• 제목/요약/키워드: diagnosis system of oriental medicine

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중국의 한양방협진 현황 (중국중서의결합잡지(中國中西醫結合雜誌)를 대상으로 분석) (A Study on Cooperrative Medical Treatment System between traditional Chinese and Western Medicine in China)

  • 전찬용;조기호;박정미
    • 대한한의학회지
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    • 제20권3호
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    • pp.9-17
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    • 1999
  • Objectives: Recently a renovation of the medical-welfare system to reflect the changes of disease spectrum with the demographic changes of society, the increase in income level, and marked concerns for health promotion has been demanded. In accordance with this, attempts have been made to actively integrate traditional medicine based on symptom-differentiated treatment and Western medicine based on disease treatment so that they can complement each other. China has already tried a complementary medical treatment system integrating traditional Chinese and Western medicine. So, this article reviewed major advances in research on integrated traditional Chinese medicine and Western medicine in China. Methods: The authors analyzed data from clinical articles and experimental works in the ' Chinese Journal of Integrated Traditional and Western Medicine' Results and conclusions: Each department attempted to integrate Traditional Chinese Medicine(TCM) and Western Medicine in treatment of various diseases such as malaria, AIDS, and intoxication (rarely found in Korea clinically). Especially in the departments of surgery, dentistry, radiology, and anesthesiology we could see the frequent use of combined treatment. TCM and Western medicine complemented each other very successfully, and the effect of the combined therapy was superior to that of traditional therapy alone. There were diverse methods for therapy in integrated TCM and Western medicine; bath-Tx, physical-Tx, manipulative-Tx, drug -acupuncture, Tibetan medicine, etc. were available in therapy as well as traditional methods such as acupuncture, moxibustion, and negative- Tx. The way of producing Chinese medications were diversified and formulated; making new prescriptions, compounding various kinds of new medicine called' Zhong Cheng Yao' (中成藥) which were easily made, stored, and taken. 'Diagnosis Criteria', 'The effect of TCM Treatment Criteria' were made by committee and broadly used for objectifying diagnosis, discriminating effects of treatments and treatment development, and developing new medical products.

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고대(古代) 경맥병증체계(經脈病證體系)에 있어서 "시동칙병(是動則病)"과 "시주모소생병(是主某所生病)"의 연원(淵源)에 관한 연구(硏究) (The study on the origin of Shi-Dong-Ze-Bing and Shi-Zhu-Mou-Suo-Sheng-Bing)

  • 황민섭;손성철;배대영;김갑성;윤종화
    • Journal of Acupuncture Research
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    • 제19권2호
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    • pp.14-27
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    • 2002
  • Objective : The aim of this study is to reveal the meaning of Shi-Dong-Bing and Suo-Sheng-Bing through investigating the origin of Shi-Dong-Bing and Suo-Sheng-Bing. Methods : We analyzed and compared the meridian symptoms of "ju Bi Shi Yi Mai Jiu Jing, "Ju Bi", "Yin Yang Shi Yi Mai Jiu Jing" and "Lin Shu Jing Mai". Results : Suo-Sheng-Bing seems to have been originated from the meridian symptoms of "Ju Bi" and Shi-Dong-Bing is different from the meridian symptoms of "Ju Bi". therefore two meridian symptoms differ in the source of formation and they seems to be different concerning recognition system for disease. Conclusion : Shi-Dong-Bing is the meridian symptoms, in case of feeling abnormal beat by pulse diagnosis, and this pulse diagnosis method is comparative pulse diagnosis method that compare all the pulse point of every meridians. Suo-Sheng-Bing seems to be the meridian symptoms describing the disease of somatic surface with making reference to meridian-circulating positions, afterward have been increased to the related internal organ's disease.

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한방진단시스템과 진단의 간의 진단일치도 연구 (Study for Diagnostic Correspondent Rates between DSOM and Oriental Medical Doctors)

