• Title/Summary/Keyword: Korean Medical Diagnosis

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Discussion on the Clinical meanings of the Collateral Diagnosis Method in the "Hwangjenaegyeong(黃帝內經)" (약론(略论) $\ll$내경(内经)$\gg$ 낙맥진법적림상의의(络脉诊法的临床意义))

  • Wang, Xiao-Ping
    • Journal of Korean Medical classics
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    • v.23 no.1
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    • pp.317-319
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    • 2010
  • The collateral diagnosis method is unique in Traditional Chinese Medicine diagnosis methods which has important clinical value. In my article, the contents of the "Hwangjenaegyeong(黃帝內經)" related to this method is discussed. According to the site of inspection in the diagnosis process, there are five types as following: inspection of the face and surface, the thenar, the orifices, abdominal collaterals and finally the index finger of children. This method can inspire clinical practitioners.

Fuzzy Inference in Medical Diagnosis

  • Kim, Soon-Ki
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 1995.10b
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    • pp.92-97
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    • 1995
  • In medical diagnostic process we are dealing with the preliminary diagnosis based on the interview chart. We will quantify the qualitative information of a patient by dual scaling and establish both prototypes of fuzzy diagnostic sets and the fuzzy linear regressions. Its utility is shown in the diagnosis of headache and CAFDDH.

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Study on the Diagnosis of the Abdominal Region from Physiological Viewpoint (복부 망진에 관한 생리적 연구)

  • Lee Yong Chol;Kang Jung Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.2
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    • pp.349-354
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    • 2004
  • It is impossible to overestimate the importance of the medical examination. The medical examination and treatment method is composed of Mang(inspection)-Moon(listening)-Moon(anammesis & question)-Jeol(pulse feeling, precussion etc.). Among these 4 methods, the Diagnosis of the Abdominal Region, which is one of the JeolJin, is regarded as the most important method along with pulse feeling. The Diagnosis of the Abdominal Region, which includes the examination of the symptoms and their changes in stomach area to understand the pathological progress of the JangFu, Meridian and Qi-Blood, has been highly emphasized in Western and Eastern Medical Science. External trouble, for instance a cold, can be detected by examining pulse, Internal trouble, for instance indigestion, by Diagnosis of the Abdominal Region. Though the Diagnosis of the Abdominal Region was the important part of the JeolJin, it was often devaluated. The Diagnosis of the Abdominal Region will also be composed of 4 kinds of method on Mang-Moon-Moon-Jeol. We thought that the first of the Abdominal Region Diagnosis is a Mangjin(inspection). So we present the new viewpoint of the abdomen of a diagnosis through emphasizing the importance of Mangjin(inspection).

A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults (공복혈당과 당화혈색소에 의한 당뇨병 진단 비교)

  • Yun, Woo-Jun;Shin, Min-Ho;Kweon, Sun-Seong;Park, Kyeong-Soo;Lee, Young-Hoon;Nam, Hae-Sung;Jeong, Seul-Ki;Yun, Yong-Woon;Choi, Jin-Su
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.5
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    • pp.451-454
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    • 2010
  • Objectives: The American Diabetes Association (ADA) has recently recommended the HbA1c assay as one of four options for making the diagnosis of diabetes mellitus, with a cut-point of $\geq$ 6.5%. We compared the HbA1c assay and the fasting plasma glucose level for making the diagnosis of diabetes among Korean adults. Methods: We analyzed 8710 adults (age 45-74 years), who were not diagnosed as having diabetes mellitus, from the Namwon study population. A fasting plasma glucose level of $\geq$126 mg/dL and an A1c of $\geq$ 6.5% were used for the diagnosis of diabetes. The kappa index of agreement was calculated to measure the agreement between the diagnosis based on the fasting plasma glucose level and the HbA1c. Results: The kappa index of agreement between the fasting plasma glucose level and HbA1c was 0.50. Conclusions: The agreement between the fasting plasma glucose and HbA1c for the diagnosis of diabetes was moderate for Korean adults.

