• 제목/요약/키워드: the disease patterns(病證)

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태음인(太陰人) 병증(病證) 진단 알고리즘 개발 연구 (The Study on the Development of Diagnosis Algorithm of Taeeumin Symptomology)

  • 신승원;이의주;고병희;이준희
    • 사상체질의학회지
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    • 제24권4호
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    • pp.28-39
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    • 2012
  • Objectives : This study is aimed to develop the algorithm to diagnose Taeeumin's symptomology, by the method of literature research on Sasang Constitutional Medicine. Methods : Applying the sequential differentiations of Taeeumin's symptomology, or exterior-interior disease differentiation, favorable-unfavorable pattern differentiation, and mild-severe-dangerous-urgent pattern differentiation, "Donguisusebowon" and related literatures have been reviewed. Results and Conclusions : 1) 1st step: Taeeumin's exterior pattern and interior pattern are differentiated by the indexes of whole-body cold or heat pattern, sweating, and facial complexion. 2) 2nd step: The favorable pattern of the Taeeumin's exterior disease can be detected by indexes of the existence of fever, generalized pain while the unfavorable one by indexes of the abnormal condition of digestion and feces, and fearful throbbing. The favorable pattern of the Taeeumin's interior disease can be diagnosed based on indexes of eye pain, dry nose, dry throat, and heat symptoms that occur in various parts of the body, while the unfavorable one by indexes of thirsty, urination, feces and specific symptoms which can be induced by dryness. And in the both unfavorable patterns the dark complexion on the faces is revealed. 3) 3rd step: The mild-severe patterns of the favorably exterior disease are differentiated in terms of the condition of fever, while the mild-severe patterns of the favorably interior disease are in differentiated based on whether abnormal symptoms are revealed in the gastrointestinal tract. Both of the unfavorably dangerous-urgent patterns in exterior and interior diseases are differentiated by the symptoms such as tinnitus, dim vision, weakness of legs and back pain, and lack of strength in legs and thighs.

소음인(少陰人) 병증(病證) 분류체계와 표준증후 연구 (The Research on the Classification of Soeumin Symptomatology and the Standardized Symptom)

  • 송은영;박병주;송안나;이의주;고병희;이준희
    • 사상체질의학회지
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    • 제23권4호
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    • pp.429-444
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    • 2011
  • 1. Objective This study is aimed to present the effective classification of Soeumin symptomatology and the standardized signs for classification which can be applied for KCD, ICD and the insurance codification system. 2. Methods 1) Differentiate Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 2) Investigate the standard signs and symptoms to claasify Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 3. Results and Conclusions 1) The diagnosis criteria for Soeumin exterior-interior disease is based upon signs & symptoms of cold/heat, condition of stool, state of digestive system(such as digestion and appetite)among others. 2) The diagnosis criteria for Soeumin favorable-unfavorable disease is generally based upon whether the vital force of the spleen is damaged or not. More specifically, for the exterior disease, whether or not sweating is present. For the interior disease, whether or not dry mouth, body ache(a main symptom of the exterior state), and anxiousness are present. 3) For the Soeumin Wool-gwang disease, the diagnosis criteria of mild-severe disease is whether or not chills is present and the degree of body fever. 4) For Soeumin Mang-yang disease, the diagnosis criteria of dangerous-urgent disease is whether or not chills is, the degree of sweating and urine condition. 5) For the Soeumin Greater-Yin disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are early state signs, Jaundice pattern is mild-state sign, edema & Greater-Yang disease Yin-toxin pattern are terminal state signs. 6) For the Soeumin interior disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are of the dangerous state pattern, Jang-gual and Exuberant-Yin-repelling-Yang pattern are of the urgent state patterns.

내병외치약물(內病外治藥物)에 관한 문헌적(文獻的) 연구(硏究) (A Study on the External Treatment of Internal Diseases in Medical Classics)

  • 이석재;맹학영;금경수;정헌영;조은희;이시형
    • 대한한의학원전학회지
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    • 제22권2호
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    • pp.139-199
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    • 2009
  • The external treatment of internal diseases was first recorded in Hwangjenaegyeong(黃帝內經), and two hundred and fifty odd cases were found in the Bonchogangmok(本草綱目) and Oechisusebang(外治壽世方). Bonchogangmok(本草綱目) is a technical book devoted to explaining materia media as well as the external treatment of internal diseases. Oechisusebang(外治壽世方) is also a technical book, which make 36 references to the disease patterns of internal medicine. The medicinals employed as external treatment of internal diseases are grouped into 300 classes. These medicinals do not set limits to trees and plants but also uses birds and beasts, reptiles, grains, feces and urine, soil, stone etc., applied to various disease patterns. This study researched the medical texts in order to treat the disease patterns of internal medicine.

