• 제목/요약/키워드: Korean Medicine diagnosis

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Study on Clinical Establish Direction for Oriental Medicine Diagnosis Methods (한방진단방법에 대한 임상적 설정방향연구)

  • Kim Kwang-Joong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.245-256
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    • 2006
  • This research sought to survey oriental medicine diagnosis methods currently practiced, analyze their advantages and disadvantages, and work out clinical establish direction for oriental medicine diagnosis methods. Oriental medicine diagnosis methods currently practiced in the related circles are categorized into traditional Korean diagnosis methods and holistic auxiliary diagnosis methods. The traditional Korean diagnosis method focuses on treating diseases of traditional Korean health management methods which are based on the bodily self-viability capabilities according to the Orient's viewpoint of health. Under the diagnosis method, based on the cognition of maximizing the state of the bodily self-viability capabilities together with the characteristics of diseases, symptoms, pulse, first face-to-face patient observation, physical constitution, and life principle are managed according to form, color, pulse and symptom which divide the bodily viability capacities into inherent and acquired elements amid both elements interacting.

Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry (한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구)

  • Heeyoung Moon;Minsoo Kim;Su Hyun Lim;Younbyoung Chae;In-Seon Lee
    • Korean Journal of Acupuncture
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    • v.40 no.2
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    • pp.44-53
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    • 2023
  • Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

A Review of Studies of Tongue Deviations in Korean Stroke Patients (국내 중풍 환자의 설진에 관한 연구 고찰)

  • Park, Young-hwa;Lim, Bo-ra;Cho, Jun-ho;Won, Jeong-yoon;Kwon, Do-ick
    • The Journal of Internal Korean Medicine
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    • v.38 no.2
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    • pp.152-163
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    • 2017
  • Objectives: The aim of this review was to compare the findings of 14 studies of tongue diagnosis in Korean stroke patients. Methods: The purpose, subjects, observation methods, statistical methods, classification of tongue diagnosis, significance, and limitations were analyzed and compared. Results: In Korean stroke patients, tongue diagnosis is significant in pattern identifications, prognosis evaluation, degree of neurological deficit, past history, blood tests, and pulse diagnosis. Interobserver reliability of tongue diagnosis is relatively high.

Systematic Review on Researches of Sasang Constitution Diagnosis Using Facial Feature (안면형상을 활용한 사상체질 진단 연구에 관한 체계적 고찰)

  • Lee, Seon-Young;Koh, Byung-Hee;Lee, Eui-Ju;Lee, Jun-Hee;Hwang, Min-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.4
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    • pp.17-27
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    • 2012
  • Objectives : This study proposes developing Sasang Medical Diagnosis Program using Facial form for increase in Sasang Constitution Diagnosis objectivity and putting the Diagnosis Program into practical use. The author presents a review of extant research on Sasang constitution diagnosis utilizing facial feature analysis and suggests an agenda for further research. Methods : For this thesis, a collection of dissertations on the subject of 'Usage of facial form for constitution diagnosis' published until September of 2012 such as RISS4U, OASIS, KISTI, Korean TK were reviewed. The final 33 dissertations were classified into two categories, basic or clinical research and then analyzed. Results : 9 out of 33 dissertations were of basic research and 24 were of clinical research. 1) As result of review of references, a uniform tendency was found in facial form according to Sasang Constitution. 2) In the grade of practical use, facial element is repeatedly used and the facial element of important use has constitutional differences. 3) Standard faces per Sasang Constitution were derived as result of 2-dimensional research. 4) 3-dimensional research focused on improvement of accuracy and reliability of 3D-AFRA, and there has been an attempt to develop a prototype for identification. Conclusions : For practical use of facial feature in Sasang Constitution Diagnosis, 1) Standardization of diagnosis through establishing Sasang Medical Diagnosis clinical protocol must be preceded. After the standardization, practical purpose and direction of facial form in general may be decided. 2) Information on high quality facial form of constitutional and conditional patients must be collected to form extensive database. 3) Subdivided symptomatology, as well as Sasang Constitution must be considered for diagnosis in order for diagnosis technique to acquire clinical practicality.

