• 제목/요약/키워드: Tongue body

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좌측 주기관지에서 발생한 과립 세포종 -1예 보고- (Granular Cell Tumor Arising from the Left Main Bronchus - A case report-)

  • 서연호;김경화;김난열;구자홍
    • Journal of Chest Surgery
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    • 제39권3호
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    • pp.244-247
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    • 2006
  • 과립 세포종은 흔치않은 양성 종양으로 주로 피부, 혀, 유방에 생기는 것으로 알려져 있다. 이 종양은 각기 다른 장기에 동시 다발적으로도 생길 수 있으며, 한 장기에 여러 군데 생기기도 하는 것으로 알려져 있다. 기관지 계통에서의 빈도는 잘 알려져 있지 않으며, 폐에 발생할 확률은 현재까지 보고된 증례가 약 100예에 지나지 않을 정도로 드문 질환으로 알려져 있다. 폐렴증상을 주소로 33세의 남자환자가 내원 후 기관지 내시경 검사에서 기관지 내 종양이 발견되어 실시한 조직검사상 과립 세포종으로 확인되었다. 환자는 좌측 주 기관지 절개 후 종양 적출술을 받은 다음 기관지 단-단 봉합술을 받았다. 퇴원 후 현재까지 특별한 재발의 징후 없이 1년째 외래 추적 관찰 중이다.

조경종옥탕가미방(調經種玉湯加味方)을 병용(併用)한 습관성 유산환자 치험4례 (4 Cases of Habitual abortion treated by Jokyungjongok-tang gamibang)

  • 구진숙;서부일
    • 대한본초학회지
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    • 제33권4호
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    • pp.87-93
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    • 2018
  • Objectives : The prevalence of infertility is reported to be 23.3%, which is a serious social problem. Habitual abortion is one of the important complications during pregnancy. The purpose of this study is to help the treatment of habitual abortion by observing and reporting the process in which four women who did not have children due to habitual abortion make healthy birth through treatment. Methods : We administered Jokyungjongok-tang gamibang as a herbal medicine treatment method and treated with acupuncture, moxibustion and uterine steam treatment. Treatment was done once or twice a week but it was also varied depending on the patient's circumstances. The herbal medicines were taken 30 minutes after meals and 3 times a day. While taking the Korean medicine, they were prohibited from eating flour, pork, liquor, tobacco and coffee. Patient status was assessed by consultation through pulse, tongue and abdomen. A detailed questionnaire was performed for each treatment. In some cases, they have tested hormone levels at the hospitals to know ovulation dates. The diagnosis of pregnancy was confirmed by ultrasonography at hospitals and the treatment for habitual abortion was judged based on healthy birth. Results : As a result of herbal medicine, acupuncture, moxibustion and uterine steam treatment, the coldness of the body became weak, the fatigue decreased and the digestive condition gradually began to improve. The bad condition of the uterus caused by the repeated administration of heritage has been improved with Boheosaenghwa-tang gamibang. After administration of Jokyungjongok-tang gamibang, they became pregnant and overcame the condition of addictive abortion and gave birth to healthy children. Conclusion : Jokyungjongok-tang gamibang is effective in overcoming the symptoms of habitual abortion and giving birth to a healthy child for a woman who had no children due to her habitual abortion

일부 여자고등학생의 구강보건경험과 구강보건교육 인지도 조사 (A study on the awareness of oral health education for senior high schools)