Current Topics on Quality Assurance of X-ray Diagnosis in Japan

  • Katoh, Tuguhisa;Imamura, Keiko;Matumoto, Toru
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.13-16
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    • 2002
  • Recent topics on quality assurance (QA) of X-ray diagnosis in Japan were reported in this presentation. These were related to mass screening mammography (MMG), lung screening CT (LSCT), skin injury caused by interventional radiology (IVR) and traceable system of dosimeters for x-ray diagnosis. In these successful stories, the author would like to stress the cooperation of all the medical am: clinical staff including medical doctors, radiological technologists, medical physicists, manufacturers of medical devices and others.

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Study on Visible Diagnosis of Spirit (망신에 대한 연구)

  • Kim Yong Chan;Kang Jung Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.4
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    • pp.976-981
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    • 2004
  • This study was written in order to help understanding of visible diagnosis of spirit(神). Visible diagnosis of spirit(神) is a very important factor of diagnosis and a first step of visible diagnosis. Spirit(神) is closely connection with appearance(形), so is revealed by appearance(형). If we make a visible diagnosis of spirit(神), we know the prosperousness of energy and the relative seriousness of an illness. Spirit(神) is understood by appearances and movements of patient, and influenced by seasons, lands, human's relationship and the grade of age. Visible diagnosis of spirit(神) is practiced by the observation of movements, appearances, languages, voices, mental condition, color, eye, etc. By visible diagnosis of spirit(神), we can conclude existence or nonexistence of spirit(神), discriminate true spirit(神) from false spirit(神), and diagnose mental diseases. As comparing spirit(神) with appearance(形), we can decide good or bad prognoses.

Meaning of "an auxiliary method of diagnosis" in the judgment of unlicensed medical practice by Korean medical doctors - Supreme Court Decision 2016Du51405 on August 18, 2023 - (한의사의 면허 외 행위 판단 기준에서 "진단의 보조 수단"의 의미 - 대법원 2023. 8. 18. 선고 2016두51405 판결 -)

  • Choi, Hyug Yong
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.125-153
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    • 2023
  • The Supreme Court's en banc decision on December 12, 2022 (docket number 2016Do21314) presented a new standard for determining whether the use of diagnostic medical devices by Korean medical doctors constitutes oriental medical doctors constitutes unlicensed medical practice. Based on this standard, it was determined that the use of ultrasound by Korean medical doctors was not an unlicensed medical practice. Supreme Court's Decision 2016Du51405 on August 18, 2023, is the first case in which a new standard was applied to determine that an Korean medical doctor's use of electroencephalography to diagnose Parkinson's disease and dementia was not an unlicensed medical practice. The Supreme Court abolished the previous standard that Western medical knowledge and technology should not be required for Korean medical doctors to use medical devices. However, it was unclear whether Western medical diagnosis of Korean medical doctors using diagnostic medical devices would be viewed as an an auxiliary method of diagnosis. Parkinson's disease and dementia are Western medical diagnoses. The Supreme Court judged that the Western medical diagnosis of Korean medical doctors was not an unlicensed medical practice. This clearly explains what an auxiliary method of diagnosis means. In addition, the Supreme Court excluded the principles of development and production of electroencephalography from its judgment criteria. Automatic extraction and automatic reading of test results were also excluded. The criminal court's view that the meaning of oriental medical practice should be clearly and strictly interpreted from the perspective of an oriental doctor, and it was clarified that diagnostic medical devices were excluded from criminal punishment unless it was clear that they were not related to the principle of oriental medical practice. As a result, the Supreme Court made it clear that the use of diagnostic medical devices is excluded from criminal punishment unless it is clear that they are not related to the principles of Korean medicine.

