• Journal of the Korean Institute of Oriental Medical Informatics
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• v.16 no.2
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• pp.89-161
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• 2010

"Byun Jeung Rok(辨證錄)" is composed of 14 volumes. In relation to the contents, it is organized into 126 gates(門) and 700 remaining syndromes(餘證) where internal medicine, external medicine, pediatrics, gynecology(內科 外科 小兒 婦人), etc. are divided into sub-sections of cold damage, cold stroke, wind stroke(傷寒 中寒 中風), etc. For every syndrome, the symptom, cause of disease, method of treatment, prescription, construction of prescription, instruction of medicine and prognosis.(症狀 病因 治法 處方 處方構成 服用法 預後) were explained thoroughly. This study, as an inquiry of the second volume, deals with wind stroke(中風), impediment disease(痹證), heart pain(心痛), side pain(脇痛), headache(頭痛), abdominal pain(腹痛), lumbago(腰痛) It was written very logically so it is easy to understand. The analysis of the symptoms are brief and appropriate. Also, in the usage of the medicine, the sovereign, minister, assistant and courier(君臣佐使) method was used as the basis for the prescriptions. Therefore, it is considered to have significant clinical value for future generations and is thus being applied by them.

• The Journal of Internal Korean Medicine
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• v.18 no.2
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• pp.112-130
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• 1997

This study has been carried out to investigate the cause, pathological mechanism and treatment of stroke in Oidaibiyo(外臺秘要), written by Wangdo(王燾). The results were follows : 1. Oidaibiyo(外臺秘要), which is written by Wangdo gives an account of the symptomatic degree of intensity and diachronic procedure in the chapter of stroke. 2. The cause of stroke is quoted mainly from External Wind(外來風邪), and the hyper-sexual intercourse, hyperalimentation, hyper -consciousness, excessive lavour and so forth as additional. And personal character and external effect, like the climate conditions are also much affected the outbreak of stroke. 3 With respect to the diagnosis of stroke, pulse means here quoted from its conception in Chungumyobang(千金要方) Jebungwonhuron(諸病源候論), and pulse plays an important role in diagnosis of stroke. 4. The treatment for stroke generally attaches much importance to medicine therapy. The concrete cure, BalhanGeopungbub(發汗祛風法) has been mainly available, and the usage of Cheongyulyak(淸熱樂) has been increased, contray to formal.

• Journal of Korean Medical classics
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• v.19 no.2 s.33
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• pp.108-114
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• 2006

Three planks of the Triangular position theory was first introduced by Sanghallon(傷寒論) authored by Jang Gi. It is the regulation for the matter of diagnosis of three different clinical symptoms in the causes of exogenous disease. It brought two questions to the scientists. First question is what are the Wind stroke(中風), Affection by cold(傷寒) and the complex form of Wind stroke(中風) and Affection by cold(傷寒) mentioned in Sanghallon. It is related to the theoretical analysis of the causes for the outbreaks of exogenous disease. Second question is what are the characteristics of symptoms to use Gyejitang, Mahwangtang, Daecheongnyongtang according to Sanghallon? It is the matter of clinical skills for dispensing a prescription. Through the theoretically and empirically deepening processes for last two millenniums, those two questions brought us two more problems further. That is, how and by what processes the Six vital substances for humal life outbreaks disease as a energy transformation? And, how the individual peculiarities of human body as a disease container should be treated? In conclusion, it is also a matter of the existence of dialectic medical science.

• The Journal of Internal Korean Medicine
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• v.23 no.2
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• pp.280-285
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• 2002

Pruritus is [CHECK DEFN] itchy feeling of one's skin. We often face stroke patients who complain about Pruritus. They occasionally fail to fall asleep or have a secondary infection as a result of scratching. For these reasons, severe Pruritus brings down general condition and interferes with recovery. The causes of Pruritus are distributed to from skin diseases and from internal diseases. Especially among the skin diseases, Xerotic Eczema, which is called Senile Eczema causes the dry skin in the elderly, especially lower limb's extensor part. According to the epidemiology, 20% of the old have Xerotic Eczema. In oriental medicine, Pruritus is called Pungsoyang(風瘙痒), Pungyang(風痒), Yangpung(痒風), Sinyang(身痒). The cause of Pruritus is divided into two. One is endogenous factors and the other is exogenous factors. The former are deficiency of blood(血虛), blood fever(血熱), wind-heat due to internal damage(內傷風熱), damp-heat in the liver and gallbladder(肝膽濕熱), endogenous wind stirring in the liver(肝風內動), deticiency syndrome of the spleen(脾虛), deficiency of Yin of the liver and kidneys(肝腎陰虛) and deficiency of the Penetration and Conception Vessels(衝任不足). The latter are wind-cold due to exogenous affection(外感風寒) and wind-heat due to exogenous affection(外感風寒). We report two stroke patients who complained of severe Pruritus They were diagnosed as having Xerotic Eczema by a dermatologist. We regarded their Pruritus as blood fever(血熱) and wind-heat(風熱) and prescribed Sopung-San to these patients. These patients showed significant improvement.