  • 김설희;구인영;허희영;박인숙
    • 한국치위생학회지
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    • 제7권2호
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    • pp.105-113
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    • 2007
  • It is necessary that current oral health education should be not only focused on grade schoolers, but provided for even junior and senior high schools on regular basis in favor of higher level of knowledge about dental health and the habituation of oral health promotion behaviors. So this study took total 288 respondents as sample from Grade 3 of 'C' high school(Suncheon city, Jeonnam) to examine their experiences in oral health education, their awareness of needs for oral health education and their demands for oral health education in the interest of providing basic materials for effective oral health education. 1. As the result of researching health awareness, 13.9% respondents answered that they didn't have good total body health, while 33.3% respondents felt that they didn't have good oral health. That is, more respondents felt that their oral health is not good, rather than total body health is. 2. For daily toothbrushing frequency, it was found that most respondents(62.6%) brushed their teeth 3 times a day, And for toothbrushing methods, it was found that 35.5% used manual toothbrushing(up-and-down toothbrushing movement) and 30.0% used semi-automatic toothbrushing(rotational movement). On the other hand, majority(89.4%) of respondents conducted tongue brushing, but only 10.8% benefited from dental examination on regular basis. 3. 28.1% respondents had experiences in oral health education. Out of them, 69.3% felt moderate satisfaction at the education. Majority(91.2%) of respondents were instructed once in oral health education, and 82.7% respondents were instructed in the oral health via practices(toothbrushing guidance). 77.8% respondents were instructed in the oral health at dental clinics. 4. As the result of surveying demands related to oral health education, 92.3% respondents answered that they need regular oral health education, and 82.9% respondents answered that they need oral health technicians in school. And 87.8% respondents needed individual oral health education for the benefit of better oral health.

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유두체를 떼어버린 개의 접근-회피반응, 스트레스에 대한 반응 및 체온 변동 (Approach-avoidance, Stress Response, and Body Temperature of Dogs Following Removal of the Mamillary Bodies)

  • 김철;박로순
    • The Korean Journal of Physiology
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    • 제2권1호
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    • pp.1-8
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    • 1968
  • 유두체의 기능을 탐색하기 위하여 외과 수술에 의하여 유두체를 떼어버린 개를 마련하고 수술전에서부터 수술후에 걸쳐 다음의 세가지 실험을 실시하여 그 성적을 비교하였다. 첫째 실험에서는 먹이 먹는 개의 혀에 전기 충격을 가한다음 이어서 동물이 다시 먹이 그릇에 접근하기까지의 시간을 측정하여 동물이 무서움을 타는정도를 짐작하였으며, 둘째 실험에서는 높은 소리 (12,000 cps, 100 db)를 한 시간 동안 동물에게 들려 스트레스로 삼고 혈액 호산구 수의 변동을 추적하여 스트레스에 대한 반응의 지표로 삼았다. 셋째 실험에서는 아침과 저녁 일정한 시간에 항문 온도를 반복 측정하였다. 실험 결과는 다음과 같다. 1. 유두체 제거후의 동물이 유두체 제거전 보다 무서움을 더 혹은 덜 탄다는 증거는 없었다(제 1 표). 2. 유두체가 제거된 후에도 스트레스에 대한 반응은 유두체 제거전과 같은 정도로 현저히 나타나나 스트레스에서의 회복과정은 유두체 제거전에 비하여 유두체 제거후에 유의하게 지연되었다(제 1 도). 3. 유두체가 제거된 동물의 체온은 유두체 제거전에 비하여 떨어지는데 그 정도는 미약하나 통계적으로 유의한 차이를 나타내었다(제 2 표).

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뇌성마비 환아의 자해 방지를 위한 변형된 마우스가드의 적용 (APPLICATION OF THE MODIFIED-MOUTHGUARD TO PREVENT SELF-INJURIOUS BEHAVIORS IN A CHILD WITH CEREBRAL PALSY : A CASE REPORT)

