• Title/Summary/Keyword: Syndrome differentiation theory

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A study on the Yoon Gil-Young's theory of classification in the "syndrome differentiation" (윤길영(尹吉榮)의 병증(病證) 대분류에 대한 고찰)

  • Kim, Gyeong Cheol;Lee, Jeong Won
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.1
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    • pp.55-63
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    • 2015
  • Objectives In order to the review of the Yoon Gil-Young's theory on the "differentiation of syndromes", we studied on the his method and system of classification on the "differentiation of syndromes". Methods We reviewed on "The Clinical Formula Science Traditional Korean Medicine 東醫臨床方劑學", "A study on the Methodology of Traditional Korean Medicine 東醫學의 方法論硏究" "The theory of SaSang Constitution Medicine 四象體質醫學論". From a connected standpoint with the basic theory and clinical medicine, considered on the Yoon Gil-Young's theory of "differentiation of syndromes". Results Yoon Gil-Young's theory of differentiation of syndromes and treatment was widespread so much that he studied on the learning field of Traditional Korean Mediciine and ingenious as well. The main principles of differentiation of syndromes was summarized the three representative syndrome-complexes; BON-HER(original deficiency syndrome), BON-HAN(orginal cold excess syndrome), BON-YEOL(original heat excess syndrome). And also the three representative syndrome-complexes was previously carried out the details of differentiation of syndromes and assigned represent prescription one by one. Conclusions As the results, Yoon Gil-Young insisted the system of differentiation of syndromes closely connecting with Traditional Korean Medical physiology, pathology, diagnosis and prescriptions. And therefore he was a frontier of the field of Traditional Korean Medicine.

A Study on the system in the Theory of 'Syndrome Differentiation' from the Viewpoint of Yoon Gilyeong (윤길영의 변증체계 고찰)

  • Kim, Gyeong Cheol;Hong, Dong Gyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.20 no.1
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    • pp.15-26
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    • 2016
  • Objectives Syndrome differentiation and treatment (辨證論治) was one of the core theories in Korean medicine and syndrome differentiation (辨證) constitutes a branch of disease diagnosis in Korean medicine. Yoon Gil-Young, one of the modern outstanding scholar of basic medical science in Korean medicine, wrote on basic theories of Korean medicine such as physiology, pathology, formula science, etc. Hereby we will analyze and discuss his works to understand his recognition of historical changes in the syndrome differentiation. Methods We conducted researches into the two works of Yoon Gil-Young's, which are "The Clinical Formula Science of Eastern Medicine (東醫臨床方劑學)" and "The theory of Four-Constitution Medicine (四象體質醫學論)". From Yoon's academic standpoint which connects the basic medical science with the clinical medicine, we analyzed his opinion about the system in the Theory of 'Syndrome Differentiation'. Results According to Yoon's research work on the Theory of 'Syndrome Differentiation', the system of syndrome differentiation, which had its deep root in the theory of Yin and Yang (陰陽) & the theory of abbreviation of the five circuit phases (五運) and the six atomspheric influences (六氣) of the "Huangdi's Internal Classic (黃帝內經)". Conclusions Yoon Gil-Young's theory of differentiation of syndromes and treatment is widespread so much that he studied on the learning field of Traditional Korean Mediciine and ingenious as well. He explain on the main principles of differentiation of syndromes based on "Huang Di Nei Jing" and the system of differentiation of syndromes is composed of Traditional Korean Medical Physiology.