• The Journal of Internal Korean Medicine
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• v.30 no.1
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• pp.200-211
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• 2009

There are many reports about correlations between meteorological elements and stroke. In Oriental medicine, it is recognized that the weather affects the human body and diseases, but there are few studies about the correlation between meteorological elements and pattern identification of stroke. 105 stroke patients classified into fire-heat pattern or dampress-phlegm pattern were registered during the study period. We took the measurement of each meteorological element (atmospheric pressure, temperature, humidity, wind speed) according to pattern identification and analyzed pattern identification into two groups according to mean of each meteorological element during the study period. Mean temperature was higher with the heat-fire pattern than with the dampness-phlegm pattern. Heat-fire pattern also had higher frequency when temperature was higher than mean temperature. There was no correlation between atmospheric pressure, relative humidity, or wind speed and pattern identification.

• The Journal of the Society of Stroke on Korean Medicine
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• v.11 no.1
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• pp.61-69
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• 2010

Objective : To investigate the syndrome differentiation's types and herbal medicine of migraine through Chinese journals review Methods : Journal search was performed using the searching engine of China Academic Journal(CAJ) in China National Knowledge Infrastructure(CNKI) from January 2000 to November 2010. Searching key words were "migraine", "chinese traditional medicine" and "syndrome differentiation". We included all kinds type of journals that explained or referred definite syndrome differentiations. The methods of treatment and Herbal medications by syndrome differentiation in contents of finally selected journals were extracted and summarized. Results : Eighteen chinese journals were selected finally. Fifteen kinds of syndrome differentiations about migraine were investigated, which included blood stasis due to qi stagnation (氣滯血瘀) quoted 15 times, middle obstruction of phlegm-dampness (痰濕中阻) 11 times, liver yang transforming into wind (肝陽化風) 10 times, deficiency of qi and blood (氣血虧虛) 6 times, wind-cold invading 風寒侵襲 淸陽鬱遏 4 times, cold invading reverting yin (寒犯厥阴) 4 times, liver-kidney deficiency (肝腎虧虛) 3 times, liver qi depression and qi stagnation (肝鬱氣滯) 2 times, liver depression transforming into fires (肝鬱化火) 2 times, wind-fire of liver-gallbladder (肝膽風火) 3 times, intense stomach fire and heat (胃火熱盛) 2 times, insufficiency of blood deficiency (血虛不榮) 2 times, insufficiency of qi deficiency (氣虛不充) 2 times, insufficiency of kidney qi and sea of marrow deficiency (腎氣不足, 髓海空虛) 2 times, and qi depression due to wind invading (風邪侵襲, 氣鬱不宣) 2 times. Conclusion : We suggests the first choice of oriental treatment for migraine can be considered among syndrome differentiation's types of blood stasis due to qi stagnation, middle obstruction of phlegm-dampness, liver yang transforming into wind, deficiency of qi and blood, and cold invading reverting yin. further systematic study will be needed.

• The Journal of Internal Korean Medicine
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• v.30 no.2
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• pp.317-326
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• 2009