Traditional Korean Medicine Diagnosis System Based on Basic Ontology (기초 온톨로지 기반 한의 진단 시스템)

  • Kim, Sang-Kyun;Jang, Hyun-Chul;Kim, Jin-Hyun;Oh, Young-Taek;Kim, Chul;Yea, Sang-Jun;Song, Mi-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.6
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    • pp.1111-1116
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    • 2010
  • We in this paper design and implement a traditional korean medicine diagnosis system based on basic ontology. If doctors put the symptoms or tongues or pulses of a patient in the diagnosis system, they can be recommended for the diagnosis results. To support the doctors decision, the diagnosis system make the inference based on the basic ontology and compute the similarity between symptoms of patient and those of ontology. The diagnosis systems also provide the learning mechanism about diagnosis results which save the results in the ontology and reuse them in the next diagnosis. Thus, doctors can share their knowledge for the diagnosis by exchanging their ontology each other. In future, we will expand the knowledge of the basic ontology continuously so that doctors can get the more accurate diagnosis results. We also implement the prescription function and integrate it to the diagnosis system.

A Study of the Pulse Diagnosis Research Trend in China II: Clinical Application (중국의 맥상파(脈象波) 연구동향 II: 임상활용 분야)

  • Shin, Sang-Hoon;Kim, Ki-Wang;Rhim, Hye-Whon;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.1
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    • pp.47-58
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    • 2005
  • Background and purpose: The purpose of this study is to review the recent 10 year Chinese achievements on the objectification of traditional pulse diagnosis in clinical area. Methods: From the China Journal Full Text Database (中國學術期刊全文數据庫) we searched papers on pulse diagnosis by the keyword 'Maizhen'(脈診) Resulls: The researches are summarized into four parts; (1) the researches on the normal pulse in the physiological state (2) the clinical researches of pulse diagnosis on the symptom and disease diagnosis (3) the clinical researches of pulse diagnosis on the acupuncture treatment (4) the application of pulse diagnosis on the functional evaluation of the athlete. Conclusion: The undoubted principles of the traditional pulse diagnosis are evaluated by the objective clinical researches. And the researchers are trying to find a new application area over the traditional one.

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Computational Methods for Traditional Korean Medicine : A survey (한의 정보의 계산적 방법 조사)

  • Kim, Sang-Kyun;Jang, Hyun-Chul;Kim, Jin-Hyun;Kim, Chul;Yea, Sang-Jun;Song, Mi-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.894-899
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    • 2011
  • Traditional Korean Medicine (TKM) has been actively researched through various approaches, including computational methods. This paper aims at providing an overview of domestic studies using the computational techniques in TKM field. A literature search was conducted in Korean publications using OASIS system, and major studies of data mining in TKM were identified. A review was presented in six diagnosis fields, including sasang constitution diagnosis, eight constitution diagnosis, tongue diagnosis, pattern diagnosis for stroke, diagnosis based on ontology, diagnosis for cause of disease. They collect clinical data themselves for experiments and primarily applied a algorithm of decision tree, SVM, neural network, case-based reasoning, ontology reasoning, discriminant analysis. In the future, there needs to identify which algorithm is suitable to diagnosis or other fields of TKM.

A basic study on the Qi-diagnosis(氣診) using method of diagnosis and treatment (임상 활용을 위한 기진(氣診)에 대한 기초적인 연구)

