상지대학교 한방의료공학과 심혈관계 시뮬레이터 실험실

대한한의진단학회 대한한의진단학회 2020 대한한의진단학회지 Vol.24 No.1

음허증 평가 설문지의 국내외 활용 현황조사

박세원 ( Se-won Park ),남동현 ( Dong-hyun Nam ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.2

Objectives The purpose of this study was to survey the current status of use of questionnaires for evaluating Yin Deficiency Syndrome and analyze the comparison with questionnaires. Methods We searched online medical databases to find domestic/international articles using questionnaires for evaluating intensity of Yin Deficiency Syndrome. Finally 18 articles were collected to be reviewed and they were classified according to their subjects and type of the Questionnaires. Results Out of 18 articles, 11 were based on the Yin-Deficiency Questionnaire (Yin-DQ) and the others used various questionnaires, except the Yin-DQ, for assessing Yin Deficiency Syndrome. In Korea the Yin-DQ was used widely but in foreign countries, for instance, China, Taiwan, a variety of questionnaires were used. Conclusion The Yin-DQ had a wider use in assessing Yin Deficiency Syndrome, but cut-off score for diagnostic criteria was not defined. Therefore, we decided that the YDS (Yin Deficiency Scale) with cut-off score was more suitable for screening patients with Yin Deficiency Syndrome. Moreover, we suggested that additional studies on using the YDS and developing more appropriate diagnostic tool should be conducted to improve diagnostic objectivity.

안진(眼診) 설문지 개발 및 안진(眼診) 설문의 허실(虛實) 연관성 연구

서재호 ( Jae-ho Seo ),최진용 ( Jin-yong Choi ),오환섭 ( Whan-sup Oh ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.2

Objectives Eyes, one of visual inspection regions, present important clues to pathological patterns including deficiency and excess patterns to the clinicians. The purpose of this study was to develop Eyes Inspection Questionnaire (EIQ) and to examine which items among the EIQ were more predictive of clinicians` determination for the deficiency and excess patterns. Methods Nine questionnaire items for Visual Inspection of Eyes were extracted through the literature review. These items were presented to the 4 Korean medical doctors who are specialized in visual inspection to conduct the Delphi method. The Korean medical doctors were asked to rate the importance of each items for the corresponding Visual Inspection of Eyes, using a Likert 5-point scale(the 3 points of importance as a cut-off point). Then, out of 75 photographs submitted to the Society of HyungSang Medicine in 2009, 30 portrait pictures were selected as samples. The samples were copied to make 60 sample pictures, and then randomly assigned to 4 clinicians. The 4 clinicians evaluated the 60 samples for excess and deficiency of the eyes and were asked to check the 6 questionnaire items. The results were recorded as 5-points-scale, and their average and standard deviations were calculated. Intra- class reliability test and multi regression test were performed using SPSS 13. Results Intra-class correlation coefficient (ICC) was between 0.750 to 0.841 (P<0.05). Indices for visual inspection of the eyes were: endowment of the bone structure around the eyes; brightness of the eyes; upward deviation of the eyes; eye shapes; and definition of iris. 76.92% of deficiency symptom patterns and 86.42% of the excess symptom patterns matched the patterns predicted by the visual inspection of the eyes, according to the frequency analysis. According to the multiple regression analysis, < Brightness of the eyes > were significantly related to the excessive symptoms, and < downward deviation of the eyes > to the deficiency symptoms. Conclusion This study is the first attempt of development for checklist of excess and deficiency of Visual Inspection of Eyes and quantitative measurement of excess and deficiency using the Visual Inspection of Eyes by the visual inspection experts. Still, additional studies are needed regarding the relationship visual inspection methods have with existing standards of diagnosis.