  • 박은경;김광철;최성철;박재홍
    • 대한소아치과학회지
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    • 제35권2호
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    • pp.351-356
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    • 2008
  • 뇌성마비(cerebral palsy)는 비진행성의 정신, 운동 장애를 총칭하는 용어로, 소아 장애의 흔한 원인이 된다. 자해 행위란(self-injurious behavior) 자살 의도없이 자신의 신체 일부를 고의적으로 손상시키는 것으로, 종종 반복적인 행동으로 나타난다. 소아에서의 이러한 자해 습관은 정상적인 어린이에서는 드물며, 증후군, 유전질환, 정신지체 어린이 등에서 그 발생률이 높게 보고된다. 구강 내 자해 행위의 가장 흔한 유형은 혀나 입술 혹은 구강 점막을 물어뜯는 것이다. 이러한 자해 행위를 조절하기 위하여 행동 수정법, 약물 치료, 신체 속박술, 치과적 장치의 적용, 외과적 수술 또는 치아 발치술 등의 다양한 방법들이 제시되었다. 이 중 마우스가드 등의 치과적 장치를 이용한 방법은 구강 내 자해 행위의 감소와 조직의 보호를 위해 가장 보존적이며 적합한 방법이라고 사료된다. 본 증례에서는 자해 습관에 의해 하순과 협점막에 궤양성 병소를 가진 뇌성마비 환아에 있어서, 변형된 마우스가드를 이용하여 자해에 의한 손상을 방지하고 만족할 만한 치유 양상을 보였기에 이를 보고하는 바이다.

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사황산(瀉黃散) 형증(形證)에 대한 문헌 및 임상적 고찰 (Types and Symptoms of Sa-Hwang-San through Analysis of Clinical Cases)

  • 김종원;강경화;지규용;김경철;이인선;조장수;이용태
    • 동의생리병리학회지
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    • 제22권5호
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    • pp.1106-1111
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    • 2008
  • Sa-Hwang-San, which is invented by Jhun Eul for the treatment of tongue thrust of Spleen heat, is first mentioned on 'So Ah Yak Jeung Jik Gyul'. It is consisted of Gardeniae Fructus, Agastache rugosa, Glycyrrhizae Radix, Gypsum Fibrosum, Ledebouriellae Radix. According to 'Dong Ui Bo Gam', this medicine cures spleen heat, sore mouth and halitosis. In the viewpoint of pharmacology, this medicine as a whole can treat spleen stagnancy, spleen heat and stomach heat. However, there are some differences between the opinions of 'So Ah Yak Jeung Jik Gyul' and 'Dong Ui Bo Gam' the principal medicine of the former is Ledebouriellae Radix, while that of the latter is Gardeniae Fructus. Spleen stagnancy is the malfunction of spleen under the presence of the body fluid. Symptoms are abdominal dropsy and powerlessness. Spleen heat is the insufficiency of body fluid due to the heat of the spleen, while the function of the spleen is normal. Symptoms are sore mouth, halitosis and maxillary stagnancy. In clinical cases, Sa-Hwang-San has been found effective to the individuals with large, lowered, soft, and slanted mouths and lips. It was also beneficial for the YangMyong type. In clinical cases, Sa-Hwang-San is proven to be effective to the following symptoms soremouth, halitosis and maxillary stagnancy due to spleen heat abdominal dropsy and powerlessness due to spleen stagnancy.

두더지 (Talpa micrura coreana) 위장관 점막의 구조에 대한 광학 및 주사전자현미경적 연구 (Light and Scanning Electron Microscopic Study on the Structure of the Gastrointestinal Mucosa of the Mole, Talpa micrura coreana)