A Study on the Historical Changes in the Theory of 'Syndrome Differentiation' from the Viewpoint of Yoon Gilyeong (윤길영(尹吉榮)의 변증론(辨證論) 변천(變遷) 연구(硏究)에 대한 고찰)

  • Kim, Gyeong Cheol;Lee, Hai Woong
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.3
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    • pp.151-158
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    • 2015
  • Objectives Syndrome differentiation and treatment (辨證論治) is one of the core theories in Korean medicine and syndrome differentiation (辨證) constitutes a branch of disease diagnosis in Korean medicine. Yoon Gil-Young, one of the modern outstanding scholar of basic medical science in Korean medicine, wrote on basic theories of Korean medicine such as physiology, pathology, formula science, etc. Hereby we will analyze and discuss his works to understand his recognition of historical changes in the syndrome differentiation. Methods We conducted researches into the two works of Yoon Gil-Young's, which are "The Clinical Formula Science of Eastern Medicine (東醫臨床方劑學)" and "The theory of Four-Constitution Medicine (四象體質醫學論)". From Yoon's academic standpoint which connects the basic medical science with the clinical medicine, we analyzed his opinion about syndrome differentiation and its historical changes. Results According to Yoon's research work on syndrome differentiation and its historical changes, the development of syndrome differentiation, which goes in harmony with the history of Korean medicine, has its deep root in " Huangdi's Internal Classic (黃帝內經)" and "Treatise on Cold Damage and Miscellaneous Diseases (傷寒雜病論)". And through "Treatise on the Spleen and Stomach (脾胃論)" and the articles of warm disease (溫病論), the theory of syndrome differentiation became extended to the whole clinical diagnostic field in Korean medicine, finally including the achievements in "Treasured Mirror of Eastern Medicine (東醫寶鑑)", "Longevity and Life Preservation in Eastern Medicine (東醫壽世保元)". Conclusions Yoon Gil-Young recognized that the system of syndrome differentiation was developed in accordance with the theories from the "Treatise on Cold Damage and Miscellaneous Diseases", then the "Treatise on the Spleen and Stomach" and the articles of warm disease. The four-constitution medicine in Korea and Koho school in Japan which lays emphasis on abdominal signs also contributed to its development. Syndrome differentiation can be categorized basically into three states of intrinsic cold (本寒), intrinsic deficiency (本虛), intrinsic heat (本熱) according to the deficiency and excess in human body metabolism.

A Literature Review on the Use of Extracorporeal Shock Wave with Syndrome Differentiation Theory (한방 변증 이론에 근거하여 사용된 체외충격파 연구에 대한 문헌 고찰)

  • Lee, Sang-Hyun;Kim, Hyun-Tae;Park, Sun-Young;Heo, In;Hwang, Man-Suk;Shin, Byung-Cheul;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.2
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    • pp.95-103
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    • 2020
  • Objectives This report aimed to review literatures using extracorporeal shock wave with syndrome differentiation theory. Methods By March 3, 2020, five foreign electronic databases (PubMed, Web of Science, Cochrane Library, EMBASE, CAJ) and six Korean medical electronic databases (KMBASE, KISTI, KISS, NDSL, DBpia, RISS) were reviewed with the key word 'extracorporeal shock wave' and 'syndrome differentiation'. We did not impose restrictions on age, gender, treatment methods, duration, results and the design of the paper. Results Twelve papers met the inclusion criteria. Seven papers used extracorporeal shock wave lithotripsy with syndrome differentiation theory and six out of seven papers treated urologic stones using extracorporeal shock wave lithotripsy. The other five papers used extracorporeal shock wave therapy with syndrome differentiation theory and four of them treated musculoskeletal disorders. However, the data of the characteristics of extracorporeal shock wave was insufficient. Conclusions After thorough review, it is considered to be meaningful to treat urologic stones and musculoskeletal disorders using extercorporeal shock wave with syndrome differentiation theory. However, some of the literatures were limited in their feasibility and reliability in terms of research design. In addition, the data regarding the strength of the extracorporeal shock wave applied on each acupoints was insufficient. Therefore, further study on the use of extracorporeal shock wave on acupoints should be conducted.

