The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Study on the Development of a Standard Instrument of Diagnosis and Assessment for Spleen Qi Deficiency Pattern

脾氣虛證(비기허증) 진단평가도구 개발 연구

  • Oh, Hye-Won (Kyung Hee University Korean Hospital) ;
  • Lee, Ji-Won (Kyung Hee University Korean Hospital) ;
  • Kim, Je-Shin (Kyung Hee University Korean Hospital) ;
  • Song, Eun-Young (Kyung Hee University Korean Hospital) ;
  • Shin, Seung-Won (Kyung Hee University Korean Hospital) ;
  • Han, Ga-Jin (Kyung Hee University Korean Hospital) ;
  • Lu, Huanyu (The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Disease prevention center) ;
  • Lee, Jun-Hee (Department of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University)
  • Received : 2014.02.22
  • Accepted : 2014.03.14
  • Published : 2014.03.31
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Abstract

Objectives: The purpose of this study was to develop a standard instrument of diagnosis and assessment for spleen qi deficiency pattern. Methods: Reports published in Korea and China related to spleen qi deficiency pattern were selected. Assessments of selected references were performed to select major symptoms of spleen qi deficiency pattern. Korean translation and review by a Korean linguist were performed to create a draft of [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)]. The final [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)] was completed after assessment on inclusion or exclusion, on importance of items and on validity of translation by an expert committee, consisting of professors from the National College of Korean Medicine. Results & Conclusions: 1. 14 major symptoms were selected by frequency from 45 references which were related to standard identification of spleen qi deficiency pattern, translated into Korean and reviewed by a Korean linguist. 2. 11 symptoms were selected after assessment on inclusion yes or no by the expert group. Items were listed in order of importance: tiredness of extremities (肢体倦怠), sallow complexion (面色萎黃), reduced appetite (食欲减退), abdominal distension after eating (腹胀食後尤甚), inability to eat (納少), pale tongue and white fur (舌淡苔白), lethargy (神疲), emaciation (消瘦), loose stool (大便溏薄), shortness of breath and reluctance to speak (少氣懶言), and weak pulse (脈緩弱). 3. Final [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)] was completed after assessment of translation validity, reflection of individual opinions by the expert committee, and application of weighted value computed from assessment on importance of items.

