• Title/Summary/Keyword: Korean medicine diagnosis

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

  • Choi, Na-Rae;Park, Soo-Jung;Joo, Jong-Cheon;Kwon, Young-Mi
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.4
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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.

Reasoning and Learning Methods for Diagnosis in Oriental Medicine (한의 진단 추론과 진단 학습 방법)

  • Kim, Sang-Kyun;Kim, Jin-Hyun;Jang, Hyun-Chul;Kim, An-Na;Yea, Sang-Jun;Kim, Chul;Song, Mi-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.942-949
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    • 2009
  • We in this paper propose the method for diagnosis patients through the reasoning based on the diagnosis ontology in oriental medicine. In prior studies, it is simply diagnosed with the information of main symptoms, optional symptoms, and tongue / pulse. In addition, ontology itself has subjective opinions of oriental medical doctors for patients in form of axioms. There is a problem in latter case that it is difficult for other oriental medical doctors to change knowledge within the ontology. In order to solve these problems, we have constructed the diagnosis ontology and the reasoning algorithm as followings: First, in order to raise the diagnosis accuracy, we constructed the diagnosis ontology with pattern identifications, main symptoms, optional symptoms, and tongue / pulse. We also utilize the diagnosis points described in the pathology textbook, which has been studied in all of domestic oriental medical colleges. This information is represented as OWL instances in ontology, not OWL axioms so that it can be easily updated. Second, we suggest the algorithms for diagnosis reasoning and learning method based on the ontology. We have implemented the reasoning and learning system according to the diagnosis algorithm. In future study, we will construct the diagnosis ontology with all of pattern identifications and symptoms within the pathology textbook.

The basic investigation for the objective study on the pulsation (맥진의 현대적인 객관화 연구를 위한 기반조사 - I. 기계적 측정법에 대한 비교연구-)

  • Kim Gyeong Cheol;Shin Soon Shik;Kang Hee Jung;Cha Chul Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.5
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    • pp.1147-1150
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    • 2003
  • Modern Objectification of Pulse Diagnosis, One of the Four Diagnosis Method of Oriental Medicine, is necessarily project to improving Oriental medical clinic status and quality by standardization of diagnosis database. At that, accurate measurement equipment or devices(sensor, system and instruments, etc,) to exactly detect MacSang(脈診 : the parameter and subject of pulse diagnosis) have not developed yet. Existing Pulse diagnosis devices are not satisfy clinical needs and medical equipments quality. We study for pulse diagnosis system, that CD is satisfying oriental medical clinic needs, is ensuring accuracy and reappearance to support in clinical diagnosis and treatment, is guaranteeing the quality of medical equipments. theoretical base and convenience.

Study on Methods for Sasang Constituion Diagnosis (사상체질진단 방법론 연구)

  • Kim Jon-Won;Lee Eui-Ju;Kim Kyn-Kon;Kim Jong-Yeol;Lee Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1471-1474
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    • 2005
  • Sasang constitution medicine is to do different treatment accordining to sasang constitution. Therefore, the constitution diagnosis in the Sasang constitution medicine is very important thing. The Process of Sasang constitution diagnosis Is difficult thing, because of consuming much time, making every effort. It is apt to be subjective tendency. So it need to make objective method. The QSCC II (Questionnaire of Sasang Constitution Classification II ) have several problems- can't do diagnosis of Taeyangin, the accuracy rate of Sasang constitution diagnosis is not high (probably 60%), and so on. So, we need the new methods for the Sasang constitution Diagnosis. We will modify the problems of QSCC II. The First is the problems of the study execution process, not-multicenter study, a low data, the absent of Taeyangin cases. So, we have to do the multicenter study. The Second is the problems of a query and the method of statistics analysis. We will modify the problems of self-report Questionnaire. That is the problems of self-report Questionnaire, the lack of objective estimation( body type, personal appearance, etc), the absent of the estimation on typical or non-typical type constitution. We modified the problems of QSCC II. Therefore we made the new self-report Questionnaire for patients. We modified the problems of self-report Questionnaire. Therefore we made the new Constituion diagnosis Questionnaire for doctors. We develop the Questionnaire of two ways for the Sasang constitution Diagnosis. The one is the new self-report Questionnaire for patients. The other is the new Constitution diagnosis Questionnaire for doctors. We have to melt down the Questionnaire of two ways for the Sasang constitution Diagnosis.