  • 권흥식;정진웅;천명훈;김진;차정호;맹승희
    • Applied Microscopy
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    • 제15권2호
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    • pp.111-129
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    • 1985
  • The morphology and histology of the gastrointestinal mucosa of the mole, Talpa micrura coreana (Thomas), were studied using light and scanning electron microscopes. Tissue specimens were taken from body and pyloric portions of the stomach, and from the initial, proximal, middle, distal and terminal portions of the intestine. For light microscopy, tissue blocks were fixed in 10% buffered neutral formalin, embedded in paraffin wax, and sectioned at a thickness of $5{\mu}m$. These sections were stained with hematoxylin-eosin. For scanning electron microscopy, tissue blocks were fixed in 1% glutaraldehyde-1.5% paraformaldehyde, and postfixed in 1% osmium tetroxide, dehydrated in graded alcohol, transferred to isoamylacetate and dried by the critical point drier(Polaron E 3000). Subsequently, specimens were coated with gold and observed with a JSM-35C scanning electron microscope. The results were as follows: The mucous membrane of the body portion of the stomach had numerous irregular folds and the pyloric mucosa formed the strawberry-shaped folds, and general histological structures of each portion were similar to those of man. The intestine could not be differentiated macroscopically and microscopically into small and large intestines. There was no cecum, appendix, taenia coli, haustra coli or appendices epiploicae. In the initial portion (4 mm long), conical or tongue-shaped villi with the height of $143.3{\pm}10.7{\mu}m$ were present, and large mucous glands were seen in the submucosa. In the proximal, middle and distal portions, wavy folds composed of the epithelium and lamina propria were densely and transversely arranged, and their heights were $440.4{\pm}45.5{\mu}m,\;454.4{\pm}19.9{\mu}m\;and\;205.2{\pm}33.5{\mu}m$, respectively. The mucosa of the terminal portion (3 cm long) formed several longitudinal folds, and the intestinal glands were directly opened on the smooth surface of the folds. Aggregated lymphoid follicles were observed in the major portions of the intestine except the initial and terminal portions. There was no circular or semilunar fold throughout the intestine.

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밀양지방 토종개의 형태학적 특징 및 유전적 다양성 연구 (Physical Characteristics and Microsatellite Polymorphisms in Miryang Native Dogs)

  • 조병욱;조길재
    • 생명과학회지
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    • 제16권4호
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    • pp.626-631
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    • 2006
  • 밀양 토종개의 일반적인 특징을 구명할 수 있는 기초자료를 확보하고자 밀양 토종개 44두를 대상으로 형태학적 특징 및 microsatellite DNA형의 유전적 다양성의 출현빈도에 기초한 유전적인 특징을 조사한 결과 밀양 토종개의 체고는 43-55 cm(평균 49.5 cm)로서 수캐는 44-55 cm(평균 50.3 cm), 암캐는 43-52 cm(평균 48.1 cm)로 나타났고 체장은 45-60 cm(평균 54.3 cm)로서 수캐는 45-60 cm(평균 55.9 cm), 암캐는 45-57 cm(평균 52.6 cm)였다. 또한 가슴둘레는 수캐가 51-64 cm(평균 59.2 cm), 암캐는 50-62 cm(평균 56.3 cm)로 측정되었다. 머리의 형태는 정면에서 보았을 때 44두 모두에서 역삼각형 형태를 가지고 있었으며, 눈의 모양은 삼각형 형태가 40두(90.9%)였고 초승달 모양이 4두(9.1%)로 관찰되었다. 모색은 백색이 41두(93.2%), 황색이 3두(6.8%)로 나타나 두 색깔을 가지고 있었다. 혀와 발톱의 색깔은 전 두수에서 각각 연분홍색과 분홍색이 관찰되었고 항문의 색깔은 연한 흑색이 40두(90.9%), 연분홍색이 4두(9.1%)로 나타났다. 그리고 귀의 형태는 전 두수가삼각형의 곧게 서 있는 형태였으며, 꼬리의 형태는 반말린 꼬리가 25두(56.8%)로 가장 많았고 선꼬리(장대꼬리)가 15두(34.1%), 말린 꼬리가 4두(9.1%)로 나타났다. 15개의 marker로 분석한 microsatellite DNA 다형의 유전자 빈도에 기초하여 heterozygosity, PIC 그리고 PE를 분석한 결과 대립유전자의 수는 $2{\sim}14$개(평균 6.13개)로 검출되었으며 expected heterozygosity와 PIC는 각각 $0.455{\sim}0.863$ (평균 0.635), $0.348{\sim}\;0.837$(평균 0.570)으로 나타났고 PEZ 10, PEZ 13, PEZ 17, FHC 2054의 marker는 PIC 0.7이상으로 관찰되었다. PE 1은 $0.101{\sim}\;0.548$으로서 15개 marker를 조합시 0.9895, PE 2는 $0.174{\sim}\;0.710$으로서 전체 조합시 0.9996으로 나타났다.