상한론 증상에 근거한 진료기록부 작성에 대한 제언

김상운 ( Kim Sang-un ),이홍규 ( Lee Hong-kyu ),정현종 ( Jung Hyun-jong ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.2

Objectives This study intends to present the writing of standardized medical records based on Korean medicine on the basis of the Sanghanron symptoms. Methods 1. Excluding the sentences unrelated to the Sanghanron symptoms, the symptoms in the rest of sentences were extracted. 2. Classifying the extracted symptoms as per the review of system, the similar symptoms were integrated. 3. Calculating the frequencies of each symptom, each strain rate was calculated. Results & Conclusion: 1. Resulting from the analysis on 378 sentences in Sanghanron, a total of 1566 different symptoms were extracted. 2. As results out of total, the symptom related to the temperature sensation accounted for 17.9%, that related to sweat did 6.5%, that related to pulse did 12.4%, that related to eye and nose and mouth and tongue and throat as well as thirst did 7.7%, that related to stool did 11.6%, that related to urination and urinary organs did 4.9%, that related to language and mind and sleep and agitation as well as heart did 10.0%, and that related to vomiting and abdomen as well as digestive organs did 15.4%. 3. There were found many symptoms were described in accordance with the severity of basic expressions. For examples, in case of fever, there were mild fever and high fever, and in case of sweat, there were profuse sweating and slightly sweating. 4. To create the medical records for cold damage disease, it may necessary to consider the factors to be recorded as per each symptom and write the detail of each symptom.

부항과 쑥뜸의 겸용치료기(부뜸이)의 임상 활용 방안에 대한 기초 연구

김경철 ( Gyeong Cheol Kim ),이정원 ( Jeong Won Lee ),김이순 ( Yi Soon Kim ),양한조 ( Han Cho Ryang ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.2

Objectives In order to extend the bounds of korean medical instruments, we studied on the clinical application of BUDDEUM (the remedy of the synchronus combination of cupping boil and moxibustion) by the industry-academic cooperation. Methods The korean clinic, enterprise and university participated in jointly an educational-industrial complex. We studied on the clinical application of BUDDEUMI according to the structural character, functional efficiency and clinical case. And therefore we confirmed clinically the application of BUDDEUMI. Results The results was as follows. 1. The effects of BUDDEUMI are observed on the detoxification of blood waste material, & the form and appearance of effete matter are various. 2. The BUDDEUMI massage treatment operated in the abdominal and the back in order to recover energy and increase immunity. 3. The heating treatment by BUDDEUMI operated in sickly region, in order to pour into heat of moxibustion. Conclusion According to the results, by the set up the exclusive therapy room and the arrange of the exclusive human agency of BUDDEUMI, the newly and various therapies of korean medicine are possible to develop.

신체(身體) 형태(形態)에서의 개체성(個體性) 관찰(觀察)에 대한 문헌(文獻) 연구(硏究)

김경철 ( Gyeong Cheol Kim ),김재필 ( Jae Phil Kim ),이정원 ( Jeong Won Lee ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.2

Objectives For the excellent differentiation of syndromes, we study on the individual characteristic factor by the inspection of body shape. Methods To the subject of diagnosis special books and diagnostics textbook of korean medicine, we arrange the individual characteristic factor by the four methods of diagnosis. Results The individual characteristic factor analyzed by the inspection of the body shape in the 『Huangdineijing 黃帝內經』 and 『Donguisusebowon 東醫壽世保元』 was observed stereotyped. The inspection of the body shape means to diagnose the patient by examining the individual physical conditions of the patient. The body depends on visceral essence to nourish, while the functions of the viscera and the conditions of visceral essence may be reflected by the body. The inspection of individual physical strength and weakness may enable one to know the functions of the viscera and the conditions of ki(氣) and blood. And also the inspection of local regions is used to closely examine some regional areas to obtain necessary clinical data on the individual characteristic factor. Conclusion As the results, the individual characteristic factor by the inspection of body shape is very important item of the four methods of diagnosis(四診) and the differentiation of syndromes(辨證). And therefore the process on four methods of diagnosis and differentiation of syndromesis is necessary to divide the signs of individual characteristic factor and the signs of disease.

맥상파 물리량 속성 총의형성을 위한 델파이 연구

이해범 ( Haebeom Lee ),김현호 ( Hyunho Kim ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.3

Objectives This study was conducted to derive consensus about physical attributes in pressure pulse waveform and pulse conditions by Delphi study. Methods Delphi research was conducted for 2 rounds via e-mail. 8 Professors who lecture on a diagnostics of K. M. from the society of Korean medicine diagnostics were participated in this survey. They were asked for answering about series of definition for a physical attribute in pressure pulse waveform and combination for physical attributes of pulse conditions. Results 4 survey items were decided to have high validity and 9 survey items were decided to come to consensus about a physical attribute in pressure pulse waveform. 6 pulse condition were decided to come to consensus. Conclusion Using Delphi method, physical attributes in pressure pulse waveform and combinations of physical attribute in pulse condition come to consensus.