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소화기 질환을 대상으로 한 3개 한의학파의 다빈도 병증 및 처방 비교 연구 (Comparative Study on Frequent Disease Patterns and Prescriptions by Three Societies of Korean Medicine for Gastrointestinal Disease)

  • 이슬;예상준;장호;이용재;박지은;채한;이정윤
    • 사상체질의학회지
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    • 제32권2호
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    • pp.33-47
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    • 2020
  • Objectives The aim of this study is to analyze the therapeutic direction and characteristics of gastrointestinal diseases by three societies of Korean medicine by comparing the frequent disease patterns and prescriptions of them. Methods The experts of the three societies of Sasang constitutional medicine, Hyungsang medicine and Sanghan-GeumGwe medicine discussed and confirmed a list of clinical data to make use for diagnosis. Then, clinical data on 200 patients suffering from gastrointestinal symptoms were collected. The each experts diagnosed appropriate disease patterns and decided prescriptions according to the method of their affiliated society. Results and Conclusions The three different societies' experts showed the similarity in the sense of categorizing disease patterns focusing on the specific physiology and pathology of the patients, while the each societies have different diagnosis systems. Treating chronic gastrointestinal patients, they treated the mental or psychological symptoms of the patients as well as their physical problems. Based on this study, it is necessary to develop a systematic and precise research model to objectively and statistically analyze the correlation of disease patterns and prescriptions by different societies.

변증록(辨證錄) 권지칠(卷之七)에 대(對)한 연구(硏究) (,A Study on "Byun Jeung Rok(辨證錄)" Vol.7)

  • 김주태;이종환;송지청;정헌영;이시형
    • 대한한의정보학회지
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    • 제17권1호
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    • pp.1-68
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    • 2011
  • The topic of this study is the translation of "Byun Jeung Rok Vol.VII(辨證錄七卷)". Byun Jeung Rok is a complete book of medicine which was written by Jin Sa tak(陣士鐸) in the early years of the Ching dynasty. Of this, the seventh volume is composed of 6 disease-patterns(病證) and 55 subtopics. Byun Jeung Rok(辨證錄) explains disease-patterns(病證) through the unique and outstanding perspective of the individual author. This topic was studied in hopes of helping later students by showing to the world, through its translation, the author's understanding of disease pattern. The organized characteristics of "Byun Jeung Rok(辨證錄) Vol.VII" is as follows. 1. Byun Jeung Rok based his theory on the traditional paradigm, Yin-Yang and Five phases. and criticized another doctor's misleading opinion by it. 2. Jin Sa tak thought it highly important to distinguish the internal injury and the external wound. and this view was influenced by Ming dynasty's doctors. 3. Jin Sa tak very often used providing nutrition to patients as a way of treatment. because he thought that a variety of diseases are caused by the weakness of organs.

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사상체질 병증별 월경 양상의 임상 연구 (Clinical Study of Menstruation Pattern according to Sasang Constitutional Diseases)

  • 임성락;김구;오승윤;권영미;주종천
    • 사상체질의학회지
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    • 제21권1호
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    • pp.217-226
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    • 2009
  • 1. Objective To investigate characteristics of menstrual patterns according to Sasang Constitutional disease, and to utilize for diagnosis and treatment of Sasang Constitutional disease. 2. Method The recruited subjects were 430 women who convinced their Sasang Constitution by taking herbal medicine and improving of chief complaint. The items of data contain age at menarche, age at menopause, menstrual cycle, menstrual duration, cyclic regularity of menstruation, severity of menstrual pain, the worst day of menstrual pain, type of menstrual pain, amount of menstruation. 3. Results 1) Severity of menstrual pain, the worst day of menstrual pain, menstrual pain accompanied with nausea were significant among Sasang Constitutional diseases. 2) In Bae-chu-pyo-byeong disease (背椎表病證), Wi-wan-han disease (胃院寒證), So-eum disease (少陰證) and Tae-eum disease (太陰證), menstrual pain was severer than other diseases. 3) In Hae-yeok disease and So-yang-sang-pung disease (少陽傷風證), the worst day of menstrual pain was a day before menstruation. In Hyung-gyeok-yeol disease (胸膈熱證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of a day after menstruation in the worst day of menstrual pain was higher than other diseases. In Wi-wan-han disease (胃院寒證), Mang-yang disease (亡陽證), the frequency of two day after menstruation in the worst day of menstrual pain was higher than other diseases. 4) In So-yang-sang-pung disease (少陽傷風證), Mang-eum disease (亡陰證), Eum-heo-o-yeol diasese (陰虛午熱證), Ul-gwang disease (鬱狂證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of menstrual pain accompanied with nausea were higher than other diseases. 4. Conclusion Menstrual patterns, especially menstrual pain is different among Sasang Constitutional diseases. Assessing menstrual pain can be used for diagnosing Sasang Constitutional diseases, deciding treatment course, determinating prognosis.

