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견비통의 변증에 관한 문헌고찰 (A Literature Review on Pattern-identification of Shoulder Pain)

  • 박해인;이광호
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.147-167
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    • 2015
  • Objectives : The aim of this study is to summarise pattern-identification of shoulder pain based on the classics of oriental medicine, current literature and domestic papers. Methods : The materials selected were sourced from the classics of oriental medicine, current literature and domestic papers which contained data related to pattern-identification of shoulder pain. The pattern-identifications were compared to determine the similarities, and these were classified. Results : Thirty-five studies were reviewed, and thirty-seven pattern-identifications were collated. These were classified into the following groups: wind-cold-dampness group(n = 8), blood stasis group(n = 3), phlegm group(n = 7), dual deficiency of Qi and blood group(n = 4), deficiency cold group(n = 2), liver-kidney deficiency group(n = 1) and meridian-collateral group(n = 12). Conclusions : On the basis of the classification of pattern-identifications, two groups of pattern-identifications for shoulder pain were suggested. The first group included the pattern-identification associated with a disease-cause, which included the wind-cold-dampness pattern(風寒濕型), blood stasis pattern(瘀血型), phlegm pattern(痰飮型), Qi-blood deficiency pattern(氣血兩虛型), deficiency cold pattern(虛寒型), and liver-kidney deficiency pattern(肝腎虧損型). The second included the pattern-identification associated with the meridian-collateral, which included the hand greater Yin meridian pattern(手太陰經型), hand Yang brightness meridian pattern(手陽明經型), hand lesser Yin meridian pattern(手少陰經型), hand greater Yang meridian pattern(手太陽經型), hand reverting Yin meridian pattern(手厥陰經型), hand lesser Yang meridian pattern(手少陽經型), and foot greater Yang meridian pattern(足太陽經型).

요통환자(腰痛患者)의 양도락(良導絡) 변화(變化)에 대한 임상적(臨床的) 고찰(考察) (The Clinical Study on Yangdorak Change with Lumbargo Patients)

  • 이정현;김민수;이은용
    • Journal of Acupuncture Research
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    • 제20권1호
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    • pp.74-84
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    • 2003
  • Objective : We investigated association between excessiveness and deficiency of the visceral and twelve merdians and low back pain, by checking Yangdorak. Methods : Clinical studies were done 62 patients who were treated with low back pain to Dept. of Acupuncture & Moxibustion, Hospital of Oriental Medicine in Semyung University from August 2, 2002 to August 20, 2002. We divided low back pain patients into lumbar vertebra strain, herniated nucleous pulposus(H.N.P.) degenerative spondylosis(D.J.D) and tested the potentiality of skin resistance(Yangdorak) to them. Results: 1. H.N.P. groups were more than another groups in comparing with the States over Physiological Limits and the and excessiveness of merdians. 2. In degenerative spondylosis groups, excessiveness of the F3(kidney) was to be superior. In H.N.P. groups deficiency of the H5(triple energiger) was to be superior. In lumbar vertebra strain groups, deficiency of the H5(triple energiger) and excessiveness of the F2(Liver) was to be very superior. Conclusions: We could investigate the relationship of the excessiveness and deficiency of the visceral and twelve merdians to low back spain patients by checking Yangdorak. Specially, Deficiency of the H5(triple energiger) and H4(Small intestine) may be helpful in diagnosis H.N.P..

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음허와 생체신호의 상관성 및 비교 연구 (Correlation and Comparison Between $Yin$-Deficiency Questionnaire Score and Biofunctional signals)

  • 유승연;이진무;박영재;오환섭;박영배
    • 대한한의학회지
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    • 제33권1호
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    • pp.68-78
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    • 2012
  • Objectives: The purpose of this study was to analyze the relationship between Yin-deficiency questionnaire score and various biofunctional signals in women. Methods: A retrospective chart review was performed on charts of 195 patients who visited Gangdong Kyung Hee Hospital between April 1st and September 30th, 2011. The subjects were categorized into two groups, a low Yin-deficiency group (n=118) and a high Yin-deficiency group (n=77). The authors analyzed the correlation between Yin-deficiency questionnaire score and biofunctional signals by Pearson's correlation coefficient test and the difference in biofunctional signals between the two groups by independent samples t-test using SPSS for windows. Results: 1. Negative correlations were observed between the temperature difference of back-humerus, standard deviation of all R-R intervals (SDNN), total power (TP), low frequency (LF), high frequency (HF) on heart rate variability parameters, and Yin-deficiency questionnaire score. A positive correlation was observed between the temperature difference of knee-humerus and Yin-deficiency questionnaire score. 2. The temperature difference of back-humerus in the high Yin-deficiency group was significantly higher than that in the low Yin-deficiency group. The temperature difference of knee-humerus, height, waist-hip ratio, SDNN, TP, LF, and HF of the high Yin-deficiency group were significantly lower than those of the low Yin-deficiency group. Conclusions: The results of this study suggest that the comprehensive diagnosis of Yin-deficiency and biofunctional signals is useful.