Study on the HYUN-GOG′s Main Principles of Differentiation of Syndromes (현곡 윤길영의 변증요강에 대한 연구)

  • Kim Gyeong Cheol;Shin Soon Shik;Lee Yong Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.3
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    • pp.595-604
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    • 2003
  • We study on the HYUN-GOG's main principles of Differentiation of Syndromes. HYUN-GOG insisted upon the main principles of Differentiation of Syndromes based on the individual-physiology. The system of Differentiation of Syndromes was composed of the Korean oriental medicine's physiological system. The main principles of Differentiation of Syndromes was mutually explained for the standpoint of eight principal syndromes(differentiation of pathological conditions in accordance with the eight principal syndromes) and the system of Syndrome-complexes based on the physiological system. BON-HER(original deficiency-syndrome), BON-HAN(original cold excess-syndrome), BON-YEOL(original heat excess-syndrome), the three representative syndrome-complexes is previously carried out the details of Differentiation of Syndromes. And the oriental medicine history was rearranged centering around the theory of Differentiation of Syndromes by HYUN-GOG. The theory of Syndrome-complexes was closely connected with prescription by the presentation of the basic organical prescription for the three representative syndrome-complexes.

Comparative Review of Treatment Based on Syndrome Differentiation and Treatment Based on Syndrome Differentiation from Disease - Emphasis on Hypertension and Headache - (변증논치(辨證論治)와 병증변치(病證辨治) 장단점의 비교고찰 - 고혈압과 두통의 예를 중심으로 -)

  • Gi, Youjong;Shin, Sunjoong;Han, Wonyoung;Kim, Hyundo;Han, Yoochang;Lee, Sundong
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.9-17
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    • 2017
  • Objectives : Comparative review was rendered to evaluate strengths and weaknesses of two common treatment approaches of treatment based on syndrome differentiation and treatment based on syndrome differentiation from disease. A typical symptom of headache from hypertension was chosen for substantial approach of this review. Methods : Pros and cons of two different approaches to disease were evaluated based on literatures and texts focusing treatment based on syndrome differentiation and treatment based on syndrome differentiation from disease. Headache can be correlated with hypertension yet it can be induced by multiple other factors, and headache may/may not accompany hypertension. Hypertension is an example of treatment based on syndrome differentiation from disease and headache can be an example of treatment based on syndrome differentiation. Results : Treatment based on syndrome differentiation can give more autonomy and flexibility in approach to the disease, Intuition, experience, and traditional medical theory can be applied with ease. However, management and eradication of diseases are difficult and standardization of treatment is not easy among practitioners. Treatment based on syndrome differentiation from disease incorporated merits of both eastern and western medicines, achieving more evidence based diagnosis and treatment. Eradication and standardization of disorders are possible with the latter approach. Conclusions : Comparing two systems of treatment based on syndrome differentiation and treatment based on syndrome differentiation from disease with emphasis on hypertension and headache yielded medical values. Treatment based on syndrome differentiation from disease appears to be superior in medical values and effectiveness, but further evaluation and interest are needed to make advancement in Korean traditional medicine.

Patent and paper information analysis : questionnaire and program for syndrome differentiation (변증(辨證)을 위한 설문지 및 프로그램에 대한 특허정보 및 논문을 통한 연구 동향 분석)

  • Moon, Jin-Seok;Cha, Min-Ho;Yoon, Yoo-Sik;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.12 no.3 s.18
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    • pp.17-29
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    • 2006
  • The Syndrome Differentiation(辨證) means to make diagnosises and to classify symptoms based oriental medicine theory. Questionnaires and clinical decision support system would assist the doctor checks up symptoms of a patient. We analyze about domestic and foreign patents and papers of these diagnosis tools and catch the trend. In patents, the system examines by telemedicine and offers medical information and prescriptions to patient. Papers was itemized fields ; theory, methods of analysis, clinical application, questionnaire, clinical decision support system. The results of this research can be applied to develop the high-quality tool to support syndrome differentiation.