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『상한론(傷寒論)』 병증(病症)과 영기(營氣)의 관계에 대한 연구(硏究) (A study on the relationship between the symptom of Shanghanlun(傷寒論) and the Nutritive-Gi(營氣))

  • 방정균
    • 대한한의학원전학회지
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    • 제30권1호
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    • pp.211-221
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    • 2017
  • Objectives : The practices of Wei-qi and Nutritive-qi are generally divided into external Mai and internal Mai. However, they are closely interrelated and practiced together. While taking these aspects into consideration, this paper attempts to make interpretations in relation with Nutritive-qi the disease pathogens that appear in Shanghanlun's disease symptoms. Methods : Using the practice and function of Nutritive-qi described in Huangdineijing, the paper shall make interpretations for the patterns of Mawhangtang, patterns of Gaejitang, and the pathologies of pain, oedema, and nosebleed as described in Shanghanlun. Results & Conclusions : The pain from the patterns of Gaejitang differ from that of the patterns of Mawhangtang. First, the pain from the the patterns of Gaejitang cannot be the main symptom. Even if there is a symptom of pain, it's severity is not serious. Second, the pain from the patterns of Gaejiang takes the form of stiffness, and not general bodily pain. The reason for this stiffness is because of the emptiness of Wei-qi that leads to the congestion of Nutritive-qi which in turn causes the lack of qi and blood flow in muscula area such as abdomins. The symptom of oedema where one's body becomes swollen comes from a number of pathogens. First, the flow of meridian becomes hindered due to external dampness, a character which tends to be adhesive when added with humidty, and this results in the blockage of water qi which then causes the coagulation of nutritive blood. Second, when toxic heat is repressed and blocked within the lesser-yang channel, lesser-yang meridian stops working, which causes nutritive blood to clog at the front and back of ears since lesser-yang channel flows through that portion of body. Third, although oedema is not specifically mentioned in the sentences, but there exists the patterns of Daechungyongtang where water lumps are formed due to the accumulation and blockage of watery dampness. The patterns of Daechungyongtang is cuased when meridian is hindered from externally discharging body fluid due to a problem with meridian that blocks the fumigated internal heat which turns into bodily fluid from being discharged externally.

농촌관광마을 생태체험을 위한 연못형습지 식물의 한방 이용형태 분석 (An Analysis on Use Patterns of Oriental Medicine of Pond Wetland Plants for the Ecological Experience in Rural Tourism Village)

  • 손진관;공민재;강방훈;김미희;강동현;이시영;한송희
    • 한국습지학회지
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    • 제19권2호
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    • pp.230-239
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    • 2017
  • 최근 한국은 농촌관광의 수요가 증가하고 있지만 유형은 농사체험이 대부분이다. 이러한 상황을 극복하기 위해 생태체험이 도입되고 있다. 농촌 생태체험의 공간인 연못의 콘텐츠, 교육자료 확보가 필요하다. 따라서 본 연구에서는 연못형습지 식물의 전통한방이용형태를 분석하였다. 전통한방은 과거부터 이어져 온 전통지식으로 요즘에도 의학, 약학, 과학 등 다양한 분야에서 활용한다. 분석된 내용은 생태체험 교육자료에 도움이 될 것이다. 조사는 농촌지역 연못형습지 40개소의 식물을 조사하였다. 전통한방이용형태는 특허청에서 운영하는 전통지식포탈의 내용을 제공받아 사용하였다. 40개 연못형습지에서 조사된 식물은 총 108과 457종이며, 그 중 전통한방이용형태에 대한 정보가 있는 종은 53과 314종이다. 이것은 연못형습지 주변의 식물 중 68.8%가 전통한방을 함유하고 있다는 의미다. 이 밖에도 음식, 공예, 전통농업 등의 활용 형태를 포함한다면 70~80% 이상 전통지식을 포함할 것이라 예상한다. 전통한방에 사용 된 314종의 효능은 570가지, 325가지의 병증을 치료하는 효과가 있다. 1종당 평균 4.0(0~20)가지의 효능으로 6.6(0~20)가지의 병증을 치료할 수 있다. 본 연구 자료는 체험, 교육, 의학 등 다양한 분야에 활용되길 기대한다. 그리고 많은 가치가 있는 연못형습지는 계속적으로 보전할 필요가 있다고 판단된다.