The Pilot Study on the Association of Diagnosis Results between Sasang Constitutional Medicine and Eight Constitutional Medicine (사상체질과 팔체질 진단결과의 연관성에 대한 예비 연구)

  • Jang, Eun-Su;Kim, Ho-Seok;Jung, Jong-Wook;Yoo, Jong-Hyung;Lim, Jung-A;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.14 no.2
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    • pp.93-99
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    • 2008
  • Objectives: This study aims to find out the association between Sasang and Eight Constitution by analyzing Sasang and Eight Constitution Diagnosis results. Methods: We analyzed Sasang and Eight Constitution Diagnosis results according to confidence, by reviewing medical records of 247 patients retrospectively whose Sasang and Eight constitutions were diagnosed by two independent specialists. We used chi-square test and Cramer Statistic to know association of two diagnosis results. Results and Conclusions: Taeumin was 49.8% in Jupita, Soeumin 65.2% in Mercuria, Soyangin 90.9% in Saturna, Taeumin was 54.2% in Jupita, Soeumin 83.4% in Mercuria, Soyangin 100% in Saturna in condition that Sasang and Eight Constitution diagnosis confidence is over Band 50 score. The higher diagnosis confidence is, also the higher association between Sasang and Eight Constitution is up to 0.414(Cramer Statistic). There is association between Sasang and Eight Constitution.

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Study on the Correlation between Sasang Constitution and the Data of Pulse Diagnosis Device - A Systematic Review in Korean Articles - (사상체질과 맥진기 검사 결과와의 상관성에 대한 연구 - 국내 논문에 대한 체계적 고찰 -)

  • Lee, Hye Yoon;Jung, A Ram;Son, Han Beom;Hwang, Man Suk;Lee, Jeong Won;Kim, Gyeong Cheol;Yun, Young Ju
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.621-629
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    • 2012
  • This study aimed to examine the possibility of data from pulse diagnosis device to be used for diagnosis of Sasang constitution. Systematic searches of 5 major Korean medical database were conducted for articles published up to May 2012. Searching key word was "Sasang" or "Constitution". Studies dealt with correlation between Sasang constitution and the pulse wave data from pulse diagnosis machine were included. Totally 2886 studies are searched and 3 studies are added from references of evaluated articles. Among them, 12 studies were met our inclusion criteria (2 Xishu Mac, 2 Self-made pulse diagnosis machine, 8 3D-Mac). Three of the eight 3D-Mac studies intended to develop a formula of constitutional differential diagnosis, 2 studies compared variables by Sasang constitution in healthy group and 3 studies compared variables by Sasang constitution in healthy group and special disease group. They all reported some significant variables, however results are not consistent between studies. The accuracy of the formula of constitutional differential diagnosis using 3D-Mac pulse diagnosis devices is 46.0% by now. Improvements in measuring pulse are required to achieve more accurate result and be used for diagnosis of Sasang constitution. Compensating B.M.I. among Sasang constitutional groups and separating constitutional pulse factors from acquired characteristics are also needed in further study.

System Analysis of Disease Classification of Oriental Medicine Diagnosis and Study for Improvement Method (한방진단명의 질병분류체계 분석과 개선방안 연구)

  • Lee, Hyun Ju;Park, Su Bock;Kim, Su Jin;Ko, Seung Yeon
    • Quality Improvement in Health Care
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    • v.12 no.2
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    • pp.84-92
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    • 2006
  • Background : To examine the difference between ICD-10 and The Korean standard classification of disease(oriental medicine), and to aim at improve the practical use as statistical data. It is one of the reason of disease classification. On that account we convert the many to many correspondence presenting classification of oriental medicine into many to one correspondence. Method : The study tracked out 155 patients discharged from the university hospital which is located in Gyeonggi Province and managing hospital and oriental medicine hospital from July to October this year. The period of this study was from August 1 to November 18. We compared correspondence between the two services' diagnosis(hospital services and oriental medicine hospital services) at the same time and attempted many to one correspondence classification. That is for production of statistical data. Result : We investigated the group which have had medical treatment experience of two kinds of services at the same time. The result of this investigation was that the same oriental medicine diagnosis used differently in western medicine diagnosis. 44.5% was accorded with western medicine diagnosis. Correspondence of the western medicine diagnose with the top of the Korean standard classification of disease(oriental medicine) list's western medicine diagnosis was 13.5%. For many to one correspondence classification for statistics, one western medicine diagnosis was selected for one oriental medicine diagnosis. In case of the main diagnosis(I sign) was not enough to explain oriental medicine diagnosis' characteristic, we chose multiple other diagnosis, so other diagnosis(II sign) about patient's cause of disease could be selected for supplement after we examined the patient's records. The statistics was possible with this many to one correspondence. Conclusion : The result of this study about correspondence between western medicine diagnoses and those of oriental medicine confirms that The Korean standard classification of disease(oriental medicine) is hard to be standardized with western medicine diagnosis. Therefore, according to this study, we use new many to one correspondence classification, multiple oriental medicine diagnoses with one ICD-10, which can be used by statistical data.