Keywords

References

  1. Department of gastroenterology in all colleges of Korean medicine. Gastroenterology in Korean medicine. 1st edition. Seoul: Koonja publishing Inc. 2009:63-4.
  2. Teaching material compilation committee of oriental pathology. Oriental pathology. 2nd edition. Seoul:Hanuimunhwasa. 2008:411-4.
  3. Shen ZY. Deficiency Syndrome of Traditional Chinese Medicine Syndrome Differentiation Standards. Chinese Journal of Integrated Traditional and Western Medicine. 1983;3(2):117.
  4. Shen ZY, Wang WJ. Deficiency Syndrome of Traditional Chinese Medicine Syndrome Differentiation Standards. Chinese Journal of Integrated Traditional and Western Medicine. 1986;6(10):598.
  5. Health Drug Councils of Ministry of Health of the People's Republic of China. Governing Principle of Clinical Investigation of splenasthenic syndrome Treatment with New Chinese Medicinal. China Journal of Traditional Chinese Medicine and Pharmacy. 1988;3(5):71-2.
  6. Zheng XY. Governing Principle of Clinical Investigation of Treatment with New Chinese Medicinal. Beijing:The medicine science and technology press of China. 2002:361-4.
  7. China Association of Chinese Medicine TCM Diagnostics Branch. Diagnostic Standard of TCM Common Syndrome (First Part). Journal of Traditional Chinese Medicine University of Hunan. 2008;28(5):6.
  8. Zhao P, Li XT. Research on evaluating the bibliography system of diagnosis standard of splenasthenic syndrome.Liaoning Journal of Traditional Chinese Medicine. 2013;40(7):1304-6.
  9. Yun SH, Ryu BH, Park DW, Jang IG, Ryu GW. Literature review on spleen deficiency syndrome (Qi deficiency and Yang deficiency). J. Korean Oriental Internal Medicine. 1989; 10(1):53-64.
  10. Won JH, Moon G, Moon SJ. A summary on the recent studies on the nature of deficiency of Pi. Korean J Orient Int Med. 1992;13(1):135-42.
  11. Jeong HS, Ha KT, Shin SW, Lee KG. Study on the endogenous dampness caused by Gi deficiency of the spleen and Sagunja-tang. Korean J Oriental Physiology & Pathology. 2010;24(6):903-6.
  12. An KS, Lee JK, Kim JH, Ryu KJ, Kwon SR, Lim MJ, et al. A case report of the herbal medication treatment and counseling therapy for the chronic idiopathic thrombocytopenic purpura patient. J of Oriental Neuropsychiatry. 2007;18(2):143-51.
  13. Changchun University of TCM. Traditional Chinese Diagnostics. Changchun:Jilin Peoples Press. 1984:149-50.
  14. Deng TT. Traditional Chinese Diagnostics. Beijing:people's health Press. 1987:4126.
  15. Guangzhou University of TCM. Traditional Chinese Diagnostics. Beijing:Ancient Chinese Medical Book Press. 1987:80.
  16. Deng TT. Traditional Chinese Diagnostics. Shanghai:Shanghai Scientific and Technical Press. 1988:222.
  17. Li LX. Traditional Chinese Diagnostics. Guangzhou: Guangdong Higher Education Press. 1988:159.
  18. Zhang EQ. Traditional Chinese Diagnostics. Shanghai:Shanghai University of TCM Press. 1988:329-31.
  19. Shanxi University of TCM. Traditional Chinese Diagnostics. Guiyang:Guizhou People's Press . 1988:212.
  20. Beijing University of TCM. Traditional Chinese Diagnostics. Guiyang: Guizhou People's Press. 1990:274-6.
  21. Qiu XH. Study on Quantitative Diagnosis on Insufficiency of the Spleen. Journal of Guangzhou University of TCM. 1990;7(1):24.
  22. Fu TY, Fan TQ. Traditional Chinese Diagnostics. Beijing:Huaxia Press. 1991:67-8.
  23. Chengdu University of TCM. Traditional Chinese Diagnostics. Chengdu:Sichuan Scientific and Technical Press. 1991:239-40.
  24. State Administration of Chinese Medicine. Standard of Diagnosis and Effection of TCM. Nanjing:Nanjing University Press. 1994:101, 105,108,112.
  25. Zhu WF. Traditional Chinese Diagnostics. Shanghai:Shanghai Scientific and Technical Press. 1995:149.
  26. Jin SY, Chen SY. Traditional Chinese Diagnostics. Beijing:People's Medical Officer Press. 1997:235-7.
  27. Li SL. Traditional Chinese Diagnostics. Beijing: China Worker Press. 1997:57.
  28. Wei BH, Jin JS, Zhao ZH, Liu JS, Zhao RL, Li QG. "Spleen Deficiency" A New Conception of Diagnosis. Journal of TCM Basis. 1997;3(1):6-8.
  29. Beijing University of TCM. Traditional Chinese Diagnostics.Beijing:Xueyuan Press. 1998:507-8.
  30. Wu XF. Traditional Chinese Diagnostics. Beijing:people's health Press. 1999:91.
  31. Ji SL, Cheng QZ. Traditional Chinese Diagnostics. Beijing:people's health Press. 2002:146-7.
  32. Nanjing University of TCM. Traditional Chinese Diagnostics. Shanghai:Shanghai University of TCM Press. 2002:212-4.
  33. Yang ZG, Wang CY. Traditional Chinese Diagnostics. Beijing:Ancient Chinese Medical Book Press. 2002:102.
  34. Zhu WF. Traditional Chinese Diagnostics. Beijing:TCM Press. 2002:186-7.
  35. Chen Q. Dignosis of Integrated Traditional and Western Medicine. Beijing:Scientific and Technical Press. 2003:112-3.
  36. Deng TT. Traditional Chinese Diagnostics. Beijing:people's health publishing house. 2004:282.
  37. Wang YQ. Traditional Chinese Diagnostics. Beijing:TCM Press. 2004:163-4.
  38. Liao FY. Traditional Chinese Diagnostics. Beijing:people's health publishing house. 2005: 106-7.
  39. Liu Y. Traditional Chinese Diagnostics. Beijing: High Education Press. 2005:90.
  40. Deng TT. Traditional Chinese Diagnostics. Shanghai:Shanghai Scientific and Technical Publishers. 2006:114.
  41. Wu CY. Traditional Chinese Diagnostics. Shanghai:Shanghai Scientific and Technical Publishers. 2006:120-1.
  42. Li J. Traditional Chinese Diagnostics. Beijing: Scientific and Technical Press. 2011:138-9.
  43. Zhu WF. Traditional Chinese Diagnostics. Beijing:people's health publishing house. 2011: 702-3.
  44. Guangdong University of TCM. Traditional Chinese Diagnostics. Shanghai:Shanghai Scientific and Technical Publishers. 2012:93.
  45. Guo ZQ. Traditional Chinese Diagnostics. Shanghai:Shanghai Scientific and Technical Publishers. 2013:157.
  46. Kim YH. The principles of Korean medicine. 1st edition. Seoul:Seongbosa. 1990:299.
  47. Yang GS. Standardization and unification of the terms and conditions used for diagnosis in oriental (I) (separate-volume supplement). Seoul:Korea Institute of Oriental Medicine. 1995:56.
  48. Sin SS. Study of Qi. Seoul:Korea Institute of Oriental Medicine. 2000:48-9.
  49. Lee BG, Park YB, Kim TH. Korean medicine diagnostics. 6th edition. Seoul:Seongbosa. 2004: 72-3.

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