전립선비대증 변증도구의 신뢰도 평가 및 IPSS, 요속과의 상관관계에 대한 탐색적 연구

전천후,구지향,강위창,장은수,이은정,정인철,조충식 대한한방내과학회 2020 大韓韓方內科學會誌 Vol.41 No.6

Objectives: To evaluate the reliability of a pattern identification tool for benign prostatic hyperplasia and to examine the relationship between pattern identification tool readings and IPSS and uroflowmetry. Methods: We analyzed 56 patients diagnosed with benign prostatic hyperplasia from December 27th, 2017 to December 26th, 2018 by two different Korean medical doctors and followed with a pattern identification tool and by IPSS and uroflowmetry. One week later, the patients were retested to analyze the reliability of the pattern identification tool, determined with the intraclass correlation coefficient (ICC) using the test-retest method. The correlation between IPSS and uroflowmetry was analyzed with the Pearson coefficient. Result: The reliability of the pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance” (ICC=0.349). The reliability of each pattern identification score was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, Deficiency of Middle Qi, and Dampness-heat of Lower Energizer. The internal consistency was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, and Dampness-heat of Lower Energizer, and as “excellent” for Deficiency of Middle Qi. The correlation between pattern identification and IPSS was evaluated as a “moderate positive correlation” for all pattern identifications. The average flow rate and maximum flow rate using uroflowmetry was evaluated with “moderate negative correlation” for Yang Deficiency of Kidney and Dampness-heat of Lower Energizer. Conclusion: The reliability of a pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance.” Further research is needed. Objectives: To evaluate the reliability of a pattern identification tool for benign prostatic hyperplasia and to examine the relationship between pattern identification tool readings and IPSS and uroflowmetry. Methods: We analyzed 56 patients diagnosed with benign prostatic hyperplasia from December 27th, 2017 to December 26th, 2018 by two different Korean medical doctors and followed with a pattern identification tool and by IPSS and uroflowmetry. One week later, the patients were retested to analyze the reliability of the pattern identification tool, determined with the intraclass correlation coefficient (ICC) using the test-retest method. The correlation between IPSS and uroflowmetry was analyzed with the Pearson coefficient. Result: The reliability of the pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance” (ICC=0.349). The reliability of each pattern identification score was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, Deficiency of Middle Qi, and Dampness-heat of Lower Energizer. The internal consistency was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, and Dampness-heat of Lower Energizer, and as “excellent” for Deficiency of Middle Qi. The correlation between pattern identification and IPSS was evaluated as a “moderate positive correlation” for all pattern identifications. The average flow rate and maximum flow rate using uroflowmetry was evaluated with “moderate negative correlation” for Yang Deficiency of Kidney and Dampness-heat of Lower Energizer. Conclusion: The reliability of a pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance.” Further research is needed. Objectives: To evaluate the reliability of a pattern identification tool for benign prostatic hyperplasia and to examine the relationship between pattern identification tool readings and IPSS and uroflowmetry. Methods: We analyzed 56 patients diagnosed with benign prostatic hyperplasia from December 27th, 2017 to December 26th, 2018 by two different Korean medical doctors and followed with a pattern identification tool and by IPSS and uroflowmetry. One week later, the patients were retested to analyze the reliability of the pattern identification tool, determined with the intraclass correlation coefficient (ICC) using the test-retest method. The correlation between IPSS and uroflowmetry was analyzed with the Pearson coefficient. Result: The reliability of the pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance” (ICC=0.349). The reliability of each pattern identification score was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, Deficiency of Middle Qi, and Dampness-heat of Lower Energizer. The internal consistency was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, and Dampness-heat of Lower Energizer, and as “excellent” for Deficiency of Middle Qi. The correlation between pattern identification and IPSS was evaluated as a “moderate positive correlation” for all pattern identifications. The average flow rate and maximum flow rate using uroflowmetry was evaluated with “moderate negative correlation” for Yang Deficiency of Kidney and Dampness-heat of Lower Energizer. Conclusion: The reliability of a pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance.” Further research is needed.