과체중 및 비만 성인 여성의 비만변증 설문 결과 분석 (Analysis of Oriental Obesity Pattern Identification Questionnaire on Overweight and Obese Korean Adult Women)

  • 황미자;문진석;박경수;송미연
    • 한방비만학회지
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    • 제8권2호
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    • pp.63-72
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    • 2008
  • Objectives We aimed to explore obesity pattern among overweight and obese Korean adult women using oriental obesity pattern identification questionnaire. Methods This survey was performed using data of 83 overweight and obese women aged from 20 to 55 yrs (BMI ${\geq}\;23\;kg/m^2$ : n=18, BMI ${\geq}\;25\;kg/m^2$ :n=65) in Seoul, from 2007 to 2008. Subjects were given written consent and this study was performed under the permission of institutional review board of Kyung-Hee East-west Neo Medical Center. Results 1. The distribution of oriental obesity pattern identification did not show any differences between obese and overweight group(p>0.05). 2. The ratio of significantly-scored oriental pattern identification was ordered by Stagnation of the liver Qi(肝欝, 21.7%) > Indigestion(食積, 18.1%) > Spleen deficiency(脾虚, 16.9%) > Yang deficiency(陽虚, 14.5%) (n=83). 3. The frequency of top-scored oriental obesity pattern was ordered by Stagnation of the liver Qi(肝欝, 36.1%) > Indigestion(食積, 24.1%) > Yang deficiency (陽虚, 15.7%) (n=83). 4. The frequency of oriental obesity pattern identification was ordered by Stagnation of the liver Qi(肝欝, 41.7%) > Indigestion(食積, 29.2%) > Yang deficiency(陽虚, 12.5%) > Stagnation of the liver Qi and Yang deficiency(肝欝兼陽虚, 8.3%) (n=24). Conclusions In Korean adult overweight and obese women, Stagnation of the liver Qi(肝欝), Indigestion(食積), and Yang deficiency (陽虚) were found to be the main pathology based on oriental obesity pattern identification questionnaire. It suggests that not only physical status but also general condition and emotional problem should be concerned in treatment of obesity. This study could play a role as a preliminary data of oriental obesity pattern identification.

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한방 피부 진액변증을 통한 한방화장품의 효능 평가 (Study on the Benefit of Medical Herbal Cosmetics via the pattern identification about fluid-humor of skin in Traditional Korean Medicine)

  • 김경신;김병수
    • 혜화의학회지
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    • 제21권1호
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    • pp.1-9
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    • 2012
  • Objectives : The aim of this experiment is to find out relationship between the effect of cosmetics and 4 types of pattern identification about fluid-humor, which are based on the general idea of traditional oriental medicine, Qi-Blood and deficiency-excess. Methods : Korean female volunteers in good health (n=25, $23.12{\pm}2.83$) participated in this experiment. Three Korean medical doctors classified them into 4 groups: Blood-deficiency: group A; Blood-excess: group B; Qi-deficiency:group C; Qi-excess:group D). Cosmetics that contains herb extract for Blood deficiency were given to all volunteers and they used the cosmetics for 4 weeks. Volunteers were assessed non-invasively with the skin measuring devices before and after using cosmetics. And we analyzed the correlation of skin physiological parameters with 4 groups. Results : Three doctors diagnosed participants and classified them into 4 groups ; group A(n=8),group B(n=7), group C(n=3), group D(n=5) as highest score. After 4 weeks, facial skin moisture showed no significant difference in comparison between 4 groups. Sebum showed significant increase in Group A and significantly decreased Group B. Measurement of facial skin elasticity tended to increase in Group A, C, D but skin elasticity was decreased significantly in Group B. Conclusions : In case of a group that pattern identification about fluid-humor corresponds to herb extract in cosmetic, skin improving effect was better than the other group that pattern identification oppose to properties of herb in cosmetic. Therefore, from the view of traditional oriental medicine, it is very important to understand user's pattern of identification or physical conditions and properties of herbs in cosmetics on the matter of safety and efficacy.

