• 제목/요약/키워드: diagnosis and treatment of oriental medicine

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

  • 이현주;박수복;김수진;고승연
    • 한국의료질향상학회지
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    • 제12권2호
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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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허로에 대한 국내 연구동향 분석 및 연구방향 제안 (Review of Research Topics on Consumptive Disease and Chronic Fatigue)

  • 김지혜;김재욱;김근호
    • 동의생리병리학회지
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    • 제27권5호
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    • pp.587-593
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    • 2013
  • Exhaustion syndrome(虛勞) became broadly experienced symptoms in Korean population. In this work, we carried out a systematic literature review on exhaustion syndrome(ES) and chronic fatigue. We searched through the databases Koreanstudies Information Service System, Oriental Medicine Advanced Searching Integrated System, DataBase Periodical Information Academic for the articles published between 1994 and 2013, with the keywords 'exhaustion syndrome(虛勞)', 'consumption(虛損)', 'overexertion syndrome(勞倦)', 'fatigue', 'chronic fatigue' and 'degree of fatigue'. Among the first-run rough-searched 602 articles, we narrowed down the scope within the field of Oriental medicine (126 articles), and finally selected 28 articles appropriate to the intended research field; the selected articles were categorized by literature study(7 papers), clinical treatment (7), clinical diagnosis (5), treatment effects of herbal medicine (2), diagnosis in Sasang medicine and treatment effect of dry cupping therapy (2), and questionnaire-based diagnosis (5). We found that the overall research level on ES remained in the preliminary stages, and more efforts are needed in the field of terminology definition and standardization of diagnosis, and treatment efficacy validation beyond muscle fatigue. Finally, to develop reliable diagnostic devices on ES, we proposed a study design that included the development of objective ES diagnostic indicators and a clinical validation procedure.

냉부하검사상 레이노드증후군으로 의심되는 환자에 대한 칠제향부환 투여 2례 (Two Cases of Suspected Raynaud's Syndrome Diagnosed by Cold Stress Test Treated with Chiljehyangbuhwan)

  • 배은주;유경환;박성욱;윤성우;고창남;이형철
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.559-568
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    • 2004
  • Diagnosis of Raynaud's phenomenon is primarily based on clinical symptoms. Cold stress test(CST) done by DITI(Digital Infrared Thermographic Image) can be helpful for objective diagnosis. The cold stress test was performed three times by DITI; the first after 15 minutes of rest, the second right after one minute of soaking in $20^{\circ}C$ water, the third ten minutes after immersion. For a clear diagnosis, the temperature of the finger tips must be low, or the thermal difference between the metacarpophalangeal joints and the fingertips must be large. Also the evaluation of treatment depends on decrease of thermal gradient between the metacarpophalangeal joints and the finger tips after CST. In oriental medicine Raynaud's phenomenon can be categorized by coldness of the limbs or numbness. Numbness was diagnosed as depression of Ki and Chiljehyangbuhwan(Qizhixiangfuwan) was prescribed. Positive results were observed, not only in follow up CST, but also Visual Analogue Scale after treatment.

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개선된 퍼지 ART 알고리즘을 이용한 한방 자가 진단 시스템 (Self Health Diagnosis System of Oriental Medicine Using Enhanced Fuzzy ART Algorithm)

  • 김광백;우영운
    • 한국컴퓨터정보학회논문지
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    • 제15권2호
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    • pp.27-34
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    • 2010
  • 최근 여러 인터넷 서비스 업체에서 온라인 의료 진단 서비스 시스템을 제공하고 있다. 대부분 의료 진단 서비스 시스템은 서양 의학을 기초로 질병에 대한 처방이나 식이요법 등을 제공하기 때문에 전문 지식이 부족한 일반인들은 이용하기에 큰 어려움이 있다. 본 논문에서는 퍼지 ART 알고리즘을 적용하여 한국인 고유의 신체적 특성에 맞는 한의학 기반의 한방 자가 진단 시스템을 제안한다. 제안된 한방 자가 진단 시스템은 사용자가 제시한 증상과 이전에 진단 받았던 진료 기록을 바탕으로 이미 학습되어진 질병의 증상과 비교하여 신경망을 통해 유사도가 높은 상위 3개의 질병을 도출한다. 또한 상위 3개의 질병에 대해 질병의 전체적인 증상과 한의학 서적에서 제시한 민간요법을 제시한다. 질병과 증상에 대한 데이터베이스는 여러 한의학 서적을 통해 구축한 후 한의학 전문의의 검증을 거쳐 구현하였다. 제안된 한방 자가 진단 시스템은 진료 기록을 바탕으로 학습함으로써 기존의 질병 진단 시스템 보다 정확하게 질병을 진단한 것을 확인하였다.

한방치료로 호전된 만성 두통 환자 치험 1례 (Case Study of Chronic Headache Patient by Oriental Medical Treatment)

  • 방창호;윤종민
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1105-1110
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    • 2010
  • The purpose of this case study is to report the effect of oriental medical treatment on chronic tension-type headache. Despite the patient was treated by cervical nerve block for headache, headache was not improved. We diagnosed chronic tension-type headache according to ICHD-II(The International Classification of Headache Disorders) and Qi deficiency, dampness and phlegm by oriental differential diagnosis of symptom and signs. We applied herbal medicine, acupuncture, moxibustion and cupping therapy for hospitalization(7 days). Oriental medical treatment may have effective results in treating chronic tension-type headache that was not improved by cervical nerve block treatment. But this is a single case study, so further case-series research should be compiled.