암 환자 대상 설문지, 맥진기, 설진기 결과를 활용한 한열허실변증에 대한 예비 연구

최유진(Yujin Choi),김수담(Soo-Dam Kim),권오진(Ojin Kwon),박효주(Hyo-Ju Park),김지혜(JiHye Kim),최우수(Woosu Choi),고명현(Myung-Hyun Ko),하수정(Su-Jeung Ha),송시연(Si-Yeon Song),박소정(So-Jung Park),유화승(Hwa-Seung Yoo),정미경(Mi-Kyung 대한한의학회 2021 대한한의학회지 Vol.42 No.1

변증 진단 체계 개발 및 응용 연구 분석-한방 비만변증을 중심으로-

박정식 ( Jung Sik Park ),송윤경 ( Yun Kyung Song ),황의형 ( Eui Hyoung Hwang ),정원석 ( Won Suk Chung ),박원형 ( Won Hyung Park ),차윤엽 ( Yun Yeop Cha ),신승우 ( Seung Woo Shin ),박태용 ( Tae Yong Park ),장보형 ( Bo Hyoung Jan 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.2

Objectives The purpose of this study is analyzing internal research trends of oriental obesity pattern identification in korean literature based on obesity pattern identification questionnaires, development and application of Pattern Identification System to help solve problems of future researches.Methods6 Korean databases were searched for articles of oriental obesity pattern iden-tification, irrespective of publication year and 13 studies were reviewed. An analytical meth-od such as descriptive statistics and an actual number and percentage was used. Results We collected 13 studies. 4 studies were published in 2012 and 2008, the highest number of studies. 7 Clinical studies were the major research method. The Studies were classified according to the characteristics and design. 5 studies were about research of analysis and improvement of oriental obesity pattern identification questionnaire, the most number of studies. 4 studies were about research of observational studies in clinical on obe-sity pattern identification. 3 studies were about research of intervention studies in clinical on obesity pattern identification and 1 study was about clinical practice recommendation. Conclusions Establishment of obesity pattern identification system and its clinical appli-cation could lead to standardizing obesity pattern identification and clinical practice guideline. Applied on other diseases, obesity pattern identification system could also lead to improving treatment rate, contributing to the development of clinical practice guidelines and academic field of research. (J Korean Med Rehab 2014;24(2):107-114)

청소년들의 변증에 대한 단면조사 연구 - 2017 성남시 교의사업을 중심으로 -

이동녕,신선미,박정수,성현경,고재언,고호연,Lee, Dong-Nyung,Shin, Seon Mi,Park, Jeong-Su,Sung, Hyun Kyung,Go, Jae-Eon,Go, Ho-Yeon 대한예방한의학회 2019 대한예방한의학회지 Vol.23 No.2

Objective : This study is aimed to application possibility and status of pattern identification in middle and high school students. Method : This study was cross-sectional study. We recruited 277 students through school doctor program of Seongnam city in 2017. Male students are 66 in middle school, 32 in high school. Female students are 117 in middle school, 62 in high school. For pattern identification, we used the tool of Qui Xui Shui pattern identification in students. Students fill questionnaires in inquiry of pattern identification and Korean medicine doctor diagnosis inspection and palpation of students. Results : Among 277 students, no pattern identification were 114(41.2%). It appeared in the order of phlegm, blood deficinecy, qi deficiency, qi stagnation and qi reversal. Qi deficiency, qi stagnation, qi reversal, blood deficiency and phlegm pattern are statistically significant by gender except blood stagnation. of 277 students, 105 (37.9%) had one more pattern identification. Conclusions : This study showed possibility of Qui Xui Shui pattern for student health management. In the future, large scale follow up study will be needed to clarify the relationship of pattern identification and student's health.

비만(肥滿) 변증 연구에 대한 고찰(국내 연구 중심으로)

박원형 ( Won Hyung Park ),차윤엽 ( Yun Yeop Cha ),송윤경 ( Yun Kyung Song ),박태용 ( Tae Yong Park ),김호준 ( Ho Jun Kim ),정원석 ( Won Suk Chung ),황의형 ( Eui Hyoung Hwang ),신승우 ( Seung Woo Shin ),장보형 ( Bo Hyoung Jang ) 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.2

Objectives The aim of this study is to analyse research trends about oriental obesity pat-tern identification in Korea. Methods We searched the papers with key words of ‘obesity’ and ‘Pattern identi-fication’, ‘Syndrom differentiation’ in Korean database (Korean traditional knowledge por-tal, KISS, NDSL, DBPIA, KMBASE, Journal of Korean Medicine Rehabilitation, Journal of Korean Medicine for Obesity Research). We classified the papers by year and content. Results We reviewed 28 searched papers. Papers were published between 1992 and 2012. More than half of the total papers were published since 2008. There are 5 studies that focus on development and improvement of oriental obesity pattern identification questionnaire. 9 studies are research about using oriental obesity pattern identification questionnaire. 7 studies are research about Type of oriental obesity pattern identification. 4 studies are literature review of oriental obesity pattern identification. Other studies related to oriental obesity pattern identification are three. Conclusions To improve application and objectification about oriental obesity pattern identification, more clinical and oriental obesity pattern identification questionnaire studies are needed. (J Korean Med Rehab 2014;24(2):83-93)