Gaucher병에서 resveratrol의 세포주기 조절자 p21을 통한 세포보호 효과 연구 (Resveratrol Upregulates p21, Cell Cycle Regulator, in Gaucher Disease Cells)

  • 김동현;허태회;김준범;김성조
    • 생명과학회지
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    • 제20권8호
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    • pp.1281-1286
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    • 2010
  • 고셔병은 세포내의 글루코세레브로시데이즈의 결핍으로 인하여 리소좀 내의 글루코세레브로사이드가 분해되지 못하고 축적되는 질환으로 알려져 있으며, 유형의 종류에 따라 신경퇴행성 질환으로 나타나는 것으로 보고되어 있으나 아직까지 정확한 기전이 밝혀져 있지 않다. 본 논문에서는 항산화 효과 및 신경보호 효과가 있는 것으로 알려진 레스베라트롤을 고셔병 환자의 fibroblast 세포에 투여하여 세포 생존율 변화 여부 및 세포주기 조절에 관하여 분자 생물학적 기전을 알아보고자 하였다. 고셔병 세포의 p21의 mRNA 발현 수준과 단백질 발현 양상을 확인한 결과 mRNA 상의 정량적 차이는 관찰되지 않았으나 단백질 발현수준은 레스베라트롤의 농도가 높아짐에 따라 증가 되는 것을 확인하였다. 또한 세포사멸의 표지 인자 단백질로 알려진 PARP의 변화양상을 확인한 결과 레스베라트롤의 농도가 높아짐에 따라 감소하는 것을 확인 할 수 있었다. 이를 통해 폴리페놀계 천연물인 레스베라트롤이 고셔병에서 세포 손상을 치유하며, 궁극적으로 세포사멸을 억제하는 효과를 가져올 것으로 생각할 수 있으며, 본 질환에서 병증을 완화 시킬 수 있을 것으로 사료된다.

변증록(辨證錄) 권지십일(卷之十一)에 대(對)한 연구(硏究) (A Study on the Byun Jeung Rok(辨證錄) Vol.XI)

  • 이종환;김주태;김상운;엄동명;이시형
    • 대한한의정보학회지
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    • 제17권1호
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    • pp.147-202
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    • 2011
  • The topic of this study is the translation of "Byun Jeung Rok Vol.XI(辨證錄十一卷)". Byun Jeung Rok is a complete book of medicine which was written by Jin Sa tak(陣士鐸) in the early years of the Ching dynasty. Of this, the eleventh volume is composed of 6 disease-patterns(病證) and 41 subtopics. The organized characteristics of "Byun Jeung Rok(辨證錄) Vol.XI" is as follows. Chapter 1 refers to the symtom, agent and prescription of Hysterorrhea(帶下病). It explains five color Hysterorrhea; white, red, black, yellow and blue. Chapter 2 refers to the symtom, agent and prescription of Oligemic Menoschesis(血枯). It explains two cases of Menoschesis. Chapter 3 refers to the symtom, agent and prescription of Metrorrhagia(血崩). It explains eight cases of Metrorrhagia. Chapter 4 refers to the symtom, agent and prescription of Dysmenorrhea(月經不調). It explains fourteen cases of Dysmenorrhea. Chapter 5 refers to the symtom, agent and prescription of Infertilitas(不姙). It explains ten cases of Infertilitas. Chapter 6 refers to the symtom, agent and prescription of Hyperemesis(惡阻). It explains two cases of Hyperemesis. Obviously the Byun Jeung Rok(辨證錄) is one of the very important texts in the oriental medicine. But there is no exact Korean translation, so I study this six chapters and translate them into Korean. Finally, I hope this thesis can be an aid of development in the knowledge informatization of Korean medicine.

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