  • 이인선;이용태;지규용;김종원;김규곤
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1359-1367
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    • 2008
  • DSOM(Diagnosis System of Oriental Medicine) was made as a computerized assistant program for oriental medicine doctors to be able to diagnose with statistical basis. Then DSOM uses questionnaires filled out by subjects without enough explanatory guide. If the subject misunderstand the meaning of the passages, we might not rely on that result. So I designed this study to investigate the diagnostic correspondent rates between DSOM and practitioners. First, let the respondents answer to DSOM(DSOM-Ⅰ for the rest). After that, three doctors diagnosed the respondents and marked how much they had symptoms about 16 pathogenic factors in the score range 0${\sim}$5('0' means they didn't have that symptom, '1' means they had that symptom but mild, '3' means they had that symptom moderately, '5' means they had that symptom severely. And let the respondents answer to DSOM(DSOM-Ⅱ for the rest) again. Finally, we investigated the correspondent rates of diagnosis between DSOM-Ⅰ,Ⅱ and doctors'. We obtained conclusions as following. In the comparison of output frequency rate of the pathogenic factors, the difference between DSOM-Ⅰ and Ⅱ was 1%. In the correspondent rates of diagnosis between DSOM-Ⅰ,Ⅱ and doctors', In DSOM-Ⅰ and Ⅱ answered by subjects two times respectively, the correspondent rate was highest in insufficiency of Yang(陽虛) and liver(肝) as 93.2%, lowest in damp(濕) as 69.5% and showed 81.9% in all 16 pathogenic factors mean. In DSOM-Ⅰ and Ⅱ, and Doctors' diagnose, they showed the complete correspondent rates of 15.3${\sim}$61.0%, 15.3${\sim}$59.3% in individual pathogenic factor, 36.5%, 37.3% in all 16 pathogenic factors mean each, and within ${\pm}$1 errorrange, they showed the correspondent rates of 32.2${\sim}$93.2%, 35.6${\sim}$89.8% in individual pathogenic factor, 67.6%, 67.3% in all 16 pathogenic factors mean each, and within ${\pm}$2 error range, they showed the correspondent rates of 62.7${\sim}$98.3%, 71.2${\sim}$100% in individual pathogenic factor, 85.1 87.6%% in all 16 pathogenic factors mean each. In the correspondent rates of the severe case, In the cases that the Doctors' diagnostic score mean was over 3(the severity of disease is middle), there were deficiency of qi(氣虛), stagnation of qi(氣滯), blood stasis(血瘀), damp(濕), liver(肝), heart(心), spleen(脾) and they all showed the correspondent rates of over 60 except blood stasis(血瘀). In the cases that the weighed pathogenic factor was above 9, the correspondent rates were 50${\sim}$100%. deficiency of qi(氣虛), blood-deficiency(血虛), stagnation of qi(氣滯), blood stasis(血瘀), insufficiency of Yin(陽虛), insufficiency of Yang(陽虛), coldness(寒), heat (熱), damp(濕), dryness(燥), liver(肝), heart(心), spleen(脾), kidney(腎), phlegm(痰).

The Effect of a Cooperative System of Oriental and Western Medicine in the Treatment of Allergic Rhinitis

  • Jeong, Su-Hyeon;Kim, Sung-Wan;Jeong, Soo-Jin;Lee, Won-Chul
    • 대한한의학회지
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    • 제24권4호
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    • pp.64-70
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    • 2003
  • Background and Purpose : Allergic rhinitis is a well-known, relatively controllable chronic disease. Although a number of methods for treating allergic rhinitis have been tried, many patients have not been satisfied with their treatment. Therefore, this study tried to evaluate the effect of a cooperative system of Oriental and Western medicine and to develop a new diagnosis protocol for treatment of allergic rhinitis. Methods : We measured improvement rate and acoustic rhinometry after the allergeninduction test and performed a filter paper test as a nonspecific hypersensitivity test with 60 patients who are allergic to house dust mite. Patients were divided into two groups, one treated with Western medicine only and one treated with both Western and Oriental herbal medicine. For the group with Western medicine only, antihistamine for one week and local steroid medicine for two weeks were prescribed. For the group with combined medicine, Oriental herbal medicine was prescribed according to the patient s constitution, along with Western medicine. After all treatments, the above tests were re-performed and the improvement rate was compared. Results and Conclusion : We observed better results in the group treated with both Western and Oriental herbal medicines, comparing improvement rate and the alteration of total nasal volume through acoustic rhinometry after the allergen induction test. In the filter paper test, there was no significant difference between the two groups. In conclusion, we showed the additive effect of Oriental herbal medicine without any severe side effects compared with treatment with Western medicine only. In this study, we set only two patient groups, but further study is required to create various experimental groups and compare among them. We suggest that it might enhance understanding of the improved effect of Oriental herbal medicine in the therapy of allergic rhinitis.