견비통의 변증에 관한 문헌고찰

박해인,이광호 대한침구의학회 2015 대한침구의학회지 Vol.32 No.2

Objectives : The aim of this study is to summarise pattern-identification of shoulder pain based on the classics of oriental medicine, current literature and domestic papers. Methods : The materials selected were sourced from the classics of oriental medicine, current literature and domestic papers which contained data related to pattern-identification of shoulder pain. The pattern-identifications were compared to determine the similarities, and these were classified. Results : Thirty-five studies were reviewed, and thirty-seven pattern-identifications were collated. These were classified into the following groups: wind-cold-dampness group(n = 8), blood stasis group(n = 3), phlegm group(n = 7), dual deficiency of Qi and blood group(n = 4), deficiency cold group(n = 2), liver-kidney deficiency group(n = 1) and meridian-collateral group(n = 12). Conclusions : On the basis of the classification of pattern-identifications, two groups of pattern-identifications for shoulder pain were suggested. The first group included the pattern-identification associated with a disease-cause, which included the wind-cold- dampness pattern(風寒濕型), blood stasis pattern(瘀血型), phlegm pattern(痰飮型), Qi-blood deficiency pattern(氣血兩虛型), deficiency cold pattern(虛寒型), and liver-kidney deficiency pattern(肝腎虧損型). The second included the pattern-identification associated with the meridian-collateral, which included the hand greater Yin meridian pattern(手太陰經型), hand Yang brightness meridian pattern(手陽明經型), hand lesser Yin meridian pattern(手少陰經型), hand greater Yang meridian pattern(手太陽經型), hand reverting Yin meridian pattern(手厥陰經型), hand lesser Yang meridian pattern(手少陽經型), and foot greater Yang meridian pattern(足太陽經型).

위식도역류질환 변증도구 개발 연구

한가진,임정태,이나라,김진성,박재우,이준희,Han, Ga-jin,Leem, Jung-tae,Lee, Na-la,Kim, Jin-sung,Park, Jae-woo,Lee, Jun-hee 대한한방내과학회 2015 大韓韓方內科學會誌 Vol.36 No.2

Objectives: This study was designed to develop a standard tool for pattern identification of gastroesophageal reflux disease (GERD) patients. Methods: Korean and Chinese literature was selected that mentioned pattern identification of GERD. We gathered the pattern identification and their symptoms and a Chinese medical doctor proficient in Korean translated the Chinese characters into Korean. A Korean linguist then confirmed the translation results to develop a draft of the standard tool for pattern identification of gastroesophageal reflux disease (PIGERD). The final PIGERD was developed after assessment by an expert committee composed of professors from the Korean Medicine University, using the following items: inclusion of the pattern identification and its symptoms, importance of items, and validity of translation. Results: Six pattern identifications and 94 symptoms were selected from 45 references and translated into Korean. Four pattern identifications [pattern/syndrome of liver qi invading the stomach (肝胃不和), spleen-stomach weakness (脾胃虛弱), spleen-stomach dampness-heat (脾胃濕熱), and stomach yin deficiency (胃陰不足)] and 49 symptoms were then selected through the Delphi method by the expert committee. The final standard PIGERD tool was completed after the assessment of translation validity and reflection of individual opinions by the expert committee. This tool consists of 40 items including tongue and pulse diagnosis. The weighted value was also computed from assessment of the importance of items. Conclusions: We developed a standard tool for pattern identification of gastroesophageal reflux disease (PIGERD) to clarify the pattern identification of patients with gastroesophageal reflux disease for standardized diagnosis.