Effect of Suboptimal Nutritional Status on Mineral Uptake and Carbohydrate Metabolism in Tomato Plants

  • Sung, Jwakyung;Lee, Sangmin;Lee, Suyeon;Kim, Rogyoung;Lee, Yejin;Yun, Hongbae;Ha, Sangkeun;Song, Beomheon
    • 한국토양비료학회지
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    • 제46권5호
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    • pp.351-358
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    • 2013
  • A suitable supply of mineral elements into shoot via a root system from growth media makes plants favorable growth and yield. The shortage or surplus of minerals directly affects overall physiological reactions to plants and, especially, strongly influences carbohydrate metabolism as a primary response. We have studied mineral uptake and synthesis and translocation of soluble carbohydrates in N, P or K-deficient tomato plants, and examined the interaction between soluble carbohydrates and mineral elements. Four-weeks-old tomato plants were grown in a hydroponic growth container adjusted with suboptimal N ($0.5mmol\;L^{-1}\;Ca(NO_3)2{\cdot}4H_2O$ and $0.5mmol\;L^{-1}\;KNO_3$), P ($0.05mmol\;L^{-1}\;KH_2PO_4$), and K ($0.5mmol\;L^{-1}\;KNO_3$) for 30 days. The deficiency of specific mineral element led to a significant decrease in its concentration and affected the concentration of other elements with increasing treatment period. The appearance of the reduction, however, differed slightly between elements. The ratios of N uptake of each treatment to that in NPK sufficient tomato shoots were 4 (N deficient), 50 (P deficient), and 50% (K deficient). The P uptake ratios were 21 (N deficient), 19 (P deficient), and 28% (K deficient) and K uptake ratios were 11 (N deficient), 46 (P deficient), and 7% (K deficient). The deficiency of mineral elements also influenced on carbohydrate metabolism; soluble sugar and starch was substantially enhanced, especially in N or K deficiency. In conclusion, mineral deficiency leads to an adverse carbohydrate metabolism such as immoderate accumulation and restricted translocation as well as reduced mineral uptake and thus results in the reduced plant growth.

변증과 심박변이도의 상관성 연구 (Clinical Study on Relationship between Pattern Identifications and Heart Rate Variability)

  • 최상옥;박선영;정희진;정소연;안수연;김경민;김영균
    • 동의생리병리학회지
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    • 제27권3호
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    • pp.318-326
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    • 2013
  • This study was performed to investigate relationship between each pattern identification and heart rate variability(HRV) indices. We analyzed 201 subjects who participated in stroke check up. We classified the subjects into four groups of pattern identifications; Fire-Heat pattern(FH), Yin Deficiency pattern(YD), Qi Deficiency pattern(QD) and Dampness-Phlegm pattern(DP) that based on Korean Standard Pattern Identifications for Stroke-III. We investigated significance of HRV indices between each pattern identification and heart rate variability indices. The total number of the subject group was 201, whereas the groups were divided into four groups; Fire-Heat pattern group(n=47), Yin Deficiency pattern(n=65), Qi Deficiency pattern(n=33), and Dampness-Phlegm pattern(n=56). SDNN, TP, Ln(TP), VLF, Ln(VLF), LF, Ln(LF) and HF were significantly higher in the Fire-Heat pattern(FH) group than other groups of pattern identifications, but there was no differences among the Yin Deficiency group, the Qi Deficiency group and the Dampness-Phlegm group. Ln(HF), LF(NORM), HF(NORM) and LF/HF ratio were significantly higher in the Fire-Heat group than in the Qi Deficiency group. However, there was no significant differences among the Dampness-Phlegm group, the Yin Deficiency group, Fire-Heat group and the Qi Deficiency group. Through this study, we found out some significant relationships between each pattern identification group and HRV indices. The result of this study demonstrates that sympathetic nerve was more active in the Fire-Heat group than other groups.

Changes of Electrolytes, Hematological Indices, and Cytokines following Dietary Magnesium Deficiency in Rats