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Review of the Domestic Trend of Pulse Diagnosis Studies in Korea (맥진 연구의 국내 동향에 대한 고찰)

  • Kan, Sei-young
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1152-1168
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    • 2019
  • Objectives: The aim of this study was to present several proposals for future pulse diagnosis practice and research by investigating the trend of pulse diagnosis studies in Korea. Methods: We searched online medical databases, including National Discovery for Science Leaders (NDSL), the Oriental Medicine Advanced Searching Integrated System (OASIS), the Research Information Sharing Service (RISS), and the Korean Traditional Knowledge Portal (KTKP), for pulse diagnosis articles in Korea. We selected articles on pulse diagnosis but excluded duplicate articles, articles irrelevant to pulse diagnosis, and articles published in foreign countries. Results: In the first screening, 801 articles were selected. We found 251 articles and classified them according to category. The medical engineering field had 148 articles. A total of 24 articles were related to algorithms for pulse wave detection, 34 to sensors, five to pressurization technology, 16 to systems, 11 to remote medical service, five to mobiles, nine to trends, and 44 to basic research. The Korean medicine field had 103 articles. A total of 41 articles were devoted to literature reviews, 20 to case reports, 11 to constitutional medicine, six to experimental studies, and 25 to relevant research. Conclusion: More efforts to practice pulse diagnosis for various diseases should be made and the results actively published.

Effect of Tongue Color Change Due to Food Ingestion on Tongue Diagnosis (음식물 섭취로 인한 혀 색상 변화가 설진에 미치는 영향)

  • Park, Miso;Lee, Juho;Hwang, Yunsin;Kim, Minseo;Park, Sangsoo;Yoo, Horyong;Kim, Kiwang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.4
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    • pp.191-200
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    • 2020
  • The purpose of this pilot study was to examine the effect of tongue color change due to food ingestion on tongue diagnosis by both Korean Medicine doctors and digital tongue diagnosis system. In order to obtain objective and quantitative data, we used digital camera to collect the data. Prior to our investigation, we conducted a brief survey of 26 Korean Medicine doctors and found out that tongue diagnosis is frequently used and food-stained tongue could be commonly observed in clinics. Depending on their color, viscosity, and amount of intake, various foods caused stains with different colors and thicknesses. Also, duration and amount of food stain on tongue were different from person to person. Since coffee-stained tongue was the most frequently observed one in clinics according to the survey, we used coffee to evaluate the effect of food-stained tongue on tongue diagnosis. Korean Medicine doctors tended to interpret coffee-stained tongue as having yellow tongue coat but their judgement on tongue body color did not differ in spite of the coffee stains. Meanwhile, tongue diagnosis system algorithm tended to judge coffee-stained tongue as having normal but yellowish tongue coat and reddish tongue body. Altogether, food color on tongue can influence tongue diagnosis outcomes. Further research is needed in order to develop more efficient tongue diagnosis algorithm and digital medical service system.

Researches Trend of Korea Institute of Oriental Medicine in Sasang Constitution Field - from 2007 to 2010 (한국한의학연구원의 사상체질 연구동향 - 2007년부터 2010년까지의 논문을 중심으로 -)

  • Lee, Young-Seop;Kim, Sang-Hyuk;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.18 no.1
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    • pp.59-74
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    • 2012
  • Objective : The aim of this study is to investigate current status of Sasang constitutional medicine researches and to provide source in setting a development strategy and making a policy on the Sasang constitutional medicine. Method : This study analyzed trends in research as represented in the 142 articles of Korea Institute of Oriental Medicine in the field of Sasang constitution medicine from 2007 to 2010. Result : The main themes of studies were Sasang constitution clinical study (68, 47%) and developing instruments for measuring diagnosis (48, 33%), especially pulse diagnosis (25, 17%). Genetic researches and trends studies on Sasang constitutional medicine were respectively 17 (12%) and 8 (5%). As a result, Korea Institute of Oriental Medicine established Sasang clinical information bank, and discovered clinical character of Sasang constitution to develope various diagnosis tools include constitution survey form and pulse diagnosis instrument. Genetic researches also discover constitution related genes such as FTO and MC4R, and explore association between heredity and Sasang constitution. Conclusion : The above mentioned achievements of Korea Institute of Oriental Medicine were limited to diagnosis process, unquestionably studies for reproducibility and authenticity of constitution diagnosis were important mission of Sasang constitutional medicine. However, to develop the advance of Sasang constitutional medicine, not only constitution diagnosis but also constitutional treatment studies should be conducted.