  • Cho, Dae Geun;Kim, Gyeong Cheol
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.22 no.1
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    • pp.45-56
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    • 2018
  • The authors are using Qi-diagnosis (integrated diagnosis by bio-energy) that is a method of diagnosis and treatment. We applied Qi-diagnosis to the main study to lay the foundation and framework for research and education about the Korean Medicine. The authors try to describe systemically and specifically the Qi-diagnosis that the authors are using in clinical diagnosis ane treatment so that anyone can use it. The authors have been able to grasp the flow of human bio-energy through years of training. It has had many effects by applying the Qi-diagnosis to patients. The steps of the bio-energy flow have become objective. And the authors have been applied to acupuncture, herbal medicine, moxibustion, bruising treatment and anthrax anesthesia in clinical through the Qi-diagnosis. Also, it is applied to the life management of patients. It is applied to arts such as music therapy and art therapy. The deeper the depth of the Qi-diagnosis, the greater the opportunity to utilize the Qi-diagnosis. The Qi-diagnosis is the origin of the korean medicine. It was able to make diagnosis and treatment correct and to establish clues that the medical problems would be solved through the Qi-diagnosis. In order to do so, the diagnostician must be able to feel the auricular flow of the body accurately and objectively. In addition, he must have a comprehensive understanding of the overall framework of medicine. As a result, diagnosis and treatment of the patient as well as general problems of the patient can be identified and advised, so comprehensive treatment is possible. And it is not only a specific person can do it, but it is a diagnostic method that anyone can take if they take the basic steps step by step.

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Analytic Study of Diagnostic Validity by the Measure of Cold-Heat & Deficiency-Excess for Oriental Medical Examination (한방건강검진에서 한열허실 변증 진단의 타당성에 관한 연구)

  • Kwon, O-Sun;Kim, Jung-Eun;Lee, Jae-Wang;Seo, Chang-Woon;Han, Hyun-Young;Hong, Sang-Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.180-185
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    • 2009
  • We are developing the methods for the objective and systematic diagnosis, but in actuality the relativity between a diagnosis of Korean medical doctor to a symptom of patients and the conformity to the expression of the Korean medical diagnostic mechanism is short of the statistical data. so, the questionnaire of Cold-Heat & Deficiency-Excess and a diagnosis of Korean medical doctor and a result of the Korean medical diagnostic mechanism, through the relationship of those, we have offered the objective data for diagnostic validity. The study group was 750 volunteers who diagnosed by Cold-Heat & Deficiency-Excess, out of 1475 volunteers who participated in Korean-Western medical examination. We compared the results of the questionnaires for Cold-Heat & Deficiency-Excess patternization through the questionnaire with a diagnosis of Korean medical doctor. we also studied the diagnostic validity for the item of the questionnaire by statistics analysis. It is proper that 9 questions of 16 questions for the Cold, 6 questions of 14 questions for the Heat, 13 questions of 14 questions for the Deficiency, 6 questions of 9 questions for the Excess, and there is close correlation between the questionnaire to the diagnosis. The difference between the questionnaire score is meaningful(p=0.000), this conforms to the diagnosis of the Korean medical doctor, so the questionnaire have the validity. The result of the questionnaire of Cold-Heat & Deficiency-Excess conform to a diagnosis of Korean medical doctor, it carries an important meaning by the measure of diagnosis, and it is necessary for further study for the significance of the medical diagnostic mechanism.

Study about Satisfaction of Clinical Practice by Using Diagnosis Expert System in Korean Medicine (한의학 진단전문가시스템을 활용한 임상실습 만족도 연구)

  • Choi, Sung Woon;Park, Jun Kwan;Hwang, Kyo Sung;Noh, Yun Hwan;Cho, Young Seuk;Shin, Dong Ha;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.6
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    • pp.355-360
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    • 2018
  • The purpose of this study is to find out the direction of development of the expert diagnosis system by questioning student satisfaction after practicing Oriental Diagnosis System (ODS). A questionnaire survey was conducted for 73 students who attended Pusan National University Graduate School of Korean Medicine and conducted clinical practice from the second semester of 17 years to the first semester of 18 years. The questionnaire survey consisted of 6 questions about the satisfaction of current expert system and 5 questions about supplementation and addition. As a result of the questionnaire analysis, the question about the necessity of the expert diagnosis system and the benefit of clinical practice using the expert diagnosis system indicated high positive response rate. On the other hand, there is a difference in the results of the dialysis before and after using the expert diagnosis system. So, It seems that the reliability of the results of the expert diagnosis system is still low. The results of the questionnaire indicate that the need for expert diagnosis system is beneficial, but it is necessary to supplement the current system in order to improve clinical utility in the future.