The Fundamental Study for the Standardization and Objectification of Pattern Identification in Traditional Korean Medicine for Stroke (SOPI-Stroke): An overview of phase I

2012 ◽  
Vol 4 (2) ◽  
pp. e125-e131 ◽  
Author(s):  
Tae-Yong Park ◽  
Ju Ah Lee ◽  
Min Ho Cha ◽  
Byoung-Kab Kang ◽  
Tae-Woong Moon ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Mi Mi Ko ◽  
Ju Ah Lee ◽  
Byoung-Kab Kang ◽  
Tae-Yong Park ◽  
Jungsup Lee ◽  
...  

Observation of the tongue, also known as tongue diagnosis, is an important procedure in diagnosis by inspection in Traditional Korean medicine (TKM). We investigated the reliability of TKM tongue diagnosis in stroke patients by evaluating interobserver reliability regarding tongue indicators as part of the project named the Fundamental Study for the Standardization and Objectification of Pattern Identification in TKM for Stroke (SOPI-Stroke). A total of 658 patients with stroke admitted to 9 oriental medical university hospitals participated. Each patient was independently seen by two experts from the same department for an examination of the status of the tongue. Interobserver agreement about subjects regarding pattern identification with the same opinion between the raters (n=451) was generally high, ranging from “moderate” to “excellent”. Interobserver agreement was nearly perfect for certain signs of special tongue appearance (mirror, spotted, and bluish purple), poor for one of the tongue colors (pale) and moderate for others. Clinicians displayed measurable agreement regarding tongue indicators via both observation and pattern identification consistency. However, interobserver reliability regarding tongue color and fur quality was relatively low. Therefore, it is necessary to improve objectivity and reproducibility of tongue diagnosis through the development of detail-oriented criteria and enhanced training of clinicians.


2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Ju Ah Lee ◽  
Tae-Yong Park ◽  
Jungsup Lee ◽  
Tae-Woong Moon ◽  
Jiae Choi ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Young Joo Park ◽  
Ji-Ho Nam ◽  
Mi Hong Yim ◽  
Honggie Kim ◽  
Jong Yeol Kim

Although the Cold-Heat Pattern is the most important diagnostic factor in Traditional Korean Medicine (TKM), its relationship to body temperature and subjective temperature has not been clearly revealed. In this study, based on clinical data from 551 patients, we classified patients treated with herbal medicines into a Cold-prescription group (CG) and a Heat-prescription group (HG), and we compared the ordinary symptoms between the two groups. Subjective body temperature was higher in the HG than in the CG (OR = 1.68, p<0.01) and digestive ability was better in the HG than in the CG (expert’s questionnaire, OR = 1.91, p<0.001). However, objectively measured body temperature did not show any significant difference between the HG and CG in both gender groups (p=0.383 and 0.181 for males and females, resp.). Our study suggests that the subjective body temperature and digestive ability may be the principal diagnostic elements of Cold-Heat Pattern identification by Korean Medicine Doctors. These findings may contribute to the investigation of an objective method to measure the Cold-Heat Pattern.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
WooSang Jung ◽  
JungMi Park ◽  
SangKwan Moon ◽  
Sangho Hyun

Objectives.This study was conducted to verify the necessity of corresponding prescription to the diagnosed pattern in acute cerebral infarction patients.Methods.We studied cerebral infarction patients hospitalized within 30 days after the ictus. Forty-four clinical indicators, Motricity Index (MI) score, Scandinavian Stroke Scale (SSS) score, and herbal prescriptions were checked twice, two weeks apart. The probability of each pattern was calculated based on the clinical indicators. Changes in MI score, SSS score, and the probability of fire-heat pattern were compared between the pattern-prescription correspondence group and the noncorrespondence group.Results.Increments of MI score and SSS score in the correspondence group were significantly greater than those of the noncorrespondence group (p=0.003,p=0.001) while the baseline score of the two groups showed no significant difference. Probability of fire-heat pattern decreased significantly in the correspondence group (p=0.013) while the noncorrespondence group showed no significant difference after the treatment.Conclusion.Acute cerebral infarction patients who are diagnosed as fire-heat pattern showed better improvement in dysfunctions caused by the disease when they took the pattern corresponding prescriptions. This study provides evidence for the necessity and usefulness of pattern identification in Traditional Korean Medicine.


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