한의학 치료율 제고 방안에 관한 연구 (Treatment Rate-up Methods in the Oriental Medicine)

  • 이선동
    • 대한예방한의학회지
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    • 제3권1호
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    • pp.35-54
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    • 1999
  • This thesis shows about the meaning of treatment rate increasing, the current treated level and the reason of low treatment rate and increasing methods. 1. Treatment rate incresing means high treat level within short time, keeping treatment effect for a long time as well as raising treatment rate. 2. The current by diseases each others completed treatment rate of oriental medicine is 14.0% to 89.7%$(mean:\;{\pm}40.0%)$. Therefore the rate is show too low. 3. The reasons of low treatment rate; low academic level of oriental, academic limitation, clinic and prevention problem of oriental medicine, lack of medical approch suitable for current diseases and symptoms, mostly incurrable diseases using oriental medicine, lack of preventive education, disappropriate medical service and nonspecialty of the treatment, etc. 4. The next methods for incresing the treatment rate must be improved; such as accurate establishment of process that diagnosis symptoms and treats them, system research of microdiagnosis, positive treatment with medicine and nonmedicine method at the same time, appropriate subdivision and actualization of clinical basic research, research of dose and response, diversity of treatment methods and forms, development of treatment service and prevention based on health level, enormous change as cure medicine and opening-up of new disease field, specialization of medical examination, reinforcement of public medical part and herbal drugs use with same origin, mental and pysical stability of patients, accurate extract and oral drinking ways, etc.

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교통사고 환자의 어혈변증과 계지복령환(桂枝茯笭丸) 효과의 임상적 연구 (A Clinical Trial on the Blood Stasis and Efficacy of Kyejibokryong-whan(Guizhifuling-wan) in the Patients with Motor Vehicle Accident)

  • 조희근;박애련;기영범;강대희;최진봉;설재욱
    • 한방재활의학과학회지
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    • 제21권3호
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    • pp.45-55
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    • 2011
  • Objectives : The main purpose of this study is to investigate the efficacy of Kyejibokryong-whan(Guizhifuling-wan) and examine the blood stasis for patients with motor vehicle accident. Methods : Of the patients who have visited Dong-Shin university oriental hospital for general pan due to motor vehicle accident from June 2010 to November 2010, we enrolled 29 patients and performed blood stasis diagnosis. Patients were divided into groups according to blood stasis findings. Patients who had more than twenty blood stasis diagnosis point were classified as blood stasis group. Patients who had under twenty blood stasis diagnosis point were classified as non blood stasis group. We administered Kyejibokryong-whan(Guizhifuling-wan) to all group. The effect was assessed by VAS(visual analogue scale), SF-MPQ(short form-McGill pain questionnaire) ODI(Oswestry disability index) & NDI(neck disability index). Results : The pain & function index decreased in both groups after treatment. Conclusions : The difference between blood stasis group and non blood stasis group were not significant at after treatment stage. This data suggested that the method of classifying blood stasis is useful and the Kyejibokryong-whan(Guizhifuling-wan) can be effective means that decrease pain caused by motor vehicle accident.

중기증(中氣證) 환자(患者) 1례(例)에 대한 임상적 고찰 (One case of Jungkijeung assuming an aspect of pseudoseizure)

  • 김진형;국윤재;장현호;양현덕;이성익;김태헌;류영수;강형원
    • 동의신경정신과학회지
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    • 제16권2호
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    • pp.201-212
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    • 2005
  • We experienced an improved case of Jungkijeung assuming an aspect of pseudo seizure with Oriental medical treatment. For diagnosis of Jungkijeung(中氣證), first of all, we must take one's physicals actively using occidental diagnostic machinery and tools, In result, we can diagnose Jungkijeung(中氣證) in case of normal. In treatment of Jungkijeung(中氣證), it is considered that oriental psychotherapy and oriental medical treatment(herb-med, acupuncture, etc.) are more effective than occidental.

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태양인 환자의 소증(素症)에 대한 증례보고 (A Case report of the Ordinary symptoms on a Taeyangin constitution)

  • 이의주;송일병;김경석;곽창규
    • 사상체질의학회지
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    • 제14권3호
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    • pp.146-152
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    • 2002
  • Purpose Because Taeyangin constitutions are very rare, There are few references about Taeyangin diseases. I suppose to gather basic materials on the case of a diagnosis and treatment on Taeyangin constitution patient. So I want to accomplish the theory of Taeyangin diseases. Methods I studied I patients with sequelae of CVA who were diagnosed by Taeyangin at department of Sasang constitutional Medicine in Kangnam Kyung Hee Oriental Hospital, and then I investigated the Ordinary symptoms as the diagnosis and treatment on a Taeyangin constitution Conclusion & Results To diagnose Taeyangin constitution, It is important to find out one's ordinary symptomes(especially appearance, personality, taste of food, existence of $y{\breve{u}}lk{\breve{u}}k{\cdot}haey{\breve{u}}k$, condition of urine and feces)

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만성신부전으로 의심되는 환자에서 주증에 따른 한의학적 변증치료의 예(例) (The Cases of Oriental diagnosis and treatment at the patients considering of the Chronic renal failure)

  • 이경환;김용성;곽정진;류형천;김행진
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.1046-1054
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    • 2003
  • Renal Failure is called a disorder of kidney excretion induced by glomerulus filtration rate(GFR) decrease. GFR is measured by Blood Urea Nitrogen(BUN) and Cretinine in blood. This study is about Oriental diagnosis and treatment of Chronic renal failure(CRF) patients. We treated five cases which were diagnosed as CRF by using methods used in oriental medicine, the application of Youkmijihwang-tang(六味地黃湯加減). In most such cases, we concluded that the results turns better as the symptoms like fatigue and digestive disorder decreases and the decrease of BUN and Creatinine in blood as well.

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