• Title/Summary/Keyword: Six-meridian pattern identification

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A study on the naming of 'A diagnostic system based on Shanghanlun six meridian patterns and provisions' and suggestion ('『상한론(傷寒論)』 육경(六經)과 조문(條文)에 근거한 진단체계(診斷體系)' 명명(命名)에 대한 고찰(考察) 및 제안(提案))

  • Kim, Daedam
    • 대한상한금궤의학회지
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    • v.5 no.1
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    • pp.19-29
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    • 2013
  • Objective : The purpose of this study is to analyze the naming of 'A diagnostic system based on Shanghanlun six meridian patterns and provisions' and to suggest an alternative naming. Methods : 1. The meaning of 'Six meridian(六經)' was reviewed on existing theories and Shanghanlun provisions. 2. Comparing the name of diangostic system with the term in 'Korean Standard Classification of Diseases-6(KCD-6)' and term in 'WHO international standard terminologies on traditional medicine in the western pacific region' was done. Results : 'Six meridian' is customary used in the Shagnhanlun study but its meaning is not match with original Shanghanlun system and could possibly make misunderstanding. So 'Disease pattern identification' is suitable than 'Six meridian' for this diagnostic system. Conclusions : This study suggests that using 'A disease pattern identification diagnostic system based on Shanghanlun provisions.'is more appropriate instead of using the name of the six meridian diagnostic system.

A Case Report of a Migraine Patient Treated with Six-Meridian Pattern Identification (六經辨證) (육경변증(六經辨證)을 이용하여 치료한 편두통 환자 치험 1례)

  • Kim, Young-kwang;Moon, Young-ho
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1180-1190
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    • 2020
  • The purpose of this case report is to describe the effect of Korean medicine therapy on patient with migraine. We treated migraine for 2 months using a Korean medical treatment and six-meridian pattern identification, including herbal medicine (Soshiho-tang), acupuncture, cupping, chuna, and pharmacopuncture. The measurements included a numerical rating scale (NRS), migraine disability assessment (MIDAS), headache impact test-6 (HIT-6), and migraine specific quality of life questionnaire (MSQoL) to confirm the effectiveness of the herbal medicine treatment. After treatment, the patient's complaints decreased, as shown by the results of the NRS, MIDAS, HIT-6, and MSQoL. For migraines, Korean medical treatment and six-meridian pattern identification, such as herbal medicine (Soshiho-tang), has beneficial effects for the control of migraine and improvement in the quality of life.

A Study on Cheng Guopeng (程國彭)'s Understanding of Shanghan Disease (傷寒病) Through Yixuexinwu (醫學心悟) (≪의학심오(醫學心悟)≫로 살펴본 정국팽(程國彭)의 상한병(傷寒病)에 대한 이해(理解)에 대한 고찰(考察))

  • Chan-Yong Jeon
    • The Journal of Internal Korean Medicine
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    • v.45 no.3
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    • pp.415-428
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    • 2024
  • Objective and Methods: This study examined Cheng Guopeng (程國彭)'s understanding of Shanghan Disease (傷寒病) through <Yixue xinwu (醫學心悟)>, created tables based on this, and these tables were compared with <Shiyong zhongyi neike biaodian (實用中醫內科表典)>'s table on Six Meridian Pattern Identification (六經辨證). Results and Conclusion: 1. <Yixue xinwu> and <Shiyong zhongy neike biaodian> were mostly similar regarding the pathology and the Six Meridian Pattern Identification of Shanghan Disease. However, <Shiyong zhongyi neike biaodian> selected terms that encompass internal medical diseases rather than terms that refer only to infectious diseases. 2. About Taiyang meridian disease (太陽 經病), <Yixue xinwu> recognized the existence of Wen bing (溫病) and Re bing (熱病), but did not regard them as True Shanghan Disease (正傷寒), and differentially diagnosed them as Similar Shanghan Disease (類傷寒). 3. About Yangming meridian disease (陽明 經病), <Yixue xinwu> understood this as a meridian transmitted heat-syndrome in the interior (傳經 裏熱證), and created a new Radix Puerariae Decoction (葛根湯). This prescription has the same name as the <Shanghanlun (傷寒論)>, but it has a different drug composition and indications. 4. About three-In meridian disease (3陰 經病), <Yixue xinwu> always divided it into two categories: meridian transmitted heat-syndrome in the interior (傳經 裏熱證) and meridian stroked cold-syndrome in the interior (直中 裏寒證). However, <Shiyong zhongyi neike biaodian> described Taiin disease (太陰病) as Spleen-stomach deficiency cold-syndrome (脾胃虛寒證). This means that meridian transmitted heat-syndrome in the interior (傳經 裏熱證) does not exist among Taiin disease.