한국인 성인 남성 폐쇄성수면무호흡 환자의 측모 두부 방사선계측학적 비교 (Cephalometric differences in obstructive sleep apnea between obese and non-obese Korean male patients)

  • 황상희;박인숙;남기영;김종배;조용원;서영성;안병훈;박신구;박효상
    • 대한치과교정학회지
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    • 제38권3호
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    • pp.202-213
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    • 2008
  • 본 연구는 비만도에 따른 한국인 남성 폐쇄성수면무호흡 환자의 측모 두부 방사선계측학적 특성을 파악하기 위하여 시행되었다. 이를 위하여 계명대학교 의과대학 동산의료원 수면클리닉에 수면장애를 주소로 내원하여 수면다원검사 후 치과에서 측모 두부방사선계측사진 촬영을 한 87명의 성인 환자들을 체질량지수(BMI)와 수면무호흡지수(AHI)에 따라 비비만 단순코골이군(Non-obese, simple snorers), 비만 단순코골이군(Obese, simple snorers), 비비만 수면무호흡군(Non-obese, OSA patients), 비만 수면무호흡군(Obese, OSA patients)의 4군으로 나누어 비교하였다. 그 결과, 4군 중 비만 수면무호흡군의 수면무호흡지수가 가장 컸으며, 비만 수면무호흡군보다 비비만 수면무호흡군의 하악각이 더 크고 혀 길이는 더 작았다. 또한, 비비만 수면무호흡군보다 비만수면무호흡군의 설골이 더 전하방에 위치하였고, 수면무호흡지수에 영향을 미치는 기여 인자는 비만 수면무호흡군에서는 혀 길이, 비비만 수면무호흡군에서는 설골의 후방위치였다. 이처럼 비만 수면무호흡 환자와 비비만 수면무호흡 환자의 측모 두부방사선계측학적 특성과 기여 인자가 다르게 나타나므로, 치료방법도 따라서 다르게 선택해야 할 것이다. 비만 수면무호흡 환자들에게는 먼저 체중감량이 권고되어야 할 것이고, 비비만 수면무호흡 환자들은 폐쇄부위에 따라 구강 내 장치나 Nasal CPAP(continuous positive airway pressure), UPPP (uvulopalatopharyngoplasty) 등이 추천될 수 있을 것이다.

20세기(世紀) 중의사(中醫師)들의 비증(痺證)에 대(對)한 논술(論述) 연구(硏究) - 《비증전집(痺證專輯)》 에 대(對)한 연구(硏究) I - (The essay of Bijeung by chinese doctors in 20th century - Study of -)