위식도역류질환 변증도구의 신뢰도 및 타당도 평가

조윤재,하나연,고석재,박재우,김진성 대한한방내과학회 2022 大韓韓方內科學會誌 Vol.43 No.1

Purpose: The standard tool for the pattern identification is used for identifying patterns in patients using a questionnaire. The purpose of this study is to reorganize the standard tool for the pattern identification of gastroesophageal reflux disease (GERD) developed in 2017 and to analyze the reliability and validity of the standard tool for pattern identification by applying it to GERD patients. Methods: To reorganize the standard tool for the pattern identification of GERD developed in the previous study, we searched the literature in the main databases, OASIS (Oriental Medicine Advanced Searching Integrated System) and CNKI (China National Knowledge Infrastructure). We added the search results to the data used in the previous study and went through the reorganizing courses, such as evaluating the validity of the translation, the Delphi technique, and a small survey. After reorganization, the patients who visited the Kyunghee University Korean Medicine Center for GERD symptoms were provided the questionnaire, including the reorganized standard tool for pattern identification. We analyzed the survey results to evaluate their reliability and validity. Results: Fifty patients completed the questionnaire. Reliability analysis results showed a pattern identification match rate of 86%, Cronbach’s α coefficient of 0.834, and intraclass correlation coefficient of 0.907. The Mann–Whitney U test and logistic regression were implemented to check the relations between the survey questions and pattern identification results; the Pearson correlation, compared with other scales, showed a moderate score. Conclusion: We reorganized the standard tool for the pattern identification of GERD to be updated on current issues and so that it is easily used. The analysis results of the questionnaire showed that the reorganized standard tool had high reliability and moderate validity.

한의 중풍 변증 표준화 연구에서 어혈증에 관한 고찰

이정섭,김소연,강병갑,고미미,김정철,오달석,김윤식,이인,조기호,전찬용,한창호,방옥선,Lee, Jung-Sup,Kim, So-Yeon,Kang, Byoung-Kab,Ko, Mi-Mi,Kim, Jeong-Cheol,Oh, Dal-Seok,Kim, Yoon-Sik,Lee, In,Cho, Ki-Ho,Chen, Chan-Yong,Han, Chang-Ho,Bang, 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.4

Background : Static blood is a kind of etiological factor including stagnated blood and blood overflowed out of the vessels. It is one of the causes of stroke in oriental medicine. Objectives : The purpose of this study was to evaluate the static blood pattern and its indicators in stroke pattern diagnosis. Methods : For the standardization of pattern diagnosis in stroke, we set 5 patterns (Fire-heat, Dampness-phlegm, Static blood, Qi deficiency, Yin deficiency) and developed 61 indicators. Patients with a first-ever stroke, within 1 month after the onset of stroke. Two physicians checked the indicators independently. They then performed pattern diagnosis and rechecked the indicators which were referred to pattern diagnosis. If pattern identifications were diagnosed the same, it would confirm pattern identification. We examined the frequency of all indicators and referred indicators in static blood pattern patients. Results : In 859 patients, static blood pattern was shared by 24(2.8%). The indicators which affect static blood pattern were mainly rough pulse and bluish purple tongue, other indicators were not major effectors. Conclusion : This result shows that it is inconsistent to set up static blood pattern as a major pattern in stroke. Nevertheless, static blood is still a valuable concept in the clinical field. Other study methods will be required to establish the pattern diagnostic indicators for static blood pattern.

한·양방 병행치료를 시행한 뇌경색 환자의 변증지표 변화와 Scandinavian Stroke Scale의 상관관계에 대한 연구

여서원,김수경,이지현,심소라,박주영,조승연,박성욱,정우상,문상관,박정미,조기호,김영석,배형섭,고창남,Lu, Hsu-yuan,Kim, Soo-kyung,Lee, Ji-hyun,Shim, So-ra,Park, Joo-young,Cho, Seung-yeon,Park, Seong-uk,Jung, Woo-sang,Moon, Sang-kwan,Park, Jung-mi 대한중풍순환신경학회 2012 대한중풍.순환신경학회지 Vol.13 No.1

Object : The purpose of this study is to observe the correlation between change in pattern identification symptoms and scandinavian stroke scale in ischemic stroke patient who had receive traditional Korean medical treatment and conservative treatment. Methods : 43 subjects were recruited from patients with ischemic stroke within 30 days of onset. We chose the subjects who had at least one follow up session and had checked the score between last follow up session and first session in pattern identification and scandinavian stroke scale. We also assessed the correlation between pattern identification and scandinavian stroke scale. Results : There were significant negative correlation between pattern identification and scandinavian stroke scale in Fire-heat pattern and positive correlation in Dampness-phlegm pattern. Conclusions : This study provides evidence that collaborative treatment maybe effective in improving neurologic symptoms in ischemic stroke patients diagnosed as Fire-heat pattern. Further studies with larger scale and longer observation period, more neurologicscales scales, control group would be required.