Overview of Literature about Acupuncture and Moxibustion, Based on Six-Meridian Pattern Matching for Sasang Constitutions (사상인(四象人)의 육경변증(六經辨證)별 침구처방 문헌 고찰)

  • Lee, Jae-Chul;Kim, Sang-Hyuk;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.5
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    • pp.790-795
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    • 2010
  • Sasang Constitution Medicine(SCM)'s researches have been developed in many ways, especially Herbal medicine prescriptions and diagnosis. But there are no acceptable acupuncture theory for the Sasang Constitution. So We have tried to find the way for identifying each Sasang Constitution's acupuncture point on more reasonable methods. We studied that SCM acupuncture based on collecting Books of "Shanghanlun(傷寒論)", or Six-meridian pattern identification's acupuncture prescription. Selected books are "The Acupuncture and Moxibustion(침구학)", "Zhonghua Zhenjiuxue(中華鍼灸學)", "Zhenjiuxinchuan(鍼灸心傳)", "Shanghanlun Zhenjiupeixuexuanzhu(傷寒論鍼灸配穴選注)". So-eumin uses Conception Vessel's acupuncture points most frequently. And So-yangin and Tae-eumin use Bladder meridian and Stomach meridian's acupuncture points most. Moxibustion is used many times for So-eumin, especially at three Yin-Symptoms(三陰病). Orders for using frequencies of three Sasang constitutions' acupuncture points are: So-eumin uses ST36 CV12 CV4 most, So-yangin uses PC6 ST36 LI4 most, Tae-eumin uses ST36 LU7 CV12 most. Acupuncture for Sasang constitutions has been developed for many ways, but there are no generally acceptable theory. So we need to hold a committee for SCM and acupuncture specialist to establish acceptable and reasonable SCM acupuncture theory.

The Origin of Shanghanlun Six Meridians - The Theory of Meridians is at the core - (상한육경(傷寒六經)의 기원(起源)에 대(對)한 연구(硏究) - 경맥학설(經脈學說)과의 비교(比較)를 중심(中心)으로 -)

  • Park, Yung-Hwan
    • The Journal of Korean Medical History
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    • v.26 no.1
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    • pp.27-39
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    • 2013
  • The Theory of Meridian can be classified into early form of pre- and present form of after-. The representative early form of meridian is Eleven Meridians in Mawangdui scrolls(馬王堆帛書) which use Six Qi Diagnosis(六氣辨證). because it did not adopt Visceral Pattern Identification(臟腑辨證). The present form of meridian is Twelve Meridians of . It has developed to investigate relations between Visceral and disease with Five Phase Theory. Analyzing the name of the Six Meridians in the Shanghanlun(傷寒論)On Cold Damage, there are no hands, feet and visceral signs. and it is almost identical to Eleven Meridians in Mawangdui scrolls. According to , Eleven Meridians use only Six Foot Meridians(足六經) to classify diseases. This fact was applied identically to the Six Meridians in the Shanghanlun. Therefore many doctors, especially Hanzhihe(韓祗和) and Zhangzhicong(張志聰) mentioned that "I have never seen a book on Shanghanlun discuss about Hand Meridians(手經)."