  • 김명욱;오민석
    • 혜화의학회지
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    • 제9권1호
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    • pp.547-594
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    • 2000
  • I. Introduction The essence of Oriental medicine consists of ancient books, experienced doctors and succeeded skills of common society. Many famous doctors studied medical science by their fathers or teachers. So the history of medical science is long. $\ll$DangDaeMyeongIImJeungJeongHwa(當代名醫臨證精華)$\gg$ written by SaWoogWang(史宇廣) and DanSeoGeon(單書健) has many medical experience of famous doctors. So it has important historical value. Bi(痺) means blocking. BiJeung is one kind of symptoms making muscles, bones and jonts feel pain, numbness or edema. For example it can be gout or SLE etc. So I studied ${\ll}BiJeungJuJip{\gg}$. II. Final Decision Following decisions of Chinese doctors of 20th century are as follows ; 1. JuYangChun(朱良春) emphasized on IkSinJangDok(益腎壯督) to treat BiJeong. And he devided WanBi(頑痺) as PungHanSeup(風寒濕), DamEo(痰瘀), YeolDok(熱毒), SinHeo(腎虛). He used insects for medicine. 2. ChoSuDoek(焦樹德) introduced past prescription. He used ChiBiTang(治痺湯) to treat HaengBi(行痺), TongBi(痛痺), ChakBi(着痺). He insisted that Han(寒; coldness) and Seup(濕; dampness) be Eum(陰) and Pung(風; wind) can change his character to be Eum. After all BiJeung is usually EumJeung. So he used GaeJi(桂枝) and BuJa(附子). By the way he used ChungYeolSanBiTang(淸熱散痺湯) for YeolBi, BoSinGeoHanChiWangTang SaBok(王士福) emphasized on the importance of medicine. He introduced many treatments like CheongYeol(情熱) for YeolBi and YiO(二烏) for HanBi. And he divided BiJeung period for three steps. At 1st step, we must use GeoSa(祛邪), at 2nd step, we must use BuJeong(扶正) and at 3rd step, we must use BoHyeol(補血), he insisted. And he introduced many herbs to treat BiJeung. 4. JeongGwangJeok(丁光迪) said that GaeJi(桂枝), MaHwang(麻黃), OYak(烏蘖) and BuJa(附子) are very important for TongRak(通絡). And pain usually results from Han(寒), so he liked to use hot-character herbs. 5. MaGi(馬志) insisted that BiJeung usually result from ChilJeong(七情). And he liked to use insects for treatment of BiJeung. 6. WeolSeokMu(越錫武) introduced 8 kinds of treatments and divided BiJeung period. Also he divided BeJeung for PungBi(風痺), HanBi(寒痺) and SeupBi(濕痺). 7. SeoGeaHam(徐季含) observed many patients and concluded that 86.7% of BiJeung is HeuJeung(虛症). 8. YuJiMyeong(劉志明) said that YeolBi is important and CheongYeol is also important. So he emphasized on DangGyuiJeomTongTang(當歸拈痛湯) and SeonBiTang(宣痺湯). 9. WangLiChu(汪履秋) studied cause of WanBi. Internal cause is GiHyeolHeo(氣血虛) and GanSinHeo(肝腎虛) and external cause is SaGi(邪氣) he insisted. 10. WangSaSang(王士相) said that YeolBi can be SeupYeolBi or EumHeuYeolBi(陰虛熱痺) and HanSeupBi(寒濕痺) is rare. He use WooBangJaSan(牛蒡子散) and BangPungHwan(防風丸) for SeupYeolBi, DangGyuiSaYeokTang(當歸四逆湯) for HanSeupBi. 11. JinTaekGang(陳澤江) treated YeolBi with BaekHoGaGyeJiTang(自虎加桂枝湯) and SaMyoSan(四妙散). If they don't have effect, he tried to cure BiJeung step by step. And he used e term of GeunBi(筋痺) and BangGiMogwaEIInTang(防己木瓜薏苡仁湯) was good for GeunBi. 12. MaSeoJeong(麻瑞亭) said that PungSeupYeokJeul(風濕歷節) is BiJeung and it is related to GanBinSin(肝脾腎; liver, Spleen, Kindey). And he emphasized on balance WiGi(衛氣) and YoungHeul(營血). 13. SaJeJu(史濟桂) said that GeunGolBi(筋骨痺) is similar to arthritis and sometimes called ChakBi. And SinBi(腎痺) is terminal stage of ChakBi, he said. He also used insects for treatment. 14. JeongJeNam(丁濟南) tried to cure SLE and used GyeJi, CheonCho(川椒), SinGeunCho(伸筋草), SunRyeongBi(仙靈脾), HyconSam(玄蔘) and GamCho(甘草). 15. JinGYungHwa(陳景和) emphasized on diagnosis of tongue. If the color of tongue is blue, it usually has EoHyeol(瘀血), for example. And he also used insects. 16. JuSongI(朱松毅) tried to devide YeolBi with OnByeong(溫病), Wi(衛), Gi(氣) and Hyeol(血). 17. RuDaBong(蔞多峰) said that JyeongHeo(正虛), OiSa(外邪) and EoHyeol are closely related. And he explained BiJeung by deviding the body into the part, for example head, neck, shoulder, waist, upper limb and lower limb. 18. YuMuBo(劉茂甫) defined PungHanSyubBi as chronic stage and YeolBi as acute stage.

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