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다한증 입원 프로그램을 통해 치료한 소아 및 청소년 수족다한증 11례에 대한 증례보고 (A Case Series Report on 11 Patients of Primary Palmar/Plantar Hyperhidrosis in Children and Adolescents Treated with Hospitalization Program of a Hyperhidrosis Clinic)

  • 김관일;이희범;최규희;정승기;정희재
    • 대한한방내과학회지
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    • 제33권3호
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    • pp.327-337
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    • 2012
  • Objectives : The purpose of this study was to report the clinical effect of short- term admission program on primary palmar/plantar hyperhidrosis in children and adolescents. Methods : Between January 2011 and January 2012, a total of 11 patients with clinical diagnosis of primary palmar/plantar hyperhidrosis were treated with hospitalization which consisted of iontophoresis, electro-acupuncture, herbal medicine, topical therapy and physical therapy. The effects were evaluated as quality of life with dermatology life quality index (DLQI), severity of discomfort using visual analogue scale (VAS), and the patients' subjective satisfaction. We analyzed the patients' improvement before and after admission treatment, as well as six month later. Results : After treatment, the 11 patients' quality of life and severity of discomfort improved significantly. They also were satisfied with oriental treatments for hyper hidrosis. Six months later, 6 of 11 patients had visited the hyperhidrosis clinic. Their symptoms had improved and remained stable. Conclusions : The short-term admission program is effective on primary palmar/plantar hyperhidrosis. Further studies with a larger number of cases will be needed in the future.

UMLS내 전통의학 용어에 대한 고찰 (The Review on the Traditional Medicine Concepts in the UMLS)

  • 김진현;김철;장현철;전병욱;예상준;김상균;송미영
    • 대한한의학원전학회지
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    • 제23권6호
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    • pp.15-26
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    • 2010
  • Objective This is a previous study for including traditional Korean medical terms into the UMLS(The Unified Medical Language System) and achieving the interoperability between various medical systems. Method First, the traditional medical terms were divided into 4 categories : basic theory, acupuncture, herb and formulae. And then, searching these terms through metathesaurus in UMLSKS(UMLS Knowledge Source Server), terminology information was investigated and analyzed. Results In the case of TM title, traditional Korean medicine was categorized as different semantic type from Traditional medicine, Traditional Chinese medicine and Kampo medicine. Acupuncture points were described only as abbreviation and herbs were conceptualized inconsistently, as some belonged to scientific name and some belonged to Chinese pronunciation. Formulaes are described as Chinese, Japanese and Korean pronunciations. Conclusions More research is needed on diagnosis/disease terms and semantic types for the unique concepts in traditional Korean medicine in order to including the international standard.

사상체질진단표(四象體質診斷表) 및 망진(望診), 설진(舌診)에 관한 연구(硏究) (A Study on the Sasang Constitutional Checkup List and Inspection Diagnosis of Face and Tongue)

  • 김종채;최민기;정운기;신우용;김선형;유준상
    • 사상체질의학회지
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    • 제19권3호
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    • pp.156-175
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    • 2007
  • 1. Objectives and Methods This study was performed to know the relationship between Sasang Constitution and characteristics of ordinary symptoms, inspection diagnosis of face and tongue. There were 666 participants(280 men and 386 women) who answered Sasang Constitutional Checkup list and were taken pictures of faces and tongues. Sasang Constitution was diagnosed by only PSSC(Phonetic System for Sasang Constitution). Distribution of Sasang Constitution and X2 test, kappa value for agreement were calculated using SPSS 10.0. 2. Results From characteristics of ordinary symptoms' point of view, Taeeumin had loud voices, big body shapes and easily sweated themselves. They felt good after sweating and had warm hands and feet. And their upper back, shoulders and chest were, they thought, well developed. They were apt to have meals quickly and overeat themselves. Soyangin and Soeumin had thin body shapes and were difficult to sweat themselves and felt powerless after sweating. They had cold hands and feet. Especially, Soeumin was apt to have meals slowly and a little amounts. They walked so fast. Soyangin was introvert and had developed their abdomen and waist. 'Looking heavy and steady' was higher in Taeeumin, 'delicate and modest' was higher in Soeumin(42.8%) and Soyangin(36.1 %) in first impression. It was thought to be difficult to discriminate Soyangin from Soeumin in first impression and make a notion of right Soyangin's first impression. Soyangin had pinky tongue color and little tongue fur whereas Soeumin had red tongue color and whitish tongue fur. Taeeumin had whitish tongue fur too. 3. Conclusions To diagnose Sasang Constitution much effectively, PSSC results and comprehensive Sasang Constitutional Checkup list extracted from effective Questionnaire items and Face and Tongue Inspection Diagnosis are thought to be needed.

