8체질(體質) 진단(診斷) 전문가(專門家) 시스템 개발을 위한 기초연구(基礎硏究)

신용섭 ( Yong-sup Shin ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ),김민용 ( Min-yong Kim ),이상철 ( Sang-chul Lee ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2007 大韓韓醫診斷學會誌 Vol.11 No.1

Background and Purpose: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine Objectives: This study is to make out check list for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods: Review of literatures about special quality element of 8 Constitution and supplement learning advice of 8 Constitution Medicine Experts constructed knowledge base. And then, knowledge base divided through AHP(Analytic Hierarchy Process), and made out check list with this. Results: Knowledge base based on special quality element of 8 Constitution was divided by 5 greate classification and 25 bisection kind, and check list consisted of 251 item was made out through this. Conclusion: Based on this research, cases necessary to make 8 Constitution Medicine Diagnosis Expert System can be gathered through check list, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this research.

8체질 진단을 위한 전문가 시스템 개발에 관한 연구(2)

신용섭 ( Yong-sup Shin ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ),김민용 ( Min-yong Kim ),이상철,오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2008 大韓韓醫診斷學會誌 Vol.12 No.2

Background : There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives : This study is to make out 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods : First, at case base construction process we constructed case base for CBR embodiment because gathering 925 cases all to patient who constitution is verified, and second, at study model establishment process superior expert system development by purpose CBR of reasoning process dividing fundamental type CBR that spend basis data value and expert type CBR that reflect weight in basis ⅠⅡⅢ data value according to advice expert opinion, and third, system embodiment process explained about way to give process and weight that diagnose constitution through Nearest Neighbor Method sampling process of CBR techniques, and fourth, at system estimation process we selected superior CBR model because comparing and estimate the diagnosis rate of expert system with fundamental type system (GECBR) model and expert typeⅠⅡⅢ CBR system (AVCBR, AACBR, AGCBR) model that reflect expert opinion in fundamental type system. GECBR and AGCBR chose on superior study model. Through such 4 study process, we developed 8 constitution diagnosis expert system lastly. Results : 1. When we select GECBR that is fundamental type by reasoning system, diagnosis rate 78.91% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 90.4%, Cholecystonia 63.0%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 71.2%, Colonotonia 74.4%, Renotonia 37.5%, Vesicotonia 67.1% expect. 2. When we select AGCBR that is expert type Ⅲ by reasoning system, diagnosis rate 77.51% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 93.4%, Cholecystonia 58.5%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 73.1%, Colonotonia 64.4%, Renotonia 41.7%, Vesicotonia 72.2% expect. Conclusion : Based on this study, 8 constitution diagnosis expert system may give help to diagnose 8 constitution, and it is going to utilize as objective estimation tool of 8 constitution diagnosis, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this study.

8체질함(體質緘) 자극(刺戟)이 심박변이도(心博變移度)에 미치는 영향

신용섭 ( Yong-sup Shin ),박영재 ( Young-jae Park ),오환섭 ( Hwan-sup Oh ),이상철 ( Sang-chul Lee ),박영배 ( Young-bae Park ) 대한한의진단학회 2005 大韓韓醫診斷學會誌 Vol.9 No.2

Objectives: This paper investigated the effects of 8 Constitution Acupuncture on Heart Rate Variability(HRV) and is intended to find out 8 Constitutional difference on Autonomous Function after 8 Constitution Acupuncture stimulation. Methods: The subjects were comprised of 42 volunteers(11 men and 31 women). The volunteers had acupunctured by 8 Constitution Acupuncture Therapy. HRV and Mean Heart Rate(MHR) were measured by TAS9v2.0(IEMBIO & Saerom, Korea) on two times: before and immediately after acupuncture stimulation. The SPSS 13.0 for windows was used for statistical analysis: Mann-Whitney U-test, Paired Samples T -test and Wilcoxon signed rank test were used to verify the results. Results: 1. There was no statistically significant difference on HRV and MHR between Sympathicotonia and Vagotonia before acupuncture. 2. In the whole subject, immediately after acupuncture stimulation, MHR showed a significant decrease(p<0.01) and Ln(TP), Ln(LF) and Ln(HF) showed a significant increase(p<0.05). But there was no significant difference in LHR. 3. Immediately after acupuncture stimulation, MHR showed a significant decrease and Ln(TP), Ln(HF), showed a significant increase in Pulmotonia(p<0.05), Ln(TP) showed a significant increase in Pancretonia(p<0.05),MHR showed a significant decrease and Ln(TP) showed a significant increase in Hepatonia(p<0.05), and MHR showed a significant decrease and Ln(TP), Ln(HF), showed a significant increase in cholecystonia(p<0.05). But there were no significant difference on HRV and MHR in Colonotonia and vesicotonia. Conclusion: The results suggest that 8 Constitution Acupuncture is associated with changed activity in sympathetic and parasympathetic nervous system. Further study is needed for investigating the effects of 8 Constitution Acupuncture on HRV and autonomic nervous system.