상한문헌에 나타난 현훈의 정의와 치료법에 대한 연구

김상운 ( Sang-un Kim ),정현종 ( Hyun-jong Jung ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.3

Objectives to study definition and treatment of dizziness in the books of Cold damage which are classified as symptoms of all time. Methods 1. Quote provisions related to dizziness in 『Sanghanlon(傷寒論)』 2. Among the books of Cold damage which are classified as symptoms, select 19 literatures on dizziness with table of contents and collect data and categorize in two perspectives on theories and disease pattern. 3. Compare and draw a chart all data collected in above methods. Results & Conclusions 1. In the books on Cold damage, dizziness is expressed in 2 ways such as head dizziness(頭眩) and fainting(鬱冒). fainting is much more several symptoms than head dizziness and it is the difference that it has mental confusion. 2. The cause of head dizziness after promoting sweating, vomiting and purgation is that source qi(元氣) of upper energizer(上焦) is deficiency, and cause of head dizziness before using method of treatment is wind(風), heat(熱), phlegm(痰), blood deficiency(血虛) and etc. 3. Main cause of fainting is that deficiency is getting severe so that cold invades, and symptoms are blood deficiency, after giving birth and excess pattern of fire and heat. 4. Remedies for head dizziness are using Yeonggyechulgam-tang(?桂朮甘湯), jinmu-tang(眞武湯), sosiho-tang(小柴胡湯), sagunja-tang(四君子湯), samul-tang(四物湯) and etc. 5. Insamsambaek-tang (人蔘三白湯) and Sayeok-tang(四逆湯) are used for deficiency pattern of fainting, and Dojeok-san(導赤散), Daeseunggi-tang(大承氣湯), and Hwangryeonhaedok-tang(黃連解毒湯) are used for excess pattern(實證).

AHP 분석을 이용한 음허 설문항목의 중요도 부여

김기태 ( Kitae Kim ),고흥 ( Heung Ko ),신선미 ( Seonmi Shin ),정진화 ( Jinhwa Jung ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.3

The purpose of this study is to give priority in Yin-deficient questionnaire items. if adequate priority is given, clinical judgment and questionnaire of the results is expected to be similar. The AHP is a systematic procedure for analyzing the elements of any problem hierarchically. Based on survey of expertise, as series of pairwise comparison judgements is performed to evaluate the various elements in the hierarchy. We are expected to use the AHP analysis that would apply to oriental doctor`s diagnostic process analysis. In this study, korean medical doctors experienced over 5 years was included. Results given the importance to Yin-deficient questionnaire items, Results given the importance to the questionnaire items, the most important item was Irritable fever on the five Hearts, the second was tidal fever.

서울 지역 대학생들의 한방 의료 인식 및 이용 현황 조사

박재경 ( Jae-kyung Park ),임주혁 ( Ju-hyuk Yim ),김현호 ( Hyunho Kim ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ) 대한한의진단학회 2014 대한한의진단학회지 Vol.18 No.3

Objectives This study examined the perception and current utilization of Korean medical clinics in South Korea, focusing on university students in their 20s who live in Seoul. In addition, this study investigated methods for improving positive perception on korean medical clinics. Methods The questionnaire consisted of preference, reliability, professionalism, and modernity of korean medical clinics based on previous researches. The data was collected from 203 students of 6 different universities in Seoul through a direct survey from 4th September to 7th September 2013. The collected data were analyzed by the frequency analysis. Results According to the survey, the university students in Seoul have few chances to visit korean medical clinics, and they do not have enough information about korean medical treatment. Also, only few of them have recognized existence of research on korean medical treatment, and most of them request that korean medical care need to be scientifically proven. Conclusion The study implied that if the perception of preference, reliability, professionalism, and modernity regarding korean medical clinics develops by promoting research achievements, an increasing number of university students in their 20s will take korean medical care.