  • Moon, Seong-Min
    • 대한의생명과학회지
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    • 제17권3호
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    • pp.203-209
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    • 2011
  • Magnesium (Mg) plays an essential role in physiological and metabolic reactions. Recently, there has been an increased interest in the role of Mg deficiency, particularly the relationship between serum Mg value and inflammatory response. This study was designed to determine the relationship between serum Mg deficiency with inflammatory response, electrolytes and hematological alteration over long-term periods. Sixteen male Sprague-Dawley rats were divided into two groups: control (n=8), and Mg deficiency group (MgD group, n=8). Chow and normal water (tap water) were regularly provided to the control group and Mg-depleted chow and third distilled water were regularly provided for 60 days to the MgD group. Body weights, Serum Mg, $K^+$, inorganic phosphorus (IP) and total iron binding capacity (TIBC) levels in the MgD group were lower than those of the control group (P<0.05). Granulocyte fraction and MCV, RDW and PDW levels were higher, whereas lymphocyte fraction, erythrocyte, hemoglobin and MCHC levels were lower in the MgD group than in the control group (P<0.05). MCP-1 and TNF-${\alpha}$ levels in the MgD group were greater than those of the control group (P<0.05). In conclusion, the results of the present study suggest that Mg deficiency over a long-term period had not altered total leukocyte concentration in the blood, but had detrimental effects, including disturbances of electrolytes balance, disturbance of iron indices, potential anemia and elevation of pro-inflammatory cytokine. However, further studies should be performed to determine the relationship between serum Mg deficiency and major organ damage or alteration.

여중생의 철분 영양 상태와 체질량 지수와의 관계 (The iron status and the relationship between iron deficiency and body mass index in middle school girls)

  • 한희연;장주희;심혜선;홍영진;손병관;김환철;김순기
    • Clinical and Experimental Pediatrics
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    • 제49권11호
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    • pp.1174-1179
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    • 2006
  • 목 적 : 비만과 철 결핍은 가장 중요한 영양문제이다. 비만아에서 철 결핍이 더 많다는 주장이 있지만, 국내에서는 이와 상반된 의견이 제시된바 있다. 본 연구는 인천지역 여중생의 비만과 철 결핍의 유병률을 알아보고 이들 사이에 어떤 관계가 있는지 알아보았다. 방 법 : 2005년 5월 인천시에 거주하는 14, 15세의 여중생 764명을 대상으로 신체 측정과혈액 검사를 실시하였다. 비만은 체질량지수 85 백분위수 이상을 비만으로 정하였다. 철 결핍은 페리틴이 10 ng/mL 미만으로 정의하였고, IDA는 혈색소가 12g/dL 미만이면서 페리틴 10 ng/mL 미만 또는 트랜스페린 포화도가 16% 미만인 경우로 정의하였다. 결 과 : 1) 인천시 여중생의 과체중 유병률은 24.4%(n=186)였다. 비만도에 의한 비만의 유병률은 16.5%(n=126)였다. 페리틴과 트랜스페린 포화도는 정상 체중군에서 가장 낮았다. 2) 철 결핍의 유병률은 18.7%(n=102), IDA의 유병률은 5.3%(n=41)였다. 3) BMI에 따른 철분 영양 상태를 보았을 때, 과체중군과 저체중군보다 정상체중군에서 철 결핍의 유병률이 높았다. 또한 비만군보다 비비만군이 철 결핍과 철 결핍성 빈혈의 유병률이 높았다. 결 론 : 인천 지역 여중생의 비만 유병률은 다른 지역보다 높은 경향을 보였다. 그러나 철 결핍은 크게 차이가 나지 않았다. 또한 정상 체중군에서 철 결핍이 많은 것으로 나타났다. 이는 비만군에서 음식섭취가 많아 철분의 섭취량도 많기 때문에 정상체중군에 비하여 비만군에서 철 결핍이 적은 것으로 생각된다.

변증(辨證) 관련 연구 최신 동향 -2015~2023년 국내 연구를 중심으로- (Trend of Study of Pattern Identification in Republic of Korea from 2015 to 2023)

  • 이선동;한유창;권보인;윤해창
    • 대한예방한의학회지
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    • 제28권2호
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    • pp.19-29
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    • 2024
  • Objective : Pattern identification in Korean Medicine is a core value, leading to a quantitative and qualitative increase in related studies. This study aims to identify trends in newly published research and discuss pattern identification. Method : We reviewed studies from 2015 to 2023 using the Oriental Medicine Advanced Searching Integrated System provided by the Korea Institute of Oriental Medicine. The keywords used were: pattern identification, cold-heat, deficiency-excess, exterior-interior, yin-yang, phlegm-retained fluid, static blood, qi-blood, qi deficiency, blood deficiency, yin deficiency, yang deficiency, and four-constitution. Results : A total of 150 studies met the inclusion criteria. These comprised 84 observational studies, including case reports, 2 experimental studies, and 64 literature reviews. Most studies were published in the Korean Journal of Oriental Physiology and Pathology. On average, 17.1 studies were published annually, although the number of studies has decreased over the years. Network analysis revealed that the main keyword in titles was pattern identification (n=122), followed by study (n=68) and patients (n=34). Conclusion : These findings highlight trends in studies related to pattern identification, with a focus on its standardization. Considering the limitations of pattern identification, a shift towards a disease-centered approach is recommended.