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심장 질환 진단을 위한 얼굴 주요 영역 및 색상 추출 (Main Region and Color Extraction of Face for Heart Disease Diagnosis)

  • 조동욱
    • 정보처리학회논문지B
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    • 제13B권3호
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    • pp.215-222
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    • 2006
  • 한방 진단 이론과 IT 기술의 융합화를 통한 국민 건강 증진이 새로운 과제로 떠오르고 있다. 이를 위해서는 한방의 진단 방법을 시각화, 객관화, 정량화하여 진단에 필요한 임상 자료를 제공하는 것이 우선적으로 필요하다. 특히, 한방의 망진(望診) 기법이 좀 더 객관화되고 시각화되어 정확한 질환 진단을 내릴 수 있다면 한방 진단 분야에 가장 큰 발전적 기회를 제공할 것으로 여겨진다. 본 연구에서는 우리 몸의 중심 기관이며 정신과 육체의 근원지인 심장의 질환 여부를 진단할 수 있는 시스템을 개발하기 위해 한방에서 제시하고 있는 심장 질환에 관한 내용을 분석하여 영상 처리 기술을 이용한 진단의 시각화에 연구의 목적을 두었다. 이를 위해 본 논문은 전체 시스템 중 우선 색상 보정을 통해 얼굴영상을 입력받아 얼굴 영역 분할을 행하고 얼굴 형태를 분석하여 한방의 망진 방법에 근거하여 심장 질환 진단에 필요한 얼굴 특징 요소인 명당을 추출하고자 한다. 최종적으로 실험에 의해 제안한 방법의 유용성을 입증하고자 한다.

설문 최적화를 통한 개방형 웹 변증 시스템 개발 (Development of a Web Based Pattern Identification System with Questionnaire Optimization)

  • 이재철;진희정
    • 동의생리병리학회지
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    • 제27권6호
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    • pp.827-831
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    • 2013
  • This study aims to develop a pattern identification system (PIS) for general users to check up their body condition. We collected previous 3 PI questionnaires, with internal consistency reliability or validity of the diagnosis by experts, through a field test. For defining weights of pattern indices, we applied the analytic hierarchy process (AHP) method with 11 experts. PIS receive two kinds of symptoms of users : body region based symptoms and core symptoms for PIS. PIS suggest possible patterns and health information on the basis of selected symptoms with analysis by AHP. This study showed PIS could be easily used for general user who wants to access Korean Medicine compared to conventional PI system. Furthermore, it could be utilized with mobile environment or as remote medicine care.

한방 설진에서 혀 영상 분할을 위한 개선된 스네이크 알고리즘 (Improved Snakes Algorithm for Tongue Image Segmentation in Oriental Tongue Diagnosis)

  • 장명수;이우범
    • 한국인터넷방송통신학회논문지
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    • 제16권4호
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    • pp.125-131
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    • 2016
  • 한방 설진 시스템의 자동화 과정에서 혀 영상 분할은 가장 중요한 분야이다. 그러나 대부분의 한방 설진 시스템의 혀 영상 분할 방식은 사용자 기반의 메뉴얼 방식이나 반자동 방식으로 제안되어 왔다. 따라서 본 논문에서는 한방 설진 시스템의 완전 자동화를 위해서 기존의 스네이크 알고리즘을 기반으로 한 혀 영상 분할의 새로운 방법을 제안한다. 제안한 방법은 기존의 스네이크 알고리즘을 개선한 방법으로서 설진을 위한 혀 영상 특성을 이용하여 포인트들이 안에서 밖으로 역추적하면서 스네이크 에너지 함수가 최소화될 수 있도록 내부 에너지 함수를 개선하였고, 외부 에너지를 계산하기 위해서는 계층적 공간 필터링 방법을 적용하여 잡음에 강인한 특징을 갖는다. 또한 제안한 방법은 표본영상 실험과 실영상 실험을 수행한 결과, 기존 스네이크 알고리즘보다 배경 잡음에 강인함을 보였으며, 임의의 포인트 한 개를 선택하고 해당 포인트의 시작점, 중간점, 끝점에서의 에너지 값을 분석하여 국소적 최저치에 빠지지 않는 강인함을 보였다.