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Study on Body Constitution and Disease Symptoms and Signs (논체질여병증(论体质与病证))

  • Cui, Zheng-Zhi;Cui, Ming-Hua
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.241-247
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    • 2009
  • Body constitution research in Korean traditional medicine adopt the diagnosis and treatment theory of "image-differentiation[body constitution differentiation, disease differentiation] in combination with syndrome differentiation diagnostic model and symptoms and signs of herbal property belong to image" as its core, which is key national medical science research project of State Administration of Traditional Chinese Medicine, the project brought up 4 key scientific problem ? body constitution differentiation theory, correlation theory of body constitution and disease, body constitution adjustable theory and symptoms and signs of herbal property belong to image theory. In body constitution pathology, it brought up "correlation between body constitution and symptoms", "differentiation between body constitution and symptoms" which increase the diagnostic level and diagnostic accuracy rate. In the condition of pathology, it obviously has low reliability according to body constitution differentiation, sometimes happen the description not comply with body constitution and disease symptoms, which lead to decrease the clinic diagnostic and treatment level, treatment effect not satisfying too. Now taking 4 key scientific achievement as criterion to illustrate the body constitution and disease symptoms.

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Case Report of Yukmijihwang-tang(Liuweidihuang-fang) on Diabetes Mellitus in Stroke Patients Diagnosed as Kidney-Yin Deficiency or Non Kidney-Yin Deficiency Syndrome (신음허(腎陰虛)로 변증(辨證)된 중풍환자(中風患者)와 신음허(腎陰虛)로 변증(辨證)되지 않은 중풍환자(中風患者)의 당뇨(糖尿)에 대한 육미지황탕(六味地黄湯)의 치험례(治驗例))

  • Jung, Woo Sang;Moon, Sang Kwan;Cho, Ki Ho;Kim, Young Suk
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.11 no.1
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    • pp.82-88
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    • 2010
  • Because syndrome-differentiation is one of the major characteristics in oriental medicine, there would be a possibility that the same herbal medicine show different effects on the same disease, if syndrome differentiation is ignored. In this report, we observed different response of Yukmijihwang-tang in diabetic stroke patients according to their syndrome differentiation. One case diagnosed as 'Kidney-yin deficiency syndrome' showed remarkable improvement on diabetes mellitus, whereas the serum glucose levels of the other 4 cases diagnosed as 'non Kidney-yin deficiency syndrome' were lowered little. These results are in accordance with the oriental medical theory that Yukmijihwang-tang can treat 'Kidney-yin deficiency syndrome'. Therefore, we suggest that subsequent clinical trials on oriental medicine would have to include the concept of differentiation of syndromes in order to take out the merit of oriental medicine.

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A Study on Wi Syndrome(痿證) in "Hwangjenaegyeong(黃帝內經).Wiron(痿論)" ("황제내경(黃帝內經).위론(痿論)"의 위증(痿證)에 대한 고찰(考察))

  • Baek, Yu-Sang
    • Journal of Korean Medical classics
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    • v.23 no.1
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    • pp.1-10
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    • 2010
  • Wi Syndrome(痿證) mainly occurs from fluid damages[津液損傷] caused by heat in Gi(氣) phase of the Five viscera, while it sometimes come from the outside. Although the symptoms are presented in the limbs, the disorder roots in the Five viscera, most deeply located in the human body, Therefore, to approach the disorder, we must apply differentiation of the Five viscera in diagnosis. The Lungs, as the head of the Five viscera control the production and distribution of bodily fluids in the body. Functional disorder of the Lungs bring about Wi Syndrome regardless of it being in the Gi phase. Also, psychological depression leads to Wi Syndrome, In other words, depression and uneasiness easily results in the state of Gi blocking and fluid exhaustion in this modern society where there is less manual labor and excessive use of the brain. Besides Gi blockage, the top muscle[宗筋] theory is another important mechanism in the occurrence of Wi Syndrome. Moreover, the disorder is related to Yangmyeong(陽明), which is the sea of food, Chungmaek(衝脈) which is the sea of meridian, in addition to Immaek(任脈), Dokmeak (督脈) and Deameak(帶脈) which are all involved in Wi Syndrome. In conclusion, the Wi Syndrome happens when various factors involved lose balance and harmony with each other.