Objectives : This study investigated the correlation between the incidence by the climate of the day and the Stems and Branches(干支) of stroke patients. Methods : From January in 2000 to March in 2008, we studied 370 stroke patients hospitalized at Dongguk University Bundang Hospital. Each participant was investigated for the day's average temperature, the day's average air humidity, the day's average wind speed, and the day's Stems and Branches (干支) in oriental medical theory. Results: Concerning the day's average temperature, the group at a temperature under 18 $^{\circ}C$ had the highest risk. For the day's average air humidity, the group at over 60 % humidity showed a higher ratio of stroke. In respect of the day's average wind speed, the group at speeds under 2.26 $^m/s^2$ (the last 5 years average wind speed in Gyeonggi-do) had a higher risk. In the aspect of Stems and Branches (干支), stroke occurred more in Yin day(陰日) than in Yang day(陽日). In the view of the Five Circuits (五運), the Wood (木) was most common followed by Fire(火). Using the relation between Stems and Branches (干支), the mutuality cooperate pattern was more common than the mutuality control group and same characteristic group. Using the Theory of Five Circuits (五運) and Six Qi (六氣), the Fire group (火) showed the highest risk. The Wood group (木) came next. Conclusions : We could suggest that stroke attack might have some significant relationship with climate, stems, and branches in oriental medical theory.

• The Journal of Dong Guk Oriental Medicine
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• v.9
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• pp.127-138
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• 2000

The methods of checking the exuberance of yang (潛陽法) are a kind of medical treatments which cure various symtoms caused by hyperactivity of liver-yang, at the same time used for treating apoplexy. Thus, I investigated the application of checking the exuberance of yang to treat stroke. The conclusions are as follows. We can find application of checking the exuberance of yang to apoplexy on Synopsis of the Gold Chamber. After Ye Gui who persisted the theory of endogenous wind, many physicians applied the method of checking the exuberance of yang and this method has usually applied with nourishing yin. The methods of checking the exuberance of yang are concretely applied as follows. 1) a portion of apoplexy involving the channels and collaterals, which is caused by deficiency of yin and wind-fire pathogen. 2) excessive-syndrome of coma accompanied by heat syndrome. 3) epilepsy caused old apoplexy. The majority of shells for example abalone shell, hawksbill shell, oyster shell, tortoise-shell etc. are the most frequent use of herbal drug which check the exuberance of yang. The precriptions of checking the exuberance of yang are Ho-jam-hwan(虎潛丸), Ko-bon-dan(固本丹), Cheon-ma-gu-deung-eum(天麻鉤藤飮), Chin-gan-sik-pung-tang(鎭肝熄風湯) etc.

• Journal of Physiology & Pathology in Korean Medicine
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• v.22 no.2
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• pp.453-458
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• 2008

This study aimed to develop an evaluation reliability of Korean pattern identification for wind stroke. We studied 643 patients with stroke and made a list of registry for each of them. The present study analyzed 553 cases, in which the resident’s pattern identification agreed with the specialist’s one, and the cases included five differentiation pattern: the fire-heat pattern (114), the dampness-phlegm pattern (157), the static blood pattern (11), the Yin deficiency pattern (81), and the Qi deficiency pattern (190). This study showed that none of the Cronbach's alpha reached 0.700, which is the general reliable level. The average Cronbach's alpha of each symptoms was 0.353 for the dampness-phlegm pattern, 0.571 for the fire-heat pattern, 0.443 for the Qi deficiency pattern, 0.451 for the Yin deficiency pattern, and 0.302 for the static blood pattern. This suggests the possibility that each pattern identification could be coincided with other symptoms, and it also shows the limits of pattern identification of this study that narrows the symptoms of paralysis patients into only a single pattern. Continuous compliments and researches should be done referring to this matter. However, the internal consistency analysis of all the pattern identification showed that every Cronbach's alpha were within the range of 0.670 to 0.703, and the Cronbach's alpha of the whole symptoms was evaluated as 0.692, which makes the reliability of the pattern identification as itself almost satisfactory to the general reliable level, and therefore, significant. In the future, continuous clinical research to develope this pattern identification for wind stroke actually applicable to stroke patients needs to be made through accumulating more cases, improving the objectivity.

• The Journal of Internal Korean Medicine
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• v.38 no.6
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• pp.1007-1020
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• 2017

Objectives: This study was carried out to investigate whether a prescription's composition varies according to the disease being caused by wind, which is one of the migratory pathogenic factors. Methods: An initial database and binary matrix of Pungmun in Dongui-Bogam, including its herbs and prescription, was constructed. With this data, a network map about wind stroke, arthralgia, acute arthritis, and tetanus in Dongui-Bogam was constructed. Results: Analysis of the network map about Pungmun in Dongui-Bogam revealed that the complete prescription network has more isolated nodes than does each disease's network map. Conclusions: The composition of prescriptions in Dongui-Bogam Pungmun differ according to the disease being caused by wind.