A Case Report of VulvoVaginal Candidiasis treated by Dahuanghuanglianxiexin-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대황황련사심탕(大黃黃蓮瀉心湯)을 투여한 칸디다성 질염 치험 1례)

  • Choi, Ju-Young
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.53-63
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    • 2015
  • Objective : This case report show the effect of Dahuanghuanglianxiexin-tang on VulvoVaginal Candidiasis. Methods : According to disease pattern identification diagnostic system based on shanghanlun provisions, The author diagnosed Taeyang-byung kyeolhyung. The symptoms of VulvoVaginal Candidiasis were worsen when the patient had long sitting position and digestive problems. Therefore the patient treated with Dahuanghuanglianxiexin-tang for 3 months. The severity of Candida Vaginitis was evaluated by patient's subjective statements(Vaginal pruritus, Vaginal secretion, Burning sensation). Results : After the treatment, Level of syptoms decreased from Severe to Trace and Eliminated. Conclusions : Dahuanghuanglianxiexin-tang improved the symptoms of VulvoVaginal Candidiasis on this study. Although Dahuanghuanglianxiexin-tang is not an usual treatment for VulvoVaginal Candidiasis, the author could prescribe the medicine due to shanghanlun six meridian patterns diagnostic system.

A National Survey on Utilization of Pattern Identification among Korean Medicine Doctors (전국 한방의료기관 한의사 대상 한의 변증활용 현황 조사)

  • Yeo, Minkyung;Park, Kihyun;Jang, Eunsu;Lee, Youngseop
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.3
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    • pp.45-55
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    • 2015
  • Objective : The aim of this study was to survey the present utilization of pattern identification(PI) in the clinical field among Korean Medicine Doctors. Method : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of two sections - a demographics section(i.e., sex, age, clinical experience, place of work, residence and so on) and the main research section(i.e., the PI utilization rate, the utilization of PI systems, the utilization of PI in the clinical domain and in the treatment domain, the correlation between utilization PI and so on). Results : This study revealed that subjects used the PI to 66.7% of their patients on average. The utilization rate of PI in patients was significantly higher for female physicians than for male physicians, for physicians worked in clinics than for physicians who worked in hospitals and for physicians with more than 10 years clinical experience than for physicians with less than 10 years clinical experience. In the utilization of PI systems, Visceral PI was most as 92.0%. There were significant difference on the PI utilization rate according to utilization of Meridian and Collateral PI, Triple Energizer PI, Defense, Qi, Nutrient and Blood PI, Six-Meridian PI and Six Excesses PI. As a result of analysing the PI utilization rate by clinical domain and in the treatment domain, the Treatment and the Drug Treatment showed the highest values. Among utilized PI systems, the correlation coefficients between Defense, Qi, Nutrient and Blood PI and Triple Energizer PI showed the highest value, but the correlation coefficients between Sasang Constitutional Medicine with the each PI showed substantially lower value. Conclusion : The results of this study demonstrate that usage of PI was higher than usage of U code(in KCD) usage in clinical field. we suggested that additional studies on using PI and developing more appropriate standardized tool should be conducted to widen scope of PI's utilization.

A Case Report of Atopic Dermatitis treated by Soshiho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소시호탕(小柴胡湯)을 투여한 양명병(陽明病) 아토피 피부염 치험 1례)

  • Min, Joon-Hong;Jo, So-Hyun
    • 대한상한금궤의학회지
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    • v.7 no.1
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    • pp.75-85
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    • 2015
  • Objective : This case report presents the effect of Soshiho-tang on Atopic Dermatitis. The patient was diagnosed with Yangmyung-byung based on Shanghanlun provisions. Methods : According to Shanghanlun six meridian patterns diagnostic system, we dianosed the patient as Yangmyung-byung and he had trouble getting out of bed and nighttime itch. The patient was treated with Soshiho-tang. We evaluated the results of treatment by Objective SCORAD Index and pictures. Results : After the treatment, Objective SCORAD Index decreased from 61 to 21.5. And he became to have no trouble in getting up and also nighttime itch vanished. Conclusions : This case report sowed and effectiveness of using Soshiho-tang according to Diagnostic system based on Shanghanlun provisions on Atopic Dermatitis.

