DOI QR코드

DOI QR Code

Proposal on the Process and Prognosis of Popular Diseases

질병의 경과와 예후 판별에 대한 제언

  • Kwon, Ki-Rok (Dept. of Acupuncture & Moxibustion, Oriental Medical College, Sangji University)
  • 권기록 (상지대학교 한의과대학 침구학교실)
  • Published : 2008.03.31

Abstract

Objectives : This study was designed to make beneficial proposal for clinical application on some of the most common disorders treated by Oriental medicine by analyzing treatment process and prognosis. Methods : Number of peculiar attributes pertaining to a specific disorder were analyzed and based on those attributes, patterns associated with process and prognosis were interpreted in reference with classical literatures. Results : 1. Factors which can influence the progression and prognosis include time of onset, intensity of symptoms, course of passage, effects of risk factors, condition of the patient's righteous qi(正氣), accuracy of differential diagnosis made by the practitioner, accuracy of treatment methods, and other unexpected external influences. 2. Correlation between the condition of disorders and treatment progression is closely associated with proper treatment procedures and performances. The time of onset and intensity play critical roles in the treatment process and prognosis and showed pattern tendency with mutual interactions. 3. When there is complication of various disorders, it is ideal to give priority to more urgent illness and take care of moderate illness later. If there isn't any correlation between disorders, treat them in the order of acute to chronic disorders. The approach is reversed when disorders are related, treating in the order of most chronic to most acute. 4. In a case of complication of various disorders, depending on the disorder being acute or chronic, intensity, and accuracy of treatments, either a domino effect or gradual fade out of symptoms were witnessed. 5. The concept of "Five Evils Theory" according to Nan Jing(Difficult Classic) is essential in grasping disease progression due to interrelationships between zangfu organs. Conclusions : Predicting of disease process and prognosis for vast array of disorders treated by Oriental medicine is a very difficult task, yet evaluating the disorder's peculiar properties and influential factors resulted in few principles which can be effectively applied into clinical applications.

References

  1. 김완희, 최달영 공편. 臟腑辨證論治. 성보사. 1986; 52-55
  2. 홍원식. 精校黃帝內經素問. 東洋醫學硏究院出版部. 1984; 105, 146, 229, 285
  3. 楊維傑. 黃帝內經靈樞譯解. 성보사. 1986; 9
  4. 권기록. 수승화강 조절법에 대한 제언. 대한약침학회지. 2007; 10(3): 147-155
  5. 李慶雨 譯. 編注譯解黃帝內經靈樞 2. 여강출판사. 2001; 141
  6. Mahlon H, Robert T. Major's Physical Diagnosis. W.B. Saunders Co. Philadelphia. 9th. 1984; 1
  7. 國際書局. 難經譯釋. 昭人出版社. 中華民國69年; 176-178