KMID : 0363320060270010237
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Journal of Korean Oriental Internal Medicine 2006 Volume.27 No. 1 p.237 ~ p.252
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Study of the Indicators of Dampness-Phlegm Pattern Identification Based on Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke
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Jo Hyun-Kyung
Kim Joong-Kil Kang Byeong-Gab Yu Byeong-Chan Baek Kyung-Min Lee In Choi Sun-Mi Seol In-Chan
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Abstract
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Objectives : This study was done to investigate clinical frequency and correlation among the indicators of dampness-phlegm pattern identification settled by tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke.
Methods : The subjects were 147 hospitalized patients with stroke, and a list of registry was made for each of them. Among the five types of pattern identification, fire-heat, dampness-phlegm, blood-stasis and deficiency of Qi and of Yin, those that have shown a high frequency in dampness-phlegm type were categorized as the dampness-phlegm pattern group. Frequency of dampness-phlegm indicators was compared with those from the non-dampness-phlegm pattern group. Correlations among dampness-phlegm indicators were also studied.
Results :
1. Dampness-phlegm pattern group included 26 patients out of 147.
2. Among the indicators of dampness-phlegm pattern. those, in order of highest frequency, were ¡¯tiredness or sluggishness¡¯, ¡¯white Coated tongue¡¯ and ¡¯sputum¡¯. 3
. In comparing dampness-phlegm pattern group with non-dampness-phlegml group, the indicators such as ¡¯lightheadedness¡¯, ¡¯nigrescence¡¯, ¡¯sputum¡¯, ¡¯dermatic dysaesthesia¡¯ showed significantly high frequency.
4. Among the indicators, ¡¯sputum¡¯ and ¡¯tiredness or sluggishness¡¯, ¡¯sputum¡¯ and ¡¯yellow coated tongue¡¯, and ¡¯white coated tongue¡¯ and ¡¯yellow coated tongue¡¯ showed significant correlation.
5. In investigation of the correlation of scale in symptoms, various results such as positive correlation and negative correlation were obtained.
Conclusion : In this study, more sensitive indicators of dampness-phlegm pattern identification were found. Based on these results, it is suggested that a more practical Korean Standard Differentiation of the Symptoms and Signs of Stroke would be established through continuous clinical studies by giving weight on each specific type of pattern identification.
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KEYWORD
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stroke, differentiation of the symptoms and signs, dampness-phlegm, indicator
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