A National-wide Survey on Utilization of Pattern Identification for Chronic Diseases among Korean Medicine Doctors (전국 한방의료기관 한의사 대상 만성질환의 변증활용 현황 조사)

  • Yeo, Minkyung;Park, Kihyun;Lee, Youngseop
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.2
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    • pp.23-34
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    • 2017
  • Objectives : The aim of this study was to survey the present utilization of pattern identification(PI) by chronic disease and using PI system in the clinical field among Korean medicine doctors. Methods : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 Korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of whether use clinical experience by chronic disease and the utilization of PI, the utilization of PI systems, the PI utilization rate, and the correlation between utilization PI and so on. General elements consisted of sex, age, clinical experience, place of work, district and so on. Results and Conclusions : This study revealed that clinical experience by chronic disease used 24.0-90.8%. The most chronic diseases were chronic fatigue and chronic pain, and least disease was cancer. Experience of the utilization of PI among Korean medicine doctors who have clinical experience was 87.8-97.1%. Also, the most utilized disease was chronic gastritis & gastric ulcer, and least disease was dyslipidemia. In this case, the most common cases were using the one PI between the utilization of PI systems, and the utilization ratio of Visceral PI was the highest. Phi coefficient between the PI systems in chronic diseases divided into positive correlation and negative correlation. The correlation of dementia between Triple energizer PI and Six excesses PI was the highest at positive correlation, and the frequency of occurrence between Defense, Qi, Nutrient and Blood PI was the highest at positive correlation. The correlation of osteoarthropathy between Meridian and Collateral PI and Sasang Constitutional Medicine was the highest at negative correlation. Also the frequency of occurrence between Qi, Blood, Fluid and Humor PI and Sasang Constitutional Medicine was the highest at negative correlation. We hope that additional studies on systematic PI research of chronic disease which needed to be in korean oriental medicine and meet the needs of clinical consumer continue based on this study.

Composition and Contents of the Monograph on Theory of Cold Damage - "Sanghankyeongheombangyochal"(傷寒經驗方要撮) in the Late Joseon Dynasty (조선후기(朝鮮後期) 상한(傷寒) 연구(硏究)의 일면(一面) - 조선후기(朝鮮後期) 상한(傷寒) 연구서(硏究書) "상한경험방요촬(傷寒經驗方要撮)"의 구성과 내용 -)

  • Oh, Jun-Ho;Park, Sang-Young;Kim, Hyun-Koo;Kwon, Oh-Min
    • Korean Journal of Oriental Medicine
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    • v.18 no.1
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    • pp.25-34
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    • 2012
  • Objective : This study was carried out with focus on written by Joh, Taek-seung (曺澤承) and Joh, Byeong-who(曺秉矦) in the relation of father and son in 1933. This book is a medical book including rare data, which has never been reported to academic circles all this while. Method : First, this study looked into the authors of this book and its history of publication. Further, this study analyzed the composition and contents of this book. Lastly, this study summed up the meaning of this book from the standpoint of medical history. Result : The authors were Confucian doctors who were active in the latter era of the Joseon Dynasty and also in the period of Japanese colonial rule. They lived in Haenam district of Jeonlanam-do, and cured its neighboring local residents while studying. They published the book of by putting together their own medical experiences. The authors suggested their remedial prescription according to gender and age whereas Zhang Zhongjing(張仲景) suggested the remedial prescription according to Six-Meridian Pattern Identification & Syndrome Differentiation(六經辨證). In addition, the authors of gave weight to the relationship with internal damage. Additionally, the authors not only thought much of the relationship between internal damage and external damage but also thought of the weakness and strength of the healthy qi, and the new and the old of a disease as an important clue to medical treatment. It seems that such contents was influenced by (東醫寶鑑). Conclusion : shows the results of the research on which was spontaneously conducted in Joseon.