concrete. Therefore, we can study this book as the fundamental courses to make use of basic research and clinical medicine.

• 동의생리병리학회지
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• 제18권2호
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• pp.401-407
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• 2004

Purpose : This study investigated reliability of Oriental DB & GY(obstetrics & gynecology) Questionnaires's items which was used by Dong-Eui OB & GY through analysis of oriental OB & GY books. Method : This study investigated differentiation of syndrome through analysis of oriental OB & GY book's. Result: This study investigated differentiation of syndrome through analysis of oriental OB & GY disease and pathogenesis. This study's pathogenesis was such that deficiency of Ki, deficiency of blood, stagnation of Ki, stagnated blood, deficiency of Yang, deficiency of Um, cold syndrome, heat syndrome, dampness, dryness, phlegm, kidney, liver, heart, spleen, wind, lung. We except lung from Questionnaires's pathogenesis because it is stuck for importance. We except wind from Questionnaires's pathogenesis because it is stuck for preguence. Oriental OB & GY Questionnaires's pathogenesis consist of 15 items such that deficiency of Ki, deficiency of blood, stagnation of Ki, stagnated blood, deficiency of Yang, deficiency of Um, cold syndrome, heat syndrome, dampness, dryness, phlegm, kidney, liver, heart, spleen. Oriental OB & GY Questionnaires construct pathogenesis's question and guide post through we examined it's reasonableness.