Study on the ${\ulcorner}$Medical Recoreds as a Guide to Diagnosis${\lrcorner}$ ("임증지남의안(臨證指南醫案)"에 관한 연구)

  • Shin, Soon-Shik;Hong, Won-Sik
    • Korean Journal of Oriental Medicine
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    • v.1 no.1
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    • pp.47-68
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    • 1995
  • A proper understanding of 'diagnosis and treatment based on overall analysis of symptoms and signs' can result in efficient clinical effect. Studies on the ${\lceil}$Medical Recoreds as a Guide to Diagnosis${\rfloor}$ can be expected to achieve a part of this purpose. In this study, the period, author, xylographica, contents and influence of next generation of ${\lceil}$Medical Records as a Guide to Diagnosis${\rfloor}$were investigated. Tian shi and his 12 followers completed thsis Medical recoreds with clinical experiences and data obtained throughout their lives. These books were first published in 1764. Since then these books have been published twenty times based on the first edition. These books are comprised of 10 volumes, from ${\lceil}$volume 1${\rfloor}$to ${\lceil}$volum 8${\rfloor}$are internal medicine, ${\lceil}$volum 9${\rfloor}$ is gynecology, ${\lceil}$volum 10${\rfloor}$ is pediatrics. The contents are as follows; 'method of regluating astenia-syndrome' , 'diagnosis and treatment based on overall analysis of symptoms and signs on eight extra meridians', 'theory of Yang forms endogenous wind-syndrome', 'theory of spleen-energy rise up and stomach-energy descend', 'theory of stmach-Yeum', 'diagnosis and treatment based on overall analysis of symptoms and signs on collaterals'. Tian shi completed his work by compling the previous medical theories and through clinical studies. It is expected that his theories are effectively applied to improve clinical medicine.

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The Relationship between Left Ventricular Hypertrophy by Transthoracic Echocardiography and Dampness-Phlegm Diagnosis in Cerebral Infarction Patients (경흉부 심초음파를 이용한 뇌경색 환자의 좌심실 비대와 습담변증(濕痰辨證)의 관련성 연구)

  • Kwak, Seung-hyuk;Woo, Su-kyung;Lee, Eun-chan;Hyun, Sang-ho;Park, Joo-young;Jung, Woo-sang;Moon, Sang-kwan;Cho, Ki-ho;Park, Sung-uk;Ko, Chang-nam
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.13-23
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    • 2012
  • Object : The aim of this study was to assess the relationship between left ventricular hypertrophy and Dampness-Phlegm diagnosis in cerebral infarction patients. Methods : Among 227 of the total recruited patients, 59 patients were diagnosed as left ventricular hypertrophy. We assessed their general characteristics, risk factors, lab findings and Korean medical diagnosis. We compared the assessed variables between left ventricular hypertrophy group and non left ventricular group. We analyzed the relationship between left ventricular hypertrophy and risk factors. And we also analyzed the relationship between left ventricular hypertrophy and dampness-phlegm diagnosis. Results : 1. The rate of left ventricular hypertrophy in female patients was larger than the rate of male patients. 2. There were more patients finally diagnosed hypertension in left ventricular hypertrophy group. 3. According to the analysis about the rate of Dampness-phlegm related Index for Pattern Identification by left ventricular hypertrophy, Sallow complexion and obesity were significantly higher in the left ventricular hypertrophy than in the non left ventricular hypertrophy group. 4. In multivariate analysis, Dampness-phlegm group showed close relationship with left ventricular hypertrophy. Conclusions : According to the analysis, significance between dampness-phlegm diagnosis diagnosed group and left ventricular hypertrophy were clarified. These results can be utilized in the future as a basic material to be used for diagnosis and management of dampness-phlegm diagnosis on cardiovascular diseases.

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A Proposal of Multimedia Intelligent Database for Medical Diagnosis

  • MODEGI, Toshio;IISAKU, Shun-ichi
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 1997.06a
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    • pp.61-66
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    • 1997
  • For constructing an intelligent multimedia database system for medical diagnosis, we are focusing on two technological points. One is a retrieval algorithm of databases, and the other is a coding algorithm of multimedia contents. For the first, previously we proposed a front-end database preprocessor called“keyword-network”, and in this paper we present its extended model providing an intelligent logical AND searching function especially for medical differential diagnosis. For the second, we present examples of multimedia intellectual coding methods for cardiovascular examination records.

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