보중익기탕증(補中益氣湯證)의 병인론(病因論)적 분석을 위한 설문문항(說問問項) 개발(開發)

윤태득 ( Tae-deug Yoon ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ),이상철 ( Sang-chul Lee ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2007 大韓韓醫診斷學會誌 Vol.11 No.1

Background: Bojungikgitang is one of the most common herbs in oriental medicine. Principally, this medicine heals illness from overwork and stress. Therefore, it is frequently used in the ancient community. Because of insufficiency in data, objective judgements are difficult in remedial effects by Bojungikgitang. In order to make objectivity diagnose data, this research is developed. Purpose: The aim of the research is to make questionnaire for the medicine and the objective is to sell to the public from the local clinic. Methods: The questionnaire which includes symptoms and signs for diagnose of Bojungikgitang is studied by the Delphi method and average value. Results: By the Delphi method and average value, 25 Items of questionnaires are choosen for the research. Conclusions: Further research is necessary for modification of questionnaire by statistics and certification by clinical trial. The statistics and verification by clinical trial is necessary with modification for further research.

Thermography의 분석방법에 관한 기초연구

이혁재 ( Hyuk-jae Lee ),박영재 ( Young-jae Park ),오환섭 ( Hwan-sup Oh ),이상철 ( Sang-chul Lee ),박영배 ( Young-bae Park ) 대한한의진단학회 2005 大韓韓醫診斷學會誌 Vol.9 No.2

Background: The basic concept of thermographic interpretation is the thermologic equality of both side in normal person. But both sides diseases were limited diagnostic values by thermographic interpretation, and this interpretation does not apply to the case in thermal temperature of each part of body. Nevertheless, the measurement conditions are not standardized. So, for its clinical applications are extended, we think that the measurement conditions are considered the individual variations. Objectives: The purpose of this study is to examine the optimum conditions thermal temperature of the time period and region are not effected by internal and external variables. Methods: After the subjects took off their clothes, the filming were repeatedly five times made on duration of 5minutes during 20minutes. We selected nine regions around acupoints including Yin dang[印堂, HN1], Sugu[水溝, GV26], Ch`ondol[天突, CV22]. Chonjung[?中, CV17], Chung-wan[中脘, CV12], Ch`onch`u[天樞, S25], Mo-gung[勞宮, P8], and calculated based on the utility of R.O.I.(Region of Integer) in our system these points temperature. We measured the optimal time period and region that has little variation of thermal temperature. Results: The results shows that the optimal time period is 20minutes after undressed, and the optimal region is the region around acupoints including Sugu[水溝, GV26]. Conclusions: we obtained the measurement conditions were considered the individual variations. And also, this study offers basic sources for that the measurement conditions would be standardized. Furthermore, based on this results, we expect that clinical applications using thermography would be extended.

평위산증(平胃散證)의 병인유적(病因諭的) 분석(分析)을 설문문항(說問問項) 개발(開發)

임준성 ( Jun-sung Lim ),박영배 ( Young-bae Park ),이상철 ( Sang-chul Lee ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2007 大韓韓醫診斷學會誌 Vol.11 No.1

Background & Objective: Pathogenesis treats cause of disease. pyungweesan is pathogenesis prescription of indigestion. prescription has been determined subjectively because there is no standardized prescription. so this study developed questionnaire for a objective and standardized prescription. Method: To determine objective pyungweesan prescription, 24 items of questionnaire are researched two times by delphi method. The questionnaire is selected through 5 reference book and opinions of korean medical doctor. Result: By delphi method and average value, 20 items of questionnaire are chosen. Conclusions: This study becomes basic data for a profound research henceforth. The questionnaire will be developed through being verified by korean medical doctor clinically.

보중익기탕증(補中益氣湯證)의 병인론적(病因論的) 분석을 위한 설문문항(說問問項) 개발(開發)(II)

윤태득 ( Tae-deug Yoon ),박영재 ( Young-jae Park ),이상철 ( Sang-chul Lee ),박영배 ( Young-bae Park ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2007 大韓韓醫診斷學會誌 Vol.11 No.2

Background and purpose: We previously developed questionnaire of Bojungikgitang systom on the Delphi method through the pathogenesis analysis. But developed a questionnaire was not verified in the clinical. So, to ensure objectivity, quantification and validity, verification is needed for questionnaire items before applying a clinical. On this study, we looked at whether questionnaire items had been validity in the clinical. Methods: Surveys conducted about 191 patients at 12 oriental medicine hospitals. Among them, patients with Bojungikgitang systom(group I) were 95, and patients with no Bojungikgitang systom(group II) were 96. We calculated that the sum of each item in the survey and then the sum was reviewed statistically significant difference through Independent samples T test between group I and Ⅱ. Results: Between group I and Ⅱ, the total sum survey of the percent difference is meaningful (P<0.05). Conclusions: Reliability analysis of the Bojungikgitang systom survey research is needed in the future. Also I think that research should proceed about a lot of people.

열변증설문지 개발

배노수 ( No-soo Bae ),양동훈 ( Dong-hoon Yang ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ),이상철 ( Sang-chul Lee ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2006 大韓韓醫診斷學會誌 Vol.10 No.1

Background and Purpose: The Han(cold)-Yol(heat) patternization is one of the most usually used diagnostic methods in oriental medicine. This is studies for compensating questionnaries for Han-Yol that were made by Sook-Kyeng Kim. Methods: Questionnaries for Yol should be useful for clinical examination. So symptoms being chosen for questionnaries are based on Donguibogam that is clinical textbook and 46 items are developed. By delphi panel and statistical analysis Items of questionnaries are choosen. Resultset: By delphi panel and statistical analysis 8 Items of questionnaries are choosen. Conclusion: Further research is necessary for improvement reliabilities and validities of the questionnaires for Yol patternization.